ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC (EIN 16-1391191)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201133149349302123
Schema version
2010v3.4
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)
Timestamp2011-11-10T12:33:02-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID J DE SILVAName
Phone3154719171Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts16776922GrossReceipts
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 Employees426TotalNbrEmployees
Total Nbr Volunteers90TotalNbrVolunteers
Total Gross UBI-21927TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year13224ContributionsGrantsPriorYear
Contributions Grants Current Year9000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15081766ProgramServiceRevenuePriorYear
Program Service Revenue CY15676107ProgramServiceRevenueCY
Investment Income Prior Year98092InvestmentIncomePriorYear
Investment Income Current Year95337InvestmentIncomeCurrentYear
Other Revenue Prior Year754675OtherRevenuePriorYear
Other Revenue Current Year934551OtherRevenueCurrentYear
Total Revenue Prior Year15947757TotalRevenuePriorYear
Total Revenue Current Year16714995TotalRevenueCurrentYear
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 Year9856407SalariesEtcPriorYear
Salaries Etc Current Year10059665SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6417195OtherExpensePriorYear
Other Expenses Current Year6611531OtherExpensesCurrentYear
Total Expenses Prior Year16273602TotalExpensesPriorYear
Total Expenses Current Year16671196TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-325845RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43799RevenuesLessExpensesCY
Total Assets BOY18765976TotalAssetsBOY
Total Assets EOY17704347TotalAssetsEOY
Total Liabilities BOY14710185TotalLiabilitiesBOY
Total Liabilities EOY13604757TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4055791NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4099590NetAssetsOrFundBalancesEOY
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
Expense15183156Expense
Revenue15676107Revenue
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. IN ADDITION TO SKILLED NURSING CARE, ST. LUKE OFFERS PROVIDENCE CARE, THE FIRST RESIDENTIAL UNIT IN OSWEGO COUNTY DEDICATED TO THE CARE OF RESIDENTS WITH EARLY TO MID-STAGES OF A DEMENTIA-RELATED ILLNESS. PROVIDENCE CARE RESIDENTS ENJOY INDIVIDUAL FREEDOM IN THE LEAST RESTRICTIVE YET SAFEST ENVIRONMENT, DESIGNED WITH SPECIAL ACTIVITIES TO ENGAGE AND REFLECT INDIVIDUAL INTERESTS AND SKILLS. 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 Expense15183156TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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
Number Of Employees426NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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 (15 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
TREASURER40.00XX152121021231
BRIAN CASWELL
VICE PRESIDENT1.00XX000
DAVID O'BRIEN
BOARD MEMBER1.00X000
FRANCIS BOYCE
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 FARTAGLIA
BOARD MEMBER1.00X000
CATHERINE R GILL
CHIEF OPERATING OFFICER40.00X102062010070
NORMA LEWIS
FINANCE DIRECTOR40.00X70680018279
FieldValueIRS element (for citing)
Total Reportable Comp From Org324863TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation49580TotalOtherCompensation
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 THERAPIES711608
SODEXHO INC & AFFILIATES
PO BOX 81049WOBURNMA01813DIETARY MANAGEMENT477798
OSWEGO COUNTY OPPORTUNITIES INC
239 ONEIDA STFULTONNY13069DAYCARE REGISTRANTS TRANSPORTATION115658
EAGLE JANITORIAL SUPPLY & SERVICE COMPAN
333 ROSE STREETWILLIAMSPORTPA17701HOUSEKEEPING MANAGEMENT114961
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Related Organizations9000RelatedOrganizations
Total Contributions9000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET RESIDENT SERVICE RDescription
Business Code623000BusinessCode
Total Revenue Column15676107TotalRevenueColumn
Related Or Exempt Function Income15676107RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15676107TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column95337TotalRevenueColumn
Exclusion$95,337ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real40000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real61927Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-21927Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-21927TotalRevenueColumn
Unrelated Business Revenue-21927UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MANAGEMENT FEES541610595608$595,608
GAIN ON EARLY RETIREME900099140258$140,258
LAUNDRY INCOME81230095277$95,277

