2022-11-09T10:07:57-06:00 2021-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2021-01-01 223408456 LUTHERAN CENTER AT POUGHKEEPSIE INC LUTH 9143656365 700 WHITE PLAINS ROAD STE 377 SCARSDALE NY 10583 LARAINE FELLEGARA CEO 9143656365 2022-11-09 1 LARAINE FELLEGARA 999009999 KENNETH MCGIVNEY P01324731 5184644080 2022-11-09 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LARAINE FELLEGARA 700 WHITE PLAINS ROAD STE 377 SCARSDALE NY 10583 22238039 0 X WWW.TLCN.ORG X 1998 NY PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE 4 4 314 0 0 0 2956676 2468812 19069648 19131604 0 0 0 637623 22026324 22238039 0 0 0 0 13476565 12790651 0 0 0 8273986 6693435 21750551 19484086 275773 2753953 10801248 12784565 11640942 10870306 -839694 1914259 PROVISION OF SKILLED NURSING CARE AND HEALTH RELATED FACILITY CARE. THE ORGANIZATION IS PART OF THE LUTHERAN CARE NETWORK, WHICH IS A MINISTRY OF HEALING, HOSPITALITY AND COMMUNITY THROUGH PARTNERSHIP AND CARING. 0 0 14149204 18788765 PROVIDING SKILLED NURSING CARE. 160 BEDS - APPROXIMATELY 44,880 DAYS IN 2021. 1515557 95324 PROVIDE ADULT DAY CARE SERVICES TO AN AVERAGE OF 8 PATIENTS. APPROXIMATELY 679 UNITS IN 2021. 608917 885138 EXTENDED FAMILY PROGRAM - FOSTER FAMILY CARE 16273678 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 31 0 1 314 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X LARAINE FELLEGARA 9143656365 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 JOHN RUTH CHAIR 1.00 1.00 X X 0 0 0 STEVEN JONES SECRETARY 1.00 1.00 X X 0 0 0 CHARLES NORTH DIRECTOR 1.00 X 0 0 0 FR BRIAN MCWEENEY DIRECTOR 1.00 X 0 0 0 LARAINE FELLEGARA CEO 10.00 25.00 X 0 413524 30570 THERESA NICHOLSON DIRECTOR OF FINANCE 20.00 15.00 X 0 65135 42 PATRICIA A LUDINGTON ADMINISTATOR 35.00 X 146209 0 1513 KATHLEEN MCEVOY DIRECTOR OF FINANCE 20.00 15.00 X 0 82839 8451 MIRIAM ARROON DIRECTOR OF NURSING 35.00 X 121844 0 123 ANITA RAMAYANI ASSISTANT DIRECTOR OF NURS 35.00 X 111917 0 18354 THERESA JENNINGS PHYSICAL THERAPIST 35.00 X 109632 0 6347 JEANINE KURTZ DIRECTOR 35.00 X 118378 0 6347 607980 561498 71747 5 0 1 0 SODEXO 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 FOOD AND FACILITIES SERVICES 542629 NUTRITION MANAGEMENT SERVICES 2071 KIMBERTON ROAD KIMBERTON PA 19442 NUTRITION MANAGEMENT 310290 PROCARE LTCTAP RX LLC 23 SEA LANE FARMINGDALE NY 11735 PHARMACY 288361 BIOREFERENCE LABORATORY 475 MARKET ST ELMWOOD PARK NJ 07407 LABORATORY TESTING 288360 MCKESSON MEDICAL-SURGICAL 9954 MAYLAND DRIVE RICHMOND VA 23233 MEDICAL SUPPLIES 148895 5 2468812 2468812 NURSING FACILITY 623000 18151142 18151142 EXTENDED FAMILY PROGRAM 623000 885138 885138 HOSPICE-ADULT DAY HEALTH 623000 95324 95324 19131604 PRIOR YEAR RATE ADJUSTMENTS 623000 622185 622185 OTHER REVENUE 623000 15438 15438 637623 22238039 19769227 0 0 147721 147721 8643493 8059548 583945 3999437 3668593 330844 1900471 797611 1102860 9678 9678 122558 122558 8003 7797 206 2975 1300 1675 316325 316325 342429 332254 10175 367434 367434 OTHER PURCHASED SERVICE 1573135 1573135 CASH RECEIPTS ASSESSMEN 642301 642301 SUPPLIES, FEES, & OTHER 615042 553550 61492 PHARMACY SUPPLIES 419247 419247 373837 218342 155495 19484086 16273678 3210408 0 1326732 3183364 428145 238630 3120686 4114702 83068 83068 147731 229415 21504901 17626861 4196263 3878040 1498623 1057346 10801248 12784565 1481251 1566039 116300 8939510 8392636 538815 556701 681366 238630 11640942 10870306 X -839694 1914259 -839694 1914259 10801248 12784565 2753953 0 X X 0 1 X 1 0 X 2956676 2468812 5425488 22728050 21343614 20659676 20180024 19131604 104042968 22728050 21343614 20659676 23136700 21600416 109468456 0 0 0 109468456 1322 2086 3135 1933 950 9426 1322 2086 3135 1933 950 9426 22729372 21345700 20662811 23138633 21601366 109477882 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 857836 857836 8640589 6208453 2432136 9157709 8725374 432335 2848767 2693034 155733 3878040 ASSETS WHOSE USE IS LIMITED 1057346 1057346 RESIDENT FUNDS 238630 238630 22238039 0 22238039 0 22238039 19484086 0 19484086 0 19484086 0 0 0 0 0 0 0 0 0 LARAINE FELLEGARA CEO 0 413524 0 