WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH (EIN 13-1740497)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-16
- IRS object ID
- 202113209349302756
- Schema version
- 2020v4.1
- 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 | 2021-11-16T16:37:27-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131740497 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WARTBURG HOME OF THE EVANGELICAL | BusinessNameLine1Txt |
| Business Name Line2 | LUTHERAN CHURCH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WART | BusinessNameControlTxt |
| Phone | 9146990800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | WARTBURG PLACE | AddressLine1Txt |
| City | MOUNT VERNON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10552 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID GENTNER | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 9146990800 | PhoneNum |
| Signature | 2021-11-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | GENTNER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2021-11-16 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID GENTNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | WARTBURG PLACE | AddressLine1Txt |
| City | MOUNT VERNON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10552 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,932,495 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WARTBURG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | WARTBURG PROVIDES MINISTRIES OF HEALING AND HOPE THROUGH COMPREHENSIVE SERVICES THAT NURTURE BODY, AND SPIRIT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 719 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,985,784 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,655,615 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $36,815,309 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $26,447,123 | CYProgramServiceRevenueAmt |
| PY Investment Income | $243,244 | PYInvestmentIncomeAmt |
| CY Investment Income | $196,863 | CYInvestmentIncomeAmt |
| PY Other Revenue | $558,972 | PYOtherRevenueAmt |
| CY Other Revenue | $629,279 | CYOtherRevenueAmt |
| PY Total Revenue | $39,603,309 | PYTotalRevenueAmt |
| CY Total Revenue | $31,928,880 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $16,182 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $11,015 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,928,582 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,541,757 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $487,291 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $13,692,471 | PYOtherExpensesAmt |
| CY Other Expenses | $9,672,789 | CYOtherExpensesAmt |
| PY Total Expenses | $42,637,235 | PYTotalExpensesAmt |
| CY Total Expenses | $32,225,561 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,033,926 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$296,681 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $48,762,606 | TotalAssetsBOYAmt |
| Total Assets EOY | $49,426,922 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,032,206 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,729,775 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $24,730,400 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,697,147 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WARTBURG OFFERS INTEGRATED, COMPREHENSIVE SENIOR CARE SERVICES PROVIDING A WIDE RANGE OF SERVICES TO BOTH RESIDENTS AND PEOPLE IN THEIR HOMES, FROM AWARD-WINNING NURSING HOME CARE TO INPATIENT AND OUTPATIENT REHABILITATION, HOME CARE AND ADULT DAY CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $23,262,508 | ExpenseAmt |
| Revenue | $24,475,466 | RevenueAmt |
| Desc | THE SKILLED NURSING PROGRAM PROVIDES VARIOUS LEVELS OF LONG TERM CARE BASED ON THE INDIVIDUAL'S NEEDS. IT ALSO INCLUDES SHORT TERM SUB-ACUTE REHABILITATION SERVICES DESIGNED FOR ADULTS WHO ARE RECOVERING FROM INJURY, SURGERY OR DISEASE. THE SKILLED NURSING PROGRAM HAS SERVICED 898 ADULTS PROVIDING APPROXIMATELY 52,534 DAYS OF CARE THROUGHOUT 2020. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,279,051 | ExpenseAmt |
| Revenue | $1,298,483 | RevenueAmt |
| Desc | THE CERTIFIED HOME HEALTH CARE PROGRAM OFFERS IN-HOME CARE FOR PEOPLE LIVING WITH CHRONIC ILLNESS OR DISABILITIES. PROFESSIONAL SERVICE PLANS ARE DEVELOPED FOR EACH INDIVIDUAL BASED ON THEIR NEEDS IN CONSULTATION WITH THE PATIENT, FAMILY AND PERSONAL PHYSICIAN. THIS PROGRAM ENABLES THE CLIENTS TO REMAIN IN THEIR HOME AND RECEIVE A WIDE RANGE OF SERVICES. THE WARTBURG HAS SERVICED 507 CLIENTS PROVIDING APPROXIMATELY 16,000 HOURS OF SERVICE THROUGHOUT 2020. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $468,559 | ExpenseAmt |
