2025-06-10T07:23:07-05:00 2024-12-31 161092347 MENGEL METZGER BARR & CO LLP 333 EAST WATER ST STE 200 ELMIRA NY 14901 990 2024-01-01 160988865 BETHANY RETIREMENT HOME INC BETH 6077398711 3005 WATKINS ROAD HORSEHEADS NY 14845 MICHAEL KISER EXECUTIVE DIRECTOR 6077398711 2025-05-30 1 1 KRISTA L NILES-UPDYKE P00958947 6077344183 2025-05-30 2024 2025-03-06 01:10:19Z MICHAEL KISER 3005 WATKINS ROAD HORSEHEADS NY 14845 7784036 0 X WWW.BETHANY-VILLAGE.ORG X 1973 NY TO PROVIDE REGIONAL LEADERSHIP, SERVICES, ADVOCACY, AND EDUCATION FOR QUALITY SENIOR LIVING, WHILE OFFERING A VIBRANT, LIFE-AFFIRMING RESIDENTIAL COMMUNITY THAT CELEBRATES SPIRTUAL WELL-BEING, ENHANCES INDEPENDENCE, AND PROMOTES WELLNESS AS ITS RESIDENTS EVOLVE TOWARD THEIR FULL POTENTIAL. 10 10 132 11 0 0 42894 66607 6262172 6668743 121308 271875 95891 74941 6522265 7082166 0 0 0 0 3832627 4050270 0 0 0 2307284 2383017 6139911 6433287 382354 648879 10040154 10447250 5448718 5201209 4591436 5246041 X TO PROVIDE REGIONAL LEADERSHIP, SERVICES, ADVOCACY, AND EDUCATION FOR QUALITY SENIOR LIVING WHILE OFFERING A VIBRANT, LIFE-AFFIRMING RESIDENTIAL COMMUNITY THAT CELEBRATES SPIRTUAL WELL-BEING, ENHANCES INDEPENDENCE, AND PROMOTES WELLNESS AS ITS RESIDENTS EVOLVE TOWARD THEIR FULL POTENTIAL. 0 0 5154108 7015559 PROVIDES CONGREGATE LIVING FOR THE ELDERLY AND OPERATES A RESIDENTIAL ASSISTED LIVING FACILITY. THE COMPANY ALSO PROVIDES ADULT DAY CARE AND HOME HEALTH CARE. 5154108 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 9 0 1 132 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MICHAEL KISER CPA 6077398711 3005 WATKINS ROAD HORSEHEADS NY 14845 DAWN BURLEW BOARD CHAIR 2.00 X X 0 0 0 JASON PARMENTER VICE CHAIR 2.00 X X 0 0 0 RICHARD CARR TREASURER/SECRETARY 2.00 X X 0 0 0 CAROL LINCOLN BOARD MEMBER 1.00 X 0 0 0 RANDI HEWIT BOARD MEMBER 1.00 X 0 0 0 ANITA LEWIS BOARD MEMBER 1.00 X 0 0 0 JACK BENJAMIN BOARD MEMBER 1.00 X 0 0 0 ALISON HUNT BOARD MEMBER 1.00 X 0 0 0 DAVID HELSING BOARD MEMBER 1.00 X 0 0 0 KIMBERLEE MIDDAUGH BOARD MEMBER 1.00 X 0 0 0 MICHAEL KISER EXECUTIVE DIRECTOR 40.00 X 0 200124 32855 LESLEY LATSHAW ASSOCIATE EXECUTIVE DIRECTOR 40.00 X 0 178098 77969 0 378222 110824 0 0 1 0 SODEXO INC PO BOX 360170 PITTSBURGH PA 15251 DIETARY SERVICES 1028582 1 52643 13964 66607 RESIDENT SERVICES 623000 6604504 6604504 ANCILLARY SERVICES 623000 64239 64239 6668743 173398 173398 800347 701870 98477 98477 98477 CAPITAL LEASE REVENUE 623000 58943 58943 OTHER 623000 15998 15998 74941 7082166 7015559 0 0 3391382 2552794 838588 46441 22602 23839 363282 287481 75801 249165 190345 58820 13596 13596 29071 29071 11784 11494 290 47815 30006 17809 158526 153033 5493 26072 18534 7538 201836 201428 408 280584 244816 35768 121523 22478 99045 PURCHASED SERVICES 1179430 1160660 18770 SUPPLIES AND FOOD 182589 164327 18262 MISCELLANEOUS 89149 53988 35161 EQUIPMENT RENTAL 41042 40122 920 6433287 5154108 1279179 0 600 600 3333095 3612961 142707 263109 75765 135879 10006526 7447627 2598489 2558899 1622326 1762451 2267172 2113351 10040154 10447250 247633 294026 30699 145863 20402 15778 5130188 4683533 19796 62009 5448718 5201209 X 3576436 4231041 1015000 1015000 4591436 5246041 10040154 10447250 648879 5726 0 X X 0 1 X 1 0 X 17760 17486 13535 11675 56918 117374 6640138 5807426 5790276 6262172 6668743 31168755 6657898 5824912 5803811 6273847 6725661 31286129 0 0 0 31286129 33796 29016 55651 153785 173398 445646 33796 29016 55651 153785 173398 445646 106663 120872 86788 95891 74941 485155 6798357 5974800 5946250 6523523 6974000 32216930 0.97110 0.97340 0.01380 0.00950 X 0 1 X 232592 232592 6864045 5262337 1601708 2909889 2185290 724599 2558899 DIRECT FINANCING LEASE 1009081 RESIDENT FUNDS 13171 NOTE RECEIVABLE - RELATED ENTITY 1091099 2113351 PAYMENTS DUE TO AFFILIATED ENTITY 62009 62009 X 7087892 5726 5726 7082166 0 7082166 6433287 0 6433287 0 6433287 PART IV, LINE 2B: RESIDENT DEPOSITS REPRESENT CASH HELD ON BEHALF OF THE RESIDENTS. SUCH FUNDS REPRESENT LIVING ALLOWANCES RECEIVED FROM THE STATE OF NEW YORK, AS WELL AS OTHER RESIDENT FUNDS DEPOSITED WITH THE FACILITY FOR SAFE KEEPING. PART X, LINE 2: THE FACILITY IS A NON-PROFIT ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE REGULATIONS. THE FACILITY FILES TAX RETURNS IN VARIOUS JURISDICTIONS AND IS SUBJECT TO POTENTIAL EXAMINATION BY TAXING AUTHORITIES. THE FACILITY'S CURRENT AND PRIOR THREE YEARS TAX RETURNS REMAIN SUBJECT TO REVIEW BY TAXING AUTHORITIES. MANAGEMENT OF THE FACILITY BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. 0 0 0 0 0 0 0 0 0 LESLEY LATSHAW ASSOCIATE EXECUTIVE DIRECTOR 0 178098 0 0 0 0 0 37350 0 40619 0 256067 0 0 MICHAEL KISER EXECUTIVE DIRECTOR 0 200124 0 0 0 0 0 32077 0 778 0 232979 0 0 PART I, LINE 1B THE GOVERNING BOARD OF A RELATED ORGANIZATION REVIEWS AND APPROVES ALL WAGE AND SALARY INCREASES THROUGH THE BUDGET PROCESS FOR THE EXECUTIVE DIRECTOR AND ASSOCIATE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION A, LINE 6 THE BYLAWS OF THE ORGANIZATION NAME BETHANY NURSING HOME AND HEALTH RELATED FACILTIY, INC. AND BETHANY SENIOR CITIZENS' HOUSING, INC. AS MEMBERS OF THE CORPORATION. THE BOARDS OF DIRECTORS OF THE CORPORATION, BY A VOTE OF TWO-THIRDS OF EACH BOARD, MAY ALSO ELECT OTHER ENTITIES TO BE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE BYLAWS OF THE ORGANIZATION NAME BETHANY NURSING HOME AND HEALTH RELATED FACILTIY, INC. AND BETHANY SENIOR CITIZENS' HOUSING, INC. AS MEMBERS OF THE CORPORATION. THE BOARDS OF DIRECTORS OF THE CORPORATION, BY A VOTE OF TWO-THIRDS OF EACH BOARD, MAY ALSO ELECT OTHER ENTITIES TO BE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE 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, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST PARTY AT QUARTERLY MEETINGS AND QUALITY ASSURANCE AUDITS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS AND APPROVES ALL WAGE AND SALARY INCREASES AS PART OF THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BETHANY NURSING HOME & HEALTH RELATED FACILITY INC 3005 WATKINS ROAD HORSEHEADS NY 14845 511091763 NURSING HOME NY 501(C)(3) LINE 10 N/A 0 ORCHARD HOMES AT BETHANY VILLAGE INC 3005 WATKINS ROAD HORSEHEADS NY 14845 202019814 HOUSING ELDERLY NY 501(C)(3) LINE 10 N/A 0 BETHANY SENIOR CITIZENS' HOUSING INC 3005 WATKINS ROAD HORSEHEADS NY 14845 222238087 HOUSING ELDERLY NY 501(C)(3) LINE 10 N/A 0 BETHANY VILLAGE DEVELOPMENT CORPORATION 3005 WATKINS ROAD HORSEHEADS NY 14845 813458789 PROPERTY INVESTMENT NY N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC P 1150350 SHARED SERVICE ALLOCATION BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC J 334679 DIRECT FINANCE LEASE PRINCIPAL BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC J 58943 DIRECT FINANCE LEASE INTEREST BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC S 24514 NOTE RECEIVABLE PRINCIPAL ORCHARD HOMES AT BETHANY VILLAGE INC R 210000 SHORT TERM FUNDING BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC R 42213 INCREASE IN DUE TO AFFILIATE