2013-08-05T15:21:38-05:00 2012-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2012-01-01 222902899 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION IDEA 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 MARY LOU FAUST 6077867308 2013-07-25 1 ANGELA M FRANCO P00589741 3154463600 2012 2016-02-24 21:20:13Z MARY LOU FAUST 508 HIGH AVENUE ENDICOTT NY 13760 3558080 0 X WWW.UHS.NET X 1988 NY 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 13 9 80 4 0 0 15474 32904 2943400 3126262 283907 271569 114210 122874 3356991 3553609 0 0 0 0 1439317 1491315 0 0 0 2024312 2079165 3463629 3570480 -106638 -16871 12586018 12210788 13041746 12625797 -455728 -415009 X 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 0 0 3214964 3126262 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 WITH 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.FOR THE YEAR ENDED DECEMBER 31, 2012 TWENTY-FIVE PERCENT OF INDEPENDENT APARTMENTS WERE LEASED TO LOW INCOME ELDERLY TENANTS. ADDITIONALLY, SIXTY-THREE PERCENT OF ALP ROOMS AND FORTY-SIX PERCENT OF ACF ROOMS WERE LEASED TO LOW INCOME ELDERLY RESIDENTS. 3214964 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 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 11 0 80 1 0 0 0 0 0 0 0 0 0 0 X 13 9 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X ELEANOR HOUSWORTH 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 X ANN MCNICHOLS 2.00 0.00 X 0 0 0 JOSEPH CERRA 2.00 40.00 X X 0 268596 21314 ROBIN MEAD 2.00 0.00 X 0 0 0 ALBERT KUKOL 2.00 0.00 X X 0 0 0 ROBIN KINSLOW-EVANS 2.00 40.00 X X 0 229534 34738 NATALIE THOMPSON 2.00 0.00 X 0 0 0 SHARON YAPLE 2.00 0.00 X X 0 0 0 EVELYN ROZUNICK 2.00 0.00 X 0 0 0 MATT SALANGER FACHE 2.00 40.00 X X 0 1284770 38033 SAM LUPO 2.00 0.00 X X 0 0 0 JUDITH WHITEMAN 2.00 0.00 X 0 0 0 PETER NEWMAN 2.00 0.00 X 0 0 0 NANCY RONGO 2.00 0.00 X 0 179747 30163 HAROLD BEAM 2.00 0.00 X 0 0 0 ELEANOR HOUSWORTH 12.00 28.00 X 29909 69788 9873 MARY LOU FAUST 4.00 36.00 X 8837 79533 7848 MARIA MOTSAVAGE 4.00 36.00 X 10273 92457 15686 49019 2204425 157655 0 1 1 0 ARAMARK HEALTHCARE SUPPORT SVCS 1101 MARKET ST 19TH FLOOR PHILADELPHIA PA 19107 CONSTRUCTION CONTRACTOR 138900 1 20000 12904 32904 ADULT CARE/ASSISTED LI 623000 2135434 2135434 APARTMENT RENT 623990 642695 642695 AFFILIATE RENT 531120 244000 244000 LICENSED HOME CARE 621610 104133 104133 3126262 272083 272083 3957 4471 -514 -514 -514 CAFETERIA SALES 722210 72330 72330 MORTGAGE INSURANCE 531390 29643 29643 MISCELLANEOUS SERVICES 532000 6806 6806 14095 14095 122874 3553609 3126262 0 394443 54334 54334 1059991 1059991 55826 55826 196497 196497 124667 124667 37980 37980 6828 6828 25314 25314 218286 90783 127503 7063 6291 772 217044 217044 13036 13036 484127 484127 473383 473383 73069 73069 OPERATING EXPENSES 334293 334293 SERVICE CONTRACTS 141387 133527 7860 BAD DEBT EXPENSE 25000 25000 LICENSES & TAXES 11659 11659 10696 499 10197 3570480 3214964 355516 0 179026 192273 56659 69784 6446631 6181660 22104 28435 59387 47305 13467434 9127910 4463434 4339524 508918 463948 183265 168422 666594 719437 12586018 12210788 509698 568523 12102809 11629582 429239 427692 13041746 12625797 X -1061429 -1075100 120323 174463 485378 485628 -455728 -415009 12586018 12210788 X -16871 57590 X X 0 1 X 1 0 X 65824 28575 8367 15474 32904 151144 2759252 2837818 3077554 2943400 3126262 14744286 72646 780113 131716 114210 122874 1221559 2897722 3646506 3217637 3073084 3282040 16116989 0 0 0 16116989 644178 579552 407820 283907 272083 2187540 644178 579552 407820 283907 272083 2187540 3541900 4226058 3625457 3356991 3554123 18304529 0.88050 0.85990 0.11950 0.14010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 102112 102112 9161655 5837845 3323810 1163781 576278 587503 3035586 2713787 321799 4300 4300 4339524 INTEREST IN NET ASSETS OF UNITED HEALTH SERVICES FOUNDATION, INC 660091 RESIDENT FUNDS HELD IN TRUST 59346 719437 RESIDENT TRUST FUND 59346 DUE TO AFFILIATES - NET OF CURRENT PORTION 368346 427692 X 3540705 0 3540705 12904 12904 3553609 3570480 0 3570480 0 3570480 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FACILITY 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, 2012, 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 2009 THROUGH 2012. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS FOR EQUIPMENT 12,904. X X X X 0 0 0 0 0 0 0 0 0 JOSEPH CERRA 0 237038 0 31558 0 0 0 16750 0 4564 0 289910 0 0 ROBIN KINSLOW-EVANS 0 201390 0 28144 0 0 0 15379 0 19359 0 264272 0 0 MATT SALANGER FACHE 0 805904 0 157106 0 321760 0 16750 0 21283 0 1322803 0 0 NANCY RONGO 0 157700 0 22047 0 0 0 12043 0 18120 0 209910 0 0 MARIA MOTSAVAGE 8442 75974 1831 16483 0 0 688 6195 880 7923 11841 106575 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 ISLCHC'S FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO, CORPORATE COUNSEL 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 CEO AND BOARD CHAIRMAN. 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. HOURS FOR RELATED ORGANIZATIONS FORM 990, PART VI,SECTION A, COLUMN B THE FOLLOWING OFFICERS ARE ACTIVE ON THE IDEAL SENIOR LIVING CENTER HOUSING CORP BOARD OFDIRECTORS AND ARE EMPLOYED FULL TIME BY ONE OR MORE RELATED ORGANIZATIONS: JOSEPH CERRA NANCY RONGO MATT SALANGER ROBIN KINSLOW-EVANS THE FOLLOWING ARE OFFICERS OF IDEAL SENIOR LIVING CENTER HOUSING CORP AND ARE ALSO EMPLOYED BY ONE OR MORE RELATED ORGANIZATIONS: MARIA MOTSAVAGE (FORMER) MARYLOU FAUST ELEANOR HOUSWORTH CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST 3,200. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF UHS FOUNDATION, 54,140. CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF UHS FOUNDATION, 250. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 4401 VESTAL PARKWAY EAST VESTAL NY 13850 161261977 HOME HEALTH CARE NY 501(C)(3) 9 N/A 0 TWIN TIER HOME HEALTH CARE 4401 VESTAL PARKWAY EAST VESTAL NY 13850 222348211 HOME HEALTH CARE NY 501(C)(3) 7 N/A 0 UNITED MEDICAL MANAGEMENT 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161396133 PHYSICIAN PRACTICE NY 501(C)(3) 11B N/A 0 UHS HOSPITALS 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 UNITED MEDICAL ASSOCIATES PC 346 GRAND AVENUE JOHNSON CITY NY 13790 161395906 MEDICAL SERVICES NY 501(C)(3) 11B N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1