2017-11-09T16:10:10-06:00 2016-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2016-01-01 222902899 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION IDEA 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 KAY BOLAND 2ND VICE CHAIRMAN 6077636694 2017-08-24 1 ANGELA M FRANCO P00589741 3154463600 2017-08-23 24.39.85.114 2017-08-24 16:36:49 ED P 9ED0318F8F0D15647C4BFB992883BD7B1D0B79EC 517AEBE328CBAAA90E396C2FD1060AA56161F780 2016 2018-03-14 21:41:22Z KAY BOLAND 508 HIGH AVENUE ENDICOTT NY 13760 3621434 0 X WWW.UHS.NET X 1988 NY 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 12 8 93 8 0 0 26480 37378 3403176 3301539 235609 222891 50378 59626 3715643 3621434 0 0 0 0 1719972 1731606 0 0 0 1893369 1904971 3613341 3636577 102302 -15143 10814653 10312602 11284166 10695992 -469513 -383390 X 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 0 0 3273110 3301539 ISLCHC PROVIDES HOUSING AND HEALTH & WELLNESS SERVICES TO THE ELDERLY RESIDENTS OF BROOME COUNTY AND SURROUNDING AREAS. ISLCHC INCLUDES 33 INDEPENDENT LIVING APARTMENTS, 47 ADULT CARE FACILITY BEDS, AND 23 ASSISTED LIVING PROGRAM BEDS. VARIOUS SERVICES SUCH AS MEALS, HOUSEKEEPING, ACTIVITIES PROGRAM AND SOCIAL TRANSPORTATION ARE PROVIDED TO ALL RESIDENTS TO ENHANCE THE QUALITY OF THEIR LIVES. ASSISTED LIVING PROGRAM RESIDENTS RECEIVE NURSING, THERAPY AND HOME HEALTH AND PERSONAL CARE SERVICES AS NEEDED. ISLCHC IS A MEMBER OF THE UNITED HEALTH SERVICES HEALTH CARE SYSTEM AND IS LOCATED ON THE SAME CAMPUS AS ITS SISTER COMPANY: IDEAL SENIOR LIVING CENTER, INC., A 150 BED NURSING FACILITY.DURING 2016, APROXIMATELY 24% OF INDEPENDENT APARTMENTS WERE LEASED TO LOW INCOME ELDERLY TENANTS. ADDITIONALLY, APPROXIMATELY 60% OF ALP ROOMS AND 53% OF ACF ROOMS WERE LEASED TO LOW INCOME ELDERLY RESIDENTS. 3273110 1 1 0 1 0 0 0 0 1 1 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 10 0 1 93 1 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X MARILYN BARBIERI 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 X SHARON YAPLE CHAIRMAN 2.00 X X 0 0 0 LILLIAN LEVY 1ST VICE CHAIR 2.00 X X 0 0 0 KAY BOLAND 2ND VICE CHAIR 2.00 55.00 X X 0 366176 27882 ROBIN KINSLOW-EVANS SECRETARY 2.00 55.00 X X 0 286172 38902 HAROLD BEAM TREASURER 2.00 X X 0 0 0 JEROME BIGNOLI TRUSTEE 2.00 X 0 0 0 ROBERT GOMULKA TRUSTEE 2.00 X 0 0 0 PETER NEWMAN TRUSTEE 2.00 X 0 0 0 MICHELLE KAREDES TRUSTEE 2.00 55.00 X 0 127558 28888 EVELYN ROZUNIK TRUSTEE 2.00 X 0 0 0 BARBARA TRAVIS TRUSTEE 2.00 X 0 0 0 NANCY RONGO TRUSTEE 2.00 55.00 X 0 250476 31323 MICHELE GORDON ADMINISTRATOR 11.00 44.00 X 27397 109589 23631 MARILYN BARBIERI DIRECTOR OF FINANCE 11.00 44.00 X 17911 71643 14440 RON CEROW FORMER OFFICER 0.00 X 0 127369 27338 45308 1338983 192404 0 1 1 0 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES MGMT 296406 1 17378 20000 37378 ADULT CARE/ASSISTED LI 623000 2120119 2120119 APARTMENT RENT 623990 685599 685599 LICENSED HOME CARE 621610 251821 251821 AFFILIATE RENT 531120 244000 244000 3301539 222391 222391 500 0 500 500 500 MORTGAGE INSURANCE 531390 25724 25724 MISCELLANEOUS REVENUE 900099 12094 12094 MISCELLANEOUS SERVICES 532000 11376 11376 10432 10432 59626 3621434 3301539 0 282517 X 1244976 1244976 60601 60601 283796 283796 142233 142233 19560 19560 1727 1727 23829 23829 274491 112860 161631 11281 10633 648 150 150 235188 235188 32489 32489 404736 395168 9568 336532 336532 125597 125597 SERVICE CONTRACTS 362643 359005 3638 OPERATING EXPENSES 57453 57453 LICENSES & TAXES 11239 11239 ALL OTHER EXPENSE 5950 70 5880 2106 2106 3636577 3273110 363467 0 X 215205 210491 70325 67728 5314960 5000355 26579 26579 37356 34429 13980347 10802350 3337536 3177997 832927 915164 129170 850595 879859 10814653 10312602 748511 478560 5889 7301 10081688 9400218 448078 809913 11284166 10695992 X -1249222 -1198619 293601 329021 486108 486208 -469513 -383390 10814653 10312602 X -15143 101266 X X 0 1 X 1 0 X 32904 5000 14108 26480 37378 115870 3126262 3158527 3161102 3403176 3301539 16150606 122874 149615 157284 50378 60126 540277 3282040 3313142 3332494 3480034 3399043 16806753 0 0 0 16806753 272083 260430 248300 235609 222391 1238813 272083 260430 248300 235609 222391 1238813 3554123 3573572 3580794 3715643 3621434 18045566 0.93140 0.92690 0.06860 0.07310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 153 153 0 PART II-B, LINE 1: EXPENDITURE FOR LOBBYING IS A PERCENTAGE OF THE DUES TO HANYS (23.71%). 0 1 X 779709 35520 815229 802348 -22639 779709 761287 41061 802348 660091 101196 761287 605701 54390 660091 0.60000 0.40000 0 0 102112 102112 9455361 7076996 2378365 1212802 762557 450245 3210072 2962797 247275 3177997 INTEREST IN NET ASSETS OF UNITED HEALTH SERVICES FOUNDATION, INC 815229 RESIDENT FUNDS HELD IN TRUST 64630 879859 RESIDENT SECURITY DEPOSITS 57329 DUE TO AFFILIATES 742760 WORKERS' COMPENSATION LIABILITY - NET OF CURRENT PORTION 9824 809913 X 3621434 0 3621434 0 3621434 3636577 0 3636577 0 3636577 PART IV, LINE 2B: ISLCHC MAINTAINS A RESIDENT TRUST FUND ACCOUNT TO HOLD PERSONAL FUNDS IN A SECURE LOCATION. THE RESIDENT TRUST FUND ACCOUNT IS ORGANIZED AS A SINGLE BANK ACCOUNT THAT INCLUDES THE FUNDS OF ALL RESIDENTS WHO HAVE CHOSEN TO USE IT. HOWEVER, EACH RESIDENT'S FINANCES ARE TRACKED SEPARATELY, AND THE RESIDENT OR THE RESIDENT'S APPOINTED FINANCIAL REPRESENTATIVE MUST APPROVE EVERY TRANSACTION. IF THE RESIDENT LEAVES THE FACILITY FOR ANY REASON OR PASSES AWAY, THE FUNDS ARE THEN RETURNED TO THE RESIDENT OR THE RESIDENT'S ESTATE. PART X, LINE 2: THE HOUSING CORP. 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, 2016 AND 2015, THE HOUSING CORP. DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2013 THROUGH 2016. X X X X 0 0 0 0 0 0 0 0 0 KAY BOLAND 2ND VICE CHAIR 0 306846 0 59330 0 0 0 16165 0 11717 0 394058 0 0 ROBIN KINSLOW-EVANS SECRETARY 0 239052 0 47120 0 0 0 16165 0 22737 0 325074 0 0 MICHELLE KAREDES TRUSTEE 0 117558 0 10000 0 0 0 8725 0 20163 0 156446 0 0 NANCY RONGO TRUSTEE 0 212056 0 38420 0 0 0 15279 0 16044 0 281799 0 0 MICHELE GORDON ADMINISTRATOR 25117 100469 2280 9120 0 0 1874 7496 2852 11409 32123 128494 0 0 RON CEROW FORMER OFFICER 0 111669 0 15700 0 0 0 13374 0 13964 0 154707 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11B THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE IDEAL SENIOR LIVING CENTER HOUSING CORP'S (ISLCHC) BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE UHS FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO, THE BOARD OF DIRECTORS AND INDEPENDENT AUDITORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE 2ND VICE CHAIR AND BOARD CHAIRMAN. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF IDEAL SENIOR LIVING CENTER HOUSING CORP (ISLCHC) THAT THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW ISLCHC TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, UHS, INC.--THE SOLE CORPORATE MEMBER OF ISLCHC--PERFORMS HUMAN RESOURCES SERVICES FOR ISLCHC. UHS, INC. PREPARES AND RECOMMENDS ISLCHC EXECUTIVE COMPENSATION PACKAGES USING BENCHMARKS PROVIDED BY IROQUOIS HEALTHCARE ALLIANCE TO DETERMINE REASONABLE COMPENSATION LEVELS. THE ISLCHC BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE THEN REVIEWS THE RECOMMENDATIONS TO ENSURE THE APPROPRIATENESS OF BASE SALARY, INCENTIVES, AND BENEFITS. THE COMPENSATION COMMITTEE WILL THEN MAKE ANY NECESSARY REVISIONS PRIOR TO APPROVING EXECUTIVE COMPENSATION PACKAGES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN B THE FOLLOWING BOARD MEMBERS ARE ACTIVE ON THE IDEAL SENIOR LIVING CENTER HOUSING CORP BOARD OF DIRECTORS AND ARE EMPLOYED FULL TIME BY ONE OR MORE RELATED ORGANIZATIONS: NANCY RONGO ROBIN KINSLOW-EVANS KAY BOLAND MICHELLE KAREDES FORM 990, PART IX, LINE 5 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION (ISLCHC) HAS AN ADMINISTRATION/MANAGEMENT SERVICES INTERCOMPANY CONTRACT WITH UHS HOSPITALS. THE ADMINISTRATOR--MICHELE GORDON--SPENDS 80% OF HER TIME PERFORMING ADMINISTRATION DUTIES FOR IDEAL SENIOR LIVING, INC. (ISLC), AND 20% FOR ISLCHC. ISLCHC HAS A FINANCIAL SERVICES INTERCOMPANY CONTRACT WITH ISLC. THE DIRECTOR OF FINANCE--MARILYN BARBIERI--SPENDS 80% OF HER TIME PERFORMING FINANCIAL DUTIES FOR ISLC AND 20% OF HER TIME FOR ISLCHC. FORM 990, PART X, LINE 25 IN ORDER TO BE IN ALIGNMENT WITH THE FASB ACCOUNTING STANDARD UPDATE 2015-3, DEBT ISSUANCE COSTS FOR 2015 WERE RESTATED ON THE AUDITED 2016 FINANCIAL STATEMENTS FROM A DEFERRED CHARGE ASSET TO A LIABILITY AS A DIRECT DEDUCTION FROM THE CARRYING VALUE OF THE ASSOCIATED DEBT LIABILITY. ALTHOUGH, FOR THE PURPOSES OF THE 2016 FORM 990 FILING, THE BALANCE SHEET BEGINNING OF THE YEAR BALANCES REMAIN CONSISTENT WITH THE 2015 FORM 990 FILINGS. ISLCHC RECATEGORIZED ESTIMATED S/T DUE TO AFFILIATES, FROM LINE 17 (ACCOUNTS PAYABLE AND ACCRUED EXPENSES) TO LINE 25 (OTHER LIABILITIES) IN 2016. FORM 990, PART XI, LINE 9: RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST 65,746. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF UHS FOUNDATION, 35,420. CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF UHS FOUNDATION, 100. FORM 990, PART XII, LINE 2C NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT CHANGED DURING 2016. UHS INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 10 N/A 0 IDEAL SENIOR LIVING CENTER 508 HIGH AVE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 N/A 0 PROFESSIONAL HOME CARE 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME HEALTH CARE NY 501(C)(3) 10 N/A 0 TWIN TIER HOME HEALTH CARE 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 222348211 HOME HEALTH CARE NY 501(C)(3) 7 N/A 0 UHS HOSPITALS INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 161165049 ACUTE & OUTPATIENT SERVICES NY 501(C)(3) 3 N/A 0 CHENANGO MEMORIAL HOSPITAL INC 179 NORTH BROAD STREET NORWICH NY 13815 150532180 HOSPITAL NY 501(C)(3) 3 N/A 0 DELAWARE VALLEY HOSPITAL INC 1 TITUS PLACE WALTON NY 138561457 150524324 HOSPITAL NY 501(C)(3) 3 N/A 0 PROJECT HEAR 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161462675 HOME ALARM SYSTEMS NY 501(C)(3) 10 N/A 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0