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Nonprofiteer
← GENEVA NURSING HOME II INC

Form 990 for tax year 2022

Filed by GENEVA NURSING HOME II INC.

Totals

Total revenue
$7,466,802
Total expenses
$7,245,624
Contributions and grants received
$406,738
Grants paid
$0
Program services expenses (Part IX)
$5,216,590
Management and general expenses
$2,029,034
Fundraising expenses
$0
Program service expenses (Part III)
$5,216,590

Program services were 72.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JOSE A ACEVEDO MD

    ASST SECRETARY

    Total calculated
    $1,716,588
    From this org
    $0
    From related orgs
    $1,548,830
    Other
    $167,758
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,280,023 related
    Bonus
    $0 + $264,163 related
    Other
    $0 + $4,644 related
    Deferred
    $0 + $167,758 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,716,588 related

  • KYLENE ABRAHAM DNP

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • PHIL BECKLEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • SUSAN STORK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • ANN MCMULLEN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • RODOLFO QUEIROZ MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • TOM BURRALL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • CRAIG DENSMORE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • JAMES CHENEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • LANCE WARD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • CHEVANNE DEVANEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • MENZO CASE

    CHAIR

    Total calculated
    $0
    Hours/week
    2 + 8 related

  • RYAN HALLINGS

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • TRISHA KOCZENT

    TREASURER & CFO

    Total calculated
    $324,568
    From this org
    $0
    From related orgs
    $315,868
    Other
    $8,700
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,001 related
    Bonus
    $0 + $14,625 related
    Other
    $0 + $1,242 related
    Deferred
    $0 + $8,700 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $324,568 related

  • JAMES NARDOZZI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • JAMES ADAMS

    SECRETARY

    Total calculated
    $0
    Hours/week
    2 + 4 related

  • WILLIAM S GARRITY

    VP LONG TERM CARE

    Total calculated
    $231,598
    From this org
    $0
    From related orgs
    $218,163
    Other
    $13,435
    Hours/week
    8 + 32 related

    Schedule J breakdown matched by us

    Base
    $0 + $189,006 related
    Bonus
    $0 + $24,513 related
    Other
    $0 + $4,644 related
    Deferred
    $0 + $13,435 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $231,598 related

  • FRANK M KORICH

    CHIEF OPERATING OFFICER

    Total calculated
    $446,688
    From this org
    $0
    From related orgs
    $386,866
    Other
    $59,822
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,492 related
    Bonus
    $0 + $82,596 related
    Other
    $0 + $3,778 related
    Deferred
    $0 + $47,855 related
    Nontaxable benefits
    $0 + $11,967 related
    Filer's total
    $0 + $446,688 related

  • JENNIFER CARROLL

    NURSE MANAGER

    Total calculated
    $100,144
    From this org
    $100,144
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • HILDA MCNICHOLAS

    NURSE MANAGER

    Total calculated
    $141,873
    From this org
    $132,986
    From related orgs
    $0
    Other
    $8,887
    Hours/week
    40

  • PATRICIA ROBERTS-REAVES

    LTC CLINICAL LEADER

    Total calculated
    $161,880
    From this org
    $153,777
    From related orgs
    $0
    Other
    $8,103
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $152,831
    Bonus
    $0
    Other
    $946
    Deferred
    $8,103
    Nontaxable benefits
    $0
    Filer's total
    $161,880

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202343199349305249

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