ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC (EIN 16-1391191)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201213189349304026
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T15:45:40-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010723685EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DERMODY BURKE & BROWN CPAS LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1443 N FRANKLIN ST STE 100AddressLine1
CitySYRACUSECity
StateNYState
ZIP Code132041441ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161391191EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKE RESIDENTIAL HEALTH CARE FACILITY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone3153423166Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1299 EAST RIVER ROADAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code131269302ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTERRENCE GORMANName
TitleTREASURERTitle
Phone3153423166Phone
Date Signed2012-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID J DE SILVAName
PTINP00005255PTIN
Phone3154719171Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ST LUKE HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonTERRENCE GORMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1299 EAST RIVER ROADAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code131269302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18195994GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STLUKEHS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO MEET THE EVOLVING HEALTHCARE NEEDS OF OUR COMMUNITY, ST. LUKE RESIDENTIAL HEALTHCARE FACILITY, INC. IS DEDICATED TO HELPING THE PEOPLE WE SERVE LIVE TO THEIR MAXIMUM POTENTIAL AND PROMOTE DIGNITY OF LIFE THROUGHOUT ALL OF ITS STAGES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees381TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI-45882TotalGrossUBI
Net Unrelated Business Txbl Income-29354NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9000ContributionsGrantsPriorYear
Contributions Grants Current Year492256ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15676107ProgramServiceRevenuePriorYear
Program Service Revenue CY16800878ProgramServiceRevenueCY
Investment Income Prior Year95337InvestmentIncomePriorYear
Investment Income Current Year62295InvestmentIncomeCurrentYear
Other Revenue Prior Year934551OtherRevenuePriorYear
Other Revenue Current Year758016OtherRevenueCurrentYear
Total Revenue Prior Year16714995TotalRevenuePriorYear
Total Revenue Current Year18113445TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10059665SalariesEtcPriorYear
Salaries Etc Current Year10424325SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6611531OtherExpensePriorYear
Other Expenses Current Year7409430OtherExpensesCurrentYear
Total Expenses Prior Year16671196TotalExpensesPriorYear
Total Expenses Current Year17833755TotalExpensesCurrentYear
Revenues Less Expenses Prior Year43799RevenuesLessExpensesPriorYear
Revenues Less Expenses CY279690RevenuesLessExpensesCY
Total Assets BOY17704347TotalAssetsBOY
Total Assets EOY17468847TotalAssetsEOY
Total Liabilities BOY13604757TotalLiabilitiesBOY
Total Liabilities EOY13089567TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4099590NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4379280NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO MEET THE EVOLVING HEALTHCARE NEEDS OF OUR COMMUNITY, ST. LUKE RESIDENTIAL HEALTHCARE FACILITY, INC. IS DEDICATED TO HELPING THE PEOPLE WE SERVE LIVE TO THEIR MAXIMUM POTENTIAL AND PROMOTE DIGNITY OF LIFE THROUGHOUT ALL OF ITS STAGES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16267412Expense
Revenue16800878Revenue
DescriptionST. LUKE HEALTH SERVICES IS LOCATED IN OSWEGO, NEW YORK, OVERLOOKING THE SCENIC OSWEGO RIVER. ST. LUKE IS EASILY ACCESSIBLE AND CLOSE TO NEIGHBORS AND FRIENDS IN THE GREATER-OSWEGO/FULTON AREA. ST. LUKE IS A NON-DENOMINATIONAL, NOT-FOR-PROFIT ORGANIZATION THAT HAS BEEN SERVING THE GREATER-OSWEGO, NEW YORK COMMUNITY FOR OVER 30 YEARS. OUR SHORT-STAY REHAB UNITS OFFER INTENSIVE PHYSICAL, OCCUPATIONAL OR SPEECH THERAPY LASTING GENERALLY NO MORE THAN 90 DAYS FOR THOSE WHO ARE RECOVERING FROM SURGERY, OR A MAJOR MEDICAL EVENT SUCH AS A STROKE OR HEART ATTACK. ST. LUKE ADULT DAY HEALTH CARE IS A DAILY HEALTH MONITORING AND ACTIVITIES PROGRAM DESIGNED TO PROMOTE INDEPENDENCE AND DELAY INSTITUTIONALIZATION OF THE DISABLED ADULT, AVAILABLE FOR 20 REGISTRANTS FROM THROUGHOUT OSWEGO COUNTY. A MEDICAID ELIGIBLE PROGRAM, ADULT DAY HEALTH CARE IS A MEDICAL MODEL PROGRAM PROVIDING HEALTH AND MEDICAL CARE, INCLUDING CASE MANAGEMENT, HEALTH ASSESSMENT, PHYSICAL REHABILITATION, OCCUPATION THERAPY, SPEECH THERAPY, DENTAL SERVICES, THERAPEUTIC DIETS, NUTRITIONAL EDUCATION AND MORE.Description
Total Program Service Expense16267412TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees381NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1NORMA LEWISBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3153423166TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1299 E RIVER ROADAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code13126ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JEROME A MIRABITO
PRESIDENT1.00XX000
MICHAEL CULLINAN
SECRETARY1.00XX000
TERRENCE GORMAN
TREASURER40.00XX156480018092
BRIAN CASWELL
VICE PRESIDENT1.00XX000
DAVID O'BRIEN
BOARD MEMBER1.00X000
JOAN MORRISON
BOARD MEMBER1.00X000
KATHLEEN DYER
BOARD MEMBER1.00X000
MICHAEL POLLOCK
BOARD MEMBER1.00X000
REV ROBERT STEPHENSON
BOARD MEMBER1.00X000
STEPHEN FRAWLEY
BOARD MEMBER1.00X000
REV JEFFREY KNOX
BOARD MEMBER1.00X000
RICHARD FARFAGLIA
BOARD MEMBER1.00X000
CATHERINE R GILL
CHIEF OPERATING OFFICER40.00X10425109322
NORMA LEWIS
FINANCE DIRECTOR40.00X72394015068
FieldValueIRS element (for citing)
Total Reportable Comp From Org333125TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation42482TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB RESOURCES
