2023-11-15T10:36:50-06:00 2022-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2022-01-01 161449543 GENEVA NURSING HOME II INC GENE 3157874000 75 MASON ST GENEVA NY 14456 TRISHA KOCZENT TREASURER AND CFO 3157874000 2023-11-14 1 TRISHA KOCZENT XXX-XX-XXXX 0 AIMEE J JOZIC P01346943 5853811000 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LIVING CENTER AT GENEVA NORTH JOSE ACEVEDO MD MBA 75 MASON ST GENEVA NY 14456 7479208 0 X WWW.FLHEALTH.ORG X 1995 NY GENEVA NURSING HOME II, INC. IS A COMMUNITY BASED, NOT-FOR-PROFIT SKILLED NURSING FACILITY DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. 16 14 122 14 0 0 1141712 406738 5156591 6957961 52101 102103 0 0 6350404 7466802 0 0 0 0 3149678 3396634 0 0 0 2503412 3848990 5653090 7245624 697314 221178 6075011 5314870 3168523 2553935 2906488 2760935 X GENEVA NURSING HOME II, INC. IS A COMMUNITY BASED, NOT-FOR-PROFIT SKILLED NURSING FACILITY DEDICATED TO MAINTAINING AND IMPROVING THE HEALTH OF ALL PEOPLE IN THE CENTRAL FINGER LAKES REGION. WE ARE COMMITTED TO SAFE, HIGH QUALITY, COMPASSIONATE SERVICES THAT ARE CONVENIENT, ACCESSIBLE AND AT REASONABLE COST, THROUGH THE EFFORTS OF OUR EMPLOYEES, MEDICAL STAFF AND VOLUNTEERS. WE ARE A CENTER FOR HEALTH EDUCATION THAT LIVES ITS LEADERSHIP COMMITMENTS THROUGH PARTICIPATION IN AND SPONSORSHIP OF PROFESSIONAL, ALLIED HEALTH AND COMMUNITY HEALTH EDUCATION PROGRAMS. 0 0 5216590 6957961 GENEVA NURSING HOME, II, INC, D/B/A LIVING CENTER GENEVA NORTH (LCN) IS AN 80-BED SKILLED NURSING FACILITY WITH A REPUTATION FOR OUTSTANDING MEDICAL, NURSING, AND REHABILITATIVE CARE. LOCATED IN GENEVA, NY, LCN CONSISTS OF TWO NURSING UNITS AND A RESPITE SERVICE WITH TWO BEDS. LCN OFFERS A BROAD RANGE OF SKILLED NURSING AND REHABILITATIVE SERVICES. OUR MULTIDISCIPLINARY TEAM, CONSISTING OF PHYSICIANS, NURSING, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SOCIAL WORK, ACTIVITIES AND NUTRITIONAL SERVICES STAFF, WORKS DIRECTLY WITH THE RESIDENT AND FAMILY MEMBERS TO DEVISE AND CARRY OUT THE BEST POSSIBLE PLAN OF CARE. WE ARE ABLE TO OFFER A CONTINUUM OF CARE UNMATCHED IN OUR REGION, WITH A WIDE VARIETY OF MEDICAL SPECIALISTS AND OUTSTANDING ACUTE CARE AS NEEDED. 5216590 1 1 0 1 0 0 0 0 1 0 1 1 0 0 1 0 0 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 2 0 1 122 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 14 1 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X TRISHA KOCZENT 3157874000 196 NORTH STREET GENEVA NY 14456 JOSE A ACEVEDO MD ASST SECRETARY 6.00 34.00 X X 0 1548830 167758 KYLENE ABRAHAM DNP DIRECTOR 1.00 4.00 X 0 0 0 PHIL BECKLEY DIRECTOR 2.00 4.00 X 0 0 0 SUSAN STORK DIRECTOR 1.00 4.00 X 0 0 0 ANN MCMULLEN DIRECTOR 1.00 4.00 X 0 0 0 RODOLFO QUEIROZ MD DIRECTOR 1.00 4.00 X 0 0 0 TOM BURRALL DIRECTOR 1.00 4.00 X 0 0 0 CRAIG DENSMORE DIRECTOR 1.00 4.00 X 0 0 0 JAMES CHENEY DIRECTOR 1.00 4.00 X 0 0 0 LANCE WARD DIRECTOR 1.00 4.00 X 0 0 0 CHEVANNE DEVANEY DIRECTOR 1.00 4.00 X 0 0 0 MENZO CASE CHAIR 2.00 8.00 X X 0 0 0 RYAN HALLINGS VICE CHAIR 1.00 4.00 X X 0 0 0 TRISHA KOCZENT TREASURER & CFO 6.00 34.00 X X 0 315868 8700 JAMES NARDOZZI DIRECTOR 1.00 4.00 X 0 0 0 JAMES ADAMS SECRETARY 2.00 4.00 X X 0 0 0 WILLIAM S GARRITY VP LONG TERM CARE 8.00 32.00 X 0 218163 13435 FRANK M KORICH CHIEF OPERATING OFFICER 5.00 35.00 X 0 386866 59822 JENNIFER CARROLL NURSE MANAGER 40.00 0.00 X 100144 0 0 HILDA MCNICHOLAS NURSE MANAGER 40.00 0.00 X 132986 0 8887 PATRICIA ROBERTS-REAVES LTC CLINICAL LEADER 40.00 0.00 X 153777 0 8103 386907 2469727 266705 3 0 1 0 0 176500 191598 38640 406738 PATIENT SVC REVENUE 623000 6854826 6854826 OTHER 900099 103135 103135 6957961 33663 33663 80846 12406 68440 68440 68440 7466802 6957961 0 102103 2755009 2261031 493978 47905 39316 8589 398598 327129 71469 195122 160136 34986 47139 47139 133403 133403 17971 17971 2338 2338 26954 26954 20821 4980 15841 107114 98441 8673 798 798 6688 6688 225134 213877 11257 36382 36382 SHARED SERVICES 1064382 1064382 CONTRACT LABOR 950961 950961 NYS ASSESSMENT TAX 435903 435903 BAD DEBT 294289 294289 478713 391807 86906 7245624 5216590 2029034 0 1356334 570857 113808 69288 520342 983662 6944 23351 9583729 7941843 1754870 1641886 2322713 2025826 6075011 5314870 1080072 1168963 2088451 1384972 3168523 2553935 X 2906488 2760935 2906488 2760935 6075011 5314870 221178 -397928 31197 0 X X 0 1 X 1 0 X 121314 84456 531199 1022352 406738 2166059 5745752 6225244 5878770 5275951 6957961 30083678 5867066 6309700 6409969 6298303 7364699 32249737 0 0 0 32249737 42884 38299 36678 59622 33663 211146 42884 38299 36678 59622 33663 211146 41228 203 41431 5951178 6348202 6446647 6357925 7398362 32502314 0.99220 0.99170 0.00650 0.00690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 377 377 0 PART II-B, LINE 1: PORTION OF ASSOCIATION DUES ATTRIBUTED TO LOBBYING EXPENSES. 0 1 X 81133 81133 7305372 6391304 914068 78053 65157 12896 2119171 1485382 633789 1641886 INVESTMENT IN GGH POOLED INVESTMENTS 2025826 F 2025826 DUE TO AFFILIATES/OTHER FUNDS 1384972 1384972 PART IV, LINE 2B: LCN HOLDS AGENCY FUNDS FOR THE CONVENIENCE OF ITS RESIDENTS. 0 1 0 0 0 0 0 0 0 JOSE A ACEVEDO MD ASST SECRETARY 0 1280023 0 264163 0 4644 0 167758 0 0 0 1716588 0 0 FRANK M KORICH CHIEF OPERATING OFFICER 0 300492 0 82596 0 3778 0 47855 0 11967 0 446688 0 0 TRISHA KOCZENT TREASURER & CFO 0 300001 0 14625 0 1242 0 8700 0 0 0 324568 0 0 WILLIAM S GARRITY VP LONG TERM CARE 0 189006 0 24513 0 4644 0 13435 0 0 0 231598 0 0 PATRICIA ROBERTS-REAVES LTC CLINICAL LEADER 152831 0 0 0 946 0 8103 0 0 0 161880 0 0 0 PART I, LINE 3 AS PROVIDED IN THE FORM 990, SCHEDULE J INSTRUCTIONS, SINCE THE ORGANIZATION RELIES ON A RELATED ORGANIZATION WHICH USES ONE OR MORE OF THE METHODS DESCRIBED IN LINE 3 TO ESTABLISH THE TOP MANAGEMENT OFFICIALS' COMPENSATION THESE QUESTIONS HAVE BEEN LEFT BLANK. REFER TO SCHEDULE O, DESCRIPTION OF COMPENSATION REVIEW AND APPROVAL PROCESS. PART I, LINE 4B CERTAIN OFFICERS AND DIRECTORS OF GENEVA NURSING HOME II, INC. D.B.A LIVING CENTER AT GENEVA NORTH PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY GENEVA GENERAL HOSPITAL (GGH), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. GGH DEPOSITED $114,689 INTO A 457(F) PLAN IN 2022 FOR JOSE ACEVEDO, MD, MBA, ASSISTANT SECRETARY FOR HIS ROLE AS PRESIDENT & CEO OF VARIOUS AFFILIATED ENTITIES. FORM 990, PART VI, SECTION A, LINE 2 PHIL BECKLEY HAS A BUSINESS RELATIONSHIP WITH JAMES CHENEY. FORM 990, PART VI, SECTION A, LINE 7A FINGER LAKES REGIONAL HEALTH SYSTEM, INC. IS THE 'SOLE MEMBER' OF GENEVA GENERAL NURSING HOME II, INC. IN THAT ROLE, ELECTION OF DIRECTORS IS RESERVED TO THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B ELECTION AND REMOVAL OF DIRECTORS, AMENDMENT OF BYLAWS, CERTIFICATE OF INCORPORATION AMENDMENTS, ARE RESERVED TO THE SOLE MEMBER (FLRHS) PER BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE ADMINISTRATIVE COMMITTEE OF THE BOARD PRIOR TO BEING FILED. ANY COMMITTEE FINDINGS ARE REVIEWED AND IMPLEMENTED AS APPROPRIATE BY MANAGEMENT. CHANGES IN IRS REQUIREMENTS AND ORGANIZATION PRACTICES FROM THE PRIOR YEAR ARE HIGHLIGHTED FOR THE COMMITTEE BY MANAGEMENT. THE COMMITTEE REPORTS ON THIS DISCUSSION TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C LCN MAINTAINS A CONFLICT OF INTEREST POLICY WHICH BOARD MEMBERS ARE REQUIRED TO SIGN PRIOR TO TAKING OFFICE. STATEMENTS ARE UPDATED AND REVIEWED ANNUALLY BY AN ADMINISTRATIVE COMMITTEE. THE PROCESS FOR HANDLING ANY CONFLICT OF INTEREST WHICH MAY ARISE IS DETAILED IN THE CORPORATE BYLAWS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS REVIEWED BY A COMPENSATION COMMITTEE, AND COMPARABILITY DATA IS PART OF THE DECISION. FORM 990, PART VI, SECTION C, LINE 19 LCN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC WHERE REQUIRED BY LAW AND UPON REQUEST. LCN'S FORM 990 IS PROVIDED TO ANY INDIVIDUAL WHO PROVIDED A REQUEST IN PERSON OR WHO SUBMITS A WRITTEN REQUEST. THERE IS NO CHARGE OTHER THAN A REASONABLE FEE FOR COPYING AND POSTAGE. COPIES ARE AVAILABLE AT THE FINANCE OFFICE. AN ELECTRONIC VERSION MAY BE FOUND AT WWW.GUIDESTAR.ORG. PART XII, LINE 2C LCS HAS A BOARD COMMITTEE WHO ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. FINGER LAKES REGIONAL HEALTH SYSTEM INC 196 NORTH STREET GENEVA NY 14456 223193606 SOLE MEMBER OF LCN, GGH, FLHF, LCS, HLC, AND SSMH NY 501(C)(3) LINE 7 N/A 0 GENEVA GENERAL HOSPITAL 196 NORTH STREET GENEVA NY 14456 160743032 PROVIDER OF HEALTHCARE NY 501(C)(3) LINE 3 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 FINGER LAKES HEALTH FOUNDATION 196 NORTH STREET GENEVA NY 14456 150549310 COORDINATOR OF FUND RAISING ACTIVITIES NY 501(C)(3) LINE 12A, I FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 LIVING CENTER AT GENEVA SOUTH 196 NORTH STREET GENEVA NY 14456 160957268 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 HUNTINGTON LIVING CENTER 369 EAST MAIN STREET WATERLOO NY 13165 510169552 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 GENEVA GENERAL HOUSING DEVELOPMENT CO 260 NORTH STREET GENEVA NY 14456 222816883 PROVIDE LOW INCOME HOUSING NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 TAYLOR BROWN HOUSING DEVELOPMENT CO 371 EAST MAIN STREET WATERLOO NY 13165 222807734 DEVELOP AND PROVIDE SENIOR HOUSING COMPLEX NY 501(C)(3) LINE 10 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 SOLDIERS & SAILORS MEMORIAL HOSPITAL 418 NORTH MAIN STREET PENN YAN NY 14527 160743192 PROVIDER OF HEALTHCARE NY 501(C)(3) LINE 3 FINGER LAKES REGIONAL HEALTH SYSTEM INC 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0