2016-11-08T07:16:41-06:00 2015-12-31 474526160 EFPR GROUP CPAS PLLC 280 KENNETH DRIVE ROCHESTER NY 14623 990 2015-01-01 205580506 GOOD SHEPHERD VILLAGE AT ENDWELL INC GOOD 6077573100 32 VILLAGE DRIVE ENDWELL NY 13760 JUDITH SEIER CFO 6077573100 2016-10-26 1 WILLIAM FRIEDMAN P00060112 5854278900 2015 2017-02-10 21:41:12Z MICHAEL KEENAN 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 12833140 0 X WWW.GSVILLAGE.COM X 2006 NY A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING FOR THE ELDERLY. 17 16 276 16 0 0 150000 101260 12530200 12731147 0 733 0 0 12680200 12833140 0 0 0 0 4160948 4116494 0 0 0 9124498 8194824 13285446 12311318 -605246 521822 63780982 58691107 76722878 76398557 -12941896 -17707450 A CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING FOR THE ELDERLY. 0 0 4732012 5853877 INDEPENDENT LIVING 4196312 6877270 HEALTH CARE CENTER 8928324 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 24 0 1 276 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X JUDITH SEIER 6077242477 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 JAMES CHAMBERS CHAIR 1.00 X X 0 0 0 JOANN NAVARRO VICE CHAIR 1.00 X X 0 0 0 LINDA GLAJCH SECRETARY 1.00 X X 0 0 0 FR JOHN MARTINICHIO TREASURER 1.00 X X 0 0 0 DOUGLAS JOHNSON DIRECTOR 1.00 X 0 0 0 JOAN LACEY DIRECTOR 1.00 X 0 0 0 PAUL MARRA DIRECTOR 1.00 X 0 0 0 PAUL MOLLO DIRECTOR 1.00 X 0 0 0 RYAN MURPHY MEAD DIRECTOR 1.00 X 0 0 0 R MARK PATTERSON DIRECTOR 1.00 X 0 0 0 PRESCOTT PERKINS JR DIRECTOR 1.00 X 0 0 0 OLIVER RILEY JR DIRECTOR 1.00 X 0 0 0 ELLEN RURY DIRECTOR 1.00 X 0 0 0 JEFFREY SMITH DIRECTOR 1.00 X 0 0 0 THOMAS C SYLVESTER DIRECTOR 1.00 X 0 0 0 KENNETH TOMKO DIRECTOR 1.00 X 0 0 0 MICHAEL KEENAN PRESIDENT & CEO 16.00 24.00 X X 0 306467 12116 JUDITH SEIER CFO 18.00 22.00 X 0 117754 2000 PATRICIA MACKEY COO 18.00 22.00 X 0 139911 6422 0 564132 20538 0 0 1 0 SODEXO 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 DINING SERVICES 1026665 SELECT REHABILITATION 550 FRONTAGE ROAD SUITE 2415 NORTHFIELD IL 60093 THERAPY SERVICES 458239 2 101260 101260 RESIDENT SERVICES 623000 6877270 6877270 MONTHLY SERVICE FEES 623000 5394545 5394545 RESIDENCY FEES 623000 459332 459332 12731147 733 733 12833140 12731147 0 733 3281153 3094103 187050 46929 46929 542024 451279 90745 246388 226232 20156 12053 10553 1500 32721 32721 26700 26700 229736 229736 180546 180546 75891 75891 452261 403160 49101 17961 17305 656 1671275 1671275 1904599 1904599 85901 1778 84123 PURCHASED SERVICES 1267575 1244256 23319 MANAGEMENT SERVICES- RE 729864 729864 FOOD 544070 544037 33 SUPPLIES AND OTHER 419624 375117 44507 544047 446226 97821 12311318 8928324 3382994 0 159644 5276868 823925 852071 146968 164955 57514244 11325032 47842394 46189212 12287824 5217476 2520227 852491 0 138034 63780982 58691107 1173231 412045 2070707 1998569 45552355 44655050 28823890 28435588 76722878 76398557 X -12941896 -17707450 -12941896 -17707450 63780982 58691107 X 521822 -5287376 X X 0 1 X 1 0 X 27232 14400 150000 101260 292892 10521055 11329492 11679210 12530200 12731147 58791104 10548287 11343892 11679210 12680200 12832407 59083996 0 0 0 59083996 121108 114839 114264 733 350944 121108 114839 114264 733 350944 10669395 11458731 11793474 12680200 12833140 59434940 0.99410 0.99030 0.00590 0.00970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 970283 970283 47242966 8357344 38885622 6797495 1207169 5590326 2503500 1760519 742981 46189212 ASSETS WHOSE USE IS LIMITED 5217476 F 5217476 DEPOSITS ON UNOCCUPIED UNITS 169350 REFUNDABLE RESIDENCY FEES 28264200 RESIDENT DEPOSITS 2038 28435588 X 13074267 241291 241291 12832976 164 164 12833140 17839821 5528667 5528667 12311154 164 164 12311318 PART X, LINE 2: THE VILLAGE IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE MAY BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH ASC 740-10-50, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE VILLAGE RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT BELIEVES THAT THE VILLAGE IS CURRENTLY OPERATING IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, NO LIABILITY FOR UNRECOGNIZED TAX BENEFITS HAS BEEN INCLUDED ON THE VILLAGE'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON INTEREST RATE SWAP 241,291. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE PER ASU 2011-07 164. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DEBT EXTINGUISHMENT 5,528,667. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE PER ASU 2011-07 164. 0 0 0 0 0 1 1 0 0 MICHAEL KEENAN PRESIDENT & CEO 0 260000 0 46467 0 0 0 0 0 12116 0 318583 0 0 PART I, LINE 3 THE ORGANIZATION IS A SUBSIDIARY OF FGS, INC. AND HAS RELIED ON FGS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO. PART I, LINE 6 MICHAEL KEENAN RECEIVED BONUSES PER HIS CONTRACT. A BROOME COUNTY IDA 161136982 114729AF3 2008-08-07 1365000 TO FINANCE PROJECT FUND AND DEBT SERVICE RESERVE FUND 1 0 0 B BROOME COUNTY IDA 161136982 114729AA4 2008-08-07 805000 TO FINANCE PROJECT FUND AND DEBT SERVICE RESERVE FUND 1 0 0 C BROOME COUNTY IDA 161136982 114729AB2 2008-08-07 5705000 TO FINANCE PROJECT FUND AND DEBT SERVICE RESERVE FUND 1 0 0 D BROOME COUNTY IDA 161136982 114729AC0 2008-08-07 15285000 TO FINANCE PROJECT FUND AND DEBT SERVICE RESERVE FUND 1 0 0 A 645000 720000 1356441 111175 138467 20271 8991 21044 985415 104537 2009 0 0 1 1 B 805000 799059 65492 81569 11941 5296 12397 580493 61581 2009 0 0 1 1 C 5705000 5673623 465015 579170 84789 37605 88023 4121719 437251 2009 0 0 1 1 D 15285000 15137194 1240657 1545223 226216 100331 234844 10996725 1166585 2009 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 A BROOME COUNTY IDA 161136982 114729AE6 2008-08-07 23180000 TO FINANCE PROJECT FUND AND DEBT SERVICE RESERVE FUND 1 0 0 B BROOME COUNTY LOCAL DEVELOPMENT CORPORATION 300769309 2015-05-13 47350000 TO REFUND CONTINUING CARE RETIREMENT REVENUE BONDS 0 0 0 A 910000 22270000 23180000 1810620 2366243 346411 153640 359623 16839586 1786423 2009 0 0 1 1 B 47350000 1540000 44665340 320948 823033 679 2015 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 1 0 0 0 0 A 0 B 0 FORM 990, PART VI, SECTION B, LINE 11 REVIEW WITH OP'S COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST DISCLOSURES ARE UPDATED ANNUALLY WITH MEMBERS. ANY CONFLICT IS REVIEWED WITH THE EXECUTIVE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION IS DETERMINED BY THE BOD EXECUTIVE COMMITTEE WITH COO PROVIDING MARKET SURVEY DATA. AN OUTSIDE CONSULTANT IS USED. CEO IS UNDER MULTIPLE YEAR WRITTEN CONTRACT. CEO DETERMINES COMPENSATION OF ALL SENIOR MANAGEMENT POSITIONS WITH MARKET SURVEY DATA PROVIDED BY COO. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE BY REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, ETC. ARE AVAILABLE BY REQUEST. FORM 990, PART XI, LINE 9: GAIN ON INTEREST RATE SWAP 241,291. LOSS ON DEBT EXTINGUISHMENT -5,528,667. FORM 990, PART XII, LINE 2(C): NO CHANGES FROM PRIOR YEAR. GOOD SHEPHERD-FAIRVIEW HOME INC 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 160962256 TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLY NY 501(C)(3) LINE 9 FGS DBA GOOD SHEPHERD COMMUNITIES 0 GOOD SHEPHERD-FAIRVIEW FOUNDATION INC 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 133386383 TO PROVIDE FINANCIAL SUPPORT FOR AFFILIATED COMPANIES NY 501(C)(3) LINE 7 FGS DBA GOOD SHEPHERD COMMUNITIES 0 FGS INC DBA GOOD SHEPHERD COMMUNITIES 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 161256975 TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLY NY 501(C)(3) LINE 11C, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0