2018-11-09T14:51:56-06:00 2017-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL ROCHESTER NY 14534 990 2017-01-01 161391191 ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC STLU 3153423166 299 E RIVER ROAD OSWEGO NY 13126 TERRENCE GORMAN TREASURER 3153423166 2018-11-08 1 KELLEY DEMONTE P01382609 5853811000 216.171.181.162 2018-11-08 10:15:05 ES P 798E0E3CECDF7348F04002BB5F57375CC57A7669 D63FCDA562313A00FC28EA00C062E9EC0D75776F 2017 2019-02-21 02:37:17Z BRIAN CASWELL 299 E RIVER ROAD OSWEGO NY 13126 19193168 0 X WWW.STLUKEHS.COM X 1973 NY TO MEET THE EVOLVING HEALTHCARE NEEDS OF OUR COMMUNITY, ST. LUKE RESIDENTIAL HEALTHCARE FACILITY, INC. IS DEDICATED TO HELPING THE PEOPLE WE SERVE LIVE TO THEIR MAXIMUM POTENTIAL AND PROMOTE DIGNITY OF LIFE THROUGHOUT ALL OF ITS STAGES. 11 10 492 88 -27765 -27765 0 199817 17387997 17138399 3567 4290 1653086 1780247 19044650 19122753 0 0 0 0 10754907 11535870 0 0 0 7844890 7708908 18599797 19244778 444853 -122025 11099478 11130839 8358719 8512105 2740759 2618734 X TO MEET THE EVOLVING HEALTHCARE NEEDS OF OUR COMMUNITY, ST. LUKE RESIDENTIAL HEALTHCARE FACILITY, INC. IS DEDICATED TO HELPING THE PEOPLE WE SERVE LIVE TO THEIR MAXIMUM POTENTIAL AND PROMOTE DIGNITY OF LIFE THROUGHOUT ALL OF ITS STAGES. 0 0 17472069 17138399 ST. LUKE HEALTH SERVICES IS LOCATED IN OSWEGO, NEW YORK, OVERLOOKING THE SCENIC OSWEGO RIVER. ST. LUKE IS EASILY ACCESSIBLE AND CLOSE TO NEIGHBORS AND FRIENDS IN THE GREATER-OSWEGO, NEW YORK COMMUNITY FOR OVER 30 YEARS.OUR SHORT-STAY REHAB UNITS OFFER INTENSIVE PHYSICAL, OCCUPATIONAL, OR SPEECH THERAPY LASTING GENERALLY NO MORE THAN 90 DAYS FOR THOSE WHO ARE RECOVERING FROM SUGERY, OR A MAJOR MEDICAL EVENT SUCH AS A STROKE OR HEART ATTACK. ST. LUKE ADULT DAY HEALTH CARE IS A DAILY HEALTH MONITORING AND ACTIVITIES PROGRAM DESIGNED TO PROMOTE INDEPENDENCE AND DELAY INSTITUTIONALIZATION OF THE DISABLED ADULT, AVAILABLE FOR 20 REGISTRANTS THROUGHOUT OSWEGO COUNTY. A MEDICAID ELIGIBLE PROGRAM, ADULT DAY HEALTH CARE IS A MEDICAL MODEL PROGRAM PROVIDING HEALTH AND MEDICAL CARE, INCLUDING CASE MANAGEMENT, HEALTH ASSESSMENT, PHYSICAL REHABILITATION, OCCUPATIONAL THERAPY, SPEECH THERAPY, DENTAL SERVICES, THERAPEUTIC DIETS, NUTRITIONAL EDUCATION AND MORE. 17472069 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 39 0 1 492 1 1 1 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X SHELLY YOUNGS 3153423166 299 E RIVER RD OSWEGO NY 13126 BRIAN CASWELL PRESIDENT 1.00 X X 0 0 0 JEROME MIRABITO VICE PRESIDENT 1.00 X X 0 0 0 STEPHEN FRAWLEY SECRETARY 1.00 X X 0 0 0 MICHAEL POLLOCK BOARD MEMBER 1.00 X 0 0 0 RICHARD FARFAGLIA BOARD MEMBER 1.00 X 0 0 0 JANET REBEOR BOARD MEMBER 1.00 X 0 0 0 DR JERALD WOOLFOLK BOARD MEMBER 1.00 X 0 0 0 DR DENNIS NORFLEET BOARD MEMBER 1.00 X 0 0 0 MICHAEL CULLINAN BOARD MEMBER 1.00 X 0 0 0 ALLISON NELSON BOARD MEMBER 1.00 X 0 0 0 TERRENCE GORMAN TREASURER/FACILITY ADMINIS 31.00 9.00 X X 175798 6858 36531 CATHERINE GILL CHIEF OPERATING OFFICER 34.00 6.00 X 0 119706 25277 175798 126564 61808 1 0 1 0 REHAB RESOURCES 159 W 1ST STREET OSWEGO NY 13129 PHYSICAL, OCCUPATIONAL, AND SPEECH THERA 962337 SODEXO INC AND AFFILIATES PO BOX 81049 WOBURN MA 01813 DIETARY MANAGEMENT 526063 OSWEGO COUNTY OPPORTUNITIES INC 239 ONEIDA STREET FULTON NY 13069 DAY CARE REGISTRANTS TRANSPORTATION 143900 ENVIRONMENTAL SERVICES 333 ROSE STREET WILLIAMSPORT PA 17701 HOUSEKEEPING MANAGEMENT 143002 IV4 344 GENESEE STREET SYRACUSE NY 13202 COMPUTER CONSULTANT 108228 5 169817 30000 199817 NET RESIDENT SERVICE REVENUE 623000 16678452 16678452 ADULT DAY CARE 623000 448129 448129 HOME HEALTH REVENUE 621610 11818 11818 17138399 4290 4290 42650 70415 -27765 -27765 -27765 SHARED SERVICES REVENUE 541610 1541412 1541412 MISCELLANEOUS INCOME 900099 153885 153885 CAFETERIA/VENDING MACHINE/GIFT SH 900099 76196 76196 36519 36519 1808012 19122753 17138399 -27765 1812302 221082 221082 8606803 8528204 78599 349744 349317 427 1710250 1686670 23580 647991 642369 5622 1422671 762689 659982 60801 60801 35010 35010 1443656 1367407 76249 19802 19802 227733 163520 64213 130955 130955 602340 586715 15625 28506 21839 6667 10332 10332 586874 586874 95895 95895 SUPPLIES, MATERIALS, & 882862 872771 10091 NYS CASH RECEIPT ASSESS 830322 830322 DIETARY EXPENSE 745593 745593 OTHER 339524 221552 117972 246032 246032 19244778 17472069 1772709 0 982979 302453 159552 59607 1445509 1746016 125952 129641 25041640 19786805 4466493 5254835 3918993 3638287 11099478 11130839 2901110 2723337 41440 36415 5253932 5511334 162237 241019 8358719 8512105 X 2740759 2618734 2740759 2618734 11099478 11130839 -122025 0 X X 0 1 X 1 1 1 X 4500 199817 204317 16387413 16755737 16829556 17387997 17138399 84499102 1455705 2276255 1571562 1644327 1654127 8601976 17847618 19031992 18401118 19032324 18992343 93305395 0 0 0 93305395 1376 5496 3650 3567 4290 18379 1376 5496 3650 3567 4290 18379 17848994 19037488 18404768 19035891 18996633 93323774 0.99980 0.99960 0.00020 0.00040 X 0 1 X 99100 99100 17387310 14676174 2711136 52847 2785 50062 7070155 5107846 1962309 432228 432228 5254835 DUE FROM RELATED PARTIES 451687 MORTGAGE ESCROW DEPOSITS 65766 DEPRECIATION RESERVE FUND 2650096 RESERVE FOR REPLACEMENT 409957 EDUCATION FUND 24366 RESIDENT FUNDS 36415 3638287 CAPITAL LEASE PAYABLE 157977 WORKERS' COMPENSATION LIABILITY 83042 241019 19193168 70415 70415 19122753 0 19122753 19315193 70415 70415 19244778 0 19244778 PART IV, LINE 2B: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HOLDS FUNDS ON BEHALF OF RESIDENTS AND FOR THEIR DISCRETIONARY USE. THESE FUNDS ARE ADMINISTERED BY ST. LUKE RESIDENTIAL HEALTH CARE FACILITY AND ARE HELD IN A SEPARATE INTEREST BEARING BANK DEMAND DEPOSIT ACCOUNT. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 70,415. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 70,415. X X X 0 0 0 0 0 0 0 0 0 TERRENCE GORMAN TREASURER/FACILITY ADMINIS 175798 6858 0 0 0 0 6500 255 28489 1287 210787 8400 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE FORM 990. ONCE REVIEWED AND APPROVED BY THE FINANCE COMMITTEE, THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THE APPROVED FORM 990 IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ENFORCES ITS CONFLICT OF INTEREST POLICY BY REQUIRING THE BOARD OF DIRECTORS AND OFFICERS TO COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED THROUGHOUT THE YEAR BY THE MANAGEMENT COMMITTEE FOR ANY CHANGES. FORM 990, PART VI, SECTION B, LINE 15 IN 2008, THE ORGANIZATION'S BOARD OF DIRECTORS CONTRACTED WITH AN OUTSIDE MANAGEMENT CONSULTING FIRM TO PERFORM A SALARY REVIEW FOR KEY STAFF INCLUDING THE ADMINISTRATOR/CEO, ASSISTANT ADMINISTRATOR/COO, AND FINANCE DIRECTOR. THE MANAGEMENT CONSULTING FIRM CONDUCTED A SURVEY OF SEVERAL SIMILAR ORGANIZATIONS AND COMPILED DATA RELATED TO EDUCATION, SALARY, OTHER COMPENSATION, RESPONSIBILITIES, ETC. THIS INFORMATION WAS USED BY THE BOARD OF DIRECTORS TO DETERMINE LEVELS OF COMPENSATION FOR THE KEY STAFF. PERIODICALLY, THIS SALARY REVIEW IS CONDUCTED AND UPDATED AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST AND ARE HOUSED ON SITE AT THE FACILITY. 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND MEETS WITH THE AUDITORS TO REVIEW THE AUDIT RESULTS. MICHAUD RESIDENTIAL HEALTH SERVICES INC 453 PARK STREET FULTON NY 13069 203615539 SKILLED NURSING FACILITY NY 501(C)(3) LINE 3 N/A 0 BISHOP'S COMMONS AT ST LUKE 4 BURKLE STREET OSWEGO NY 13126 161559449 ENRICHED HOUSING NY 501(C)(3) LINE 11 N/A 0 FOSTER BURDEN CORPORATION 299 EAST RIVER ROAD OSWEGO NY 13126 222460821 FUNDRAISING NY 501(C)(3) LINE 7 N/A 0 ST FRANCIS COMMONS INC 12 BURKLE STREET OSWEGO NY 13126 451583898 ASSISTED LIVING FACILITY NY 501(C)(3) LINE 7 N/A 0 ST LUKE SERVICE CORPORATION 299 EAST RIVER ROAD OSWEGO NY 13126 815232014 ADMINISTRATIVE SUPPORT NY 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0