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  5. ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.

ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.

Company Details

Name: ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 10 Apr 1991 (34 years ago)
Entity Number: 1539333
ZIP code: 13126
County: Oswego
Place of Formation: New York
Address: EAST RIVER ROAD, R.D. #4, OSWEGO, NY, United States, 13126

Contact Details

Phone +1 315-342-3166

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MRLJZ3F5M6M4 2024-09-20 299 E RIVER RD, OSWEGO, NY, 13126, 6400, USA 299 EAST RIVER RD, OSWEGO, NY, 13126, 9302, USA

Business Information
URL http://www.stlukehs.com
Congressional District 24
State/Country of Incorporation NY, USA
Activation Date 2023-09-25
Initial Registration Date 2004-11-08
Entity Start Date 1971-07-21
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 624120

Points of Contacts
Electronic Business
Title PRIMARY POC
Name SHELLY YOUNGS
Role ADMINISTRATOR
Address 299 EAST RIVER RD, OSWEGO, NY, 13126, 9302, USA
Title ALTERNATE POC
Name CATHERINE GILL
Address 299 EAST RIVER RD, OSWEGO, NY, 13126, 6302, USA
Government Business
Title PRIMARY POC
Name CATHERINE GILL
Role CEO
Address 299 EAST RIVER RD, OSWEGO, NY, 13126, 9302, USA
Title ALTERNATE POC
Name SHELLY YOUNGS
Role ADMINISTRATOR
Address 299 EAST RIVER RD, OSWEGO, NY, 13126, 9302, USA
Past Performance
Title PRIMARY POC
Name CATHERINE GILL
Role CEO
Address 299 EAST RIVER RD, OSWEGO, NY, 13126, 9302, USA
Title ALTERNATE POC
Name CATHERINE GILL
Role CEO
Address 299 EAST RIVER RD, OSWEGO, NY, 13126, 9302, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
33GN9 Active Non-Manufacturer 2004-11-08 2024-09-20 2028-09-25 2024-09-20

Contact Information
POC CATHERINE GILL
Phone +1 315-342-3166
Fax +1 315-343-6531
Address 299 E RIVER RD, OSWEGO, NY, 13126 6400, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2019 161391191 2020-10-14 ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC. 319
Three-digit plan number (PN) 505
Effective date of plan 1999-02-01
Business code 623000
Sponsor’s telephone number 3153423166
Plan sponsor’s mailing address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302
Plan sponsor’s address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302

Number of participants as of the end of the plan year
Active participants 435

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing ELIZABETH BAILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing ELIZABETH BAILEY
Valid signature Filed with authorized/valid electronic signature
ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2018 161391191 2019-10-11 ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC. 377
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1999-02-01
Business code 623000
Sponsor’s telephone number 3153423166
Plan sponsor’s mailing address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302
Plan sponsor’s address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302

Number of participants as of the end of the plan year
Active participants 319

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing ELIZABETH BAILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing ELIZABETH BAILEY
Valid signature Filed with authorized/valid electronic signature
ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2017 161391191 2018-10-05 ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC. 425
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1999-02-01
Business code 623000
Sponsor’s telephone number 3153423166
Plan sponsor’s mailing address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302
Plan sponsor’s address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302

Number of participants as of the end of the plan year
Active participants 377

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing ELIZABETH BAILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-05
Name of individual signing ELIZABETH BAILEY
Valid signature Filed with authorized/valid electronic signature
ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2016 161391191 2017-10-13 ST. LUKE RESIDENTIAL HEALTH CARE FACILITY 425
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1999-02-01
Business code 623000
Sponsor’s telephone number 3153423166
Plan sponsor’s mailing address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302
Plan sponsor’s address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302

Number of participants as of the end of the plan year
Active participants 348
Retired or separated participants receiving benefits 5

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing MAURA O'TOOLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing MAURA O'TOOLE
Valid signature Filed with authorized/valid electronic signature
ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2015 161391191 2016-07-22 ST. LUKE RESIDENTIAL HEALTH CARE FACILITY 411
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1999-02-01
Business code 623000
Sponsor’s telephone number 3153423166
Plan sponsor’s mailing address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302
Plan sponsor’s address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302

Number of participants as of the end of the plan year
Active participants 418
Retired or separated participants receiving benefits 7

