2017-11-14T08:39:54-06:00 2016-12-31 HORAN MARTELLO MORRONE PC 527 TOWNLINE ROAD HAUPPAUGE NY 11788 990 2016-01-01 510191763 BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC % MICHAEL KISER CPA BETH 3005 WATKINS ROAD HORSEHEADS NY 14845 THOMAS SANTOBIANCO CEO 2017-11-08 true WAYNE I ROBINSON CPA P00190944 6312656289 2017-11-08 96.56.163.230 11513120173185000002 2017-11-14 P 53465D3EE0E047B91F539A0AB2054D6F43798EC0 0CA094F8FE34D27529E71E02B5463A23560F0F9A 2016 2017-02-10 21:41:12Z THOMAS SANTOBIANCO 3005 WATKINS ROAD HORSEHEADS NY 14845 11608154 false X WWW.BETHANY-VILLAGE.ORG X 1975 NY SEE SCHEDULE O. 13 13 347 19 0 3780 2076 10808370 11390909 254 176 270499 214993 11082903 11608154 0 0 0 0 6184743 6353631 0 0 0 4879087 5221099 11063830 11574730 19073 33424 5541128 5776306 5016515 5218269 524613 558037 SEE SCHEDULE O. false false 9881276 11608154 BETHANY NURSING HOME AND HEALTH RELATED FACILITY OPERATES A SKILLED NURSING FACILITY WHICH PROVIDES HEALTH CARE SERVICES TO THE ELDERLY. 9881276 true false false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 18 0 true 347 true false false false false false false false false false X 13 13 false false false false true true false true true false false true true true true true true true true false NY X MICHAEL KISER CPA 6077398711 3005 WATKINS ROAD HORSEHEADS NY 14845 RICHARD G CARR BOARD MEMBER 1.0 0.0 X 0 0 0 RANDI HEWIT BOARD MEMBER 1.0 0.0 X 0 0 0 JOHN BENJAMIN BOARD MEMBER 1.0 0.0 X 0 0 0 WALTER HERBST BOARD MEMBER 1.0 0.0 X 0 0 0 JOSEPH PONZI BOARD MEMBER 1.0 0.0 X 0 0 0 JASON PARMENTER BOARD MEMBER 1.0 0.0 X 0 0 0 DAVID SCHULTZ BOARD MEMBER 1.0 0.0 X 0 0 0 DAWN BURLEW BOARD MEMBER 1.0 0.0 X 0 0 0 ALISON HUNT BOARD MEMBER 1.0 0.0 X 0 0 0 DAVID HELSING BOARD MEMBER 1.0 0.0 X 0 0 0 J CAROL LINCOLN BOARD CHAIR 2.0 0.0 X 0 0 0 R C IKE VICE CHAIR 2.0 0.0 X 0 0 0 JAMES BATTERSBY TREASURER/SECRETARY 1.0 0.0 X 0 0 0 THOMAS SANTOBIANCO CEO 40.0 0.0 X 77616 121868 38109 MICHAEL KISER CFO 40.0 0.0 X 48824 76661 16223 JIM MARK NURSING HOME ADMINISTRATOR 40.0 0.0 X 134122 0 24057 260562 198529 78389 1 false true false FIRST CALL PHYSICIAN ASSISTANT SERV 378 BANNISTER ROAD BREESPORT NY 14816 PHYSICIAN ASSISTANT 597000 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 606809056 885411 2 2076 2076 PRIVATE 623000 4304879 4304879 MEDICARE AND MEDICAID 623000 7086030 7086030 11390909 176 176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ANCILLARY SERVICES 623000 208747 208747 OFFICE RENTAL 623000 6246 6246 214993 11608154 11606078 0 0 0 0 260562 260562 0 4770014 4389687 380327 79737 72324 7413 813957 738284 75673 429361 389444 39917 0 29025 29025 35245 35245 0 0 0 0 61144 16351 44793 1133613 1065688 67925 0 0 190017 160097 29920 42485 12267 30218 0 0 308021 308021 0 414683 414683 110814 110814 FEES 1467729 1419133 48596 CONTRACTED SERVICES 833831 747823 86008 ASSESSMENT 451770 451770 MISCELLANEOUS 23793 -11813 35606 118929 48473 70456 11574730 9881276 1693454 0 354768 564274 0 0 0 0 1659141 1884744 0 0 0 0 0 0 0 0 466508 579890 11665149 9117121 2872063 2548028 0 0 0 0 0 0 0 0 188648 199370 5541128 5776306 