2016-10-26T14:13:40-05:00 2015-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2015-01-01 222902896 IDEAL SENIOR LIVING CENTER INC IDEA 6077867302 508 HIGH AVENUE ENDICOTT NY 13760 KAY BOLAND 2ND VICE CHAIRMAN 6077867308 2016-09-23 1 ANGELA M FRANCO P00589741 3154463600 2015 2017-02-10 21:41:12Z KAY BOLAND 508 HIGH AVENUE ENDICOTT NY 13760 12612152 0 X WWW.UHS.NET X 1988 NY HEALTHCARE FOR THE ELDERLY 10 6 288 31 0 0 7718 22613 12786957 12310800 82569 64559 198773 214180 13076017 12612152 0 0 0 0 9041156 7728589 0 0 0 5451583 5911261 14492739 13639850 -1416722 -1027698 10140131 8557224 10993167 10485665 -853036 -1928441 X HEALTHCARE FOR THE ELDERLY 0 0 12589913 12524980 IDEAL SENIOR LIVING CENTER, INC. (ISLC) IS PART OF A NOT-FOR-PROFIT FULL SERVICE SENIOR COMMUNITY WHICH PROVIDES NURSING CARE AND HOUSING SERVICES TO RESIDENTS OF BROOME COUNTY, NEW YORK AND SURROUNDING AREAS. THE PROGRAM AT ISLC CONSISTS OF A 150 BED NURSING HOME AND A LONG TERM HOME HEALTH CARE PROGRAM (LTHHCP). ISLC IS A MEMBER OF UNITED HEALTH SERVICES, INC. AND IS LOCATED ON THE SAME CAMPUS AS ITS SISTER COMPANY, IDEAL SENIOR LIVING CENTER HOUSING CORPORATION (ISLCHC), WHICH RUNS A 47 BED ADULT CARE FACILITY, 23 BED ASSISTED LIVING PROGRAM AND HAS 33 INDEPENDENT LIVING APARTMENTS.ISLC OPERATES TWO GENERAL CARE UNITS IN ITS NURSING CENTER, AND OPERATES FOUR UNITS FOR THE TREATMENT OF SPECIAL MEDICAL PROBLEMS. TWO OF THE UNITS ARE DEVOTED TO THE CARE OF RESIDENTS WITH EARLY AND ADVANCED DEMENTIA OR ALZHEIMER'S DISEASE. ONE UNIT IS FOR RESIDENTS WITH SPECIAL MEDICAL NEEDS SUCH AS CONTINUAL OXYGEN, AND ANOTHER IS DEVOTED TO RESIDENTS WHO NEED RESTORATIVE THERAPY.THE REHABILITATION UNIT FOCUSES ON THE RESTORATION OF THE MOVEMENT OF LIMBS AND HELPING PEOPLE COPE WITH THEIR DISABILITIES SO THAT THEY CAN LIVE MORE INDEPENDENTLY. THE UNIT SERVES RESIDENTS WHO NEED A LESS INTENSIVE OR LONGER PERIOD OF THERAPY THAN IS ECONOMICALLY APPROPRIATE IN A HOSPITAL. RESIDENTS OF THE REHABILITATION UNIT ARE OFTEN DISCHARGED TO THEIR HOMES AFTER TREATMENT IS COMPLETED.ISLC OPERATES A LTHHCP PROGRAM DESIGNED TO KEEP PATIENTS WITH CHRONIC OR LONG TERM CONDITIONS AT HOME AND OUT OF INSTITUTIONS. THE PROGRAM IN MANY WAYS MAINTAINS THE QUALITY OF LIFE AT THE HIGHEST LEVEL AND IS A COST EFFECTIVE WAY OF MANAGING PATIENTS WHO WOULD OTHERWISE BE PLACED IN MORE COSTLY INSTITUTIONS. 12589913 1 1 0 1 0 0 0 0 1 1 1 0 0 0 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 28 0 1 288 1 0 0 0 0 0 0 0 0 0 0 X 10 6 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 331109 27502 ROBIN KINSLOW-EVANS SECRETARY 2.00 55.00 X X 0 262975 37218 HAROLD BEAM TREASURER 2.00 X X 0 0 0 PETER NEWMAN TRUSTEE 2.00 X 0 0 0 NANCY RONGO TRUSTEE 2.00 55.00 X 0 216230 28253 EVELYN ROZUNICK TRUSTEE 2.00 X 0 0 0 NATALIE THOMPSON TRUSTEE 2.00 X 0 0 0 JUDITH WHITEMAN TRUSTEE 2.00 X 0 0 0 MICHELE ZEMANICK TRUSTEE 2.00 X 0 0 