FURP.ORG / PUBLIC DATA EXPLORER

HERITAGE VILLAGE REHAB & SKILLED NURSING INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
HERITAGE VILLAGE REHAB & SKILLED NURSING INC (EIN 26-1231096)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201923199349303722
Schema version
2018v3.1
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)
Return2019-11-15T09:19:42-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN261231096EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HERITAGE VILLAGE REHAB & SKILLEDBusinessNameLine1Txt
Business Name Line2NURSING INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHERIBusinessNameControlTxt
Phone7169856820PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14570 ROUTE 60 PO BOX 351AddressLine1Txt
CityGERRYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14740ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID SMELTZERPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone7169856820PhoneNum
Signature2019-11-15SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address74.84.229.67IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-15IPDt
IP Tm10:13:13IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id29CF61E69A343F0F9E92979F662C591A3D406F2CAtSubmissionCreationDeviceId
At Submission Filing Device Id29CF61E69A343F0F9E92979F662C591A3D406F2CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID SMELTZERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14570 ROUTE 60 PO BOX 351AddressLine1Txt
CityGERRYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14740ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,954,900GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHERITAGE1886.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO SERVE OTHERS THROUGH CHRIST-CENTERED MINISTRIES WHICH PROVIDE HOPE, DIGNITY AND PURPOSEFUL LIVING.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee334TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,720PYContributionsGrantsAmt
CY Contributions Grants$835CYContributionsGrantsAmt
PY Program Service Revenue$15,084,667PYProgramServiceRevenueAmt
CY Program Service Revenue$15,613,744CYProgramServiceRevenueAmt
PY Investment Income-$3,998PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$260,488PYOtherRevenueAmt
CY Other Revenue$340,321CYOtherRevenueAmt
PY Total Revenue$15,343,877PYTotalRevenueAmt
CY Total Revenue$15,954,900CYTotalRevenueAmt
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$7,280,659PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,208,189CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,023,417PYOtherExpensesAmt
CY Other Expenses$8,199,846CYOtherExpensesAmt
PY Total Expenses$15,304,076PYTotalExpensesAmt
CY Total Expenses$15,408,035CYTotalExpensesAmt
PY Revenues Less Expenses$39,801PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$546,865CYRevenuesLessExpensesAmt
Total Assets BOY$5,941,121TotalAssetsBOYAmt
Total Assets EOY$6,345,125TotalAssetsEOYAmt
Total Liabilities BOY$4,620,925TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,478,064TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,320,196NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,867,061NetAssetsOrFundBalancesEOYAmt
MissionTO SERVE OTHERS THROUGH CHRIST-CENTERED MINISTRIES WHICH PROVIDE HOPE, DIGNITY AND PURPOSEFUL LIVING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,038,068ExpenseAmt
Revenue$15,954,065RevenueAmt
DescTO ESTABLISH, MAINTAIN AND OPERATE A NURSING HOME FOR THE ELDERLY WHICH INCLUDES FULL TIME MEDICAL CARE AND SUPERVISION. THE FACILITY HAS 120 AVAILABLE BEDS.Desc
Total Program Service Expenses$13,038,068TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee334EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 Other0CompensationProcessOtherInd
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 Line1ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7164876800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14600 ROUTE 60AddressLine1Txt
CityGERRYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14740ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BURTON JONES
CHAIR1.00Yes (X)$0$0$0
SUSAN WILSTON
VICE CHAIR1.00Yes (X)$0$0$0
DAVID RISHELL
SECRETARY/TREASURER1.00Yes (X)$0$0$0
EDWIN ROORDA
DIRECTOR1.00Yes (X)$0$0$0
JOHN KELLEY
DIRECTOR1.00Yes (X)$0$0$0
JANET SNYDER
DIRECTOR1.00Yes (X)$0$0$0
SUSANNE MOHNKERN
DIRECTOR1.00Yes (X)$0$0$0
RANDAL GERIG
CHIEF FINANCIAL OFFICER0.00$0$0$037.50Yes (X)
DAVID SMELTZER
PRESIDENT & CEO1.00$0$380,494$22,39237.50Yes (X)
RICHARD WHITVER
PHARMACIST37.50$151,178$737$0Yes (X)
ASHLEY BAILEY
PHARMACIST37.50$126,331$15,260$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$277,509TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$396,491TotReportableCompRltdOrgAmt
Total Other Compensation$22,392TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCKESSON DRUG
PO BOX 848442DALLASTX75284PRESCRIPTION DRUGS$3,610,868
SELECT REHABILITATION LLC
2600 COMPASS ROADGLENVIEWIL60026REHABILITATION SERVICES$688,079
MAPLEVALE FARMS
2063 ALLEN ST EXTFALCONERNY14733DIETARY$287,629
BUFFALO HOSPITAL SUPPLY
4039 GENESEE STREETBUFFALONY14225SUPPLIES$140,500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$835AllOtherContributionsAmt
Total Contributions$835TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICE623000$10,728,656$10,728,656
PHARMACY623000$4,742,995$4,742,995
MEAL INCOME623000$142,093$142,093
FieldValueIRS element (for citing)
Total Program Service Revenue$15,613,744TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SHARED SAVINGS623000$198,353$198,353
REBATES AND REFUNDS623000$99,403$99,403
OTHER623000$25,780$25,780

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,785TotalRevenueColumnAmt
Related Or Exempt Func Income$16,785RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$340,321OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,954,900TotalRevenueColumnAmt
Related Or Exempt Func Income$15,954,065RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$277,509TotalAmt
Program Services$277,509ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,669,457TotalAmt
Program Services$5,460,050ProgramServicesAmt
Management And General$209,407ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$62,161TotalAmt
Program Services$59,972ProgramServicesAmt
Management And General$2,189ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$781,047TotalAmt
Program Services$753,544ProgramServicesAmt
Management And General$27,503ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$418,015TotalAmt
Program Services$403,296ProgramServicesAmt
Management And General$14,719ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,042,259TotalAmt
Management And General$1,042,259ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,664TotalAmt
Management And General$21,664ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,482TotalAmt
Management And General$18,482ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,414TotalAmt
Management And General$8,414ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$48,757TotalAmt
Program Services$43,686ProgramServicesAmt
Management And General$5,071ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,762TotalAmt
Management And General$11,762ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$189,730TotalAmt
Program Services$189,730ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,969TotalAmt
Program Services$8,235ProgramServicesAmt
Management And General$3,734ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$121,174TotalAmt
Program Services$102,681ProgramServicesAmt
Management And General$18,493ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$393,515TotalAmt
Program Services$333,459ProgramServicesAmt
Management And General$60,056ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$73,267TotalAmt
Program Services$60,817ProgramServicesAmt
Management And General$12,450ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES/PRESCRIPTION D$4,296,206$4,281,544$14,662
PURCHASED SERVICES$1,009,317$991,452$17,865
CRA, BAD DEBT, AND OTHE$923,531$69,030$854,501
RECRUITING$19,351$3,063$16,288

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,448TotalAmt
Management And General$10,448ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,408,035TotalAmt
Program Services$13,038,068ProgramServicesAmt
Management And General$2,369,967ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$380,067BOYAmt
EOY$197,349EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,861,360BOYAmt
EOY$2,069,003EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$419,507BOYAmt
EOY$472,248EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$109,916BOYAmt
EOY$61,303EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,638,977LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,163,651LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,389,321BOYAmt
EOY$2,475,326EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$780,950BOYAmt
EOY$1,069,896EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,941,121BOYAmt
EOY$6,345,125EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$780,468BOYAmt
EOY$940,447EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$25,192BOYAmt
EOY$145,628EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,010,989BOYAmt
EOY$2,276,982EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$804,276BOYAmt
EOY$1,115,007EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,620,925BOYAmt
EOY$4,478,064EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,318,901BOYAmt
EOY$1,864,766EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,295BOYAmt
EOY$2,295EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,320,196BOYAmt
EOY$1,867,061EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,941,121BOYAmt
EOY$6,345,125EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$546,865ReconcilationRevenueExpnssAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$130CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,035CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,405CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,720CurrentTaxYearMinus1YearAmt
Current Tax Year$835CurrentTaxYearAmt
Total$16,125TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,352,791CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,886,386CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,993,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,345,155CurrentTaxYearMinus1YearAmt
Current Tax Year$15,954,065CurrentTaxYearAmt
Total$73,531,701TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,352,921CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,887,421CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,004,709CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,347,875CurrentTaxYearMinus1YearAmt
Current Tax Year$15,954,900CurrentTaxYearAmt
Total$73,547,826TotalAmt

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$73,547,826PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$352CurrentTaxYearMinus3YearsAmt
Total$352TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,352,921CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,887,773CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,004,709CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,347,875CurrentTaxYearMinus1YearAmt
Current Tax Year$15,954,900CurrentTaxYearAmt
Total$73,548,178TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5090.99620PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,778OtherCostOrOtherBasisAmt
Book Value$12,778BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,768,822OtherCostOrOtherBasisAmt
Depreciation$4,001,843DepreciationAmt
Book Value$766,979BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$588,241OtherCostOrOtherBasisAmt
Depreciation$306,078DepreciationAmt
Book Value$282,163BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,235,576OtherCostOrOtherBasisAmt
Depreciation$3,855,730DepreciationAmt
Book Value$1,379,846BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,560OtherCostOrOtherBasisAmt
Book Value$33,560BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,475,326TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED COMPANIES$774,964
RESIDENT FUNDS$72,916
DUE FROM AFFILIATES$222,016
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,069,896TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$739,046
CAPITAL LEASE$112,676
RESIDENT FUNDS$72,916
WORKERS COMPENSATION ASSESSMENT$190,369
FieldValueIRS element (for citing)
Total Liability$1,115,007TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION AND ITS COMPONENTS, WITH THE EXCEPTION OF ROLLING FIELDS, ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM INCOME TAXES AS ORGANIZATIONS QUALIFIED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ALSO CLASSIFIED THE ORGANIZATION AND ITS COMPONENTS AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS.ExplanationTxt

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
DAVID SMELTZER
PRESIDENT & CEO$0$345,494$0$35,000$0$0$0$0$0$22,392$0$402,886$0$0
RICHARD WHITVER
PHARMACIST$143,428$737$7,750$0$0$0$0$0$0$0$151,178$737$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE 990 WAS PROVIDED TO MEMBERS OF THE GOVERNING BODY FOR REVIEW AND COMMENT PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE FINANCE COMMITTEE REVIEWS DISCLOSURES BY OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15AHERITAGE VILLAGE REHAB & SKILLED NURSING INC BOARD OF DIRECTORS CONTRACTS WITH HERITAGE MINISTRIES MANAGEMENT COMPANY TO PROVIDE ADMINISTRATIVE SUPPORT, WHICH INCLUDES REVIEW OF PERFORMANCE AND COMPENSATION OF OFFICERS OR TOP MANAGEMENT.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE MAILED OR SENT ELECTRONICALLY UPON REQUEST.
FORM 990, PART XII, LINE 2C:NO CHANGES IN OVERSIGHT PROCESS IN CURRENT YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
HERITAGE MINISTRIES CHARITABLE CARE NETWORK INC
4600 ROUTE 60GERRYNY14740261454957PASSIVE PARENT ORGANIZATIONNY501(C)(3)LINE 12A, IN/A0
HERITAGE MINISTRIES MANAGEMENT COMPANY INC
4600 ROUTE 60GERRYNY14740261590078SUPPORTING ORGANIZATIONNY501(C)(3)LINE 12A, IN/A0
GERRY HOMES INC
4600 ROUTE 60GERRYNY14740160755780HEALTH CARE FOR THE ELDERLYNY501(C)(3)LINE 10N/A0
WESTERN NEW YORK MENNONITE RETIREMENT COMMUNITY INC
4945 VINECROFT DRIVECLARENCE CENTERNY14032161560655HOUSING FOR SENIORSNY501(C)(3)LINE 10N/A0
HEARTHSTONE AT SERENITY CREEK
920 N SEMINARY AVENUEWOODSTOCKIL60098463825098HEALTH CARE FOR THE ELDERLYIL501(C)(3)LINE 10N/A0
WOODSTOCK CHRISTIAN LIFE SERVICES INC
920 N SEMINARY AVENUEWOODSTOCKIL60098363186415HEALTH CARE FOR THE ELDERLYIL501(C)(3)LINE 10N/A0
ROLLING FIELDS INC
9108 STATE HWY 198CONNEAUTVILLEPA16406251364240HEALTH CARE FOR THE ELDERLYPA501(C)(3)LINE 10N/A0
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 OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd