GENESEE VALLEY PRESBYTERIAN NURSING CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GENESEE VALLEY PRESBYTERIAN NURSING CENTER (EIN 22-2291346)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-25
IRS object ID
201722099349300212
Schema version
2016v3.0
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)
Return2017-07-25T11:57:24-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222291346EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GENESEE VALLEY PRESBYTERIAN NURSING CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGENEBusinessNameControlTxt
Phone5854611991PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1254 Alexander StreetAddressLine1Txt
CityRochesterCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14607ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJames DeVoePersonNm
Person TitlePresidentPersonTitleTxt
Phone5854611991PhoneNum
Signature2017-07-25SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address63.138.62.194IPv4AddressTxt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1KirkhavenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJames E DeVoePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1254 Alexander StreetAddressLine1Txt
CityRochesterCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14607ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,305,521GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.Kirkhaven.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionOrganization 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.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee300TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$136,768PYContributionsGrantsAmt
CY Contributions Grants$293,021CYContributionsGrantsAmt
PY Program Service Revenue$13,048,682PYProgramServiceRevenueAmt
CY Program Service Revenue$12,935,472CYProgramServiceRevenueAmt
PY Investment Income$328PYInvestmentIncomeAmt
CY Investment Income$537CYInvestmentIncomeAmt
PY Other Revenue$73,287PYOtherRevenueAmt
CY Other Revenue$76,491CYOtherRevenueAmt
PY Total Revenue$13,259,065PYTotalRevenueAmt
CY Total Revenue$13,305,521CYTotalRevenueAmt
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$8,059,286PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,562,524CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,616,005PYOtherExpensesAmt
CY Other Expenses$4,776,267CYOtherExpensesAmt
PY Total Expenses$12,675,291PYTotalExpensesAmt
CY Total Expenses$13,338,791CYTotalExpensesAmt
PY Revenues Less Expenses$583,774PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$33,270CYRevenuesLessExpensesAmt
Total Assets BOY$11,475,613TotalAssetsBOYAmt
Total Assets EOY$11,772,109TotalAssetsEOYAmt
Total Liabilities BOY$11,737,041TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,074,334TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$261,428NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$302,225NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNursing 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$12,202,789ExpenseAmt
Grant$0GrantAmt
Revenue$13,305,521RevenueAmt
DescNursing 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.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$12,202,789TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 Footnote0IncludeFIN48FootnoteInd
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 Ent0RelatedOrganizationCtrlEntInd
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
Employee300EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 ApprovaYes (1)DecisionsSubjectToApprovaInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
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 Line1KirkhavenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5854611991PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1254 Alexander StreetAddressLine1Txt
CityRochesterCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14607ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Ann Marie Cook
Director0.50.25Yes (X)$0$0$0
Tom D'Antonio
Director/Officer0.50.25Yes (X)$0$0$0Yes (X)
Erane Allen
Director/Officer0.50.25Yes (X)$0$0$0Yes (X)
Alan Goodfellow
Director/Officer0.50.25Yes (X)$0$0$0Yes (X)
Deborah Beardslee
Director0.50.25Yes (X)$0$0$0
John Ward
Director0.50.25Yes (X)$0$0$0
Carlo Jannotti
Director0.50.25Yes (X)$0$0$0
Jann Packard
Director0.50.25Yes (X)$0$0$0
Gordon Webster
Director0.50.25Yes (X)$0$0$0
James E DeVoe
President/CEO1030$54,000$145,440$47,179Yes (X)Yes (X)Yes (X)
Anne DePoint
Executive Director/Administrator400$112,755$0$22,551Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$166,755TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$145,440TotReportableCompRltdOrgAmt
Total Other Compensation$69,730TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$128,681RelatedOrganizationsAmt
Government Grants$164,340GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$293,021TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSkiled Nursing Home ServicesDesc
Business623110BusinessCd
Total Revenue Column$12,935,472TotalRevenueColumnAmt
Related Or Exempt Func Income$12,935,472RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,935,472TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$537TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$537ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$32,936RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$32,936RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,936TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$32,936ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Staff Cafeteria & Vending722210$30,336$0$0$30,336
Telephone & newspaper812900$4,410$0$0$4,410
Parking Fees812930$8,430$0$0$8,430

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$379TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$379ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$43,555OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,305,521TotalRevenueColumnAmt
Related Or Exempt Func Income$12,935,472RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$77,028ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$185,287TotalAmt
Program Services$124,504ProgramServicesAmt
Management And General$60,783ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,559,735TotalAmt
Program Services$6,349,298ProgramServicesAmt
Management And General$210,437ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$490,050TotalAmt
Program Services$475,348ProgramServicesAmt
Management And General$14,702ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$824,791TotalAmt