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing HEATHER MELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing HEATHER MELLEN
Valid signature Filed with authorized/valid electronic signature
ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2014 161391191 2015-10-01 ST. LUKE RESIDENTIAL HEALTH CARE FACILITY 383
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1999-02-01
Business code 623000
Sponsor’s telephone number 3153423166
Plan sponsor’s mailing address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302
Plan sponsor’s address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302

Number of participants as of the end of the plan year
Active participants 410
Retired or separated participants receiving benefits 1

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing HEATHER MELLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-01
Name of individual signing HEATHER MELLEN
Valid signature Filed with authorized/valid electronic signature
ST. LUKE RESIDENTIAL HEALTH CARE FACILITY HEALTH & WELFARE PLAN 2013 161391191 2014-10-09 ST. LUKE RESIDENTIAL HEALTH CARE FACILITY 276
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1999-02-01
Business code 623000
Sponsor’s telephone number 3153423166
Plan sponsor’s mailing address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302
Plan sponsor’s address 299 EAST RIVER ROAD, OSWEGO, NY, 131269302

Number of participants as of the end of the plan year
Active participants 383

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent EAST RIVER ROAD, R.D. #4, OSWEGO, NY, United States, 13126

History

Start date End date Type Value
1991-04-10 1991-11-01 Address EAST RIVER ROAD, R.D. #4, OSWEGO, NY, 13126, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
911101000109 1991-11-01 CERTIFICATE OF AMENDMENT 1991-11-01
910911000129 1991-09-11 CERTIFICATE OF AMENDMENT 1991-09-11
910410000402 1991-04-10 CERTIFICATE OF INCORPORATION 1991-04-10

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV VA528BO0201 2009-01-01 No data No data
Unique Award Key CONT_IDV_VA528BO0201_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ADHC SYRACUSE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: GERIATRIC SERVICES

Recipient Details
Recipient ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
UEI MRLJZ3F5M6M4
Legacy DUNS 075809459
Recipient Address UNITED STATES, 299 E RIVER RD, OSWEGO, 131266400
DO AWARD VA528FY10FPDSRPT 2009-10-01 2010-09-30 2010-09-30
Unique Award Key CONT_AWD_VA528FY10FPDSRPT_3600_VA528BO0201_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EXPRESS REPORT FY10 ADHC SYRACUSE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q401: NURSING SERVICES

Recipient Details
Recipient ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
UEI MRLJZ3F5M6M4
Legacy DUNS 075809459
Recipient Address UNITED STATES, 299 E RIVER RD, OSWEGO, 131266400
DO AWARD VA528FY11FPDSRPT 2010-10-01 2011-06-30 2013-04-30
Unique Award Key CONT_AWD_VA528FY11FPDSRPT_3600_VA528BO0201_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EXPRESS REPORT GEC EXPENDITURES ADHC SYRACUSE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: GERIATRIC SERVICES

Recipient Details
Recipient ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
UEI MRLJZ3F5M6M4
Legacy DUNS 075809459
Recipient Address UNITED STATES, 299 E RIVER RD, OSWEGO, 131266400
DO AWARD VA528FY11Q4 2011-07-01 2011-09-30 2011-09-30
Unique Award Key CONT_AWD_VA528FY11Q4_3600_VA528BO0201_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EXPRESS REPORT FPDS EXPENDITURES FOR ADHC SYRACUSE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: GERIATRIC SERVICES

Recipient Details
Recipient ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
UEI MRLJZ3F5M6M4
Legacy DUNS 075809459
Recipient Address UNITED STATES, 299 E RIVER RD, OSWEGO, 131266400
DO AWARD VA528FY12Q4 2012-07-01 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_VA528FY12Q4_3600_VA528BO0201_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title EXPRESS REPORT FPDS EXPENDITURES FOR HHA SYRACUSE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: MEDICAL- GERIATRIC

Recipient Details
Recipient ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
UEI MRLJZ3F5M6M4
Legacy DUNS 075809459
Recipient Address UNITED STATES, 299 E RIVER RD, OSWEGO, 131266400
DO AWARD VA52812J00567Q3 2012-04-01 2012-06-30 2012-06-30
Unique Award Key CONT_AWD_VA52812J00567Q3_3600_VA528BO0201_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title IGF::CT::IGF CT CRITICAL FUNCTIONS EXPRESS REPORT FPDS EXPENDITURES FOR ADHC SYRACUSE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: MEDICAL- GERIATRIC

