2016-10-26T14:55:08-05:00 2015-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2015-01-01 222902899 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION IDEA 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 KAY BOLAND 2ND VICE CHAIRMAN 6077636694 2016-09-23 1 ANGELA M FRANCO P00589741 3154463600 2015 2017-02-10 21:41:12Z KAY BOLAND 508 HIGH AVENUE ENDICOTT NY 13760 3715643 0 X WWW.UHS.NET X 1988 NY 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 10 6 101 19 0 0 14108 26480 3161102 3403176 247860 235609 157724 50378 3580794 3715643 0 0 0 0 1626749 1719972 0 0 0 2099118 1893369 3725867 3613341 -145073 102302 11250612 10814653 11753590 11284166 -502978 -469513 X 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 0 0 3295527 3403176 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, 23 ASSISTED LIVING PROGRAM BEDS AND A LICENSED HOME CARE SERVICES AGENCY. 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 THAT IN ADDITION TO THE NURSING HOME BEDS PROVIDES A LONG TERM HOME HEALTH CARE PROGRAM.DURING 2015, APROXIMATELY 23% OF INDEPENDENT APARTMENTS WERE LEASED TO LOW INCOME ELDERLY TENANTS. ADDITIONALLY, APPROXIMATELY 60% OF ALP ROOMS AND 64% OF ACF ROOMS WERE LEASED TO LOW INCOME ELDERLY RESIDENTS. 3295527 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 8 0 1 101 1 0 0 0 0 0 0 0 0 0 0 X 10 6 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 331109 27502 ROBIN KINSLOW-EVANS SECRETARY 2.00 55.00 X X 0 262975 37218 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 NANCY RONGO TRUSTEE 2.00 55.00 X 0 216230 28253 EVELYN ROZUNICK TRUSTEE 2.00 X 0 0 0 NATALIE THOMPSON TRUSTEE 2.00 X 0 0 0 JUDITH WHITEMAN TRUSTEE 2.00 X 0 0 0 MICHELE ZEMANICK TRUSTEE 2.00 X 0 0 0 MARIA LISI-MURRAY TRUSTEE 2.00 X 0 0 0 MICHELE GORDON ADMINISTRATOR 6.00 49.00 X 12414 111723 21611 RON CEROW ADMINISTRATOR 1.00 54.00 X 1258 124582 23200 MARILYN BARBIERI DIRECTOR OF FINANCE 11.00 44.00 X 19361 77444 13198 33033 1124063 150982 0 0 1 0 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES MGMT 267353 ARAMARK SERVICES 25271 NETWORK PLACE CHICAGO IL 60673 FOOD SERVICES MGMT 106983 2 20000 6480 26480 ADULT CARE/ASSISTED LI 623000 2105929 2105929 APARTMENT RENT 623990 711186 711186 LICENSED HOME CARE 621610 342061 342061 AFFILIATE RENT 531120 244000 244000 3403176 235609 235609 MORTGAGE INSURANCE 531390 27267 27267 MISCELLANEOUS SERVICES 532000 12652 12652 BEAUTY SHOP RENT 531120 3900 3900 6559 6559 50378 3715643 3403176 0 285987 X 1261998 1261998 68749 68749 259496 259496 129729 129729 20604 20604 600 600 31152 31152 221307 78718 142589 11590 10725 865 140 140 218957 218957 25938 25938 418860 418860 431409 431409 104805 104805 SERVICE CONTRACTS 340655 340655 OPERATING EXPENSES 40699 40699 LICENSES & TAXES 11605 11605 BAD DEBT EXPENSE 9000 9000 6048 594 5454 3613341 3295527 317814 0 216170 215205 53256 70325 5616345 5314960 26579 26579 51003 37356 13803354 10465818 3565008 3337536 712467 832927 138738 129170 871046 850595 11250612 10814653 676949 748511 6947 5889 10619951 10081688 449743 448078 11753590 11284166 X -1305326 -1249222 316340 293601 486008 486108 -502978 -469513 11250612 10814653 X 102302 -68837 X X 0 1 X 1 0 X 15474 32904 5000 14108 26480 93966 2943400 3126262 3158527 3161102 3403176 15792467 114210 122874 149615 157284 50378 594361 3073084 3282040 3313142 3332494 3480034 16480794 0 0 0 16480794 283907 272083 260430 248300 235609 1300329 283907 272083 260430 248300 235609 1300329 3356991 3554123 3573572 3580794 3715643 17781123 0.92690 0.91680 0.07310 0.08320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 257 257 0 PART II-B, LINE 1: EXPENDITURE FOR LOBBYING IS A PERCENTAGE OF THE DUES TO HANYS (28.03%) AND HCA (11.42%). 0 1 X 802348 -22639 779709 761287 41061 802348 660091 101196 761287 605701 54390 660091 602439 3262 605701 0.62340 0.37660 0 0 102112 102112 9334693 6831555 2503138 1209582 720468 489114 3156967 2913795 243172 3337536 INTEREST IN NET ASSETS OF UNITED HEALTH SERVICES FOUNDATION, INC 779709 RESIDENT FUNDS HELD IN TRUST 70886 850595 RESIDENT SECURITY DEPOSITS 64997 DUE TO AFFILIATES - NET OF CURRENT PORTION 368346 WORKERS' COMPENSATION LIABILITY - NET OF CURRENT PORTION 14735 448078 X 3715643 0 3715643 0 3715643 3613341 0 3613341 0 3613341 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: ISLCHC 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, 2015 AND 2014, THE FACILITY 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 2012 THROUGH 2015. X X X X 0 0 0 0 0 0 0 0 0 KAY BOLAND 2ND VICE CHAIR 0 292236 0 38873 0 0 0 16165 0 11337 0 358611 0 0 ROBIN KINSLOW-EVANS SECRETARY 0 232100 0 30875 0 0 0 16041 0 21177 0 300193 0 0 NANCY RONGO TRUSTEE 0 191295 0 24935 0 0 0 13190 0 15063 0 244483 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 11 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 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 90% OF HER TIME PERFORMING ADMINISTRATION DUTIES FOR IDEAL SENIOR LIVING, INC. (ISLC), AND 10% FOR ISLCHC. ISLCHC HAS AN ADMINISTRATION/MANAGEMENT SERVICES INTERCOMPANY CONTRACT WITH CHENANGO MEMORIAL HOSPITAL (CMH). THE ADMINISTRATOR--RONALD CEROW--SPENDS 95% OF HIS TIME PERFORMING ADMINISTRATION DUTIES FOR CMH, 4% OF HIS TIME FOR ISLC, AND 1% 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 XI, LINE 9: RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST -46,198. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF UHS FOUNDATION, -22,739. 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 2015. UHS INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 9 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) 9 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) 9 N/A 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0