SUNNYVIEW HOSPITAL AND REHABILITATION CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SUNNYVIEW HOSPITAL AND REHABILITATION CENTER (EIN 14-1338386)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-10
IRS object ID
201102229349300215
Schema version
2010v3.2
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)
Timestamp2011-08-10T06:58:05-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN141338386EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SUNNYVIEW HOSPITAL & REHABILITATION CENTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSUNNNameControl
Phone5182713446Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11270 BELMONT AVENUEAddressLine1
CitySCHENECTADYCity
StateNYState
ZIP Code12308ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD PETTERSONName
TitleCFOTitle
Date Signed2011-08-10DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts42704065GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.nehealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1929YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSunnyview Hospital & Rehabilitation's mission is to improve the lives of people with disabilities and the lives of their families by: a) providing comprehensive medical rehabilitation services to persons of all ages in our region, b) promote advocacy and community education about disabilities, their management and prevention and c) serve as a center for the education and training of rehabilitation professionals. Sunnyview has a commitment to provide quality rehabilitation for all who have demonstrated a need for our services and who can benefit from them. Charity Care accounts for patients who qualify by income level and patients who incur catastrophic expenses they cannot afford to pay.In 2010, Sunnyview Hospital had Inpatient Discharges totaling 2,262, total Patient Days of 28,499 and Outpatient Visits totaling 58,291.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees758TotalNbrEmployees
Total Nbr Volunteers270TotalNbrVolunteers
Total Gross UBI89714TotalGrossUBI
Net Unrelated Business Txbl Income-3762NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1181618ContributionsGrantsPriorYear
Contributions Grants Current Year1005443ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40842862ProgramServiceRevenuePriorYear
Program Service Revenue CY39207032ProgramServiceRevenueCY
Investment Income Prior Year1669480InvestmentIncomePriorYear
Investment Income Current Year863854InvestmentIncomeCurrentYear
Other Revenue Prior Year2173618OtherRevenuePriorYear
Other Revenue Current Year1463309OtherRevenueCurrentYear
Total Revenue Prior Year45867578TotalRevenuePriorYear
Total Revenue Current Year42539638TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year29948792SalariesEtcPriorYear
Salaries Etc Current Year28883249SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year207446TotalFundrsngExpCurrentYear
Other Expense Prior Year13986992OtherExpensePriorYear
Other Expenses Current Year13314936OtherExpensesCurrentYear
Total Expenses Prior Year43935784TotalExpensesPriorYear
Total Expenses Current Year42198185TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1931794RevenuesLessExpensesPriorYear
Revenues Less Expenses CY341453RevenuesLessExpensesCY
Total Assets BOY37551948TotalAssetsBOY
Total Assets EOY37892248TotalAssetsEOY
Total Liabilities BOY21089877TotalLiabilitiesBOY
Total Liabilities EOY21316968TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16462071NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY16575280NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSunnyview Hospital & Rehabilitation's mission is to improve the lives of people with disabilities and the lives of their families by: a) providing comprehensive medical rehabilitation services to persons of all ages in our region, b) promote advocacy and community education about disabilities, their management and prevention and c) serve as a center for the education and training of rehabilitation professionals. Sunnyview has a commitment to provide quality rehabilitation for all who have demonstrated a need for our services and who can benefit from them. Charity Care accounts for patients who qualify by income level and patients who incur catastrophic expenses they cannot afford to pay.In 2010, Sunnyview Hospital had Inpatient Discharges totaling 2,262, total Patient Days of 28,499 and Outpatient Visits totaling 58,291.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense27346568Expense
Revenue30453482Revenue
DescriptionHOSPITAL INPATIENT SERVICES SPECIALIZING IN REHABILITATION MEDICINE. INPATIENT UNITS INCLUDE BRAIN INJURY, PEDIATRIC, NEUROLOGICAL, PHYSICAL MEDICINE, CARDIAC, PULMONARY AND ORTHOPEDIC.INPATIENT DISCHARGES 2,262. TOTAL PATIENT DAYS 28,499.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6023292Expense
Revenue6518396Revenue
DescriptionHOSPITAL OUTPATIENT SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AUDIOLOGY, SPEECH AND PSYCHOLOGY.TOTAL OUTPATIENT VISITS 58,291.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2113961Expense
Revenue1373595Revenue
DescriptionTHERAPY SERVICES TO NURSING HOMES, COMMUNITY HEALTH PROGRAMS AND OTHER MISCELLANEOUS REVENUE.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1997769TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2235154TotalOfOtherProgramServiceRev
Total Program Service Expense37481590TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
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
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees758NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKRISTIN SIGNORNamePerson
Telephone Number5183863590TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11270 BELMONT AVENUEAddressLine1
CitySCHENECTADYCity
StateNYState
ZIP Code123082104ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeOfficerOfficerFormerFormerKey EmployeeKeyEmployee
William J Foley PhD
Board Member2.00X000
Vincent Somaio
Physician40.00271702022060X
Thomas Nowak
Treasurer4.00X000X
Russell Oster
BOARD MEMBER2.00X000
Rosann Demeo
VP - Nursing40.0011665308233X
Ronald L Guzior
BOARD MEMBER2.00X000
Robert W Johnson III ESQ
CHAIRPERSON4.00X000X
Robert J Bylancik
BOARD MEMBER2.00X5000000
Robert Gillen
Psychology Manager0.00112406016488X
Robert Fortune
BOARD MEMBER2.00X000
Robert C Davenport
0.0001072727300X
Richard Petterson
CFO4.40020984426700X
Mark Cartwright
Board Member2.00X000
Lynne Nicolson
Med Staff Dir40.00319642021241X
Lisa Thorn MD
Board Member2.00X0250000
Kenneth Shapiro
Physician40.00346031024396X
John Lang
BOARD MEMBER2.00X000
Jo-Ann A Costantino EVP
CEO OF THE EDDY1.90034292818369X
Jane Altes PhD
BOARD MEMBER2.00X000
James V Puleo MD
BOARD MEMBER2.00X0250000
James Slavin MD
BOARD MEMBER2.00X000
James K Reed MD
BOARD MEMBER0.00X050807328508X
James H Puleo MD
BOARD MEMBER2.00X000
James E Prout Esq
BOARD MEMBER2.00X000
Harry L Robinson ESQ
BOARD MEMBER2.00X000
Harold D Gordon Esq
VICE CHAIRPERSO4.00X000X
George Shelton
Physician40.00317542024939X
Edward Eisenman
President40.00204711017432X
Craig Duncan
0.0004026370X
Chester Opalka
BOARD MEMBER2.00X000
Anthony P Tartaglia MD
Secretary4.00X000X
Ann DiSarro
BOARD MEMBER2.00X000
Alan Goldberg
BOARD MEMBER2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org1738687TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1620754TotalReportableCompFrmRltdOrgs
Total Other Compensation215666TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SAMARITAN HOSPITAL
2215 BURDETT AVENUETROYNY12180LAUNDRY SERVICES143048
MORRISON MANAGEMENT SPECIALISTS
5801 PEACHTREE DUNWOODY RDATLANTAGA30342FOOD SERVICE251001
ELLIS HOSPITAL
1101 NOTT STREETSCHENECTADYNY12308LAB SERVICES474688
D&B ACOUSTICAL CORP
1764 COLUMBIA TURNPIKEEAST GREENBUSHNY12061FACILITIES MAINT137587
CAPITALCARE MEDICAL GROUP LLC
501 NEW KARNER ROADALBANYNY12205PHYSICIAN SERVICES138333
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations530443RelatedOrganizations
Government Grants457947GovernmentGrants
All Other Contributions17053AllOtherContributions
Total Contributions1005443TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHospital Patient ServicesDescription
Total Revenue Column39207032TotalRevenueColumn
Related Or Exempt Function Income39207032RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue39207032TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column964073TotalRevenueColumn
Exclusion$964,073ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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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)
Other64208Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other164427Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-100219Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-100219TotalRevenueColumn
Exclusion-$100,219ExclusionAmount

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
FieldValueIRS element (for citing)
Gross Sales Of Inventory89714GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column89714TotalRevenueColumn
Unrelated Business Revenue89714UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Therapy Svcs Nurs Homes382497$382,497
Cost Recoveries432075$432,075
Community Health Programs411827$411,827

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column147196TotalRevenueColumn
Exclusion$147,196ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1373595TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column42539638TotalRevenueColumn
Related Or Exempt Function Income39207032RelatedOrExemptFunctionIncome
Unrelated Business Revenue89714UnrelatedBusinessRevenue
Exclusion$2,237,449ExclusionAmount

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)
Total613025Total
Management And General613025ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total23542186Total
Program Services22147108ProgramServices
Management And General1260708ManagementAndGeneral
Fundraising134370Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1384435Total
Program Services1282871ProgramServices
Management And General93121ManagementAndGeneral
Fundraising8443Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1583384Total
Program Services1475307ProgramServices
Management And General98421ManagementAndGeneral
Fundraising9656Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1760219Total
Program Services1612943ProgramServices
Management And General136541ManagementAndGeneral
Fundraising10735Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total251001Total
Program Services251001ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16314Total
Management And General16314ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75000Total
Management And General75000ManagementAndGeneral

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)
Total1455368Total
Program Services1320247ProgramServices
Management And General135121ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total214554Total
Program Services2065ProgramServices
Management And General210424ManagementAndGeneral
Fundraising2065Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2682750Total
Program Services2382120ProgramServices
Management And General271379ManagementAndGeneral
Fundraising29251Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total22710Total
Program Services14022ProgramServices
Management And General4730ManagementAndGeneral
Fundraising3958Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1287691Total
Program Services1289021ProgramServices
Management And General-1330ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total58161Total
Program Services15376ProgramServices
Management And General42017ManagementAndGeneral
Fundraising768Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total45019Total
Program Services42031ProgramServices
Management And General2840ManagementAndGeneral
Fundraising148Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total50191Total
Program Services15061ProgramServices
Management And General35130ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1729186Total
Program Services1725060ProgramServices
Fundraising4126Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total321685Total
Program Services33170ProgramServices
Management And General285930ManagementAndGeneral
Fundraising2585Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NEH Home Office Allocation1249787442781205509
Lab401264401264
Drugs18932021893202
Dietary Food & Supplies41530239391921383
Bad debt & NYS Assessment882949882949

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total262802Total
Program Services258575ProgramServices
Management And General2886ManagementAndGeneral
Fundraising1341Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42198185Total
Program Services37481590ProgramServices
Management And General4509149ManagementAndGeneral
Fundraising207446Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1970542BOY
EOY2639293EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6939595BOY
EOY6099721EOY

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)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1009373BOY
EOY864870EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis40578819LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27640803LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13740580BOY
EOY12938016EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6215503BOY
EOY6925427EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1929012BOY
EOY2273122EOY

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)
BOY5747343BOY
EOY6151799EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37551948BOY
EOY37892248EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2663085BOY
EOY2485613EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11305000BOY
EOY11015000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7121792BOY
EOY7816355EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21089877BOY
EOY21316968EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12815091BOY
EOY12933788EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1159700BOY
EOY1154212EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2487280BOY
EOY2487280EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16462071BOY
EOY16575280EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37551948BOY
EOY37892248EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses341453ReconcilationRevenueExpenses
Reconcilation Other Changes-228244ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis335669OtherCostOrOtherBasis
Book Value335669BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17308490OtherCostOrOtherBasis
Depreciation11224822Depreciation
Book Value6083668BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis984804OtherCostOrOtherBasis
Depreciation706923Depreciation
Book Value277881BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11927138OtherCostOrOtherBasis
Depreciation7753477Depreciation
Book Value4173661BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10022718OtherCostOrOtherBasis
Depreciation7955581Depreciation
Book Value2067137BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12938016TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value2273122BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2273122TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Special Purpose Funds603388
Net Assets in Foundation4126565
Investment in RDS95018
Due from Affiliates148548
Deferred Financing Fees450758
Collateral Account727522
FieldValueIRS element (for citing)
Total Book Value Other Assets6151799TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
Swap Liability$749,757
Pension & Post Retirement Obligation$6,419,995
Due to Affiliates$184,978
Asset Retirement Obligation$188,563
Assessment Liability$51,250
Accrued Interest Payable$56,323
3rd Party Settlements$165,489
FieldValueIRS element (for citing)
Total Of Amounts7816355TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteNortheast Health is classified for tax purposes as an organization under 501(c)(3) of the Internal Revenue Code (the code), and as such it is generally exempt from income taxes under the provisions of Section 501(a) of the Code.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesContributed Capital $278924 Change in Funded Pension Plan $2171 Restricted Gifts and Income, Net $507077 Transfers (to) From Affiliates, Netliate $ -101499 Change in Fair Value of Interest Rate Swap $ -402351 Net Assets released for Operations $ -512566

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense546565TotalCommunityBenefitExpense
Direct Offsetting Revenue102948DirectOffsettingRevenue
Net Community Benefit Expense443617NetCommunityBenefitExpense
Percent Of Total Expense0.01050PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3639462TotalCommunityBenefitExpense
Direct Offsetting Revenue2665204DirectOffsettingRevenue
Net Community Benefit Expense974258NetCommunityBenefitExpense
Percent Of Total Expense0.02310PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense4186027TotalCommunityBenefitExpense
Direct Offsetting Revenue2768152DirectOffsettingRevenue
Net Community Benefit Expense1417875NetCommunityBenefitExpense
Percent Of Total Expense0.03360PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense118682TotalCommunityBenefitExpense
Direct Offsetting Revenue43680DirectOffsettingRevenue
Net Community Benefit Expense75002NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense23544TotalCommunityBenefitExpense
Net Community Benefit Expense23544NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense14840TotalCommunityBenefitExpense
Net Community Benefit Expense14840NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense98587TotalCommunityBenefitExpense
Direct Offsetting Revenue2171DirectOffsettingRevenue
Net Community Benefit Expense96416NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense255653TotalCommunityBenefitExpense
Direct Offsetting Revenue45851DirectOffsettingRevenue
Net Community Benefit Expense209802NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4441680TotalCommunityBenefitExpense
Direct Offsetting Revenue2814003DirectOffsettingRevenue
Net Community Benefit Expense1627677NetCommunityBenefitExpense
Percent Of Total Expense0.03860PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$185,043BadDebtExpenseAmount
Amount Reimbursed By Medicare13988754AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare12994450CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall994304MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicyfalseWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalOtherOtherGeneral Medical And SurgicalGeneralMedicalAndSurgical
Sunnyview Hospital & Rehab Ctr
3427 Guy Park AvenueAmsterdamNY12010XSpeech and Hearing Outpatient Clinic
Sunnyview Hospital & Rehab Ctr
23757 Carman RoadSchenectadyNY12303XPT, OT & Speech Outpatient Clinic
SUNNYVIEW HOSPITAL & REHAB CTR
11270 BELMONT AVENUESCHENECTADYNY123082104XREHABILITATION HOSPITALX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
Sunnyview Hospital & Rehab Ctr
3falsefalsefalsefalsefalsefalsefalsefalsefalsetruefalsefalse
Sunnyview Hospital & Rehab Ctr
2falsefalsefalsefalsefalsefalsefalsefalsefalsetruefalsefalse
SUNNYVIEW HOSPITAL & REHAB CTR
1falsefalsefalsefalsefalsefalsefalsefalsefalsetruefalsefalse

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part VI - States Where Community Benefit Report FiledNY
Part VI - Affilated Health Care System Roles and PromotionSunnyview Hospital and Rehabilitation Center is affiliated with Northeast Health, a network of healthcare, supportive housing and community services. The affiliation furthers Sunnyview Hospital and Rehabilitation Center's ability to promote health care in many ways. Northeast Health affiliation helps ensure Sunnyview Hospital and Rehabilitation Center's financial stability through reduced administrative overhead costs, access to capital and supply chain management, among other things. Sunnyview Hospital and Rehabilitation Center's affiliation with Northeast Health also enables greater collaboration with affiliated hospitals and other providers of services. In addition to sharing policies and procedures and ideas for best operational and management practices, system affiliates participate jointly in quality improvement activities. The Northeast Health Board Quality Committee oversees quality improvement activities in the system's acute care hospitals, rehabilitation hospital, skilled nursing facilities, primary care network, visiting nurse and community service programs, adult housing and program for all-inclusive care for the elderly ("PACE" program). Through this committee and other joint activities, the system seeks to ensure collaboration on quality initiatives among varied provider types. For example, several quality initiatives commenced in 2010 that are intended to lead to measurable improvements in patient care transitions between hospitals, nursing homes, home health and supportive housing. Northeast Health has also successfully deployed the Lean Thinking and Tools developed by the Toyota Production System, in its integrated health care delivery system. Lean is an integrated approach to designing and improving work toward an "ideal state," which is customer focused and involves people at all levels using common practices and principles. Lean systems give people at all levels of an organization the skills and a shared way of thinking to systematically drive out waste through designing and improving work of activities, connections, and flows. Sunnyview Hospital and Rehabilitation Center's affiliation with Northeast Health has enabled it to adopt Lean Thinking and Tools with a degree of success unlikely to have been attained but for the affiliation. Lean has enabled Sunnyview Hospital and Rehabilitation Center to provide better care and services to the community.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeIn addition to its activities in delivering health care services to the community as described elsewhere in this filing, Sunnyview Hospital and Rehabilitation Center furthers its exempt purposes through the following means:1. Sunnyview Hospital and Rehabilitation Center is managed by a community board of directors, on which the substantial majority of directors are residents of the hospital's primary or secondary service area and who are neither employees nor contractors of the hospital;2. Sunnyview Hospital and Rehabilitation Center maintains an open medical staff that extends privileges to all qualified physician applicants; and3. The organization generally applies all surplus funds to ensuring financially prudent availability of funds, capital maintenance and improvements, and the addition of services that benefit the community.In 2010 Northeast Health, the health system to which Sunnyview Hospital and Rehabilitation Center belongs, entered into an affiliation agreement with St. Peters Health Care Services, principally located in Albany, and Seton Health System, principally located in Troy, under which the parties will form of a new not-for-profit entity that will become the parent of the constituent systems. The parties intend to consummate the affiliation transaction in the fall of 2011. The affiliation parties believe that by combining their complementary strengths, they can significantly improve their ability to meet the healthcare needs of the region through more coordination, improved efficiency, reduced fragmentation of care, and improved access for the poor and underserved people in the Capital Region and beyond. The parties recognize that whether they merge their health systems or not, change will and must occur in their organizations in light of emerging changes in health care delivery, and changes in public and private systems for paying for health care. The affiliation will better position the parties to address such challenges and to meet the needs of the community.
Part VI - Community InformationGeneral Description:Founded in 1928, Sunnyview Rehabilitation Hospital is a 115-bed hospital specializing in physical rehabilitation, and is part of the Northeast Health network, a regional, comprehensive, not-for-profit provider of health care and community services. Northeast Health was formed in 1995 by the merger of Samaritan Hospital and The Eddy, joined by Albany Memorial Hospital in 1997 and Sunnyview Rehabilitation Hospital in 2007. The components of Northeast Health are deeply rooted in their communities, each with a long tradition of providing high quality care and services.Serving 22 counties in the greater Capital Region of Upstate New York, Northeast Health cares for approximately 175,000 people each year and provides a vast array of senior care, hospital services, rehabilitation, specialty services and retirement living options. Communities Served:Sunnyview serves a regional constituency, with its local component made up primarily of residents from Schenectady and Saratoga Counties. These contiguous counties (separated partially by the Mohawk River) contain 367,330 persons. Their populations are concentrated in the cities of Schenectady and Saratoga Springs, which account for about 25% of the population. The balance of the population is dispersed among smaller villages, suburbs and rural areas.Saratoga and Schenectady counties have a fairly diverse demographic profile based on income, poverty and health insurance measures as illustrated below.Demographic Saratoga Schenectady2010 Population 219,391 147,9392020 Population 233,633 148,694% Change 6.5% 0.5%2010 Households 88,221 61,3662020 Households 96,103 62,581% Change 8.9% 2.0%2009 Median Household Income $62,536 $54,066 Persons Below Poverty Level (2007 Estimate) 14,556 (6.9%) 16,264 (11.1%)Number of Medicaid Enrollees 2008 17,925 (8.2%) 21,115 (14.3%)Number of Uninsured (2007 Estimate) 25,119 (11.4%) 16,294 (11.0%)Saratoga's profile above reflects a wealthier profile with substantially higher median income and much higher growth projected than Schenectady County. Saratoga County has much lower percentages of persons in poverty and persons receiving Medicaid. Schenectady presents a different profile, consistent with a more urban community, with minimal growth and higher portion of persons in poverty. Its percentage of persons on Medicaid is the highest in the region.Other Hospitals:There are four other hospitals in the two county area. Ellis Medicine is the parent entity for three hospitals in Schenectady County. Ellis Hospital has 368 beds and is a tertiary care provider. The former St. Clare's hospital is now operated as a division of Ellis. It has approximately 100 beds. Also operating as a division of Ellis is Bellevue Women's Hospital in the Town of Niskayuna, with 40 maternity and 15 neonatal intensive care beds.In Saratoga County, Saratoga Hospital in the City of Saratoga Springs operates an acute general hospital with 171 beds.Medically Underserved Areas/Populations:Schenectady County is designated in its entirety as a medically underserved population (MUP) based on access to medical care at home.
Part VI - Patient Education of Eligibility for AssistanceFinancial Assistance for low income, uninsured or under insured individuals with their hospital claims for services provided, which are deemed to be medically necessary is available to all who qualify. This information is provided upon admission in the patient's information package, is posted in the Admitting & the Outpatient Registration Offices and can be mailed upon request or an individual can come into the facility and work with a Social Worker to fill out the application. Prior to approval for financial assistance, patients may be asked to apply for Medicaid or other publicly sponsored insurance programs.
Part VI - Needs AssessmentThe organization, as a component of the Northeast Health system, has been a participant in the Healthy Capital District Initiative ("HCDI") since 1999. Other participants include all hospitals, county health departments and payers in the Albany, Rensselaer and Schenectady counties. Recently, HCDI undertook a three-pronged initiative to engage the public and assess community need. The three efforts consisted of:1. The collection and analysis of data in the Community Health Profile;2. The production of a Community Health Forum broadcast by the local PBS affiliate; and3. The collection of data using an online Community Health Survey to assess respondents' opinions on the health of the Capital District.Through the HCDI process, consideration of the New York State Commissioner of Health's ten public health priorities, and through other local efforts to obtain additional community input, Northeast health developed health services priorities contained in its Community Service Plan.
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)Sunnyview Hospital and Rehabilitation Center's financial assistance policy uses the Federal Poverty Guidelines to determine eligibility, and does not use an asset test.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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 OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Vincent Somaio
257304141022961039711663293762
Robert C Davenport
96364934997442783022114572
Richard Petterson
2062003230414872317977236544
Lynne Nicolson
30581613000826650714734340883
Kenneth Shapiro
331429130001602707117325370427
Jo-Ann A Costantino EVP
312858776522305116726697361297
James K Reed MD
46079714190330861482713681536581
George Shelton
2858801300018662650718432342481
Edward Eisenman
1998952984183277639669222143
Craig Duncan
402637402637

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 7Identifier
Return ReferencePart I, Line 7: Non-Fixed payments not listed aboveReturnReference
ExplanationEmployed physicians Lynne Nicolson, M.D., Kenneth Shapiro, M.D., George Shelton, M.D. and Vincent Somaio also participates in an unfunded bonus pool providing up to $2,200 each based on performance against a quality score target and $2,200 each based on performance against a patient satisfaction score target, and they earned the full amount of each bonus in 2010.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Schenectady County Industrial Development Agency
521295837806419AB32003-06-164780000Addition & Renovationfalsefalsefalse
Schenectady County Industrial Development Agency
521295837806419AA52003-05-218000000Addition & Renovationfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
47800008947614585845446662005falsefalsetruetrue
800000015318715374376930702005falsefalsetruetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
MORGAN STANLEY CAPITAL SERVICES INC
falsetruetrue30.0000falsefalsefalsefalsefalse
MORGAN STANLEY CAPITAL SERVICES INC
falsetruetrue30.0000falsefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipSharing Of RevenuesSharingOfRevenuesDescription Of TransactionDescriptionOfTransactionAmount Of TransactionAmountOfTransaction
(no name)
DIRECTORSfalse
(no name)
BOARD OFfalse
INSURANCE CO
REED,MD ON ITSfalseGEN/PROF LIABILITY INSUR
MEDICAL LIABILITY MUTUAL
DIRECTOR JAMESfalseAGGREGATE PREMIUMS FOR301941

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PARTIV, LINE 20B2010 SVRH AUDITED FINANCIAL STATEMENTS
FORM 990, SCHEDULE H, PART III LINE 4FORM 990, SCHEDULE H, PART III LINE 4The combined financial statements for Northeast Health, Inc. and Affiliates (which includes Sunnyview Hospital and Rehabilitation Center), contain the following note regarding bad debt expenseCharity Care and Provision for Bad Debts***The Affiliates grant credit without collateral to patients, most of whom are local residents and are insured under third-party agreements. Additions to the allowance for estimated uncollectible accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental health care coverage and other collection indicators. Services rendered to individuals when payment is expected and ultimately not received are written off to the allowance for estimated uncollectible accounts.The costing methodology used in lines 2 and 3 is the cost-to-charge ratio.
