BETHANY RETIREMENT HOME INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BETHANY RETIREMENT HOME INC (EIN 16-0988865)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-18
IRS object ID
202212919349301256
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-10-18T14:11:14-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161092347PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MENGEL METZGER BARR & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1333 EAST WATER ST STE 200AddressLine1Txt
CityELMIRACityNm
State AbbreviationNYStateAbbreviationCd
ZIP14901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160988865EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHANY RETIREMENT HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone6077344183PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1Txt
CityHORSEHEADSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14845ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL KISERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6077344183PhoneNum
Signature2022-06-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastKISERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTA L NILES-UPDYKEPreparerPersonNm
PTINP00958947PTIN
Phone6077344183PhoneNum
Preparation2022-06-21PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL KISERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1Txt
CityHORSEHEADSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14845ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,376,292GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BETHANY-VILLAGE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE REGIONAL LEADERSHIP, SERVICES, ADVOCACY, AND EDUCATION FOR QUALITY SENIOR LIVING, WHILE OFFERING A VIBRANT, LIFE-AFFIRMING RESIDENTIAL COMMUNITY THAT CELEBRATES SPIRTUAL WELL-BEING, ENHANCES INDEPENDENCE, AND PROMOTES WELLNESS AS ITS RESIDENTS EVOLVE TOWARD THEIR FULL POTENTIAL.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee116TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$765,950PYContributionsGrantsAmt
CY Contributions Grants$46,205CYContributionsGrantsAmt
PY Program Service Revenue$6,640,138PYProgramServiceRevenueAmt
CY Program Service Revenue$5,807,426CYProgramServiceRevenueAmt
PY Investment Income$129,415PYInvestmentIncomeAmt
CY Investment Income$218,102CYInvestmentIncomeAmt
PY Other Revenue$106,663PYOtherRevenueAmt
CY Other Revenue$121,547CYOtherRevenueAmt
PY Total Revenue$7,642,166PYTotalRevenueAmt
CY Total Revenue$6,193,280CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,717,650PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,593,358CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,348,563PYOtherExpensesAmt
CY Other Expenses$2,205,241CYOtherExpensesAmt
PY Total Expenses$6,066,213PYTotalExpensesAmt
CY Total Expenses$5,798,599CYTotalExpensesAmt
PY Revenues Less Expenses$1,575,953PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$394,681CYRevenuesLessExpensesAmt
Total Assets BOY$10,044,330TotalAssetsBOYAmt
Total Assets EOY$10,341,645TotalAssetsEOYAmt
Total Liabilities BOY$6,267,072TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,194,181TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,777,258NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,147,464NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE REGIONAL LEADERSHIP, SERVICES, ADVOCACY, AND EDUCATION FOR QUALITY SENIOR LIVING WHILE OFFERING A VIBRANT, LIFE-AFFIRMING RESIDENTIAL COMMUNITY THAT CELEBRATES SPIRTUAL WELL-BEING, ENHANCES INDEPENDENCE, AND PROMOTES WELLNESS AS ITS RESIDENTS EVOLVE TOWARD THEIR FULL POTENTIAL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,631,110ExpenseAmt
Revenue$6,147,075RevenueAmt
DescPROVIDES CONGREGATE LIVING FOR THE ELDERLY AND OPERATES A RESIDENTIAL ASSISTED LIVING FACILITY. THE COMPANY ALSO PROVIDES ADULT DAY CARE AND HOME HEALTH CARE.Desc
Total Program Service Expenses$4,631,110TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee116EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL KISER CPABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6077398711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1Txt
CityHORSEHEADSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14845ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
CAROL LINCOLN
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID HELSING
BOARD MEMBER1.00Yes (X)$0$0$0
ALISON HUNT
BOARD MEMBER1.00Yes (X)$0$0$0
ANITA LEWIS
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD CARR
TREASURER/SECRETARY2.00Yes (X)$0$0$0Yes (X)
RANDI HEWIT
BOARD MEMBER1.00Yes (X)$0$0$0
JASON PARMENTER
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
KIMBERLEE MIDDAUGH
BOARD MEMBER1.00Yes (X)$0$0$0
DAWN BURLEW
BOARD CHAIR2.00Yes (X)$0$0$0Yes (X)
JACK BENJAMIN
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
MARY THERESE OWEN
BOARD MEMBER1.00Yes (X)$0$0$0
MICHAEL KISER
EXECUTIVE DIRECTOR40.00$0$178,908$27,871Yes (X)
LESLEY LATSHAW
ASSOCIATE EXECUTIVE DIRECT40.00$96,805$63,140$36,189Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$96,805TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$242,048TotReportableCompRltdOrgAmt
Total Other Compensation$64,060TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MORRISON MANAGEMENT SPECIALISTSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 102289AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30368ZIPCd
FieldValueIRS element (for citing)
ServicesDIETARY SERVICESServicesDesc
Compensation$765,327CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$28,719GovernmentGrantsAmt
All Other Contributions$17,486AllOtherContributionsAmt
Total Contributions$46,205TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$5,755,547$5,755,547
ANCILLARY SERVICES623000$51,879$51,879
FieldValueIRS element (for citing)
Total Program Service Revenue$5,807,426TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,016TotalRevenueColumnAmt
Related Or Exempt Func Income$29,016RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$675RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$675RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$675TotalRevenueColumnAmt
Related Or Exempt Func Income$675RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,372,098SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,183,012SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$189,086SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$189,086TotalRevenueColumnAmt
Related Or Exempt Func Income$189,086RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAPITAL LEASE REVENUE623000$91,914$91,914
OTHER623000$28,958$28,958
FieldValueIRS element (for citing)
Other Revenue Total$120,872OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,193,280TotalRevenueColumnAmt
Related Or Exempt Func Income$6,147,075RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$116,943TotalAmt
Program Services$72,505ProgramServicesAmt
Management And General$44,438ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,916,121TotalAmt
Program Services$2,223,071ProgramServicesAmt
Management And General$693,050ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,838TotalAmt
Program Services$21,880ProgramServicesAmt
Management And General$13,958ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$298,278TotalAmt
Program Services$238,998ProgramServicesAmt
Management And General$59,280ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$226,178TotalAmt
Program Services$174,401ProgramServicesAmt
Management And General$51,777ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,594TotalAmt
Management And General$33,594ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,201TotalAmt
Management And General$18,201ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,500TotalAmt
Program Services$22,184ProgramServicesAmt
Management And General-$684ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$67,909TotalAmt
Program Services$16,360ProgramServicesAmt
Management And General$51,549ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$134,675TotalAmt
Program Services$129,770ProgramServicesAmt
Management And General$4,905ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$17,522TotalAmt
Program Services$8,550ProgramServicesAmt
Management And General$8,972ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$263,072TotalAmt
Program Services$262,434ProgramServicesAmt
Management And General$638ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$197,846TotalAmt
Program Services$170,932ProgramServicesAmt
Management And General$26,914ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$107,649TotalAmt
Program Services$15,283ProgramServicesAmt
Management And General$92,366ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$1,090,937$1,073,613$17,324
SUPPLIES AND FOOD$128,204$110,150$18,054
MISCELLANEOUS$86,258$54,180$32,078
EQUIPMENT RENTAL$37,874$36,799$1,075

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,798,599TotalAmt
Program Services$4,631,110ProgramServicesAmt
Management And General$1,167,489ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$600EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,580,427BOYAmt
EOY$2,674,372EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$201,567BOYAmt
EOY$253,107EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,782BOYAmt
EOY$86,630EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,417,969LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,826,538LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,701,794BOYAmt
EOY$2,591,431EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,485,029BOYAmt
EOY$1,677,565EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,062,731BOYAmt
EOY$3,057,940EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,044,330BOYAmt
EOY$10,341,645EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$411,466BOYAmt
EOY$466,403EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,744BOYAmt
EOY$16,878EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$54,112BOYAmt
EOY$12,620EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,793,750BOYAmt
EOY$5,698,280EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,267,072BOYAmt
EOY$6,194,181EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,762,258BOYAmt
EOY$3,132,464EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,015,000BOYAmt
EOY$1,015,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,777,258BOYAmt
EOY$4,147,464EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,044,330BOYAmt
EOY$10,341,645EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$394,681ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$24,475NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$43,616CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,523CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,740CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,760CurrentTaxYearMinus1YearAmt
Current Tax Year$17,486CurrentTaxYearAmt
Total$102,125TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,785,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,254,329CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,787,861CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,640,138CurrentTaxYearMinus1YearAmt
Current Tax Year$5,807,426CurrentTaxYearAmt
Total$31,275,027TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,828,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,267,852CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,797,601CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,657,898CurrentTaxYearMinus1YearAmt
Current Tax Year$5,824,912CurrentTaxYearAmt
Total$31,377,152TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$31,377,152PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,391CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,867CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,796CurrentTaxYearMinus1YearAmt
Current Tax Year$29,016CurrentTaxYearAmt
Total$156,869TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,391CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,867CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,796CurrentTaxYearMinus1YearAmt
Current Tax Year$29,016CurrentTaxYearAmt
Total$156,869TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$415,486CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$134,609CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$140,026CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$106,663CurrentTaxYearMinus1YearAmt
Current Tax Year$120,872CurrentTaxYearAmt
Total$917,656TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,272,766CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,435,328CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,970,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,798,357CurrentTaxYearMinus1YearAmt
Current Tax Year$5,974,800CurrentTaxYearAmt
Total$32,451,677TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96690PublicSupportCY509Pct
Public Support PY5090.95630PublicSupportPY509Pct
Investment Income CY0.00480InvestmentIncomeCYPct
Investment Income PY0.00480InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$232,592OtherCostOrOtherBasisAmt
Book Value$232,592BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,476,460OtherCostOrOtherBasisAmt
Depreciation$4,904,830DepreciationAmt
Book Value$1,571,630BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,708,917OtherCostOrOtherBasisAmt
Depreciation$1,921,708DepreciationAmt
Book Value$787,209BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,591,431TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DIRECT FINANCING LEASE$1,981,961
RESIDENT FUNDS$10,616
RESTRICTED CASH - PROJECT FUNDS$312,558
NOTE RECEIVABLE - RELATED ENTITY$725,355
OTHER RECEIVABLE$27,450
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,057,940TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,168,805TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$24,475NetUnrealizedGainsInvstAmt
Revenue Not Reported-$24,475RevenueNotReportedAmt
Revenue Subtotal$6,193,280RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,193,280TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,798,599TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,798,599ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,798,599TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:RESIDENT DEPOSITS REPRESENT CASH HELD ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED FROM THE STATE OF NEW YORK, AS WELL AS OTHER RESIDENT FUNDS DEPOSITED WITH THE FACILITY FOR SAFE KEEPING.
