CHARLES T SITRIN HEALTH CARE CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHARLES T SITRIN HEALTH CARE CENTER INC (EIN 22-3100745)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202233159349301708
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T08:29:38-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223100745 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES T SITRIN HEALTH CARE CENTER IN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAR | BusinessNameControlTxt |
| Phone | 3157973114 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2050 TILDEN AVE | AddressLine1Txt |
| City | NEW HARTFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13413 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTA SERAFIN | PersonNm |
| Person Title | CEO/PRESIDENT | PersonTitleTxt |
| Phone | 3157973114 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHRISTA | PersonFirstNm |
| Person Last | SERAFIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DESIREE M BENNETT | PreparerPersonNm |
| PTIN | P01263666 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2022-11-10 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTA SERAFIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2050 TILDEN AVE | AddressLine1Txt |
| City | NEW HARTFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13413 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,571,248 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SITRIN.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SITRIN STRIVES TO MEET THE NEEDS OF ITS COMMUNITY WITH PROGRAMS & SERVICES TO ENHANCE THE QUALITY OF LIFE FOR PERSONS NEEDING ASSISTANCE. THESE SERVICES INCLUDE COMPREHENSIVE MEDICAL REHABILITATION, SKILLED NURSING, NEURO CARE, RESPITE CARE, DENTAL SERVICES, & MEDICALLY & SOCIALLY AFFILIATED ADULT DAY CARE. SITRIN IS DEDICATED TO PROVIDING COMPASSIONATE, PROFESSIONAL CARE TO ALL SERVED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 476 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,129,882 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,605,096 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,494,554 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,549,418 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,360 | PYInvestmentIncomeAmt |
| CY Investment Income | $42,628 | CYInvestmentIncomeAmt |
| PY Other Revenue | $144,533 | PYOtherRevenueAmt |
| CY Other Revenue | $199,947 | CYOtherRevenueAmt |
| PY Total Revenue | $24,792,329 | PYTotalRevenueAmt |
| CY Total Revenue | $28,397,089 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,414,785 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,763,074 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,907,788 | PYOtherExpensesAmt |
| CY Other Expenses | $13,370,542 | CYOtherExpensesAmt |
| PY Total Expenses | $26,322,573 | PYTotalExpensesAmt |
| CY Total Expenses | $27,133,616 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,530,244 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,263,473 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,136,664 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,277,819 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,275,932 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,961,855 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,860,732 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,315,964 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SITRIN STRIVES TO MEET THE NEEDS OF ITS COMMUNITY WITH PROGRAMS & SERVICES TO ENHANCE THE QUALITY OF LIFE FOR PERSONS NEEDING ASSISTANCE. THESE SERVICES INCLUDE COMPREHENSIVE MEDICAL REHABILITATION, SKILLED NURSING, NEURO CARE, RESPITE CARE, DENTAL SERVICES, & MEDICALLY & SOCIALLY AFFILIATED ADULT DAY CARE. SITRIN IS DEDICATED TO PROVIDING COMPASSIONATE, PROFESSIONAL CARE TO ALL SERVED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,167,336 | ExpenseAmt |
| Revenue | $20,789,486 | RevenueAmt |
| Desc | THE CHARLES T. SITRIN HEALTH CARE CENTER'S INPATIENT PROGRAM CONSISTS OF SKILLED NURSING, POST ACUTE REHABILITATION, NEUROLOGICAL CARE & RESPITE CARE. DURING 2021, THERE WERE OVER 465 ADMISSIONS TO THESE PROGRAMS. OVERALL OCCUPANCY FOR 2021 WAS 92%. THERE CONTINUES TO BE OVERWHELMING PATIENT SATISFACTION WITH THE LONG TERM CARE HOUSES, NEUROCARE UNIT AND ALL PRIVATE ROOMS ON THE POST ACUTE REHAB UNIT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,405,167 | ExpenseAmt |
| Revenue | $1,568,379 | RevenueAmt |
| Desc | THE CHARLES T. SITRIN HEALTH CARE CENTER'S COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY/DIAGNOSTIC & TREATMENT CENTER SERVED THOUSANDS OF PATIENTS DURING 2021. A WIDE RANGE OF SERVICES WERE PROVIDED INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND HEARING THERAPY, DENTAL, AND A FEW SPECIALTY DOCTOR CLINICS. THE MULTIDISCIPLINARY TEAM APPROACH AT SITRIN ADDRESSES THE PATIENTS PHYSICAL AND EMOTIONAL NEEDS TO ENSURE BETTER OUTCOMES. THE OVERALL TOTAL NUMBER OF VISITS WAS 13,225. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $528,734 | ExpenseAmt |
| Revenue | $440,833 | RevenueAmt |
| Desc | THE CHARLES T. SITRIN HEALTH CARE CENTER'S ADULT DAY CARE PROGRAM OFFERS PARTICIPANTS A COMPREHENSIVE PACKAGE OF MEDICAL CARE, INCLUDING THERAPY & DENTAL, AND COMBINES IT WITH RECREATIONAL ACTIVITIES AND SOCIAL SERVICES WHILE ALLOWING PARTICIPANTS TO RETURN TO THEIR HOME FOR THE EVENING. SITRIN PROVIDES ROUND TRIP, DOOR-TO-DOOR, TRANSPORTATION WITH HANDICAPPED ACCESSIBLE VEHICLES. TOTAL VISITS FOR 2021 TO THE PROGRAM WAS 3,049. IN 2014, SOCIAL ADULT DAY CARE WAS ADDED. TOTAL VISITS FOR 2021 TO THIS PROGRAM WERE 0. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $150,297 | ExpenseAmt |
| Revenue | $933,675 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $150,297 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $933,675 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $25,251,534 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 476 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTA SERAFIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3157973114 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2050 TILDEN AVE | AddressLine1Txt |
| City | NEW HARTFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13413 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MARSHA SILVERMAN | ||||||||
| SECRETARY | 2.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR SUSAN BLATT | ||||||||
| BOARD MEMBER | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD KOWALSKY | ||||||||
| VICE CHAIRMAN | 2.00 | 4.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL COMINSKY | ||||||||
| VICE CHAIRMAN | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHEILA BAMBERGER | ||||||||
| ASSISTANT SECRETARY | 2.00 | 3.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID GOLDBAS | ||||||||
| TREASURER | 2.00 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHET COHEN | ||||||||
| BOARD MEMBER | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ERNEST BERKOWITZ | ||||||||
| BOARD MEMBER | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| RANDY ROCKFORD | ||||||||
| BOARD MEMBER | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| MARK SMITH | ||||||||
| CHAIRMAN | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ADELE SOSSEN | ||||||||
| BOARD MEMBER | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| LORI KAPLAN FELICE | ||||||||
| BOARD MEMBER | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN ROSENFELD | ||||||||
| BOARD MEMBER | 0.50 | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTA L SERAFIN | ||||||||
| CEO | 32.50 | 5.00 | Yes (X) | $0 | $251,371 | $15,906 | ||
| DR JAMES DEYULIO | ||||||||
| DENTIST/DENTAL DIRECTOR | 37.50 | $269,905 | $0 | $13,164 | Yes (X) | |||
| RICHARD CHELTENHAM DDS | ||||||||
| DENTIST | 37.50 | $167,809 | $0 | $7,321 | Yes (X) | |||
| DR CYNTHIA KIBIUK | ||||||||
| DENTIST | 37.50 | $154,083 | $0 | $15,906 | Yes (X) | |||
| BRENDA COBANE | ||||||||
| VP OF LONG TERM CARE SERVI | 37.50 | $154,931 | $0 | $15,906 | Yes (X) | |||
| KATHRYN FARLEY | ||||||||
| LPN | 37.50 | $156,277 | $0 | $7,321 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $903,005 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $251,371 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $75,524 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OLIVE TREE MEDICAL ASSOCIATES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7505 FOOTE RD | AddressLine1Txt |
| City | CLINTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13323 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PHYSICIAN SERVICES | ServicesDesc |
| Compensation | $350,000 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,461,796 | GovernmentGrantsAmt |
| All Other Contributions | $143,300 | AllOtherContributionsAmt |
| Total Contributions | $4,605,096 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SKILLED NURSING INPATIENT | 623000 | $20,789,486 | $20,789,486 |
| OUTPATIENT REVENUE | 621400 | $1,568,379 | $1,568,379 |
| SHARED/SOLD SERVICE REVENUE | 561000 | $750,720 | $750,720 |
| ADULT DAY CARE REVENUE | 623000 | $440,833 | $440,833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,549,418 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,096 | TotalRevenueColumnAmt |
| Exclusion | $35,096 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,992 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,992 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,992 | TotalRevenueColumnAmt |