960174 1391540 0 0 0 0 0 0 0 0 0 0 184649 139877 0 0 3871692 3686852 5016515 5218269 X 524613 558037 0 0 0 0 524613 558037 5541128 5776306 33424 X false true X true false X 2670 19230 5033 3163 1541 31637 9067143 10242476 10749768 10906310 11390909 52356606 0 0 0 9069813 10261706 10754801 10909473 11392450 52388243 0 0 0 52388243 360 338 320 254 176 1448 0 360 338 320 254 176 1448 0 542549 156961 76327 173176 215528 1164541 9612722 10419005 10831448 11082903 11608154 53554232 0.97823 0.98687 0.00003 0.00003 X 38650 38650 7288467 5400796 1887671 3956815 3482799 474016 381217 233526 147691 2548028 0 DUE TO THIRD PARTIES 150680 PATIENT FUNDS 40224 CAP LEASE OBLIG WITH AFFILIATE 3346297 LINE OF CREDIT 149651 3686852 11608154 11608154 11608154 11574730 11574730 11574730 FORM 990, SCHEDULE D TRANSFER OF NET ASSETS $84,224 THOMAS SANTOBIANCO CEO 77616 121868 0 0 0 0 0 0 14824 23285 92440 145153 0 0 JIM MARK NURSING HOME ADMINISTRATOR 134122 0 0 0 0 0 0 0 24057 0 158179 0 0 0 FORM 990, PART I, QUESTION #1 THE MISSION OF BETHANY VILLAGE IS TO PROVIDE REGIONAL LEADERSHIP, SERVICES, ADVOCACY, AND EDUCATION FOR QUALITY SENIOR LIVING WHILE OFFERING VIBRANT, LIFE-AFFIRMING RESIDENTIAL COMMUNITY THAT CELEBRATES SPIRITUAL WELL-BEING, ENHANCES INDEPENDENCE AND PROMOTES WELLNESS AS ITS RESIDENTS EVOLVE TOWARD THEIR FULL POTENTIAL. FORM 990, PART III, QUESTION #1 THE MISSION OF BETHANY VILLAGE IS TO PROVIDE REGIONAL LEADERSHIP, SERVICES, ADVOCACY, AND EDUCATION FOR QUALITY SENIOR LIVING WHILE OFFERING VIBRANT, LIFE-AFFIRMING RESIDENTIAL COMMUNITY THAT CELEBRATES SPIRITUAL WELL-BEING, ENHANCES INDEPENDENCE AND PROMOTES WELLNESS AS ITS RESIDENTS EVOLVE TOWARD THEIR FULL POTENTIAL. FORM 990, PART VI, SECTION B, QUESTION #11 THE 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, QUESTION # 12c THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST PARTY AT QUARTERLY MEETINGS AND QUALITY ASSURANCE AUDITS. FORM 990, PART VI, SECTION C, QUESTION #19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, QUESTION #9 TRANSFER OF NET ASSETS RELATED TO CASH THAT WAS RELEASED FROM THE RESERVE FOR REPLACEMENT TO BE USED BY BETHANY NURSING HOME FOR LEASEHOLD IMPROVEMENTS. FORM 990, PART VI, SECTION B, QUESTION #15B THE BOARD REVIEWS AND APPROVES ALL WAGE AND SALARY INCREASES THROUGH THE BUDGET PROCESS. BETHANY RETIREMENT HOME INC 3005 WATKINS ROAD HORSEHEADS NY 14845 160988865 HOUSING ELDER NY 501(C)(3) 9 NA ORCHARD HOMES AT BETHANY VILLAGE INC 3005 WATKINS ROAD HORSEHEADS NY 14845 202019814 HOUSING ELDER NY 501(C)(3) 9 NA BETHANY SENIOR CITIZENS HOUSING INC 3005 WATKINS ROAD HORSEHEADS NY 14845 222238087 HOUSING ELDER NY 501(C)(3) 9 NA BETHANY VILLAGE PRIMARY CARE NETWORK IN 2977 WESTINGHOUSE ROAD HORSEHEADS NY 14845 814217677 HEALTH CLINIC NY BETHANY NURSING C CORP BETHANY VILLAGE DEVELOPMENT CORPORATION 3005 WATKINS ROAD HORSEHEADS NY 14845 813458789 PROPERTY INVESTME NY BETHANY NURSING C CORP 1.00000 false false false false false false false false false false true false false true true true false false BETHANY RETIREMENT HOME O,P,Q 1251612 ORCHARD HOMES AT BETHANY VILLAGE Q 98243