2011-11-14T18:56:12-06:00 2010-12-31 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2010-01-01 223100745 CHARLES T SITRIN HEALTH CARE CENTER IN CHAR 3157973114 2050 TILDEN AVE NEW HARTFORD NY 13413 RICHARD A WILSON 3157973114 2011-11-07 1 3154463600 2010 2016-02-24 21:20:13Z RICHARD A WILSON 2050 TILDEN AVE NEW HARTFORD NY 13413 23892735 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 12 611 238 0 0 478096 486573 22566749 22977487 23080 36854 294811 336395 23362736 23837309 18397 15593 0 0 15951803 14908243 27226 3584 3584 8258052 9413000 24255478 24340420 -892742 -503111 48827824 46436945 33500531 31966900 15327293 14470045 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 15212078 14985086 THE CHARLES T. SITRIN HEALTH CARE CENTER'S INPATIENT PROGRAM CONSISTS OF SKILLED NURSING, POST ACUTE REHABILITATION, & RESPITE CARE. DURING 2010, THERE WERE OVER 860 ADMISSIONS TO THESE PROGRAMS. OVERALL OCCUPANCY FOR 2010 WAS 96.5%, UP FROM 93% IN 2009. THE INCREASE IS DUE TO OVERWHELMING PATIENT SATISFACTION WITH THE NEW LONG TERM CARE HOUSES AND ALL PRIVATE RENOVATED ROOMS ON THE POST ACUTE REHAB UNIT. THESE IMPROVEMENTS WERE COMPLETED IN 2009 AND HAVE GREATLY ADDED TO THE PATIENTS' & RESIDENTS' QUALITY OF LIFE. 5790764 5669046 THE CHARLES T. SITRIN HEALTH CARE CENTER'S COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY/DIAGNOSTIC & TREATMENT CENTER SERVED APPROXIMATELY 9,000 PATIENTS DURING 2010. A WIDE RANGE OF SERVICES WERE PROVIDED INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH AND HEARING THERAPY, DENTAL, AND MANY SPECIALTY DOCTOR CLINICS. THE OVERALL TOTAL NUMBER OF VISITS WAS 39,768. DENTAL VISITS MADE UP 65% OF THE TOTAL WHILE THERAPY CONSISTED OF 29%. THE MULTIDISCIPLINARY TEAM APPROACH AT SITRIN ADDRESSES THE PATIENTS' PHYSICAL AND EMOTIONAL NEEDS TO ENSURE BETTER OUTCOMES. DURING 2010, EXPANSION OF THE NEW HARTFORD DENTAL CLINIC WAS COMPLETED WITH THE ADDITION OF 4 CHAIRS TO SERVICE THE MEDICAID CLIENTS OF ONEIDA AND SURROUNDING COUNTIES. 652178 1371455 THE CHARLES T. SITRIN HEALTH CARE CENTER'S ADULT DAY CARE PROGRAM SERVED 87 INDIVIDUALS DURING 2010. THIS 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 2010 TO THE PROGRAM WAS 10,098. 386208 951900 386208 951900 22041228 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 34 0 611 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 0 1 1 1 1 1 1 1 0 NY X CHRISTA SERAFIN 3157372247 2050 TILDEN AVE NEW HARTFORD NY 13413 NEIL COHEN 0.50 X 0 0 0 HARVEY CRAMER 0.50 X 0 0 0 SHERRY GOLDSTONE 0.50 X 0 0 0 DR STEVEN LEVINE 0.50 X 0 0 0 ELSIE POLLICOVE 0.50 X 0 0 0 MARSHA SILVERMAN 0.50 X 0 0 0 DR SUSAN BLATT 16.00 X 60000 0 0 EDWARD KOWALSKY 2.00 X X 0 0 0 MICHAEL COMINSKY 2.00 X X 0 0 0 MICHAEL SILVERMAN 2.00 X X 0 0 0 ROSELYN FISHER 2.00 X X 0 0 0 SHEILA BAMBERGER 2.00 X X 0 0 0 DAVID GOLDBAS 2.00 X X 0 0 0 RICHARD A WILSON 37.50 X 287008 0 5520 CHRISTA SERAFIN 37.50 X 120458 0 11400 MELANIE MARRAFFA 37.50 X 119477 0 11400 PATRICIA HAYS 37.50 X 120826 0 5520 JAMES DEYULIO DDS 37.50 X 199049 0 11400 CENK PEKIS MD 37.50 X 171416 0 0 CHARLIE BUI DDS 37.50 X 156350 0 11400 RICHARD CHELTENHAM DDS 37.50 X 143398 0 5520 ROBERT KANG DDS 37.50 X 139914 0 5520 1517896 0 67680 11 0 1 0 RUFFO TABORA MAINELLO & MCKAY PC 311 GREAT OAKS BLVD ALBANY NY 12203 LEGAL FEES 127277 SLOCUM DICKSON MEDICAL GROUP 1729 BURSTONE ROAD NEW HARTFORD NY 13413 PHYSICIAN SERVICES 121042 2 24312 200000 247500 14761 486573 SKILLED NURSING INPATI 623000 14985086 14985086 OUTPATIENT REVENUE 621400 5669046 5669046 ADULT DAY CARE REVENUE 623000 1371455 1371455 SHARED/SOLD SERVICE RE 561000 951900 951900 22977487 23462 23462 56251 42859 13392 13392 13392 12567 24312 12567 0 CAMP/WELLNESS/KIDS ONE 900099 126043 126043 BEAUTY SHOP/CAFETERIA/ 722210 54684 54684 TELEPHONE/CASH DISCOUN 900099 28352 28352 127316 127316 336395 23837309 22977487 0 373249 15593 15593 741609 60000 681609 11241770 10510319 731451 127250 111980 15270 1971937 1735305 236632 825677 726596 99081 117734 117734 89006 89006 3584 3584 519079 456790 62289 68729 68729 2001357 1761194 240163 100536 88472 12064 2504140 2504140 65298 57462 7836 2546468 2546468 152572 152572 NYS ASSESSMENT 695813 695813 MISCELLANEOUS 283961 283961 DENTAL LAB EXPENSES 130193 130193 WASTE REMOVAL/ELEVATOR 76281 76281 BAD DEBT EXPENSE 41225 41225 20608 18135 2473 24340420 22041228 2295608 3584 1746108 1216568 1730246 1639098 925290 2206961 2030796 181178 94616 58896 56529 311485 128607 52387445 15594918 37441320 36792527 950104 1041834 1279360 1490180 1996876 1946190 48827824 46436945 2130326 1427129 28330000 27040000 3040205 3499771 33500531 31966900 X 15193051 14470045 134242 0 15327293 14470045 48827824 46436945 X -503111 -354137 X X 0 1 1 X 0 X 139066 6207155 140008 478096 486573 7450898 20029728 19788544 22314098 22566749 22977487 107676606 20168794 25995699 22454106 23044845 23464060 115127504 0 0 0 115127504 285406 344688 123134 23080 23462 799770 285406 344688 123134 23080 23462 799770 350747 342261 207653 283203 336395 1520259 20804947 26682648 22784893 23351128 23823917 117447533 0.98020 0.97870 0.00680 0.00830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 642422 642422 42504374 10658325 31846049 9065974 4826838 4239136 174675 109755 64920 36792527 DEPOSITS FROM PATIENTS 100436 CASH HELD IN TRUST FOR RESIDENTS 48585 INTEREST RATE SWAP LIABILITY 3350750 3499771 23837309 24340420 -503111 91596 -445733 -354137 -857248 23849876 0 23849876 -12567 -12567 23837309 24352987 12567 12567 24340420 0 24340420 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. THE STANDARDS FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ESTABLISH A RECOGNITION THRESHOLD AND MEASUREMENT FOR INCOME TAX POSITIONS RECOGNIZED IN THE FINANCIAL STATEMENTS. THESE STANDARDS HAD NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2007 THROUGH 2010. WINE TASTING 36879 24312 12567 9176 400 2991 36879 24312 12567 9176 400 2991 12567 0 1 SITRIN CHILD DAY CARE FACILITY INC 3 KAVOD ROAD NEW HARTFORD NY 13413 161484534 501(C)3 15593 FORGIVENESS OF INTEREST ON NOTE RECEIVABLE FORGIVENESS OF INTEREST ON NOTE RECEIVABLE 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THIS GRANT CONSISTED OF A NON CASH CONTRIBUTION OF INTEREST FORGIVENESS ON AN EXISTING NOTE RECEIVABLE. THEREFORE, THERE ARE NO FUNDS TO USE OR MONITOR. X 1 1 X X 0 0 0 0 0 0 0 0 0 RICHARD A WILSON 236250 0 44000 0 6758 0 0 0 5520 0 292528 0 0 0 JAMES DEYULIO DDS 199049 0 0 0 0 0 0 0 11400 0 210449 0 0 0 CENK PEKIS MD 171416 0 0 0 0 0 0 0 0 0 171416 0 0 0 CHARLIE BUI DDS 156350 0 0 0 0 0 0 0 11400 0 167750 0 0 0 ONEIDA COUNTY IDA 090210781 682465CB3 2007-06-28 15945000 SERIES A-CONSTRUCTION OF NEW SKILLED NURSING FACILITY 0 0 0 ONEIDA COUNTY IDA 090210781 682465CB3 2007-06-28 14590000 SERIES B-REFINANCING OF EXISTING DEBT & RENOVATION OF EXISTING NURSING FACIL 0 0 0 260000 16531717 1097436 700675 122411 14611195 2009 0 0 1 1 1030000 14707906 204294 584581 23009 2708723 11187299 2009 0 0 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 1 1 FIRST NIAGARA BANK 10.000000000000 0 0 0 0 0 0 1 1 FIRST NIAGARA BANK 10.000000000000 0 0 0 0 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 AT THE SEPTEMBER 2011 BOARD MEETING, THE BOARD DELEGATED RESPONSIBILITY TO THE FINANCE COMMITTEE TO REVIEW THE FORM 990. THE COMMITTEE REVIEWED IT AT THE NOVEMBER 2011 MEETING PRIOR TO SUBMISSION. A COPY WILL BE PROVIDED TO THE REMAINING BOARD OF DIRECTORS AT THE DECEMBER 2011 BOARD MEETING. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 91,596. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -445,733. TOTAL TO FORM 990, PART XI, LINE 5: -354,137. OVERSIGHT OR SELECTION PROCESS FORM 990, PART XII, LINE 2 NO CHANGES WERE MADE TO THE AUDIT OVERSIGHT PROCESS OR SELECTION PROCESS DURING 2010. 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 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 1 0 0 0 0 1 0 0 0 0 1 0 0