| Exclusion | $16,992 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $155,933 | SecuritiesAmt |
| Other | $25,758 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $110,495 | SecuritiesAmt |
| Other | $63,664 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $45,438 | SecuritiesAmt |
| Other | -$37,906 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,532 | TotalRevenueColumnAmt |
| Exclusion | $7,532 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| BEAUTY SHOP/CAFETERIA/GIFT SHOP | 722210 | $88,330 | $88,330 |
| TELEPHONE/CASH DISCOUNTS/REBATES | 900099 | $51,053 | $51,053 |
| WELLNESS | 900099 | $43,418 | $43,418 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $154 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $154 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $182,955 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,397,089 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,732,373 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $59,620 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,534,673 | TotalAmt |
| Program Services | $10,206,439 | ProgramServicesAmt |
| Management And General | $328,234 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,103 | TotalAmt |
| Program Services | $106,690 | ProgramServicesAmt |
| Management And General | $3,413 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,329,444 | TotalAmt |
| Program Services | $2,257,231 | ProgramServicesAmt |
| Management And General | $72,213 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788,854 | TotalAmt |
| Program Services | $764,400 | ProgramServicesAmt |
| Management And General | $24,454 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $821,125 | TotalAmt |
| Management And General | $821,125 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,364 | TotalAmt |
| Management And General | $52,364 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $419,980 | TotalAmt |
| Management And General | $419,980 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $557,363 | TotalAmt |
| Program Services | $536,577 | ProgramServicesAmt |
| Management And General | $20,786 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,266 | TotalAmt |
| Program Services | $38,266 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,788,462 | TotalAmt |
| Program Services | $1,733,020 | ProgramServicesAmt |
| Management And General | $55,442 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,907 | TotalAmt |
| Program Services | $236,346 | ProgramServicesAmt |
| Management And General | $7,561 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,332,945 | TotalAmt |
| Program Services | $1,332,945 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,048 | TotalAmt |
| Program Services | $9,737 | ProgramServicesAmt |
| Management And General | $311 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,428,638 | TotalAmt |
| Program Services | $2,428,638 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $243,929 | TotalAmt |
| Program Services | $243,929 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD SVC & MAINT MGT/WA | $1,168,980 | $1,168,980 | |
| NYS ASSESSMENT | $1,009,203 | $1,009,203 | |
| BAD DEBTS | $776,713 | $776,713 | |
| DUES | $20,041 | $19,420 | $621 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,458,578 | TotalAmt |
| Program Services | $2,383,000 | ProgramServicesAmt |
| Management And General | $75,578 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,133,616 | TotalAmt |
| Program Services | $25,251,534 | ProgramServicesAmt |
| Management And General | $1,882,082 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,038,878 | BOYAmt |
| EOY | $1,517,857 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,998,039 | BOYAmt |
| EOY | $2,735,543 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $528,469 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,137,766 | BOYAmt |
| EOY | $3,321,734 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,418 | BOYAmt |
| EOY | $122,260 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,976 | BOYAmt |
| EOY | $331,356 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $57,306,850 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,044,377 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,001,171 | BOYAmt |
| EOY | $24,262,473 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,722,187 | BOYAmt |
| EOY | $1,959,540 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,741,229 | BOYAmt |
| EOY | $2,498,587 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,136,664 | BOYAmt |
| EOY | $37,277,819 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,629,405 | BOYAmt |
| EOY | $3,158,711 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,051,049 | BOYAmt |