| Revenue | $594,256 | RevenueAmt |
| Desc | THE ADULT DAY SERVICES CONSIST OF MEDICAL AND SOCIAL MODELS. THE MEDICAL MODEL IS FOR ADULTS NEEDING BOTH ENRICHED SOCIAL ACTIVITIES AND MEDICAL/HEALTH SUPPORT SERVICES. THIS PROGRAM PROVIDES COMPREHENSIVE MONITORING OF HEALTH NEEDS AND A CAREFULLY PLANNED PROGRAM OF THERAPIES AND ACTIVITIES DESIGNED TO MAINTAIN AND IMPROVE THEIR WELL-BEING. THE SOCIAL MODEL IS FOR ADULTS WHO WOULD BENEFIT FROM AN ENRICHED PROGRAM OF RECREATIONAL AND SOCIAL ACTIVITIES IN A PROFESSIONALLY SUPERVISED ENVIRONMENT. IT OFFERS A WIDE RANGE OF ACTIVITIES TO HELP SENIORS IN REASONABLY GOOD HEALTH MAINTAIN THEIR ZEST FOR LIVING. THE WARTBURG ADULT DAY CARE PROGRAMS HAVE SERVICED 112 PERSONS THROUGHOUT 2020 PROVIDING APPROXIMATELY 23,104 DAYS OF CARE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $118,280 | ExpenseAmt |
| Grant | $11,015 | GrantAmt |
| Revenue | $78,918 | RevenueAmt |
| Desc | THE ORGANIZATION ALSO OFFERS OTHER OUTPATIENT SERVICES AND RESPITE CARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $118,280 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $11,015 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $78,918 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $25,128,398 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | 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 | 0 | 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 | 0 | TaxExemptBondsInd |
| 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 43 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 719 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH SESSA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9146990800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | WARTBURG PLACE | AddressLine1Txt |
| City | MOUNT VERNON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10552 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ROBERT RANIERI | |||||||||
| CHAIR | 0.50 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| REV AMANDUS DERR | |||||||||
| CHAIR EMERITUS | 0.50 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| FLOYD V MYERS | |||||||||
| VICE CHAIR | 0.50 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL HOLDEN | |||||||||
| VICE CHAIR | 0.50 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| THOMAS A ROTH | |||||||||
| SECRETARY | 0.50 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANDREA ANSORGE | |||||||||
| BOARD MEMBER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| JEANETTE CARLSON | |||||||||
| BOARD MEMBER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| MAE R CARPENTER | |||||||||
| BOARD MEMBER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| EAMON KELLY | |||||||||
| BOARD MEMBER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| CLESONT MITCHELL | |||||||||
| BOARD MEMBER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| PHILIP ROTHMAN | |||||||||
| BOARD MEMBER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| JUDY WILLIAMS | |||||||||
| BOARD MEMBER | 0.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| DAVID GENTNER | |||||||||
| PRESIDENT/CEO | 25.00 | 10.00 | Yes (X) | $436,278 | $0 | $90,500 | |||
| GREGORY POOLE-DAYAN | |||||||||
| COO | 25.00 | 10.00 | Yes (X) | $292,156 | $0 | $44,312 | |||
| JOSEPH M SESSA | |||||||||
| CFO | 28.00 | 7.00 | Yes (X) | $262,477 | $0 | $20,895 | |||
| ROBERT B WELSER | |||||||||
| CIO | 32.10 | 2.90 | Yes (X) | $162,242 | $0 | $41,999 | |||
| DOROTHEA BELL | |||||||||
| VP HUMAN RESOURCES | 23.40 | 11.60 | $226,808 | $0 | $30,336 | Yes (X) | |||
| FRANCIS POLCARI | |||||||||
| MEDICAL DIRECTOR | 35.00 | $155,007 | $0 | $41,635 | Yes (X) | ||||
| BRIDGET ZIMMERMANN | |||||||||
| SNF ADMINISTRATOR | 35.00 | $137,426 | $0 | $10,976 | Yes (X) | ||||
| JAYBEE CEJUDO | |||||||||
| DIRECTOR, CHAA PATIENT SERVICES | 35.00 | $136,701 | $0 | $21,086 | Yes (X) | ||||
| AMANSHAH BABWAH | |||||||||
| BUDGET DIRECTOR | 35.00 | $127,576 | $0 | $0 | Yes (X) | ||||
| MAUREEN H STAUNTON | |||||||||
| DIRECTOR, LHCSA PATIENT SERVICES | 35.00 | $109,722 | $0 | $7,447 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,046,393 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $309,186 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALIST | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICE COMPANY | $2,256,422 |