Recipient Details
Recipient ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
UEI MRLJZ3F5M6M4
Legacy DUNS 075809459
Recipient Address UNITED STATES, 299 E RIVER RD, OSWEGO, 131266400
DO AWARD VA52812J0447Q2 2012-01-01 2012-03-31 2012-03-31
Unique Award Key CONT_AWD_VA52812J0447Q2_3600_VA528BO0201_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CT CRITICAL FUNCTIONS EXPRESS REPORT FPDS EXPENDITURES FOR ADHC SYRACUSE
NAICS Code 624120: SERVICES FOR THE ELDERLY AND PERSONS WITH DISABILITIES
Product and Service Codes Q506: MEDICAL- GERIATRIC

Recipient Details
Recipient ST. LUKE RESIDENTIAL HEALTH CARE FACILITY, INC.
UEI MRLJZ3F5M6M4
Legacy DUNS 075809459
Recipient Address UNITED STATES, 299 E RIVER RD, OSWEGO, 131266400

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
300632668 0215800 1999-02-17 299 E. RIVER ROAD, OSWEGO, NY, 13126
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 1999-02-19
Emphasis N: GSINTARG, S: NURSING HOMES
Case Closed 1999-06-28

Violation Items
Citation ID 01001
Citaton Type Serious
Standard Cited 19100022 C
Issuance Date 1999-05-27
Abatement Due Date 1999-02-18
Current Penalty 573.6
Initial Penalty 956.0
Nr Instances 2
Nr Exposed 5
Gravity 01
Citation ID 01002
Citaton Type Serious
Standard Cited 19100212 A01
Issuance Date 1999-05-27
Abatement Due Date 1999-06-29
Current Penalty 1125.0
Initial Penalty 1875.0
Nr Instances 2
Nr Exposed 6
Gravity 03
Citation ID 01003
Citaton Type Serious
Standard Cited 19100304 F04
Issuance Date 1999-05-27
Abatement Due Date 1999-06-07
Current Penalty 675.0
Initial Penalty 1125.0
Nr Instances 4
Nr Exposed 10
Gravity 01
Citation ID 02001
Citaton Type Other
Standard Cited 19100022 A02
Issuance Date 1999-05-27
Abatement Due Date 1999-06-07
Nr Instances 1
Nr Exposed 5
Gravity 01
Citation ID 02002
Citaton Type Other
Standard Cited 19100037 Q05
Issuance Date 1999-05-27
Abatement Due Date 1999-06-02
Nr Instances 1
Nr Exposed 10
Gravity 01
Citation ID 02003
Citaton Type Other
Standard Cited 19100037 Q01
Issuance Date 1999-05-27
Abatement Due Date 1999-06-07
Nr Instances 2
Nr Exposed 10
Gravity 01
Citation ID 02004
Citaton Type Other
Standard Cited 19100305 G01 III
Issuance Date 1999-05-27
Abatement Due Date 1999-06-07
Nr Instances 4
Nr Exposed 10
Gravity 01

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
16-1391191 Corporation Unconditional Exemption 299 E RIVER RD, OSWEGO, NY, 13126-6400 1991-06
In Care of Name % NORMA LEWIS
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 5,000,000 to 9,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 6391382
Income Amount 19858366
Form 990 Revenue Amount 19779618
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 202012
Filing Type E
Return Type 990T
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201912
Filing Type P
Return Type 990T
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201712
Filing Type P
Return Type 990T
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201612
Filing Type P
Return Type 990T
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201612
Filing Type E
Return Type 990T
File View File
Organization Name ST LUKE RESIDENTIAL HEALTH CARE FACILITY INC
EIN 16-1391191
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3665787101 2020-04-11 0248 PPP 299 East River Road, OSWEGO, NY, 13126-6400
Loan Status Date 2021-07-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 2031750
Loan Approval Amount (current) 2031750
Undisbursed Amount 0
Franchise Name -
Lender Location ID 56102
Servicing Lender Name KeyBank National Association
Servicing Lender Address 127 Public Sq, CLEVELAND, OH, 44114-1217
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Unanswered
Project Address OSWEGO, OSWEGO, NY, 13126-6400
Project Congressional District NY-24
Number of Employees 300
NAICS code 623110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 56102
Originating Lender Name KeyBank National Association
Originating Lender Address CLEVELAND, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 2054850.72
Forgiveness Paid Date 2021-06-11

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Date of last update: 15 Mar 2025

Sources: New York Secretary of State

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