159 W 1ST STREETOSWEGONY13126PHYS, OCCUP, & SPEECH THERAPIES1005922
SODEXHO INC & AFFILIATES
PO BOX 81049WOBURNMA01813DIETARY MANAGEMENT480080
OSWEGO COUNTY OPPORTUNITIES INC
239 ONEIDA STFULTONNY13069DAYCARE REGISTRANTS TRANSPORTATION150675
EAGLE JANITORIAL SUPPLY & SERVICE COMPAN
333 ROSE STREETWILLIAMSPORTPA17701HOUSEKEEPING MANAGEMENT116142
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants492256GovernmentGrants
Total Contributions492256TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET RESIDENT SERVICE RDescription
Business Code623000BusinessCode
Total Revenue Column16800878TotalRevenueColumn
Related Or Exempt Function Income16800878RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue16800878TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column62295TotalRevenueColumn
Exclusion$62,295ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real36667Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real82549Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-45882Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-45882TotalRevenueColumn
Unrelated Business Revenue-45882UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MANAGEMENT FEES541610591396$591,396
LAUNDRY INCOME81230091153$91,153
CAFETERIA/VENDING MACH90009960086$60,086

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column61263TotalRevenueColumn
Exclusion$61,263ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue803898TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18113445TotalRevenueColumn
Related Or Exempt Function Income16800878RelatedOrExemptFunctionIncome
Unrelated Business Revenue-45882UnrelatedBusinessRevenue
Exclusion$866,193ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total393319Total
Management And General393319ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7772241Total
Program Services7338087ProgramServices
Management And General434154ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total236274Total
Program Services144694ProgramServices
Management And General91580ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1359671Total
Program Services1225456ProgramServices
Management And General134215ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total662820Total
Program Services609381ProgramServices
Management And General53439ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total596222Total
Program Services596222ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total105092Total
Management And General105092ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44183Total
Management And General44183ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1268771Total
Program Services1239539ProgramServices
Management And General29232ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4768Total
Management And General4768ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total914010Total
Program Services779937ProgramServices
Management And General134073ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total93939Total
Management And General93939ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total824471Total
Program Services802271ProgramServices
Management And General22200ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total69328Total
Program Services52492ProgramServices
Management And General16836ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total43362Total
Program Services43362ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total848650Total
Program Services848650ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total150145Total
Program Services148067ProgramServices
Management And General2078ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS CASH RECEIPTS ASSES786007786007
DIETARY EXPENSE7330257285614464
DEVELOPMENT FEES455611455611
DRUGS & PHARMACEUTICALS240162240162

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total231684Total
Program Services228913ProgramServices
Management And General2771ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17833755Total
Program Services16267412ProgramServices
Management And General1566343ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY688510BOY
EOY530808EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY258685BOY
EOY259017EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4134590BOY
EOY5267934EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY122917BOY
EOY128373EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20005551LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15626278LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4777761BOY
EOY4379273EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7721884BOY
EOY6903442EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17704347BOY
EOY17468847EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4612499BOY
EOY4646252EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY57569BOY
EOY59004EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8934689BOY
EOY8384311EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13604757BOY
EOY13089567EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4099590BOY
EOY4379280EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4099590BOY
EOY4379280EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17704347BOY
EOY17468847EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses279690ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205501CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13224CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9000CurrentTaxYearMinus1Year
Current Tax Year492256CurrentTaxYear
Total735981Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14555259CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15554860CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15081766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15676107CurrentTaxYearMinus1Year
Current Tax Year16800878CurrentTaxYear
Total77668870Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years571122CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years633385CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years753588CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year784603CurrentTaxYearMinus1Year
Current Tax Year866193CurrentTaxYear
Total3608891Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15331882CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16204245CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15848578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16469710CurrentTaxYearMinus1Year
Current Tax Year18159327CurrentTaxYear
Total82013742Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50982013742PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years286220CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years154503CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years98092CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95337CurrentTaxYearMinus1Year
Current Tax Year62295CurrentTaxYear
Total696447Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years286220CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years154503CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years98092CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95337CurrentTaxYearMinus1Year
Current Tax Year62295CurrentTaxYear
Total696447Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16304CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16863CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year171875CurrentTaxYearMinus1Year
Total236893Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15649953CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16375052CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15963533CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16736922CurrentTaxYearMinus1Year
Current Tax Year18221622CurrentTaxYear
Total82947082Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98870PublicSupportPercentage509
Prior Year Support Percentage0.98540PriorYearSupportPercentage
Investment Income Percentage0.00840InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01100PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis99100OtherCostOrOtherBasis
Book Value99100BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15383566OtherCostOrOtherBasis
Depreciation12350762Depreciation
Book Value3032804BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4522885OtherCostOrOtherBasis
Depreciation3275516Depreciation
Book Value1247369BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4379273TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT FUNDS59004
DEPRECIATION RESERVE FUND3680163
WORKING CAPITAL ESCROW11975
MORTGAGE ESCROW DEPOSITS44443
RESERVE FOR REPLACEMENT1503198
EDUCATION FUND29261
MORTGAGE COSTS213944
DUE FROM RELATED PARTIES1361454
FieldValueIRS element (for citing)
Total Book Value Other Assets6903442TotalBookValueOtherAssets
Total Revenue18113445TotalRevenue
Total Expenses17833755TotalExpenses
Excess Or Deficit For Year279690ExcessOrDeficitForYear
Excess Or Deficit Per FS279690ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18195994TotRevenueEtcAuditedFinclStmt
Other Revenues82549OtherRevenues
Revenue Not Rptd F99082549RevenueNotRptdF990
Revenue Subtotal18113445RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99018113445TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17916304TotExpensesEtcAuditedFinclStmt
Other Expenses Included82549OtherExpensesIncluded
Expenses Not Rptd F99082549ExpensesNotRptdF990
Expenses Subtotal17833755ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017833755TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART IV, LINE 2B:RESIDENT'S MONEY IS HELD FOR THEM TO USE FOR PERSONAL BENEFIT
RENTAL EXPENSES NETTED WITH INCOMEPART XII, LINE 2D - OTHER ADJUSTMENTS:
RENTAL EXPENSES NETTED WITH INCOMEPART XIII, LINE 2D - OTHER ADJUSTMENTS:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTERRENCE GORMANNamePerson
Base Compensation Filing Org156480BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org5725DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org12367NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org174572TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE REVIEWS THE FORM 990. ONCE REVIEWED AND APPROVED BY THE FINANCE COMMITTEE, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THE APPROVED FORM 990 IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ENFORCES ITS CONFLICT OF INTEREST POLICY BY REQUIRING THE BOARD OF DIRECTORS AND OFFICERS TO COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED THROUGHOUT THE YEAR FOR ANY CHANGES BY THE MANAGEMENT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15IN 2008, THE ORGANIZATIONS BOARD OF DIRECTORS CONTRACTED WITH AN OUTSIDE MANAGEMENT CONSULTING FIRM TO PERFORM A SALARY REVIEW FOR KEY STAFF INCLUDING THE ADMINISTRATOR/C.E.O., ASSISTANT ADMINISTRATOR/C.O.O. AND FINANCE DIRECTOR. THE MANAGEMENT CONSULTING FIRM CONDUCTED A SURVEY OF SEVERAL SIMILAR ORGANIZATION AND COMPILED DATA RELATED TO EDUCATION, SALARY, OTHER COMPENSATION, RESPONSIBILITIES, ETC. THIS INFORMATION WAS USED BY THE BOARD OF DIRECTORS TO DETERMINE LEVELS OF COMPENSATION FOR THE KEY STAFF. PERIODICALLY, THIS SALARY REVIEW IS CONDUCTED AND UPDATED AS NEEDED.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 1023, 990 AND 990-T ARE AVAILABLE UPON REQUEST AND ARE HOUSED ON SITE AT THE FACILITY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE DOCUMENTS ARE HOUSED ON SITE AT THE FACILITY.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
MICHAUD RESIDENTIAL HEALTH SERVICES INC
453 PARK STREETFULTONNY13126203615539SKILLED NURSING FACILITYNY501(C)(3)3N/A0
BISHOP'S COMMONS AT ST LUKE
4 BURKLE STREETOSWEGONY13126161559449SENIOR ASSISTED LIVINGNY501(C)(3)9N/A0
FOSTER BURDEN CORPORATION
299 EAST RIVER ROADOSWEGONY13126222460821FUNDRAISINGNY501(C)(3)7N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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