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GOOD SHEPHERD VILLAGE AT ENDWELLINC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD VILLAGE AT ENDWELLINC (EIN 20-5580506)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-24
IRS object ID
202232979349300803
Schema version
2021v4.2
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)
Return2022-10-24T08:12:05-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRAILAddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205580506EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOOD SHEPHERD VILLAGE AT ENDWELL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone6077573100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line132 VILLAGE DRIVEAddressLine1Txt
CityENDWELLCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13760ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES KONISZEWSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone6077573100PhoneNum
Signature2022-10-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJAMESPersonFirstNm
Person LastKONISZEWSKIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMANDA L DELLA SALAPreparerPersonNm
PTINP02064655PTIN
Phone5853811000PhoneNum
Preparation2022-10-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J KEENANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line180 FAIRVIEW AVENUEAddressLine1Txt
CityBINGHAMTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13904ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,180,205GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GSVILLAGE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionA CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING FOR THE ELDERLY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee318TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,383,866PYContributionsGrantsAmt
CY Contributions Grants$39,454CYContributionsGrantsAmt
PY Program Service Revenue$14,526,804PYProgramServiceRevenueAmt
CY Program Service Revenue$14,966,721CYProgramServiceRevenueAmt
PY Investment Income$58,572PYInvestmentIncomeAmt
CY Investment Income$55,875CYInvestmentIncomeAmt
PY Other Revenue$33,670PYOtherRevenueAmt
CY Other Revenue$118,155CYOtherRevenueAmt
PY Total Revenue$16,002,912PYTotalRevenueAmt
CY Total Revenue$15,180,205CYTotalRevenueAmt
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$5,940,175PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,434,029CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,785,008PYOtherExpensesAmt
CY Other Expenses$8,169,186CYOtherExpensesAmt
PY Total Expenses$13,725,183PYTotalExpensesAmt
CY Total Expenses$14,603,215CYTotalExpensesAmt
PY Revenues Less Expenses$2,277,729PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$576,990CYRevenuesLessExpensesAmt
Total Assets BOY$61,231,079TotalAssetsBOYAmt
Total Assets EOY$76,298,914TotalAssetsEOYAmt
Total Liabilities BOY$71,365,934TotalLiabilitiesBOYAmt
Total Liabilities EOY$87,169,843TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$10,134,855NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$10,870,929NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionA CONTINUING CARE RETIREMENT COMMUNITY THAT PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING FOR THE ELDERLY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,525,778ExpenseAmt
Revenue$8,502,224RevenueAmt
DescHEALTH CARE CENTERDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,525,777ExpenseAmt
Revenue$6,464,497RevenueAmt
DescINDEPENDENT LIVINGDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$118,155RevenueAmt
DescOTHER PROGRAM SERVICES RELATED TO THE ORGANIZATION'S MISSION.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$118,155TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$9,051,555TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee318EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES KONISZEWSKI CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6077242477PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line180 FAIRVIEW AVENUEAddressLine1Txt
CityBINGHAMTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13904ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JILL GILBERT
DIRECTOR0.250.75Yes (X)$0$0$0
KATHLEEN BUNNELL
CHAIR0.250.75Yes (X)$0$0$0Yes (X)
ANGELO GALLO
DIRECTOR0.250.75Yes (X)$0$0$0
JOANN NAVARRO
SECRETARY0.250.75Yes (X)$0$0$0Yes (X)
ROGER HALBERT
DIRECTOR0.250.75Yes (X)$0$0$0
JOAN LACEY
DIRECTOR0.250.75Yes (X)$0$0$0
ERIC WEBSTER
DIRECTOR0.250.75Yes (X)$0$0$0
TIMOTHY HYLE
VICE CHAIR0.250.75Yes (X)$0$0$0Yes (X)
DAWN LANOUETTE
DIRECTOR0.250.75Yes (X)$0$0$0
MARY RONEY
DIRECTOR0.250.75Yes (X)$0$0$0
PAUL PARKER
DIRECTOR0.250.75Yes (X)$0$0$0
ELSIE WAGNER
DIRECTOR0.250.75Yes (X)$0$0$0
MICHAEL KEENAN
PRESIDENT & CEO8.0032.00$0$1,090,411$140,431Yes (X)
PATRICIA MACKEY
COO8.0032.00$0$248,473$21,420Yes (X)
JAMES KONISZEWSKI
CFO8.0032.00$0$195,088$18,357Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,533,972TotReportableCompRltdOrgAmt
Total Other Compensation$180,208TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SODEXO
9801 WASHINGTON BLVDGAITHERSBURGMD20878DINING SERVICES$402,429
MEDICINE SHOPPE
4999 LOUISE DRIVE STE 204MECHANICSBURGPA17055DRUGS AND CONSULTANT$112,409
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$33,575RelatedOrganizationsAmt
Government Grants$5,879GovernmentGrantsAmt
Total Contributions$39,454TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$8,502,224$8,502,224
INDEPENDENT LIVING REVENUE623000$6,044,591$6,044,591
RESIDENCY FEES623000$419,906$419,906
FieldValueIRS element (for citing)
Total Program Service Revenue$14,966,721TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$55,875TotalRevenueColumnAmt