PART X, LINE 2:THE FACILITY IS A NON-PROFIT ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE REGULATIONS. THE FACILITY HAS FILED FOR AND RECEIVED INCOME TAX EXEMPTIONS IN THE VARIOUS JURISDICTIONS WHERE THEY ARE REQUIRED TO DO SO. THE FACILITY FILES FORM 990 TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND IN NEW YORK STATE. WITH FEW EXCEPTIONS, AS OF DECEMBER 31, 2021, THE FACILITY IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2018. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2018 THROUGH DECEMBER 31, 2021 ARE STILL SUBJECT TO POTENTIAL AUDIT BY THE IRS AND THE TAXING AUTHORITIES IN NEW YORK STATE. MANAGEMENT OF THE FACILITY BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL KISER
EXECUTIVE DIRECTOR$0$178,908$0$0$0$0$0$0$0$27,871$0$206,779$0$0
LESLEY LATSHAW
ASSOCIATE EXECUTIVE DIRECT$96,805$63,140$0$0$0$0$0$0$20,138$16,051$116,943$79,191$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1BFormAndLineReferenceDesc
ExplanationTHE GOVERNING BOARD OF A RELATED ORGANIZATION REVIEWS AND APPROVES ALL WAGE AND SALARY INCREASES THROUGH THE BUDGET PROCESS FOR THE EXECUTIVE DIRECTOR AND ASSOCIATE EXECUTIVE DIRECTOR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE BYLAWS OF THE ORGANIZATION NAME BETHANY NURSING HOME AND HEALTH RELATED FACILTIY, INC. AND BETHANY SENIOR CITIZENS' HOUSING, INC. AS MEMBERS OF THE CORPORATION. THE BOARDS OF DIRECTORS OF THE CORPORATION, BY A VOTE OF TWO-THIRDS OF EACH BOARD, MAY ALSO ELECT OTHER ENTITIES TO BE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE BYLAWS OF THE ORGANIZATION NAME BETHANY NURSING HOME AND HEALTH RELATED FACILTIY, INC. AND BETHANY SENIOR CITIZENS' HOUSING, INC. AS MEMBERS OF THE CORPORATION. THE BOARDS OF DIRECTORS OF THE CORPORATION, BY A VOTE OF TWO-THIRDS OF EACH BOARD, MAY ALSO ELECT OTHER ENTITIES TO BE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FINANCE COMMITTEE MEETS WITH A DESIGNATED BOARD MEMBER WHO HAS BEEN ASSIGNED BY THE OTHER BOARD MEMBERS TO REVIEW THE FORM 990. THE FORM 990 IS PRESENTED TO THE DESIGNATED BOARD MEMBER AND THE FULL EXTENT OF THE FORM AND ITS PREPARATION IS EXPLAINED AT THAT TIME. THE DESIGNATED BOARD MEMBER THEN REVIEWS AND APPROVES THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST PARTY AT QUARTERLY MEETINGS AND QUALITY ASSURANCE AUDITS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD REVIEWS AND APPROVES ALL WAGE AND SALARY INCREASES AS PART OF THE BUDGET PROCESS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
BETHANY NURSING HOME & HEALTH RELATED FACILITY INC
3005 WATKINS ROADHORSEHEADSNY14845511091763NURSING HOMENY501(C)(3)LINE 10N/A0
ORCHARD HOMES AT BETHANY VILLAGE INC
3005 WATKINS ROADHORSEHEADSNY14845202019814HOUSING ELDERLYNY501(C)(3)LINE 10N/A0
BETHANY SENIOR CITIZENS' HOUSING INC
3005 WATKINS ROADHORSEHEADSNY14845222238087HOUSING ELDERLYNY501(C)(3)LINE 10N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BETHANY VILLAGE DEVELOPMENT CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1Txt
CityHORSEHEADSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14845ZIPCd
FieldValueIRS element (for citing)
EIN813458789EIN
Primary ActivitiesPROPERTY INVESTMENTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC
P$1,043,563SHARED SERVICE ALLOCATION
BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC
J$304,062DIRECT FINANCE LEASE PRINCIPAL
BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC
J$91,914DIRECT FINANCE LEASE INTEREST

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