| EOY | $16,334,730 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,595,478 | BOYAmt |
| EOY | $5,468,414 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,275,932 | BOYAmt |
| EOY | $24,961,855 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,860,732 | BOYAmt |
| EOY | $12,315,964 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,860,732 | BOYAmt |
| EOY | $12,315,964 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,136,664 | BOYAmt |
| EOY | $37,277,819 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,263,473 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $191,759 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,197,411 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $884,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $420,930 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,129,882 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,605,096 | CurrentTaxYearAmt |
| Total | $9,238,012 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $22,005,632 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,771,714 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,805,676 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,494,554 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,549,418 | CurrentTaxYearAmt |
| Total | $114,626,994 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,203,043 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,656,407 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,226,606 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,624,436 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,154,514 | CurrentTaxYearAmt |
| Total | $123,865,006 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $123,865,006 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,626 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,030 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,897 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,375 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,088 | CurrentTaxYearAmt |
| Total | $239,016 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,626 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,030 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $40,897 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,375 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $52,088 | CurrentTaxYearAmt |
| Total | $239,016 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $307,424 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $204,152 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $200,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $127,541 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $182,955 | CurrentTaxYearAmt |
| Total | $1,022,826 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,571,093 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,914,589 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,468,257 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,783,352 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,389,557 | CurrentTaxYearAmt |
| Total | $125,126,848 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98920 | PublicSupportPY509Pct |
| Investment Income CY | 0.00190 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00180 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,455,717 | OtherCostOrOtherBasisAmt |
| Book Value | $1,455,717 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,683,384 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,364,147 | DepreciationAmt |
| Book Value | $19,319,237 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,394,018 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,524,300 | DepreciationAmt |
| Book Value | $2,869,718 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $773,731 | OtherCostOrOtherBasisAmt |
| Depreciation | $155,930 | DepreciationAmt |
| Book Value | $617,801 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $24,262,473 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS FROM PATIENTS | $34,209 |
| CASH HELD IN TRUST FOR RESIDENTS | $96,394 |
| OTHER ASSETS | $2,367,984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,498,587 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DEPOSITS FROM PATIENTS | $34,209 |
| CASH HELD IN TRUST FOR RESIDENTS | $96,394 |
| OTHER LIABILITIES | $788,812 |
| ESTIMATED THIRD PARTY PAYOR SETTLEMENTS | $4,025,000 |
| DUE TO AFFILIATES | $523,999 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $5,468,414 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $27,812,134 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $191,759 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $191,759 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,620,375 | RevenueSubtotalAmt |
| Other Revenues Not Included | $776,714 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $776,714 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $28,397,089 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,356,902 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,356,902 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $776,714 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $776,714 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $27,133,616 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CHARLES T. SITRIN HEALTH CARE CENTER, INC. IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A)OF THE CODE. AS OF DECEMBER 31, 2021 AND 2020, THE CENTER DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2018 THROUGH 2021. THE CENTER DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | ROUNDING 1. BAD DEBTS 776,713. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS 776,713. ROUNDING 1. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR JAMES DEYULIO | ||||||||||||||
| DENTIST/DENTAL DIRECTOR | $269,905 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,164 | $0 | $283,069 | $0 | $0 | $0 |
| CHRISTA L SERAFIN | ||||||||||||||
| CEO | $0 | $251,371 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,906 | $0 | $267,277 | $0 | $0 |
| RICHARD CHELTENHAM DDS | ||||||||||||||
| DENTIST | $167,809 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,321 | $0 | $175,130 | $0 | $0 | $0 |
| BRENDA COBANE | ||||||||||||||
| VP OF LONG TERM CARE SERVI | $153,931 | $0 | $1,000 | $0 | $0 | $0 | $0 | $0 | $15,906 | $0 | $170,837 | $0 | $0 | $0 |
| DR CYNTHIA KIBIUK | ||||||||||||||
| DENTIST | $154,083 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,906 | $0 | $169,989 | $0 | $0 | $0 |
| KATHRYN FARLEY | ||||||||||||||
| LPN | $156,277 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,321 | $0 | $163,598 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| ONEIDA COUNTY LDC | |||||||
| A | 273190422 | 2018-12-28 | $15,896,000 | SERIES A-REFINANCING OF EXISTING DEBT | 0 | 0 | 0 |
| ONEIDA COUNTY LDC | |||||||
| B | 273190422 | 2018-12-28 | $3,247,000 | SERIES B-RENOVATION OF EXISTING FACILITIES | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $15,476,063 | $15,896,000 | $419,937 | 2018 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $22,732 | 2018 | 0 | 0 | Yes (1) | Yes (1) | $1,438,503 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. IS THE SOLE MEMBER OF THE CHARLES T. SITRIN HEALTH CARE CENTER, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE MEMBER, THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. APPOINTS THE BOARD OF DIRECTORS OF THE CHARLES T. SITRIN HEALTH CARE CENTER, INC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS REVIEWED THE 990 AT THE NOVEMBER 2022 BOARD MEETING PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND RE-SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. EVERY YEAR ADMINISTRATION MAILS NEW STATEMENTS TO ALL BOARD MEMBERS. ONCE COMPLETED, A SUMMARY IS PREPARED LISTING ALL BOARD MEMBERS, DATE LAST CONFLICT OF INTEREST WAS SIGNED, AND ANY CONFLICTS LISTED IF APPLICABLE. THIS SUMMARY IS KEPT IN THE CEO'S OFFICE AND PROVIDED TO THE CHAIRMAN OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS COLLECTIVELY REVIEW AND APPROVE THE CEO'S SALARY AND BENEFITS. COMPARATIVE DATA FROM OTHER ORGANIZATIONS IS USED. THIS MEETING IS DOCUMENTED THROUGH EXECUTIVE SESSION MINUTES OF THE BOARD MEETING. OTHER KEY EMPLOYEES' SALARIES ARE APPROVED BY THE CEO AND THE BOARD OF DIRECTORS IF CHANGES ARE MADE BEYOND A NORMAL COST OF LIVING ADJUSTMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC. UPON REQUEST, COPIES WILL BE PROVIDED. |
| FORM 990, PART XII, LINE 2 | NO CHANGES WERE MADE TO THE AUDIT OVERSIGHT PROCESS OR SELECTION PROCESS DURING 2021. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC | ||||||||||
| 2050 TILDEN AVE | NEW HARTFORD | NY | 13413 | 150543936 | SOLE MEMBER OF OTHER ENTITIES - PARENT | NY | 501(C)3 | 7 | N/A | 0 |
| SITRIN FOUNDATION INC | ||||||||||
| 2050 TILDEN AVE | NEW HARTFORD | NY | 13413 | 300098393 | RAISES FUNDS AND AWARENESS FOR OTHER ENTITIES | NY | 501(C)3 | 12A,I | N/A | 0 |
| CEDARBROOK VILLAGE INCORPORATED | ||||||||||
| 101 SITRIN LANE | NEW HARTFORD | NY | 13413 | 200670083 | ASSISTED LIVING/ENRICHED HOUSING APARTMENTS | NY | 501(C)3 | 10 | N/A | 0 |
| GAN KAVOD INC | ||||||||||
| PO BOX 634 | NEW HARTFORD | NY | 13413 | 223032483 | INTERMEDIATE CARE FACILITY/INDIVIDUALIZED RESIDENTIAL ALTERNATIVE | NY | 501(C)3 | 10 | N/A | 0 |
| SITRIN CHILD DAY CARE FACILITY INC | ||||||||||
| 3 KAVOD RD | NEW HARTFORD | NY | 13413 | 161484534 | CHILD CARE CENTER | NY | 501(C)3 | 10 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |