BETHANY RETIREMENT HOME INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BETHANY RETIREMENT HOME INC (EIN 16-0988865)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-01
IRS object ID
201633069349300023
Schema version
2015v2.1
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)
Return2016-11-01T09:37:27-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HORAN MARTELLO MORRONE PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1527 TOWNLINE ROADAddressLine1Txt
CityHAUPPAUGECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11788ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160988865EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHANY RETIREMENT HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MICHAEL KISER CPAInCareOfNm
Business Name ControlBETHBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1Txt
CityHORSEHEADSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14845ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL KISERPersonNm
Person TitleCPAPersonTitleTxt
Signature2016-10-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPETER VOGELPreparerPersonNm
PTINP00990048PTIN
Phone6312656289PhoneNum
Preparation2016-10-19PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL KISERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1Txt
CityHORSEHEADSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14845ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,895,371GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BETHANY-VILLAGE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee203TotalEmployeeCnt
Total Volunteers113TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$36,569PYContributionsGrantsAmt
CY Contributions Grants$18,413CYContributionsGrantsAmt
PY Program Service Revenue$5,388,074PYProgramServiceRevenueAmt
CY Program Service Revenue$5,351,082CYProgramServiceRevenueAmt
PY Investment Income$27,055PYInvestmentIncomeAmt
CY Investment Income$28,871CYInvestmentIncomeAmt
PY Other Revenue$506,419PYOtherRevenueAmt
CY Other Revenue$497,005CYOtherRevenueAmt
PY Total Revenue$5,958,117PYTotalRevenueAmt
CY Total Revenue$5,895,371CYTotalRevenueAmt
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$4,129,948PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,150,543CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,771,591PYOtherExpensesAmt
CY Other Expenses$1,670,201CYOtherExpensesAmt
PY Total Expenses$5,901,539PYTotalExpensesAmt
CY Total Expenses$5,820,744CYTotalExpensesAmt
PY Revenues Less Expenses$56,578PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$74,627CYRevenuesLessExpensesAmt
Total Assets BOY$7,482,028TotalAssetsBOYAmt
Total Assets EOY$6,949,199TotalAssetsEOYAmt
Total Liabilities BOY$6,387,579TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,796,286TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,094,449NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,152,913NetAssetsOrFundBalancesEOYAmt
MissionSEE SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,346,261ExpenseAmt
Revenue$5,859,833RevenueAmt
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$5,346,261TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee203EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL KISER CPAPersonNm
Phone6077398711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1Txt
CityHORSEHEADSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14845ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JACK BENJAMIN
BOARD MEMBER1.0Yes (X)$0$0$0
WALTER HERBST
BOARD MEMBER1.0Yes (X)$0$0$0
RICHARD CARR
BOARD MEMBER1.0Yes (X)$0$0$0
JOSEPH PONZI
BOARD MEMBER1.0Yes (X)$0$0$0
RANDI HEWITT
BOARD MEMBER1.0Yes (X)$0$0$0
KIMBERLEY KAFFENBARGER
BOARD MEMBER1.0Yes (X)$0$0$0
DAVE SCHULTZ
BOARD MEMBER1.0Yes (X)$0$0$0
DAWN BURLEW
BOARD MEMBER1.0Yes (X)$0$0$0
JAMES BATTERSBY
BOARD MEMBER1.0Yes (X)$0$0$0
ANNE CROWLEY
BOARD MEMBER1.0Yes (X)$0$0$0
J CAROL LINCOLN
BOARD CHAIRMAN2.0$0$0$0Yes (X)
DALTON FLATT
SECRETARY2.0$0$0$0Yes (X)
ROSE TOLBERT
TREASURER2.0$0$0$0Yes (X)
R C IKE
VICE CHAIRMAN2.0$0$0$0Yes (X)
THOMAS SANTOBIANCO
CEO40.0$110,249$72,229$35,858Yes (X)
MICHAEL KISER
CFO40.0$75,567$44,924$15,974Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$185,816TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$117,153TotReportableCompRltdOrgAmt
Total Other Compensation$51,832TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$4,944GovernmentGrantsAmt
All Other Contributions$13,469AllOtherContributionsAmt
Total Contributions$18,413TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$5,351,082TotalRevenueColumnAmt
Related Or Exempt Func Income$5,351,082RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,351,082TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,871TotalRevenueColumnAmt
Related Or Exempt Func Income$28,871RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAPITAL LEASE REVE623000$322,107$322,107
OTHER623000$167,398$167,398
RENTAL INCOME623000$7,500$7,500
FieldValueIRS element (for citing)
Other Revenue Total$497,005OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,895,371TotalRevenueColumnAmt
Related Or Exempt Func Income$5,876,958RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$185,816TotalAmt
Management And General$185,816ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,361,014TotalAmt
Program Services$3,320,373ProgramServicesAmt
Management And General$40,641ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$62,165TotalAmt
Program Services$58,196ProgramServicesAmt
Management And General$3,969ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$276,845TotalAmt
Program Services$259,169ProgramServicesAmt
Management And General$17,676ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$264,703TotalAmt
Program Services$247,802ProgramServicesAmt
Management And General$16,901ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,020TotalAmt
Management And General$13,020ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,923TotalAmt
Management And General$24,923ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$83,736TotalAmt
Program Services$67,427ProgramServicesAmt
Management And General$16,309ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$525,309TotalAmt
Program Services$492,702ProgramServicesAmt
Management And General$32,607ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$200,771TotalAmt
Program Services$200,771ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,427TotalAmt
Management And General$21,427ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$248,344TotalAmt
Program Services$248,344ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$143,271TotalAmt
Program Services$143,271ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,312TotalAmt
Program Services$60,312ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FEES$42,928$290$42,638
PURCHASED SERVICES$169,344$162,775$6,569
BAD DEBT$0
EQUIPMENT RENTAL$26,887$21,399$5,488

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$109,929TotalAmt
Program Services$63,430ProgramServicesAmt
Management And General$46,499ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,820,744TotalAmt
Program Services$5,346,261ProgramServicesAmt
Management And General$474,483ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$625,552BOYAmt
EOY$299,502EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$94,078BOYAmt
EOY$147,303EOYAmt

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$153,341BOYAmt
EOY$97,194EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,464,673LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,946,335LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,398,624BOYAmt
EOY$1,518,338EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$934,216BOYAmt
EOY$915,662EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,276,217BOYAmt
EOY$3,971,200EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,482,028BOYAmt
EOY$6,949,199EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$733,449BOYAmt
EOY$520,549EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,640,718BOYAmt
EOY$5,241,037EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,412BOYAmt
EOY$34,700EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,387,579BOYAmt
EOY$5,796,286EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$79,449BOYAmt
EOY$137,913EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

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$1,094,449BOYAmt
EOY$1,152,913EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,482,028BOYAmt
EOY$6,949,199EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$74,627ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$35,538NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$19,375OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$46,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,209CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,759CurrentTaxYearMinus1YearAmt
Current Tax Year$4,944CurrentTaxYearAmt
Total$91,077TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,393,639CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,648,005CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,982,127CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,388,074CurrentTaxYearMinus1YearAmt
Current Tax Year$5,351,082CurrentTaxYearAmt
Total$24,762,927TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,440,139CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,671,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,990,336CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,395,833CurrentTaxYearMinus1YearAmt
Current Tax Year$5,356,026CurrentTaxYearAmt
Total$24,854,004TotalAmt

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$24,854,004PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,757CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,191CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,055CurrentTaxYearMinus1YearAmt
Current Tax Year$28,871CurrentTaxYearAmt
Total$125,442TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,757CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,568CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,191CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,055CurrentTaxYearMinus1YearAmt
Current Tax Year$28,871CurrentTaxYearAmt
Total$125,442TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$489,878CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$504,199CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$479,080CurrentTaxYearMinus2YearsAmt
Total$1,473,157TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,951,774CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,200,437CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,492,607CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,422,888CurrentTaxYearMinus1YearAmt
Current Tax Year$5,384,897CurrentTaxYearAmt
Total$26,452,603TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93957PublicSupportCY509Pct
Public Support PY5090.89632PublicSupportPY509Pct
Investment Income CY0.00474InvestmentIncomeCYPct
Investment Income PY0.00437InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$233,592OtherCostOrOtherBasisAmt
Book Value$233,592BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,007,625OtherCostOrOtherBasisAmt
Depreciation$4,174,969DepreciationAmt
Book Value$832,656BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,942,072OtherCostOrOtherBasisAmt
Depreciation$1,639,879DepreciationAmt
Book Value$302,193BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$281,384OtherCostOrOtherBasisAmt
Depreciation$131,791DepreciationAmt
Book Value$149,897BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,518,338TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
ASSETS LIMITED AS TO USE$183,901
DIRECT FINANCING LEASE NET C.P$3,707,664
DEFERRED FINANCING COSTS$28,402
RESIDENT FUNDS$19,375
MORTGAGE ESCROWS$31,858
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,971,200TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESIDENT FUNDS PAYABLE$9,344
DUE TO THIRD PARTIES$25,356
FieldValueIRS element (for citing)
Total Liability$34,700TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$5,895,371TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$5,895,371RevenueSubtotalAmt
Total Revenue Per Form990$5,895,371TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,820,744TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$5,820,744ExpensesSubtotalAmt
Total Expenses Per Form990$5,820,744TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonTHOMAS SANTOBIANCOPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$110,249BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$72,229CompensationBasedOnRltdOrgsAmt
Nontaxable Benefits Filing Org$21,665NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$14,193NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$131,914TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$86,422TotalCompensationRltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, QUESTION #1THE 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 #1THE 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 #11THE 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 #12cTHE 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 #19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990,PART XI,LINE #9DURING 2015, BETHANY RETIREMENT HOME OFFSET, AS A TRANSFER OF NET ASSETS, $18,485 THAT IS RELATED TO CASH RELEASED FROM THE RESERVE FOR REPLACEMTN TO BE USED BY BETHANY NURSING HOME (EIN: 51-0191763) FOR LEASEHOLD IMPROVEMENTS. IN ADDITION, DURING 2015, BETHANY RETIREMENT HOME OFFSET, AS A TRANSFER OF NET ASSETS, $(37,860), THAT IS RELATED TO CASH THAT SHOUDL HAVE BEEN DEPOSITED AT BETHANY RETIREMENT HOME, BUT WAS DEPOSITED AT ORCHARD HOMES AT BETHANY VILLAGE, INC.(EIN:20/2019814)
FORM 990 PART VI, SECTION B, QUESTION #15BTHE BOARD REVIEWS AND APPROVES ALL WAGE AND SALARY INCREASES AS PART OF THE BUDGET PROCESS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BETHANY NURSING HOME & HRF INC
3005 WATKINS ROADHORSEHEADSNY14845510191763NURSING HOMENY501(C)(3)9NA
ORCHARD HOMES AT BETHANY VILLAGE INC
3005 WATKINS ROADHORSEHEADSNY14845202019814HOUSING ELDERNY501(C)(3)9NA
BETHANY SENIOR CITIZENS HOUSING INC
3005 WATKINS ROADHORSEHEADSNY14845222238087HOUSING ELDERNY501(C)(3)9NA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BETHANY NURSING HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeO,P,QTransactionTypeTxt
Involved$1,178,248InvolvedAmt

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