FORM 990, SCHEDULE H, PART I, LINE 7FORM 990, SCHEDULE H, PART I, LINE 7 (column f)THE COSTING METHOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE WAS A COST -TO-CHARGE RATIO DERIVED FROM SUNNYVIEW HOSPITAL AND REHABILITATION CENTER'S 2010 YEAR-END CMS-2552 REPORT.
FORM 990, SCHEDULE H, PART I, LINE 6AFORM 990, SCHEDULE H, PART I, LINE 6ATHE COMMUNITY BENEFIT REPORT, IN THE FORM OF A DOCUMENT ENTITLED "COMMUNITY SERVICE PLAN - COMPREHENSIVE THREE-YEAR PLAN," WAS PREPARED BY NORTHEAST HEALTH, INC., A RELATED ORGANIZATION THAT CONTROLS SUNNYVIEW HOSPITAL AND REHABILITATION CENTER.
FORM 990, SCHEDULE H, PART I, LINE 3CFORM 990, SCHEDULE H, PART i, LINE 3CSUNNYVIEW HOSPITAL AND REHABILITATION CENTER'S FINANCIAL ASSISTANCE POLICY USES THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY, AND DOES NOT USE AN ASSET TEST.
FORM 990, PART VII, SECTION A, LINE 1A.FORM 990, PART VIII, SECTION A, LINE 1A.HOURS OF OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEESTHE FOLLOWING OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES DEVOTED THE INDICATED AVERAGE NUMBER OF WEEKLY HOURS TO RELATED ORGANIZATIONS:JAMES K. REED, MD 40.0 hoursJO-ANN A. COSTANTINO 38.1 hoursRICHARD PETTERSON 35.6 hours
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableIn 2010, Northeast Health and its affiliates did not make the above-named documents available to the public, although certificates of incorporation were available from the NYS Secretary of State.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe executive compensation policy described in the note for Line 15a also applies to other officers and key employees of the organization.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsNortheast Health, the health system to which Sunnyview Hospital and Rehabilitation Center, Inc. belongs, has two systemwide conflict of interest policies, one applicable to the board of directors of each system affiliate and one applicable to administrative staff and select employees and medical staff. Together, the two policies require annual disclosure of conflicts of interest by all directors, officers and key employees, and prescribe various responses to such conflicts applying customary conflicts of interest principles. Employee disclosure forms are reviewed annually by the system compliance officer for a determination of any conflict's impact on the integrity of the disclosing individual's acts and decisions. Violation of the policy subjects an employee to potential disciplinary action. Board of directors conflict of interest disclosure forms are reviewed and summarized by the system compliance officer, and the summary is reviewed by the board corporate compliance and audit committee and any necessary action taken by such committee. Customary procedures are followed, including non-participation by affected individuals in the deliberation and vote on any matters that potentially conflict with the individual's outside interests. Appropriate corrective action is taken by the Board in the event of a director's failure to disclose a conflict of interest or other violation of the policy.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessFirst, Form 990 was presented to the Board Audit/Compliance Committee for review at a special meeting, to which all other Board members were invited to attend. The 990 was then made available on the Board website for all Board members to review.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyNortheast Health elects the members of the organization's governing body.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLTC (EDDY), INC.Form 990, Part VI, Line 6
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsTHE ORGANIZATION AMENDED ITS BYLAWS TO EXTEND THE DATE UNTIL WHICH THE NUMBER OF DIRECTORS IS SET AT NO LESS THAT 17 NOR MORE THAN 27, TO JANUARY 2012, AND TO PROVIDE THAT DIRECTORS WHOSE FINAL TERM EXPIRES IN JANUARY 2011 MAY BE RE-ELECTED AND SERVE FOR AN ADDITIONAL YEAR, UNTIL JANUARY 2012.Form 990, Part VI, Line 4
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe organization delegated control over certain duties of key employees to a related exempt organization.Form 990, Part VI, Line 3
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDIRECTORS ROBERT W. JOHNSON, III, ESQ AND JAMES E. PROUT, ESQ. HAVE A BUSINESS RELATIONSHIP. DIRECTORS JAMES H. PULEO, MD AND JAMES V. PULEO, MD HAVE A FAMILY RELATIONSHIP.Form 990, Part VI, Line 2
Form 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: THERAPY SERVICES TO NURSING HOMES, COMMUNITY HEALTH PROGRAMS AND OTHER MISCELLANEOUS REVENUE.Form 990, Part III, Line 4d

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (17 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOME AIDE SERVICE OF EASTERN NEW YORKIN
433 RIVER STREET 3000TROYNY12180141514867HOME CARENY501(c)(3)9N/Afalse
EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE 2MALTANY12020141795732HOME CARENY501(c)(3)9N/Afalse
SUNNYVIEW HOSPITAL & REHAB CTR FOUNDATIO
1270 BELMONT AVENEUESCHENECTADYNY12308222505127SUPPORTING FOUNDATIONNY501(c)(3)11, TYPE ItrueSUNNYVIEW HOSPITAL & REHAB CENTER
BEECHWOOD INC
2218 BURDETT AVENUETROYNY12180141651563REAL ESTATE HOLDINGNY501(c)(2)N/AN/Afalse
SHAKER PROPERTIES INC
2212 BURDETT AVENUETROYNY12180223119822REAL ESTATE HOLDINGNY501(c)(2)N/AN/Afalse
SAMARITAN HOSPITAL OF TROY NEW YORK
2215 BURDETT AVENUETROYNY12180141338544GENERAL HOSPITALNY501(c)(3)3N/Afalse
NORTHEAST HEALTH INC
2212 BURDETT AVENUETROYNY12180042450756HEALTH SYSTEMNY501(c)(3)11, TYPE IIN/Afalse
THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA STREETCOHOESNY12047141793885ADULT/ALZHEIMER HOMENY501(c)(3)9N/Afalse
LTC EDDY INC
2212 BURDETT AVENUETROYNY12180222564710ELDERLY HEALTH/HOUSINGNY501(c)(3)11, TYPE IIN/Afalse
THE JAMES A EDDY MEMORIAL GERIATRIC CTR
2256 BURDETT AVENUETROYNY12180222570478NURSING HOMENY501(c)(3)9N/Afalse
HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVENUETROYNY12180141725101NURSING HOMENY501(c)(3)9N/Afalse
HAWTHORNE RIDGE INC
30 COMMUNITY WAYEAST GREENBUSHNY12061800102840INDEPENDANT/ASSISTED LIVINGNY501(c)(3)9N/Afalse
GLEN EDDY INC
1 GLEN EDDY DRIVENISKAYUNANY12309141794150INDEPENDANT/ASSISTED LIVINGNY501(c)(3)9N/Afalse
SENIOR CARE CONNECTION INC
504 STATE STREETSCHENECTADYNY12305141708754PACE PROGRAMNY501(c)(3)9N/Afalse
THE CAPITAL REGION GERIATRIC CENTERINC
421 WEST COLUMBIA STREETCOHOESNY12047141701597NURSING HOMENY501(c)(3)9N/Afalse
BEVERWYCK INC
40 AUTUMN DRIVESLINGERLANDSNY12159141717028INDEPENDANT/ASSISTED LIVINGNY501(c)(3)9N/Afalse
MEMORIAL HOSPITAL ALBANY NY
600 NORTHERN BOULEVARDALBANYNY12204141338457GENERAL HOSPITALNY501(c)(3)3N/Afalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN MEDICAL OFFICE BUILDING INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12231 BURDETT AVENUEAddressLine1
CityTROYCity
StateNYState
ZIP Code12180ZIPCode
FieldValueIRS element (for citing)
EIN141607244EIN
Primary ActivityREAL ESTATE HOLD/MGMTPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC corpTypeOfEntity
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 OrgtrueGiftGrantOrCapContrFrOtherOrg
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 OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SUNNYVIEW HOSPITAL & REHAB CTR FOUNDATIO
n101227
SUNNYVIEW HOSPITAL & REHAB CTR FOUNDATIO
l866640
SUNNYVIEW HOSPITAL & REHAB CTR FOUNDATIO
c354074

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