2015-08-10T07:35:23-05:00 2014-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL SUITE 201 PITTSFORD NY 14534 990 2014-01-01 161391191 ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC STLU 3153423166 299 E RIVER ROAD OSWEGO NY 13126 TERRENCE E GORMAN TREASURER 3153423166 2015-08-07 1 KELLEY DEMONTE P01382609 5853811000 2014 2016-04-25 22:37:26Z ST LUKES HEALTH SERVICES TERRENCE E GORMAN 299 E RIVER ROAD OSWEGO NY 13126 19080580 0 X WWW.STLUKESHS.COM X 1973 NY TO MEET THE EVOLVING HEATHCARE 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. 12 11 479 107 -19419 -19419 4500 0 16387413 16755737 1376 5496 1436210 2256836 17829499 19018069 0 0 0 0 11063661 11497699 0 0 0 7093054 6984784 18156715 18482483 -327216 535586 12408761 12159979 11517181 10732813 891580 1427166 X TO MEET THE EVOLVING HEATHCARE 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 16421579 16755737 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 THROUGH OUT 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. 16421579 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 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 19 0 1 479 1 1 1 0 0 0 0 0 0 0 0 0 X 12 11 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 JEROME MIRABITO PRESIDENT 1.00 X X 0 0 0 BRIAN CASWELL VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL CULLINAN SECRETARY 1.00 X X 0 0 0 TERRENCE GORMAN TREASURER/FACILITY ADMINIS 40.00 X X 172905 0 33475 MICHAEL POLLOCK BOARD MEMBER 1.00 X 0 0 0 STEPHEN FRAWLEY BOARD MEMBER 1.00 X 0 0 0 REV ROBERT STEPHENSON BOARD MEMBER 1.00 X 0 0 0 RICHARD FARFAGLIA BOARD MEMBER 1.00 X 0 0 0 KATHLEEN DYER 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 CATHERINE GILL CHIEF OPERATING OFFICER 40.00 X 115913 0 19536 288818 0 53011 2 0 1 0 REHAB RESOURCES 159 W 1ST STREET OSWEGO NY 13129 PHYSICAL, OCCUPATIONAL, AND SPEECH THERA 899342 SODEXO INC AND AFFILIATES 10 EARHART DR BUFFALO NY 14221 DIETARY MANAGEMENT 563565 OSWEGO COUNTY OPPORTUNITIES INC 239 ONEIDA STREET FULTON NY 13069 DAY CARE REGISTRANTS TRANSPORTATION 143391 ENVIRONMENTAL SERVICES 333 ROSE STREET WILLIAMSPORT PA 17701 HOUSEKEEPING MANAGEMENT 125947 4 NET RESIDENT SERVICE REVENUE 623000 16293915 16293915 ADULT DAY CARE 623000 442978 442978 HOME HEALTH REVENUE 621610 18844 18844 16755737 5496 5496 43092 62511 -19419 -19419 -19419 MANAGEMENT FEES 541610 2176898 2176898 CAFETERIA/VENDING MACHINE/GIFT SH 900099 75430 75430 CABLE TELEVISION AND TELEPHONE RE 900099 22185 22185 1742 1742 2276255 19018069 16755737 -19419 2281751 341829 341829 8796786 8056779 740007 305985 282682 23303 1381278 1284059 97219 671821 627448 44373 603332 603332 124422 124422 81040 81040 1517313 1351158 166155 13766 13766 249868 152986 96882 129220 129220 637260 613361 23899 38971 19991 18980 4499 4499 619328 619328 90919 90919 SUPPLIES, MATERIALS, & 919911 915599 4312 NYS CASH RECEIPT ASSESS 840279 840279 DIETARY EXPENSE 738397 738397 OTHER 220762 220762 155497 155497 18482483 16421579 2060904 0 944722 1783983 159292 159379 2379983 2064186 176953 161007 21552025 18093180 3767981 3458845 4979830 4532579 12408761 12159979 4182003 3763331 39699 44816 7233666 6664792 61813 259874 11517181 10732813 X 891580 1427166 891580 1427166 12408761 12159979 535586 0 X X 0 1 X 1 1 1 X 9000 492256 515857 4500 1021613 15676107 16800878 13392149 16387413 16755737 79012284 784603 803898 1051411 1455705 2276255 6371872 16469710 18097032 14959417 17847618 19031992 86405769 0 0 0 86405769 95337 62295 23349 1376 5496 187853 95337 62295 23349 1376 5496 187853 171875 171875 16736922 18159327 14982766 17848994 19037488 86765497 0.99590 0.99440 0.00220 0.00340 X 0 1 X 99100 99100 15658620 13966848 1691772 5787791 4126332 1661459 6514 6514 3458845 DUE FROM RELATED PARTIES 107731 MORTGAGE ESCROW DEPOSITS 40050 DEPRECIATION RESERVE FUND 3563561 ESCROW WORKING CAPITAL 11975 RESERVE FOR REPLACEMENT 584787 EDUCATION FUND 29302 MORTGAGE COSTS 150357 RESIDENT FUNDS 44816 4532579 CAPITAL LEASE PAYABLE 32200 WORKERS' COMPENSATION LIABILITY 227674 259874 X 19080580 62511 62511 19018069 0 19018069 18544994 62511 62511 18482483 0 18482483 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 X, LINE 2: FOR TAX EXEMPT ENTITIES, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. AS OF DECEMBER 31, 2014, THE CORPORATION DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE CORPORATION FILES INFORMATIONAL TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE CORPORATION IS GENERALLY NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS THROUGH 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 62,511. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 62,511. X X X 0 0 0 0 0 0 0 0 0 TERRENCE GORMAN TREASURER/FACILITY ADMINIS 172905 0 0 0 0 0 6366 0 27109 0 206380 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. 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 9 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 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 MICHAUD RESIDENTIAL HEALTH CARE FACILITY O 363420 BOARD APPROVED BUDGET ALLOCATION BISHOP'S COMMONS INC O 173124 BOARD APPROVED BUDGET ALLOCATION ST FRANCIS COMMONS INC Q 681633 COST BISHOP'S COMMONS INC Q 646013 COST