BETHANY RETIREMENT HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BETHANY RETIREMENT HOME INC (EIN 16-0988865)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-27
IRS object ID
201233329349300503
Schema version
2011v1.3
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)
Timestamp2012-11-27T08:38:03-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1527 TOWNLINE ROADAddressLine1
CityHAUPPAUGECity
StateNYState
ZIP Code11788ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN160988865EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHANY RETIREMENT HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MICHAEL KISER CPAInCareOfName
Name ControlBETHNameControl
Phone6077398711Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL KISER0Name
TitleCPATitle
Date Signed2012-11-08DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWAYNE I ROBINSON CPAName
Phone6312656289Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts4929839GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BETHANY-VILLAGE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees159TotalNbrEmployees
Total Nbr Volunteers47TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year46500ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3950413ProgramServiceRevenuePriorYear
Program Service Revenue CY4393639ProgramServiceRevenueCY
Investment Income Prior Year60786InvestmentIncomePriorYear
Investment Income Current Year-178InvestmentIncomeCurrentYear
Other Revenue Prior Year618400OtherRevenuePriorYear
Other Revenue Current Year489878OtherRevenueCurrentYear
Total Revenue Prior Year4629599TotalRevenuePriorYear
Total Revenue Current Year4929839TotalRevenueCurrentYear
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 Year2847992SalariesEtcPriorYear
Salaries Etc Current Year3065547SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1529979OtherExpensePriorYear
Other Expenses Current Year1621586OtherExpensesCurrentYear
Total Expenses Prior Year4377971TotalExpensesPriorYear
Total Expenses Current Year4687133TotalExpensesCurrentYear
Revenues Less Expenses Prior Year251628RevenuesLessExpensesPriorYear
Revenues Less Expenses CY242706RevenuesLessExpensesCY
Total Assets BOY9517269TotalAssetsBOY
Total Assets EOY7470598TotalAssetsEOY
Total Liabilities BOY7197097TotalLiabilitiesBOY
Total Liabilities EOY6688305TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2320172NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY782293NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4218338Expense
Revenue4929839Revenue
DescriptionPROVIDES CONGREGATE LIVING FOR THE ELDERLY AND OPERATES A RESIDENTIAL ASSISTED LIVING FACILITY. THE COMPANY ALSO PROVIDES ADULT DAY CARE AND HOME HEALTH CARE.Description
Total Program Service Expense4218338TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees159NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL KISER CPANamePerson
Telephone Number6077398711TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13005 WATKINS ROADAddressLine1
CityHORSEHEADSCity
StateNYState
ZIP Code14845ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JACK BENJAMIN
BOARD MEMBER1.0X
DONALD QUICK
BOARD MEMBER1.0X
WALTER HERBST
BOARD MEMBER1.0X
RICHARD CARR
BOARD MEMBER1.0X
KIMBERELY KAFFENBARGER
BOARD MEMBER1.0X
JAMES LYNCH III
BOARD MEMBER1.0X
DIANNE COOPER
BOARD MEMBER1.0X
R C IKE
BOARD MEMBER1.0X
IRV APPEL
BOARD MEMBER1.0X
JONATHAN LERCHE
BOARD MEMBER1.0X
JOSEPH PONZI
BOARD MEMBER1.0X
J CAROL LINCOLN
BOARD CHAIRMAN1.0X
DALTON FLATT
SECRETARY1.0X
ROSE TOLBERT
TREASURER1.0X
NEAL GALUSHA
VICE CHAIRMAN1.0X
THOMAS SANTOBIANCO
CEO40.0X57763985080
FieldValueIRS element (for citing)
Total Reportable Comp From Org57763TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs98508TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions46500AllOtherContributions
Total Contributions46500TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column4393639TotalRevenueColumn
Related Or Exempt Function Income4393639RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4393639TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21757TotalRevenueColumn
Related Or Exempt Function Income21757RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-21935TotalRevenueColumn
Related Or Exempt Function Income-21935RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAPITAL LEASE REVE623000415644415644
OTHER6230006779267792
RENTAL INCOME62300064426442
FieldValueIRS element (for citing)
Total Other Revenue489878TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4929839TotalRevenueColumn
Related Or Exempt Function Income4883339RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total57763Total
Management And General57763ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2495463Total
Program Services2286060ProgramServices
Management And General209403ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total48466Total
Program Services43395ProgramServices
Management And General5071ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total238932Total
Program Services213930ProgramServices
Management And General25002ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total224923Total
Program Services201387ProgramServices
Management And General23536ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total19781Total
Management And General19781ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19396Total
Management And General19396ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total60511Total
Program Services53597ProgramServices
Management And General6914ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total426706Total
Program Services394762ProgramServices
Management And General31944ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total175182Total
Program Services175182ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total32106Total
Management And General32106ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total295998Total
Program Services295998ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total191870Total
Program Services191870ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total117712Total
Program Services117712ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FEES17640129274713
PURCHASED SERVICES1670531637843269
BAD DEBT40164016
EQUIPMENT RENTAL19686166593027

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total73929Total
Program Services51075ProgramServices
Management And General22854ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4687133Total
Program Services4218338ProgramServices
Management And General468795ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY462524BOY
EOY266052EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY119085BOY
EOY141747EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY104598BOY
EOY66537EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6463013LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5329530LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1032174BOY
EOY1133483EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY618345BOY
EOY658460EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7180543BOY
EOY5204319EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9517269BOY
EOY7470598EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY384245BOY
EOY366681EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY6607478BOY
EOY6287214EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY205374BOY
EOY34410EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7197097BOY
EOY6688305EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1305172BOY
EOY-232707EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1015000BOY
EOY1015000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2320172BOY
EOY782293EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9517269BOY
EOY7470598EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses242706ReconcilationRevenueExpenses
Reconcilation Other Changes-1780585ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year46500CurrentTaxYear
Total46500Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3468595CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3437738CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3618119CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3950413CurrentTaxYearMinus1Year
Current Tax Year4393639CurrentTaxYear
Total18868504Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3468595CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3437738CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3618119CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3950413CurrentTaxYearMinus1Year
Current Tax Year4440139CurrentTaxYear
Total18915004Total
FieldValueIRS element (for citing)
Public Support Total50918915004PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16846CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17852CurrentTaxYearMinus1Year
Current Tax Year21757CurrentTaxYear
Total153933Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29704CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16846CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17852CurrentTaxYearMinus1Year
Current Tax Year21757CurrentTaxYear
Total153933Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years572220CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years541318CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years558281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year618400CurrentTaxYearMinus1Year
Current Tax Year489878CurrentTaxYear
Total2780097Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4108589CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4008760CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4193246CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4586665CurrentTaxYearMinus1Year
Current Tax Year4951774CurrentTaxYear
Total21849034Total
FieldValueIRS element (for citing)
Public Support Percentage5090.86571PublicSupportPercentage509
Prior Year Support Percentage0.85355PriorYearSupportPercentage
Investment Income Percentage0.00705InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01068PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis232592OtherCostOrOtherBasis
Book Value232592BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4289338OtherCostOrOtherBasis
Depreciation3801819Depreciation
Book Value487519BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1668977OtherCostOrOtherBasis
Depreciation1409347Depreciation
Book Value259630BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis272106OtherCostOrOtherBasis
Depreciation118364Depreciation
Book Value153742BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1133483TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
ASSETS LIMITED AS TO USE117927
DIRECT FINANCING LEASE NET C.P4888691
DEFERRED FINANCING COSTS34402
DUE FROM AFFILIATES89011
RESIDENT FUNDS11313
MORTGAGE ESCROWS62975
FieldValueIRS element (for citing)
Total Book Value Other Assets5204319TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT FUNDS PAYABLE$6,374
DUE TO THIRD PARTIES$28,036
FieldValueIRS element (for citing)
Total Of Amounts34410TotalOfAmounts
Total Revenue4929839TotalRevenue
Total Expenses4687133TotalExpenses
Excess Or Deficit For Year242706ExcessOrDeficitForYear
Excess Or Deficit Per FS242706ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4929839TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4929839RevenueSubtotal
Total Revenue Per Form9904929839TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4687133TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4687133ExpensesSubtotal
Total Expenses Per Form9904687133TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonTHOMAS SANTOBIANCONamePerson
Base Compensation Filing Org57763BaseCompensationFilingOrg
Comp Based On Related Orgs98508CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org57763TotalCompensationFilingOrg
Total Compensation Related Orgs98508TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART IQUESTION #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 IIIQUESTION #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 VISECTION 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 VISECTION 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 VISECTION C, QUESTION #19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
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 Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1BETHANY NURSING HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeN,O,PTransactionType
Amount Involved782758AmountInvolved

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