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column125335TotalRevenueColumn
Exclusion$125,335ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue956478TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16714995TotalRevenueColumn
Related Or Exempt Function Income15676107RelatedOrExemptFunctionIncome
Unrelated Business Revenue-21927UnrelatedBusinessRevenue
Exclusion$1,051,815ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total374443Total
Management And General374443ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7426109Total
Program Services6993671ProgramServices
Management And General432438ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total202856Total
Program Services112137ProgramServices
Management And General90719ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1389912Total
Program Services1258031ProgramServices
Management And General131881ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total666345Total
Program Services613756ProgramServices
Management And General52589ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total585920Total
Program Services585920ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total63313Total
Management And General63313ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45180Total
Management And General45180ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total981719Total
Program Services952171ProgramServices
Management And General29548ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6452Total
Program Services1010ProgramServices
Management And General5442ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total916060Total
Program Services790042ProgramServices
Management And General126018ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total88114Total
Management And General88114ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total984385Total
Program Services963088ProgramServices
Management And General21297ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total77963Total
Program Services60054ProgramServices
Management And General17909ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total14231Total
Program Services14231ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total825614Total
Program Services825614ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total156476Total
Program Services154318ProgramServices
Management And General2158ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS CASH RECEIPTS ASSES756865756865
DIETARY EXPENSE6676446638513793
DRUGS & PHARMACEUTICALS223478223478
TRANSPORTATION - REGIST115658115658
REPAIRS & MAINTENANCE78300752293071

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total24159Total
Program Services24032ProgramServices
Management And General127ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16671196Total
Program Services15183156ProgramServices
Management And General1488040ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY394610BOY
EOY688510EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY233216BOY
EOY258685EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4372820BOY
EOY4134590EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY159354BOY
EOY122917EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19506548LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14728787LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5203891BOY
EOY4777761EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8402085BOY
EOY7721884EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18765976BOY
EOY17704347EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4300930BOY
EOY4612499EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8737641BOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY63092BOY
EOY57569EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1608522BOY
EOY8934689EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY14710185BOY
EOY13604757EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4055791BOY
EOY4099590EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4055791BOY
EOY4099590EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18765976BOY
EOY17704347EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses43799ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 Years14146CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years205501CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13224CurrentTaxYearMinus1Year
Current Tax Year9000CurrentTaxYear
Total257871Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14242950CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14555259CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15554860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15081766CurrentTaxYearMinus1Year
Current Tax Year15676107CurrentTaxYear
Total75110942Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years513775CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years571122CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years633385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year753588CurrentTaxYearMinus1Year
Current Tax Year784603CurrentTaxYear
Total3256473Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14770871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15331882CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16204245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15848578CurrentTaxYearMinus1Year
Current Tax Year16469710CurrentTaxYear
Total78625286Total

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 Total50978625286PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years246822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years286220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154503CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year98092CurrentTaxYearMinus1Year
Current Tax Year95337CurrentTaxYear
Total880974Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years246822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years286220CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154503CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year98092CurrentTaxYearMinus1Year
Current Tax Year95337CurrentTaxYear
Total880974Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31851CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16304CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16863CurrentTaxYearMinus1Year
Current Tax Year171875CurrentTaxYear
Total286763Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15067563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15649953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16375052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15963533CurrentTaxYearMinus1Year
Current Tax Year16736922CurrentTaxYear
Total79793023Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98540PublicSupportPercentage509
Prior Year Support Percentage0.98620PriorYearSupportPercentage
Investment Income Percentage0.01100InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01180PriorYrInvestIncomePercentage
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 Basis15293773OtherCostOrOtherBasis
Depreciation11691303Depreciation
Book Value3602470BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4113675OtherCostOrOtherBasis
Depreciation3037484Depreciation
Book Value1076191BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4777761TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT FUNDS57569
DEPRECIATION RESERVE FUND3763914
WORKING CAPITAL ESCROW11975
MORTGAGE ESCROW DEPOSITS38947
RESERVE FOR REPLACEMENT1459622
EDUCATION FUND29247
MORTGAGE COSTS221367
DUE FROM RELATED PARTIES2139243
FieldValueIRS element (for citing)
Total Book Value Other Assets7721884TotalBookValueOtherAssets
Total Revenue16714995TotalRevenue
Total Expenses16671196TotalExpenses
Excess Or Deficit For Year43799ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS43799ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16776922TotRevenueEtcAuditedFinclStmt
Other Revenues61927OtherRevenues
Revenue Not Rptd F99061927RevenueNotRptdF990
Revenue Subtotal16714995RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99016714995TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16733123TotExpensesEtcAuditedFinclStmt
Other Expenses Included61927OtherExpensesIncluded
Expenses Not Rptd F99061927ExpensesNotRptdF990
Expenses Subtotal16671196ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016671196TotalExpensesPerForm990

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 Org152121BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org5586DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org15645NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org173352TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
THE 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 12C
IN 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 B, LINE 15
THE 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 18
THE 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.FORM 990, PART VI, SECTION C, LINE 19
THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.FORM 990, PART XI, LINE 2C:

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

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.