Civic Intelligence

Gouverneur Nursing Home Company Inc DBA Kinney Nursing Home

990 • Fiscal year 2013 • EIN 23-7050185

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 17, 2014

Organization ProfileWWW.EJNOBLE.COM
57 West Barney Street13642

(315) 287-1000

Siviq Scores

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

Liabilities / Assets

100th percentile

5.10x

Higher debt load relative to assets than 100% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Liabilities / Revenue

80th percentile

0.70x

Higher debt load relative to revenue than 80% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Net Margin

10th percentile

-28%

Higher net margin than 10% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Top Officer Pay

89th percentile

$175,266

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 7.8% of source-year revenue.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets100th percentile

Assets

$308,442

No earlier filing loaded for comparison.

Net Assets

-$1,265,232

No earlier filing loaded for comparison.

Liabilities

$1,573,674

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / Revenue80th percentileNet Margin10th percentile

Revenue

$2,244,805

No earlier filing loaded for comparison.

Expenses

$2,865,230

No earlier filing loaded for comparison.

Net Income

-$620,425

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset GrowthScore unavailable

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

$2.0M$1.0M$0-$1.0M-$2.0MAssets 2013: $308,442Liabilities 2013: $1,573,674Net Assets 2013: -$1,265,2322013Assets 2014: $141,129Liabilities 2014: $1,751,843Net Assets 2014: -$1,610,7142014Assets 2015: $44,003Liabilities 2015: $1,701,551Net Assets 2015: -$1,657,5482015Assets 2016: $44,003Liabilities 2016: $1,701,551Net Assets 2016: -$1,657,5482016Assets 2017: $38,618Liabilities 2017: $38,200Net Assets 2017: $4182017Assets 2018: $38,240Liabilities 2018: $38,200Net Assets 2018: $402018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2013

Assets$308,442
Liabilities$1,573,674
Net Assets-$1,265,232
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2013: $2,244,805Expenses 2013: $2,865,230Net Income 2013: -$620,4252013Revenue 2014: $550,971Expenses 2014: $896,453Net Income 2014: -$345,4822014Revenue 2015: $3,166Expenses 2015: $50,000Net Income 2015: -$46,8342015Revenue 2016: $0Expenses 2016: $0Net Income 2016: $02016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017Revenue 2018: $0Expenses 2018: $60Net Income 2018: -$602018Revenue 2019: $0Expenses 2019: $0Net Income 2019: $02019Revenue 2020: $0Expenses 2020: $0Net Income 2020: $02020

Highlighted filing

2013

Revenue$2,244,805
Expenses$2,865,230
Net Income-$620,425
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 17, 2014
Return Version
2013v3.0
Gross Receipts
$2,244,805
Mission and Program Overview

Mission

The nursing home provided long term quality care to the community through may 7, 2014. The nys department of health has approved the closing of the nursing home facility. Prior to may 7, 2014 all nursing home patients were transferred to other facilities.

The nursing home provides long term skilled nursing care to the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$349,592$185,701▼ $163,891
Land, Buildings, and Equipment, Net$94,988--
Investments Other Securities$50,000$50,000→ $0
Cash and Non-Interest-Bearing Accounts$24,865$24,751▼ $114
Prepaid Expenses and Deferred Charges$14,373$9,789▼ $4,584
Inventories for Sale or Use$5,602--
Total Assets$769,073$308,442▼ $460,631
Other Assets Total$229,653$38,201▼ $191,452
Liabilities
Other Liabilities$2,246,535$1,567,621▼ $678,914
Accounts Payable and Accrued Expenses$62,405--
Escrow Account Liability$5,945$6,053▲ $108
Total Liabilities$2,314,885$1,573,674▼ $741,211
Net Assets / Fund Balance
Permanently Rstr Net Assets$50,000$50,000→ $0
Unrestricted Net Assets$-1,595,812$-1,315,232▲ $280,580
Total Net Assets Fund Balance$-1,545,812$-1,265,232▲ $280,580
Total Liabilities and Net Assets / Fund Balance$769,073$308,442▼ $460,631

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$38,201--
Other Securities$50,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$50,000---$50,000
2012$50,000---$50,000
2011$50,000---$50,000
2010$50,000---$50,000
2009$50,000---$50,000
Compensation and Service Providers
Top Officer Pay89th percentile

Board Members and Trustees

NameTitle
Mike BurgessChairperson
Nicholas GardnerVice Chair
Andrew WilliamsTrustee
Marlinda LavalleyChief Exective Officer
Richard T LangChief Financial Officer
Mark BrackettSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$200
Program Service Revenue
$2,242,889
Investment Income
$1,716
Other Revenue
$0
All Other Contributions
$200
Change in Net Assets
$-620,425

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,244,805
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$2,244,805
Total Revenue per Form 990
$2,244,805
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,773,382
Other Expenses$1,091,848
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,507,375$266,007-$1,773,382
Other Expenses$122,053$6,232-$122,053
Occupancy$86,571$15,278-$101,849
Insurance-$81,670-$81,670
Office Expenses$65,454$11,551-$77,005
Fees for Services Accounting-$22,500-$22,500
Depreciation Depletion-$13,764-$13,764
Interest-$11,432-$11,432
Total Functional Expenses$2,388,591$476,639$0$2,865,230

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$2,865,230
Total Expenses per Audited Statements$2,865,230
Total Expenses per Form 990$2,865,230
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Edward John Noble Hospital$1,472,923
Long Term Insurance Liability$94,098
Estimated Third-party Payor Settlements$600
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“Gouverneur nursing home company, inc. Is a related entity to ej noble which has a management service agreement with canton postdam hospital.”

Form 990, Part VI, Section A, Line 6

“The organization has voting members.”

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

“The ceo of the member organizations are automatically a board member. The members elect the board of directors.”

Form 990, Part VI, Section B, Line 11

“The 990 is emailed to the board of directors prior to filing of the return.”

Form 990, Part VI, Section B, Line 15

“Gouverneur nursing home follows the hanys benchmark for salary comparison. Senior management appraises the quality of the employees work.”

Form 990, Part VI, Section C, Line 19

“The organizations documents and financials are available to the public upon request.”

Filing and Contact Details

Filer

EIN
23-7050185
Phone
3152871000

Signing Officer

Name
Richard T Lang
Title
Chief Financial Officer
Phone
3152871000
Signed
2014-11-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Marlinda Lavalley
Formed
1970
Legal Domicile
Ny
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
15

Preparer

Preparer
Joseph J Schlegel
Phone
3154463600
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Equity transfer from ej noble hospital 901,005.”

FORM 990, PART XII, LINE 2C:

“The organization has not changed their oversight process or selection process during the current tax year.”

Financial Statement Notes

PART IV, LINE 2B:

“These are resident trust funds used to pay residents personal expenses not covered by medicare, medicaid, or commercial insurances.”

PART V, LINE 4:

“Income is to be used for the general purposes of gouverneur nursing home.”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1LONG TERM INSURANCE LIABILITY
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt050000
IRS990ScheduleD/OtherSecuritiesGrp/Desc0LONG TERM INVESTMENTS
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct01.00000
IRS990ScheduleD/RevenueNotReportedAmt00
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt02244805
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THESE ARE RESIDENT TRUST FUNDS USED TO PAY RESIDENTS PERSONAL EXPENSES NOT COVERED BY MEDICARE, MEDICAID, OR COMMERCIAL INSURANCES.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1INCOME IS TO BE USED FOR THE GENERAL PURPOSES OF GOUVERNEUR NURSING HOME.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART IV, LINE 2B:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART V, LINE 4:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt038201
IRS990ScheduleD/TotalBookValueSecuritiesAmt050000
IRS990ScheduleD/TotalExpensesPerForm990Amt02865230
IRS990ScheduleD/TotalLiabilityAmt01567621
IRS990ScheduleD/TotalRevenuePerForm990Amt02244805
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02244805
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02865230
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/FirstClassOrCharterTravelInd0X
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0162636
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt012630
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICHARD T LANG
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHIEF FINANCIAL OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0175266
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SubstantiationRequiredInd01
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenPolicyRefTAndEExpnssInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0GOUVERNEUR NURSING HOME COMPANY, INC. IS A RELATED ENTITY TO EJ NOBLE WHICH HAS A MANAGEMENT SERVICE AGREEMENT WITH CANTON POSTDAM HOSPITAL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS VOTING MEMBERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE CEO OF THE MEMBER ORGANIZATIONS ARE AUTOMATICALLY A BOARD MEMBER. THE MEMBERS ELECT THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE 990 IS EMAILED TO THE BOARD OF DIRECTORS PRIOR TO FILING OF THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GOUVERNEUR NURSING HOME FOLLOWS THE HANYS BENCHMARK FOR SALARY COMPARISON. SENIOR MANAGEMENT APPRAISES THE QUALITY OF THE EMPLOYEES WORK.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE ORGANIZATIONS DOCUMENTS AND FINANCIALS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6EQUITY TRANSFER FROM EJ NOBLE HOSPITAL 901,005.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION HAS NOT CHANGED THEIR OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE CURRENT TAX YEAR.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 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/BusinessNameLine10EDWARD JOHN NOBLE HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1077 WEST BARNEY STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0GOUVERNEUR
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode013642
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0NY
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd01
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0769073
IRS990/TotalAssetsEOYAmt0308442
IRS990/TotalAssetsGrp/BOYAmt0769073
IRS990/TotalAssetsGrp/EOYAmt0308442
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt0200
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0476639
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02388591
IRS990/TotalFunctionalExpensesGrp/TotalAmt02865230
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt02314885
IRS990/TotalLiabilitiesEOYAmt01573674
IRS990/TotalLiabilitiesGrp/BOYAmt02314885
IRS990/TotalLiabilitiesGrp/EOYAmt01573674
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-1545812
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-1265232
IRS990/TotalOtherCompensationAmt012630
IRS990/TotalProgramServiceExpensesAmt02388591
IRS990/TotalProgramServiceRevenueAmt02242889

Document Assets

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Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$308,442
Liabilities
$1,573,674
Net assets
-$1,265,232
Revenue
$2,244,805
Expenses
$2,865,230
Net income
-$620,425
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2019Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$0.00$0.00
2018Detailed filing. Detailed filing data is available for this year.$0.04$0.04$0.00$0.00$0.00$0.00
2017Detailed filing. Detailed filing data is available for this year.$0.04$0.04$0.00$0.00$0.00$0.00
2016Detailed filing. Detailed filing data is available for this year.$0.04$1.70$1.66$0.00$0.00$0.00
2015Detailed filing. Detailed filing data is available for this year.$0.04$1.70$1.66$0.00$0.05$0.05
2014Detailed filing. Detailed filing data is available for this year.$0.14$1.75$1.61$0.55$0.90$0.35
2013Detailed filing. Detailed filing data is available for this year.$0.31$1.57$1.27$2.24$2.87$0.62