2017-11-15T15:36:14-06:00 2016-12-31 990 2016-01-01 510169552 Huntington Nursing Home Inc HUNT 3157874088 369 East Main Street Waterloo NY 13165 Fred Vitello Treasurer & CFO 3157874030 2017-11-15 204.138.179.3 2017-11-15 13:31:52 ES P A3125052943466295D27BF813D6A279BC4FF18F6 A3125052943466295D27BF813D6A279BC4FF18F6 2016 2017-02-10 21:41:12Z Huntington Living Center Jose Acevedo MD MBA 196 North Street Geneva NY 14456 11649424 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 40 0 0 4867 0 10685529 11593592 43869 55832 0 0 10734265 11649424 0 0 0 0 6252307 6794146 0 0 0 4629646 4866840 10881953 11660986 -147688 -11562 17911824 15861289 15509215 13048252 2402609 2813037 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 9911838 11558174 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. 9911838 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 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 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 Karol Prayne Administrator, LTC 40.00 X 108522 0 20516 108522 3000794 300415 1 0 1 0 0 Patient Svc Revenue 623000 11558174 11558174 35418 35418 11593592 55648 55648 184 0 184 184 184 11649424 11593592 0 55832 4991636 4242891 748745 447044 379987 67057 1005215 854433 150782 350251 297713 52538 9067 7707 1360 16251 13813 2438 18869 16039 2830 168569 143284 25285 1173 997 176 1254 1066 188 226312 192365 33947 488685 415382 73303 73861 62782 11079 Purchased Services 2640339 2244288 396051 Supplies 659956 560963 98993 NYS LTC Assessment 532917 452979 79938 Other Direct Expenses 29587 25149 4438 11660986 9911838 1749148 0 321103 292546 92738 105385 1768881 1660957 2136 45231 47019 14939677 10703214 4616825 4236463 7751572 5958664 3315474 3558119 17911824 15861289 3036160 2399086 3323190 3238425 5372296 5086643 3777569 2324098 15509215 13048252 X 2402609 2813037 2402609 2813037 17911824 15861289 X -11562 323985 98005 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 676 676 0 Part II-B, Line 1: Portion of association dues attributed to lobbying expenses. 20000 20000 11075108 7421522 3653586 372686 211462 161224 3471883 3070230 401653 4236463 Berkadia Replacement Res 2009808 Berkadia HUD Sinking Fund 1526167 Berkadia Tax & Ins Escrow 22144 3558119 Due to Affiliates 2324098 2324098 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, 2016, 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 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 $676 in 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 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 98,005. 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