2021-11-12T11:06:58-06:00 2020-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2020-01-01 510169552 HUNTINGTON NURSING HOME INC HUNT 3157874088 369 EAST MAIN STREET WATERLOO NY 13165 TRISHA KOCZENT TREASURER AND CFO 3157874088 2021-11-08 1 TRISHA KOCZENT XXX-XX-XXXX AIMEE J JOZIC P01346943 5853811000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z HUNTINGTON LIVING CENTER JOSE ACEVEDO MD MBA 369 EAST MAIN STREET WATERLOO NY 13165 12433213 0 X WWW.FLHEALTH.ORG X 1988 NY HUNTINGTON NURSING HOME, 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. 17 14 208 14 0 0 69658 1091555 11603975 10937306 277511 248729 119514 155623 12070658 12433213 0 0 0 0 6525874 7213737 0 0 0 5622894 5865800 12148768 13079537 -78110 -646324 16408239 17855831 8558531 10951523 7849708 6904308 X HUNTINGTON NURSING HOME, 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. 0 0 10296216 10937306 HLC IS A 160-BED SKILLED NURSING FACILITY WITH A REPUTATION FOR OUTSTANDING MEDICAL, NURSING, AND REHABILITATIVE CARE. LOCATED IN WATERLOO, NY, HLC CONSISTS OF 4, 40-BED UNITS LOCATED ON 3 FLOORS. THE SPECIAL NEEDS UNIT SPECIALIZES IN ALZHEIMER'S DISEASE AND OTHER DEMENTIA RELATED DISEASES. HLC 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. 10296216 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 0 1 1 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 1 0 1 208 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X TRISHA KOCZENT 3157874000 196 NORTH STREET GENEVA NY 14456 JOSE A ACEVEDO MD MBA ASST SECRETARY 6.00 34.00 X X 0 735315 57047 MATTHEW C TALBOTT MD DIRECTOR 1.00 40.00 X 0 536688 44230 ROBERT ANDERSON MD DIRECTOR 1.00 39.00 X 0 211456 26349 KYLENE ABRAHAM DNP DIRECTOR 1.00 4.00 X 0 0 0 RYAN HALLINGS SECRETARY 1.00 4.00 X X 0 0 0 REV JAMES ADAMS DIRECTOR 1.00 4.00 X 0 0 0 CHEVANNE DEVANEY DIRECTOR 1.00 4.00 X 0 0 0 PHIL BECKLEY CHAIR 1.00 4.00 X X 0 0 0 MENZO CASE VICE CHAIR 1.00 4.00 X X 0 0 0 SUSAN STORK DIRECTOR 1.00 4.00 X 0 0 0 JOHN HICKS DIRECTOR 1.00 4.00 X 0 0 0 ANN MCMULLEN DIRECTOR 1.00 4.00 X 0 0 0 RODOLFO QUEIROZ DIRECTOR 1.00 4.00 X 0 0 0 CRAIG DENSMORE DIRECTOR 1.00 4.00 X 0 0 0 JAMES CHENEY DIRECTOR 1.00 4.00 X 0 0 0 LANCE WARD DIRECTOR 1.00 4.00 X 0 0 0 TOM BURRALL DIRECTOR 1.00 4.00 X 0 0 0 JEFFREY MORGAN TREASURER & CFO 6.00 34.00 X 0 281256 53142 WILLIAM S GARRITY VP LONG TERM CARE 8.00 32.00 X 0 165936 23786 FRANK M KORICH SR VP OPERATIONS 5.00 35.00 X 0 314447 55124 PATRICK R BOYLE VP HUMAN RESOURCES 4.00 36.00 X 0 158859 10618 KAROL L PRAYNE ADMINISTRATOR LTC 40.00 X 112095 0 12706 MICHELLE L PARADISE LPN 40.00 X 107414 0 7945 SALLY PRICE NURSE MANAGER 40.00 X 102444 0 4195 321953 2403957 295142 3 0 1 0 0 2172 1089383 1091555 PATIENT SVC REVENUE 623000 10858131 10858131 79175 79175 10937306 118638 118638 130091 0 130091 130091 130091 OTHER REVENUE 900099 155623 155623 155623 12433213 10937306 0 404352 5921333 4787303 1134030 92643 92643 816819 600126 216693 382942 280580 102362 58847 58847 31550 31550 22346 22346 15625 15625 48697 32653 16044 288674 227948 60726 105 105 121 121 152039 11132 140907 381072 362018 19054 45211 45211 SHARED SERVICES 2111139 1477797 633342 PURCHASED SERVICES 1239302 1065375 173927 NYS ASSESSMENT TAX 643154 643154 SUPPLIES 422045 309478 112567 405873 406009 -136 13079537 10296216 2783321 0 571081 1972995 81263 134524 1605713 1055947 5557 11403 12792 0 15512887 12325069 3405673 3187818 7356331 8140501 3369829 3352643 16408239 17855831 1783708 1612968 762314 890700 81263 134524 4032124 3654913 1899122 4658418 8558531 10951523 X 7849708 6904308 7849708 6904308 16408239 17855831 X -646324 536574 33534 -869184 X X 0 1 X 1 1 1 X 0 6149 56484 69658 1091555 1223846 11593592 11857893 10774651 11603975 10937306 56767417 11593592 11864042 10831135 11673633 12028861 57991263 0 0 0 57991263 55648 130946 145515 129075 118638 579822 55648 130946 145515 129075 118638 579822 120933 119514 155623 396070 11649240 11994988 11097583 11922222 12303122 58967155 0.98350 0.98650 0.00980 0.00930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 541 541 0 PART II-B, LINE 1: PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. 0 1 X 20000 20000 9993126 7621076 2372050 389446 309146 80300 5110315 4394847 715468 3187818 CASH HELD IN ESCROW 1780713 MORTGAGE SINKING FUND 1536398 OTHER RECEIVABLES 35532 3352643 DUE TO AFFILIATES/OTHER FUNDS 4494420 OTHER LIABILITIES 163998 4658418 13451456 536574 481669 1018243 12433213 0 12433213 14396856 1317319 1317319 13079537 0 13079537 PART IV, LINE 2B: HLC HOLDS AGENCY FUNDS FOR THE CONVENIENCE OF ITS RESIDENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FUNDED STATUS OF PENSION PLAN 448,135. PRIOR PERIOD REVENUE 33,534. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET PERIODIC PENSION COST 1,317,319. 0 1 0 0 0 0 0 0 0 JOSE A ACEVEDO MD MBA ASST SECRETARY 0 553518 0 178336 0 3461 0 45500 0 11547 0 792362 0 0 MATTHEW C TALBOTT MD DIRECTOR 0 467988 0 49200 0 19500 0 19500 0 24730 0 580918 0 0 FRANK M KORICH SR VP OPERATIONS 0 235548 0 49312 0 29587 0 45500 0 9624 0 369571 0 0 JEFFREY MORGAN TREASURER & CFO 0 238505 0 15000 0 27751 0 45500 0 7642 0 334398 0 0 ROBERT ANDERSON MD DIRECTOR 0 178440 0 26616 0 6400 0 18328 0 8021 0 237805 0 0 WILLIAM S GARRITY VP LONG TERM CARE 0 151479 0 11957 0 2500 0 14293 0 9493 0 189722 0 0 PATRICK R BOYLE VP HUMAN RESOURCES 0 84813 0 24549 0 49497 0 5096 0 5522 0 169477 0 0 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 HUNTINGTON NURSING HOME, INC. PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY GENEVA GENERAL HOSPITAL (GGH), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. GGH DEPOSITED $ INTO A 457(F) PLAN IN 2020 FOR JOSE ACEVEDO, MD, MBA, PRESIDENT & CEO. 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 HUNTINGTON LIVING CENTER 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 HANDING ANY CONFLICTS 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 HUNTINGTON LIVING CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHERE REQUIRED BY LAW-AND UPON REQUEST. THE LIVING CENTER'S FORM 990 IS PROVIDED TO ANY INDIVIDUAL WHO PROVIDES 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. FORM 990, PART XI, LINE 9: NET PERIODIC PENSION COST -1,317,319. CHANGE IN FUNDED STATUS OF PENSION PLAN 448,135. PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FINGER LAKES REGIONAL HEALTH SYSTEMS INC 196 NORTH STREET GENEVA NY 14456 223193606 SOLE MEMBER OF HLC, SSMH, GGH, FLHF, LCS AND LCN NY 501(C)(3) LINE 7 0 SOLDIERS & SAILORS MEMORIAL HOSPITAL 418 NORTH MAIN STREET PENN YAN NY 14527 160743192 PROVIDER OF HEALTHCARE NY 501(C)(3) LINE 3 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 GENEVA GENERAL HOSPITAL 196 NORTH STREET GENEVA NY 14456 160743032 PROVIDER OF HEALTHCARE NY 501(C)(3) LINE 3 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 FINGER LAKES HEALTH FOUNDATION 196 NORTH STREET GENEVA NY 14456 150549310 COORDINATOR OF FUND RAISING ACTIVITIES NY 501(C)(3) LINE 11 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 LIVING CENTER AT GENEVA - SOUTH 196 NORTH STREET GENEVA NY 14456 160957268 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 LIVING CENTER AT GENEVA - NORTH 64 MASON STREET GENEVA NY 14456 161449543 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 GENEVA GENERAL HOUSING DEVELOPMENT CO 260 NORTH STREET GENEVA NY 14456 222816883 PROVIDE LOW INCOME HOUSING NY 501(C)(3) LINE 9 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 TAYLOR BROWN MEMORIAL HOUSING DEVELOPMENT CO 371 EAST MAIN STREET WATERLOO NY 13165 222807734 DEVELOP AND PROVIDE SENIOR HOUSING COMPLEX NY 501(C)(3) LINE 9 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0