2018-11-02T13:22:33-05:00 2017-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2017-01-01 222902899 IDEAL SENIOR LIVING CENTER HOUSING CORPORATION IDEA 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 KAY BOLAND 2ND VICE CHAIRMAN 6077636694 2018-10-10 1 ANGELA M FRANCO P00589741 3154463600 2018-10-10 24.39.85.114 2018-10-10 08:52:22 ED P 7E9C33F7C5CD1DA8693DD78F29AF2560BCFF7C5D 2B26D0CF862F5C09AB62214FFDF324E4AA0177DB 2017 2018-06-14 16:35:46Z KAY BOLAND 508 HIGH AVENUE ENDICOTT NY 13760 4028579 0 X WWW.NYUHS.ORG X 1988 NY 103 UNIT FACILITY TO PROVIDE HOUSING AND ASSISTED LIVING SERVICES TO THE ELDERLY. 12 8 100 0 0 0 37378 45113 3301539 3697397 222891 208593 59626 77476 3621434 4028579 0 0 0 0 1731606 1993974 0 0 0 1904971 1955893 3636577 3949867 -15143 78712 10312602 10156370 10695992 10346642 -383390 -190272 X UHS SENIOR LIVING AT IDEAL PROVIDES SECURITY AND PEACE OF MIND TO SENIORS, OUR RESIDENTS, AND THEIR FAMILIES BY OFFERING COMPASSIONATE, PERSONALIZED CARE TO PROMOTE THE HIGHEST LEVEL OF HEALTHCARE FUNCTIONING. WE DO THIS IN A FULL CONTINUUM THAT INCLUDES HOME CARE, RESIDENTIAL, AND SKILLED NURSING SERVICES.WE ARE STEWARDS TO THE COMMUNITY AT LARGE, AND FULFILL THIS COMMUNITY NEED AS A MEMBER OF UHS. AS SUCH, WE ARE EVER MINDFUL OF OUR RESPONSIBILITY TO MANAGE OUR FINANCES TO SUSTAIN OUR ORGANIZATION. 0 0 3540426 3697397 ISLCHC PROVIDES HOUSING AND HEALTH & WELLNESS SERVICES TO THE ELDERLY RESIDENTS OF BROOME COUNTY AND SURROUNDING AREAS. ISLCHC INCLUDES 33 INDEPENDENT LIVING APARTMENTS, 35 ADULT CARE FACILITY BEDS, AND 35 ASSISTED LIVING PROGRAM BEDS. VARIOUS SERVICES SUCH AS MEALS, HOUSEKEEPING, ACTIVITIES PROGRAM AND SOCIAL TRANSPORTATION ARE PROVIDED TO ALL RESIDENTS TO ENHANCE THE QUALITY OF THEIR LIVES. ASSISTED LIVING PROGRAM RESIDENTS RECEIVE NURSING, THERAPY AND HOME HEALTH AND PERSONAL CARE SERVICES AS NEEDED. ISLCHC IS A MEMBER OF THE UNITED HEALTH SERVICES HEALTH CARE SYSTEM AND IS LOCATED ON THE SAME CAMPUS AS ITS SISTER COMPANY: IDEAL SENIOR LIVING CENTER, INC., A 150 BED SKILLED NURSING FACILITY.DURING 2017, APPROXIMATELY 24% OF INDEPENDENT APARTMENTS WERE LEASED TO LOW INCOME ELDERLY TENANTS. ADDITIONALLY, APPROXIMATELY 62% OF ALP ROOMS AND 37% OF ACF ROOMS WERE LEASED TO LOW INCOME ELDERLY RESIDENTS. 3540426 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 100 1 0 0 0 0 0 0 0 0 0 0 X 12 8 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X MARILYN BARBIERI 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 X SHARON YAPLE CHAIRMAN 2.00 X X 0 0 0 LILLIAN LEVY 1ST VICE CHAIR 2.00 X X 0 0 0 KAY BOLAND 2ND VICE CHAIR 2.00 55.00 X X 0 390370 29397 ROBIN KINSLOW-EVANS SECRETARY 2.00 55.00 X X 0 232118 32204 HAROLD BEAM TREASURER 2.00 