Exclusion$55,875ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER OPERATING REVENUE900099$91,580$91,580
OTHER INCOME900099$26,575$26,575
FieldValueIRS element (for citing)
Other Revenue Total$118,155OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,180,205TotalRevenueColumnAmt
Related Or Exempt Func Income$15,084,876RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$55,875ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,337,787TotalAmt
Program Services$4,856,444ProgramServicesAmt
Management And General$481,343ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$42,988TotalAmt
Management And General$42,988ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$654,849TotalAmt
Program Services$353,936ProgramServicesAmt
Management And General$300,913ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$398,405TotalAmt
Program Services$363,214ProgramServicesAmt
Management And General$35,191ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,022TotalAmt
Management And General$11,022ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$103,374TotalAmt
Program Services$103,374ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$88,978TotalAmt
Management And General$88,978ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$573,042TotalAmt
Program Services$446,883ProgramServicesAmt
Management And General$126,159ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$33,351TotalAmt
Program Services$32,205ProgramServicesAmt
Management And General$1,146ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,159,782TotalAmt
Management And General$1,159,782ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,835,861TotalAmt
Management And General$1,835,861ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$137,516TotalAmt
Program Services$17,795ProgramServicesAmt
Management And General$119,721ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MANAGEMENT SERVICES- RE$1,179,121$187,716$991,405
SUPPLIES AND OTHER$989,114$865,633$123,481
PURCHASED SERVICES$851,322$797,405$53,917
FOOD$608,024$608,024

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$598,679TotalAmt
Program Services$418,926ProgramServicesAmt
Management And General$179,753ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,603,215TotalAmt
Program Services$9,051,555ProgramServicesAmt
Management And General$5,551,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,783,022BOYAmt
EOY$10,892,670EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$380,802BOYAmt
EOY$438,941EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,833,828BOYAmt
EOY$1,759,715EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$135,680BOYAmt
EOY$133,275EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$202,746BOYAmt
EOY$166,263EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$59,247,521LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,198,731LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,429,156BOYAmt
EOY$37,048,790EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$8,656,085BOYAmt
EOY$24,715,034EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$704,231BOYAmt
EOY$674,579EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$105,529BOYAmt
EOY$469,647EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,231,079BOYAmt
EOY$76,298,914EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$662,932BOYAmt
EOY$901,507EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,362,798BOYAmt
EOY$2,852,641EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,807,202BOYAmt
EOY$55,429,611EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,533,002BOYAmt
EOY$27,986,084EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$71,365,934BOYAmt
EOY$87,169,843EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$10,134,855BOYAmt
EOY-$10,870,929EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$10,134,855BOYAmt
EOY-$10,870,929EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,231,079BOYAmt
EOY$76,298,914EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$576,990ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,313,064OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,427CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,383,866CurrentTaxYearMinus1YearAmt
Current Tax Year$39,454CurrentTaxYearAmt
Total$1,470,451TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,131,424CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,095,023CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,319,503CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,526,804CurrentTaxYearMinus1YearAmt
Current Tax Year$14,966,721CurrentTaxYearAmt
Total$72,039,475TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,137,851CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,110,423CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,344,807CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,910,670CurrentTaxYearMinus1YearAmt
Current Tax Year$15,006,175CurrentTaxYearAmt
Total$73,509,926TotalAmt

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$73,509,926PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,670CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,670CurrentTaxYearMinus1YearAmt
Current Tax Year$26,575CurrentTaxYearAmt
Total$164,975TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,670CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,670CurrentTaxYearMinus1YearAmt
Current Tax Year$26,575CurrentTaxYearAmt
Total$164,975TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$91,580CurrentTaxYearAmt
