ST LUKES HOME RESIDENTIAL HEALTH CARE FACILITY INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES HOME RESIDENTIAL HEALTH CARE FACILITY INC (EIN 16-1476372)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-10-15
- IRS object ID
- 201122889349300702
- Schema version
- 2010v3.4
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-10-15T13:39:50-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13214 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161476372 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HOME RESIDENTIAL HEALTH CARE | BusinessNameLine1 |
| Business Name Line2 | FACILITY INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STLU | NameControl |
| Phone | 3156248600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 CHAMPLIN AVE | AddressLine1 |
| City | NEW HARTFORD | City |
| State | NY | State |
| ZIP Code | 13413 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL HAILE | Name |
| Title | CFO | Title |
| Phone | 3156246000 | Phone |
| Date Signed | 2011-09-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3154463600 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL HAILE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 CHAMPLIN AVE | AddressLine1 |
| City | NEW HARTFORD | City |
| State | NY | State |
| ZIP Code | 13413 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19870832 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MVNHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO ESTABLISH AND MAINTAIN, WITHIN THE STATE OF NEW YORK, A RESIDENTIAL HEALTH CARE FACILITY TO PROVIDE CARE TO THE FRAIL, ELDERLY AND OTHER INDIVIDUALS REQUIRING SKILLED NURSING CARE AND/OR RESTORATIVE REHABILITATION. TO CARRY ON EDUCATIONAL ACTIVITIES AND PROGRAMS INCIDENT TO THE PURPOSES SET FORTH ABOVE. TO DO ANY OTHER ACT OR THING INCIDENTAL TO OR CONNECTED WITH THE FOREGOING PURPOSES OR ADVANCEMENT THEREOF, BUT NOT FOR THE PECUNIARY PROFIT OR FINANCIAL GAIN OF ITS MEMBERS, DIRECTORS, OR OFFICERS, EXCEPT AS PERMITTED UNDER THE NEW YORK STATE NOT-FOR-PROFIT CORPORATION LAW. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 498 | TotalNbrEmployees |
| Total Nbr Volunteers | 365 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 130444 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 44840 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 21138820 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 19629956 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11170 | InvestmentIncomePriorYear |
| Investment Income Current Year | 11336 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 255074 | OtherRevenuePriorYear |
| Other Revenue Current Year | 184700 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 21535508 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19870832 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 13049883 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13135694 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8401213 | OtherExpensePriorYear |
| Other Expenses Current Year | 7516318 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21451096 | TotalExpensesPriorYear |
| Total Expenses Current Year | 20652012 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 84412 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -781180 | RevenuesLessExpensesCY |
| Total Assets BOY | 18255180 | TotalAssetsBOY |
| Total Assets EOY | 16774412 | TotalAssetsEOY |
| Total Liabilities BOY | 19901657 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 19377761 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -1646477 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -2603349 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO ESTABLISH AND MAINTAIN, WITHIN THE STATE OF NEW YORK, A RESIDENTIAL HEALTH CARE FACILITY TO PROVIDE CARE TO THE FRAIL, ELDERLY AND OTHER INDIVIDUALS REQUIRING SKILLED NURSING CARE AND/OR RESTORATIVE REHABILITATION. TO CARRY ON EDUCATIONAL ACTIVITIES AND PROGRAMS INCIDENT TO THE PURPOSES SET FORTH ABOVE. TO DO ANY OTHER ACT OR THING INCIDENTAL TO OR CONNECTED WITH THE FOREGOING PURPOSES OR ADVANCEMENT THEREOF, BUT NOT FOR THE PECUNIARY PROFIT OR FINANCIAL GAIN OF ITS MEMBERS, DIRECTORS, OR OFFICERS, EXCEPT AS PERMITTED UNDER THE NEW YORK STATE NOT-FOR-PROFIT CORPORATION LAW. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 19176071 | Expense |
| Revenue | 19825992 | Revenue |
| Description | ST. LUKE'S HOME RESIDENTIAL HEALTH CARE FACILITY IS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO CARING FOR LIFE THROUGH A BROAD RANGE OF HEALTH CARE SERVICES. THE ORGANIZATION OPERATES A 242 BED SKILLED NURSING FACILITY ALONG WITH AN ADULT DAY CARE PROGRAM WITH A FOCUS ON THE RESIDENTS PHYSICAL AND MENTAL WELL-BEING. | Description |
| Total Program Service Expense | 19176071 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 50 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 498 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL HAILE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3156246026 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1650 CHAMPLIN AVE | AddressLine1 |
| City | NEW HARTFORD | City |
| State | NY | State |
| ZIP Code | 13413 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer |
|---|---|---|---|---|---|---|---|
| GREGORY B MCLEAN | |||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 | |
| WILLIAM M PARKER MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 183820 | 17817 | ||
| ESTHER BANKERT PHD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARTIN BULL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOAN COMPSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOHN L CROSSLEY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMES FREDERICK MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 208236 | 19147 | ||
| GARY GILDERSLEEVE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DOMENIC P AIELLO MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SIDNEY J BLATT MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LEROY COOLEY MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| TODD HUTTON PHD | |||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 | |
| ROGER MCREYNOLDS | |||||||
| DIRECTOR | 1.00 | X | 0 | 213166 | 22398 | ||
| CHRISTOPHER C MAX MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 22500 | 0 | ||
| JAMES B STEWART | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD C TANTILLO | |||||||
| VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | |
| SCOTT PERRA | |||||||
| PRESIDENT/CEO | 1.00 | X | X | 0 | 637174 | 37627 | |
| STEPHEN SWEET | |||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 | |
| KAREN LEACH | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MICHAEL PAPARONE | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| BONNIE WOODS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KATHLEEN PERRA | |||||||
| DIRECTOR OF NURSING | 40.00 | X | 111757 | 0 | 8803 | ||
| MICHAEL HAILE | |||||||
| VICE PRESIDENT/CFO | 3.00 | X | 0 | 394926 | 37627 | ||
| WENDY GOETZ | |||||||
| EXECUTIVE DIRECTOR | 1.00 | X | 115597 | 0 | 10702 | ||
| KEITH A FENSTEMACHER | |||||||
| FORMER PRESIDENT/CEO | 21.00 | 0 | 242248 | 1452 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 227354 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1902070 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 155573 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| SODEXHO INC & AFFILIATES | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152516170 | DINING SERVICES | 1531030 |
| PHARMACY SOLUTIONS | |||||
| 2308 BLEECKER ST | UTICA | NY | 135010000 | PHARMACY | 598951 |
| FAXTON-ST LUKE'S HEALTHCARE | |||||
| PO BOX 479 | UTICA | NY | 135030479 | PURCHASED SERVICES | 490712 |
| MOHAWK HOSP EQUIPMENT INC | |||||
| 335 COLUMBIA ST PO BOX 27 | UTICA | NY | 135030027 | MEDICAL SUPPLIES | 444103 |
| NATIONAL GRID | |||||
| 300 ERIE BLVD WEST | SYRACUSE | NY | 13202 | UTILITIES | 291784 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 20000 | RelatedOrganizations |
| Government Grants | 21839 | GovernmentGrants |
| All Other Contributions | 3001 | AllOtherContributions |
| Total Contributions | 44840 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 623000 | 19472789 | 19472789 |
| MEALS ON WHEELS | 623000 | 157167 | 157167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 19629956 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11336 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11336 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISC REVENUE | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 184700 | TotalRevenueColumn |
| Related Or Exempt Function Income | 184700 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 184700 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19870832 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19825992 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246859 | Total |
| Management And General | 246859 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10104554 | Total |
| Program Services | 9524868 | ProgramServices |
| Management And General | 579686 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 353773 | Total |
| Program Services | 324481 | ProgramServices |
| Management And General | 29292 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1124746 | Total |
| Program Services | 1031619 | ProgramServices |
| Management And General | 93127 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1305762 | Total |
| Program Services | 1197648 | ProgramServices |
| Management And General | 108114 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12152 | Total |
| Management And General | 12152 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3128 | Total |
| Management And General | 3128 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53311 | Total |
| Management And General | 53311 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21493 | Total |
| Management And General | 21493 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2838561 | Total |
| Program Services | 2817239 | ProgramServices |
| Management And General | 21322 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1540819 | Total |
| Program Services | 1413242 | ProgramServices |
| Management And General | 127577 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6754 | Total |
| Program Services | 6195 | ProgramServices |
| Management And General | 559 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1195805 | Total |
| Program Services | 1096795 | ProgramServices |
| Management And General | 99010 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51934 | Total |
| Program Services | 47634 | ProgramServices |
| Management And General | 4300 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| NUTRITION SERVICES MANA | 498555 | 498555 |
| BAD DEBTS | 118500 | 118500 |
| MAINTENANCE AND REPAIRS | 96433 | 96433 |
| PURCHASED SERVICES | 87750 | 87750 |
| NURSING AGENCY | 73088 | 73088 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 918035 | Total |
| Program Services | 842024 | ProgramServices |
| Management And General | 76011 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20652012 | Total |
| Program Services | 19176071 | ProgramServices |
| Management And General | 1475941 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 294198 | BOY |
| EOY | 205085 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3855483 | BOY |
| EOY | 3344299 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26258 | BOY |
| EOY | 20874 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89074 | BOY |
| EOY | 92122 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 23838698 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 15932932 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8576046 | BOY |
| EOY | 7905766 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5414121 | BOY |
| EOY | 5206266 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18255180 | BOY |
| EOY | 16774412 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2289570 | BOY |
| EOY | 2139949 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16607813 | BOY |
| EOY | 16040572 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1004274 | BOY |
| EOY | 1197240 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19901657 | BOY |
| EOY | 19377761 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1646477 | BOY |
| EOY | -2603349 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1646477 | BOY |
| EOY | -2603349 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18255180 | BOY |
| EOY | 16774412 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -781180 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -175692 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 49737 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 65249 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 46033 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 130444 | CurrentTaxYearMinus1Year |
| Current Tax Year | 44840 | CurrentTaxYear |
| Total | 336303 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17733626 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18743415 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20203967 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21138820 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19609956 | CurrentTaxYear |
| Total | 97429784 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17783363 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18808664 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20250000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21269264 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19654796 | CurrentTaxYear |
| Total | 97766087 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 49737 | CurrentTaxYearMinus4Years |
| Total | 49737 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3192053 | CurrentTaxYearMinus4Years |
| Total | 3192053 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3241790 | CurrentTaxYearMinus4Years |
| Total | 3241790 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 94524297 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 156855 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 189129 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 62799 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11170 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11336 | CurrentTaxYear |
| Total | 431289 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 156855 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 189129 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 62799 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11170 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11336 | CurrentTaxYear |
| Total | 431289 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7750 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 104516 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 556714 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 255074 | CurrentTaxYearMinus1Year |
| Current Tax Year | 184700 | CurrentTaxYear |
| Total | 1108754 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17947968 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19102309 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20869513 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 21535508 | CurrentTaxYearMinus1Year |
| Current Tax Year | 19850832 | CurrentTaxYear |
| Total | 99306130 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.95180 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.90910 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00430 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00520 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 292658 | OtherCostOrOtherBasis |
| Book Value | 292658 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18874862 | OtherCostOrOtherBasis |
| Depreciation | 12500906 | Depreciation |
| Book Value | 6373956 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1064518 | OtherCostOrOtherBasis |
| Depreciation | 935727 | Depreciation |
| Book Value | 128791 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3597645 | OtherCostOrOtherBasis |
| Depreciation | 2496299 | Depreciation |
| Book Value | 1101346 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9015 | OtherCostOrOtherBasis |
| Book Value | 9015 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 7905766 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEBT ISSUANCE COSTS | 670941 |
| ESCROW ACCOUNTS | 4436521 |
| RESIDENT TRUST | 86804 |
| REBATES | 12000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5206266 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $989,673 |
| ESLB LIABILITY | $207,567 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1197240 | TotalOfAmounts |
| Total Revenue | 19870832 | TotalRevenue |
| Total Expenses | 20652012 | TotalExpenses |
| Excess Or Deficit For Year | -781180 | ExcessOrDeficitForYear |
| Prior Period Adjustments | -175692 | PriorPeriodAdjustments |
| Total Adjustments | -175692 | TotalAdjustments |
| Excess Or Deficit Per FS | -956872 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 19870832 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 19870832 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 19870832 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 20652012 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 20652012 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 20652012 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | SCHEDULE D, PART X, LINE 2, FIN 48 FOOTNOTE: THE HOME HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. AS OF DECEMBER 31, 2010, THE HOME DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2007 THROUGH 2010. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM M PARKER MD | |||||||||||||
| 0 | 178304 | 0 | 3692 | 0 | 1824 | 0 | 10593 | 0 | 7224 | 0 | 201637 | 0 | 0 |
| JAMES FREDERICK MD | |||||||||||||
| 0 | 200722 | 0 | 6000 | 0 | 1514 | 0 | 11923 | 0 | 7224 | 0 | 227383 | 0 | 0 |
| ROGER MCREYNOLDS | |||||||||||||
| 0 | 180697 | 0 | 21835 | 0 | 10634 | 0 | 9271 | 0 | 13127 | 0 | 235564 | 0 | 0 |
| SCOTT PERRA | |||||||||||||
| 0 | 426500 | 0 | 120975 | 0 | 89699 | 0 | 24500 | 0 | 13127 | 0 | 674801 | 0 | 0 |
| MICHAEL HAILE | |||||||||||||
| 0 | 300500 | 0 | 51282 | 0 | 43144 | 0 | 24500 | 0 | 13127 | 0 | 432553 | 0 | 0 |
| KEITH A FENSTEMACHER | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 242248 | 0 | 1452 | 0 | 0 | 0 | 243700 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF THE ORGANIZATION ARE THOSE INDIVIDUALS WHO SERVE ON THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE RELATED ORGANIZATION, FAXTON-ST. LUKE'S HEALTHCARE. | |
| FORM 990, PART VI, SECTION A, LINE 7A | VACANCIES ON THE BOARD OF DIRECTORS DUE TO THE EXPIRATION OF TERM, REMOVAL, RESIGNATION, DEATH, DISABILITY OR FOR ANY OTHER CAUSE, SHALL BE FILLED BY THE MEMBERS. THE BOARD OF DIRECTORS OF THE CORPORATION MAY NOMINATE CANDIDATES TO FILL SUCH VACANCIES, BUT THE MEMBERS SHALL NOT BE BOUND OR LIMITED TO THE BOARD'S NOMINEES. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS PRESENTED TO AND REVIEWED BY THE BOARD AT A MEETING PRIOR TO FILING. | |
| ANY DIRECTOR, PRINCIPAL OFFICER, MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, IS AN INTERESTED PERSON. IF A PERSON IS AN INTERESTED PERSON WITH RESPECT TO ANY ENTITY IN THE HEALTH CARE SYSTEM OF WHICH THE CORPORATION IS A PART, HE OR SHE IS AN INTERESTED PERSON WITH RESPECT TO ALL ENTITIES IN THE HEALTH CARE SYSTEM. A PERSON HAS A FINANCIAL INTEREST IF HE OR SHE PERSONALLY HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: (1) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT, OR (2) A COMPENSATION ARRANGEMENT WITH THE CORPORATION OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION HAS A TRANSACTION OR ARRANGEMENT, OR (3) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE CORPORATION IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. COMPENSATION INCLUDES DIRECT AND INDIRECT REMUNERATION AS WELL AS GIFTS OR FAVORS THAT ARE SUBSTANTIAL IN NATURE. DUTY TO DISCLOSE: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OR HIS OR HER FINANCIAL INTEREST, OR ANY CIRCUMSTANCES WHICH MAY IMPAIR HIS OR HER ABILITY TO EXERCISE INDEPENDENT FIDUCIARY JUDGMENT, TO THE OTHER DIRECTORS, OR TO THE OTHER MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, CONSIDERING A PROPOSED TRANSACTION OR ARRANGEMENT. DETERMINING CONFLICT: AN INTERESTED PERSON MAY, AFTER DISCLOSING A KNOWN CONFLICT, DISQUALIFY HIM OR HERSELF FROM FURTHER PARTICIPATION IN DISCUSSIONS OR DETERMINATIONS REGARDING THE TRANSACTION OR ARRANGEMENT, OR MAY SEEK THE GUIDANCE OF THE BOARD OR COMMITTEE. IN SUCH CASES, THE INTERESTED PERSON MAY BE ASKED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE ACTUAL OR APPARENT CONFLICT IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. ADDRESSING THE CONFLICT OF INTEREST: (1) THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (2) AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. (3) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. VIOLATIONS OF CONFLICT (1) IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. (2) IF, AFTER HEARING THE RESPONSE OF THE MEMBER AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE CORRECTIVE ACTION AS DETERMINED BY THE BOARD, WITH RESPECT TO THE DIRECTOR AND THE TRANSACTION OR ARRANGEMENT. RECORDS OF PROCEEDINGS: THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: (A) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST, IN FACT EXISTED; AND (B) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. COMPENSATION COMMITTEE: (A) A VOTING MEMBER OF ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND WHO RECEIVES COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE CORPORATION FOR SERVICES IS PRECLUDED FROM VOTING ON MATTERS PERTAINING TO THAT MEMBER'S COMPENSATION. (B) PHYSICIANS WHO RECEIVE COMPENSATION, DIRECTLY OR INDIRECTLY, FROM THE CORPORATION OR ANY AFFILIATE, WHETHER AS EMPLOYEES OR INDEPENDENT CONTRACTORS, ARE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE JURISDICTION INCLUDES PHYSICIAN COMPENSATION MATTERS. ANNUAL STATEMENTS: EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY AND THE CORPORATION'S BY-LAWS; (B) HAS READ AND UNDERSTANDS THOSE PROVISIONS; (C) HAS AGREED TO COMPLY WITH THOSE PROVISIONS; AND (D) UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. PERIODIC REVIEW: TO ENSURE THAT THE CORPORATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEW SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: (A) WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING. (B) WHETHER ACQUISITIONS OF PHYSICIAN PRACTICES AND OTHER PROVIDER SERVICES RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (C) WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS AND ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATIONS AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. (D) WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYERS FURTHER THE CORPORATION'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. USE OF OUTSIDE EXPERTS: IN CONDUCTING THE PERIODIC REVIEWS PROVIDED FOR IN SECTION 7 OF THIS POLICY, THE CORPORATION MAY, BUT NEED NOT, USE OUTSIDE ADVISORS. IF OUTSIDE EXPERTS ARE USED, THEIR USE SHALL NOT RELIEVE THE BOARD OF ITS RESPONSIBILITY FOR ENSURING THAT PERIODIC REVIEWS ARE CONDUCTED. LOANS: NO LOANS, OTHER THAN THROUGH THE PURCHASE OF BONDS, DEBENTURES, OR SIMILAR OBLIGATIONS OF THE TYPE CUSTOMARILY SOLD IN PUBLIC OFFERINGS, OR THROUGH THE ORDINARY DEPOSIT OF FUNDS IN A BANK, SHALL BE MADE BY THE CORPORATION TO ITS DIRECTORS OR OFFICERS, OR TO ANY OTHER CORPORATION, FIRM, ASSOCIATION OR OTHER ENTITY IN WHICH ONE OR MORE OF ITS DIRECTORS OR OFFICERS ARE DIRECTORS OR OFFICERS OR HOLD A SUBSTANTIAL FINANCIAL INTEREST, EXCEPT A LOAN TO ANOTHER TYPE B NOT-FOR-PROFIT CORPORATION. THE CORPORATION MAY, NEVERTHELESS, ENGAGE IN TRANSACTIONS WITH ITS CORPORATE AFFILIATES PROVIDED THAT SUCH TRANSACTIONS ARE CONSISTENT WITH THE CORPORATION'S TAX EXEMPT STATUS AND ANY EXEMPTION RULINGS OR GUIDANCE ISSUED BY THE INTERNAL REVENUE SERVICE. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE BOARD'S EXECUTIVE COMPENSATION COMMITTEE, HAS ADOPTED AND FOLLOWS A PROCESS FOR REVIEWING AND DETERMINING THE COMPENSATION OF THE CEO AND THE EXECUTIVE MANAGEMENT TEAM. THE EXECUTIVE MANAGEMENT TEAM CONSISTS OF THE FOLLOWING POSITIONS: (1) SENIOR VICE PRESIDENT/ CHIEF OPERATING OFFICER (2) SENIOR VICE PRESIDENT/ CHIEF FINANCIAL OFFICER (3) SENIOR VICE PRESIDENT/ CHIEF MEDICAL OFFICER (4) SENIOR VICE PRESIDENT/ CHIEF NURSING OFFICER THE COMMITTEE HAS ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE INFORMATION AND ADVICE TO THE COMMITTEE, INCLUDING BUT NOT LIMITED TO, PROVIDING INDEPENDENT COMPENSATION COMPARABILITY DATA FOR FUNCTIONALLY COMPARABLE POSITIONS IN SIMILARLY SITUATED HOSPITALS. THE DATA IS PROVIDED ON AN ANNUAL BASIS AND IS REVIEWED BY THE COMMITTEE, ALONG WITH OTHER INFORMATION, PRIOR TO APPROVING ANY CHANGES TO COMPENSATION. THE INDEPENDENCE OF THE COMMITTEE'S MEMBERS IS REVIEWED AND VERIFIED PRIOR TO THE START OF THE ANNUAL COMPENSATION REVIEW PROCESS. SHOULD A CONFLICT PRESENT, THOSE INDIVIDUALS WITH ACTUAL OR PERCEIVED CONFLICTS ABSTAIN FROM VOTING UNTIL SUCH TIME AS THE CONFLICT CAN BE RESOLVED OR A REPLACEMENT MEMBER IS APPOINTED TO THE COMMITTEE. THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE GUIDED BY A WRITTEN COMPENSATION PHILOSOPHY AND DOCUMENTED THROUGH WRITTEN MINUTES TAKEN DURING EACH MEETING. THE MINUTES INCLUDE, AMONG OTHER THINGS, THE WRITTEN MATERIALS DISTRIBUTED OR PRESENTED DURING THE MEETING AND THE SPECIFIC DECISIONS TAKEN AT THE MEETING. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE ON THE ORGANIZATION'S INTRANET FOR ACCESS TO ALL EMPLOYEES IN THE ONLINE ADMINISTRATIVE MANUAL. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | PRIOR PERIOD ADJUSTMENTS: -175,692. | FORM 990, PART XI, LINE 5: |
| THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| MOHAWK VALLEY NETWORK INC | ||||||||||
| PO BOX 4308 | UTICA | NY | 135044305 | 223124162 | SYSTEM PARENT | NY | 501(C)(3) | 11A | 0 | |
| FAXTON-ST LUKE'S HEALTHCARE | ||||||||||
| PO BOX 479 | UTICA | NY | 135030479 | 161576637 | ACUTE CARE HOSPITAL | NY | 501(C)(3) | 3 | 0 | MOHAWK VALLEY NETWORK |
| FAXTON-ST LUKE'S HEALTHCARE FOUNDATION | ||||||||||
| 1676 SUNSET AVENUE | UTICA | NY | 13502 | 223078768 | PROMOTE AND SOLICIT FUNDS | NY | 501(C)(3) | 11B | 0 | FAXTON ST LUKE'S HOSPITAL |
| VISITING NURSE ASSOCIATION OF UTICA AND ONEIDA COUNTY INC | ||||||||||
| 2608 GENESEE STREET | UTICA | NY | 135026003 | 150532259 | HOME HEALTH CARE SERVICES | NY | 501(C)(3) | 9 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |