2019-03-21T15:30:39-05:00 2017-12-31 990 2017-01-01 510169552 Huntington Nursing Home Inc HUNT 3157874088 369 East Main Street Waterloo NY 13165 Bill King Treasurer & CFO 3157874088 2018-11-15 204.138.179.237 2019-03-18 14:13:36 ED P D63ACBA687D4B43F1175C19E1E27FA773887382A D3AFBB5864F2111DDFDD393852EB1F03B510E128 2017 2019-02-21 02:37:17Z Huntington Living Center Jose Acevedo MD MBA 196 North Street Geneva NY 14456 12541144 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. 20 15 219 0 546156 0 0 6149 11593592 11857893 55832 677102 0 0 11649424 12541144 0 0 0 0 6794146 6284705 0 0 0 4866840 4727737 11660986 11012442 -11562 1528702 15861289 16538371 13048252 11977952 2813037 4560419 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 9360575 11759046 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. 9360575 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 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 1 219 1 0 0 0 0 0 0 0 0 0 0 X 20 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X Bill King 3157874088 196 North Street Geneva NY 14456 Dr Kylene Abraham Trustee 1.00 X 0 0 0 Donald Gentilcore Jr Trustee 1.00 X 0 0 0 Rev James Adams Trustee 1.00 X 0 0 0 David Bunnell Trustee 1.00 X 0 0 0 Chevanne DeVaney Trustee 1.00 X 0 0 0 Stephen DeRaddo Trustee 1.00 X 0 0 0 Dr Rodolfo Queiroz Trustee 1.00 X 0 0 0 Amy Hoffman Trustee 1.00 X 0 0 0 James Long Trustee 1.00 X 0 0 0 Dr Tom Thompson Trustee 1.00 X 0 0 0 Donald Wertman Trustee 1.00 X 0 0 0 Robert Stivers Trustee 1.00 X 0 0 0 Jose Acevedo MD MBA President & CEO 17.90 22.10 X X 0 976071 77455 Robert Anderson MD Trustee 1.00 39.00 X 0 205850 0 James Cheney Trustee 1.00 X 0 0 0 John Sheppard Trustee 1.00 X 0 0 0 Fred Vitello Treas & CFO 18.00 21.00 X X 0 54437 1388 Ann McMullen Chair 1.00 X 0 0 0 Laura Pedersen Secretary 1.00 X 0 0 0 Lance Ward Vice Chair 1.00 X 0 0 0 Patrick Boyle VP, Human Resources 31.00 9.00 X 0 229530 28072 Frank Korich Sr VP Operations 32.20 7.80 X 0 227434 26503 Eileen Gage VP, Nursing 31.60 8.40 X 0 231350 24502 Jason Feinberg MD Chief Medical Officer 33.40 6.70 X 0 389881 26503 Karol Prayne Administrator, LTC 40.00 X 111419 0 19952 Joan Fili Director, Nursing 40.00 X 106998 0 567 Ketul Patel MD Trustee through 4/30/17 1.00 39.00 X 0 427231 24209 Pamela Johnson Treas & CFO thru 4/30/17 18.80 21.20 X 0 250128 18830 218417 2991912 247981 2 1 1 0 0 6149 6149 Patient Svc Revenue 623000 11759046 11759046 98847 98847 11857893 130946 130946 546156 0 546156 546156 546156 12541144 11857893 546156 130946 5264311 4474664 789647 133498 113473 20025 534925 454686 80239 351971 299175 52796 2228 1894 334 19127 16258 2869 18274 15533 2741 165651 140803 24848 1421 1208 213 2059 1750 309 174748 148536 26212 425479 361657 63822 68786 58468 10318 Purchased Services 2668982 2268635 400347 NYS LTC Assessment 672356 571503 100853 Supplies 484149 411527 72622 Other Direct Expenses 24477 20805 3672 11012442 9360575 1651867 0 292546 411717 105385 119664 1660957 1844201 2136 1409 47019 27576 15050771 11128693 4236463 3922078 5958664 6658414 3558119 3553312 15861289 16538371 2399086 2179915 3238425 2542838 5086643 4747539 2324098 2507660 13048252 11977952 X 2813037 4560419 2813037 4560419 15861289 16538371 X 1528702 15285 203395 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 900 900 0 Part II-B, Line 1: Portion of association dues attributed to lobbying expenses. 20000 20000 11143945 7737353 3406592 389446 235753 153693 3497380 3155587 341793 3922078 Berkadia Replacement Res 1997206 Berkadia HUD Sinking Fund 1534011 Berkadia Tax & Ins Escrow 22095 3553312 Due to Affiliates 2507660 2507660 X Part X, Line 2: Huntington Living Center (HLC)is a not-for-profit corporation and is exempt from income taxes as an organization qualified under Section 501(c)(3) of the Internal Revenue Code. HLC has also been classified by the Internal Revenue Service as an entity that is not a private foundation. As of December 31, 2017, HLC does not have any uncertain tax positions. HLC files informational returns in the U.S. federal jurisdiction and New York State. X X X X X 0 1 0 0 0 0 0 0 0 Jose Acevedo MD MBA President & CEO 0 491150 0 99970 0 384951 0 50000 0 27455 0 1053526 0 334951 Robert Anderson MD Trustee 0 187418 0 0 0 18432 0 0 0 0 0 205850 0 0 Patrick Boyle VP, Human Resources 0 189669 0 24149 0 15712 0 0 0 28072 0 257602 0 0 Frank Korich Sr VP Operations 0 155368 0 28224 0 43842 0 0 0 26503 0 253937 0 0 Eileen Gage VP, Nursing 0 150836 0 20018 0 60496 0 0 0 24502 0 255852 0 0 Jason Feinberg MD Chief Medical Officer 0 317699 0 35768 0 36414 0 0 0 26503 0 416384 0 0 Ketul Patel MD Trustee through 4/30/17 0 353653 0 30216 0 43362 0 0 0 24209 0 451440 0 0 Pamela Johnson Treas & CFO thru 4/30/17 0 155382 0 39968 0 54778 0 0 0 18830 0 268958 0 0 Part I, Line 4b GGeneva General Hospital deposited $50,000 into a 457(f) plan in 2017 for Dr. Jose Acevedo, MD, MBA, President & CEO. Dr. Jose Acevedo, MD, MBA, President and & CEO also recieved a distribution of 457 (f) plan in 2017 in the amount of $358,466.93. 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. 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 Minimum Pension Liability 203,395. FORM 990 PART IV, LINE 4 Part IV, Line 4 Association dues included in $900 lobbying expense. 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