Total$91,580TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,159,401CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,159,933CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,378,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,944,340CurrentTaxYearMinus1YearAmt
Current Tax Year$15,124,330CurrentTaxYearAmt
Total$73,766,481TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99650PublicSupportCY509Pct
Public Support PY5090.99780PublicSupportPY509Pct
Investment Income CY0.00220InvestmentIncomeCYPct
Investment Income PY0.00220InvestmentIncomePYPct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$970,283OtherCostOrOtherBasisAmt
Book Value$970,283BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,414,129OtherCostOrOtherBasisAmt
Depreciation$16,638,818DepreciationAmt
Book Value$30,775,311BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,721,569OtherCostOrOtherBasisAmt
Depreciation$3,033,407DepreciationAmt
Book Value$688,162BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,141,540OtherCostOrOtherBasisAmt
Depreciation$2,526,506DepreciationAmt
Book Value$4,615,034BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,048,790TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescASSETS WHOSE USE IS LIMITEDDesc
Book Value$24,715,034BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$24,715,034TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEPOSITS ON UNOCCUPIED UNITS$227,643
REFUNDABLE RESIDENCY FEES$27,757,000
RESIDENT DEPOSITS$1,441
FieldValueIRS element (for citing)
Total Liability$27,986,084TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,180,205TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$15,180,205RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,180,205TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$15,916,279TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,313,064OtherExpensesIncludedAmt
Expenses Not Reported$1,313,064ExpensesNotReportedAmt
Expenses Subtotal$14,603,215ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,603,215TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XII, LINE 2D - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationLOSS ON DEBT REFINANCING 1,313,064.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL KEENAN
PRESIDENT & CEO$0$363,683$0$33,768$0$692,960$0$119,500$0$20,931$0$1,230,842$0$0
PATRICIA MACKEY
COO$0$210,791$0$37,682$0$0$0$13,849$0$7,571$0$269,893$0$0
JAMES KONISZEWSKI
CFO$0$195,088$0$0$0$0$0$10,836$0$7,521$0$213,445$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationCERTAIN OFFICERS AND DIRECTORS OF GOOD SHEPHERD VILLAGE AT ENDWELL, INC. PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIRMENT PLAN PROVIDED BY FGS, INC., A RELATED IRC SECTION 501(C)(3) ORGANIZATION. FGS, INC. DEPOSITED $100,000 INTO A 457(F) PLAN AND $19,500 INTO A 457(B) PLAN IN 2021 FOR MICHAEL KEENAN, PRESIDENT & CEO.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1BROOME COUNTY LOCAL DEVELOPMENT CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN300769309BondIssuerEIN
CUSIP114731BE1CUSIPNum
Bond Issued2021-12-08BondIssuedDt
Issue Price$56,677,714IssuePriceAmt
PurposeTO ADVANCE REFUND SERIES 2015 BONDS AND PROVIDE FUNDS TO RENOVATE VILLAGEPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$56,677,714TotalProceedsAmt
In Reserve Fund$3,229,000InReserveFundAmt
Refunding Escrow$37,089,931RefundingEscrowAmt
Issuance Costs From Proceeds$1,075,270IssuanceCostsFromProceedsAmt
Capital Expenditures$15,000,000CapitalExpendituresAmt
Other Spent Proceeds$283,513OtherSpentProceedsAmt
Substantial Completion2021SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BREVIEWED BY OPERATIONS COMMITTEE OF FGS, INC. D/B/A GOOD SHEPHERD COMMUNITIES
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST DISCLOSURES ARE UPDATED ANNUALLY WITH MEMBERS. ANY CONFLICT IS REVIEWED WITH THE EXECUTIVE COMMITTEE OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15CEO COMPENSATION IS DETERMINED BY THE BOD EXECUTIVE COMMITTEE WITH COO PROVIDING MARKET SURVEY DATA. AN OUTSIDE CONSULTANT WAS HIRED TO REVIEW COMPENSATION AND FOUND IT TO BE COMPETITIVE. CEO IS UNDER MULTIPLE YEAR WRITTEN CONTRACT. CEO DETERMINES COMPENSATION OF ALL SENIOR MANAGEMENT POSITIONS WITH MARKET SURVEY DATA PROVIDED BY AN OUTSIDE CONSULTANT.
FORM 990, PART VI, SECTION C, LINE 18FORM 990 IS AVAILABLE BY REQUEST.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, ETC. ARE AVAILABLE BY REQUEST.
FORM 990, PART XI, LINE 9:LOSS ON DEBT REFINANCING -1,313,064.
FORM 990, PART XII, LINE 2(C):NO CHANGES FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
GOOD SHEPHERD-FAIRVIEW HOME INC
80 FAIRVIEW AVENUEBINGHAMTONNY13904160962256TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLYNY501(C)(3)LINE 10FGS DBA GOOD SHEPHERD COMMUNITIES0
GOOD SHEPHERD-FAIRVIEW FOUNDATION INC
80 FAIRVIEW AVENUEBINGHAMTONNY13904133386383TO PROVIDE FINANCIAL SUPPORT FOR AFFILIATED COMPANIESNY501(C)(3)LINE 7FGS DBA GOOD SHEPHERD COMMUNITIES0
FGS INC DBA GOOD SHEPHERD COMMUNITIES
80 FAIRVIEW AVENUEBINGHAMTONNY13904161256975TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLYNY501(C)(3)LINE 12C, III-FI0N/A
CHASE MEMORIAL NURSING HOME COMPANY INC
ONE TERRACE HEIGHTSNEW BERLINNY13411160977850LONG TERM HEALTH CARE FOR ELDERLYNY501(C)(3)LINE 10FGS DBA GOOD SHEPHERD COMMUNITIES0
CHASE HOUSING CORPORATION
ONE TERRACE HEIGHTSNEW BERLINNY13411161080510HOUSING COMPLEX FOR THE ELDERLY AND HANDICAPPEDNY501(C)(3)LINE 10FGS DBA GOOD SHEPHERD COMMUNITIES0
CHASE MEMORIAL COMMUNITY CENTER INC
ONE TERRACE HEIGHTSNEW BERLINNY13411150539044SUPPORT OF HEALTH CARE/ELDERLY SERVICESNY501(C)(3)LINE 10FGS DBA GOOD SHEPHERD COMMUNITIES0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd