2023-11-14T22:10:57-06:00 2022-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2022-01-01 133999654 EGER HARBOR HOUSE INC EGER 7189893020 110 MEISNER AVENUE STATEN ISLAND NY 10306 GARRY DE LEEUWERK SENIOR VP FOR FINANCE/CFO 7189893020 2023-11-14 1 GARRY DE LEEUWERK XXX-XX-XXXX 1 GARRETT M HIGGINS P00543209 9143818900 2023-11-14 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z LORRI A SENK 110 MEISNER AVENUE STATEN ISLAND NY 10306 4399568 0 X N/A X 1997 NY THE ORGANIZATION OPERATES A LICENSED MEDICAID ASSISTED-LIVING PROGRAM TO ELDERLY RESIDENTS.THE ORGANIZATION OPERATES A LICENSED MEDICAID ASSISTED-LIVING PROGRAM TO ELDERLY RESIDENTS OF STATEN ISLAND, NY & ITS SURROUNDING AREA REGARDLESS OF ABILITY TO PAY. 5 5 50 5 0 0 24600 2557 1214528 4396181 4635 530 0 300 1243763 4399568 0 0 0 0 2467940 2363580 0 0 0 3315878 2931817 5783818 5295397 -4540055 -895829 7548241 5839895 13320089 11213572 -5771848 -5373677 X EGER HARBOR HOUSE, A LICENSED MEDICAID ASSISTED LIVING PROGRAM PROVIDES RESIDENTIAL SERVICES INCLUDING ROOM AND BOARD, FACILITIES MANAGEMENT, NURSING SUPERVISION AND CASE MANAGEMENT SERVICES TO ITS RESIDENTS. PERSONAL CARE ASSISTANCE IS AVAILABLE 24 HOURS/DAY BY CERTIFIED HOME HEALTH AIDES TO SUPPORT AND ENHANCE THEIR QUALITY OF LIFE, RECREATIONAL ACTIVITIES, NUTRITIONAL CARE, PASTORAL CARE, HOUSEKEEPING AND LAUNDRY AND BEAUTY/BARBER SHOP SERVICES ARE ALSO PROVIDED. 0 0 4322084 0 4396181 EGER HARBOR HOUSE IS AN ASSISTED LIVING AND ENRICHED HOUSING PROGRAM CERTIFIED THROUGH THE NEW YORK STATE DEPARTMENT OF HEALTH. EGER HARBOR HOUSE OPERATES A 75-BED LICENSED MEDICAID ASSISTED PROGRAM AND PROVIDES RELATED HEALTHCARE, PERSONAL CARE, AND SUPPORTIVE SERVICES TO ELDERLY PERSONS REGARDLESS OF ABILITY TO PAY. 4322084 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 17 0 50 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X GARRY DE LEEUWERK 7189893020 110 MEISNER AVENUE STATEN ISLAND NY 10306 DR JANE DEFAZIO CHAIR 1.00 1.50 X X 0 0 0 KAREN MULLANEY VICE CHAIR 1.00 1.00 X X 0 0 0 LESLIE B KASEGRANDE SECRETARY 1.00 2.00 X X 0 0 0 ROBERT C HASTEDT TRUSTEE 0.50 1.00 X 0 0 0 DR PATRICIA TOOKER TRUSTEE 0.50 1.50 X 0 0 0 LORRI A SENK PRESIDENT/CEO 18.00 37.00 X 0 289080 2758 GARRY DE LEEUWERK SENIOR VP FOR FINANCE/CFO 18.00 37.00 X 0 266011 10286 KRISTEN ORTADO ADMINISTRATOR 50.00 0.00 X 112774 0 0 112774 555091 13044 1 0 1 0 MORRISON MGMT SPECIALISTS 400 NORTHRIDGE ROAD STE600 SANDY SPRINGS GA 30350 FOOD SERVICES 458358 1 2557 2557 NET RESIDENT SERVICE R 621300 4396181 4396181 4396181 530 530 MISCELLANEOUS INCOME 900099 300 300 300 4399568 4396181 0 830 1644421 1429947 214474 132392 115125 17267 368378 320332 48046 218389 189905 28484 420000 420000 8900 8900 42200 42200 495722 484738 10984 88171 61533 26638 559517 559517 10322 10322 439537 439537 378841 275966 102875 FOOD EXPENSES 240606 240606 MISCELLAENOUS EXPENSE 116792 71414 45378 BAD DEBT EXPENSE 64998 64998 REPAIRS AND MAINTENANCE 40374 32307 8067 25837 25837 5295397 4322084 973313 0 21990 186384 36566 44678 327683 244630 97168 31519 12186563 8950674 3653577 3235889 3411257 2096795 7548241 5839895 436879 732517 11881 68689 90176 68731 9583966 9433588 3197187 910047 13320089 11213572 X -5771848 -5373677 -5771848 -5373677 7548241 5839895 X -895829 1294000 X X 0 1 X 1 0 X 58243 135429 216783 24600 2557 437612 4990961 4916032 4645181 1214528 4396181 20162883 5049204 5051461 4861964 1239128 4398738 20600495 0 0 0 20600495 33452 48069 23625 4635 530 110311 33452 48069 23625 4635 530 110311 581 300 881 5083237 5099530 4885589 1243763 4399568 20711687 0.99460 0.99380 0.00530 0.00610 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA INCOME - 2018 AMOUNT: $ 581. OTHER INCOME - 2022 AMOUNT: $ 300. 0 1 X 164770 164770 11111254 8256902 2854352 872875 658509 214366 37664 35263 2401 3235889 SECURITY DEPOSITS 2031 DUE FROM REALTED PARTIES 505089 ASSETS LIMITED AS TO USE 1589675 2096795 DUE TO RELATED PARTIES 95000 DUE TO THIRD PARTY PAYORS 815047 910047 X 5628570 1294000 1294000 4334570 64998 64998 4399568 5230399 0 5230399 64998 64998 5295397 PART IV, LINE 2B: RESIDENTS' FUNDS ARE HELD BY THE ORGANIZATION ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT ALLOWANCES RECEIVED BY RESIDENTS AS WELL AS OTHER RESIDENTS' FUNDS DEPOSITED WITH THE ORGANIZATION FOR SAFEKEEPING. THESE FUNDS ARE DISBURSED BY THE ORGANIZATION AT THE REQUEST OF, OR ON BEHALF OF, RESIDENTS FOR THEIR PERSONAL USE. PART X, LINE 2: EHHI RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT EHHI HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. EHHI IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2019. PART XI, LINE 2D - OTHER ADJUSTMENTS: ALLOWANCE ON MEDICAID ESTIMATES FROM PRIOR YEARS 1,294,000. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 64,998. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OF BAD DEBT EXPENSE TO PART IX, LINE 24 64,998. 0 0 0 0 0 0 0 0 0 LORRI A SENK PRESIDENT/CEO 0 289080 0 0 0 0 0 0 0 2758 0 291838 0 0 GARRY DE LEEUWERK SENIOR VP FOR FINANCE/CFO 0 255361 0 0 0 10650 0 0 0 10286 0 276297 0 0 PART I, LINE 3 THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF EGER LUTHERAN HOMES AND SERVICES, INC. AND SUBSIDIARIES; A TAX-EXEMPT HEALTHCARE SYSTEM COMPOSED OF A NURSING HOME AND OTHER ENTITIES WHOSE PURPOSE IS TO SERVE THE COMMUNITY ("SYSTEM"). THE SYSTEM HAS AN EXECUTIVE COMMITTEE ("COMMITTEE") OF THE BOARD OF TRUSTEES. THE COMPENSATION AND BENEFITS OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER ARE REVIEWED BY THE COMMITTEE TO ENSURE FAIR MARKET VALUE COMPENSATION IS PAID. WHERE APPROPRIATE, THE BOARD REVIEWS EXTERNAL COMPARABLE DATA AND SEEKS ADVICE OF THE COMMITTEE TO ENSURE TOTAL COMPENSATION OF THIS INDIVIDUAL IS REASONABLE AT FAIR MARKET VALUE. OTHER MEMBERS OF MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, THESE REPORTED ON FORM 990 ARE REVIEWED BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE VICE PRESIDENT OF HUMAN RESOURCES, IN ACCORDANCE WITH JOB PERFORMANCE AND CURRENT FAIR MARKET VALUE SALARY DATA. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS EGER LUTHERAN HOMES AND SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE RIGHT TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF TRUSTEES, APPOINT THE PRESIDENT, AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS THE RIGHT TO AMEND THE BY-LAWS AND CERTIFICATE OF INCORPORATION AND APPROVE SUBSTANTIAL TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 11B EGER HARBOR HOUSE HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS A SUBSIDIARY WITHIN EGER LUTHERAN HOMES AND SERVICES, INC., A TAX-EXEMPT HEALTHCARE SYSTEM COMPOSED OF A NURSING HOME AND OTHER ENTITIES WHOSE PURPOSE IS TO SERVE THE COMMUNITY ("SYSTEM"). THIS ORGANIZATION AND SYSTEM REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER FOR REVIEW. IF NECESSARY, ANY CONFLICTS OF INTEREST ARE THEN REVIEWED AND DISCUSSED BY THE ORGANIZATION'S BOARD OF TRUSTEES. AN INTERESTED PERSON MUST LEAVE THE MEETING DURING THE DISCUSSION OF THAT MATTER THAT GIVES RISE TO THE POTENTIAL CONFLICT AND CANNOT VOTE ON THE MATTER. THE MINUTES OF THE BOARD MUST CONTAIN THE FOLLOWING WITH REGARD TO CONSIDERATION OF ANY MATTER INVOLVING A CONFLICT OF INTEREST THE BOARD MINUTES MUST STATE WHICH TRUSTEES WERE PRESENT FOR THE DISCUSSION AND VOTE, THE CONTENT OF THE DISCUSSION AND ANY ROLL CALL OF THE VOTE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS ALSO POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FORM 1023, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: ALLOWANCE ON MEDICAID ESTIMATES FROM PRIOR YEARS 1,294,000. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. EGER HEALTH CARE AND REHABILITATION CENTER 140 MEISNER AVENUE STATEN ISLAND NY 10306 133524533 HEALTHCARE NY 501(C)(3) LINE 10 EGER LUTHERAN HOMES AND SERVICES INC 0 EGER LUTHERAN HOMES AND SERVICES INC 140 MEISNER AVENUE STATEN ISLAND NY 10306 135564936 HEALTHCARE NY 501(C)(3) LINE 12B, II N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0