| PHARMSCRIPT LLC | |||||
| 150 PIERCE STREET | SOMERSET | NJ | 08873 | PHARMACY SERVICES | $547,663 |
| US SECURITY ASSOCIATES INC | |||||
| PO BOX 931703 | ATLANTA | GA | 31193 | SECURITY SERVICES | $446,927 |
| LTC CONSULTING SERVICES | |||||
| 100 BOULEVARD OF THE AMERICAS | LAKEWOOD | NJ | 08701 | MANAGEMENT SERVICES | $243,861 |
| NETSMART TECHNOLOGIES | |||||
| 11100 NALL AVE | OVERLAND PARK | KS | 66211 | INFO TECH SERVICES | $212,131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,915,852 | RelatedOrganizationsAmt |
| Government Grants | $2,061,451 | GovernmentGrantsAmt |
| All Other Contributions | $678,312 | AllOtherContributionsAmt |
| Total Contributions | $4,655,615 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE | 623000 | $12,138,192 | $12,138,192 |
| MEDICAID | 623000 | $7,992,953 | $7,992,953 |
| PRIVATE PAY AND OTHER PATIENT REV | 623000 | $5,456,616 | $5,456,616 |
| MEDICAID VAP & UNIV. SETTLEMENT | 623000 | $859,362 | $859,362 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $26,447,123 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $196,863 | TotalRevenueColumnAmt |
| Exclusion | $196,863 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,250 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,615 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,635 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,635 | TotalRevenueColumnAmt |
| Exclusion | $8,635 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PURCHASE SERVICE AGREEMENT | 900099 | $579,766 | $579,766 |
| OTHER INCOME | 900099 | $30,830 | $30,830 |
| FLU SHOTS | 900099 | $4,900 | $4,900 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,148 | TotalRevenueColumnAmt |
| Exclusion | $5,148 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $620,644 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,928,880 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $26,447,123 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $826,142 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,650 | TotalAmt |
| Program Services | $8,650 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,365 | TotalAmt |
| Program Services | $2,365 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,608,004 | TotalAmt |
| Program Services | $1,314,707 | ProgramServicesAmt |
| Management And General | $282,315 | ManagementAndGeneralAmt |
| Fundraising | $10,982 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,166,612 | TotalAmt |
| Program Services | $11,582,652 | ProgramServicesAmt |
| Management And General | $2,487,211 | ManagementAndGeneralAmt |
| Fundraising | $96,749 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,499,744 | TotalAmt |
| Program Services | $1,284,799 | ProgramServicesAmt |
| Management And General | $192,063 | ManagementAndGeneralAmt |
| Fundraising | $22,882 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,759,498 | TotalAmt |
| Program Services | $2,371,269 | ProgramServicesAmt |
| Management And General | $344,560 | ManagementAndGeneralAmt |
| Fundraising | $43,669 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,507,899 | TotalAmt |
| Program Services | $2,147,544 | ProgramServicesAmt |
| Management And General | $322,290 | ManagementAndGeneralAmt |
| Fundraising | $38,065 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,199 | TotalAmt |
| Program Services | $101,199 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,583 | TotalAmt |
| Management And General | $263,583 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,430 | TotalAmt |
| Management And General | $88,430 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,956 | TotalAmt |
| Management And General | $1,956 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,581,179 | TotalAmt |
| Program Services | $1,099,298 | ProgramServicesAmt |
| Management And General | $412,708 | ManagementAndGeneralAmt |
| Fundraising | $69,173 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,821 | TotalAmt |
| Management And General | $10,928 | ManagementAndGeneralAmt |
| Fundraising | $120,893 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,385,653 | TotalAmt |
| Program Services | $1,170,647 | ProgramServicesAmt |
| Management And General | $177,872 | ManagementAndGeneralAmt |
| Fundraising | $37,134 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,838 | TotalAmt |
| Fundraising | $29,838 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,343 | TotalAmt |
| Program Services | $428,971 | ProgramServicesAmt |
| Management And General | $198,372 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,451 | TotalAmt |
| Program Services | $28,535 | ProgramServicesAmt |
| Management And General | $892 | ManagementAndGeneralAmt |
| Fundraising | $24 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,375 | TotalAmt |
| Program Services | $1,878 | ProgramServicesAmt |
| Management And General | $27,522 | ManagementAndGeneralAmt |
| Fundraising | $975 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,989 | TotalAmt |
| Program Services | $161,989 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,361,526 | TotalAmt |
| Program Services | $1,361,526 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,149 | TotalAmt |
| Management And General | $390,149 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED & CONTRACTED | $1,204,373 | $1,062,031 | $142,342 |
| NYS CASH RECEIPTS ASSES | $923,551 | $923,551 | |
| PRESCRIPTION DRUGS | $432,261 | $432,261 | |
| BAD DEBT EXPENSE | $359,684 | $54,996 | $304,688 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,428 | TotalAmt |
| Program Services | $513,081 | ProgramServicesAmt |
| Management And General | $38,440 | ManagementAndGeneralAmt |
| Fundraising | $16,907 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,225,561 | TotalAmt |
| Program Services | $25,128,398 | ProgramServicesAmt |
| Management And General | $6,609,872 | ManagementAndGeneralAmt |
| Fundraising | $487,291 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,750 | BOYAmt |
| EOY | $4,750 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $264,785 | BOYAmt |
| EOY | $491,148 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,450,654 | BOYAmt |
| EOY | $2,760,235 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,813,683 | BOYAmt |
| EOY | $5,955,976 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,014 | BOYAmt |
| EOY | $423,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $67,060,303 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $39,524,272 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,498,463 | BOYAmt |
| EOY | $27,536,031 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,151,346 | BOYAmt |
| EOY | $5,423,151 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,126 | BOYAmt |
| EOY | $405,235 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,925,785 | BOYAmt |
| EOY | $6,427,231 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,762,606 | BOYAmt |
| EOY | $49,426,922 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,123,769 | BOYAmt |
| EOY | $6,570,641 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,383 | BOYAmt |
| EOY | $171,794 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,296 | BOYAmt |
| EOY | $119,559 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,695,993 | BOYAmt |
| EOY | $1,560,534 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,523,765 | BOYAmt |
| EOY | $16,307,247 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,032,206 | BOYAmt |
| EOY | $24,729,775 | 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 | $24,122,606 | BOYAmt |
| EOY | $23,996,622 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,794 | BOYAmt |
| EOY | $700,525 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,730,400 | BOYAmt |
| EOY | $24,697,147 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,762,606 | BOYAmt |
| EOY | $49,426,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$296,681 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $232,319 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $31,109 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $886,936 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,855,585 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,280,053 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,985,784 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,655,615 | CurrentTaxYearAmt |
| Total | $10,663,973 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,043,735 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,312,154 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,235,731 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,815,309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,447,123 | CurrentTaxYearAmt |
| Total | $169,854,052 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $34,930,671 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,167,739 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,515,784 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,801,093 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,102,738 | CurrentTaxYearAmt |
| Total | $180,518,025 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,011 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,017 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,393 | CurrentTaxYearAmt |
| Total | $172,777 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $26,011 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,017 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,940 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,393 | CurrentTaxYearAmt |
| Total | $172,777 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $180,345,248 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $191,241 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $248,532 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $239,891 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $255,594 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $209,113 | CurrentTaxYearAmt |
| Total | $1,144,371 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $191,241 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $248,532 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $239,891 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $255,594 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $209,113 | CurrentTaxYearAmt |
| Total | $1,144,371 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $637,650 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $546,895 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $588,777 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $644,065 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $620,644 | CurrentTaxYearAmt |
| Total | $3,038,031 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,759,562 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $37,963,166 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,344,452 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,700,752 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,932,495 | CurrentTaxYearAmt |
| Total | $184,700,427 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97640 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97730 | PublicSupportPY509Pct |
| Investment Income CY | 0.00620 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00680 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 2,203. 2018 AMOUNT: $ 7,794. 2019 AMOUNT: $ 1,296. 2020 AMOUNT: $ 30,830. PURCHASED SERVICES AGREEMENT - 2016 AMOUNT: $ 580,181. 2017 AMOUNT: $ 490,296. 2018 AMOUNT: $ 550,567. 2019 AMOUNT: $ 607,218. 2020 AMOUNT: $ 579,766. VENDOR DISCOUNTS - 2018 AMOUNT: $ 6,378. VENDING MACHINE COMMISSIONS - 2016 AMOUNT: $ 1,147. 2017 AMOUNT: $ 7,380. 2019 AMOUNT: $ 10,476. 2020 AMOUNT: $ 3,128. FLU SHOTS - 2016 AMOUNT: $ 2,665. 2017 AMOUNT: $ 19,142. 2018 AMOUNT: $ 8,336. 2019 AMOUNT: $ 9,275. 2020 AMOUNT: $ 4,900. COLUMBARIUM - 2018 AMOUNT: $ 1,500. MISCELLANEOUS - 2016 AMOUNT: $ 24,691. 2018 AMOUNT: $ 4,277. 2019 AMOUNT: $ 175. OPTUM ADVANTAGE INCENTIVE - 2016 AMOUNT: $ 16,480. 2017 AMOUNT: $ 12,900. 2018 AMOUNT: $ 8,075. 2019 AMOUNT: $ 14,355. 2020 AMOUNT: $ 1,800. YOGA REVENUE - 2016 AMOUNT: $ 3,800. 2017 AMOUNT: $ 1,690. 2018 AMOUNT: $ 1,850. 2019 AMOUNT: $ 1,270. 2020 AMOUNT: $ 220. HOSPICE REVENUE - 2016 AMOUNT: $ 8,686. 2017 AMOUNT: $ 13,147. VERIZON REIMBURSEMENT - 2017 AMOUNT: $ 137. | ExplanationTxt |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,956 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,956 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE HOME PAYS DUES AND ASSOCIATION FEES TO 1199 SEIU, AND LEADING AGE AND CONTINUING CARE LEADERSHIP COALITION. A PORTION OF THESE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $371,032 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $30,831 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $401,863 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $316,793 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $54,239 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $371,032 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $353,497 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$36,704 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $316,793 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $311,448 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $42,049 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $353,497 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $305,172 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,276 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $311,448 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.47830 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.52170 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,675 | OtherCostOrOtherBasisAmt |
| Book Value | $99,675 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,517,014 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,433,909 | DepreciationAmt |
| Book Value | $25,083,105 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,018,427 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,406,143 | DepreciationAmt |
| Book Value | $612,284 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,425,187 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,684,220 | DepreciationAmt |
| Book Value | $1,740,967 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,536,031 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATED ORGANIZATIONS | $3,938,145 |
| INSURANCE RECOVERY | $2,101,000 |
| DEPOSITS | $51,619 |
| DUE FROM THIRD PARTY PAYORS | $336,467 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,427,231 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $4,439,336 |
| DUE TO AFFILIATED ORGANIZATIONS | $9,766,911 |
| PROFESSIONAL AND SIMILAR LIABILITIES | $2,101,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,307,247 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $31,836,239 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $232,319 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $34,724 | OtherRevenueAmt |
| Revenue Not Reported | $267,043 | RevenueNotReportedAmt |
| Revenue Subtotal | $31,569,196 | RevenueSubtotalAmt |
| Other Revenues Not Included | $359,684 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $359,684 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $31,928,880 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,869,492 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,615 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,615 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,865,877 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $359,684 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $359,684 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,225,561 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | RESIDENTS' FUNDS ARE HELD BY THE HOME ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE HOME FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE HOME AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. |
| PART V, LINE 4: | THE HOME IS NAMED AS BENEFICIARY IN ONE PERPETUAL TRUST. THE ASSETS OF THIS TRUST ARE HELD BY OTHERS IN PERPETUITY AND THE TRUST INCOME IS MADE AVAILABLE TO THE HOME. ANNUAL DISTRIBUTIONS FROM THE TRUSTS ARE TO BE USED TO SUPPORT THE OPERATIONS OF THE HOME. THE HOME IS ALSO NAMED AS A 3% INCOME BENEFICIARY AS WELL AS A 12.5% REMAINDER INTEREST IN A CHARITABLE REMAINDER TRUST. QUARTERLY INCOME DISTRIBUTIONS FROM THE TRUST ARE TO BE USED TO SUPPORT THE OPERATIONS OF THE HOME. THE HOME IS THE BENEFICIARY OF A NUMBER OF CHARITABLE REMAINDER ANNUITY TRUSTS HELD BY THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. DURING THE LIFETIME OF THE DONORS, THE TRUSTEE SHALL PAY TO THE DONORS AN ANNUITY EQUAL TO 6.2% - 8.1% OF THE ORIGINAL CONTRIBUTION, ACCORDING TO THEIR GIFT ANNUITY AGREEMENT. UPON THE DONOR'S DEATH, THE TRUST WILL DISTRIBUTE TO THE HOME ALL OF THE THEN REMAINING PRINCIPAL AND INCOME OF THE TRUST. |
| PART X, LINE 2: | THE HOME RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2017. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES REPORTED ON PART VIII, LINE 8B 3,615. CHANGE IN VALUE OF BENEFICIAL TRUSTS HELD BY THIRD PARTIES 30,831. CHANGE IN VALUE OF ASSETS OF POOLED INCOME FUND 278. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 359,684. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES REPORTED ON PART VIII, LINE 8B 3,615. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 359,684. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID GENTNER | ||||||||||||||
| PRESIDENT/CEO | $376,102 | $0 | $40,000 | $0 | $20,176 | $0 | $4,531 | $0 | $85,969 | $0 | $526,778 | $0 | $0 | $0 |
| GREGORY POOLE-DAYAN | ||||||||||||||
| COO | $290,350 | $0 | $0 | $0 | $1,806 | $0 | $2,970 | $0 | $41,342 | $0 | $336,468 | $0 | $0 | $0 |
| JOSEPH M SESSA | ||||||||||||||
| CFO | $257,143 | $0 | $0 | $0 | $5,334 | $0 | $2,643 | $0 | $18,252 | $0 | $283,372 | $0 | $0 | $0 |
| DOROTHEA BELL | ||||||||||||||
| VP HUMAN RESOURCES | $201,974 | $0 | $0 | $0 | $24,834 | $0 | $2,278 | $0 | $28,058 | $0 | $257,144 | $0 | $0 | $0 |
| ROBERT B WELSER | ||||||||||||||
| CIO | $160,726 | $0 | $0 | $0 | $1,516 | $0 | $1,785 | $0 | $40,214 | $0 | $204,241 | $0 | $0 | $0 |
| FRANCIS POLCARI | ||||||||||||||
| MEDICAL DIRECTOR | $153,146 | $0 | $0 | $0 | $1,861 | $0 | $1,709 | $0 | $39,926 | $0 | $196,642 | $0 | $0 | $0 |
| JAYBEE CEJUDO | ||||||||||||||
| DIRECTOR, CHAA PATIENT SERVICES | $136,701 | $0 | $0 | $0 | $0 | $0 | $1,454 | $0 | $19,632 | $0 | $157,787 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | DAVID GENTNER RECEIVED A HOUSING ALLOWANCE OF $30,000, WHICH IS REPORTED IN SCHEDULE J, PART II, COLUMN (D). THIS IS TREATED AS NONTAXABLE COMPENSATION. |
| PART I, LINE 7 | DAVID GENTNER RECEIVED A TAXABLE DISCRETIONARY BONUS OF $40,000 INCLUDED IN HIS 2020 W-2. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS WARTBURG MT. VERNON INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF THE CORPORATION SHALL BE ELECTED BY THE MEMBER AT THE ANNUAL MEETING OF THE MEMBER. IN ADDITION, VACANCIES OCCURRING ON THE BOARD OF DIRECTORS OF THE CORPORATION, FOR ANY REASON, MAY ONLY BE FILLED BY THE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | ACTION BY THE VOTE OF AT LEAST TWO-THIRDS OF THE ENTIRE BOARD OF DIRECTORS OF THE CORPORATION AND BY THE CONCURRING VOTE OF TWO-THIRDS OF THE ENTIRE BOARD OF DIRECTORS OF THE MEMBER AT THEIR ANNUAL MEETING, REGULAR MEETING OR SPECIAL MEETING HELD UPON NOTICE OF THE PROPOSED ACTION SHALL BE REQUIRED FOR: - AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF THE CORPORATION - AMENDMENT OF THE BY-LAWS OF THE CORPORATION - THE SALE, LEASE, EXCHANGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION - MERGER OR CONSOLIDATION OF THE CORPORATION IN ACCORDANCE WITH ARTICLE IX OF THE NOT-FOR-PROFIT CORPORATION LAW - NON-JUDICIAL DISSOLUTION OF THE CORPORATION IN ACCORDANCE WITH ARTICLE X OF THE NOT-FOR-PROFIT CORPORATION LAW - AUTHORIZATION FOR AMENDMENT OF THESE BY-LAWS TO PROVIDE THAT THE QUORUM OR VOTING REQUIREMENT FOR THE TRANSACTION OF ANY ITEM OF BUSINESS BE GREATER THAN THAT WHICH IS REQUIRED BY THE NOT-FOR-PROFIT CORPORATION LAW |
| FORM 990, PART VI, SECTION B, LINE 11B | WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS ADOPTED A CONFLICT OF INTEREST POLICY TO ENSURE A UNIFORM POLICY EXISTS FOR COVERED PERSONS AND THAT EFFECTIVE COMMUNICATION AND DECISION MAKING COURSE REGARDING POTENTIAL CONFLICTS OF INTEREST. COVERED PERSONS, AS DEFINED BY THE POLICY, REFERS TO DIRECTORS AND OFFICERS OF THE ORGANIZATION, AS WELL AS EMPLOYEES, CONSULTANTS AND OTHER PERSONS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION'S AFFAIRS. ANNUALLY, COVERED PERSONS ARE REQUIRED TO COMPLETE A FORM " QUESTIONNAIRE CONCERNING FINANCIAL INTERESTS AND AFFIRMATION RE: CONFLICT OF INTEREST POLICY". POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD OF DIRECTORS OR AN APPROPRIATE COMMITTEE OF THE BOARD. PERSONS IDENTIFIED WITH A CONFLICT MAY BE EXCLUDED FROM VOTING ON/MAKING A DECISION REGARDING A TRANSACTION/ARRANGEMENT WHICH CREATES THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE WARTBURG ALIGNS ITS COMPENSATION PHILOSOPHY WITH THE OVERALL MISSION AND BUSINESS STRATEGY OF THE ORGANIZATION. EMPLOYEES ARE COMPENSATED FAIRLY WITHOUT REGARD TO AGE, SEX, RACE, COLOR, RELIGION, CREED, NATIONAL ORIGIN, DISABILITY (INCLUDING PREGNANCY DISABILITY), VETERAN OR MILITARY STATUS, MARITAL STATUS, SEXUAL ORIENTATION, CITIZENSHIP STATUS, IN ACCORDANCE WITH ALL APPLICABLE LAWS AND REGULATIONS, AND AS OUTLINED IN HUMAN RESOURCE POLICY. THE COMPENSATION PHILOSOPHY IS DESIGNED TO PROVIDE COMPETITIVE COMPENSATION POSITIONING COMPARED TO PEER GROUPS/OTHER HEALTHCARE ORGANIZATIONS SIMILAR IN SIZE AND PROGRAM OFFERING. IT CONSIDERS EXTERNAL MARKET DATA AGAINST INTERNAL STRUCTURE, RECOGNIZES THE UNIQUE RELATIVE VALUE OF EACH FUNCTION, REWARDS, INDIVIDUAL PERFORMANCE, WHILE BEING FINANCIALLY SUSTAINABLE OVER TIME. IT IS REVIEWED ON AN AS NEEDED BASIS BY WARTBURG'S PERSONNEL & COMPENSATION COMMITTEE OF THE BOARD AND IS SUBJECT TO SUCH BUDGETARY CONSIDERATIONS AS BUSINESS CONDITIONS MAY CREATE. THE WARTBURG HAS ENGAGED THE SERVICES OF ASTRON SOLUTIONS, A NATIONAL EMPLOYEE COMPENSATION AND BENEFITS FIRM, TO REVIEW EXECUTIVE AND SENIOR MANAGEMENT COMPENSATION. DATA USED IN DETERMINING MARKET MID RANGE IS DERIVED FROM REPORTS ISSUED BY ASTRON USING REPUTABLE TOP-TIER SURVEY HOUSES AS WELL AS LOCAL, INDUSTRY, AND ASSOCIATION SPECIFIC SOURCES. WORLD AT WORK STANDARDS ARE FOLLOWED IN THE SELECTION AND USE OF THE COMPENSATION SURVEYS TO ASSURE RELIABILITY AND VALIDITY OF DATA SOURCES. IN ADDITION, MARKET DATA IS MATCHED AGAINST JOB CONTENT AND DESCRIPTIONS, NOT JOB TITLES, AND BY THE USE OF WARTBURG'S JOB FACTOR ANALYSIS TOOL. EXEMPTION DECISIONS ARE MADE IN ACCORDANCE WITH FAIR LABOR STANDARD ACT REQUIREMENTS. IT IS OUR ORGANIZATION'S DESIRE TO PAY A COMPETITIVE BASE SALARY ALIGNED TO MARKET VALUE AND TO OFFER A COMPENSATION PACKAGE WHICH INTEGRATES OTHER TOTAL COMPENSATION OFFERINGS SUCH AS PAID TIME OFF, HEALTH COVERAGE, TUITION REIMBURSEMENT, ETC. "COMPETITIVE" IS DEFINED AS MARKET 50TH PERCENTILE. MARKET PARITY/MID RANGE DECISIONS ARE BASED ON FACTORS SUCH AS EDUCATION, SUBJECT EXPERTISE, LEVEL OF PERFORMANCE, AS WELL AS LEVEL OF STRATEGIC IMPACT/VALUE TO THE LONG-TERM GOALS OF THE ORGANIZATION. AS BUSINESS CONDITIONS WARRANT AND BASED ON THE STRATEGIC NEEDS OF THE ORGANIZATION, WITH BOARD APPROVAL, AN EMPLOYEE'S BASE SALARY MAY BE SUPPLEMENTED WITH INCENTIVE-BASED PAY AND/OR OTHER TOTAL COMPENSATION ARRANGEMENTS. APPROVAL OF COMPENSATION IS DOCUMENTED IN THE BOARD MINUTES. THIS PROCESS IS UNDERTAKEN ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION, FORM 990, AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF BENEFICIAL TRUSTS HELD BY THIRD PARTIES 31,109. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WARTBURG SENIOR HOUSING INC | |||||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 134043128 | OPERATE AN ASSISTED LIVING FACILITY | NY | 501(C)(3) | LINE 10 | WARTBURG MT VERNON INC | 0 | |
| WARTBURG MT VERNON INC | |||||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 133621265 | SUPPORT SERVICES FOR THE WARTBURG ENTITIES | NY | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| WARTBURG RESIDENTIAL COMMUNITY INC | |||||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 133695648 | LOW INCOME HOUSING | NY | 501(C)(3) | LINE 10 | WARTBURG MT VERNON INC | 0 | |
| WARTBURG FOUNDATION | |||||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 133621266 | SUPPORT THE WARTBURG ENTITIES | NY | 501(C)(3) | LINE 7 | WARTBURG HOME OF THE EVANGELICAL LUTHERN CHURCH | Yes (1) | |
| LOHMAN VILLAGE HOUSING DEVELOPMENT FUND CORPORATION | |||||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 383994147 | OPERATE APARTMENT FACILITY FOR THE ELDERLY | NY | 501(C)(4) | WARTBURG RESIDENTIAL COMMUNITY | 0 | ||
| WARTBURG MANAGEMENT SERVICES | |||||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 811903312 | PROVIDE MANAGEMENT AND ADMIN SERVICES TO ADULT CARE FACILITIES | NY | 501(C)(3) | LINE 12B, II | WARTBURG MT VERNON INC | 0 | |
| BERKERMIER LIVING CENTER LLC | |||||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 843316677 | OPERATE AN ASSISTED LIVING FACILITY | NY | 501(C)(3) | LINE 10 | WARTBURG MT VERNON INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIEDRICHS SUPPORTIVE HOUSING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | WARTBURG PLACE | AddressLine1Txt |
| City | MT VERNON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10522 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453530097 | EIN |
| Primary Activities | APARTMENT COMPLEX FOR LOW-INCOME SENIORS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRIEDRICHS HOUSING MM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| FRIEDRICHS HOUSING MM INC | |||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 453539822 | MANAGING MEMBER OF FRIEDRICHS SUPPORTIVE HOUSING LLC | NY | THE WARTBURG RESIDENTIAL COMMUNITY INC | C | 0 |
| WARTBURG FRIEDRICHS HOUSING DEVELOPMENT FUND CORPORATION | |||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 454205282 | DEVELOP A NONPROFIT HOUSING PROJECT FOR PERSONS OF LOW INCOME | NY | THE WARTBURG RESIDENTIAL COMMUNITY INC | C | 0 |
| WARTBURG MLTC | |||||||||
| WARTBURG PLACE | MT VERNON | NY | 10552 | 464047295 | PEFORM STUDIES, SURVEYS AND PLANNING FOR DEVELOPMENT OF MANAGED LT CARE | NY | WARTBURG MT VERNON INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | 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 | Yes (1) | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WARTBURG FOUNDATION | ||
| C | $1,915,852 | COST |
| WARTBURG FOUNDATION | ||
| L | $477,719 | COST |