NORTH PARK NURSING HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTH PARK NURSING HOME INC (EIN 22-3159644)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-12
IRS object ID
201233179349301478
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-11-12T09:28:29-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223159644EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NORTH PARK NURSING HOME INCBusinessNameLine1
Business Name Line2DBA EDNA TINA WILSON LIVING CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone5853686290Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11555 LONG POND RDAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14626ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameThomas R CrillyName
TitleCFOTitle
Date Signed2012-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWarren HernNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11555 Long Pond RoadAddressLine1
CityRochesterCity
StateNYState
ZIP Code14626ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13662433GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.unityhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSee Schedule OActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees5658TotalNbrEmployees
Total Nbr Volunteers67TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year18185ContributionsGrantsPriorYear
Contributions Grants Current Year13132ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13795372ProgramServiceRevenuePriorYear
Program Service Revenue CY13508757ProgramServiceRevenueCY
Investment Income Prior Year134781InvestmentIncomePriorYear
Investment Income Current Year63568InvestmentIncomeCurrentYear
Other Revenue Prior Year83229OtherRevenuePriorYear
Other Revenue Current Year76976OtherRevenueCurrentYear
Total Revenue Prior Year14031567TotalRevenuePriorYear
Total Revenue Current Year13662433TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9349186SalariesEtcPriorYear
Salaries Etc Current Year9228267SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3866706OtherExpensePriorYear
Other Expenses Current Year4474674OtherExpensesCurrentYear
Total Expenses Prior Year13215892TotalExpensesPriorYear
Total Expenses Current Year13702941TotalExpensesCurrentYear
Revenues Less Expenses Prior Year815675RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-40508RevenuesLessExpensesCY
Total Assets BOY13912239TotalAssetsBOY
Total Assets EOY13937480TotalAssetsEOY
Total Liabilities BOY8099887TotalLiabilitiesBOY
Total Liabilities EOY9027209TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5812352NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4910271NetAssetsOrFundBalancesEOY
Mission DescriptionSee Schedule OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8302655Expense
Revenue10878909Revenue
Description120-bed skilled nursing facility providing 43,262 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2144201Expense
Revenue2042360Revenue
DescriptionA licensed home care service agency providing 184,423 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense532547Expense
Revenue587488Revenue
DescriptionAn adult daycare center providing 5,459 client days. Adult day services provide a caring, supportive, and therapeutic environment for people who need care or supervision during daytime hours.Description
FieldValueIRS element (for citing)
Total Program Service Expense10979403TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees5658NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNORTH PARK NURSING HOME INCNamePerson
Telephone Number5853686290TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line195 CANAL LANDING BLVD DAddressLine1
CityROCHESTERCity
StateNYState
ZIP Code14626ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Scott Turner
Director2.00X000
Mark Meyer
Director2.00X000
Faheem AR Masood
Treasurer2.00X000
Penelope Martin MS RN NP
Director2.00X000
Jeffrey Mapstone
Chairman2.00X000
Richard Machemer
Secretary2.00X000
Gregory Lewish MD
Vice Chairman2.00X000
Douglas Brush
Director2.00X000
Rich Jasinski
Director2.00X000
John Halstead
Director2.00X000
Hari P Garg MD
Director2.00X000
William Neilson
Director2.00X000
Mary Jane Hellyar
Director2.00X000
Robert Asbury MD
Director2.00X000
Ruth Hetland MD
Director2.00X000
Warren Hern
President & CEO2.00092090927826X
Sandra MacWilliam
Executive VP10.00037532229813X
Thomas R Crilly
Sr. VP/CFO2.00039284432823X
Cynthia LoVetro
Vice President40.00012558017001X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1814655TotalReportableCompFrmRltdOrgs
Total Other Compensation107463TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants13132GovernmentGrants
Total Contributions13132TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Private Pay62300060738016073801
Other623000619589619589
Medicare/MHO623000373059373059
Medicare623000215711215711
Medicaid62300061201726120172

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column106425TotalRevenueColumn
Related Or Exempt Function Income106425RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue13508757TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column64931TotalRevenueColumn
Exclusion$64,931ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities-1363Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1363Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1363TotalRevenueColumn
Exclusion-$1,363ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Interest on Delinquent Ac6230001691$1,691
Cafeteria Income62300014860$14,860
Affiliate Interest62300059234$59,234

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1191TotalRevenueColumn
Exclusion$1,191ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue76976TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13662433TotalRevenueColumn
Related Or Exempt Function Income13508757RelatedOrExemptFunctionIncome
Exclusion$140,544ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total210917Total
Program Services166625ProgramServices
Management And General44292ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6986108Total
Program Services5519027ProgramServices
Management And General1467081ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total330897Total
Program Services261408ProgramServices
Management And General69489ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1079188Total
Program Services852559ProgramServices
Management And General226629ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total621157Total
Program Services490714ProgramServices
Management And General130443ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12211Total
Program Services9647ProgramServices
Management And General2564ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12091Total
Program Services9552ProgramServices
Management And General2539ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total288251Total
Program Services227718ProgramServices
Management And General60533ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3573Total
Program Services2823ProgramServices
Management And General750ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total125507Total
Program Services99151ProgramServices
Management And General26356ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total50941Total
Program Services40243ProgramServices
Management And General10698ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total208079Total
Program Services164382ProgramServices
Management And General43697ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total135452Total
Program Services107007ProgramServices
Management And General28445ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total805821Total
Program Services636600ProgramServices
Management And General169221ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total548548Total
Program Services433353ProgramServices
Management And General115195ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total26172Total
Program Services20676ProgramServices
Management And General5496ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Support Service Allocations14837511721631159
Service Contracts43506334370091363
NYS Revenue Assessment736629736629
Miscellaneous1252218492540296
Medical and Food Supplies749011591719157292

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total63729Total
Program Services63729ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13702941Total
Program Services10979403ProgramServices
Management And General2723538ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY23337BOY
EOY6253EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY31352BOY
EOY51085EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1451579BOY
EOY1785044EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12860BOY
EOY15330EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY38804BOY
EOY38173EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15385416LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9180842LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6268748BOY
EOY6204574EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3927170BOY
EOY4011885EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2158389BOY
EOY1825136EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13912239BOY
EOY13937480EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY894624BOY
EOY747075EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY328150BOY
EOY228276EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY32848BOY
EOY33019EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7529996BOY
EOY7500000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY-685731BOY
EOY518839EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8099887BOY
EOY9027209EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5812352BOY
EOY4910271EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5812352BOY
EOY4910271EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13912239BOY
EOY13937480EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-40508ReconcilationRevenueExpenses
Reconcilation Other Changes-861573ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years279439CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16527CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18185CurrentTaxYearMinus1Year
Current Tax Year13132CurrentTaxYear
Total357496Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12075361CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12364990CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12474591CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13795372CurrentTaxYearMinus1Year
Current Tax Year13508757CurrentTaxYear
Total64219071Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12354800CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12381517CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12504804CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13813557CurrentTaxYearMinus1Year
Current Tax Year13521889CurrentTaxYear
Total64576567Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50964576567PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years180068CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45112CurrentTaxYearMinus1Year
Current Tax Year64931CurrentTaxYear
Total489784Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years180068CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year45112CurrentTaxYearMinus1Year
Current Tax Year64931CurrentTaxYear
Total489784Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years336273CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years67391CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46899CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172898CurrentTaxYearMinus1Year
Current Tax Year75613CurrentTaxYear
Total699074Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12871141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12578342CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12621942CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14031567CurrentTaxYearMinus1Year
Current Tax Year13662433CurrentTaxYear
Total65765425Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98190PublicSupportPercentage509
Prior Year Support Percentage0.97700PriorYearSupportPercentage
Investment Income Percentage0.00740InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00880PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III, Line 12--Other income includes gain or loss on sale of investments, cafeteria revenue, and affiliate allocated income. See attachment for details.FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtc
Beginning Balance32848BeginningBalance
Additions During Year70860AdditionsDuringYear
Distributions During Year70689DistributionsDuringYear
Ending Balance33019EndingBalance
Included On FStrueIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance26216BeginningOfYearBalance
Contributions12985Contributions
Grants Or Scholarships5380GrantsOrScholarships
End Of Year Balance33822EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance19047BeginningOfYearBalance
Contributions24074Contributions
Grants Or Scholarships16905GrantsOrScholarships
End Of Year Balance26216EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance31797BeginningOfYearBalance
Contributions17794Contributions
Grants Or Scholarships30544GrantsOrScholarships
End Of Year Balance19047EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis485000OtherCostOrOtherBasis
Book Value485000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11299420OtherCostOrOtherBasis
Depreciation6888044Depreciation
Book Value4411376BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis70011OtherCostOrOtherBasis
Depreciation47899Depreciation
Book Value22112BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis339623OtherCostOrOtherBasis
Depreciation259371Depreciation
Book Value80252BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3191362OtherCostOrOtherBasis
Depreciation1985528Depreciation
Book Value1205834BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6204574TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Due to/from Affiliates1470136
Deferred Financing Costs, Net355000
FieldValueIRS element (for citing)
Total Book Value Other Assets1825136TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Third Party Payable$321,323
Swap Valuation Liability$98,538
Accrued Pension$98,978
FieldValueIRS element (for citing)
Total Of Amounts518839TotalOfAmounts
Total Revenue13662433TotalRevenue
Total Expenses13702941TotalExpenses
Excess Or Deficit For Year-40508ExcessOrDeficitForYear
Net Unrealized GL On Investments-121373NetUnrealizedGLOnInvestments
Other-$740,200OtherAmount
Total Adjustments-861573TotalAdjustments
Excess Or Deficit Per FS-902081ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13662433TotRevenueEtcAuditedFinclStmt
Revenue Subtotal13662433RevenueSubtotal
Total Revenue Per Form99013662433TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13702941TotExpensesEtcAuditedFinclStmt
Expenses Subtotal13702941ExpensesSubtotal
Total Expenses Per Form99013702941TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteUnity 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.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesPension Actuarial Valuation $ -740200
Part V, Line 4Part 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 IV, Line 2bPart IV, Line 2b: Explanation of escrow account liabilityResidents have authorized North Park Nursing Home in writing 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Warren Hern
66000019600064909235504276948735
Thomas R Crilly
31457466725115452200910814425667
Sandra MacWilliam
2787988042816096202579556405135

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 6bIdentifier
Return ReferencePart I, Line 6b: Explanation of organization compensation contingent on net earnings from related orReturnReference
ExplanationThe officers and key employees are eligibale for incentive compensation contingent upon various performance indicators of North Park Nursing Home, Inc. including net earnings.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part I, Line 5All employees of Unity Health System (the System)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 2011.
Form 990, Part I, Line 1 and Part III, Line 1As 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 VI, Line 19: Other Organization Documents Publicly AvailableNorth Park Nursing Home, Inc. makes documents available upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe 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 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsOn 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 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessThe 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 11
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersAny 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 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe 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 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe sole corporate member of North Park Nursing Home is the System, the parent corporation.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Woodland Village Inc
1555 Long Pond RoadRochesterNY14626161588242Senior Apartment ComplexNY501(c) (3)9NAfalse
Unity Housing Development Fund Corp
1555 Long Pond RoadRochesterNY14626300068596Receipt and Disbursement of SubsidiesNY501(c) (3)9NAfalse
Unity Health System Inc
1555 Long Pond RoadRochesterNY14626222572873Healthcare ManagementNY501(c) (3)11NAfalse
Unity Aging Services Inc
1555 Long Pond RoadRochesterNY14626841684195Management and Development CompanyNY501(c) (3)9NAfalse
The Unity Hospital of Rochester
1555 Long Pond RoadRochesterNY14626237221763HospitalNY501(c) (3)3NAfalse
St Bernards Housing Development Fund Co
1555 Long Pond RoadRochesterNY14626161492955Low Income Housing ProjectNY501(c) (3)9NAfalse
PRCD Inc
1555 Long Pond RoadRochesterNY14626161311581Substance Abuse Treatment and RehabilitationNY501(c) (3)7NAfalse
Parkway Commons Housing Development Fund
1555 Long Pond RoadRochesterNY14626223130818Low Income Housing For Elderly/HandicappedNY501(c) (3)9NAfalse
Park Ridge Housing Inc
1555 Long Pond RoadRochesterNY14626222570457Senior Apartment ComplexNY501(c) (3)9NAfalse
Park Ridge Housing Development Fund Inc
1555 Long Pong RoadRochesterNY14626222608311Low Income Housing Project for the ElderlyNY501(c) (3)9NAfalse
Park Ridge Child Care Center Inc
1555 Long Pond RoadRochesterNY14626222918126Child Day Care ServicesNY501(c) (3)9NAfalse
Unity Health System Foundation
1555 Long Pond RoadRochesterNY14626119627400FoundationNY501(c) (3)7NAfalse
Park Ridge Nursing Home Inc
1555 Long Pond RoadRochesterNY14626160978184Long Term Care FacilityNY501(c)(3)9NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Unity Senior Housing Associates LP
1555 Long Pond RoadRochesterNY14626061709927Moore ParkNYNAfalsefalse
Parma Senior Housing Associates LP
1555 Long Pond RoadRochesterNY14626432082116Hilton ProjNYNAfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Unity Senior Housing Corp
1555 Long Pond RoadRochesterNY14626061709925Senior HousingNYNAC Corp
Parma Senior Housing LLC
1555 Long Pond RoadRochesterNY14626810671687Senior HousingNYNAC Corp
PRH Inc
1555 Long Pond RoadRochesterNY14626161329632Medical LabNYNAC Corp
ACM Medical Laboratory Inc
160 Elmgrove ParkRochesterNY14624161059691Clinical LabNYNAC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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