0 0 0 0 0 0 0 0 413524 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S SOLE MEMBER, THE LUTHERAN CARE NETWORK, INC., PROVIDES CERTAIN MANAGEMENT FUNCTIONS, INCLUDING THE CEO AND CFO FUNCTIONS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER - THE LUTHERAN CARE NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS ARE ELECTED BY THE SOLE MEMBER AS PER THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B AS PER THE ORGANIZATION'S BYLAWS, THE VOTE OF THE MEMBERSHIP IS REQUIRED FOR THE FOLLOWING ACTIONS: 1) THE AMENDMENT OF THE BYLAWS, 2) INCURRING DEBT IN EXCESS OF $100,000, 3) INITATION OF ANY ACTIVITIES REQUIRING A CERTIFICATE OF NEED, AND 4) ESTABLISHING A SUBSIDIARY OR OTHERWISE AFFILIATING WITH ANY OTHER ENTITY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE CHAIR OR AT LEAST ONE MEMBER OF THE AUDIT COMMITTEE. ONCE APPROVED, A COPY IS GIVEN TO EACH BOARD MEMBER BEFORE SIGNING AND FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AT BEGINNING OF EMPLOYMENT, MANAGEMENT LEVEL EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST AND OUTSIDE ACTIVITIES FORM. THE ORGANIZATION ENFORCES THIS POLICY BY ASSESSING AND MONITORING SITUATIONS IN WHICH ANY POTENTIAL CONFLICT OF INTEREST ARISES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF CEO AND EXECUTIVE STAFF IS AT THE DISCRETION OF THE BOARD OF DIRECTORS, OF THE MANAGEMENT COMPANY, THE LUTHERAN CARE NETWORK, UNDER ADVISEMENT OF AN INDEPENDENT 3RD PARTY COMPENSATION FIRM. A CONSULTANT FIRM IS USED THAT PROVIDES STRATEGIC HUMAN RESOURCES SOLUTIONS TO CORPORATE AND NON PROFIT EMPLOYERS AND WAS SELECTED FROM SEVERAL VENDORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS ARE AVAILABLE ON THE WEBSITE. FORM 990, PART XI, LINE 2C: NO CHANGE FROM PRIOR YEAR. COBURG VILLAGE 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 113211085 SENIOR HOUSING NY 501(C)(3) LINE 11 0 GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 237310663 SKILLED NURSING FACILITY NY 501(C)(3) LINE 11 0 KENWOOD MANOR INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 141368178 LISCENCED ADULT HOME FACILITY NY 501(C)(3) LINE 11 0 GOOD SAMARITAN SENIOR DEVELOPMENT FUND COMPANY INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 141727655 LOW INCOME HOUSING NY 501(C)(3) LINE 11 0 WARTBURG NURSING HOME 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 237087284 DORMANT NY 501(C)(3) LINE 11 0 LUTHERAN HOUSIGN DEVELOPMENT CORPORATION AT CONCORD VILLAGE 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 030436196 RESIDENTIAL APARTMENT BUILDINGS FOR THE ELDERLY NY 501(C)(3) LINE 11 0 LUTHERAN HOUSIGN DEVELOPMENT CORPORATION OF LONG ISLAND 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112574183 RESIDENTIAL APARTMENT BUILDINGS FOR THE ELDERLY NY 501(C)(3) LINE 11 0 LUTHERAN HOUSING DEVELOPMENT CORPORATION OF PAWLING 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 113269257 RESIDENTIAL APARTMENT COMPLEX FOR THE ELDERLY NY 501(C)(3) LINE 11 0 WARTBURG HOUSING DEVELOPMENT FUND CORPORATION 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 113051052 TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT PEOPLE NY 501(C)(3) LINE 11 0 THE LUTHERAN CARE NETWORK FOUNDATION INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112645255 TO DEVELOP AND SUPPORT NOT FOR PROFIT HEALTH CARE ENTITIES NY 501(C)(3) LINE 7 0 WARTBURG LUTHERAN HOME FOR THE AGING INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 111631836 MANAGES SENIOR HOUSING PROGRAMS NY 501(C)(3) LINE 11 0 THE LUTHERAN CARE NETWORK INC 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 112896230 PROVIDE MGMT, DEVP & FUNDRAISING TO RELATED 501 (C)(3) NY 501(C)(3) LINE 11 0 HUDSON VALLEY SENIOR RESIDENCE 700 WHITE PLAINS ROAD SUITE 377 SCARSDALE NY 10583 141364545 ADULT HOME-ASSISTED LIVING RESIDENCE NY 501(C)(3) LINE 11 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 THE LUTHERAN CARE NETWORK INC D 147374 THE LUTHERAN CARE NETWORK INC P 856968 LUTHERAN HOUSING DEVELOPMENT FUND CORPORATION AT CONCORN VILLAGE D 38104 HUDSON VALLEY SENIOR RESIDENCE D 312725