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GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC (EIN 23-7310663)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202043179349302699
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2020-11-12T10:29:08-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 WEMBLEY CTAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237310663EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN LUTHERAN HEALTH CAREBusinessNameLine1Txt
Business Name Line2CENTER INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone5184398116PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 WHITE PLAINS RD STE 377 NOAddressLine1Txt
CitySCARSDALECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10583ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLARAINE FELLEGARAPersonNm
Person TitleCEOPersonTitleTxt
Phone5184398116PhoneNum
Signature2020-11-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH MCGIVNEYPreparerPersonNm
PTINP01324731PTIN
Phone5184644080PhoneNum
Preparation2020-10-30PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address4.26.26.190IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-05IPDt
IP Tm11:46:39IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id4E509B2D1465824EB5436EDE64E0391D8FED92E2AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARAINE FELLEGARAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 ROCKEFELLER ROADAddressLine1Txt
CityDELMARCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12054ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,575,832GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TLCN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSKILLED NURSING FACILTYActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee210TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$450PYContributionsGrantsAmt
CY Contributions Grants$165CYContributionsGrantsAmt
PY Program Service Revenue$9,592,235PYProgramServiceRevenueAmt
CY Program Service Revenue$8,435,339CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$148,529PYOtherRevenueAmt
CY Other Revenue$140,328CYOtherRevenueAmt
PY Total Revenue$9,741,214PYTotalRevenueAmt
CY Total Revenue$8,575,832CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,805,106PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,901,421CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,348,036PYOtherExpensesAmt
CY Other Expenses$3,401,650CYOtherExpensesAmt
PY Total Expenses$12,153,142PYTotalExpensesAmt
CY Total Expenses$10,303,071CYTotalExpensesAmt
PY Revenues Less Expenses-$2,411,928PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,727,239CYRevenuesLessExpensesAmt
Total Assets BOY$4,958,778TotalAssetsBOYAmt
Total Assets EOY$4,571,709TotalAssetsEOYAmt
Total Liabilities BOY$10,827,776TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,315,020TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,868,998NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$8,743,311NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionA MINISTRY OF HEALING, HOSPITALITY AND COMMUNITY THROUGH PARTNERSHIPS IN CARING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,777,344ExpenseAmt
Revenue$8,435,339RevenueAmt
DescA 120 BED SKILLED NURSING FACILITY. THE NURSING DEPARTMENT PROVIDES SKILLED NURSING CARE ON A DAILY BASIS PER NYS DOH GUIDELINES. RESIDENTS ARE ADMITTED ON A VOLUNTARY BASIS. SERVICES INCLUDE, ASSISTANCE AND/OR SUPERVISION, WHEN REQUIRED, WITH ACTIVITIES OF DAILY LIVING, RECREATIONAL AND MOTIVATIONAL ACTIVITIES, AS WELL AS DIAGNOSTIC SERVICES, MEDICATION MONITORING, AND USE OF GENERAL HOUSEHOLD MEDICINE CABINET SUPPLIES. THE FACILITY HAD 36,057 DAYS IN 2019.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$785,006ExpenseAmt
DescDIETARY SERVICES - PROVIDES THREE MEALS PER DAY, 365 DAYS PER YEAR. MEALS SERVED TO INDIVIDUALS WITH SPECIAL DIETARY NEEDS ARE SUPERVISED BY A CONSULTING AND REGISTERED DIETICIAN. TOTAL MEALS SERVED IN 2019 WERE 118,000.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$500,573ExpenseAmt
DescPLANT OPERATIONS. THE PLANT OPERATIONS DEPARTMENT PROVIDES MAINTENANCE, HOUSEKEEPING, GROUNDS, LAUNDRY, AND TRANSPORTATION SERVICES 365 DAYS PER YEAR. THIS DEPARTMENT ENSURES A CLEAN, HEALTHY, SHELTERED ENVIRONMENT AND PROPERLY OUTFITTED FACILITY PER NYS DOH GUIDELINES. THIS DEPARTMENT PROVIDES FRESH BED LINEN, CHANGED AT LEAST TWICE WEEKLY, AS WELL AS LAUNDRY SERVICES FOR HOSPITAL GOWNS OR PAJAMAS AS REQUIRED BY THE CLINICAL CONDITION OF THE RESIDENT OR OTHER, IF ELECTED, PERSONAL CLOTHING ITEMS. TOTAL SERVICE DAYS PROVIDED IN 2019 EQUALED 365.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$140,328RevenueAmt
