BETHANY RETIREMENT HOME INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BETHANY RETIREMENT HOME INC (EIN 16-0988865)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-25
IRS object ID
202041779349300819
Schema version
2019v5.1
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)
Return2020-06-25T10:24:09-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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
Phone6077398711PhoneNum

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 TitleCFOPersonTitleTxt
Phone6077398711PhoneNum
Signature2020-06-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTA L NILES-UPDYKEPreparerPersonNm
PTINP00958947PTIN
Phone6077344183PhoneNum
Preparation2020-06-23PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.49.130.51IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-23IPDt
IP Tm08:54:37IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id805B9CC2126C521948AA0F5D643D5B3FAACFF875AtSubmissionCreationDeviceId
At Submission Filing Device Id2C141A1541662C718EDF805418CA6E8D772F1A26AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

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$7,900,359GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee198TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,523PYContributionsGrantsAmt
CY Contributions Grants$9,740CYContributionsGrantsAmt
PY Program Service Revenue$6,254,329PYProgramServiceRevenueAmt
CY Program Service Revenue$6,820,896CYProgramServiceRevenueAmt
PY Investment Income$87,079PYInvestmentIncomeAmt
CY Investment Income$120,531CYInvestmentIncomeAmt
PY Other Revenue$134,609PYOtherRevenueAmt
CY Other Revenue$122,027CYOtherRevenueAmt
PY Total Revenue$6,489,540PYTotalRevenueAmt
CY Total Revenue$7,073,194CYTotalRevenueAmt
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$4,583,377PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,616,977CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,831,900PYOtherExpensesAmt
CY Other Expenses$1,957,266CYOtherExpensesAmt
PY Total Expenses$6,415,277PYTotalExpensesAmt
CY Total Expenses$6,574,243CYTotalExpensesAmt
PY Revenues Less Expenses$74,263PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$498,951CYRevenuesLessExpensesAmt
Total Assets BOY$8,777,843TotalAssetsBOYAmt
Total Assets EOY$8,836,882TotalAssetsEOYAmt
Total Liabilities BOY$7,233,193TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,730,072TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,544,650NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,106,810NetAssetsOrFundBalancesEOYAmt
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$5,057,814ExpenseAmt
Revenue$7,063,454RevenueAmt
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$5,057,814TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
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
Employee198EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 (14 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
BOARD MEMBER1.00Yes (X)$0$0$0
KIMBERLEE MIDDAUGH
BOARD MEMBER1.00Yes (X)$0$0$0
DAWN BURLEW
BOARD MEMBER1.00Yes (X)$0$0$0
WALTER HERBST
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
THOMAS SANTOBIANCO
CEO40.00$0$111,741$22,016Yes (X)
MICHAEL KISER
CFO/ACTING CEO 7/1/201940.00$0$147,656$7,386Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$259,397TotReportableCompRltdOrgAmt
Total Other Compensation$29,402TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$2,514GovernmentGrantsAmt
All Other Contributions$7,226AllOtherContributionsAmt
Total Contributions$9,740TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$6,670,135$6,670,135
ANCILLARY SERVICES623000$150,761$150,761
FieldValueIRS element (for citing)
Total Program Service Revenue$6,820,896TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,799TotalRevenueColumnAmt
Related Or Exempt Func Income$32,799RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$914,897SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$827,165SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$87,732SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,732TotalRevenueColumnAmt
Related Or Exempt Func Income$87,732RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAPITAL LEASE REVENUE623000$120,785$120,785
OTHER623000$1,242$1,242
FieldValueIRS element (for citing)
Other Revenue Total$122,027OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,073,194TotalRevenueColumnAmt
Related Or Exempt Func Income$7,063,454RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,720,154TotalAmt
Program Services$2,814,715ProgramServicesAmt
Management And General$905,439ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$71,202TotalAmt
Program Services$68,209ProgramServicesAmt
Management And General$2,993ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$483,890TotalAmt
Program Services$273,235ProgramServicesAmt
Management And General$210,655ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$341,731TotalAmt
Program Services$334,001ProgramServicesAmt
Management And General$7,730ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,571TotalAmt
Management And General$28,571ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,621TotalAmt
Management And General$15,621ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$82,484TotalAmt
Program Services$29,621ProgramServicesAmt
Management And General$52,863ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$49,618TotalAmt
Program Services$24,075ProgramServicesAmt
Management And General$25,543ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$180,450TotalAmt
Program Services$172,133ProgramServicesAmt
Management And General$8,317ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,791TotalAmt
Program Services$8,906ProgramServicesAmt
Management And General$14,885ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$313,787TotalAmt
Program Services$313,680ProgramServicesAmt
Management And General$107ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$192,607TotalAmt
Program Services$169,356ProgramServicesAmt
Management And General$23,251ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$68,536TotalAmt
Program Services$8,574ProgramServicesAmt
Management And General$59,962ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES AND FOOD$464,628$409,542$55,086
PURCHASED SERVICES$342,755$306,016$36,739
MISCELLANEOUS$138,927$73,680$65,247
EQUIPMENT RENTAL$55,491$52,071$3,420

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,574,243TotalAmt
Program Services$5,057,814ProgramServicesAmt
Management And General$1,516,429ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$737,391BOYAmt
EOY$1,295,893EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$559,141BOYAmt
EOY$261,265EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,973BOYAmt
EOY$26,928EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,314,339LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,599,501LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,623,970BOYAmt
EOY$1,714,838EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,100,890BOYAmt
EOY$1,271,362EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,732,478BOYAmt
EOY$4,266,596EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,777,843BOYAmt
EOY$8,836,882EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$386,968BOYAmt
EOY$317,335EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,378BOYAmt
EOY$35,949EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$11,066BOYAmt
EOY$12,406EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,458,052BOYAmt
EOY$6,102,924EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$373,729BOYAmt
EOY$261,458EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,233,193BOYAmt
EOY$6,730,072EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$529,650BOYAmt
EOY$1,091,810EOYAmt

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$1,544,650BOYAmt
EOY$2,106,810EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,777,843BOYAmt
EOY$8,836,882EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$498,951ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$63,209NetUnrlzdGainsLossesInvstAmt
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$18,413CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,822CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,616CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,523CurrentTaxYearMinus1YearAmt
Current Tax Year$9,740CurrentTaxYearAmt
Total$108,114TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,351,082CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,528,245CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,785,273CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,254,329CurrentTaxYearMinus1YearAmt
Current Tax Year$6,787,861CurrentTaxYearAmt
Total$29,706,790TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,369,495CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,551,067CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,828,889CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,267,852CurrentTaxYearMinus1YearAmt
Current Tax Year$6,797,601CurrentTaxYearAmt
Total$29,814,904TotalAmt

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$29,814,904PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,871CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,337CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,391CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,867CurrentTaxYearMinus1YearAmt
Current Tax Year$32,799CurrentTaxYearAmt
Total$151,265TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,871CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,337CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,391CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,867CurrentTaxYearMinus1YearAmt
Current Tax Year$32,799CurrentTaxYearAmt
Total$151,265TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$497,005CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$467,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$415,486CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$134,609CurrentTaxYearMinus1YearAmt
Current Tax Year$140,026CurrentTaxYearAmt
Total$1,654,409TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,895,371CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,046,687CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,272,766CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,435,328CurrentTaxYearMinus1YearAmt
Current Tax Year$6,970,426CurrentTaxYearAmt
Total$31,620,578TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94290PublicSupportCY509Pct
Public Support PY5090.92920PublicSupportPY509Pct
Investment Income CY0.00480InvestmentIncomeCYPct
Investment Income PY0.00480InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$5,894,530OtherCostOrOtherBasisAmt
Depreciation$4,768,314DepreciationAmt
Book Value$1,126,216BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,187,217OtherCostOrOtherBasisAmt
Depreciation$1,831,187DepreciationAmt
Book Value$356,030BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,714,838TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DIRECT FINANCING LEASE$2,580,259
RESIDENT FUNDS$10,992
RESTRICTED CASH - PROJECT FUNDS$981,263
NOTE RECEIVABLE - RELATED ENTITY$694,082
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,266,596TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATED ENTITIESDesc
Amt$261,458Amt
FieldValueIRS element (for citing)
Total Liability$261,458TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,136,403TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$63,209NetUnrealizedGainsInvstAmt
Revenue Not Reported$63,209RevenueNotReportedAmt
Revenue Subtotal$7,073,194RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,073,194TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,574,243TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,574,243ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,574,243TotalExpensesPerForm990Amt

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, 2019, THE FACILITY IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2016. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2016 THROUGH DECEMBER 31, 2019 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

FieldValueIRS element (for citing)
PersonMICHAEL KISERPersonNm
TitleCFO/ACTING CEO 7/1/2019TitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$147,656CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$7,386NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$155,042TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

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 CEO AND CFO.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$1,325,269SHARED SERVICE ALLOCATION
BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC
J$285,154DIRECT FINANCE LEASE PRINCIPAL
BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC
J$120,785DIRECT FINANCE LEASE INTEREST

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.