2021-09-08T14:50:13-05:00 2020-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2020-01-01 205580506 GOOD SHEPHERD VILLAGE AT ENDWELL INC GOOD 6077573100 32 VILLAGE DRIVE ENDWELL NY 13760 JAMES KONISZEWSKI CFO 6077573100 2021-09-07 1 JAMES KONISZEWSKI 999009999 AMANDA L DELLA SALA P02064655 5853811000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z MICHAEL J KEENAN 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 16002912 0 X WWW.GSVILLAGE.COM X 2006 NY A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING FOR THE ELDERLY. 15 15 302 4 0 0 25304 1383866 14319503 14526804 24774 58572 33670 33670 14403251 16002912 0 0 0 0 5185779 5940175 0 0 0 7835769 7785008 13021548 13725183 1381703 2277729 59961106 61231079 72373690 71365934 -12412584 -10134855 X A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING FOR THE ELDERLY. 0 0 4425342 8061855 HEALTH CARE CENTER 3620735 6464949 INDEPENDENT LIVING 33670 OTHER PROGRAM SERVICES RELATED TO THE ORGANIZATION'S MISSION. 33670 8046077 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 30 0 1 302 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 NY X X JAMES KONISZEWSKI CFO 6077242477 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 JILL GILBERT DIRECTOR 0.25 0.75 X 0 0 0 KATHLEEN BUNNELL CHAIR 0.25 0.75 X X 0 0 0 ANGELO GALLO DIRECTOR 0.25 0.75 X 0 0 0 JOANN NAVARRO SECRETARY 0.25 0.75 X X 0 0 0 ROGER HALBERT DIRECTOR 0.25 0.75 X 0 0 0 JOAN LACEY DIRECTOR 0.25 0.75 X 0 0 0 PAUL MOLLO DIRECTOR 0.25 0.75 X 0 0 0 TIMOTHY HYLE VICE CHAIR 0.25 0.75 X X 0 0 0 WAYNE BENJAMIN TREASURER 0.25 0.75 X X 0 0 0 DAWN LANOUETTE DIRECTOR 0.25 0.75 X 0 0 0 OLIVER RILEY JR DIRECTOR 0.25 0.75 X 0 0 0 JACK ROQUE DIRECTOR 0.25 0.75 X 0 0 0 JEFF SMITH DIRECTOR 0.25 0.75 X 0 0 0 MICHAEL KEENAN PRESIDENT & CEO 8.00 32.00 X X 0 392333 130204 PAUL PARKER DIRECTOR 0.25 0.75 X 0 0 0 ELSIE WAGNER DIRECTOR 0.25 0.75 X 0 0 0 PATRICIA MACKEY COO 8.00 32.00 X 0 224290 18647 JAMES KONISZEWSKI CFO 8.00 32.00 X 0 181763 17722 0 798386 166573 0 0 1 0 SODEXO 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 DINING SERVICES 205595 1 25170 1358696 1383866 RESIDENT SERVICES 623000 8061855 8061855 MONTHLY SERVICE FEES 623000 6055585 6055585 RESIDENCY FEES 623000 409364 409364 14526804 58572 58572 OTHER INCOME 900099 33670 33670 33670 16002912 14560474 0 58572 4891754 4438154 453600 34698 34698 649020 321706 327314 364703 332394 32309 5453 5453 5249 5249 171590 171590 62003 62003 521279 402241 119038 10427 9370 1057 1138741 1138741 1785990 1785990 122859 15994 106865 MANAGEMENT SERVICES- RE 1326084 158859 1167225 SUPPLIES AND OTHER 755760 492493 263267 PURCHASED SERVICES 722328 708225 14103 FOOD 554477 554477 602768 435121 167647 13725183 8046077 5679106 0 8683462 10783022 569287 380802 1900000 1833828 135680 127943 202746 58821679 20392523 39861725 38429156 7964723 8656085 733883 704231 120083 105529 59961106 61231079 601915 662932 1727379 2362798 40238802 38807202 29805594 29533002 72373690 71365934 X -12412584 -10134855 -12412584 -10134855 59961106 61231079 2277729 0 X X 0 1 X 1 0 X 7013 6427 15400 25304 1383866 1438010 13353837 14131424 14095023 14319503 14526804 70426591 13360850 14137851 14110423 14344807 15910670 71864601 0 0 0 71864601 16591 21550 49510 33670 33670 154991 16591 21550 49510 33670 33670 154991 13377441 14159401 14159933 14378477 15944340 72019592 0.99780 0.99820 0.00220 0.00180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 970283 970283 47328892 15247770 32081122 3490745 2857500 633245 7031759 2287253 4744506 38429156 ASSETS WHOSE USE IS LIMITED 8656085 F 8656085 DEPOSITS ON UNOCCUPIED UNITS 157534 REFUNDABLE RESIDENCY FEES 29374430 RESIDENT DEPOSITS 1038 29533002 16002912 0 16002912 0 16002912 13725183 0 13725183 0 13725183 0 1 0 0 0 0 0 0 0 MICHAEL KEENAN PRESIDENT & CEO 0 363197 0 29136 0 0 0 109500 0 20704 0 522537 0 0 PATRICIA MACKEY COO 0 204673 0 19617 0 0 0 11783 0 6864 0 242937 0 0 JAMES KONISZEWSKI CFO 0 173029 0 8734 0 0 0 10870 0 6852 0 199485 0 0 PART I, LINE 4B CERTAIN OFFICERS AND DIRECTORS OF GOOD SHEPHERD VILLAGE AT ENDWELL, INC. PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIRMENT PLAN PROVIDED BY FGS, INC., A RELATED IRC SECTION 501(C)(3) ORGANIZATION. FGS, INC. DEPOSITED $90,000 INTO A 457(F) PLAN IN 2020 FOR MICHAEL KEENAN, PRESIDENT & CEO. A BROOME COUNTY LOCAL DEVELOPMENT CORPORATION 300769309 2015-05-13 47350000 TO REFUND CONTINUING CARE RETIREMENT REVENUE BONDS 0 0 0 A 7585000 47350000 1540000 44665340 320948 823033 679 2015 0 1 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B REVIEWED BY OPERATIONS COMMITTEE OF FGS, INC. D/B/A GOOD SHEPHERD COMMUNITIES FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURES ARE UPDATED ANNUALLY WITH MEMBERS. ANY CONFLICT IS REVIEWED WITH THE EXECUTIVE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION IS DETERMINED BY THE BOD EXECUTIVE COMMITTEE WITH COO PROVIDING MARKET SURVEY DATA. AN OUTSIDE CONSULTANT WAS HIRED TO REVIEW COMPENSATION AND FOUND IT TO BE COMPETITIVE. CEO IS UNDER MULTIPLE YEAR WRITTEN CONTRACT. CEO DETERMINES COMPENSATION OF ALL SENIOR MANAGEMENT POSITIONS WITH MARKET SURVEY DATA PROVIDED BY AN OUTSIDE CONSULTANT. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE BY REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, ETC. ARE AVAILABLE BY REQUEST. FORM 990, PART XII, LINE 2(C): NO CHANGES FROM PRIOR YEAR. GOOD SHEPHERD-FAIRVIEW HOME INC 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 160962256 TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLY NY 501(C)(3) LINE 10 FGS DBA GOOD SHEPHERD COMMUNITIES 0 GOOD SHEPHERD-FAIRVIEW FOUNDATION INC 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 133386383 TO PROVIDE FINANCIAL SUPPORT FOR AFFILIATED COMPANIES NY 501(C)(3) LINE 7 FGS DBA GOOD SHEPHERD COMMUNITIES 0 FGS INC DBA GOOD SHEPHERD COMMUNITIES 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 161256975 TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLY NY 501(C)(3) LINE 12C, III-FI N/A 0 CHASE MEMORIAL NURSING HOME COMPANY INC ONE TERRACE HEIGHTS NEW BERLIN NY 13411 160977850 LONG TERM HEALTH CARE FOR ELDERLY NY 501(C)(3) LINE 10 FGS DBA GOOD SHEPHERD COMMUNITIES 0 CHASE HOUSING CORPORATION ONE TERRACE HEIGHTS NEW BERLIN NY 13411 161080510 HOUSING COMPLEX FOR THE ELDERLY AND HANDICAPPED NY 501(C)(3) LINE 10 FGS DBA GOOD SHEPHERD COMMUNITIES 0 CHASE MEMORIAL COMMUNITY CENTER INC ONE TERRACE HEIGHTS NEW BERLIN NY 13411 150539044 SUPPORT OF HEALTH CARE/ELDERLY SERVICES NY 501(C)(3) LINE 10 FGS DBA GOOD SHEPHERD COMMUNITIES 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0