DescMANAGEMENT FEE INCOMEDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$140,328TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$9,062,923TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee210EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLARAINE FELLEGARAPersonNm
Phone9143656365PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 WHITE PLAINS ROAD SUITE 377AddressLine1Txt
CitySCARSDALECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10583ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LARAINE FELLEGARA
CEO2.0034.00Yes (X)Yes (X)$0$393,176$20,877
REV DEREK LECAKES
CHAIR1.00Yes (X)Yes (X)$0$0$0
REV DANIEL COHN
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM TEATOR
BOARD MEMBER1.00Yes (X)$0$0$0
THOMAS ROEMKE
SECRETARY1.00Yes (X)Yes (X)$0$0$0
KAREN WOODCOCK
ADMINISTRATOR35.00Yes (X)$0$54,115$1,130
SHARON SIEGEL
CFO5.0030.00Yes (X)$0$130,983$75
THERESA NICHOLSON
CFO5.0030.00Yes (X)$0$47,005$58
BRUCE ZARETT
ADMINISTRATOR35.00Yes (X)$0$75,635$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$700,914TotReportableCompRltdOrgAmt
Total Other Compensation$22,140TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GINSBERG INSTITUTIONAL FOODS
29 GINSBERG LANEHUDSONNY12534FOOD SERVICE$240,751
MCKESSON MEDICAL-SURGICAL
9954 MARYLAND DRIVE SUITE 4000RICHMONDVA23233MEDICAL$193,490
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$165AllOtherContributionsAmt
Total Contributions$165TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REGULAR INPATIENT CARE623000$8,277,327$8,277,327
RATE ADJUSTMENT623000$158,012$158,012
FieldValueIRS element (for citing)
Total Program Service Revenue$8,435,339TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEES561000$134,152$134,152
OTHER INCOME623000$6,176$6,176
FieldValueIRS element (for citing)
Other Revenue Total$140,328OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,575,832TotalRevenueColumnAmt
Related Or Exempt Func Income$8,575,667RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,073,269TotalAmt
Program Services$4,797,246ProgramServicesAmt
Management And General$276,023ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,828,152TotalAmt
Program Services$1,828,152ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$682,687TotalAmt
Program Services$164,628ProgramServicesAmt
Management And General$518,059ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,603TotalAmt
Program Services$17,603ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,929TotalAmt
Management And General$5,929ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$208,795TotalAmt
Program Services$205,259ProgramServicesAmt
Management And General$3,536ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,176TotalAmt
Program Services$15,103ProgramServicesAmt
Management And General$73ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$199TotalAmt
Program Services$199ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$215,513TotalAmt
Management And General$215,513ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$120,342TotalAmt
Management And General$120,342ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL & DIETARY SUPPL$829,387$794,915$34,472
BAD DEBT EXPENSE$695,850$695,850
CASH RECEIPT ASSESSMENT$521,970$521,970
OTHER$68,199$21,998$46,201

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$20,000TotalAmt
Management And General$20,000ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,303,071TotalAmt
Program Services$9,062,923ProgramServicesAmt
Management And General$1,240,148ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$486,107BOYAmt
EOY$318,794EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$929,900BOYAmt
EOY$696,946EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$77,682BOYAmt
EOY$85,072EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,465,089BOYAmt
EOY$3,470,897EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,958,778BOYAmt
EOY$4,571,709EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,633,866BOYAmt
EOY$1,843,937EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,628,998BOYAmt
EOY$2,536,243EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,564,912BOYAmt
EOY$8,934,840EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,827,776BOYAmt
EOY$13,315,020EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$5,868,998BOYAmt
EOY-$8,743,311EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$5,868,998BOYAmt
EOY-$8,743,311EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,958,778BOYAmt
EOY$4,571,709EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,727,239ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,147,074OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,175CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,005CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$450CurrentTaxYearMinus1YearAmt
Current Tax Year$165CurrentTaxYearAmt
Total$7,319TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,173,204CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,717,168CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,863,335CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,592,235CurrentTaxYearMinus1YearAmt
Current Tax Year$8,435,339CurrentTaxYearAmt
Total$47,781,281TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,174,379CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,721,692CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,864,340CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,592,685CurrentTaxYearMinus1YearAmt
Current Tax Year$8,435,504CurrentTaxYearAmt
Total$47,788,600TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$47,788,600PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$204,647CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$154,452CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,606CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$148,529CurrentTaxYearMinus1YearAmt
Current Tax Year$140,328CurrentTaxYearAmt
Total$802,562TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,379,026CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,876,144CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,018,946CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,741,214CurrentTaxYearMinus1YearAmt
Current Tax Year$8,575,832CurrentTaxYearAmt
Total$48,591,162TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98350PublicSupportCY509Pct
Public Support PY5090.98270PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescASSETS HELD FOR SALEDesc
Book Value$3,470,897BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,470,897TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
DUE TO THE LUTHERAN CARE NETWORK, INC.$6,815,182
PAYABLE TO THIRD PARTY$166,670
LIABILITIES HELD FOR SALE$296,618
NOTE PAYABLE TO AFFILIATED COMPANIES$500,000
POSTPETITION ACCOUNTS PAYABLE$93,520
POSTPETITION ACCRUED EXPENSES$466,736
POSTPETITION DUE TO AFFILIATED COMPANIES$171,114
PREPETITION NOTE PAYABLE TO AFFILIATED COMPANIES$425,000
FieldValueIRS element (for citing)
Total Liability$8,934,840TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$8,575,832TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$8,575,832RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,575,832TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,303,071TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,303,071ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,303,071TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonLARAINE FELLEGARAPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$393,176CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$20,877NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$414,053TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 31REORGANIZATION UNDER BANKRUPTCY PROCEEDINGS IN DECEMBER 2019, THE COMPANY FILED PETITIONS FOR RELIEF UNDER CHAPTER 11 OF THE FEDERAL BANKRUPTCY LAWS IN THE UNITED STATES BANKRUPTCY COURT FOR THE NORTHERN DISTRICT OF NEW YORK. THIS GENERALLY DELAYS PAYMENT OF LIABILITIES INCURRED PRIOR TO FILING THOSE PETITIONS WHILE THE COMPANY DEVELOPS A PLAN OF REORGANIZATION THAT IS SATISFACTORY TO ITS CREDITORS AND ALLOWS IT TO CONTINUE AS A GOING CONCERN. THE CARRYING AMOUNTS OF ASSETS AND LIABILITIES ARE UNAFFECTED BY THE PROCEEDINGS, BUT LIABILITIES ARE PRESENTED ACCORDING TO THE STATUS OF THE CREDITORS. UNDER CHAPTER 11, CERTAIN CLAIMS AGAINST THE COMPANY IN EXISTENCE BEFORE THE FILING OF THE PETITIONS OF RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS ARE STAYED WHILE THE COMPANY CONTINUES BUSINESS OPERATIONS AS DEBTOR-IN-POSSESSION. THESE CLAIMS ARE REFLECTED IN THE DECEMBER 31, 2019 STATEMENT OF FINANCIAL POSITION AS LIABILITIES SUBJECT TO COMPROMISE. ADDITIONAL CLAIMS (LIABILITIES SUBJECT TO COMPROMISE) MAY ARISE AFTER THE FILING DATE RESULTING FROM REJECTION OF EXECUTORY CONTRACTS, INCLUDING LEASES, AND FROM THE DETERMINATION OF THE COURT (OR AGREED TO BY PARTIES IN INTEREST) OF ALLOWED CLAIMS FOR CONTINGENCIES AND OTHER DISPUTED AMOUNTS. CLAIMS SECURED AGAINST THE COMPANY'S ASSETS (SECURED CLAIMS) ARE ALSO STAYED, ALTHOUGH THE HOLDERS OF SUCH CLAIMS HAVE THE RIGHT TO MOVE THE COURT FOR RELIEF FROM THE STAY. SECURED CLAIMS ARE SECURED PRIMARILY BY LIENS ON THE COMPANY'S PROPERTY AND EQUIPMENT. THE COMPANY RECEIVED APPROVAL FROM THE BANKRUPTCY COURT TO PAY OR OTHERWISE HONOR CERTAIN OF ITS PREPETITION OBLIGATIONS, INCLUDING EMPLOYEE WAGES, UTILITIES, AND INSURANCES.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION'S SOLE MEMBER, THE LUTHERAN CARE NETWORK, INC. PROVIDES CERTAIN MANAGEMENT FUNCTIONS, INCLUDING THE CEO AND CFO FUNCTIONS.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE MEMBER - THE LUTHERAN CARE NETWORK, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS ARE ELECTED BY THE SOLE MEMBER AS PER THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7BAS PER THE ORGANIZATION'S BYLAWS, THE VOTE OF THE MEMBERSHIP IS REQUIRED FOR THE FOLLOWING ACTIONS: 1) THE AMENDMENT OF THE BYLAWS, 2) INCURRING DEBT IN EXCESS OF $100,000, 3) INITIATION OF ANY ACTIVITIES REQUIRING A CERTIFICATE OF NEED, AND 4) ESTABLISHING A SUBSIDIARY OR OTHERWISE AFFILIATING WITH ANY OTHER ENTITY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE AUDIT COMMITTEE CHAIR OR AT LEAST ONE MEMBER OF THE AUDIT COMMITTEE. ONCE APPROVED, A COPY IS GIVEN TO EACH BOARD MEMBER BEFORE SIGNING AND FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAT BEGINNING OF EMPLOYMENT, MANAGEMENT LEVEL EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST AND OUTSIDE ACTIVITIES FORM. THE ORGANIZATION ENFORCES THIS POLICY BY ASSESSING AND MONITORING SITUATIONS IN WHICH ANY POTENTIAL CONFLICT OF INTEREST ARISES.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION OF CEO AND EXECUTIVE STAFF IS AT THE DISCRETION OF THE BOARD OF DIRECTORS UNDER ADVISEMENT OF AN INDEPENDENT THIRD PARTY COMPENSATION FIRM. A CONSULTANT FIRM IS USED THAT PROVIDES STRATEGIC HUMAN RESOURCES SOLUTIONS TO CORPORATE AND NON PROFIT EMPLOYERS AND WAS SELECTED FROM SEVERAL VENDORS.
FORM 990, PART VI, SECTION C, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC OTHER THAN THOSE REQUIRED BY LAW. THOSE DOCUMENTS THAT ARE REQUIRED TO BE AVAILABLE TO THE PUBLIC ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:REORGANIZATION ITEMS - PROFESSIONAL FEES -1,147,074.
FORM 990, PART XI, LINE 2C:NO CHANGE IN THE PROCESS FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
COBURG VILLAGE
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113211085INDEPENDENT LIVING SENIOR HOUSINGNY501(C)(3)LINE 110
WARTBURG NURSING HOME
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583237087284INACTIVENY501(C)(3)LINE 110
KENWOOD MANOR INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583141368178LICENSED ADULT HOME FACILITYNY501(C)(3)LINE 110
GOOD SAMARITAN SENIOR HOUSING DEVELOPMENT FUND COMPANY INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583141727655LOW INCOME HOUSINGNY501(C)(3)LINE 110
LUTHERAN CENTER AT POUGHKEEPSIE
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583223408456SKILLED NURSING CARE AND HEALTH SERVICES TO THE ELDERLYNY501(C)(3)LINE 110
LUTHERAN HOUSING DEVELOPMENT CORPORATION AT CONCORD VILLAGE
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583030436196RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLYNY501(C)(3)LINE 110
LUTHERAN HOUSING DEVOLOPMENT CORPORATION OF LONG ISLAND
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112574183RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLYNY501(C)(3)LINE 110
LUTHERAN HOUSING DEVOPMENT CORPORATION OF PAWLING
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113269257RESIDENTIAL APARTMENT BUILDING FOR THE ELDERLYNY501(C)(3)LINE 110
WARTBURG HOUSING DEVELOPMENT FUND CORPORATION
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583113051052TO PROVIDE HOUSING FOR LOW INCOME AND INDIGENT PEOPLENY501(C)(3)LINE 110
THE LUTHERAN CARE NETWORK FOUNDATION INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112645255TO DEVELOP AND SUPPORT NOT FOR PROFIT HEALTH CARE ENTITIESNY501(C)(3)LINE 70
WARTBURG LUTHERAN HOME FOR THE AGING INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583111631836MANAGE LOW INCOME HOUSING COMPANIESNY501(C)(3)LINE 110
THE LUTHERAN CARE NETWORK INC
700 WHITE PLAINS ROAD SUITE 377SCARSDALENY10583112896230PROVIDE MGMT, DEVP & FUNDRAISING SERVICES RELATED TO 501(C)(3)NY501(C)(3)LINE 110
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
THE LUTHERAN CARE NETWORK INC
E$6,986,296
KENWOOD MANOR INC
L$112,455
THE LUTHERAN CARE NETWORK INC
M$425,000
KENWOOD MANOR INC (GUARANTEE)
E$4,023,408