0 MARIA LISI-MURRAY TRUSTEE 2.00 X 0 0 0 ROBERT GOMULKA TRUSTEE 2.00 X 0 0 0 JEROME BIGNOLI TRUSTEE 2.00 X 0 0 0 RONALD CEROW ADMINISTRATOR 2.00 53.00 X 5034 120806 23200 MICHELE GORDON ADMINISTRATOR 49.00 6.00 X 111723 12414 21611 MARILYN BARBIERI DIRECTOR OF FINANCE 44.00 11.00 X 77444 19361 13198 194201 962895 150982 1 0 1 0 MORRISON HEALTHCARE PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICES 559198 PROFESSIONAL HOME CARE INC 601 RIVERSIDE DR JOHNSON CITY NY 13790 AIDE SERVICES 353189 TWIN TIER HOME HEALTH 601 RIVERSIDE DR JOHNSON CITY NY 13790 NURSING SERVICES 182011 NURSEFINDERS PO BOX 910738 DALLAS TX 753910738 TEMPORARY SERVICES 180408 BATES TROY 151 LAUREL AVE BINGHAMTON NY 13905 LAUNDRY SERVICE 119842 7 15945 6668 22613 NURSING FACILITY REVENUE 623000 11698306 11698306 HOME HEALTH CARE REVENUE 621610 612494 612494 12310800 55687 55687 8872 0 8872 8872 8872 SERVICES RENDERED 561000 173903 173903 BEAUTY SHOP REVENUE 812900 27181 27181 MISCELLANEOUS REVENUE 900099 13096 13096 214180 12612152 12524980 0 64559 X 88002 88002 5620439 5390813 229626 322567 304619 17948 1108268 1046602 61666 589313 556523 32790 4186 4186 70104 70104 69507 69507 1304272 1109424 194848 63 63 96897 44959 51938 127213 101771 25442 311824 311824 15556 9198 6358 249108 235609 13499 641970 641970 176719 176719 SERVICE CONTRACTS 793280 793280 0 NYS ASSESSMENT 645537 645537 SUPPLIES 569387 564961 4426 BAD DEBT 459004 459004 376634 373819 2815 13639850 12589913 1049937 0 705914 588988 1849084 1469951 13375 0 65653 23017 15816711 11721452 4646351 4095259 2639605 2166492 165271 153873 54878 59644 10140131 8557224 1180560 722278 36190 42946 5616345 5314960 4160072 4405481 10993167 10485665 X -871724 -1945139 18688 16698 -853036 -1928441 10140131 8557224 X -1027698 -37006 -10701 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2371 2371 0 PART II-B, LINE 1: EXPENDITURES FOR LOBBYING IS A PERCENTAGE OF THE DUES TO HANYS (28.03%), HCA (11.42%), AND LEADING AGE (10.20%). 0 1 X 18688 -1990 16698 22148 -3460 18688 31698 -9550 22148 35258 -3560 31698 41241 -5983 35258 1.00000 0 0 9951267 6629087 3322180 866266 763187 103079 4999178 4329178 670000 4095259 DUE TO AFFILIATES: UHS HOSPITALS 2970940 DUE TO AFFILIATES: UHS, INC. 5414 DUE TO AFFILIATES: PHC 19805 DUE TO AFFILIATES: UMA 2500 DUE TO AFFILIATES: PROJECT HEAR 175 ACCRUED PENSION AND POST RETIREMENT LIABILITIES 1333984 DUE TO AFFILIATES: TTHH 13726 WORKER'S COMPENSATION LIABILITY - NET OF CURRENT PORTION 58937 4405481 X 12612152 0 12612152 0 12612152 13639850 0 13639850 0 13639850 PART IV, LINE 2B: ISLC 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, THE RESIDENT'S ESTATE, OR IF NECESSARY DSS. PART X, LINE 2: THE FACILITY 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, 2015 AND 2014, THE FACILITY DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS NOR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2012 THROUGH 2015. X X X X 0 0 0 0 0 0 0 0 0 KAY BOLAND 2ND VICE CHAIR 0 292236 0 38873 0 0 0 16165 0 11337 0 358611 0 0 ROBIN KINSLOW-EVANS SECRETARY 0 232100 0 30875 0 0 0 16041 0 21177 0 300193 0 0 NANCY RONGO TRUSTEE 0 191295 0 24935 0 0 0 13190 0 15063 0 244483 0 0 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 11 THE 990 PREPARATION AND FILING IS THE RESPONSIBILITY OF THE IDEAL SENIOR LIVING CENTER, INC. (ISLC) 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 AND INDEPENDENT AUDITORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES SUBMIT CONFLICT OF INTEREST STATEMENTS ANNUALLY WHICH ARE REVIEWED BY THE ADMINISTRATOR, 2ND VICE CHAIR AND BOARD CHAIRMAN. FORM 990, PART VI, SECTION B, LINE 15 IT IS THE PHILOSOPHY OF IDEAL SENIOR LIVING CENTER, INC.(ISLC) 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 ISLC 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 ISLC--PERFORMS HUMAN RESOURCES SERVICES FOR ISLC. UHS, INC. PREPARES AND RECOMMENDS ISLC EXECUTIVE COMPENSATION PACKAGES USING BENCHMARKS PROVIDED BY IROQUOIS HEALTHCARE ALLIANCE TO DETERMINE REASONABLE COMPENSATION LEVELS. THE ISLC 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, INC BOARD OF DIRECTORS AND WERE EMPLOYED FULL TIME BY ONE OR MORE RELATED ORGANIZATIONS: NANCY RONGO ROBIN KINSLOW-EVANS KAY BOLAND FORM 990, PART IX, LINE 5 IDEAL SENIOR LIVING CENTER, INC. (ISLC) HAS AN ADMINISTRATION/MANAGEMENT SERVICES INTERCOMPANY CONTRACT WITH UHS HOSPITALS. THE ADMINISTRATOR--MICHELE GORDON--SPENDS 90% OF HER TIME PERFORMING ADMINISTRATION DUTIES FOR ISLC, AND 10% FOR IDEAL SENIOR LIVING CENTER HOUSING CORPORATION (ISLCHC). ISLC HAS AN ADMINISTRATION/MANAGEMENT SERVICES INTERCOMPANY CONTRACT WITH CHENANGO MEMORIAL HOSPITAL (CMH). THE ADMINISTRATOR--RONALD CEROW--SPENDS 95% OF HIS TIME PERFORMING ADMINISTRATION DUTIES FOR CMH, 4% OF HIS TIME FOR ISLC, AND 1% FOR ISLCHC. ISLC HAS A FINANCIAL SERVICES INTERCOMPANY CONTRACT WITH ISLCHC. THE DIRECTOR OF FINANCE--MARILYN BARBIERI--SPENDS 80% OF HER TIME PERFORMING FINANCIAL DUTIES FOR ISLC AND 20% OF HER TIME FOR ISLCHC. FORM 990, PART XI, LINE 9: CHANGE IN RETIREMENT PLAN OBLIGATION -8,711. CHANGE IN INTEREST OF TEMPORARILY RESTRICTED ASSETS OF UHS FOUNDATION -1,990. 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 2015. UHS INC 10-42 MITCHELL AVE BINGHAMTON NY 13903 222682421 PARENT COMPANY NY 501(C)(3) 9 N/A 0 IDEAL SENIOR LIVING CTR HOUSING INC 508 HIGH AVE ENDICOTT NY 13760 222902899 SENIOR HOUSING NY 501(C)(3) 9 N/A 0 PROFESSIONAL HOME CARE 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161261977 HOME HEALTH CARE NY 501(C)(3) 9 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 PROJECT HEAR 601 RIVERSIDE DRIVE JOHNSON CITY NY 13790 161462675 HOME ALARM SYSTEMS NY 501(C)(3) 9 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 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0