2016-11-11T10:48:33-06:00 2015-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2015-01-01 223100745 CHARLES T SITRIN HEALTH CARE CENTER IN CHAR 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 CHRISTA SERAFIN CEO/PRESIDENT 3157973114 2016-11-03 1 JOSEPH J SCHLEGEL P00301329 3154463600 2015 2017-02-10 21:41:12Z CHRISTA SERAFIN 2050 TILDEN AVE NEW HARTFORD NY 13413 22749277 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. 14 13 600 332 0 0 490270 915527 21338224 21463763 -107487 112825 341418 234324 22062425 22726439 0 0 0 0 13368079 14079993 0 0 0 9323193 9141164 22691272 23221157 -628847 -494718 41125155 39512790 28281670 26678644 12843485 12834146 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 16332656 16729499 THE CHARLES T. SITRIN HEALTH CARE CENTER'S INPATIENT PROGRAM CONSISTS OF SKILLED NURSING, POST ACUTE REHABILITATION, & RESPITE CARE. DURING 2015, THERE WERE OVER 630 ADMISSIONS TO THESE PROGRAMS. OVERALL OCCUPANCY FOR 2015 WAS 96%. THERE CONTINUES TO BE OVERWHELMING PATIENT SATISFACTION WITH THE LONG TERM CARE HOUSES AND ALL PRIVATE ROOMS ON THE POST ACUTE REHAB UNIT. 3412307 1934103 THE CHARLES T. SITRIN HEALTH CARE CENTER'S COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY/DIAGNOSTIC & TREATMENT CENTER SERVED THOUSANDS OF PATIENTS DURING 2015. 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 15,911. 674467 1167944 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 2015 TO THE PROGRAM WAS 7,940. IN 2014, SOCIAL ADULT DAY CARE WAS ADDED. TOTAL VISITS FOR 2015 TO THIS PROGRAM WERE 354. 596049 1890664 596049 1890664 21015479 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 43 0 1 600 1 0 0 0 0 0 0 0 0 0 0 X 14 13 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 NEIL COHEN BOARD MEMBER 0.50 1.00 X 0 0 0 HARVEY CRAMER BOARD MEMBER 0.50 2.50 X 0 0 0 MARSHA SILVERMAN BOARD MEMBER 0.50 6.00 X 0 0 0 DR SUSAN BLATT BOARD MEMBER/MEDICAL DIREC 16.00 5.00 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 ROSELYN FISHER SECRETARY 2.00 1.00 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 2.00 X 0 0 0 CHET COHEN BOARD MEMBER 0.50 2.50 X 0 0 0 ERNEST BERKOWITZ BOARD MEMBER 0.50 1.50 X 0 0 0 RANDY ROCKFORD BOARD MEMBER 0.50 2.50 X 0 0 0 CHRISTA L SERAFIN CEO 37.50 X 185053 0 13800 RICHARD WILSON VP OF STRATEGIC PLANNING 37.50 X 117531 0 5520 DR JAMES DEYULIO DENTIST/DENTAL DIRECTOR 37.50 X 239821 0 11040 PATTI HAYS ADMINISTRATOR OF COMMUNITY SERVICES 37.50 X 140988 0 5520 CHARLIE BUI DDS DENTIST 37.50 X 166807 0 11040 RICHARD CHELTENHAM DDS DENTIST 37.50 X 149017 0 4416 DR CYNTHIA KIBIUK DENTIST 37.50 X 140690 0 11040 1199907 0 62376 8 0 1 0 SLOCUM DICKSON MEDICAL GROUP 1729 BURSTONE ROAD NEW HARTFORD NY 13413 PHYSICIAN SERVICES 150989 1 13891 668319 233317 915527 SKILLED NURSING INPATIENT 623000 16729499 16729499 OUTPATIENT REVENUE 621400 1934103 1934103 SHARED/SOLD SERVICE REVENUE 561000 1632217 1632217 ADULT DAY CARE REVENUE 623000 1167944 1167944 21463763 88702 88702 25652 1529 24123 24123 24123 21309 13891 21309 0 BEAUTY SHOP/CAFETERIA/GIFT SHOP 722210 134768 134768 WELLNESS 900099 51145 51145 TELEPHONE/CASH DISCOUNTS 900099 26702 26702 21709 21709 234324 22726439 21698087 0 112825 381903 60000 321903 10744283 9707470 1036813 119755 105384 14371 2028493 1785074 243419 805559 708892 96667 111622 111622 42015 42015 474547 417601 56946 85510 85510 1619617 1425263 194354 117166 103106 14060 1882554 1882554 51272 45119 6153 2513555 2513555 205232 205232 NYS ASSESSMENT 936063 936063 FOOD SVCE MNGT/WASTE RE 540686 540686 BAD DEBT EXPENSE 233502 233502 DUES 23950 21076 2874 303873 239392 64481 23221157 21015479 2205678 0 1487798 970940 1228015 1272356 2038428 1894229 84402 59998 42488 44879 566730 699535 53717208 23800190 30753458 29917018 1318762 1271291 1053644 944510 2551430 2438034 41125155 39512790 1783679 1976430 21125000 19455000 5372991 5247214 28281670 26678644 X 12843485 12834146 12843485 12834146 41125155 39512790 X -494718 -147278 632657 X X 0 1 X 1 0 X 165732 1034914 98855 490270 915527 2705298 24584498 22946440 22346715 21338224 21463763 112679640 24750230 23981354 22445570 21828494 22379290 115384938 0 0 0 115384938 66325 45827 46919 75405 88702 323178 66325 45827 46919 75405 88702 323178 346929 347184 243031 341418 234324 1512886 25163484 24374365 22735520 22245317 22702316 117221002 0.98430 0.98420 0.00280 0.00220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1515842 1515842 42742967 17794910 24948057 7874822 5696874 2177948 1583577 308406 1275171 29917018 DEPOSITS FROM PATIENTS 118580 CASH HELD IN TRUST FOR RESIDENTS 38200 OTHER ASSETS 2281254 2438034 DEPOSITS FROM PATIENTS 118580 CASH HELD IN TRUST FOR RESIDENTS 38200 INTEREST RATE SWAP LIABILITY 1162129 OTHER LIABILITIES 1394977 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 2177124 DUE TO AFFILIATES 356204 5247214 X 22747748 21309 21309 22726439 0 22726439 23242466 21309 21309 23221157 0 23221157 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, 2015 AND 2014, 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 2012 THROUGH 2015. 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 21,309. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE SHOWN NET AGAINST REVENUE 21,309. HARLEY RAFFLE 35200 13900 21300 20899 392 S.U. BASKETBALL RAFFLE 9 35200 13900 21300 20899 401 21300 0 X 1 1 X X 0 0 0 0 0 0 0 0 0 CHRISTA L SERAFIN CEO 185053 0 0 0 0 0 0 0 13800 0 198853 0 0 0 DR JAMES DEYULIO DENTIST/DENTAL DIRECTOR 239821 0 0 0 0 0 0 0 11040 0 250861 0 0 0 CHARLIE BUI DDS DENTIST 166807 0 0 0 0 0 0 0 11040 0 177847 0 0 0 RICHARD CHELTENHAM DDS DENTIST 149017 0 0 0 0 0 0 0 4416 0 153433 0 0 0 DR CYNTHIA KIBIUK DENTIST 140690 0 0 0 0 0 0 0 11040 0 151730 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 1830000 16531717 1097436 700675 122411 14611195 2009 0 0 1 1 B 9250000 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 FIRST NIAGARA BANK 10.000000000000 0 0 0 0 0 B 0 0 0 0 1 1 FIRST NIAGARA BANK 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 11 THE BOARD OF DIRECTORS REVIEWED THE 990 AT THE NOVEMBER 2016 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 632,657. FORM 990, PART XII, LINE 2 NO CHANGES WERE MADE TO THE AUDIT OVERSIGHT PROCESS OR SELECTION PROCESS DURING 2015. 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 0 1 0 0