NORTH PARK NURSING HOME INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NORTH PARK NURSING HOME INC (EIN 22-3159644)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201133189349300413
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T05:26:07-08:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223159644 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH PARK NURSING HOME INC | BusinessNameLine1 |
| Business Name Line2 | DBA EDNA TINA WILSON LIVING CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NORT | NameControl |
| Phone | 5853686290 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 LONG POND RD | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 14626 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas R Crilly | Name |
| Title | CFO | Title |
| Date Signed | 2011-11-14 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Warren Hern | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1555 Long Pond Road | AddressLine1 |
| City | Rochester | City |
| State | NY | State |
| ZIP Code | 14626 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14031567 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.unityhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | See Schedule O | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5614 | TotalNbrEmployees |
| Total Nbr Volunteers | 76 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 30213 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 18185 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12474591 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 13795372 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 18458 | InvestmentIncomePriorYear |
| Investment Income Current Year | 134781 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 98680 | OtherRevenuePriorYear |
| Other Revenue Current Year | 83229 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12621942 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14031567 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8361055 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9349186 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3826044 | OtherExpensePriorYear |
| Other Expenses Current Year | 3866706 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12187099 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13215892 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 434843 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 815675 | RevenuesLessExpensesCY |
| Total Assets BOY | 14179243 | TotalAssetsBOY |
| Total Assets EOY | 13912239 | TotalAssetsEOY |
| Total Liabilities BOY | 8977248 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8099887 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5201995 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5812352 | NetAssetsOrFundBalancesEOY |
| Mission Description | See Schedule O | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 7954258 | Expense |
| Revenue | 11025032 | Revenue |
| Description | 120-bed skilled nursing facility providing 43,096 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2111275 | Expense |
| Revenue | 2173159 | Revenue |
| Description | A licensed home care service agency providing 176,408 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 520069 | Expense |
| Revenue | 597181 | Revenue |
| Description | An adult daycare center providing 5,557 client days. Adult day services provide a caring, supportive, and therapeutic environment for people who need care or supervision during daytime hours. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 10585602 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | true | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 5614 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NORTH PARK NURSING HOMEINC | NamePerson |
| Telephone Number | 5853686290 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95 CANAL LANDING BLVD D | AddressLine1 |
| City | ROCHESTER | City |
| State | NY | State |
| ZIP Code | 14626 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Warren Hern | |||||||||
| President & CEO | 2.00 | X | 0 | 799397 | 25798 | ||||
| Timothy R McCormick | |||||||||
| Former President & CEO | 0.00 | 0 | 250000 | 0 | X | ||||
| Thomas R Crilly | |||||||||
| Sr. VP/CFO | 2.00 | X | 0 | 376746 | 29767 | ||||
| Tarun Kothari MD | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Scott Turner | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Sarah Amering | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Sandra MacWilliam | |||||||||
| Executive VP | 10.00 | X | 0 | 327529 | 26903 | X | |||
| Ruth Hetland MD | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Robert Oppenheimer | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Robert Asbury MD | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Richard Machemer | |||||||||
| Secretary | 2.00 | 0 | 0 | 0 | X | ||||
| Rich Jasinski | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Penelope Martin MS RN NP | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Mark Meyer | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Karen Gallina | |||||||||
| Vice Chairman | 2.00 | 0 | 0 | 0 | X | ||||
| John Halstead | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Jeffrey Mapstone | |||||||||
| Treasurer | 2.00 | 0 | 0 | 0 | X | ||||
| Hari P Garg MD | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Gregory Lewish MD | |||||||||
| Vice Chairman | 2.00 | 0 | 0 | 0 | X | ||||
| Faheem AR Masood | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Elizabeth Patton PhD | |||||||||
| Chairman | 2.00 | 0 | 0 | 0 | X | ||||
| Douglas Brush | |||||||||
| Director | 2.00 | 0 | 0 | 0 | X | ||||
| Cynthia LoVetro | |||||||||
| Vice President | 0.00 | 0 | 46181 | 6549 | X | ||||
| Colleen Klix | |||||||||
| Sr. Dir of Nursing | 40.00 | 0 | 101408 | 5608 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp Frm Rltd Orgs | 1901261 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 94625 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 18185 | GovernmentGrants |
| Total Contributions | 18185 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Private Pay | 623000 | 6727298 | 6727298 |
| Other | 623000 | 189598 | 189598 |
| Medicare/MHO | 623000 | 495309 | 495309 |
| Medicare | 623000 | 194608 | 194608 |
| Medicaid | 623000 | 6090654 | 6090654 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 97905 | TotalRevenueColumn |
| Related Or Exempt Function Income | 97905 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 13795372 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 45112 | TotalRevenueColumn |
| Exclusion | $45,112 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 89669 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 89669 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 89669 | TotalRevenueColumn |
| Exclusion | $89,669 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Cafeteria Income | 623000 | 13308 | $13,308 |
| Aide Training Revenue | 623000 | 3450 | $3,450 |
| Affiliate Interest | 623000 | 66471 | $66,471 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 83229 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14031567 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13795372 | RelatedOrExemptFunctionIncome |
| Exclusion | $218,010 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257720 | Total |
| Program Services | 200156 | ProgramServices |
| Management And General | 57564 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7014986 | Total |
| Program Services | 5448119 | ProgramServices |
| Management And General | 1566867 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188952 | Total |
| Program Services | 146748 | ProgramServices |
| Management And General | 42204 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1210457 | Total |
| Program Services | 940089 | ProgramServices |
| Management And General | 270368 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 677071 | Total |
| Program Services | 525840 | ProgramServices |
| Management And General | 151231 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24 | Total |
| Program Services | 19 | ProgramServices |
| Management And General | 5 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14299 | Total |
| Program Services | 11105 | ProgramServices |
| Management And General | 3194 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12091 | Total |
| Program Services | 9390 | ProgramServices |
| Management And General | 2701 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239693 | Total |
| Program Services | 186155 | ProgramServices |
| Management And General | 53538 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5575 | Total |
| Program Services | 4330 | ProgramServices |
| Management And General | 1245 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90017 | Total |
| Program Services | 69911 | ProgramServices |
| Management And General | 20106 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71093 | Total |
| Program Services | 55214 | ProgramServices |
| Management And General | 15879 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 242446 | Total |
| Program Services | 188293 | ProgramServices |
| Management And General | 54153 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110236 | Total |
| Program Services | 85614 | ProgramServices |
| Management And General | 24622 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 446807 | Total |
| Program Services | 347008 | ProgramServices |
| Management And General | 99799 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 558859 | Total |
| Program Services | 434032 | ProgramServices |
| Management And General | 124827 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25388 | Total |
| Program Services | 19717 | ProgramServices |
| Management And General | 5671 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Service Contracts | 449319 | 348959 | 100360 |
| Provision for Doubtful Account | 86000 | 86000 | |
| NYS Revenue Assessment | 564686 | 564686 | |
| Miscellaneous | 111753 | 86667 | 25086 |
| Medical and Food Supplies | 789755 | 789755 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48665 | Total |
| Program Services | 37795 | ProgramServices |
| Management And General | 10870 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13215892 | Total |
| Program Services | 10585602 | ProgramServices |
| Management And General | 2630290 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35105 | BOY |
| EOY | 23337 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31814 | BOY |
| EOY | 31352 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1674 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1244107 | BOY |
| EOY | 1451579 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14358 | BOY |
| EOY | 12860 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37122 | BOY |
| EOY | 38804 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14925841 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8657093 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6547580 | BOY |
| EOY | 6268748 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3604197 | BOY |
| EOY | 3927170 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2663286 | BOY |
| EOY | 2158389 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14179243 | BOY |
| EOY | 13912239 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 704124 | BOY |
| EOY | 894624 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 287805 | BOY |
| EOY | 328150 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33915 | BOY |
| EOY | 32848 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7905466 | BOY |
| EOY | 7529996 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45938 | BOY |
| EOY | -685731 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8977248 | BOY |
| EOY | 8099887 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5201995 | BOY |
| EOY | 5812352 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5201995 | BOY |
| EOY | 5812352 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14179243 | BOY |
| EOY | 13912239 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 815675 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -205318 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 130443 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 279439 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 16527 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 30213 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18185 | CurrentTaxYear |
| Total | 474807 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11023652 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12075361 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12364990 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12474591 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13795372 | CurrentTaxYear |
| Total | 61733966 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11154095 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12354800 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12381517 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12504804 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13813557 | CurrentTaxYear |
| Total | 62208773 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 62208773 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 137611 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 180068 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 129434 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 70239 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45112 | CurrentTaxYear |
| Total | 562464 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 137611 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 180068 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 129434 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 70239 | CurrentTaxYearMinus1Year |
| Current Tax Year | 45112 | CurrentTaxYear |
| Total | 562464 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 277876 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 336273 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 67391 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 46899 | CurrentTaxYearMinus1Year |
| Current Tax Year | 172898 | CurrentTaxYear |
| Total | 901337 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11569582 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12871141 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12578342 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12621942 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14031567 | CurrentTaxYear |
| Total | 63672574 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97700 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97460 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00880 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01030 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| Facts And Circumstances Test | Part III, Line 12--Other income includes gain or loss on sale of investments, cafeteria revenue, and affiliate allocated income. See attachment for details. | FactsAndCircumstancesTest |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Beginning Balance | 33915 | BeginningBalance |
| Additions During Year | 61234 | AdditionsDuringYear |
| Distributions During Year | 62301 | DistributionsDuringYear |
| Ending Balance | 32848 | EndingBalance |
| Included On FS | true | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 19047 | BeginningOfYearBalance |
| Contributions | 24074 | Contributions |
| Grants Or Scholarships | 16905 | GrantsOrScholarships |
| End Of Year Balance | 26216 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 31797 | BeginningOfYearBalance |
| Contributions | 17794 | Contributions |
| Grants Or Scholarships | 30544 | GrantsOrScholarships |
| End Of Year Balance | 19047 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 50714 | BeginningOfYearBalance |
| Contributions | 20942 | Contributions |
| Grants Or Scholarships | 39859 | GrantsOrScholarships |
| End Of Year Balance | 31797 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 485000 | OtherCostOrOtherBasis |
| Book Value | 485000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11282113 | OtherCostOrOtherBasis |
| Depreciation | 6542700 | Depreciation |
| Book Value | 4739413 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 70011 | OtherCostOrOtherBasis |
| Depreciation | 44015 | Depreciation |
| Book Value | 25996 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 330978 | OtherCostOrOtherBasis |
| Depreciation | 248268 | Depreciation |
| Book Value | 82710 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2757739 | OtherCostOrOtherBasis |
| Depreciation | 1822110 | Depreciation |
| Book Value | 935629 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6268748 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due to/from Affiliates | 1825520 |
| Deferred Financing Costs, Net | 332869 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2158389 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Third Party Payable | -$262,352 |
| Accrued Pension | -$423,379 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | -685731 | TotalOfAmounts |
| Total Revenue | 14031567 | TotalRevenue |
| Total Expenses | 13215892 | TotalExpenses |
| Excess Or Deficit For Year | 815675 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 19922 | NetUnrealizedGLOnInvestments |
| Other | -$225,240 | OtherAmount |
| Total Adjustments | -205318 | TotalAdjustments |
| Excess Or Deficit Per FS | 610357 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 14031567 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 14031567 | RevenueSubtotal |
| Total Revenue Per Form990 | 14031567 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13215892 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 13215892 | ExpensesSubtotal |
| Total Expenses Per Form990 | 13215892 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part X | Part X : FIN48 Footnote | FIN 48 requires entities to disclose in their financial statement the nature of any uncertainty in their tax positions. For tax-exempt entities, tax-exempt status itself is deemed to be an uncertainty, as events could occur which have the potential to jeopardize an organization's tax-exempt status. The Health System implemented the provisions of FIN 48 in 2008. The System believes it has no uncertain tax positions as of and for the year ended December 31, 2010. |
| Part XI, Line 8 | Part XI, Line 8: Other Changes in Net Assets or Fund Balances | Pension Actuarial Valuation $ -225240 |
| Part V, Line 4 | Part V, Line 4: Intended uses of the endowment fund. | Endowment funds held for intended use by North Park Nursing Home, Inc. are in the possession of the Unity Health System Foundation. When the terms of the endowment are met, the Foundation grants the funds over to North Park Nursing Home, Inc. |
| Part IV, Line 2b | Part IV, Line 2b: Explanation of escrow account liability | Residents have authorized North Park Nursing Home in writing to manage their personal finances. The nursing home 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|
| Warren Hern | |||||
| 616579 | 132224 | 50594 | 21772 | 4026 | 825195 |
| Timothy R McCormick | |||||
| 250000 | 250000 | ||||
| Thomas R Crilly | |||||
| 306467 | 60464 | 9815 | 19747 | 10020 | 406513 |
| Sandra MacWilliam | |||||
| 275604 | 35692 | 16233 | 18035 | 8868 | 354432 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 6b | Identifier |
| Return Reference | Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or | ReturnReference |
| Explanation | The 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 (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part I, Line 5 | All employees of Unity Health System are paid from one entity, The Unity Hospital of Rochester, which is the common paymaster. The total number of employees for the entire Health System have been reported on all entities based on the reporting requirements for 2010. | |
| Form 990, Part I, Line 1 and Part III, Line 1 | As an affiliate of Unity Health 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 Unity Health System which include respect, quality service, empowerment, compassion, and creativity. | |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | North 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 Employees | The CEO's compensation is determined by an independent consulting firm that makes a recommendation based on surveys and market valuation. Once a compensation package is determined, it is presented to the Board of Directors for approval.Compensation for all other positions are determined based on market pricing, the position evaluation system and /or the position's responsibilities. | Form 990, Part VI, Line 15b |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | On an annual basis the member, Unity Health 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 Process | The Form 990 will be reviewed by the Executive Committee of Unity Health System Board of Directors prior to the annual filing date and also made available to the entire Board of Directors of Unity Health System. | Form 990, Part VI, Line 11 |
| Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | The President shall be appointed by the Corporate Member (Unity Health 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 Shareholder | The sole corporate member of North Park Nursing Home is Unity Health System, the parent corporation. | Form 990, Part VI, Line 6 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Woodland Village Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 161588242 | Senior Apartment Complex | NY | 501(c) (3) | 9 | NA | false |
| Unity Housing Development Fund Corp | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 300068596 | Receipt and Disbursement of Subsidies | NY | 501(c) (3) | 9 | NA | false |
| Unity Health System Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 222572873 | Healthcare Management | NY | 501(c) (3) | 11 | NA | false |
| Unity Aging Services Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 841684195 | Management and Development Co | NY | 501(c) (3) | 9 | NA | false |
| The Unity Hospital of Rochester | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 237221763 | Hospital | NY | 501(c) (3) | 3 | NA | false |
| St Bernards Housing Development Fund Co | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 161492955 | Low Income Housing Project | NY | 501(c) (3) | 9 | NA | false |
| PRCD Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 161311581 | Substance Abuse Treatment and Rehabilitation | NY | 501(c) (3) | 7 | NA | false |
| Parkway Commons Housing Development Fund | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 223130818 | Low Income Housing For Elderly/Handicapped | NY | 501(c) (3) | 9 | NA | false |
| Park Ridge Housing Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 222570457 | Senior Housing Apartments | NY | 501(c) (3) | 9 | NA | false |
| Park Ridge Housing Development Fund Inc | ||||||||||
| 1555 Long Pong Road | Rochester | NY | 14626 | 222608311 | Low Income Housing Project for the Elderly | NY | 501(c) (3) | 9 | NA | false |
| Park Ridge Child Care Center Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 222918126 | Child Day Care Services | NY | 501(c) (3) | 9 | NA | false |
| Unity Health System Foundation | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 119627400 | Foundation | NY | 501(c) (3) | 7 | NA | false |
| Park Ridge Nursing Home Inc | ||||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 160978184 | Long Term Care Facility | NY | 501(c)(3) | 9 | NA | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| Unity Senior Housing Associates LP | |||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 061709927 | Moore Park | NY | NA | false | false |
| Parma Senior Housing Associates LP | |||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 432082116 | Hilton Proj | NY | NA | false | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Unity Senior Housing Corp | ||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 061709925 | Senior Housing | NY | NA | C Corp |
| Parma Senior Housing LLC | ||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 810671687 | Sr. Housing | NY | NA | C Corp |
| PRH Inc | ||||||||
| 1555 Long Pond Road | Rochester | NY | 14626 | 161329632 | Medical Lab | NY | NA | C Corp |
| ACM Medical Laboratory Inc | ||||||||
| 160 Elmgrove Park | Rochester | NY | 14624 | 161059691 | Clinical Lab | NY | NA | C Corp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Comments