GENEVA NURSING HOME II INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- GENEVA NURSING HOME II INC (EIN 16-1449543)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201723199349314202
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T15:36:14-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161449543 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Geneva Nursing Home II Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GENE | BusinessNameControlTxt |
| Phone | 3157874088 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 64 Mason St | AddressLine1Txt |
| City | Geneva | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Fred Vitella | PersonNm |
| Person Title | Treasurer & CFO | PersonTitleTxt |
| Phone | 3157874030 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 204.138.179.3 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-15 | IPDt |
| IP Tm | 13:38:39 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A3125052943466295D27BF813D6A279BC4FF18F6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A3125052943466295D27BF813D6A279BC4FF18F6 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Living Center at Geneva North | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Jose Acevedo MD MBA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 North Street | AddressLine1Txt |
| City | Geneva | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,651,665 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.flhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1995 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 90 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $900 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,441,393 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,637,303 | CYProgramServiceRevenueAmt |
| PY Investment Income | $8,484 | PYInvestmentIncomeAmt |
| CY Investment Income | $14,362 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,450,777 | PYTotalRevenueAmt |
| CY Total Revenue | $5,651,665 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,495,914 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,835,417 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,808,528 | PYOtherExpensesAmt |
| CY Other Expenses | $2,992,917 | CYOtherExpensesAmt |
| PY Total Expenses | $5,304,442 | PYTotalExpensesAmt |
| CY Total Expenses | $5,828,334 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $146,335 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$176,669 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,399,551 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,095,403 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,524,415 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,288,330 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,124,864 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,192,927 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,830,752 | ExpenseAmt |
| Revenue | $5,627,549 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $4,830,752 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 90 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fred Vitello | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3157874030 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 196 North Street | AddressLine1Txt |
| City | Geneva | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14456 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Philip Beckley | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Donald Gentilcore Jr | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Rev James Adams | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| David Bunnell | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Menzo Case | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Catanise | ||||||||
| Trustee through 4/30/16 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen DeRaddo | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Taryn Draxler MD | ||||||||
| Trustee through 4/30/16 | 1.00 | Yes (X) | $0 | $236,338 | $32,477 | |||
| Dominic Fonte | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Amy Hoffman | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| James Long | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Kelly Mittiga | ||||||||
| Trustee through 4/30/16 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Donald Wertman | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Stivers | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Ketul Patel MD | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $487,792 | $23,210 | 39.00 | ||
| Jose Acevedo MD MBA | ||||||||
| President & CEO | 17.90 | Yes (X) | $0 | $635,181 | $77,401 | 22.10 | Yes (X) | |
| Pamela Johnson | ||||||||
| Treas & CFO | 18.80 | Yes (X) | $0 | $316,184 | $29,384 | 21.20 | Yes (X) | |
| Robert Anderson MD | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $267,118 | $13,323 | 39.00 | ||
| James Cheney | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| John Sheppard | ||||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Ann McMullen | ||||||||
| Chair | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Laura Pedersen | ||||||||
| Secretary | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Lance Ward | ||||||||
| Vice Chair | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Patrick Boyle | ||||||||
| VP, Human Resources | 31.00 | $0 | $227,273 | $27,999 | 9.00 | Yes (X) | ||
| Frank Korich | ||||||||
