Civic Intelligence

Lake Shore Nursing Home Inc.

990 • Fiscal year 2019 • EIN 16-0976895

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 12, 2020

Organization ProfileN/A
529 Central AvenueDunkirk, NY 14048

(716) 366-1111

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

52nd percentile

0.01x

Higher debt load relative to assets than 52% of similar nonprofits.

2019 filings • NTEE E • <$500k nonprofits • Source year 2019

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2019

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2019

Top Officer Pay

96th percentile

$249,034

Higher top officer pay than 96% of similar nonprofits.

2019 filings • NTEE E • <$500k nonprofits • Source year 2019

Asset Growth

48th percentile

0.0%

Faster asset growth than 48% of similar nonprofits.

2019 filings • NTEE E • <$500k nonprofits • Annualized from 2018 to 2019

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets52nd percentile

Assets

Flat

$79,058

Flat from 2018

Net Assets

Flat

$78,556

Flat from 2018

Liabilities

Flat

$502

Flat from 2018

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Flat

$0

Flat from 2018

Expenses

Down

$0

Down $3 (-100%) from 2018

Net Income

Up

$0

Up $3 (+100%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth48th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400K$200K$0-$200K-$400KAssets 2011: $107,137Liabilities 2011: $329,177Net Assets 2011: -$222,0402011Assets 2012: $64,040Liabilities 2012: $138,862Net Assets 2012: -$74,8222012Assets 2013: $56,323Liabilities 2013: $0Net Assets 2013: $56,3232013Assets 2014: $44,395Liabilities 2014: $0Net Assets 2014: $44,3952014Assets 2015: $79,132Liabilities 2015: $503Net Assets 2015: $78,6292015Assets 2016: $79,102Liabilities 2016: $503Net Assets 2016: $78,5992016Assets 2017: $79,062Liabilities 2017: $503Net Assets 2017: $78,5592017Assets 2018: $79,058Liabilities 2018: $502Net Assets 2018: $78,5562018Assets 2019: $79,058Liabilities 2019: $502Net Assets 2019: $78,5562019Assets 2020: $79,058Liabilities 2020: $502Net Assets 2020: $78,5562020Assets 2021: $79,058Liabilities 2021: $502Net Assets 2021: $78,5562021Assets 2022: $79,058Liabilities 2022: $502Net Assets 2022: $78,5562022Assets 2023: $79,058Liabilities 2023: $502Net Assets 2023: $78,5562023Assets 2024: $180,619Liabilities 2024: $502Net Assets 2024: $180,1172024

Highlighted filing

2019

Assets$79,058
Liabilities$502
Net Assets$78,556
Open 2019 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300K$200K$100K$0-$100KRevenue 2011: $244,520Expenses 2011: $118,423Net Income 2011: $126,0972011Revenue 2012: $244,518Expenses 2012: $97,300Net Income 2012: $147,2182012Revenue 2013: $183,389Expenses 2013: $52,244Net Income 2013: $131,1452013Revenue 2014: $0Expenses 2014: $11,928Net Income 2014: -$11,9282014Revenue 2015: $34,264Expenses 2015: $30Net Income 2015: $34,2342015Revenue 2016: $10Expenses 2016: $40Net Income 2016: -$302016Revenue 2017: $2Expenses 2017: $42Net Income 2017: -$402017Revenue 2018: $0Expenses 2018: $3Net Income 2018: -$32018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020Revenue 2021: $0Expenses 2021: $0Net Income 2021: $02021Revenue 2022: $0Expenses 2022: $0Net Income 2022: $02022Revenue 2023: $0Expenses 2023: $0Net Income 2023: $02023Revenue 2024: $101,561Expenses 2024: $0Net Income 2024: $101,5612024

Highlighted filing

2019

Revenue$0
Expenses$0
Net Income$0
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 12, 2020
Return Version
2019v5.1
Gross Receipts
$0
Mission and Program Overview

Mission

Provided nursing and health care services in a 40 bed skilled nursing facility that is now inactive.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$41,959$41,959→ $0
Cash and Non-Interest-Bearing Accounts$36,194$36,194→ $0
Accounts Receivable$905$905→ $0
Total Assets$79,058$79,058→ $0
Liabilities
Accounts Payable and Accrued Expenses$502$502→ $0
Total Liabilities$502$502→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$78,556$78,556→ $0
Total Net Assets Fund Balance$78,556$78,556→ $0
Total Liabilities and Net Assets / Fund Balance$79,058$79,058→ $0

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$21,104$1,547,075$1,568,179
Buildings$255$609,241$609,496
Leasehold Improvements$0$20,875$20,875
Land$20,600-$20,600
Compensation and Service Providers
Top Officer Pay96th percentile

Employees

NameTitleOtherTotal
Wendy LuceVP Behavioral Health$137,492$137,492
James Wild MdChairman Elect$60,000$60,000

Board Members and Trustees

NameTitle
Christopher LanskiChairman
Mary LarowePresident/CEO
Jodi WitherellChief Nursing Officer
Andrew BurrMember
Christina JimersonMember
Dana Anderson MdMember
Timothy CooperMember
Virginia S Horvath PhdSecretary
Louis DipalmaTreasurer
Kenneth MorrisVP Operations
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$0
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 7B

“The decisions of the governing body are subject to approval of the board members.”

