Hildreth Hill Neighborhood Association was established in January 2010. The neighborhood is one of eleven neighborhoods in the City of Geneva created as a result of the Neighborhood Study completed in December 2008 by czb, LLC. One of the first activities of the neighborhood association was to change the neighborhood's placeholder name of Upper West to Hildreth Hill. The new name remembers Isaac Hildreth, the first person to start a nursery in Geneva, develop peach orchards and vineyards on Seneca Lake, and lead the way in taking fruit trees to California in 1850.
Due to popular demand, the neighborhood has expanded its boundaries on the east and southeast sides from 450 to approximately 600 households. The neighborhood association holds monthly meetings with about a dozen attendees from the 170 plus association members from 130 plus households.