2020-11-12T17:40:48-06:00 2019-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2019-01-01 223163818 SENECA HILL MANOR INC SENE 3153495300 20 MANOR DR OSWEGO NY 131266496 ERIC T CAMPBELL CHIEF FINANCIAL OFFICER 3153495531 2020-11-11 1 MARY ELLEN LUKER P00207995 3154463600 2020-11-11 67.242.7.99 2020-11-11 09:55:52 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 D2E8F385EE88BD29EFAB248CF612B9DA1F974714 2019 2021-01-29 14:40:06Z JASON SANTIAGO 20 MANOR DR OSWEGO NY 13126 13410619 0 X WWW.OSWEGOHEALTH.ORG X 1999 NY SENECA HILL MANOR INC. (THE MANOR), IS A 120-BED RESIDENTIAL HEALTH CARE FACILITY LOCATED IN VOLNEY, NEW YORK. THE MANOR PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITY INCLUDING RESIDENTIAL SKILLED NURSING CARE, SHORT-TERM REHABILITATION AND ADULT DAY HEALTH CARE. THE GOAL AT THE MANOR IS TO HAVE EACH RESIDENT OBTAIN THEIR HIGHEST FUNCTIONING PHYSICAL, MENTAL AND EMOTIONAL CAPABILITES TO MAINTAIN INDEPENDENCE. THE MANOR'S SOLE MEMBER IS OSWEGO HEALTH, INC. THE MISSION OF OSWEGO HEALTH IS PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY. 21 17 201 12 0 0 0 0 13662471 13290045 295789 47564 67124 73010 14025384 13410619 0 0 0 0 7450501 6888463 0 0 0 6428807 6303465 13879308 13191928 146076 218691 10931934 11131836 9317490 9286963 1614444 1844873 X SENECA HILL MANOR INC. (THE MANOR), IS A 120-BED RESIDENTIAL HEALTH CARE FACILITY LOCATED IN VOLNEY, NEW YORK. THE MANOR PROVIDES A WIDE RANGE OF HEALTH CARE SERVICES TO MEET THE NEEDS OF THE COMMUNITY INCLUDING RESIDENTIAL SKILLED NURSING CARE, SHORT-TERM REHABILIATATION AND ADULT DAY HEALTH CARE. THE GOAL AT THE MANOR IS TO HAVE EACH RESIDENT OBTAIN THEIR HIGHEST FUNCTIONING PHYSICAL, MENTAL AND EMOTIONAL CAPABILITIES TO MAINTAIN INDEPENDENCE. THE MANOR'S SOLE MEMBER IS OSWEGO HEALTH, INC. THE MISSION OF OSWEGO HEALTH IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY. 0 0 11188079 12546656 LONG-TERM CARE FOR THE ELDERLY AND SHORT-TERM REHABILIATION SERVICES. 422773 743389 ADULT DAY CARE: PROVIDE HEALTH SERVICES TO THE CHRONICALLY ILL, FRAIL, ELDERLY, AND DISABLED ADULTS. IT OFFERS MEDICAL CARE, ACTIVITIES, AND SOCIALIZATION TO PARTICIPANTS WITH THE GOAL OF KEEPING THEM AT HOME LONGER. 73010 73010 11610852 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 27 0 1 201 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ERIC T CAMPBELL 3153495531 110 WEST SIXTH STREET OSWEGO NY 13126 MICHAEL ALCASID MD PRESIDENT, MEDICAL STAFF 1.00 1.00 X X 0 0 0 ATOM AVERY VICE CHAIR 1.00 1.00 X X 0 0 0 FLOYD BACKES DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL BACKUS DIRECTOR 1.00 1.00 X 0 0 0 BARBARA BATEMAN DIRECTOR 1.00 1.00 X 0 0 0 GARY BOZEMAN MD DIRECTOR 1.00 1.00 X 0 0 0 ED ALBERTS DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM CLARK DIRECTOR 1.00 1.00 X 0 0 0 PETER CULLINAN DIRECTOR 1.00 1.00 X 0 0 0 LYNNE EGGERT DIRECTOR 1.00 1.00 X 0 0 0 VICTORIA FURLONG SECRETARY 1.00 1.00 X X 0 0 0 ADAM GAGAS PAST CHAIR 1.00 1.00 X 0 0 0 ELLEN HOLST CHAIR 1.00 1.00 X X 0 0 0 ZACH MENTER DIRECTOR 1.00 1.00 X 0 0 0 DANIEL DORSEY DIRECTOR 1.00 1.00 X 0 0 0 MARK SLAYTON TREASURER 1.00 1.00 X X 0 0 0 RON TASCARELLA DIRECTOR 1.00 1.00 X 0 0 0 SCOTT VANGORDER DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL HARLOVIC PRESIDENT & CEO 0.00 40.00 X X 0 558933 21360 RENATO MANDANAS MD CHIEF MEDICAL OFFICER 0.00 40.00 X X 0 360714 33645 TIMOTHY BARNHART DIRECTOR 1.00 1.00 X 0 0 0 ERIC CAMPBELL CHIEF FINANCIAL OFFICER 0.00 40.00 X 0 300060 8443 JASON SANTIAGO VP/COO SHM & SPR 40.00 0.00 X 199440 0 6096 199440 1219707 69544 3 0 1 0 REHAB RESOURCES 159 WEST FIRST STREET OSWEGO NY 13126 THERAPISTS 972783 BRIMS LLC 171 SULLYS TRAIL PITTSFORD NY 14534 BILLING COMPANY 230266 MINIMUM DATA SET CONSULTANTS PO BOX 456 MEDINA NY 14103 CONSULTANTS 160418 3 SKILLED NURSING FACILITY 623000 12546656 12546656 ADULT DAY CARE 623990 743389 743389 13290045 47564 47564 73010 73010 73010 13410619 13363055 0 47564 205536 205536 5180040 4919521 260519 49950 45627 4323 1059570 967873 91697 393367 359324 34043 39710 34638 5072 30387 30387 58444 58444 4000 4000 39587 10684 28903 80313 78248 2065 169174 164824 4350 29957 12173 17784 238289 232162 6127 371711 362153 9558 184759 184759 PUIRCHASE SERVICES 2676213 2182120 494093 SUPPLIES GENERAL 698763 678757 20006 OTHER PURCHASE SERVICES 682981 682981 OTHER DIRECT 342830 288121 54709 656347 591646 64701 13191928 11610852 1581076 0 408900 258823 1609426 2020554 236329 317489 14728110 11362993 3648997 3365117 241491 130407 4786791 5039446 10931934 11131836 1382170 1748391 5585081 5147536 2350239 2391036 9317490 9286963 X 1601586 1832015 12858 12858 1614444 1844873 10931934 11131836 X 218691 117851 -106113 X X 0 1 X 1 1 1 X X X 1 OSWEGO HOSPITAL 150532220 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 983441 983441 12110850 10028908 2081942 1633819 1334085 299734 3365117 MORTGAGE ESCROW 210989 RESIDENT FUNDS 49963 MORTGAGE REPLACEMENT RESERVES 1600716 FUNDED DEPRECIATION 3177778 5039446 PENSION LIABILITY 833560 ADVANCED 3RD PARTY 826630 INSURANCE LIABILITIES 130407 DUE TO OSWEGO HOSPITAL 550476 RESIDENT FUNDS 49963 2391036 X 13528470 117851 117851 13410619 0 13410619 13191928 0 13191928 0 13191928 PART X, LINE 2: THE MANOR IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2019 AND 2018, THE MANOR DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2016 THROUGH 2019. THE MANOR DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. 1 0 0 0 0 0 0 0 0 0 MICHAEL HARLOVIC PRESIDENT & CEO 0 468933 0 90000 0 0 0 8400 0 12960 0 580293 0 0 RENATO MANDANAS MD CHIEF MEDICAL OFFICER 0 327214 0 33500 0 0 0 8400 0 25245 0 394359 0 0 ERIC CAMPBELL CHIEF FINANCIAL OFFICER 0 270060 0 30000 0 0 0 7645 0 798 0 308503 0 0 JASON SANTIAGO VP/COO SHM & SPR 176602 0 22838 0 0 0 5298 0 798 0 205536 0 0 0 PART I, LINE 3 SENECA HILL MANOR'S HUMAN RESOURCE DEPT. BASES COMPENSATION OF EMPLOYEES ON COMPARABILITY DATA FROM AREA FACILITIES AND IS REVIEWED ON A REGULAR BASIS. THE MANOR CREATES AN EMPLOYMENT CONFIRMATION LETTER WHEN SOMEONE IS HIRED. THE OSWEGO HEALTH PRESIDENT & CEO DETERMINES THE SALARY OF THE MANOR'S VICE-PRESIDENT & CHIEF OPERATING OFFICER. PERFORMANCE EVALUATIONS ARE COMPLETED ON ALL OFFICERS AND KEY EMPLOYEES WHICH IS AN INTEGRAL PART OF THE SALARY DETERMINATION. FORM 990, PART VI, SECTION A, LINE 6 OSWEGO HEALTH INC. IS THE SOLE MEMBER OF SENECA HILL MANOR INC. FORM 990, PART VI, SECTION A, LINE 7A OSWEGO HEALTH INC. THE SOLE MEMBER MAY APPOINT, AND REMOVE DIRECTORS OF THE CORPORATIONS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF THE GOVERNING BODY ARE APPROVED BY OSWEGO HEALTH INC., THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND ITS SUPPORTING AND SUPPLEMENTAL INFORMATION IS PREPARED AND VERIFIED FOR ACCURACY BY THE CHIEF FINANCIAL OFFICER. ALL TOTALS RECONCILED TO THE FINANCIAL STATEMENTS WHICH ARE AUDITED BY AN OUTSIDE FIRM. THE RETURN IS THEN REVIEWED, AND APPROVED BY SENECA HILL MANOR'S VICE PRESIDENT/COO AND PRESENTED TO THE OSWEGO HEALTH, INC AUDIT COMMITTEE AND MADE AVAILABLE TO THE SENECA HILL MANOR INC BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE ORGANIZATION'S POLICY THAT BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST QUESTIONAIRE ON AN ANNUAL BASIS AND DISCLOSE ALL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION AND PERFORMACE OF THE ORGANIZATION'S PRESIDENT & CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE OSWEGO HEALTH BOARD AND COMPENSATION IS APPROVED BY THE BOARD. THE COMMITTEE USES THE SERVICES OF AN INDEPENDENT CONSULTANT TO ASSIST IN THE EVALUATION PROCESS AND THE DETERMINATION OF APPROPRIATE COMPENSATION BASED ON PERFORMANCE, EXPERIENCE, TENURE AND MARKET VALUE OF SALARY RANGES AS COMPARED TO NATIONAL, REGIONAL AND LOCAL SURVEYS FOR SIMILAR POSITIONS. COMPENSATION AND PERFORMANCE OF OTHER OFFICERS IS REVIEWED ANNUALLY BY THE PRESIDENT & CEO WITH THE ASSISTANCE OF THE HR DIRECTOR AND IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. COMPENSATION IS BASED ON SALARY BENCHMARK DATE OBTAINED FROM AN INDEPENDENT CONSULTANT AND GATHERED FROM VARIOUS INDEPENDEDNT SOURCES. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, BOARD MINUTES, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE STORED ON SITE AND ARE AVAILABLE FOR REVIEW BY THE GENERAL PUBLIC DURING NORMAL BUSINESS HOURS UPON REQUEST. FORM 990, PART XI, LINE 9: OTHER COMPENENTS OF NET PERIODOC BENEFIT COSTS -33,373. PENSION - NET PERIODIC BENEFIT COST CHANGES -72,740. OSWEGO HOSPITAL 110 WEST 6TH STREET OSWEGO NY 13126 150532220 HOSPITAL NY 501 C 3 LINE 3 SCHEDULE A OSWEGO HEALTH INC 0 OSWEGO HEALTH INC 110 WEST 6TH STREET OSWEGO NY 13126 161555936 PARENT HEALTH COMPANY NY 501 C 3 LINE 11B SCHEDULE A N/A 0 SPRINGSIDE AT SENECA HILL INC 110 WEST 6TH STREET OSWEGO NY 13126 161555935 ADULT LIVING FACILITY NY 501 C 3 LINE 9 SCHEDULE A OSWEGO HEALTH INC 0 OH PROPERTIES INC 110 WEST 6TH STREET OSWEGO NY 13126 161365960 REAL ESTATE COMPANY NY 501 C 3 LINE 11B SCHEDULE A OSWEGO HEALTH INC 0 PHYSICIAN CARE PC 110 WEST 6TH STREET OSWEGO NY 13126 900864974 NON-PROFIT CORPORATION NY 501 C 3 LINE 3 SCHEDULE A OSWEGO HOSPITAL 0 OSWEGO HEALTH FOUNDATION INC 110 WEST 6TH STREET OSWEGO NY 13126 800822020 SUPPORTING ORGANIZATION NY 501 C 3 LINE 11A SCHEDULE A OSWEGO HEALTH INC 0 OSWEGO HEALTH HOME CARE LLC 113 SCHUYLER STREET FULTON NY 13069 472463736 HOME HEALTH AGENCY NY RELATED 106964 45321 0 0 0.60000 OH SERVICES INC 110 WEST 6TH STREET OSWEGO NY 13126 161390603 AUDIOLOGY PRACTICE NY OSWEGO HEALTH INC C 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0