2012-08-13T15:50:58-05:00 2011-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2011-01-01 222902899 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION IDEA 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 MARY LOU FAUST 6077867308 2012-08-08 1 ANGELA M FRANCO P00589741 3154463600 2011 2016-02-24 21:20:13Z MARY LOU FAUST 508 HIGH AVENUE ENDICOTT NY 13760 3356991 0 X WWW.UHS.NET X 1988 NY 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 13 9 76 5 0 0 9495 15474 3077554 2943400 407820 283907 638542 114210 4133411 3356991 0 0 0 0 1360180 1439317 0 0 0 2034700 2024312 3394880 3463629 738531 -106638 13168298 12586018 13506447 13041746 -338149 -455728 X 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 0 0 3112630 2943400 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, 2011 TWENTY-TWO PERCENT OF INDEPENDENT APARTMENTS WERE LEASED TO LOW INCOME ELDERLY TENANTS. ADDITIONALLY, SEVENTY-FOUR PERCENT OF ALP ROOMS AND FORTY-SIX PERCENT OF ACF ROOMS WERE LEASED TO LOW INCOME ELDERLY RESIDENTS. 3112630 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 0 1 7 0 76 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 X X 0 0 0 JOSEPH CERRA 2.00 X X 0 261783 19592 ROBIN MEAD 2.00 X X 0 0 0 ALBERT KUKOL 2.00 X X 0 0 0 ROBIN KINSLOW-EVANS 2.00 X 0 235613 34234 NATALIE THOMPSON 2.00 X 0 0 0 SHARON YAPLE 2.00 X 0 0 0 EVELYN ROZUNICK 2.00 X 0 0 0 MATT SALANGER FACHE 2.00 X 0 1270752 36848 SAM LUPO 2.00 X X 0 0 0 JUDITH WHITEMAN 2.00 X 0 0 0 PETER NEWMAN 2.00 X 0 0 0 NANCY RONGO 2.00 X 0 176776 29825 DON CARLIN 2.00 X 0 309290 20994 SANDRA STARKE 2.00 X 0 0 0 MARIA MOTSAVAGE 4.00 X 15950 143550 25546 ELEANOR HOUSWORTH 12.00 X 30912 72129 24701 46862 2469893 191740 0 0 1 0 ARAMARK CORPORATION 24863 NETWORK PLACE CHICAGO IL 60673 CONSTRUCTION CONTRACTOR 447263 1 8370 7104 15474 ADULT CARE/ASSISTED LI 623000 2019885 2019885 APARTMENT RENT 623990 568180 568180 AFFILIATE RENT 531120 244000 244000 LICENSED HOME CARE 621610 111335 111335 2943400 283907 283907 CAFETERIA SALES 722210 69468 69468 MORTGAGE INSURANCE 531390 32231 32231 BEAUTY SHOP RENT 531120 6000 6000 6511 6511 114210 3356991 2943400 0 398117 56828 56828 1021692 1021692 50203 50203 191929 191929 118665 118665 37668 37668 4336 4336 25433 25433 206968 91150 115818 7529 1635 5894 1451 1451 235054 235054 21417 21417 504081 504081 445645 445645 78059 78059 OPERATING EXPENSES 309069 309069 SERVICE CONTRACTS 107040 100375 6665 BAD DEBT EXPENSE 19820 19820 LICENSES & TAXES 11145 11145 9597 444 9153 3463629 3112630 350999 0 262580 179026 71147 56659 6700469 6446631 24992 22104 62713 59387 13233485 8770051 4311971 4463434 875347 508918 198107 183265 660972 666594 13168298 12586018 523414 509698 12556154 12102809 426879 429239 13506447 13041746 X -940588 -1061429 117298 120323 485141 485378 -338149 -455728 13168298 12586018 X -106638 -10941 X 0 1 1 X 0 X 65824 28575 8367 15474 118240 2677678 2759252 2837818 3077554 2943400 14295702 59022 72646 780113 131716 114210 1157707 2736700 2897722 3646506 3217637 3073084 15571649 0 0 0 15571649 621433 644178 579552 407820 283907 2536890 621433 644178 579552 407820 283907 2536890 3358133 3541900 4226058 3625457 3356991 18108539 0.85990 0.84030 0.14010 0.15970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 102112 102112 9070516 5496330 3574186 988981 536116 452865 3067609 2737605 330004 4267 4267 4463434 INTEREST IN NET ASSETS OF UNITED HEALTH SERVICES FOUNDATION, INC 605701 RESIDENT FUNDS HELD IN TRUST 60893 666594 RESIDENT TRUST FUND 60893 DUE TO AFFILIATES - NET OF CURRENT PORTION 368346 429239 3356991 3463629 -106638 -10941 -10941 -117579 3341517 0 3341517 15474 15474 3356991 3463629 0 3463629 0 3463629 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011, 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 2008 THROUGH 2011. PART XI, LINE 8 - OTHER ADJUSTMENTS: RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST -14,203. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF UHS FOUNDATION, 3,025. CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF UHS FOUNDATION, 237. TOTAL TO SCHEDULE D, PART XI, LINE 8: -10,941. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS FOR EQUIPMENT 15,474. X X X X 0 0 0 0 0 0 0 0 0 JOSEPH CERRA 0 213407 0 48376 0 0 0 15680 0 3912 0 281375 0 0 ROBIN KINSLOW-EVANS 0 194397 0 41216 0 0 0 15079 0 19155 0 269847 0 0 MATT SALANGER FACHE 0 739262 0 222558 0 308932 0 15680 0 21168 0 1307600 0 0 NANCY RONGO 0 147389 0 29387 0 0 0 11314 0 18511 0 206601 0 0 DON CARLIN 0 251442 0 57848 0 0 0 15680 0 5314 0 330284 0 0 MARIA MOTSAVAGE 14950 134550 1000 9000 0 0 798 7177 1757 15814 18505 166541 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, SECTION A, COLUMN B THE FOLLOWING OFFICERS ARE ACTIVE ON THE IDEAL SENIOR LIVING CENTER HOUSING CORP BOARD OF DIRECTORS AND ARE EMPLOYED FULL TIME BY ONE OR MORE RELATED ORGANIZATIONS: JOSEPH CERRA NANCY RONGO MATT SALANGER ROBIN KINSLOW-EVANS DON CARLIN THE FOLLOWING ARE OFFICERS OF IDEAL SENIOR LIVING CENTER HOUSING CORP AND ARE ALSO EMPLOYED BY ONE OR MORE RELATED ORGANIZATIONS: MARIA MOTSAVAGE ELEANOR HOUSWORTH CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST -14,203. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF UHS FOUNDATION, 3,025. CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF UHS FOUNDATION, 237. TOTAL TO FORM 990, PART XI, LINE 5: -10,941. 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 1 0 0 1 0 0 0 0 0 1