GENEVA NURSING HOME II INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GENEVA NURSING HOME II INC (EIN 16-1449543)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202203149349305975
- Schema version
- 2021v4.2
- 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) |
|---|---|---|
| Return | 2022-11-10T14:52:58-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL | AddressLine1Txt |
| City | PITTSFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161449543 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENEVA NURSING HOME II INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GENE | BusinessNameControlTxt |
| Phone | 3157874000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 64 MASON ST | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRISHA KOCZENT | PersonNm |
| Person Title | TREASURER AND CFO | PersonTitleTxt |
| Phone | 3157874000 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TRISHA | PersonFirstNm |
| Person Last | KOCZENT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AIMEE J JOZIC | PreparerPersonNm |
| PTIN | P01346943 | PTIN |
| Phone | 5853811000 | PhoneNum |
| Preparation | 2022-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIVING CENTER AT GENEVA NORTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSE ACEVEDO MD MBA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 64 MASON ST | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,360,988 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FLHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | GENEVA NURSING HOME II, INC. IS A COMMUNITY BASED, NOT-FOR-PROFIT SKILLED NURSING FACILITY DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 99 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $531,199 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,141,712 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,878,770 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,156,591 | CYProgramServiceRevenueAmt |
| PY Investment Income | $68,585 | PYInvestmentIncomeAmt |
| CY Investment Income | $52,101 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,478,554 | PYTotalRevenueAmt |
| CY Total Revenue | $6,350,404 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,927,315 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,149,678 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,614,717 | PYOtherExpensesAmt |
| CY Other Expenses | $2,503,412 | CYOtherExpensesAmt |
| PY Total Expenses | $6,542,032 | PYTotalExpensesAmt |
| CY Total Expenses | $5,653,090 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$63,478 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $697,314 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,168,328 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,075,011 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,861,376 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,168,523 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,306,952 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,906,488 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GENEVA NURSING HOME II, INC. IS A COMMUNITY BASED, NOT-FOR-PROFIT SKILLED NURSING FACILITY DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,073,915 | ExpenseAmt |
| Revenue | $5,156,591 | RevenueAmt |
| Desc | GENEVA NURSING HOME, II, INC, D/B/A LIVING CENTER GENEVA NORTH (LCN) IS AN 80-BED SKILLED NURSING FACILITY WITH A REPUTATION FOR OUTSTANDING MEDICAL, NURSING, AND REHABILITATIVE CARE. LOCATED IN GENEVA, NY, LCN CONSISTS OF TWO NURSING UNITS AND A RESPITE SERVICE WITH TWO BEDS. LCN OFFERS A BROAD RANGE OF SKILLED NURSING AND REHABILITATIVE SERVICES. OUR MULTIDISCIPLINARY TEAM, CONSISTING OF PHYSICIANS, NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SOCIAL WORK, ACTIVITIES AND NUTRITIONAL SERVICES STAFF, WORKS DIRECTLY WITH THE RESIDENT AND FAMILY MEMBERS TO DEVISE AND CARRY OUT THE BEST POSSIBLE PLAN OF CARE. WE ARE ABLE TO OFFER A CONTINUUM OF CARE UNMATCHED IN OUR REGION, WITH A WIDE VARIETY OF MEDICAL SPECIALISTS AND OUTSTANDING ACUTE CARE AS NEEDED. | Desc |
| Total Program Service Expenses | $4,073,915 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 99 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRISHA KOCZENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3157874000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 NORTH STREET | AddressLine1Txt |
| City | GENEVA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOSE A ACEVEDO MD | ||||||||
| ASST SECRETARY | 6.00 | 34.00 | Yes (X) | Yes (X) | $0 | $794,360 | $155,495 | |
| JEFFREY MORGAN | ||||||||
| TREASURER & CFO THRU MAY 2021 | 6.00 | 34.00 | Yes (X) | Yes (X) | $0 | $369,219 | $12,869 | |
| KYLENE ABRAHAM DNP | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| PHIL BECKLEY | ||||||||
