BETHANY RETIREMENT HOME INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BETHANY RETIREMENT HOME INC (EIN 16-0988865)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-02
IRS object ID
201813069349301546
Schema version
2017v2.3
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)
Return2018-11-02T14:23:40-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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)
PersonTHOMAS SANTOBIANCOPersonNm
Person TitleCEOPersonTitleTxt
Phone6077398711PhoneNum
Signature2018-10-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKRISTA L NILES-UPDYKEPreparerPersonNm
PTINP00958947PTIN
Phone6077344183PhoneNum
Preparation2018-10-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.159.217.67IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-22IPDt
IP Tm10:16:06IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9069B2EE56E8242FD013E79CDC8510029242A80FAtSubmissionCreationDeviceId
At Submission Filing Device Id3879453E6F550BA2EC23F67EA1C8C4C18DF08C34AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS SANTOBIANCOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1Txt
CityHORSEHEADSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14845ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,723,210GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee181TotalEmployeeCnt
Total Volunteers47TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$22,822PYContributionsGrantsAmt
CY Contributions Grants$43,616CYContributionsGrantsAmt
PY Program Service Revenue$5,528,245PYProgramServiceRevenueAmt
CY Program Service Revenue$5,785,273CYProgramServiceRevenueAmt
PY Investment Income$28,337PYInvestmentIncomeAmt
CY Investment Income$77,636CYInvestmentIncomeAmt
PY Other Revenue$467,283PYOtherRevenueAmt
CY Other Revenue$415,486CYOtherRevenueAmt
PY Total Revenue$6,046,687PYTotalRevenueAmt
CY Total Revenue$6,322,011CYTotalRevenueAmt
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$4,369,659PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,512,724CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,636,526PYOtherExpensesAmt
CY Other Expenses$2,541,463CYOtherExpensesAmt
PY Total Expenses$6,006,185PYTotalExpensesAmt
CY Total Expenses$6,054,187CYTotalExpensesAmt
PY Revenues Less Expenses$40,502PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$267,824CYRevenuesLessExpensesAmt
Total Assets BOY$6,763,738TotalAssetsBOYAmt
Total Assets EOY$9,211,597TotalAssetsEOYAmt
Total Liabilities BOY$5,526,053TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,625,303TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,237,685NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,586,294NetAssetsOrFundBalancesEOYAmt
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$5,171,268ExpenseAmt
Revenue$6,278,395RevenueAmt
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$5,171,268TotalProgramServiceExpensesAmt
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
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 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 With Officer Ent0BusinessRlnWithOfficerEntInd
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
Employee181EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
J 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
RC IKE
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD CARR
BOARD MEMBER1.00Yes (X)$0$0$0
JOSEPH PONZI
BOARD MEMBER1.00Yes (X)$0$0$0
RANDI HEWITT
BOARD MEMBER1.00Yes (X)$0$0$0
JASON PARMENTER
BOARD MEMBER1.00Yes (X)$0$0$0
DAVE SCHULTZ
BOARD MEMBER1.00Yes (X)$0$0$0
DAWN BURLEW
BOARD MEMBER1.00Yes (X)$0$0$0
WALTER HERBST
BOARD CHAIR2.00$0$0$0Yes (X)
JACK BENJAMIN
VICE CHAIR2.00$0$0$0Yes (X)
JAMES BATTERSBY
TREASURER / SECRETARY2.00$0$0$0Yes (X)
THOMAS SANTOBIANCO
CEO40.00$0$203,162$28,457Yes (X)
MICHAEL KISER
CFO40.00$0$128,065$6,396Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$331,227TotReportableCompRltdOrgAmt
Total Other Compensation$34,853TotalOtherCompensationAmt
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$20,973GovernmentGrantsAmt
All Other Contributions$22,643AllOtherContributionsAmt
Total Contributions$43,616TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$5,632,690$5,632,690
ANCILLARY SERVICES623000$152,583$152,583
FieldValueIRS element (for citing)
Total Program Service Revenue$5,785,273TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,391TotalRevenueColumnAmt
Related Or Exempt Func Income$28,391RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$450,444SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$401,199SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$49,245SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,245TotalRevenueColumnAmt
Related Or Exempt Func Income$49,245RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAPITAL LEASE REVENUE623000$232,254$232,254
GAIN ON REFINANCE623000$154,373$154,373
OTHER623000$19,999$19,999

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,860TotalRevenueColumnAmt
Related Or Exempt Func Income$8,860RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$415,486OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,322,011TotalRevenueColumnAmt
Related Or Exempt Func Income$6,278,395RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,956,484TotalAmt
Program Services$2,713,848ProgramServicesAmt
Management And General$242,636ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$72,012TotalAmt
Program Services$66,102ProgramServicesAmt
Management And General$5,910ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$207,217TotalAmt
Program Services$190,211ProgramServicesAmt
Management And General$17,006ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$277,011TotalAmt
Program Services$254,277ProgramServicesAmt
Management And General$22,734ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$300,154TotalAmt
Management And General$300,154ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15,122TotalAmt
Management And General$15,122ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,890TotalAmt
Management And General$14,890ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$491,596TotalAmt
Program Services$491,596ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$75,804TotalAmt
Program Services$56,062ProgramServicesAmt
Management And General$19,742ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$536,934TotalAmt
Program Services$505,694ProgramServicesAmt
Management And General$31,240ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$162,642TotalAmt
Program Services$162,642ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,007TotalAmt
Management And General$31,007ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$221,762TotalAmt
Program Services$221,762ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$209,825TotalAmt
Program Services$209,825ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$69,453TotalAmt
Program Services$69,453ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$165,465$154,424$11,041
MISCELLANEOUS$70,582$23,566$47,016
EQUIPMENT RENTAL$63,295$30,777$32,518
FEES$42,591$42,591

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$70,341TotalAmt
Program Services$21,029ProgramServicesAmt
Management And General$49,312ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,054,187TotalAmt
Program Services$5,171,268ProgramServicesAmt
Management And General$882,919ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$232,893BOYAmt
EOY$1,062,952EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$188,515BOYAmt
EOY$184,562EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$51,818BOYAmt
EOY$220,655EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,867,200LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,266,738LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,619,227BOYAmt
EOY$1,600,462EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$978,743BOYAmt
EOY$1,141,085EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,692,542BOYAmt
EOY$5,001,881EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,763,738BOYAmt
EOY$9,211,597EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$369,564BOYAmt
EOY$445,159EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$2,438EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$8,329BOYAmt
EOY$15,211EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,792,398BOYAmt
EOY$6,746,051EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$355,762BOYAmt
EOY$416,444EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,526,053BOYAmt
EOY$7,625,303EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$222,685BOYAmt
EOY$571,294EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,237,685BOYAmt
EOY$1,586,294EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,763,738BOYAmt
EOY$9,211,597EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$267,824ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$80,785NetUnrlzdGainsLossesInvstAmt
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$20,641CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,413CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,822CurrentTaxYearMinus1YearAmt
Current Tax Year$43,616CurrentTaxYearAmt
Total$142,061TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,982,127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,388,074CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,351,082CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,528,245CurrentTaxYearMinus1YearAmt
Current Tax Year$5,785,273CurrentTaxYearAmt
Total$27,034,801TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,002,768CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,424,643CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,369,495CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,551,067CurrentTaxYearMinus1YearAmt
Current Tax Year$5,828,889CurrentTaxYearAmt
Total$27,176,862TotalAmt

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$27,176,862PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,191CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,871CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,337CurrentTaxYearMinus1YearAmt
Current Tax Year$28,391CurrentTaxYearAmt
Total$135,845TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,191CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,055CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,871CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,337CurrentTaxYearMinus1YearAmt
Current Tax Year$28,391CurrentTaxYearAmt
Total$135,845TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$479,080CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$506,419CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$497,005CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$467,283CurrentTaxYearMinus1YearAmt
Current Tax Year$415,486CurrentTaxYearAmt
Total$2,365,273TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,505,039CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,958,117CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,895,371CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,046,687CurrentTaxYearMinus1YearAmt
Current Tax Year$6,272,766CurrentTaxYearAmt
Total$29,677,980TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91570PublicSupportCY509Pct
Public Support PY5090.91010PublicSupportPY509Pct
Investment Income CY0.00460InvestmentIncomeCYPct
Investment Income PY0.00460InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

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$5,538,126OtherCostOrOtherBasisAmt
Depreciation$4,562,607DepreciationAmt
Book Value$975,519BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,096,482OtherCostOrOtherBasisAmt
Depreciation$1,704,131DepreciationAmt
Book Value$392,351BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,600,462TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DIRECT FINANCING LEASE$3,102,173
RESIDENT FUNDS$18,756
RESTRICTED CASH - PROJECT FUNDS$1,186,870
NOTE RECEIVABLE - RELATED ENTITY$694,082
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,001,881TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO AFFILIATED ENTITIESDesc
Amt$416,444Amt
FieldValueIRS element (for citing)
Total Liability$416,444TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,402,796TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$80,785NetUnrealizedGainsInvstAmt
Revenue Not Reported$80,785RevenueNotReportedAmt
Revenue Subtotal$6,322,011RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,322,011TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,054,187TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,054,187ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,054,187TotalExpensesPerForm990Amt

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, 2017, THE FACILITY IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2014. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2014 THROUGH DECEMBER 31, 2017 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)
PersonTHOMAS SANTOBIANCOPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$203,162CompensationBasedOnRltdOrgsAmt
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$28,457NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$231,619TotalCompensationRltdOrgsAmt
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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
BETHANY VILLAGE PRIMARY CARE NETWORK INC
2977 WESTINGHOUSE ROADHORSEHEADSNY14845814217677HEALTH CLINICNY501(C)(3)LINE 100BETHANY NURSING HOME & HEALTH RELATED FACILITY INC

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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 Org0RentalOfFacilitiesToOthOrgInd
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 OrgYes (1)ReimbursementPaidByOtherOrgInd
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
D$694,082LOAN AMOUNT
BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC
P$1,149,538SHARED SERVICE ALLOCATION
BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC
Q$232,254DIRECT FINANCE LEASE AGREEMENT

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