GENESEE VALLEY PRESBYTERIAN NURSING CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GENESEE VALLEY PRESBYTERIAN NURSING CENTER (EIN 22-2291346)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-03
IRS object ID
201212139349300851
Schema version
2011v1.2
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)
Timestamp2012-07-03T12:38:14-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222291346EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GENESEE VALLEY PRESBYTERIAN NURSING CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGENENameControl
Phone5854611991Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1254 Alexander StreetAddressLine1
CityRochesterCity
StateNYState
ZIP Code14607ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames DeVoeName
TitlePresidentTitle
Phone5854611991Phone
Date Signed2012-07-03DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1KirkhavenBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames E DeVoeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1254 Alexander StreetAddressLine1
CityRochesterCity
StateNYState
ZIP Code14607ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12822912GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.Kirkhaven.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionOrganization is a 147 licensed-bed skilled nursing home, which provides long-term and short-term skilled nursing and rehabilitative care to seniors.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees314TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year120496ContributionsGrantsPriorYear
Contributions Grants Current Year108103ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11691414ProgramServiceRevenuePriorYear
Program Service Revenue CY12641176ProgramServiceRevenueCY
Investment Income Prior Year3752InvestmentIncomePriorYear
Investment Income Current Year2245InvestmentIncomeCurrentYear
Other Revenue Prior Year51651OtherRevenuePriorYear
Other Revenue Current Year71388OtherRevenueCurrentYear
Total Revenue Prior Year11867313TotalRevenuePriorYear
Total Revenue Current Year12822912TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7832189SalariesEtcPriorYear
Salaries Etc Current Year8046831SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4140603OtherExpensePriorYear
Other Expenses Current Year4317754OtherExpensesCurrentYear
Total Expenses Prior Year11972792TotalExpensesPriorYear
Total Expenses Current Year12364585TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-105479RevenuesLessExpensesPriorYear
Revenues Less Expenses CY458327RevenuesLessExpensesCY
Total Assets BOY10749477TotalAssetsBOY
Total Assets EOY10886799TotalAssetsEOY
Total Liabilities BOY8126152TotalLiabilitiesBOY
Total Liabilities EOY9828637TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2623325NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1058162NetAssetsOrFundBalancesEOY
Mission DescriptionNursing 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11459491Expense
Grants0Grants
Revenue12641176Revenue
DescriptionOrganization is a 147 bed skilled nursing home, which provides long-term nursing and short-term rehabilitative care to elders including medical, nursing, therapy, meals, activities, counseling, housing and other support services.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense11459491TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees314NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KirkhavenBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5854611991TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1254 Alexander StreetAddressLine1
CityRochesterCity
StateNYState
ZIP Code14607ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
David Irish
Director0.5X000
Thomas Lockwood
Director/Officer0.5X000X
Joseph Syta
Director0.5X000
Ronald Wright Jr
Director0.5X000
Sharon Boyd
Director/Officer0.5X000X
Judy Bufano
Director0.5X000
Ann Marie Cook
Director0.5X000
Jann Packard
Director/Officer0.5X000X
Reverend Steve Becker
Director0.5X000
Nick Bhatia
Director0.5X000
Tom D'Antonio
Director0.5X000
Roger Roth
Director0.5X000
James E DeVoe
President/CEO271017315010655642XXX
Amanda Brown
VP/Administrator40101700016170X
Cassandra Tilliman
VP of Human Resources30747332232315432X
James Payne III
VP of Marketing8162376494612908X
Scott Maar
VP of Finance27537452647212754X
FieldValueIRS element (for citing)
Total Reportable Comp From Org348146TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs163847TotalReportableCompFrmRltdOrgs
Total Other Compensation112906TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Freedom TherapyBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1304 East AvenueAddressLine1
CityRochesterCity
StateNYState
ZIP Code14607ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTherapy ServicesDescriptionOfServices
Compensation621793Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations108103RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions0AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions108103TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSkilled Nursing Home ServicesDescription
Business Code623000BusinessCode
Total Revenue Column12641176TotalRevenueColumn
Related Or Exempt Function Income12641176RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue12641176TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2245TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,245ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real24675Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real24675Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column24675TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$24,675ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Staff Cafeteria7222102679200$26,792
Vending & Guest Meals722210752000$7,520
Telephone & Newspaper812900926000$9,260

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3141TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,141ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue46713TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12822912TotalRevenueColumn
Related Or Exempt Function Income12641176RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$73,633ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total481180Total
Program Services340921ProgramServices
Management And General140259ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6065557Total
Program Services5829085ProgramServices
Management And General236472ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total173879Total
Program Services166924ProgramServices
Management And General6955ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total828128Total
