2019-11-14T09:29:13-06:00 2018-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2018-01-01 161449543 GENEVA NURSING HOME II INC GENE 3157874000 64 MASON ST GENEVA NY 14456 JEFFREY MORGAN CFO & TREASURER 3157874000 2019-11-14 1 AIMEE J JOZIC P01346943 5853811000 4.14.157.194 2019-11-14 08:05:20 ES P 6B457999F3EEA641C59B75AD5CAFE01062719FC1 5C704B3FF464E54C4CE4AB9B8A5F0120FA67052E 2018 2020-03-31 21:24:44Z LIVING CENTER AT GENEVA NORTH JOSE ACEVEDO MD MBA 64 MASON ST GENEVA NY 14456 5983639 0 X WWW.FLHEALTH.ORG X 1995 NY 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. 19 16 84 0 0 0 576 121314 5997125 5745752 193508 75345 0 41228 6191209 5983639 0 0 0 0 2491647 2730811 0 0 0 2977745 3043567 5469392 5774378 721817 209261 7816206 7458893 9199848 8009172 -1383642 -550279 X 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. 0 0 3846901 5778213 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. 3846901 1 1 0 1 0 0 0 0 1 0 1 1 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 2 0 1 84 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 JOSE ACEVEDO MD PRESIDENT & CEO 3.20 36.80 X X 0 746372 75448 REV JAMES ADAMS DIRECTOR 1.00 4.00 X 0 0 0 ROBERT ANDERSON MD DIRECTOR 1.00 39.00 X 0 227995 7443 PHIL BECKLEY DIRECTOR 1.00 4.00 X 0 0 0 DAVID BUNNELL DIRECTOR 1.00 4.00 X 0 0 0 TOM BURRALL DIRECTOR 1.00 4.00 X 0 0 0 JAMES CHENEY DIRECTOR 1.00 4.00 X 0 0 0 CRAIG DENSMORE DIRECTOR 1.00 4.00 X 0 0 0 CHEVANNE DEVANEY DIRECTOR 1.00 4.00 X 0 0 0 DONALD GENTILCORE JR 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 ANN MCMULLEN DIRECTOR 1.00 4.00 X 0 0 0 RODOLFO QUEIROZ MD DIRECTOR 1.00 4.00 X 0 0 0 JOHN SHEPPARD VICE CHAIR 1.00 4.00 X X 0 0 0 TOM THOMPSON MD DIRECTOR 1.00 4.00 X 0 0 0 LANCE WARD CHAIR 1.00 4.00 X X 0 0 0 FRED R VITELLO TREASURER & CFO, THROUGH OCT 2018 18.00 22.00 X 0 331610 8871 EILEEN M GAGE VP NURSING, THROUGH JULY 2018 1.00 39.00 X 0 220427 14544 BILL KING INTERIM TREASURER 18.00 22.50 X 0 117795 12431 FRANK M KORICH SR VP OPERATIONS 1.00 39.00 X 0 276418 24418 PATRICK R BOYLE VP HUMAN RESOURCES 1.00 39.00 X 0 240115 30324 WILLIAM GARRITY VP LONG TERM CARE 10.00 30.00 X 0 165077 27668 0 2325809 201147 0 0 1 0 0 46800 74514 121314 PATIENT SVC REVENUE 623000 5732932 5732932 12820 12820 5745752 42884 42884 32461 0 32461 32461 32461 OTHER REVENUE-MLMIC 900099 41228 41228 41228 5983639 5778213 0 84112 2114643 1753493 361150 -10125 -7796 -2329 464759 357864 106895 161534 124381 37153 7516 7516 8789 8789 20000 20000 5700 5700 12786 3530 9256 4874 -13 4887 179268 150597 28671 1352 1352 124811 124811 238885 226941 11944 39633 39633 PURCHASED SERVICES 1849357 786305 1063052 NYS ASSESSMENT TAX 392941 357775 35166 SUPPLIES 144414 89914 54500 OTHER EXPENSES 13241 3910 9331 5774378 3846901 1927477 0 247593 216603 12393 17501 719993 758612 8536 15139 9497902 7153445 2534088 2344457 1692265 1602863 2601338 2503718 7816206 7458893 629047 607706 1695306 1325191 12393 17501 3289826 2981572 3573276 3077202 9199848 8009172 X -1383642 -550279 -1383642 -550279 7816206 7458893 X 209261 -163510 649826 137786 X X 0 1 X 1 1 1 X 1605 900 0 576 121314 124395 5267230 5441393 5637303 5997125 5745752 28088803 5268835 5442293 5637303 5997701 5867066 28213198 0 0 0 28213198 28031 15380 14323 38356 42884 138974 28031 15380 14323 38356 42884 138974 41228 41228 5296866 5457673 5651626 6036057 5951178 28393400 0.99370 0.99590 0.00490 0.00410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 391 391 0 PART II-B, LINE 1: PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. 0 1 X 81133 81133 7436397 5934010 1502387 78053 58861 19192 1902319 1160574 741745 2344457 INVESTMENT IN GGH POOLED INVESTMENTS 1602863 F 1602863 RESERVE FOR REPLACEMENT 710441 RESTRICTED HUD SINKING FUND 1793277 2503718 DUE TO AFFILIATES/OTHER FUNDS 2203842 LT DUE TO AFFILIATE PENSION 873360 3077202 5820129 -163510 -163510 5983639 0 5983639 6561990 649826 137786 787612 5774378 0 5774378 PART IV, LINE 2B: LCN HOLDS AGENCY FUNDS FOR THE CONVENIENCE OF ITS RESIDENTS. X X X X X 0 1 0 0 0 0 0 0 0 JOSE ACEVEDO MD 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 R VITELLO TREASURER & CFO, THROUGH OCT 2018 0 296879 0 0 0 34731 0 0 0 8871 0 340481 0 0 EILEEN M GAGE VP NURSING, THROUGH JULY 2018 0 145674 0 30434 0 44319 0 0 0 14544 0 234971 0 0 FRANK M KORICH SR VP OPERATIONS 0 198626 0 33613 0 44179 0 0 0 24418 0 300836 0 0 PATRICK R BOYLE VP HUMAN RESOURCES 0 195887 0 26808 0 17420 0 0 0 30324 0 270439 0 0 WILLIAM GARRITY VP LONG TERM CARE 0 139934 0 12696 0 12447 0 0 0 27668 0 192745 0 0 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 $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 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. FORM 990, PART XI, LINE 9: ADDITIONAL PENSION LIABILITY 137,786. FORM 990, PART XII, LINE 2C: LCN 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 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 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 HUNTINGTON LIVING CENTER 369 EAST MAIN STREET WATERLOO NY 13165 510169552 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 HOUSING DEVELOPMENT CO 371 EAST MAIN STREET WATERLOO NY 13165 222807734 PROVIDE LOW INCOME HOUSING NY 501(C)(3) LINE 9 FINGER LAKES REGIONAL HEALTH SYSTEM INC 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 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0