2011-11-14T05:26:07-08:00 2010-12-31 990 2010-01-01 223159644 NORTH PARK NURSING HOME INC DBA EDNA TINA WILSON LIVING CENTER NORT 5853686290 1555 LONG POND RD ROCHESTER NY 14626 Thomas R Crilly 2011-11-14 2010 2016-02-24 21:20:13Z Warren Hern 1555 Long Pond Road Rochester NY 14626 14031567 false false X www.unityhealth.org X 1991 NY See Schedule O 19 18 5614 76 0 30213 18185 12474591 13795372 18458 134781 98680 83229 12621942 14031567 0 0 8361055 9349186 0 0 3826044 3866706 12187099 13215892 434843 815675 14179243 13912239 8977248 8099887 5201995 5812352 See Schedule O false false 7954258 11025032 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. 2111275 2173159 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. 520069 597181 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. 10585602 true false false false false false false false true true true false false true false true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false true false false false false true 0 0 false 5614 true false false false false false false false false false false false 0 false false false false false false false false false false false X 19 18 false false false false true true true true true false false false true true true true true true true true false false NY X X NORTH PARK NURSING HOMEINC 5853686290 95 CANAL LANDING BLVD D ROCHESTER NY 14626 Warren Hern 2.00 X 0 799397 25798 Timothy R McCormick 0.00 X 0 250000 0 Thomas R Crilly 2.00 X 0 376746 29767 Tarun Kothari MD 2.00 X 0 0 0 Scott Turner 2.00 X 0 0 0 Sarah Amering 2.00 X 0 0 0 Sandra MacWilliam 10.00 X X 0 327529 26903 Ruth Hetland MD 2.00 X 0 0 0 Robert Oppenheimer 2.00 X 0 0 0 Robert Asbury MD 2.00 X 0 0 0 Richard Machemer 2.00 X 0 0 0 Rich Jasinski 2.00 X 0 0 0 Penelope Martin MS RN NP 2.00 X 0 0 0 Mark Meyer 2.00 X 0 0 0 Karen Gallina 2.00 X 0 0 0 John Halstead 2.00 X 0 0 0 Jeffrey Mapstone 2.00 X 0 0 0 Hari P Garg MD 2.00 X 0 0 0 Gregory Lewish MD 2.00 X 0 0 0 Faheem AR Masood 2.00 X 0 0 0 Elizabeth Patton PhD 2.00 X 0 0 0 Douglas Brush 2.00 X 0 0 0 Cynthia LoVetro 0.00 X 0 46181 6549 Colleen Klix 40.00 X 0 101408 5608 1901261 94625 0 true true false 0 18185 18185 Private Pay 623000 6727298 6727298 Other 623000 189598 189598 Medicare/MHO 623000 495309 495309 Medicare 623000 194608 194608 Medicaid 623000 6090654 6090654 97905 97905 13795372 45112 45112 0 0 0 89669 89669 89669 89669 0 0 0 Cafeteria Income 623000 13308 13308 Aide Training Revenue 623000 3450 3450 Affiliate Interest 623000 66471 66471 83229 14031567 13795372 218010 0 0 0 0 257720 200156 57564 0 7014986 5448119 1566867 188952 146748 42204 1210457 940089 270368 677071 525840 151231 24 19 5 14299 11105 3194 12091 9390 2701 0 0 0 239693 186155 53538 5575 4330 1245 90017 69911 20106 71093 55214 15879 0 242446 188293 54153 110236 85614 24622 0 0 446807 347008 99799 0 558859 434032 124827 25388 19717 5671 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 48665 37795 10870 13215892 10585602 2630290 0 35105 23337 31814 31352 1674 0 1244107 1451579 0 0 0 14358 12860 37122 38804 14925841 8657093 6547580 6268748 3604197 3927170 0 0 0 2663286 2158389 14179243 13912239 704124 894624 287805 328150 33915 32848 7905466 7529996 45938 -685731 8977248 8099887 X 5201995 5812352 5201995 5812352 14179243 13912239 X 815675 -205318 X false true true X true true X 130443 279439 16527 30213 18185 474807 11023652 12075361 12364990 12474591 13795372 61733966 0 0 0 11154095 12354800 12381517 12504804 13813557 62208773 0 0 62208773 137611 180068 129434 70239 45112 562464 0 137611 180068 129434 70239 45112 562464 0 277876 336273 67391 46899 172898 901337 11569582 12871141 12578342 12621942 14031567 63672574 0.97700 0.97460 0.00880 0.01030 X Part III, Line 12--Other income includes gain or loss on sale of investments, cafeteria revenue, and affiliate allocated income. See attachment for details. false 33915 61234 62301 32848 true 19047 24074 16905 26216 31797 17794 30544 19047 50714 20942 39859 31797 1.00000 false true true 485000 485000 11282113 6542700 4739413 70011 44015 25996 330978 248268 82710 2757739 1822110 935629 6268748 Due to/from Affiliates 1825520 Deferred Financing Costs, Net 332869 2158389 Third Party Payable -262352 Accrued Pension -423379 -685731 14031567 13215892 815675 19922 -225240 -205318 610357 14031567 14031567 14031567 13215892 13215892 13215892 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. false false false false false true true false false false 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 Sch J, Part I, Line 6b Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or The officers and key employees are eligibale for incentive compensation contingent upon various performance indicators of North Park Nursing Home, Inc. including net earnings. 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 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 15b 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 12c 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 11 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 7a 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 6 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. 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