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Nonprofiteer
← SAMARITAN KEEP NURSING HOME INC

Form 990 for tax year 2022

Filed by SAMARITAN KEEP NURSING HOME INC.

Totals

Total revenue
$20,499,909
Total expenses
$22,438,396
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$19,492,464
Investment income
$4,416
Other revenue
$1,003,029
Total assets, end of year
$10,080,145
Total liabilities, end of year
$8,111,370
Net assets or fund balances, end of year
$1,968,775
Program services expenses (Part IX)
$20,779,006
Management and general expenses
$1,659,390
Fundraising expenses
$0
Program service expenses (Part III)
$20,779,006

Program services were 92.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: RESIDENT SERVICE REVENUE

    total $19,492,464 · related or exempt $19,492,464

  • 3 · Investment income

    total $4,416 · excluded $4,416

  • 6a · Gross rents

    real property $40,520

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $40,520

  • 6d · Net rental income or loss

    total $40,520 · excluded $40,520

  • 11a · Other revenue: OTHER REVENUE

    total $674,591 · related or exempt $674,591

  • 11b · Other revenue: SOLD SERVICES

    total $261,277 · related or exempt $261,277

  • 11c · Other revenue: CAFETERIA

    total $26,641 · related or exempt $26,641

  • 11e · Other revenue, total

    $962,509

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $12,529,858 · program services $12,269,366 · management and general $260,492

  • 8 · Pension plan contributions

    total $385,963 · program services $379,206 · management and general $6,757

  • 9 · Other employee benefits

    total $1,404,704 · program services $1,375,501 · management and general $29,203

  • 10 · Payroll taxes

    total $906,956 · program services $888,101 · management and general $18,855

  • 11b · Fees: legal

    total $2,775 · management and general $2,775

  • 11c · Fees: accounting

    total $21,412 · management and general $21,412

  • 13 · Office expenses

    total $17,781 · program services $13,714 · management and general $4,067

  • 17 · Travel

    total $3,217 · program services $294 · management and general $2,923

  • 19 · Conferences, conventions and meetings

    total $1,180 · program services $200 · management and general $980

  • 20 · Interest

    total $900 · management and general $900

  • 22 · Depreciation, depletion and amortization

    total $527,384 · program services $527,384

  • 23 · Insurance

    total $325,334 · management and general $325,334

  • 24a · Other expenses: PURCHASED SERVICES

    total $2,290,818 · program services $1,626,774 · management and general $664,044

  • 24b · Other expenses: SUPPLIES/UTILITIES

    total $2,288,916 · program services $1,967,268 · management and general $321,648

  • 24c · Other expenses: NYS ASSESSMENT

    total $1,193,934 · program services $1,193,934

  • 24d · Other expenses: PROVISION FOR BAD DEBT

    total $537,264 · program services $537,264

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $545,692 · end of year $351,430

  • 2 · Savings and temporary cash investments

    beginning of year $3,090,415 · end of year $3,093,895

  • 4 · Accounts receivable

    beginning of year $2,409,483 · end of year $2,447,839

  • 8 · Inventories for sale or use

    beginning of year $74,949 · end of year $70,363

  • 9 · Prepaid expenses and deferred charges

    beginning of year $86,499 · end of year $98,660

  • 10a · Land, buildings and equipment: cost or other basis

    $30,526,055

  • 10b · Land, buildings and equipment: accumulated depreciation

    $28,007,573

  • 10c · Land, buildings and equipment, net

    beginning of year $2,986,652 · end of year $2,518,482

  • 11 · Investments: publicly traded securities

    beginning of year $1,045,784 · end of year $1,047,341

  • 15 · Other assets

    beginning of year $434,985 · end of year $452,135

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,185,231 · end of year $3,749,092

  • 25 · Other liabilities

    beginning of year $2,962,974 · end of year $4,362,278

  • 27 · Net assets without donor restrictions

    beginning of year $3,343,756 · end of year $1,786,277

  • 28 · Net assets with donor restrictions

    beginning of year $182,498 · end of year $182,498

Mission and programs · 2022

Mission

TO PROVIDE HIGH QUALITY,COMPREHENSIVE, SAFE AND COMPASSIONATE HEALTHCARE SERVICES TO MEET THE NEEDS OF OUR CIVILIAN AND MILITARY COMMUNITY.

  • PROFESSIONAL CARE OF RESIDENTS IN A 272-BED SKILLED NURSING FACILITY. 81,812 RESIDENT DAYS OF CARE WERE RENDERED DURING 2022.

    Expenses $20,779,006 · Revenue $20,454,973

As filed on the 2022 return.

Listed in Part VII

  • Thomas Carman

    PRESIDENT & CEO

    Total calculated
    $938,040
    From this org
    $0
    From related orgs
    $880,166
    Other
    $57,874
    Hours/week
    1 + 43.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $699,733 related
    Bonus
    $0 + $174,933 related
    Other
    $0 + $5,500 related
    Deferred
    $0 + $11,200 related
    Nontaxable benefits
    $0 + $46,674 related
    Filer's total
    $0 + $938,040 related
  • Daniel Villa

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5
  • Maxine Briggs

    CFO/TREASURER

    Total calculated
    $499,877
    From this org
    $0
    From related orgs
    $453,847
    Other
    $46,030
    Hours/week
    1 + 42.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $433,347 related
    Bonus
    $0
    Other
    $0 + $20,500 related
    Deferred
    $0 + $17,300 related
    Nontaxable benefits
    $0 + $28,730 related
    Filer's total
    $0 + $499,877 related
  • Jan Turcotte MD

    SMC CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2.5 related
  • Melanie Parker-Geurtsen

    SMC BOARD CHAIR EX OFFICIO

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Mary Wardwell-Donahue

    FORMER VICE CHAIR/CURRENT CHAIR

    Total calculated
    $0
    Hours/week
    1 + 3.5 related
  • Jordan Jones

    FORMER SECRETARY/CURRENT VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Samuel Purington

    CHAIR/IMMEDIATE PAST CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2.5 related
  • Tracy Valentine

    TRUSTEE/CURRENT SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Melissa Schmitt

    AUXILIARY REPRESENTATIVE/EX-OFFICIO

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Addison Vars III

    IMMEDIATE PAST CHAIR/TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 2.5 related
  • Joan Treadwell-Woods

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Francee Calarco

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Peter L Walton

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Barry Ormsby

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Linda O'Connor

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Polly Matarese

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Carl McLaughlin

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1 + 0.5 related
  • Patrick Calli

    SKH ADMINISTRATOR

    Total calculated
    $207,403
    From this org
    $207,263
    From related orgs
    $0
    Other
    $140
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $197,302
    Bonus
    $0
    Other
    $9,961
    Deferred
    $0
    Nontaxable benefits
    $140
    Filer's total
    $207,403
  • Christine Robinson

    NURSE AID EDUCATION COORDINATOR

    Total calculated
    $119,946
    From this org
    $112,886
    From related orgs
    $0
    Other
    $7,060
    Hours/week
    40
  • Megan Laboda

    SKH NURSING ADMIN

    Total calculated
    $119,157
    From this org
    $107,285
    From related orgs
    $0
    Other
    $11,872
    Hours/week
    40
  • Kathleen Rivers

    SKH DIRECTOR OF NURSING

    Total calculated
    $117,344
    From this org
    $105,182
    From related orgs
    $0
    Other
    $12,162
    Hours/week
    40
  • Kara Pharoah

    LTC NURSE MANAGER

    Total calculated
    $110,238
    From this org
    $100,868
    From related orgs
    $0
    Other
    $9,370
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
PART 1, LINE 4B: THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS TO AN IRC 457 (B) PLAN DURING 2022: MAXINE BRIGGS- $20,500

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
13 November 2023
IRS schema version
2022v5.0
Source object
202313189349310881

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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