2017-09-11T16:46:18-05:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 223100745 CHARLES T SITRIN HEALTH CARE CENTER IN CHAR 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 CHRISTA SERAFIN CEO/PRESIDENT 3157973114 2017-09-07 1 DEBORAH STUCK P01281391 3154463600 2017-09-07 24.39.85.114 2017-09-07 13:20:28 ED P F2DA1F6750C88AB2A9B4F1EE63F15EFB0D07AC5D 517AEBE328CBAAA90E396C2FD1060AA56161F780 2016 2021-01-29 14:40:06Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 13413 22850055 0 X WWW.SITRIN.COM X 1991 NY SITRIN STRIVES TO MEET THE NEEDS OF ITS COMMUNITY WITH PROGRAMS & SERVICES TO ENHANCE THE QUALITY OF LIFE FOR PERSONS NEEDING ASSISTANCE. THESE SERVICES INCLUDE COMPREHENSIVE MEDICAL REHABILITATION, SKILLED NURSING, RESPITE CARE, DENTAL SERVICES, & MEDICALLY AFFILIATED ADULT DAY CARE. SITRIN IS DEDICATED TO PROVIDING COMPASSIONATE, PROFESSIONAL CARE TO ALL SERVED. 13 12 660 548 0 0 915527 1910557 21463763 20657513 112825 41009 234324 213800 22726439 22822879 0 0 0 0 14079993 14497550 0 0 0 9141164 8668405 23221157 23165955 -494718 -343076 39512790 38406775 26678644 25127352 12834146 13279423 X SITRIN STRIVES TO MEET THE NEEDS OF ITS COMMUNITY WITH PROGRAMS & SERVICES TO ENHANCE THE QUALITY OF LIFE FOR PERSONS NEEDING ASSISTANCE. THESE SERVICES INCLUDE COMPREHENSIVE MEDICAL REHABILITATION, SKILLED NURSING, RESPITE CARE, DENTAL SERVICES, & MEDICALLY AFFILIATED ADULT DAY CARE. SITRIN IS DEDICATED TO PROVIDING COMPASSIONATE, PROFESSIONAL CARE TO ALL SERVED. 0 0 17044497 16013115 THE CHARLES T. SITRIN HEALTH CARE CENTER'S INPATIENT PROGRAM CONSISTS OF SKILLED NURSING, POST ACUTE REHABILITATION, NEUROLOGICAL CARE & RESPITE CARE. DURING 2016, THERE WERE OVER 593 ADMISSIONS TO THESE PROGRAMS. OVERALL OCCUPANCY FOR 2016 WAS 95%. THERE CONTINUES TO BE OVERWHELMING PATIENT SATISFACTION WITH THE LONG TERM CARE HOUSES, NEUROCARE UNIT AND ALL PRIVATE ROOMS ON THE POST ACUTE REHAB UNIT. 2807031 1905703 THE CHARLES T. SITRIN HEALTH CARE CENTER'S COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY/DIAGNOSTIC & TREATMENT CENTER SERVED THOUSANDS OF PATIENTS DURING 2016. A WIDE RANGE OF SERVICES WERE PROVIDED INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND HEARING THERAPY, DENTAL, AND A FEW SPECIALTY DOCTOR CLINICS. THE MULTIDISCIPLINARY TEAM APPROACH AT SITRIN ADDRESSES THE PATIENTS' PHYSICAL AND EMOTIONAL NEEDS TO ENSURE BETTER OUTCOMES. THE OVERALL TOTAL NUMBER OF VISITS WAS 14,994. 654594 1115189 THE CHARLES T. SITRIN HEALTH CARE CENTER'S ADULT DAY CARE PROGRAM OFFERS PARTICIPANTS A COMPREHENSIVE PACKAGE OF MEDICAL CARE, INCLUDING THERAPY & DENTAL, AND COMBINES IT WITH RECREATIONAL ACTIVITIES AND SOCIAL SERVICES WHILE ALLOWING PARTICIPANTS TO RETURN TO THEIR HOME FOR THE EVENING. SITRIN PROVIDES ROUND TRIP, DOOR-TO-DOOR, TRANSPORTATION WITH HANDICAPPED ACCESSIBLE VEHICLES. TOTAL VISITS FOR 2016 TO THE PROGRAM WAS 8,283. IN 2014, SOCIAL ADULT DAY CARE WAS ADDED. TOTAL VISITS FOR 2016 TO THIS PROGRAM WERE 388. 568917 1837306 568917 1837306 21075039 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 29 0 1 660 1 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CHRISTA SERAFIN 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 MARSHA SILVERMAN SECRETARY 2.00 6.00 X X 0 0 0 DR SUSAN BLATT BOARD MEMBER/MEDICAL DIREC 16.00 3.50 X 60000 0 0 EDWARD KOWALSKY VICE CHAIRMAN 2.00 5.00 X X 0 0 0 MICHAEL COMINSKY VICE CHAIRMAN 2.00 8.00 X X 0 0 0 MICHAEL SILVERMAN CHAIRMAN 2.00 9.00 X X 0 0 0 SHEILA BAMBERGER ASSISTANT SECRETARY 2.00 2.50 X X 0 0 0 DAVID GOLDBAS TREASURER 2.00 5.00 X X 0 0 0 MICHAEL DAMSKY BOARD MEMBER 0.50 1.50 X 0 0 0 CHET COHEN BOARD MEMBER 0.50 2.00 X 0 0 0 ERNEST BERKOWITZ BOARD MEMBER 0.50 1.00 X 0 0 0 RANDY ROCKFORD BOARD MEMBER 0.50 2.00 X 0 0 0 MARK SMITH BOARD MEMBER 0.50 1.50 X 0 0 0 ADELE SOSSEN BOARD MEMBER 0.50 1.00 X 0 0 0 CHRISTA L SERAFIN CEO 37.50 X 226593 0 15000 RICHARD WILSON VP OF STRATEGIC PLANNING 37.50 X 118021 0 1840 MELANIE MARRAFFA VP OF LONG-TERM CARE SERVICES 37.50 X 140720 0 6000 DR JAMES DEYULIO DENTIST/DENTAL DIRECTOR 37.50 X 244250 0 12520 PATTI HAYS ADMINISTRATOR OF COMMUNITY 37.50 X 137607 0 6000 RICHARD CHELTENHAM DDS DENTIST 37.50 X 157554 0 5020 DR CYNTHIA KIBIUK DENTIST 37.50 X 147288 0 12520 1232033 0 58900 7 0 1 0 SLOCUM DICKSON MEDICAL GROUP 1729 BURSTONE ROAD NEW HARTFORD NY 13413 PHYSICIAN SERVICES 151826 1 13936 1714217 182404 1910557 SKILLED NURSING INPATIENT 623000 16013115 16013115 OUTPATIENT REVENUE 621400 1905703 1905703 SHARED/SOLD SERVICE REVENUE 561000 1623506 1623506 ADULT DAY CARE REVENUE 623000 1115189 1115189 20657513 33386 33386 13735 6112 7623 7623 7623 21064 13936 21064 0 BEAUTY SHOP/CAFETERIA/GIFT SHOP 722210 133040 133040 WELLNESS 900099 52071 52071 TELEPHONE/CASH DISCOUNTS 900099 23488 23488 5201 5201 213800 22822879 20871313 0 41009 568174 60000 508174 11191605 10373137 818468 109500 97455 12045 1756769 1568864 187905 871502 775637 95865 123578 123578 43799 43799 405622 361004 44618 69848 69848 1621285 1442944 178341 138364 123144 15220 1765429 1765429 41770 37175 4595 2289082 2289082 175351 175351 NYS ASSESSMENT 989762 989762 FOOD SVCE MNGT/WASTE RE 474428 474428 BAD DEBT EXPENSE 78938 78938 DUES 24539 21840 2699 426610 371001 55609 23165955 21075039 2090916 0 970940 1377450 1272356 1622417 1894229 1892076 59998 35348 44879 40653 699535 449480 54646628 25787000 29917018 28859628 1271291 1495403 944510 0 2438034 2634320 39512790 38406775 1976430 1780629 19455000 16874624 5247214 6472099 26678644 25127352 X 12834146 13279423 12834146 13279423 39512790 38406775 X -343076 106373 681980 X X 0 1 X 1 0 X 1034914 98855 490270 915527 1910557 4450123 22946440 22346715 21338224 21463763 20657513 108752655 23981354 22445570 21828494 22379290 22568070 113202778 19909 19909 0 19909 19909 113182869 45827 46919 75405 88702 33386 290239 45827 46919 75405 88702 33386 290239 347184 243031 341418 234324 213800 1379757 24374365 22735520 22245317 22702316 22815256 114872774 0.98530 0.98430 0.00250 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1513021 1513021 44149093 19316789 24832304 8303279 6144139 2159140 681235 326072 355163 28859628 DEPOSITS FROM PATIENTS 131055 CASH HELD IN TRUST FOR RESIDENTS 40432 OTHER ASSETS 2462833 2634320 DEPOSITS FROM PATIENTS 131055 CASH HELD IN TRUST FOR RESIDENTS 40432 INTEREST RATE SWAP LIABILITY 480149 OTHER LIABILITIES 1565121 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 3941442 DUE TO AFFILIATES 313900 6472099 X 22843943 21064 21064 22822879 0 22822879 23187019 21064 21064 23165955 0 23165955 PART X, LINE 2: THE CHARLES T. SITRIN HEALTH CARE CENTER, INC. IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A)OF THE CODE. AS OF DECEMBER 31, 2016 AND 2015, THE CENTER DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2013 THROUGH 2016. THE CENTER DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES SHOWN NET AGAINST REVENUE 21,064. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE SHOWN NET AGAINST REVENUE 21,064. HARLEY RAFFLE 35000 13936 21064 20999 65 35000 13936 21064 20999 65 21064 0 X 1 1 X X 0 0 0 0 0 0 0 0 0 CHRISTA L SERAFIN CEO 226593 0 0 0 0 0 0 0 15000 0 241593 0 0 0 DR JAMES DEYULIO DENTIST/DENTAL DIRECTOR 244250 0 0 0 0 0 0 0 12520 0 256770 0 0 0 RICHARD CHELTENHAM DDS DENTIST 157554 0 0 0 0 0 0 0 5020 0 162574 0 0 0 DR CYNTHIA KIBIUK DENTIST 147288 0 0 0 0 0 0 0 12520 0 159808 0 0 0 A ONEIDA COUNTY IDA 090210781 682465CB3 2007-06-28 15945000 SERIES A-CONSTRUCTION OF NEW SKILLED NURSING FACILITY 0 0 0 B ONEIDA COUNTY IDA 090210781 682465CB3 2007-06-28 14590000 SERIES B-REFINANCING OF EXISTING DEBT & RENOVATION OF EXISTING NURSING FACIL 0 0 0 A 2185000 16531717 1097436 700675 122411 14611195 2009 0 0 1 1 B 10640000 14707906 204294 584581 23009 2708723 11187299 2009 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 1 1 KEYBANK 10.000000000000 0 0 0 0 0 B 0 0 0 0 1 1 KEYBANK 10.000000000000 0 0 0 0 0 A 0 B 0 PART I LINE A, PART II LINE 3 THE DIFFERENCE BETWEEN PART I'S LISTED ISSUE PRICE AND PART II LINE 3'S TOTAL PROCEEDS OF ISSUE IS THE RESULT OF INVESTMENT EARNINGS ON THE PROCEEDS DURING THE CONSTRUCTION PHASE OF THE PROJECT. ALL EARNINGS WERE SPENT ON THE PROJECT AS SHOWN IN PART II LINES 5-12. FORM 990, PART VI, SECTION A, LINE 6 THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. IS THE SOLE MEMBER OF THE CHARLES T. SITRIN HEALTH CARE CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, THE CHARLES T. SITRIN NETWORK OF HOMES & SERVICES, INC. APPOINTS THE BOARD OF DIRECTORS OF THE CHARLES T. SITRIN HEALTH CARE CENTER, INC. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWED THE 990 AT THE SEPTEMBER 2017 BOARD MEETING PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO UPDATE AND RE-SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. EVERY YEAR ADMINISTRATION MAILS NEW STATEMENTS TO ALL BOARD MEMBERS. ONCE COMPLETED, A SUMMARY IS PREPARED LISTING ALL BOARD MEMBERS, DATE LAST CONFLICT OF INTEREST WAS SIGNED, AND ANY CONFLICTS LISTED IF APPLICABLE. THIS SUMMARY IS KEPT IN THE CEO'S OFFICE AND PROVIDED TO THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS COLLECTIVELY REVIEW AND APPROVE THE CEO'S SALARY AND BENEFITS. COMPARATIVE DATA FROM OTHER ORGANIZATIONS IS USED. THIS MEETING IS DOCUMENTED THROUGH EXECUTIVE SESSION MINUTES OF THE BOARD MEETING. OTHER KEY EMPLOYEES' SALARIES ARE APPROVED BY THE CEO AND THE BOARD OF DIRECTORS IF CHANGES ARE MADE BEYOND A NORMAL COST OF LIVING ADJUSTMENT. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC. UPON REQUEST COPIES WILL BE PROVIDED. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 681,980. FORM 990, PART XII, LINE 2 NO CHANGES WERE MADE TO THE AUDIT OVERSIGHT PROCESS OR SELECTION PROCESS DURING 2016. CHARLES T SITRIN NETWORK OF HOMES & SERVICES INC 2050 TILDEN AVE NEW HARTFORD NY 13413 150543936 SOLE MEMBER OF OTHER ENTITIES - PARENT NY 501(C)3 7 N/A 0 SITRIN FOUNDATION INC 2050 TILDEN AVE NEW HARTFORD NY 13413 300098393 RAISES FUNDS AND AWARENESS FOR OTHER ENTITIES NY 501(C)3 11 N/A 0 CEDARBROOK VILLAGE INCORPORATED 101 SITRIN LANE NEW HARTFORD NY 13413 200670083 ASSISTED LIVING/ENRICHED HOUSING APARTMENTS NY 501(C)3 9 N/A 0 GEORGIAN COURT ESTATES SENIOR HOUSING CORPORATION 2050 TILDEN AVE NEW HARTFORD NY 13413 204288247 SENIOR HOUSING COMPLEX NY 501(C)3 9 N/A 0 GAN KAVOD INC PO BOX 634 NEW HARTFORD NY 13413 223032483 INTERMEDIATE CARE FACILITY/INDIVIDUALIZED RESIDENTIAL ALTERNATIVE NY 501(C)3 9 N/A 0 SITRIN CHILD DAY CARE FACILITY INC 3 KAVOD RD NEW HARTFORD NY 13413 161484534 CHILD CARE CENTER NY 501(C)3 9 N/A 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0