NORTH PARK NURSING HOME INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- NORTH PARK NURSING HOME INC (EIN 22-3159644)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-10
- IRS object ID
- 201403149349302875
- Schema version
- 2013v3.1
- 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 | 2014-11-10T15:16:28-08:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223159644 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH PARK NURSING HOME INC | BusinessNameLine1 |
| Business Name Line2 | DBA EDNA TINA WILSON LIVING CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 5853686290 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 LONG POND RD | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 14626 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Thomas R Crilly | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2014-11-10 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Warren Hern | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 Long Pond Road | AddressLine1 |
| City | Rochester | City |
| State | NY | State |
| ZIP Code | 14626 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,316,173 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.unityhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | See Schedule O | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 5784 | TotalEmployeeCnt |
| Total Volunteers | 87 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $11,136 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,778,776 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,030,510 | CYProgramServiceRevenueAmt |
| PY Investment Income | $70,190 | PYInvestmentIncomeAmt |
| CY Investment Income | $128,294 | CYInvestmentIncomeAmt |
| PY Other Revenue | $142,427 | PYOtherRevenueAmt |
| CY Other Revenue | $157,369 | CYOtherRevenueAmt |
| PY Total Revenue | $14,002,529 | PYTotalRevenueAmt |
| CY Total Revenue | $15,316,173 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,480,651 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,877,597 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,015,560 | PYOtherExpensesAmt |
| CY Other Expenses | $3,951,609 | CYOtherExpensesAmt |
| PY Total Expenses | $13,496,211 | PYTotalExpensesAmt |
| CY Total Expenses | $14,829,206 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $506,318 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $486,967 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,963,644 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,824,716 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,768,395 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,417,193 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,195,249 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,407,523 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | See Schedule O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,054,410 | ExpenseAmt |
| Revenue | $11,097,091 | RevenueAmt |
| Desc | 120-bed skilled nursing facility providing 43,430 patient care days. The Edna Tina Wilson Living Center uses an innovative neighborhood design, with resident rooms clustered around the activity center and the living and dining areas, to promote more social and interactive living. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,282,693 | ExpenseAmt |
| Revenue | $2,868,158 | RevenueAmt |
| Desc | A licensed home care service agency providing 191,169 hours of service. This program allows seniors to continue living safely and independently in their own homes. Services are customized for each individual and range from meal delivery and assistance with household tasks to medical care. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $357,589 | ExpenseAmt |
| Revenue | $621,687 | RevenueAmt |
| Desc | An adult daycare center providing 6,102 client days. Adult day services provide a caring, supportive, and therapeutic environment for people who need care or supervision during daytime hours. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $341,554 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $443,574 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $12,036,246 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 5784 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NORTH PARK NURSING HOME INC | PersonNm |
| Phone | 5853686290 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 CANAL LANDING BLVD D | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 14626 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Thomas R Crilly | ||||||||
| Exec. VP/CFO | 3.00 | 37.00 | Yes (X) | Yes (X) | $0 | $374,615 | $52,718 | |
| Ruth Hetland MD | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $185,707 | $0 | ||
| Robert Asbury MD | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| Michael Maier | ||||||||
| Director | 0.25 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| William Neilson | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| Hari P Garg MD | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| John Halstead | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| Michael Herbowy MD | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| Karen M Gallina | ||||||||
| Vice Chairman | 0.25 | 1.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Douglas Brush | ||||||||
| Secretary | 0.25 | 0.85 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Michael A Colucci MD | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| Jeffrey Mapstone | ||||||||
| Chairman | 0.25 | 1.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Robert Oppenheimer | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| Faheem AR Masood | ||||||||
| Treasurer | 0.25 | 1.25 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Rufus Judson | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| Mark Meyer | ||||||||
| Director | 0.25 | 0.85 | Yes (X) | $0 | $0 | $0 | ||
| Scott Turner | ||||||||
| Director | 0.25 | 1.05 | Yes (X) | $0 | $0 | $0 | ||
| Warren Hern | ||||||||
| CEO - UHS | 5.00 | 35.00 | Yes (X) | Yes (X) | $0 | $920,952 | $69,836 | |
| Stewart Putnam | ||||||||
| President -HCSD | 3.00 | 37.00 | Yes (X) | $0 | $453,266 | $82,022 | ||
| Barbara Gray | ||||||||
| Executive VP | 10.00 | 30.00 | $38,221 | $114,662 | $61,382 | Yes (X) | ||
| Jane Shukitis | ||||||||
| Sr VP/Aging & C | 20.00 | 20.00 | $133,703 | $133,703 | $102,184 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $171,924 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,182,905 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $368,142 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dalpos Architects & Integrators | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 North Clinton St | AddressLine1 |
| City | Syracuse | City |
| State | NY | State |
| ZIP Code | 13202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Consulting | ServicesDesc |
| Compensation | $226,975 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Commercial/Other | 623000 | $1,379,009 | $1,379,009 |
| Medicaid | 623000 | $6,924,404 | $6,924,404 |
| Medicare | 623000 | $209,152 | $209,152 |
| Medicare/HMO | 623000 | $487,724 | $487,724 |
| Private Pay | 623000 | $5,929,846 | $5,929,846 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,375 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $100,375 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,030,510 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,366 | TotalRevenueColumnAmt |
| Exclusion | $41,366 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $86,928 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $86,928 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,928 | TotalRevenueColumnAmt |
| Exclusion | $86,928 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Affiliate Interest | 623000 | $140,237 | $140,237 |
| Cafeteria Income | 623000 | $17,132 | $17,132 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $157,369 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,316,173 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,030,510 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $285,663 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,431 | TotalAmt |
| Program Services | $160,729 | ProgramServicesAmt |
| Management And General | $37,702 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,322,636 | TotalAmt |
| Program Services | $6,741,334 | ProgramServicesAmt |
| Management And General | $1,581,302 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,852 | TotalAmt |
| Program Services | $437,280 | ProgramServicesAmt |
| Management And General | $102,572 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,176,296 | TotalAmt |
| Program Services | $952,800 | ProgramServicesAmt |
| Management And General | $223,496 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640,382 | TotalAmt |
| Program Services | $518,709 | ProgramServicesAmt |
| Management And General | $121,673 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,919 | TotalAmt |
| Program Services | $134,394 | ProgramServicesAmt |
| Management And General | $31,525 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,901 | TotalAmt |
| Program Services | $20,980 | ProgramServicesAmt |
| Management And General | $4,921 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,116 | TotalAmt |
| Program Services | $9,814 | ProgramServicesAmt |
| Management And General | $2,302 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,361 | TotalAmt |
| Program Services | $10,012 | ProgramServicesAmt |
| Management And General | $2,349 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,684 | TotalAmt |
| Program Services | $173,893 | ProgramServicesAmt |
| Management And General | $40,791 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,062 | TotalAmt |
| Program Services | $162,050 | ProgramServicesAmt |
| Management And General | $38,012 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,157 | TotalAmt |
| Program Services | $32,527 | ProgramServicesAmt |
| Management And General | $7,630 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,247 | TotalAmt |
| Program Services | $143,570 | ProgramServicesAmt |
| Management And General | $33,677 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,945 | TotalAmt |
| Program Services | $180,585 | ProgramServicesAmt |
| Management And General | $42,360 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,723 | TotalAmt |
| Program Services | $149,626 | ProgramServicesAmt |
| Management And General | $35,097 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $589,444 | TotalAmt |
| Program Services | $477,450 | ProgramServicesAmt |
| Management And General | $111,994 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,596 | TotalAmt |
| Program Services | $23,973 | ProgramServicesAmt |
| Management And General | $5,623 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical and Food Supplies | $784,869 | $635,744 | $149,125 |
| NYS Revenue Assessment | $660,937 | $535,359 | $125,578 |
| Service Contracts | $461,248 | $373,611 | $87,637 |
| Bad Debt Expense | $129,503 | $129,503 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,897 | TotalAmt |
| Program Services | $32,303 | ProgramServicesAmt |
| Management And General | $7,594 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,829,206 | TotalAmt |
| Program Services | $12,036,246 | ProgramServicesAmt |
| Management And General | $2,792,960 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,932 | BOYAmt |
| EOY | $55,372 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,549 | BOYAmt |
| EOY | $35,036 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,746,927 | BOYAmt |
| EOY | $2,525,768 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,148 | BOYAmt |
| EOY | $10,239 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,731 | BOYAmt |
| EOY | $3,715 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,579,364 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,632,126 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,992,285 | BOYAmt |
| EOY | $5,947,238 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,813,527 | BOYAmt |
| EOY | $1,589,566 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,265,545 | BOYAmt |
| EOY | $3,657,782 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,963,644 | BOYAmt |
| EOY | $13,824,716 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $881,619 | BOYAmt |
| EOY | $797,308 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,912 | BOYAmt |
| EOY | $98,875 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,436 | BOYAmt |
| EOY | $26,070 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,011,000 | BOYAmt |
| EOY | $6,461,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $763,428 | BOYAmt |
| EOY | $33,940 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,768,395 | BOYAmt |
| EOY | $7,417,193 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,195,249 | BOYAmt |
| EOY | $6,407,523 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,195,249 | BOYAmt |
| EOY | $6,407,523 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,963,644 | BOYAmt |
| EOY | $13,824,716 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $486,967 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$31,987 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $757,294 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,213 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,185 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,132 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,136 | CurrentTaxYearMinus1YearAmt |
| Total | $72,666 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,474,591 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,795,372 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,508,757 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,778,773 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,030,510 | CurrentTaxYearAmt |
| Total | $68,588,003 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,504,804 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,813,557 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,521,889 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,789,909 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,030,510 | CurrentTaxYearAmt |
| Total | $68,660,669 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $68,660,669 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $70,239 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,931 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58,065 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,366 | CurrentTaxYearAmt |
| Total | $279,713 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $70,239 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,112 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $64,931 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $58,065 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,366 | CurrentTaxYearAmt |
| Total | $279,713 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $98,680 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $83,229 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $76,976 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $142,431 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $157,369 | CurrentTaxYearAmt |
| Total | $558,685 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,673,723 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,941,898 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,663,796 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,990,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,229,245 | CurrentTaxYearAmt |
| Total | $69,499,067 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98790 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98680 | PublicSupportPY509Pct |
| Investment Income CY | 0.00400 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00550 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
| Facts And Circumstances Test | Part III, Line 12--Other income includes gain or loss on sale of investments, cafeteria revenue, and affiliate allocated income. See attachment for details. | FactsAndCircumstancesTestTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Beginning Balance | $30,436 | BeginningBalanceAmt |
| Additions During Year | $102,489 | AdditionsDuringYearAmt |
| Distributions During Year | $106,855 | DistributionsDuringYearAmt |
| Ending Balance | $26,070 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $34,415 | BeginningYearBalanceAmt |
| Contributions | $26,485 | ContributionsAmt |
| Grants Or Scholarships | $14,388 | GrantsOrScholarshipsAmt |
| End Year Balance | $46,512 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $33,822 | BeginningYearBalanceAmt |
| Contributions | $18,000 | ContributionsAmt |
| Grants Or Scholarships | $17,407 | GrantsOrScholarshipsAmt |
| End Year Balance | $34,415 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $26,216 | BeginningYearBalanceAmt |
| Contributions | $12,985 | ContributionsAmt |
| Grants Or Scholarships | $5,380 | GrantsOrScholarshipsAmt |
| End Year Balance | $33,822 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,047 | BeginningYearBalanceAmt |
| Contributions | $24,074 | ContributionsAmt |
| Grants Or Scholarships | $16,905 | GrantsOrScholarshipsAmt |
| End Year Balance | $26,216 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $31,797 | BeginningYearBalanceAmt |
| Contributions | $17,794 | ContributionsAmt |
| Grants Or Scholarships | $30,544 | GrantsOrScholarshipsAmt |
| End Year Balance | $19,047 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $485,000 | OtherCostOrOtherBasisAmt |
| Book Value | $485,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,405,963 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,600,262 | DepreciationAmt |
| Book Value | $3,805,701 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $86,639 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,085 | DepreciationAmt |
| Book Value | $30,554 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $559,057 | OtherCostOrOtherBasisAmt |
| Depreciation | $291,256 | DepreciationAmt |
| Book Value | $267,801 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,042,705 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,684,523 | DepreciationAmt |
| Book Value | $1,358,182 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,947,238 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Deferred Financing Costs, Net | $177,861 |
| Due to/from Affiliates | $3,282,434 |
| Third Party Settlements | $197,487 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,657,782 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Pension | $74,919 |
| Swap Valuation Liability | -$40,979 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,940 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: Explanation of escrow account liability | Residents have authorized North Park Nursing Home to manage their personal finances. The facility holds, safeguards, manages, and accounts for personal funds of the residents deposited with the facility. Individual resident funds are deposited in an interest-bearing account and each resident has an internal accounting of the balance of their fund. Each resident is provided on a monthly basis an accounting of their fund balance. |
| Part V, Line 4: Intended uses of the endowment fund. | Endowment funds held for intended use by North Park Nursing Home, Inc. are in the possession of the Unity Health System Foundation. When the terms of the endowment are met, the Foundation grants the funds over to North Park Nursing Home, Inc. |
| Part X : FIN48 Footnote | Unity Health System and its members (The System) include not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. In addition,the System is exempt from state income tax under the New York State Corporation tax law. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Barbara Gray | ||||||||||||
| Executive VP | $35,165 | $105,496 | $2,124 | $6,371 | $932 | $2,795 | $12,773 | $38,320 | $2,572 | $7,717 | $53,566 | $160,699 |
| Jane Shukitis | ||||||||||||
| Sr VP/Aging & C | $107,040 | $107,040 | $26,250 | $26,250 | $413 | $413 | $45,927 | $45,927 | $5,165 | $5,165 | $184,795 | $184,795 |
| Ruth Hetland MD | ||||||||||||
| Director | $185,707 | $185,707 | ||||||||||
| Stewart Putnam | ||||||||||||
| President -HCSD | $424,541 | $28,725 | $71,688 | $10,334 | $535,288 | |||||||
| Thomas R Crilly | ||||||||||||
| Exec. VP/CFO | $333,830 | $39,258 | $1,527 | $41,011 | $11,707 | $427,333 | ||||||
| Warren Hern | ||||||||||||
| CEO - UHS | $708,187 | $154,114 | $58,651 | $65,237 | $4,599 | $990,788 | ||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or | The officers and key employees are eligible for incentive compensation contingent upon various performance indicators of North Park Nursing Home, Inc. including net earnings. |
| Part III, Additional Information | PART II EXPLANATION: The Unity Hospital of Rochester, a related Organization was responsible for paying the compensation for the Organization's CEO, CFO, and President. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: Unity Care at Home provides assistance with understanding community resources and options for care. Additional services include developing and coordinating a service plan, obtaining insurance coverage, and helping to find the right assisted living or nursing home. Also, they provide services include housekeeping, laundry, grocery shopping, running errands, companion care, accompanying to doctors appointments, and other helpful duties around the house. Providing 14,664 hours and customers. |
| Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder | The sole corporate member of North Park Nursing Home is the System, the parent corporation. |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The President shall be appointed by the Corporate Member (the System) and shall serve at the discretion of the Corporate Member. Each elected director shall be elected by the Member to serve for a term of three years and until his or her successor is elected and qualified. |
| Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders | Any action required or permitted to be taken by the System in its capacity as the Member of the Corporation under the Certificate of Incorporation or the Bylaws shall be taken by the System through written resolution consenting to such action in accordance with the System's Certificate of Incorporation, Bylaws, policies and procedures. Such written resolutions shall be signed by an officer of the System and shall be forwarded to the President of the Corporation, with a copy to the Chairman of the Corporation. |
| Form 990, Part VI, Line 11b: Form 990 Review Process | The Form 990 will be reviewed by the Executive Committee of the System's Board of Directors prior to the annual filing date and also made available to the entire Board of Directors of the System. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | On an annual basis the member, the System, sends a Conflict of Interest statement to all Board Members, Officer, Directors, Key Employees, and management staff asking them to disclose any potential conflict of interest that could compromise their position within the Corporation. These statements are reviewed by the CFO of the Corporation to determine if there are any issues that require further follow-up. All disclosures are presented to the Audit Committee and the CFO points out any disclosures that he feels are significant. If there is a disclosure that is of concern, a determination is made for further follow-up. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | The CEO's compensation is determined by an independent consulting firm that makes a recommendation based on surveys and market valuation. Once a compensation package is determined, it is presented to the Board of Directors for approval.Compensation for all other positions are determined based on market pricing, the position evaluation system and /or the position's responsibilities. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | North Park Nursing Home, Inc. makes documents available upon request. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Change in Fair Value of Interest rate swaps = $214037 |
| Other Changes In Net Assets Or Fund Balances - Other Increases | Pension Actuarial Valuation = $543257 |
| Form 990, Part I, Line 1 and Part III, Line 1 | As an affiliate of the System and the Center on Aging and Continuing Care Services, North Park Nursing Home, Inc. (d/b/a Edna Tina Wilson Living Center) is dedicated to providing quality care, independence, and a positive living experience for patients and residents in our facility. The mission is achieved through the core values of the System which include people, excellence, learning and results. |
| Form 990, Part I, Line 5 | All employees of Unity Health System (the System), including North Park Nursing Home, Inc. DBA Edna Tina Wilson Living Center, are paid from one entity, The Unity Hospital of Rochester, which is the common paymaster. The total number of employees for the System have been reported on all entities based on the reporting requirements for 2013. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Park Ridge Nursing Home Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 160978184 | Long Term Care Facility | NY | 501(c)(3) | 9 | NA | false |
| Unity Health System Foundation | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 119627400 | Foundation | NY | 501(c) (3) | 7 | NA | false |
| Park Ridge Child Care Center Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 222918126 | Child Day Care Services | NY | 501(c) (3) | 9 | NA | false |
| Park Ridge Housing Development Fund Inc | ||||||||||
| 1555 Long Pong Road | Rochester | NY | 14626 | 222608311 | Low Income Housing Project for the Elderly | NY | 501(c) (3) | 9 | NA | false |
| Park Ridge Housing Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 222570457 | Senior Apartment Complex | NY | 501(c) (3) | 9 | NA | false |
| Parkway Commons Housing Development Fund | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 223130818 | Low Income Housing For Elderly/Handicapped | NY | 501(c) (3) | 9 | NA | false |
| PRCD Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 161311581 | Substance Abuse Treatment and Rehabilitation | NY | 501(c) (3) | 7 | NA | false |
| St Bernards Housing Development Fund Co | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 161492955 | Low Income Housing Project | NY | 501(c) (3) | 9 | NA | false |
| The Unity Hospital of Rochester | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 237221763 | Hospital | NY | 501(c) (3) | 3 | NA | false |
| Unity Aging Services Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 841684195 | Management and Development Company | NY | 501(c) (3) | 9 | NA | false |
| Unity Health System Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 222572873 | Healthcare Management | NY | 501(c) (3) | 11 | NA | false |
| Unity Housing Development Fund Corp | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 300068596 | Receipt and Disbursement of Subsidies | NY | 501(c) (3) | 9 | NA | false |
| Woodland Village Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 161588242 | Senior Apartment Complex | NY | 501(c) (3) | 9 | NA | false |
| Unity Ambulatory Surgery Center Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 383871383 | Outpatient Surgery | NY | 501(c) (3) | 9 | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Parma Senior Housing Associates LP | |||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 432082116 | Hilton Proj | NY | NA | false | false |
| Unity Senior Housing Associates LP | |||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 061709927 | Moore Park | NY | NA | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ACM Medical Laboratory Inc | |||||||||
| 160 Elmgrove Park | Rochester | NY | 14624 | 161059691 | Clinical Lab | NY | NA | C Corp | false |
| PRH Inc | |||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 161329632 | Medical Lab | NY | NA | C Corp | false |
| Parma Senior Housing LLC | |||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 810671687 | Senior Housing | NY | NA | C Corp | false |
| Unity Senior Housing Corp | |||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 061709925 | Senior Housing | NY | NA | C Corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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