2018-05-01T10:22:22-07:00 2017-12-31 990 2017-01-01 222291346 GENESEE VALLEY PRESBYTERIAN NURSING CENTER GENE 5854611991 254 Alexander Street Rochester NY 14607 Scott Maar VP of Finance/CFO 5854611991 2018-05-10 2017 2022-09-23 18:48:47Z Kirkhaven Genesee Valley Presbyterian Nursing Center 254 Alexander Street Rochester NY 14607 13966349 0 X www.Kirkhaven.com X 1980 NY Organization is a 147 licensed-bed skilled nursing home, which provides long-term and short-term skilled nursing and rehabilitative care to seniors including a high percentage of indigent and minority seniors. All income received is used in the provision of care and support services. 11 11 317 10 0 0 293021 1203321 12935472 12633598 537 217 76491 129213 13305521 13966349 0 0 0 0 8562524 8408339 0 0 0 4776267 5547896 13338791 13956235 -33270 10114 11772109 11744719 12074334 11674057 -302225 70662 Nursing home that provides skilled long-term care, rehabilitative and Alzheimers/Dementia care for seniors in a manner that embraces a philosophy of person-centered care, quality of care and faith-based mission. 0 0 12015803 0 13966349 Nursing home that provides skilled long-term care, rehabilitation and Alzheimers/Dementia care for seniors in a manner that embraces a philosophy of person-centeredcare, quality of care and faith-based mission. 0 0 0 12015803 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 317 1 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X Kirkhaven 5854611991 254 Alexander Street Rochester NY 14607 Ann Marie Cook Director 0.5 0.25 X 0 0 0 Tom D'Antonio Director/Officer 0.5 0.25 X X 0 0 0 Erane Allen Director/Officer 0.5 0.25 X X 0 0 0 Alan Goodfellow Director/Officer 0.5 0.25 X X 0 0 0 Deborah Beardslee Director 0.5 0.25 X 0 0 0 John Ward Director 0.5 0.25 X X 0 0 0 Carlo Jannotti Director 0.5 0.25 X 0 0 0 Jann Packard Director 0.5 0.25 X 0 0 0 Gordon Webster Director 0.5 0.25 X 0 0 0 Anne DePoint Executive Director/Administrator 40 0 X X 118031 0 30098 James E DeVoe Develoment Director & President Emeritus 5 15 X X 110056 16332 33249 228087 16332 63347 2 1 1 0 0 0 0 0 1044321 159000 0 0 1203321 Skilled Nursing Home Services 623110 12633598 12633598 0 0 0 0 0 0 12633598 217 0 0 217 0 0 0 0 0 0 0 0 42135 0 0 0 42135 0 42135 0 0 42135 0 0 0 Staff Cafeteria, Vending & Guest Meals 722210 35930 0 0 35930 Telephone & Newspaper 812900 4457 0 0 4457 Parking Fees 812930 10238 0 0 10238 36453 0 0 36453 87078 13966349 12633598 0 129430 313204 181658 131546 0 6404231 6084019 320212 548529 521103 27426 670670 637136 33534 471705 448120 23585 211808 211808 17971 17971 19550 19550 1155601 1093329 62272 30501 2867 27634 58040 58040 511170 460053 51117 8147 4888 3259 15713 15713 623325 560992 62333 115684 115684 NYS CAsh Receipts Assessment 698933 698933 0 0 Supplies 910235 901793 8442 0 Purchased Services/Repairs & Maintnenance 378731 257540 121191 0 Advanced Training NYS Grant Expenditures 74803 74803 0 0 717684 30529 687155 13956235 12015803 1940432 0 1280 2212 953791 736588 0 0 2056782 1942591 0 0 0 0 98689 108265 17227992 11307141 5562965 5920851 3098602 3034212 11772109 11744719 994195 960652 78246 78356 4822984 4737196 6178909 5897853 12074334 11674057 X -3130157 -2626271 1865118 1732448 962814 964485 -302225 70662 11772109 11744719 X 10114 0 0 0 0 362773 X 0 1 X 1 0 X 140827 263942 136768 293021 1203321 2037879 11595747 11795793 13048682 12935472 12633598 62009292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11736574 12059735 13185450 13228493 13836919 64047171 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 64047171 1113 974 328 537 217 3169 0 0 0 0 0 0 1113 974 328 537 217 3169 0 0 0 0 0 0 78279 76760 73287 76491 129213 434030 11815966 12137469 13259065 13305521 13966349 64484370 0.99322 0.99386 0.00005 0.00008 X Schedule A, Part III, Line 12 staff cafeteria, vending, guest meals, telephone, newspapers, etc. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 962814 1671 0 0 0 0 964485 958807 4007 0 0 0 0 962814 957657 1150 0 0 0 0 958807 956411 1244 61729 0 61727 0 957657 955117 1294 157986 0 157986 0 956411 0 1 0 0 1 1 0 438016 438016 0 14326980 9428901 4898079 0 0 0 0 0 2209774 1692048 517726 0 253222 186192 67030 5920851 Deferred Compensation Asset 231230 Beneficial Interest in Foundation 2696933 Resident Deposits Held in Trust 106049 3034212 0 Due to third-party payors 624500 Due to affiliates 1389 Workers Compensation Trust Liability 501716 Deferred Compensation Liability 231230 Resident Deposits Held in Trust 106049 Retirement Benefits Liability 4432969 5897853 13966349 0 0 0 0 0 13966349 0 0 0 13966349 13956235 0 0 0 0 0 13956235 0 0 0 13956235 Schedule D, Part V, Line 4 Endowment funds are to be held in perpetuity with the income to be recognized and transferred to temporarily restricted funds within the Foundation and transferred to Kirkhaven annually based on the board approved Total Return & Spend policy for use in subsidizing the organization's mission and operation X X X X X 1 1 0 0 0 0 0 0 0 James E DeVoe Develoment Director & President Emeritus 110056 16332 0 0 0 0 21000 0 11249 0 142305 16332 60000 192619 Anne DePoint Executive Director/Administrator 118031 0 0 0 0 0 0 0 30098 0 148129 0 135306 0 Schedule J, Part I, Line 4 President Emeritus James E DeVoe was paid a severance and also participated in a 457 deferred compensation program previously approved as part of his compensation package and employment agreement. Form 990, Part VI, Section A, Line 6 The organization is a membership corporation with Presbyterian Homes & Services of Genesee Valley (dba Seniorsfirst) the sole member. Form 990, Part VI, Section A, Line 7a The board of directors for the Member constitute the board of directors of the organization (mirror board). Form 990, Part VI, Section A, Line 7b The organization's bylaws identify certain reserved powers that require approval by the Member. Form 990, Part VI, Section B, Line 11b The 990 is reviewed by the Audit Committee of the board on behalf of the organization's board. A copy of the 990 is available to all directors of the governing board. Form 990, Part VI, Section B, Line 12c Board members and key employees must complete and update conflict of interest forms annually and as needed. At all board meetings and committee meetings, a call for disclosure of any conflicts of interest related to the approved agenda is required and documented in the minutes. The Governance Committee of the parent board monitors and enforces compliance as needed. Form 990, Part VI, Section B, Line 15 The Executive Committee of the Parent board reviews, determines and approves (with full board approval) the Executive Director compensation. Periodic survey and comparable data is used to ascertain reasonableness and competitiveness of compensation. The HR committee upon approval of the board, reviews and approves compensation scales and annual increase range for all other staff. Form 990, Part VI, Section C, Line 19 Information is available to the public upon request to administration. Form 990, Part XI, Line 9 Change in funded status of pension-$493,772; Change in beneficial interest in Foundation-($132,670); Change in permanently restricted net assets- $1,671. Presbyterian Homes & Services of Genesee Valley dba Seniorsfirst 254 Alexanders Street Rochester NY 14607 161592416 Parent Organization NY 501(c) (3) 11d N/A 0 Seniorsfirst Foundation Inc 254 Alexander Street Rochester NY 14607 161378080 Supporting Organization NY 501 (c) (3) 11d PHSGV dba Seniorsfirst 0 Community Services of Western New York 254 Alexander Street Rochester NY 14607 811859699 Supporting Organization NY 501 (c) (3) 11d N/A 0 1 0 1 0 1 0 0 0 0 1 0 0 1 1 1 1 0 0 0 Community Services of Western New York a-iv 16800 Actual income received Seniorsfirst Foundation Inc c 1044321 Actual dollar amount received Seniorsfirst Foundation Inc e 750000 Actual line of credit guarantee Seniorsfirst Foundation Inc e 500000 Actual dollar amount of loan Seniorsfirst Foundation Inc m 27412 Actual cost of services provided Seniorsfirst Foundation Inc j 16800 Actual cost of lease Seniorsfirst Foundation Inc o 37332 Actual cost Community Services of Western New York p 211808 Actual cost Seniorsfirst Foundation Inc p 17197 Actual dollar amount