Program Services796095ProgramServices
Management And General32033ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total498087Total
Program Services458240ProgramServices
Management And General39847ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20997Total
Program Services0ProgramServices
Management And General20997ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total21665Total
Program Services0ProgramServices
Management And General21665ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total788209Total
Program Services783776ProgramServices
Management And General4433ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total5665Total
Program Services5665ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total37194Total
Program Services3173ProgramServices
Management And General34021ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total64131Total
Program Services64131ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total626610Total
Program Services563973ProgramServices
Management And General62637ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total19187Total
Program Services18592ProgramServices
Management And General595ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total14652Total
Management And General14652ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total515469Total
Program Services463922ProgramServices
Management And General51547ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total91099Total
Program Services0ProgramServices
Management And General91099ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies1031135998584325510
NYS Cash Assessment75363875363800
Purchased Services/Repairs & Maintenance243875197289465860
Other8422815483687450

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12364585Total
Program Services11459491ProgramServices
Management And General905094ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11351BOY
EOY916249EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1315691BOY
EOY1153797EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1268455BOY
EOY1058560EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY88566BOY
EOY83285EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15074817LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9350213LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5759331BOY
EOY5724604EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2306083BOY
EOY1950304EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10749477BOY
EOY10886799EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY830185BOY
EOY1063802EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY77839BOY
EOY31222EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5345427BOY
EOY5070687EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1872701BOY
EOY3662926EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8126152BOY
EOY9828637EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY870789BOY
EOY-688650EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY800124BOY
EOY792711EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY952412BOY
EOY954101EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2623325BOY
EOY1058162EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10749477BOY
EOY10886799EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses458327ReconcilationRevenueExpenses
Reconcilation Other Changes-2023490ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years153451CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22029CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year120496CurrentTaxYearMinus1Year
Current Tax Year108103CurrentTaxYear
Total404079Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10905563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11771508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11910584CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11691414CurrentTaxYearMinus1Year
Current Tax Year12641176CurrentTaxYear
Total58920245Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10905563CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11924959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11932613CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11811910CurrentTaxYearMinus1Year
Current Tax Year12749279CurrentTaxYear
Total59324324Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total50959324324PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31703CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23684CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8878CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3752CurrentTaxYearMinus1Year
Current Tax Year2245CurrentTaxYear
Total70262Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31703CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23684CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8878CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3752CurrentTaxYearMinus1Year
Current Tax Year2245CurrentTaxYear
Total70262Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40342CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56756CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years82686CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51651CurrentTaxYearMinus1Year
Current Tax Year71388CurrentTaxYear
Total302823Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10977608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12005399CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12024177CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11867313CurrentTaxYearMinus1Year
Current Tax Year12822912CurrentTaxYear
Total59697409Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99375PublicSupportPercentage509
Prior Year Support Percentage0.9937PriorYearSupportPercentage
Investment Income Percentage0.00118InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.0016PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationPart III (12)- staff cafeteria, vending, guest meals, telephone, newspaper, misc and otherGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance952412BeginningOfYearBalance
Contributions1689Contributions
Investment Earnings Or Losses8961InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures8961OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance954101EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance945596BeginningOfYearBalance
Contributions6816Contributions
Investment Earnings Or Losses138650InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures138650OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance952412EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance937839BeginningOfYearBalance
Contributions7757Contributions
Investment Earnings Or Losses206424InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures206424OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance945596EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance931310BeginningOfYearBalance
Contributions6529Contributions
Investment Earnings Or Losses-229158InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures-229158OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance937839EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1PermanentEndowmentEOYBalance
Term Endowment EOY Balance0TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis438016OtherCostOrOtherBasis
Book Value438016BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis12127056OtherCostOrOtherBasis
Depreciation7485657Depreciation
Book Value4641399BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2232069OtherCostOrOtherBasis
Depreciation1720327Depreciation
Book Value511742BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis277676OtherCostOrOtherBasis
Depreciation144229Depreciation
Book Value133447BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5724604TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Beneficial Interest in Foundation1746812
Mortgage Net Acquisition Costs145866
Resident funds Held in Trust57626
FieldValueIRS element (for citing)
Total Book Value Other Assets1950304TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
Due to third Party Payors$588,906
Due to Affiliated Parties$12,988
Pension Liability$2,831,513
Resident Funds Held in Trust$57,626
Workers Compensation Trust Liability$171,893
FieldValueIRS element (for citing)
Total Of Amounts3662926TotalOfAmounts
Total Revenue12822912TotalRevenue
Total Expenses12364585TotalExpenses
Excess Or Deficit For Year458327ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other-$2,023,490OtherAmount
Total Adjustments-2023490TotalAdjustments
Excess Or Deficit Per FS-1565163ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12857783TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues34871OtherRevenues
Revenue Not Rptd F99034871RevenueNotRptdF990
Revenue Subtotal12822912RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012822912TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12364585TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal12364585ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012364585TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4Endowment Funds are to be held in perpetuity with the income to be transferred annually to Kirkhaven based on the board approved Total Return & Spend policy for use in subsidizing the organization's mission and operation.
SchD_P11_S00_L08Schedule D, Part XI, Line 8Release of post retirement benefit obligation- $34,871 Change in net assets related to pension plan- $(2,052,638) Change in Benificial interest in Foundation- $ (5,723)
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dRelease of post retirement benefit obligation-$ 34,871

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJames E DeVoeNamePerson
Base Compensation Filing Org101731BaseCompensationFilingOrg
Comp Based On Related Orgs50106CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org24054DeferredCompFilingOrg
Deferred Comp Related Orgs11849DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org13225NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs6514NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org139010TotalCompensationFilingOrg
Total Compensation Related Orgs68469TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org109938CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs54149CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchJ_P01_S00_L07Identifier
Return ReferenceSchedule J, Part I, Line 7ReturnReference
ExplanationPart I (7)- Bonus paid for performance results as per executive Bonus Program Plan and approval by Executive Committee and Board: Amanda Brown-$7,186Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6The organization is a membership corporation with Presbyterian Homes & Services of Genesee Valley (Seniorsfirst) the sole member.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aThe board of directors of the Member, constitute the board of directors of the organization
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bThe organization's bylaws identify certain reserved powers that require approval by the Member.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe 990 is reviewed by the Audit & Finance Committee of the board of directors on behalf of the organization's board. A copy of the 990 is available to all directors of the governing board on the organization's board website.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cBoard members and key employees must complete and update conflict of interest forms annually and as needed. The Governance Committee of the parent board monitors and enforces compliance as needed.
F990_P06_S0B_L15Form 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 competiveness of compensation. The HR Committee, upon approval of the board, reviews and approves compensation pay scales and annual increase range for all other staff.
F990_P06_S0B_L16aForm 990, Part VI, Section B, Line 16aThe organization participates in a taxable joint-venture for Group Purchasing of supplies and services.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Information is available to the public upon request to administration
F990_P11_S00_L05Form 990, Part XI, Line 5Release of post-retirement benefits= $34,872 Change in unrestricted net assets related to pension plan= ($ 2,052,638) Change in beneficial interest in Foundation= ($ 5,724) Total other changes= ($ 2,023,490)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Business Name Line2NameOfDisregardedEntity/BusinessNameLine2Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Business Name Line2DirectControllingEntityName/BusinessNameLine2
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
Presbyterian Residence Center Corporation (PRCC)
dba Valley Manor Apartments1570 East AvenueRochesterNY14610160958326Sister OrganizationNY501(c)(3)90PHSGVSeniorsfirst
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDeterminationBusiness Name Line2NameOfOtherOrganization/BusinessNameLine2
Seniorsfirst Foundation Inc
c108103Actual dollar value computed using board approved Total Return & Spend Policy
Prebyterian Homes & Services of Genesee Valley
n388650% of timedba Seniorsfirst
Seniorsfirst Foundation Inc
l71607Actual cost

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