| Sr VP Operations | 32.20 | $0 | $231,454 | $26,327 | 7.80 | Yes (X) | ||
| Eileen Gage | ||||||||
| VP, Nursing | 31.60 | $0 | $232,591 | $24,237 | 8.40 | Yes (X) | ||
| Jason Feinberg MD | ||||||||
| Chief Medical Officer | 33.40 | $0 | $366,863 | $25,541 | 6.70 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,000,794 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $279,899 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Svc Revenue | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $5,627,549 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,627,549 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,754 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,754 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,637,303 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,323 | TotalRevenueColumnAmt |
| Exclusion | $14,323 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $39 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,651,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,637,342 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,323 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,052,193 | TotalAmt |
| Program Services | $1,700,939 | ProgramServicesAmt |
| Management And General | $351,254 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,560 | TotalAmt |
| Program Services | $180,322 | ProgramServicesAmt |
| Management And General | $37,238 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,161 | TotalAmt |
| Program Services | $341,615 | ProgramServicesAmt |
| Management And General | $70,546 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,503 | TotalAmt |
| Program Services | $127,229 | ProgramServicesAmt |
| Management And General | $26,274 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,388 | TotalAmt |
| Program Services | $7,781 | ProgramServicesAmt |
| Management And General | $1,607 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,650 | TotalAmt |
| Program Services | $12,971 | ProgramServicesAmt |
| Management And General | $2,679 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,980 | TotalAmt |
| Program Services | $1,641 | ProgramServicesAmt |
| Management And General | $339 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,023 | TotalAmt |
| Program Services | $77,101 | ProgramServicesAmt |
| Management And General | $15,922 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $623 | TotalAmt |
| Program Services | $516 | ProgramServicesAmt |
| Management And General | $107 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,129 | TotalAmt |
| Program Services | $129,406 | ProgramServicesAmt |
| Management And General | $26,723 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,035 | TotalAmt |
| Program Services | $226,302 | ProgramServicesAmt |
| Management And General | $46,733 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,657 | TotalAmt |
| Program Services | $34,527 | ProgramServicesAmt |
| Management And General | $7,130 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Purchased Services | $1,819,592 | $1,508,150 | $311,442 |
| Supplies | $364,110 | $301,789 | $62,321 |
| NYS LTC Assessment | $211,900 | $175,631 | $36,269 |
| Other Direct Expenses | $5,830 | $4,832 | $998 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,828,334 | TotalAmt |
| Program Services | $4,830,752 | ProgramServicesAmt |
| Management And General | $997,582 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,107 | BOYAmt |
| EOY | $435,545 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,151 | BOYAmt |
| EOY | $23,800 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $611,909 | BOYAmt |
| EOY | $445,882 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,315 | BOYAmt |
| EOY | $11,534 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,125,695 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,681,746 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,647,435 | BOYAmt |
| EOY | $2,443,949 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,508,248 | BOYAmt |
| EOY | $1,355,051 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,283,386 | BOYAmt |
| EOY | $3,379,642 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,399,551 | BOYAmt |
| EOY | $8,095,403 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,605 | BOYAmt |
| EOY | $679,807 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,895,112 | BOYAmt |
| EOY | $1,945,767 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,845,423 | BOYAmt |
| EOY | $3,586,397 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,179,275 | BOYAmt |
| EOY | $4,076,359 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,524,415 | BOYAmt |
| EOY | $10,288,330 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,124,864 | BOYAmt |
| EOY | -$2,192,927 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,124,864 | BOYAmt |
| EOY | -$2,192,927 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,399,551 | BOYAmt |
| EOY | $8,095,403 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$176,669 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $69,404 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $39,202 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Tax4912 | $384 | Tax4912Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Portion of association dues attributed to lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $81,133 | InvestmentCostOrOtherBasisAmt |
| Book Value | $81,133 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $7,289,601 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $5,635,993 | DepreciationAmt |
| Book Value | $1,653,608 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $68,981 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $46,551 | DepreciationAmt |
| Book Value | $22,430 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,685,980 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $999,202 | DepreciationAmt |
| Book Value | $686,778 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,443,949 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Berkadia Replacement res | $1,587,573 |
| Berkadia HUD Sinking Fund | $1,792,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,379,642 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Affiliates | Desc |
| Amt | $4,076,359 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,076,359 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Living Center at Geneva North (LCN)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. LCN has also been classified by the IRS as an entity that is not a private foundation. As of December 31, 2016, LCN does not have any uncertain tax positions. LCN files informational returns in the U.S. federal jurisdiction and New York State. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Taryn Draxler MD | ||||||||||||||
| Trustee through 4/30/16 | $0 | $220,517 | $0 | $15,000 | $0 | $821 | $0 | $0 | $0 | $32,477 | $0 | $268,815 | $0 | $0 |
| Ketul Patel MD | ||||||||||||||
| Trustee | $0 | $451,792 | $0 | $36,000 | $0 | $0 | $0 | $0 | $0 | $23,210 | $0 | $511,002 | $0 | $0 |
| Jose Acevedo MD MBA | ||||||||||||||
| President & CEO | $0 | $477,867 | $0 | $128,780 | $0 | $28,534 | $0 | $50,000 | $0 | $27,401 | $0 | $712,582 | $0 | $0 |
| Pamela Johnson | ||||||||||||||
| Treas & CFO | $0 | $213,354 | $0 | $45,757 | $0 | $57,073 | $0 | $0 | $0 | $29,384 | $0 | $345,568 | $0 | $0 |
| Robert Anderson MD | ||||||||||||||
| Trustee | $0 | $267,118 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $17,127 | $0 | $284,245 | $0 | $0 |
| Patrick Boyle | ||||||||||||||
| VP, Human Resources | $0 | $179,735 | $0 | $20,335 | $0 | $27,203 | $0 | $0 | $0 | $27,999 | $0 | $255,272 | $0 | $0 |
| Frank Korich | ||||||||||||||
| Sr VP Operations | $0 | $155,951 | $0 | $31,670 | $0 | $43,833 | $0 | $0 | $0 | $26,327 | $0 | $257,781 | $0 | $0 |
| Eileen Gage | ||||||||||||||
| VP, Nursing | $0 | $150,352 | $0 | $21,051 | $0 | $61,188 | $0 | $0 | $0 | $24,237 | $0 | $256,828 | $0 | $0 |
| Jason Feinberg MD | ||||||||||||||
| Chief Medical Officer | $0 | $298,361 | $0 | $32,232 | $0 | $36,270 | $0 | $0 | $0 | $25,541 | $0 | $392,404 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | Geneva General Hospital deposited $50,000 into a 457(f) plan in 2016 for Dr. Jose Acevedo, MD, MBA, President & CEO. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 Part IV, Line 4 | Part IV, Line 4 Association dues included in $384 lobbying expenses. |
| 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 | Living Center at Geneva - North 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. |
| Form 990, Part VI, Section C, line 19 | Living Center at Geneva North makes its governing documents, conflict of interest policies 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 39,202. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Finger Lakes Regional Health System Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 223193606 | Sole Member of LCN, GGH, FLHF, LCS, HLC, SSMH and FLHSC | NY | 501 (C) (3) | 7 | 0 | |
| Geneva General Hospital | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 160743032 | Provider of Healthcare | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| Finger Lakes Health Foundation | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 150549310 | Coordinator of Fund Raising Activities | NY | 501 (C) (3) | 11C | 0 | Finger Lakes Regional Health System Inc |
| Living Center at Geneva South | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 160957268 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| Huntington Living Center | ||||||||||
| 369 East Main Street | Waterloo | NY | 13165 | 510169552 | Skilled Nursing Facility | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| Geneva General Housing Development Co | ||||||||||
| 260 North Street | Geneva | NY | 14456 | 222816883 | Provide Low Income Housing | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Taylor Brown Housing Development Co | ||||||||||
| 371 East Main Street | Waterloo | NY | 13165 | 222807734 | Provide Low Income Housing | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Soldiers & Sailors Memorial Hospital | ||||||||||
| 418 North Main Street | Penn Yan | NY | 14527 | 160743192 | Provider of Healthcare | NY | 501 (C) (3) | 3 | 0 | Finger Lakes Regional Health System Inc |
| FLH Senior Communities Inc | ||||||||||
| 196 North Street | Geneva | NY | 14456 | 205604917 | Develop and Provide Senior Citizen Housing Complex | NY | 501 (C) (3) | 9 | 0 | Finger Lakes Regional Health System Inc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Geneva General Hospital | ||
| Q | $997,954 | Direct Cost |
| Living Center South | ||
| P | $5,590 | Direct Cost |
| Soldiers & Sailors Memorial Hospital | ||
| P | $55,807 | Direct Cost |
| Finger Lakes Health Foundation | ||
| P | $272 | Direct Cost |
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