BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC (EIN 51-0191763)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-11
IRS object ID
201433159349300973
Schema version
2013v3.1
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)
Return2014-11-11T09:22:02-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HORAN MARTELLO MORRONE PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1527 TOWNLINE ROADAddressLine1
CityHAUPPAUGECity
StateNYState
ZIP Code11788ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510191763EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHANY NURSING HOME AND HEALTHBusinessNameLine1
Business Name Line2RELATED FACILITY INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of% MICHAEL KISER CPAInCareOfNm
Business Name ControlBETHBusinessNameControlTxt
Phone6077398711PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1
Address Line2SuiteAddressLine2
CityHORSEHEADSCity
StateNYState
ZIP Code14845ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL KISERPersonNm
Person TitleCPAPersonTitleTxt
Phone6077398711PhoneNum
Signature2014-10-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWAYNE I ROBINSON CPAPreparerPersonNm
PTINP00190944PTIN
Phone6077398711PhoneNum
Preparation2014-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$10,419,005GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressBETHANY-VILLAGE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionSEE SCHEDULE O.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee362TotalEmployeeCnt
Total Volunteers34TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$20,103CYContributionsGrantsAmt
PY Program Service Revenue$9,067,143PYProgramServiceRevenueAmt
CY Program Service Revenue$10,242,476CYProgramServiceRevenueAmt
PY Investment Income$360PYInvestmentIncomeAmt
CY Investment Income$338CYInvestmentIncomeAmt
PY Other Revenue$545,219PYOtherRevenueAmt
CY Other Revenue$156,088CYOtherRevenueAmt
PY Total Revenue$9,612,722PYTotalRevenueAmt
CY Total Revenue$10,419,005CYTotalRevenueAmt
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$5,673,137PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,199,510CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,048,412PYOtherExpensesAmt
CY Other Expenses$4,001,445CYOtherExpensesAmt
PY Total Expenses$9,721,549PYTotalExpensesAmt
CY Total Expenses$10,200,955CYTotalExpensesAmt
PY Revenues Less Expenses-$108,827PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$218,050CYRevenuesLessExpensesAmt
Total Assets BOY$6,940,991TotalAssetsBOYAmt
Total Assets EOY$7,254,104TotalAssetsEOYAmt
Total Liabilities BOY$5,591,776TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,602,615TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,349,215NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,651,489NetAssetsOrFundBalancesEOYAmt
MissionSEE SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,716,305ExpenseAmt
Revenue$10,419,005RevenueAmt
DescBETHANY NURSING HOME AND HEALTH RELATED FACILITY OPERATES A SKILLED NURSING FACILITY WHICH PROVIDES HEALTH CARE SERVICES TO THE ELDERLY.Desc
Total Program Service Expenses$8,716,305TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee362EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
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 PolicyfalseWhistleblowerPolicyInd
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 ROADAddressLine1
CityHORSEHEADSCity
StateNYState
ZIP Code14845ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JACK BENJAMIN
BOARD MEMBER1.0Yes (X)$0$0$0
RICHARD G CARR
BOARD MEMBER1.0Yes (X)$0$0$0
DIANNE COOPER
BOARD MEMBER1.0Yes (X)$0$0$0
R C IKE
VICE CHAIRMAN1.0Yes (X)$0$0$0
WALTER HERBST
BOARD MEMBER1.0Yes (X)$0$0$0
JONATHAN LERCHE
BOARD MEMBER1.0Yes (X)$0$0$0
JOSEPH PONZI
BOARD MEMBER1.0Yes (X)$0$0$0
RANDI HEWIT
BOARD MEMBER1.0Yes (X)$0$0$0
KIMBERLY KAFFENBARGER
BOARD MEMBER1.0Yes (X)$0$0$0
DAVID SCHULTZ
BOARD MEMBER1.0Yes (X)$0$0$0
DAWN BURLEW
BOARD MEMBER1.0Yes (X)$0$0$0
J CAROL LINCOLN
CHAIRMAN1.0$0$0$0Yes (X)
DALTON FLATT
SECRETARY1.0$0$0$0Yes (X)
ROSE TOLBERT
TREASURER1.0$0$0$0Yes (X)
THOMAS SANTOBIANCO
CEO40.0$60,132$106,668$0Yes (X)
JIM MARK
NURSING HOME ADMINISTRATOR40.0$111,040$0$0Yes (X)
MICHAEL KISER
CONTROLLER40.0$100,074$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$271,246TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$106,668TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonFIRST CALL PHYSICIAN ASSISTANT SERVPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 SUN VALLEY DRIVEAddressLine1
CityHORSEHEADSCity
StateNYState
ZIP Code14845ZIPCode
FieldValueIRS element (for citing)
ServicesPHYSICIAN ASSISTANTServicesDesc
Compensation$502,699CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Fundraising$873FundraisingAmt
All Other Contributions$19,230AllOtherContributionsAmt
Total Contributions$20,103TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRIVATE623000$4,526,873$4,526,873
MEDICARE AND MEDICAID623000$5,715,603$5,715,603
FieldValueIRS element (for citing)
Total Program Service Revenue$10,242,476TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$338TotalRevenueColumnAmt
Related Or Exempt Func Income$338RelatedOrExemptFuncIncomeAmt

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 (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ANCILLARY SERVICES623000$153,172$153,172
OFFICE RENTAL623000$2,916$2,916
FieldValueIRS element (for citing)
Other Revenue Total$156,088OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,419,005TotalRevenueColumnAmt
Related Or Exempt Func Income$10,398,902RelatedOrExemptFuncIncomeAmt

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$271,246TotalAmt
Management And General$271,246ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,704,779TotalAmt
Program Services$4,397,496ProgramServicesAmt
Management And General$307,283ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$110,236TotalAmt
Program Services$97,420ProgramServicesAmt
Management And General$12,816ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$674,908TotalAmt
Program Services$596,441ProgramServicesAmt
Management And General$78,467ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$438,341TotalAmt
Program Services$387,378ProgramServicesAmt
Management And General$50,963ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35,864TotalAmt
Management And General$35,864ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,206TotalAmt
Management And General$31,206ManagementAndGeneralAmt

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$83,390TotalAmt
Program Services$29,026ProgramServicesAmt
Management And General$54,364ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,211,933TotalAmt
Program Services$1,155,794ProgramServicesAmt
Management And General$56,139ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$143,637TotalAmt
Program Services$119,899ProgramServicesAmt
Management And General$23,738ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,844TotalAmt
Program Services$11,691ProgramServicesAmt
Management And General$5,153ManagementAndGeneralAmt

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$374,761TotalAmt
Program Services$374,761ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$376,328TotalAmt
Program Services$376,328ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$84,585TotalAmt
Program Services$84,585ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FEES$390,669$370,681$19,988
CONTRACTED SERVICES$727,904$658,410$69,494
ASSESSMENT$419,115$419,115
MISCELLANEOUS$100,217$56,395$43,822

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,992TotalAmt
Management And General$4,992ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,200,955TotalAmt
Program Services$8,716,305ProgramServicesAmt
Management And General$1,484,650ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$818,773BOYAmt
EOY$1,024,079EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,530,398BOYAmt
EOY$1,539,421EOYAmt

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$47,121BOYAmt
EOY$379,214EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,030,662LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,912,888LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,151,053BOYAmt
EOY$3,117,774EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

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$1,393,646BOYAmt
EOY$1,193,616EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,940,991BOYAmt
EOY$7,254,104EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$887,415BOYAmt
EOY$975,673EOYAmt

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$0BOYAmt
EOY$263,287EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,704,361BOYAmt
EOY$4,363,655EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,591,776BOYAmt
EOY$5,602,615EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,349,215BOYAmt
EOY$1,651,489EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,349,215BOYAmt
EOY$1,651,489EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,940,991BOYAmt
EOY$7,254,104EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$218,050ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$84,224OtherChangesInNetAssetsAmt
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
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,670CurrentTaxYearMinus1YearAmt
Current Tax Year$19,230CurrentTaxYearAmt
Total$39,900TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,261,496CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,589,473CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,022,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,067,143CurrentTaxYearMinus1YearAmt
Current Tax Year$10,242,476CurrentTaxYearAmt
Total$46,183,562TotalAmt

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$9,261,496CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,589,473CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,040,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,069,813CurrentTaxYearMinus1YearAmt
Current Tax Year$10,261,706CurrentTaxYearAmt
Total$46,223,462TotalAmt

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$46,223,462PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$348CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$238CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$360CurrentTaxYearMinus1YearAmt
Current Tax Year$338CurrentTaxYearAmt
Total$1,562TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$348CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$238CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$360CurrentTaxYearMinus1YearAmt
Current Tax Year$338CurrentTaxYearAmt
Total$1,562TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$649,433CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$299,366CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$121,520CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$542,549CurrentTaxYearMinus1YearAmt
Current Tax Year$156,961CurrentTaxYearAmt
Total$1,769,829TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,911,277CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,889,117CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,162,732CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,612,722CurrentTaxYearMinus1YearAmt
Current Tax Year$10,419,005CurrentTaxYearAmt
Total$47,994,853TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96309PublicSupportCY509Pct
Public Support PY5090.95910PublicSupportPY509Pct
Investment Income CY0.00003InvestmentIncomeCYPct
Investment Income PY0.00015InvestmentIncomePYPct
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$24,400OtherCostOrOtherBasisAmt
Book Value$24,400BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,124,511OtherCostOrOtherBasisAmt
Depreciation$4,640,901DepreciationAmt
Book Value$2,483,610BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,625,033OtherCostOrOtherBasisAmt
Depreciation$3,127,957DepreciationAmt
Book Value$497,076BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$256,718OtherCostOrOtherBasisAmt
Depreciation$144,030DepreciationAmt
Book Value$112,688BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,117,774TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
PATIENT FUNDS$11,604
DUE FROM AFFILIATES$1,182,012
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,193,616TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO THIRD PARTIES$9,046
PATIENT FUNDS$7,810
CAP LEASE OBLIG WITH AFFILIATE$4,346,799
FieldValueIRS element (for citing)
Total Liability$4,363,655TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$10,419,005TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$10,419,005RevenueSubtotalAmt
Total Revenue Per Form990$10,419,005TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,200,955TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$10,200,955ExpensesSubtotalAmt
Total Expenses Per Form990$10,200,955TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XI, LINE 9FormAndLineReferenceDesc
ExplanationTRANSFER OF NET ASSETS $84,224ExplanationTxt

Schedule J IRS990ScheduleJ

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonTHOMAS SANTOBIANCOPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$60,132BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$106,668CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$60,132TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$106,668TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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, QUESTION #9TRANSFER OF NET ASSETS RELATED TO CASH THAT WAS RELEASED FROM THE RESERVE FOR REPLACEMENT TO BE USED BY BETHANY NURSING HOME FOR LEASEHOLD IMPROVEMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BETHANY RETIREMENT HOME INC
3005 WATKINS ROADHORSEHEADSNY14845160988865HOUSING ELDERNY501(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 OrgYes (true)PerformOfServicesForOthOrgInd
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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
BETHANY RETIREMENT HOME
O,P,Q$1,086,681
ORCHARD HOMES AT BETHANY VILLAGE
Q$65,737

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