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 510191763 BETHANY NURSING HOME AND HEALTH RELATED FACILITY 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 11864309 0 X WWW.BETHANY-VILLAGE.ORG X 1975 NY TO PROVIDE REGIONAL LEADERSHIP, SERVICES, ADVOCACY, AND EDUCATION FOR QUALITY SENIOR LIVING, WHILE OPERATING A VIBRANT, LIFE-AFFIRMING RESIDENTIAL COMMUNITY THAT CELEBRATES SPIRITUAL WELL-BEING, ENHANCES INDEPENDENCE AND PROMOTES WELLNESS AS ITS RESIDENTS EVOLVE TOWARD THEIR FULL POTENTIAL. 10 10 284 10 0 0 123866 45940 10049757 11471226 236687 177971 140436 169172 10550746 11864309 0 0 0 0 6104617 6773193 0 0 0 4342597 4610869 10447214 11384062 103532 480247 7337182 7664219 4926088 4772878 2411094 2891341 X THE MISSION OF BETHANY VILLAGE IS TO PROVIDE REGIONAL LEADERSHIP, SERVICES, ADVOCACY, AND EDUCATION FOR QUALITY SENIOR LIVING, WHILE OPERATING A VIBRANT, LIFE-AFFIRMING RESIDENTIAL COMMUNITY THAT CELEBRATES SPIRITUAL WELL-BEING, ENHANCES INDEPENDENCE AND PROMOTES WELLNESS AS ITS RESIDENTS EVOLVE TOWARD THEIR FULL POTENTIAL. 0 0 9726273 11818369 OPERATES A SKILLED NURSING FACILITY WHICH PROVIDES HEALTH CARE SERVICES TO THE ELDERLY. 9726273 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 15 0 1 284 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 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 BOARD 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 200124 0 32855 LESLEY LATSHAW ASSOCIATE EXECUTIVE DIRECT 40.00 X 178098 0 77969 378222 0 110824 2 0 1 0 SODEXO INC PO BOX 360170 PITTSBURGH PA 15251 DIETARY SERVICES 956264 PREFERRED PHYSICAL THERAPY SOLUTIONS 850 SILAS DEAVE HIGHWAY 2ND FLOOR WAETHERSFIELD CT 06109 MANAGES AND STAFFS PT/OT/SLP THERAPY PRO 767862 STANLEY BLACKTOP 1519 CEDAR STREET ELMIRA NY 14904 REPLACEMENT OF PARKING LOT AND ROADS 137894 3 37856 8084 45940 MEDICARE AND MEDICAID 623000 8584355 8584355 PRIVATE PAY 623000 2857683 2857683 ANCILLARY SERVICES 623000 29188 29188 11471226 177971 177971 SHARED SERVICES/MGMT FEE 623000 128332 128332 SUNDRY 623000 40840 40840 169172 11864309 11818369 0 0 489046 489046 5163602 4589909 573693 64285 56112 8173 664812 664812 391448 336210 55238 34059 34059 60609 60609 962475 962475 22005 7908 14097 69413 48200 21213 190359 184050 6309 10283 8602 1681 109276 108956 320 151848 123728 28120 173604 24175 149429 CONTRACTED SERVICES 1506618 1337033 169585 CASH RECEIPTS ASSESSMEN 525751 525751 MEDICAL SUPPLIES AND DR 301474 301474 GENERAL SUPPLIES AND MA 201220 185089 16131 291875 261789 30086 11384062 9726273 1657789 0 1400 1400 4701465 4004705 1158255 1299553 300000 300000 133796 199401 12924048 11698359 908243 1225689 134023 633471 7337182 7664219 823284 1081131 46684 66296 2633545 2554904 1422575 1070547 4926088 4772878 X 2411094 2891341 2411094 2891341 7337182 7664219 480247 0 X X 0 1 X 1 0 X 1388350 1516483 669 68 8084 2913654 10655560 8830357 8168051 10049757 11471226 49174951 12043910 10346840 8168720 10049825 11479310 52088605 0 0 0 52088605 5189 9123 48002 236687 177971 476972 5189 9123 48002 236687 177971 476972 415839 134979 144794 140436 169172 1005220 12464938 10490942 8361516 10426948 11826453 53570797 0.97230 0.97790 0.00890 0.00560 X 0 1 X 24400 24400 7792110 7286022 506088 401222 212001 189221 4706316 4200336 505980 1225689 DUE FROM MEDICAID 178402 DUE FROM AFFILIATED ENTITY 389889 RESTRICTED CASH - RESIDENT DEPOSITS 65180 633471 DUE TO THIRD PARTIES 48954 CAP LEASE OBLIG WITH AFFILIATE 1009081 DEFERRED REVENUE 12512 1070547 X 11864309 0 11864309 0 11864309 11384062 0 11384062 0 11384062 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 DIRECT 178098 0 0 0 0 0 37350 0 40619 0 256067 0 0 0 MICHAEL KISER EXECUTIVE DIRECTOR 200124 0 0 0 0 0 32077 0 778 0 232979 0 0 0 PART I, LINE 1B THE GOVERNING BOARD 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 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 EMMBER THEN REVIEWS AND APPROVES THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST POLICY 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 THROUGH 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 RETIREMENT HOME INC 3005 WATKINS ROAD HORSEHEADS NY 14845 160988865 HOUSING ELDERLY 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 INVESTMENTS NY BETHANY NURSING HOME AND HEALTH RELATED FACILITY INC C 1.00000 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 BETHANY SENIOR CITIZEN'S HOUSING INC L 122450 MANAGEMENT AGREEMENT (CONTRACT) BETHANY RETIREMENT HOME INC Q 1150350 SHARED SERVICE ALLOCATION ORCHARD HOMES AT BETHANY VILLAGE INC L 135668 SHARED SERVICE ALLOCATION BETHANY RETIREMENT HOME INC K 58943 DIRECT FINANCE LEASE INTEREST BETHANY RETIREMENT HOME INC R 334679 DIRECT FINANCE LEASE PRINCIPAL ORCHARD HOMES AT BETHANY VILLAGE INC Q 30103 SHARED SERVICE ALLOCATION BETHANY SENIOR CITIZEN'S HOUSING INC Q 6104 MANAGEMENT AGREEMENT (CONTRACT) BETHANY RETIREMENT HOME INC S 42213 INCREASE IN DUE FROM AFFILIATE ORCHARD HOMES AT BETHANY VILLAGE INC S 280771 INCREASE IN DUE FROM AFFILIATE BETHANY SENIOR CITIZEN'S HOUSING INC S 10308 INCREASE IN DUE FROM AFFILIATE