| CHAIR | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SUSAN STORK | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN HICKS | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| ANN MCMULLEN | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| RODOLFO QUEIROZ MD | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| TOM BURRALL | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| CRAIG DENSMORE | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES CHENEY | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| LANCE WARD | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| CHEVANNE DEVANEY | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| MENZO CASE | ||||||||
| VICE CHAIR | 2.00 | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RYAN HALLINGS | ||||||||
| SECRETARY | 1.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TRISHA KOCZENT FROM JUNE 2021 | ||||||||
| TREASURER & CFO | 6.00 | 34.00 | Yes (X) | Yes (X) | $0 | $179,165 | $1,564 | |
| JAMES NARDOZZI | ||||||||
| DIRECTOR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM S GARRITY | ||||||||
| VP LONG TERM CARE | 8.00 | 32.00 | $0 | $242,111 | $22,169 | Yes (X) | ||
| FRANK M KORICH | ||||||||
| COO | 5.00 | 35.00 | $0 | $368,284 | $48,444 | Yes (X) | ||
| CHAD M HOFFMAN-FRAGALE | ||||||||
| VP HUMAN RESOURCES | 4.00 | 36.00 | $0 | $226,134 | $8,963 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,179,273 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $249,504 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,141,712 | GovernmentGrantsAmt |
| Total Contributions | $1,141,712 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SVC REVENUE | 623000 | $5,086,241 | $5,086,241 |
| OTHER | 900099 | $70,350 | $70,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,156,591 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,622 | TotalRevenueColumnAmt |
| Exclusion | $59,622 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,063 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,584 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$7,521 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,521 | TotalRevenueColumnAmt |
| Exclusion | -$7,521 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,350,404 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,156,591 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $52,101 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,439,982 | TotalAmt |
| Program Services | $2,101,333 | ProgramServicesAmt |
| Management And General | $338,649 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,850 | TotalAmt |
| Program Services | $46,363 | ProgramServicesAmt |
| Management And General | $7,487 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,078 | TotalAmt |
| Program Services | $411,612 | ProgramServicesAmt |
| Management And General | $66,466 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,768 | TotalAmt |
| Program Services | $153,053 | ProgramServicesAmt |
| Management And General | $24,715 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,458 | TotalAmt |
| Management And General | $45,458 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,097 | TotalAmt |
| Management And General | $31,097 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,056 | TotalAmt |
| Management And General | $37,056 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,503 | TotalAmt |
| Program Services | $1,969 | ProgramServicesAmt |
| Management And General | $9,534 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,920 | TotalAmt |
| Management And General | $18,920 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,869 | TotalAmt |
| Program Services | $3,674 | ProgramServicesAmt |
| Management And General | $19,195 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,315 | TotalAmt |
| Program Services | $97,216 | ProgramServicesAmt |
| Management And General | $6,099 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550 | TotalAmt |
| Program Services | $550 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624 | TotalAmt |
| Management And General | $624 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,340 | TotalAmt |
| Management And General | $184,340 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,689 | TotalAmt |
| Program Services | $257,155 | ProgramServicesAmt |
| Management And General | $13,534 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$5,234 | TotalAmt |
| Program Services | -$5,234 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| SHARED SERVICES | $668,758 | $668,758 | |
| PURCHASED SERVICES | $398,220 | $103,123 | $295,097 |
| NYS ASSESSMENT TAX | $299,691 | $299,691 | |
| BAD DEBT | $215,606 | $215,606 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,950 | TotalAmt |
| Program Services | $195,830 | ProgramServicesAmt |
| Management And General | $4,120 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,653,090 | TotalAmt |
| Program Services | $4,073,915 | ProgramServicesAmt |
| Management And General | $1,579,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $959,655 | BOYAmt |
| EOY | $1,356,334 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,264 | BOYAmt |
| EOY | $113,808 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $616,304 | BOYAmt |
| EOY | $520,342 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,228 | BOYAmt |
| EOY | $6,944 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,472,059 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,717,189 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,968,797 | BOYAmt |
| EOY | $1,754,870 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,106,319 | BOYAmt |
| EOY | $2,322,713 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,476,761 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,168,328 | BOYAmt |
| EOY | $6,075,011 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $967,216 | BOYAmt |
| EOY | $1,080,072 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $538,086 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,328,157 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,027,917 | BOYAmt |
| EOY | $2,088,451 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,861,376 | BOYAmt |
| EOY | $3,168,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,306,952 | BOYAmt |
| EOY | $2,906,488 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,306,952 | BOYAmt |
| EOY | $2,906,488 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,168,328 | BOYAmt |
| EOY | $6,075,011 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $697,314 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $165,551 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $736,671 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $121,314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $84,456 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $531,199 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,022,352 | CurrentTaxYearAmt |
| Total | $1,759,897 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,997,125 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,745,752 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,225,244 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,878,770 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,275,951 | CurrentTaxYearAmt |
| Total | $29,122,842 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,997,701 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,867,066 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,309,700 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,409,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,298,303 | CurrentTaxYearAmt |
| Total | $30,882,739 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $30,882,739 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,356 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,884 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,299 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,678 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,622 | CurrentTaxYearAmt |
| Total | $215,839 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $38,356 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,884 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $38,299 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $36,678 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,622 | CurrentTaxYearAmt |
| Total | $215,839 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $41,228 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $203 | CurrentTaxYearMinus2YearsAmt |
| Total | $41,431 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,036,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,951,178 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,348,202 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,446,647 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,357,925 | CurrentTaxYearAmt |
| Total | $31,140,009 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99170 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99300 | PublicSupportPY509Pct |
| Investment Income CY | 0.00690 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00560 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $438 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $438 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,133 | OtherCostOrOtherBasisAmt |
| Book Value | $81,133 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,300,200 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,247,817 | DepreciationAmt |
| Book Value | $1,052,383 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,053 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,620 | DepreciationAmt |
| Book Value | $14,433 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,011,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,405,752 | DepreciationAmt |
| Book Value | $606,021 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $900 | OtherCostOrOtherBasisAmt |
| Book Value | $900 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,754,870 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN GGH POOLED INVESTMENTS | Desc |
| Book Value | $2,322,713 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,322,713 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES/OTHER FUNDS | $2,018,858 |
| MEDICARE ADVANCE | $69,593 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,088,451 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2B: | FormAndLineReferenceDesc |
| Explanation | LCN HOLDS AGENCY FUNDS FOR THE CONVENIENCE OF ITS RESIDENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSE A ACEVEDO MD | ||||||||||||||
| ASST SECRETARY | $0 | $588,791 | $0 | $200,925 | $0 | $4,644 | $0 | $141,077 | $0 | $14,418 | $0 | $949,855 | $0 | $0 |
| FRANK M KORICH | ||||||||||||||
| COO | $0 | $305,326 | $0 | $58,317 | $0 | $4,641 | $0 | $35,972 | $0 | $12,472 | $0 | $416,728 | $0 | $0 |
| JEFFREY MORGAN | ||||||||||||||
| TREASURER & CFO THRU MAY 2021 | $0 | $277,300 | $0 | $32,214 | $0 | $59,705 | $0 | $1,180 | $0 | $11,689 | $0 | $382,088 | $0 | $0 |
| WILLIAM S GARRITY | ||||||||||||||
| VP LONG TERM CARE | $0 | $174,667 | $0 | $62,867 | $0 | $4,577 | $0 | $5,240 | $0 | $16,929 | $0 | $264,280 | $0 | $0 |
| CHAD M HOFFMAN-FRAGALE | ||||||||||||||
| VP HUMAN RESOURCES | $0 | $224,999 | $0 | $0 | $0 | $1,135 | $0 | $2,250 | $0 | $6,713 | $0 | $235,097 | $0 | $0 |
| TRISHA KOCZENT FROM JUNE 2021 | ||||||||||||||
| TREASURER & CFO | $0 | $178,847 | $0 | $0 | $0 | $318 | $0 | $1,500 | $0 | $64 | $0 | $180,729 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION THESE QUESTIONS HAVE BEEN LEFT BLANK. REFER TO SCHEDULE O, DESCRIPTION OF COMPENSATION REVIEW AND APPROVAL PROCESS. |
| PART I, LINE 4B | CERTAIN OFFICERS AND DIRECTORS OF GENEVA NURSING HOME II, INC. D.B.A LIVING CENTER AT GENEVA NORTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY GENEVA GENERAL HOSPITAL (GGH), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. GGH DEPOSITED $115,689 INTO A 457(F) PLAN IN 2021 FOR JOSE ACEVEDO, MD, MBA, ASSISTANT SECRETARY FOR HIS ROLE AS PRESIDENT & CEO OF VARIOUS AFFILIATED ENTITIES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | PHIL BECKLEY HAS A BUSINESS RELATIONSHIP WITH JAMES CHENEY. |
| FORM 990, PART VI, SECTION A, LINE 7A | FINGER LAKES REGIONAL HEALTH SYSTEM, INC. IS THE 'SOLE MEMBER' OF GENEVA GENERAL NURSING HOME II, INC. IN THAT ROLE, ELECTION OF DIRECTORS IS RESERVED TO THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | ELECTION AND REMOVAL OF DIRECTORS, AMENDMENT OF BYLAWS, CERTIFICATE OF INCORPORATION AMENDMENTS, ARE RESERVED TO THE SOLE MEMBER (FLRHS) PER BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE ADMINISTRATIVE COMMITTEE OF THE BOARD PRIOR TO BEING FILED. ANY COMMITTEE FINDINGS ARE REVIEWED AND IMPLEMENTED AS APPROPRIATE BY MANAGEMENT. CHANGES IN IRS REQUIREMENTS AND ORGANIZATION PRACTICES FROM THE PRIOR YEAR ARE HIGHLIGHTED FOR THE COMMITTEE BY MANAGEMENT. THE COMMITTEE REPORTS ON THIS DISCUSSION TO THE FULL BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | LCN MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN PRIOR TO TAKING OFFICE. STATEMENTS ARE UPDATED AND REVIEWED ANNUALLY BY AN ADMINISTRATIVE COMMITTEE. THE PROCESS FOR HANDLING ANY CONFLICT OF INTEREST WHICH MAY ARISE IS DETAILED IN THE CORPORATE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE, AND COMPARABILITY DATA IS PART OF THE DECISION. |
| FORM 990, PART VI, SECTION C, LINE 19 | LCN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHERE REQUIRED BY LAW AND UPON REQUEST. LCN'S FORM 990 IS PROVIDED TO ANY INDIVIDUAL WHO PROVIDED A REQUEST IN PERSON OR WHO SUBMITS A WRITTEN REQUEST. THERE IS NO CHARGE OTHER THAN A REASONABLE FEE FOR COPYING AND POSTAGE. COPIES ARE AVAILABLE AT THE FINANCE OFFICE. AN ELECTRONIC VERSION MAY BE FOUND AT WWW.GUIDESTAR.ORG. |
| PART XII, LINE 2C | LCS HAS A BOARD COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| FINGER LAKES REGIONAL HEALTH SYSTEM INC | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 223193606 | SOLE MEMBER OF LCN, GGH, FLHF, LCS, HLC, AND SSMH | NY | 501(C)(3) | LINE 7 | 0 | |
| GENEVA GENERAL HOSPITAL | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 160743032 | PROVIDER OF HEALTHCARE | NY | 501(C)(3) | LINE 3 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| FINGER LAKES HEALTH FOUNDATION | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 150549310 | COORDINATOR OF FUND RAISING ACTIVITIES | NY | 501(C)(3) | LINE 12A, I | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| LIVING CENTER AT GENEVA SOUTH | ||||||||||
| 196 NORTH STREET | GENEVA | NY | 14456 | 160957268 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| HUNTINGTON LIVING CENTER | ||||||||||
| 369 EAST MAIN STREET | WATERLOO | NY | 13165 | 510169552 | SKILLED NURSING FACILITY | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| GENEVA GENERAL HOUSING DEVELOPMENT CO | ||||||||||
| 260 NORTH STREET | GENEVA | NY | 14456 | 222816883 | PROVIDE LOW INCOME HOUSING | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| TAYLOR BROWN HOUSING DEVELOPMENT CO | ||||||||||
| 371 EAST MAIN STREET | WATERLOO | NY | 13165 | 222807734 | DEVELOP AND PROVIDE SENIOR HOUSING COMPLEX | NY | 501(C)(3) | LINE 10 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| SOLDIERS & SAILORS MEMORIAL HOSPITAL | ||||||||||
| 418 NORTH MAIN STREET | PENN YAN | NY | 14527 | 160743192 | PROVIDER OF HEALTHCARE | NY | 501(C)(3) | LINE 3 | 0 | FINGER LAKES REGIONAL HEALTH SYSTEM INC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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