X X 0 0 0 JEROME BIGNOLI TRUSTEE 2.00 X 0 0 0 ROBERT GOMULKA TRUSTEE 2.00 X 0 0 0 PETER NEWMAN TRUSTEE 2.00 X 0 0 0 MICHELLE KAREDES TRUSTEE 2.00 55.00 X 0 118402 28760 EVELYN ROZUNIK TRUSTEE 2.00 X 0 0 0 BARBARA TRAVIS TRUSTEE 2.00 X 0 0 0 NANCY RONGO TRUSTEE 2.00 55.00 X 0 261165 32998 MICHELE GORDON ADMINISTRATOR 11.00 44.00 X 29134 116537 24177 MARILYN BARBIERI DIRECTOR OF FINANCE 11.00 44.00 X 17996 71982 14360 RON CEROW FORMER OFFICER 0.00 55.00 X 0 134541 30721 47130 1325115 192617 0 1 1 0 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 30368 FOOD SERVICES MGMT 333485 1 15113 30000 45113 ADULT CARE/ASSISTED LI 623000 2543426 2543426 APARTMENT RENT 623990 659482 659482 LICENSED HOME CARE 621610 250489 250489 AFFILIATE RENT 531120 244000 244000 3697397 208593 208593 MORTGAGE INSURANCE 531390 23225 23225 INSURANCE SETTLEMENT 525100 22128 22128 BEAUTY SHOP REVENUE 812900 20984 20984 11139 11139 77476 4028579 3697397 0 286069 54837 54837 1441697 1441697 52161 52161 300781 300781 144498 144498 23564 23564 210 210 31812 31812 256515 140112 116403 13187 9372 3815 252412 252412 32892 32892 380007 370438 9569 339247 339247 141478 141478 SERVICE CONTRACTS 390178 383040 7138 OPERATING EXPENSES 62976 62976 LICENSES & TAXES 11730 11730 BAD DEBT EXPENSE 10800 10800 8885 8885 3949867 3540426 409441 0 210491 328466 67728 130409 5000355 4671954 26579 34429 57296 14148367 11141597 3177997 3006770 915164 984633 879859 976842 10312602 10156370 478560 460433 7301 7703 9400218 8823275 809913 1055231 10695992 10346642 X -1198619 -1102773 329021 426253 486208 486248 -383390 -190272 10312602 10156370 X 78712 114406 X X 0 1 X 1 0 X 5000 14108 26480 37378 45113 128079 3158527 3161102 3403176 3301539 3697397 16721741 149615 157284 50378 60126 77476 494879 3313142 3332494 3480034 3399043 3819986 17344699 0 0 0 17344699 260430 248300 235609 222391 208593 1175323 260430 248300 235609 222391 208593 1175323 3573572 3580794 3715643 3621434 4028579 18520022 0.93650 0.93140 0.06350 0.06860 X 0 0 0 0 0 0 0 0 1 421 421 0 PART II-B, LINE 1: EXPENDITURE FOR LOBBYING IS A PERCENTAGE OF THE DUES TO LEADINGAGE NEW YORK (12.3%). 0 1 X 815229 97272 912501 779709 35520 815229 802348 -22639 779709 761287 41061 802348 660091 101196 761287 0.53000 0.47000 1 0 102112 102112 9528418 7322510 2205908 1273037 808940 464097 3244800 3010147 234653 3006770 INTEREST IN NET ASSETS OF UNITED HEALTH SERVICES FOUNDATION, INC 912501 RESIDENT FUNDS HELD IN TRUST 64341 976842 RESIDENT SECURITY DEPOSITS 56638 DUE TO AFFILIATES 988769 WORKERS' COMPENSATION LIABILITY - NET OF CURRENT PORTION 9824 1055231 X 4013466 0 4013466 15113 15113 4028579 3949867 0 3949867 0 3949867 PART IV, LINE 2B: ISLCHC MAINTAINS A RESIDENT TRUST FUND ACCOUNT TO HOLD PERSONAL FUNDS IN A SECURE LOCATION. THE RESIDENT TRUST FUND ACCOUNT IS ORGANIZED AS A SINGLE BANK ACCOUNT THAT INCLUDES THE FUNDS OF ALL RESIDENTS WHO HAVE CHOSEN TO USE IT. HOWEVER, EACH RESIDENT'S FINANCES ARE TRACKED SEPARATELY, AND THE RESIDENT OR THE RESIDENT'S APPOINTED FINANCIAL REPRESENTATIVE MUST APPROVE EVERY TRANSACTION. IF THE RESIDENT LEAVES THE FACILITY FOR ANY REASON OR PASSES AWAY, THE FUNDS ARE THEN RETURNED TO THE RESIDENT OR THE RESIDENT'S ESTATE. PART X, LINE 2: THE HOUSING CORP. IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE, AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2017 AND 2016, THE HOUSING CORP. DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2014 THROUGH 2017. THE HOUSING CORP. DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS. PART XI, LINE 4B - OTHER ADJUSTMENTS: NYS DEPARTMENT OF HEALTH 15,113. X X X X 0 0 0 0 0 1 1 0 0 KAY BOLAND 2ND VICE CHAIR 0 339954 0 50416 0 0 0 16740 0 12657 0 419767 0 0 ROBIN KINSLOW-EVANS SECRETARY 0 192072 0 40046 0 0 0 14391 0 17813 0 264322 0 0 NANCY RONGO TRUSTEE 0 225500 0 35665 0 0 0 16192 0 16806 0 294163 0 0 MICHELE GORDON ADMINISTRATOR 29134 116537 0 0 0 0 1806 7225 3029 12117 33969 135879 0 0 RON CEROW FORMER OFFICER 0 116541 0 18000 0 0 0 15741 0 14980 0 165262 0 0 PART I, LINE 6 THE EXECUTIVE COMPENSATION INCENTIVE PLAN HAS VARIOUS PERFORMANCE MEASURES WHICH INCLUDE ONES FOR CLINICAL EXCELLENCE, MARKET GROWTH, AND FINANCIAL STRENGTH. ONE MEASURE UNDER THE FINANCIAL STRENGTH HEADING IS THE COMBINED NET INCOME OF THE UNITED HEALTH SERVICES SYSTEM. A PORTION OF THE 2017 INCENTIVE COMPENSATION PAYMENTS WERE ATTRIBUTABLE TO MEETING THE COMBINED NET INCOME, PATIENT SAFETY, AND QUALITY GOALS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER OF THE ORGANIZATION IS UNITED HEALTH SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11B THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE IDEAL SENIOR LIVING CENTER HOUSING CORP'S (ISLCHC) BOARD OF DIRECTORS WHO DELEGATES THE TIMELY AND ACCURATE COMPLETION OF THE 990 TO MANAGEMENT. THE UHS FINANCE DEPARTMENT PREPARES THE 990 WHICH IS THEN REVIEWED BY THE CORPORATE CFO, THE BOARD OF DIRECTORS AND INDEPENDENT AUDITORS PRIOR TO FILING. A SUMMARY OF KEY ELEMENTS OF THE 990 IS SHARED WITH THE BOARD OF DIRECTORS FOR INFORMATION PURPOSES. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE 2ND VICE CHAIR AND BOARD CHAIRMAN. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF IDEAL SENIOR LIVING CENTER HOUSING CORP (ISLCHC) THAT THE EXECUTIVE STAFF BE COMPENSATED FAIRLY FOR THEIR WORK. BASE SALARY LEVELS, INCENTIVE/BONUS PROGRAMS AND BENEFIT PLANS SHALL TAKE INTO ACCOUNT THE LOCAL, REGIONAL AND NATIONAL MARKETS TO ALLOW ISLCHC TO RECRUIT, MOTIVATE, REWARD, RECOGNIZE AND RETAIN HIGHLY TALENTED EXECUTIVES WITH THE SKILL SETS REQUIRED TO FULFILL ITS MISSION CRITICAL PERFORMANCE OBJECTIVES THAT WILL LEAD TO THE ORGANIZATION'S AND SYSTEM'S SUCCESS. TO CARRY OUT THIS COMPENSATION PHILOSOPHY, UHS, INC.--THE SOLE CORPORATE MEMBER OF ISLCHC--PERFORMS HUMAN RESOURCES SERVICES FOR ISLCHC. UHS, INC. PREPARES AND RECOMMENDS ISLCHC EXECUTIVE COMPENSATION PACKAGES USING BENCHMARKS PROVIDED BY IROQUOIS HEALTHCARE ALLIANCE TO DETERMINE REASONABLE COMPENSATION LEVELS. THE ISLCHC BOARD OF DIRECTORS' EXECUTIVE COMPENSATION COMMITTEE THEN REVIEWS THE RECOMMENDATIONS TO ENSURE THE APPROPRIATENESS OF BASE SALARY, INCENTIVES, AND BENEFITS. THE COMPENSATION COMMITTEE WILL THEN MAKE ANY NECESSARY REVISIONS PRIOR TO APPROVING EXECUTIVE COMPENSATION PACKAGES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 990 AND OTHER INFORMATION REQUIRED UNDER INTERNAL REVENUE SERVICE REGULATIONS TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, COLUMN B THE FOLLOWING BOARD MEMBERS ARE ACTIVE ON THE IDEAL SENIOR LIVING CENTER HOUSING CORP BOARD OF DIRECTORS AND ARE EMPLOYED FULL TIME BY ONE OR MORE RELATED ORGANIZATIONS: NANCY RONGO ROBIN KINSLOW-EVANS (LEFT BOARD IN AUGUST 2017) KAY BOLAND MICHELLE KAREDES FORM 990, PART XI, LINE 9: RETIREMENT PLAN OBLIGATION CHANGES OTHER THAN NET PERIODIC BENEFIT COST 17,134. CHANGE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF UHS FOUNDATION, 97,232. CHANGE IN INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF UHS FOUNDATION, 40. FORM 990, PART XII, LINE 2C NEITHER THE PROCESS FOR THE OVERSIGHT OF THE AUDIT NOR THE PROCESS FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT CHANGED DURING 2017. THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. UHS INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 10 N/A 0 IDEAL SENIOR LIVING CENTER 508 HIGH AVE ENDICOTT NY 13760 222902896 SENIOR LIVING CENTER NY 501(C)(3) 3 N/A 0 PROFESSIONAL HOME CARE 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME HEALTH CARE NY 501(C)(3) 10 N/A 0 TWIN TIER HOME HEALTH CARE 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 222348211 HOME HEALTH CARE NY 501(C)(3) 7 N/A 0 UHS HOSPITALS INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 161165049 ACUTE & OUTPATIENT SERVICES NY 501(C)(3) 3 N/A 0 CHENANGO MEMORIAL HOSPITAL INC 179 NORTH BROAD STREET NORWICH NY 13815 150532180 HOSPITAL NY 501(C)(3) 3 N/A 0 DELAWARE VALLEY HOSPITAL INC 1 TITUS PLACE WALTON NY 138561457 150524324 HOSPITAL NY 501(C)(3) 3 N/A 0 PROJECT HEAR 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161462675 HOME ALARM SYSTEMS NY 501(C)(3) 10 N/A 0 0 0 0 0 1 0 0 0 0 1 0 1 1 1 1 1 1 0 0