2017-11-15T15:36:14-06:00 2016-12-31 990 2016-01-01 161449543 Geneva Nursing Home II Inc GENE 3157874088 64 Mason St Geneva NY 14456 Fred Vitella Treasurer & CFO 3157874030 2017-11-15 204.138.179.3 2017-11-15 13:38:39 ES P A3125052943466295D27BF813D6A279BC4FF18F6 A3125052943466295D27BF813D6A279BC4FF18F6 2016 2017-02-10 21:41:12Z Living Center at Geneva North Jose Acevedo MD MBA 196 North Street Geneva NY 14456 5651665 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. 20 15 90 10 0 0 900 0 5441393 5637303 8484 14362 0 0 5450777 5651665 0 0 0 0 2495914 2835417 0 0 0 2808528 2992917 5304442 5828334 146335 -176669 7399551 8095403 9524415 10288330 -2124864 -2192927 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 4830752 5627549 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. 4830752 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 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 90 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 Fred Vitello 3157874030 196 North Street Geneva NY 14456 Philip Beckley 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 Menzo Case Trustee 1.00 X 0 0 0 Richard Catanise Trustee through 4/30/16 1.00 X 0 0 0 Stephen DeRaddo Trustee 1.00 X 0 0 0 Taryn Draxler MD Trustee through 4/30/16 1.00 X 0 236338 32477 Dominic Fonte 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 Kelly Mittiga Trustee through 4/30/16 1.00 X 0 0 0 Donald Wertman Trustee 1.00 X 0 0 0 Robert Stivers Trustee 1.00 X 0 0 0 Ketul Patel MD Trustee 1.00 39.00 X 0 487792 23210 Jose Acevedo MD MBA President & CEO 17.90 22.10 X X 0 635181 77401 Pamela Johnson Treas & CFO 18.80 21.20 X X 0 316184 29384 Robert Anderson MD Trustee 1.00 39.00 X 0 267118 13323 James Cheney Trustee 1.00 X 0 0 0 John Sheppard Trustee 1.00 X 0 0 0 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 227273 27999 Frank Korich Sr VP Operations 32.20 7.80 X 0 231454 26327 Eileen Gage VP, Nursing 31.60 8.40 X 0 232591 24237 Jason Feinberg MD Chief Medical Officer 33.40 6.70 X 0 366863 25541 0 3000794 279899 0 0 1 0 0 Patient Svc Revenue 623000 5627549 5627549 9754 9754 5637303 14323 14323 39 0 39 39 39 5651665 5637342 0 14323 2052193 1700939 351254 217560 180322 37238 412161 341615 70546 153503 127229 26274 9388 7781 1607 15650 12971 2679 1980 1641 339 93023 77101 15922 623 516 107 156129 129406 26723 273035 226302 46733 41657 34527 7130 Purchased Services 1819592 1508150 311442 Supplies 364110 301789 62321 NYS LTC Assessment 211900 175631 36269 Other Direct Expenses 5830 4832 998 5828334 4830752 997582 0 301107 435545 28151 23800 611909 445882 19315 11534 9125695 6681746 1647435 2443949 1508248 1355051 3283386 3379642 7399551 8095403 604605 679807 1895112 1945767 3845423 3586397 3179275 4076359 9524415 10288330 X -2124864 -2192927 -2124864 -2192927 7399551 8095403 X -176669 69404 39202 X 0 1 X 0 1 1 X 0 0 0 0 0 0 0 0 0 384 Part II-B, Line 1: Portion of association dues attributed to lobbying expenses. 81133 81133 7289601 5635993 1653608 68981 46551 22430 1685980 999202 686778 2443949 Berkadia Replacement res 1587573 Berkadia HUD Sinking Fund 1792069 3379642 Due to Affiliates 4076359 4076359 X Part X, Line 2: 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. X X X X X 0 1 0 0 0 0 0 0 0 Taryn Draxler MD Trustee through 4/30/16 0 220517 0 15000 0 821 0 0 0 32477 0 268815 0 0 Ketul Patel MD Trustee 0 451792 0 36000 0 0 0 0 0 23210 0 511002 0 0 Jose Acevedo MD MBA President & CEO 0 477867 0 128780 0 28534 0 50000 0 27401 0 712582 0 0 Pamela Johnson Treas & CFO 0 213354 0 45757 0 57073 0 0 0 29384 0 345568 0 0 Robert Anderson MD Trustee 0 267118 0 0 0 0 0 0 0 17127 0 284245 0 0 Patrick Boyle VP, Human Resources 0 179735 0 20335 0 27203 0 0 0 27999 0 255272 0 0 Frank Korich Sr VP Operations 0 155951 0 31670 0 43833 0 0 0 26327 0 257781 0 0 Eileen Gage VP, Nursing 0 150352 0 21051 0 61188 0 0 0 24237 0 256828 0 0 Jason Feinberg MD Chief Medical Officer 0 298361 0 32232 0 36270 0 0 0 25541 0 392404 0 0 Part I, Line 4b Geneva General Hospital deposited $50,000 into a 457(f) plan in 2016 for Dr. Jose Acevedo, MD, MBA, President & CEO. 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. 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 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) 11C 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) 3 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) 3 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) 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) 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) 3 Finger Lakes Regional Health System Inc 0 FLH Senior Communities Inc 196 North Street Geneva NY 14456 205604917 Develop and Provide Senior Citizen Housing Complex NY 501 (C) (3) 9 Finger Lakes Regional Health System Inc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 Geneva General Hospital Q 997954 Direct Cost Living Center South P 5590 Direct Cost Soldiers & Sailors Memorial Hospital P 55807 Direct Cost Finger Lakes Health Foundation P 272 Direct Cost