Program Services$800,047ProgramServicesAmt
Management And General$24,744ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$502,661TotalAmt
Program Services$487,581ProgramServicesAmt
Management And General$15,080ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,029TotalAmt
Management And General$7,029ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,515TotalAmt
Management And General$19,515ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,044,676TotalAmt
Program Services$937,860ProgramServicesAmt
Management And General$106,816ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,346TotalAmt
Program Services$1,346ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$39,538TotalAmt
Program Services$3,045ProgramServicesAmt
Management And General$36,493ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$78,418TotalAmt
Program Services$78,418ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$548,730TotalAmt
Program Services$493,857ProgramServicesAmt
Management And General$54,873ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,253TotalAmt
Program Services$9,167ProgramServicesAmt
Management And General$3,086ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,968TotalAmt
Management And General$9,968ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$578,456TotalAmt
Program Services$520,610ProgramServicesAmt
Management And General$57,846ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$107,389TotalAmt
Management And General$107,389ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Supplies$927,169$919,248$7,921$0
NYS Cash Receipts Assessment$647,641$647,641$0$0
Purchased Services/Repairs & Maintenance$324,434$219,459$104,975$0
Advanced Training NYS Grant Expenditures$120,043$120,043$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$309,662TotalAmt
Program Services$15,317ProgramServicesAmt
Management And General$294,345ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,338,791TotalAmt
Program Services$12,202,789ProgramServicesAmt
Management And General$1,136,002ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$40,876BOYAmt
EOY$1,280EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,475,402BOYAmt
EOY$953,791EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,274,269BOYAmt
EOY$2,056,782EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$107,223BOYAmt
EOY$98,689EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,474,351LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,911,386LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,728,298BOYAmt
EOY$5,562,965EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,849,545BOYAmt
EOY$3,098,602EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,475,613BOYAmt
EOY$11,772,109EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$905,881BOYAmt
EOY$994,195EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$30,992BOYAmt
EOY$78,246EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,208,006BOYAmt
EOY$4,822,984EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,592,162BOYAmt
EOY$6,178,909EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,737,041BOYAmt
EOY$12,074,334EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,482,895BOYAmt
EOY-$3,130,157EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,262,662BOYAmt
EOY$1,865,118EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$958,805BOYAmt
EOY$962,814EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$261,428BOYAmt
EOY-$302,225EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,475,613BOYAmt
EOY$11,772,109EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$33,270ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$7,527OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
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$82,033CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,827CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$263,942CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$136,768CurrentTaxYearMinus1YearAmt
Current Tax Year$293,021CurrentTaxYearAmt
Total$916,591TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,810,738CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,595,747CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,795,793CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,048,682CurrentTaxYearMinus1YearAmt
Current Tax Year$12,935,472CurrentTaxYearAmt
Total$61,186,432TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,892,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,736,574CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,059,735CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,185,450CurrentTaxYearMinus1YearAmt
Current Tax Year$13,228,493CurrentTaxYearAmt
Total$62,103,023TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$62,103,023PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$328CurrentTaxYearMinus1YearAmt
Total$4,182TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$537CurrentTaxYearAmt
Total$537TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,113CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$328CurrentTaxYearMinus1YearAmt
Current Tax Year$537CurrentTaxYearAmt
Total$4,719TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$74,248CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,279CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76,760CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,287CurrentTaxYearMinus1YearAmt
Current Tax Year$76,491CurrentTaxYearAmt
Total$379,065TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,968,786CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,815,966CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,137,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,259,065CurrentTaxYearMinus1YearAmt
Current Tax Year$13,305,521CurrentTaxYearAmt
Total$62,486,807TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99386PublicSupportCY509Pct
Public Support PY5090.99387PublicSupportPY509Pct
Investment Income CY0.00008InvestmentIncomeCYPct
Investment Income PY0.00010InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12FormAndLineReferenceDesc
ExplanationStaff cafeteria, vending, guest meals, telephone, newspapers, etc.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$958,807BeginningYearBalanceAmt
Contributions$4,007ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$962,814EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$957,657BeginningYearBalanceAmt
Contributions$1,150ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$958,807EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$956,411BeginningYearBalanceAmt
Contributions$1,244ContributionsAmt
Investment Earnings Or Losses$61,729InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$61,727OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$957,657EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$955,117BeginningYearBalanceAmt
Contributions$1,294ContributionsAmt
Investment Earnings Or Losses$157,986InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$157,986OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$956,411EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$954,101BeginningYearBalanceAmt
Contributions$1,016ContributionsAmt
Investment Earnings Or Losses$120,662InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$120,662OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$955,117EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$438,016OtherCostOrOtherBasisAmt
Book Value$438,016BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$13,507,561OtherCostOrOtherBasisAmt
Depreciation$9,121,372DepreciationAmt
Book Value$4,386,189BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,206,458OtherCostOrOtherBasisAmt
Depreciation$1,606,929DepreciationAmt
Book Value$599,529BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$322,316OtherCostOrOtherBasisAmt
Depreciation$183,085DepreciationAmt
Book Value$139,231BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,562,965TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Deferred Compensation Asset$181,846
Beneficial Interest in Foundation$2,827,932
Residents Deposits held in trust$88,824
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,098,602TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Due to 3rd parties$655,700
Pension Liability$4,750,823
Workers Compensation Liability$501,716
Deferred Compensation Liability$181,846
Resident Deposits held in trust$88,824
FieldValueIRS element (for citing)
Total Liability$6,178,909TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$13,305,521TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$13,305,521RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,305,521TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,338,791TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,338,791ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,338,791TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part V, Line 4FormAndLineReferenceDesc
ExplanationEndowment 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 subsiding the organization's mission and operation.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
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
James E DeVoe
President/CEO$54,000$128,483$0$16,957$0$0$0$21,000$6,000$26,179$60,000$192,619$40,000$191,698
Anne DePoint
Executive Director/Administrator$112,755$0$0$0$0$0$0$0$22,551$0$135,306$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4President/CEO is the sole participant in a 457(f) deferred compensation plan that is funded by the Seniorsfirst Foundation in the amount of $21,000 per year.
Schedule J, Part I, Line 7President/CEO was paid a bonus for specif goal performance results as per the Executive Bonus Program and approved by the Executive Committee and Board.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 3Effective 7/1/16, the organization contracted with a related organization (CMSWNY) that serves as a Management Services Organization that provides certain back office administrative & financial services for Kirkhaven and two other senior care organizations on a shared cost joint-venture basis.
Form 990, Part VI, Section A, Line 6The organization is a membership corporation with Presbyterian Homes & Services of Genessee Valley (dba Seniorsfirst) the sole member.
Form 990, Part VI, Section A, Line 7aThe board of directors for the Member constitute the board of directors of the organization (mirror board).
Form 990, Part VI, Section A, Line 7bThe organization's bylaws identify certain reserved powers that require approval by the Member.
Form 990, Part VI, Section B, Line 11bThe 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 12cBoard 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 15The executive Committee of the Parent board reviews, determines and approves (with full board approval) the CEO compensation. Periodic survey and comparable compensation data is used to ascertain reasonableness and competitiveness of compensation. In 2014 the board entered into an Employment Contract with the CEO through 12/31/16. The HR Committee upon approval of the board, reviews and approves compensation pay scales and annual increase range for all other staff.
Form 990, Part VI, Section C, Line 19Information is available to the public upon request to administration.
Form 990, Part XI, Line 9Change in unrestricted net assets related to pension plan ($-647,262); Change in beneficial Interest in Foundation ($602,456) and Change in Restricted Net Assets ($4,009)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Business Name Line2DisregardedEntityName/BusinessNameLine2TxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtBusiness Name Line2DirectControllingEntityName/BusinessNameLine2Txt
Prebyterian Homes & Services of Genesee Valley
dba Seniorsfirst254 Alexander StreetRochesterNY14607161592416Parent OrganizationNY501(C)(3)11dN/A0
Seniorsfirst Foundation Inc
254 Alexander StreetRochesterNY14607161378080Supporting OrganizationNY501(c)(3)11d0PHSGVSeniorsfirst
Community Management Services of Western New York
254 Alexander StreetRochesterNY14607811859699Supporting OrganizationNY501(c)(3)11dN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Community Management Services of Western New York
a-iv$8,400Actual income received
Seniorsfirst Foundation Inc
c$128,681Actual income received
Seniorsfirst Foundation Inc
e$750,000Actual line of credit guarantee
Community Management Services of Western New York
j$8,400Actual income recieved
Seniorsfirst Foundation Inc
m$15,910Actual cost
Seniorsfirst Foundation Inc
o$62,447Allocation of cost based on time estimate allocation percentage
Community Management Services of Western New York
p$37,502Actual cost incurred
Seniorsfirst Foundation Inc
q$15,910Actual cost incurred

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationMore time was needed to receive the audited financial statements due to a change in audit firms. Extension for filing was requested and approved.ExplanationTxt

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