2019-11-14T09:29:13-06:00 2018-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2018-01-01 510169552 HUNTINGTON NURSING HOME INC HUNT 3157874088 369 EAST MAIN STREET WATERLOO NY 13165 JEFFREY MORGAN CFO AND TREASURER 3157874088 2019-11-14 1 AIMEE J JOZIC P01346943 5853811000 4.14.157.194 2019-11-14 08:06:04 ES P 6B457999F3EEA641C59B75AD5CAFE01062719FC1 5C704B3FF464E54C4CE4AB9B8A5F0120FA67052E 2018 2020-01-14 16:20:31Z HUNTINGTON LIVING CENTER JEFFREY MORGAN 369 EAST MAIN STREET WATERLOO NY 13165 11218672 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. 19 16 233 16 0 0 6149 56484 11857893 10774651 677102 266604 0 120933 12541144 11218672 0 0 0 0 6284705 6450510 0 0 0 4727737 4846513 11012442 11297023 1528702 -78351 16538371 16477362 11977952 11253109 4560419 5224253 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 8120583 10774651 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. 8120583 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 0 233 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X JEFFREY MORGAN 3157874000 196 NORTH STREET GENEVA NY 14456 KYLENE ABRAHAM MD SECRETARY 1.00 4.00 X X 0 0 0 DONALD GENTILCORE JR DIRECTOR 1.00 4.00 X 0 0 0 REV JAMES ADAMS DIRECTOR 1.00 4.00 X 0 0 0 DAVID BUNNELL DIRECTOR 1.00 4.00 X 0 0 0 CHEVANNE DEVANEY DIRECTOR 1.00 4.00 X 0 0 0 PHIL BECKLEY DIRECTOR 1.00 4.00 X 0 0 0 RODOLFO QUEIROZ MD DIRECTOR 1.00 4.00 X 0 0 0 AMY HOFFMAN DIRECTOR 1.00 4.00 X 0 0 0 JAMES LONG DIRECTOR 1.00 4.00 X 0 0 0 TOM THOMPSON MD DIRECTOR 1.00 4.00 X 0 0 0 CRAIG DENSMORE DIRECTOR 1.00 4.00 X 0 0 0 BILL KING INTERIM TREASURER 18.00 21.00 X X 0 117795 12431 JOSE ACEVEDO MD MBA PRESIDENT & CEO 3.20 36.80 X X 0 746372 75448 ROBERT ANDERSON MD DIRECTOR 1.00 39.00 X 0 227995 7443 JAMES CHENEY DIRECTOR 1.00 4.00 X 0 0 0 JOHN SHEPPARD VICE CHAIR 1.00 4.00 X X 0 0 0 TOM BURRALL DIRECTOR 1.00 4.00 X 0 0 0 ANN MCMULLEN DIRECTOR 1.00 4.00 X 0 0 0 LANCE WARD CHAIR 1.00 4.00 X 0 0 0 FRED VITELLO TREASURER & CFO, THROUGH OCTOBER 2018 18.00 21.00 X 0 331610 8871 FRANK M KORICH SR VP OPERATIONS 1.00 39.00 X 0 276418 24418 EILEEN M GAGE VP NURSING, THROUGH JULY 2018 1.00 39.00 X 0 220427 14544 PATRICK R BOYLE VP HUMAN RESOURCES 1.00 39.00 X 0 240115 30324 WENDY DISBROW VP PHYS NETWORK 1.00 39.00 X 0 212861 7055 KAROL L PRAYNE ADMINISTRATOR LTC HLC 40.00 X 111224 0 17929 111224 2373593 198463 1 0 1 0 0 46800 9684 56484 PATIENT SVC REVENUE 623000 10736261 10736261 38390 38390 10774651 145515 145515 121089 0 121089 121089 121089 OTHER REVENUE 900099 120933 120933 120933 11218672 10774651 0 387537 129153 93176 35977 5280294 4148356 1131938 -23990 -17513 -6477 688314 479535 208779 376739 275019 101720 36393 36393 3062 3062 20000 20000 20790 20790 43770 31159 12611 3621 3621 612486 568483 44003 163 50 113 1748 275 1473 169399 169399 415563 394785 20778 74559 74559 PURCHASED SERVICES 2416973 1329294 1087679 NYS ASSESSMENT TAX 583175 583175 SUPPLIES 419214 225738 193476 25597 9051 16546 11297023 8120583 3176440 0 411717 533416 119664 62250 1844201 2391509 1409 3209 27576 42383 15242200 11544257 3922078 3697943 6658414 6317753 3553312 3428899 16538371 16477362 2060251 1609142 2542838 2061508 119664 62250 4747539 4396179 2507660 3124030 11977952 11253109 X 4560419 5224253 4560419 5224253 16538371 16477362 X -78351 -606808 1004529 344464 X X 0 1 X 1 1 1 X 8441 4867 0 6149 56484 75941 10333703 10685529 11593592 11857893 10774651 55245368 10342144 10690396 11593592 11864042 10831135 55321309 0 0 0 55321309 89596 75690 55648 130946 145515 497395 89596 75690 55648 130946 145515 497395 120933 120933 10431740 10766086 11649240 11994988 11097583 55939637 0.98890 0.99220 0.00890 0.00780 X 0 0 0 0 0 0 0 0 1 562 562 0 PART II-B, LINE 1: PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. 0 1 X 20000 20000 11263069 8052177 3210892 389446 260267 129179 3569685 3231813 337872 3697943 CASH HELD IN ESCROW 1893668 MORTGAGE SINKING FUND 1535231 3428899 DUE TO AFFILIATES/OTHER FUNDS 1530492 LT DUE TO AFFILIATE PENSION 1593538 3124030 11097583 -121089 -121089 11218672 0 11218672 11297023 0 11297023 0 11297023 PART IV, LINE 2B: HLC HOLDS AGENCY FUNDS FOR THE COVENIENCE OF ITS RESIDENTS. X X X X X 0 1 0 0 0 0 0 0 0 JOSE ACEVEDO MD MBA PRESIDENT & CEO 0 496655 0 202573 0 47144 0 50000 0 25448 0 821820 0 0 ROBERT ANDERSON MD DIRECTOR 0 196259 0 12750 0 18986 0 0 0 7443 0 235438 0 0 FRED VITELLO TREASURER & CFO, THROUGH OCTOBER 201 0 296879 0 0 0 34731 0 0 0 8871 0 340481 0 0 FRANK M KORICH SR VP OPERATIONS 0 198626 0 33613 0 44179 0 0 0 24418 0 300836 0 0 EILEEN M GAGE VP NURSING, THROUGH JULY 2018 0 145674 0 30434 0 44319 0 0 0 14544 0 234971 0 0 PATRICK R BOYLE VP HUMAN RESOURCES 0 195887 0 26808 0 17420 0 0 0 30324 0 270439 0 0 WENDY DISBROW VP PHYS NETWORK 0 166043 0 16904 0 29914 0 0 0 7055 0 219916 0 0 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 $50,000 INTO A 457(F) PLAN IN 2018 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: ADDITIONAL PENSION LIABILITY 344,464. FORM 990, PART XII, LINE 2C: HUNTINGTON LIVING CENTER HAS A BOARD AND FINANCE COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE 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