Form 990, Part VI, Section B, Line 11B

“The 990 is prepared and reviewed by various individuals within management and provided to the governing body previous to its filing when time allows or at its next meeting when time does not permit review prior to filing.”

Form 990, Part VI, Section B, Line 12C

“Department managers, administration, board members, and material management employees sign a conflict of interest statement on an annual basis.”

Form 990, Part VI, Section B, Line 15

“The president/ceo's and other executives' compensation is reviewed and approved by the executive committee of the board. Wages and increases are compared to industry standards.”

Form 990, Part VI, Section C, Line 19

“Lake shore nursing home, inc. Makes its governing documents are made available to the public upon request at its office.”

Filing and Contact Details

Filer

Filer Name
Lake Shore Nursing Home Inc
EIN
16-0976895
Phone
7163661111
Address
529 CENTRAL AVENUE, DUNKIRK, NY 14048

Signing Officer

Name
Mary E Larowe
Title
President and CEO
Phone
7163661111
Signed
2020-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mary E Larowe
Formed
1969
Legal Domicile
Ny
Voting Board Members
8
Independent Board Members
7
Employees
0
Volunteers
0

Preparer

Firm
Lumsden & Mccormick Llp
Address
369 FRANKLIN STREET, BUFFALO, NY 14202
Preparer
Jill M Johnson CPA
Phone
7168563300
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

“The process has not changed from the prior year.”

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt19738
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt014443
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt18219
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0KENNETH MORRIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1JODI WITHERELL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0VP OPERATIONS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CHIEF NURSING OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0249034
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1212726
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL OF THE BOARD MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 990 IS PREPARED AND REVIEWED BY VARIOUS INDIVIDUALS WITHIN MANAGEMENT AND PROVIDED TO THE GOVERNING BODY PREVIOUS TO ITS FILING WHEN TIME ALLOWS OR AT ITS NEXT MEETING WHEN TIME DOES NOT PERMIT REVIEW PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DEPARTMENT MANAGERS, ADMINISTRATION, BOARD MEMBERS, AND MATERIAL MANAGEMENT EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE PRESIDENT/CEO'S AND OTHER EXECUTIVES' COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. WAGES AND INCREASES ARE COMPARED TO INDUSTRY STANDARDS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4LAKE SHORE NURSING HOME, INC. MAKES ITS GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XII, LINE 2C
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0BROOKS-TLC HEALTH SYSTEM INC
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0160743301
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HEALTHCARE PROVIDER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0529 CENTRAL AVENUE
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0DUNKIRK
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd014048
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt079058
IRS990/TotalAssetsEOYAmt079058
IRS990/TotalAssetsGrp/BOYAmt079058
IRS990/TotalAssetsGrp/EOYAmt079058
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt00
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0502
IRS990/TotalLiabilitiesEOYAmt0502
IRS990/TotalLiabilitiesGrp/BOYAmt0502
IRS990/TotalLiabilitiesGrp/EOYAmt0502
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt078556
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt078556
IRS990/TotalOtherCompensationAmt054102
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt079058
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt079058
IRS990/TotReportableCompRltdOrgAmt0605150
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0529 CENTRAL AVENUE
IRS990/USAddress/CityNm0DUNKIRK
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd014048
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0MARY E LAROWE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT AND CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum07163661111
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0LAKE SHORE NURSING HOME INC
ReturnHeader/Filer/BusinessNameControlTxt0LAKE

Document Assets

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Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$79,058
Liabilities
$502
Net assets
$78,556
Revenue
$0
Expenses
$0
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.81$0.01$1.80$1.02$0.00$1.02
2023Detailed filing. Detailed filing data is available for this year.$0.79$0.01$0.79$0.00$0.00$0.00
2022Detailed filing. Detailed filing data is available for this year.$0.79$0.01$0.79$0.00$0.00$0.00
2021Detailed filing. Detailed filing data is available for this year.$0.79$0.01$0.79$0.00$0.00$0.00
2020Detailed filing. Detailed filing data is available for this year.$0.79$0.01$0.79$0.00$0.00$0.00
2019Detailed filing. Detailed filing data is available for this year.$0.79$0.01$0.79$0.00$0.00$0.00
2018Detailed filing. Detailed filing data is available for this year.$0.79$0.01$0.79$0.00$0.00$0.00
2017Summary only. Only limited summary data is available for this year.$0.79$0.01$0.79$0.00$0.00$0.00
2016Summary only. Only limited summary data is available for this year.$0.79$0.01$0.79$0.00$0.00$0.00
2015Summary only. Only limited summary data is available for this year.$0.79$0.01$0.79$0.34$0.00$0.34
2014Summary only. Only limited summary data is available for this year.$0.44$0.00$0.44$0.00$0.12$0.12
2013Summary only. Only limited summary data is available for this year.$0.56$0.00$0.56$1.83$0.52$1.31
2012Summary only. Only limited summary data is available for this year.$0.64$1.39$0.75$2.45$0.97$1.47
2011Summary only. Only limited summary data is available for this year.$1.07$3.29$2.22$2.45$1.18$1.26