GOOD SHEPHERD-FAIRVIEW HOME INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD-FAIRVIEW HOME INC (EIN 16-0962256)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-13
- IRS object ID
- 201813179349305521
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-13T13:34:15-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL | AddressLine1Txt |
| City | ROCHESTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160962256 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD-FAIRVIEW HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 6077242477 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 FAIRVIEW AVENUE | AddressLine1Txt |
| City | BINGHAMTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13904 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALAN RUNDE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6077242477 | PhoneNum |
| Signature | 2018-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNIFER ARBORE | PreparerPersonNm |
| PTIN | P00893012 | PTIN |
| Phone | 5853811000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 4.14.157.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-08 | IPDt |
| IP Tm | 09:18:47 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 23025919B01E351967CFBA1C5A22CB7E3130E6CC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9905B8AE44F9A523E3DB1257BB3F03EEF3C060D2 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL J KEENAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 FAIRVIEW AVENUE | AddressLine1Txt |
| City | BINGHAMTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,504,094 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GSFHOME.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE GOOD SHEPHERD-FAIRVIEW HOME, INC. OPERATES A MULTI-LEVEL RETIREMENT COMMUNITY. ITS PURPOSE IS TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 327 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $885,193 | PYContributionsGrantsAmt |
| CY Contributions Grants | $515,522 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,802,201 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,711,114 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,675 | PYInvestmentIncomeAmt |
| CY Investment Income | -$6,489 | CYInvestmentIncomeAmt |
| PY Other Revenue | $221,047 | PYOtherRevenueAmt |
| CY Other Revenue | $246,784 | CYOtherRevenueAmt |
| PY Total Revenue | $11,922,116 | PYTotalRevenueAmt |
| CY Total Revenue | $11,466,931 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $662,291 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $315,001 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,538,891 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,222,719 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,196,001 | PYOtherExpensesAmt |
| CY Other Expenses | $5,483,968 | CYOtherExpensesAmt |
| PY Total Expenses | $12,397,183 | PYTotalExpensesAmt |
| CY Total Expenses | $12,021,688 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$475,067 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$554,757 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,336,670 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,352,244 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,482,506 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,814,230 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,854,164 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,538,014 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE GOOD SHEPHERD-FAIRVIEW HOME, INC. OPERATES A MULTI-LEVEL RETIREMENT COMMUNITY. ITS PURPOSE IS TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,690,389 | ExpenseAmt |
| Grant | $315,001 | GrantAmt |
| Revenue | $5,797,957 | RevenueAmt |
| Desc | SKILLED NURSING FACILITY AND REHAB | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,185,925 | ExpenseAmt |
| Revenue | $3,938,234 | RevenueAmt |
| Desc | ADULT CARE FACILITY | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $973,477 | ExpenseAmt |
| Revenue | $1,203,349 | RevenueAmt |
| Desc | INDEPENDENT LIVING | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $8,849,791 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 327 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALAN RUNDE CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6077242477 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 FAIRVIEW AVENUE | AddressLine1Txt |
| City | BINGHAMTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13904 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JOAN NAVARRO | |||||||
| CHAIR | 0.25 | 0.75 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RYAN MEAD | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN BUNNELL | |||||||
| VICE CHAIR | 0.25 | 0.75 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PAUL MOLLO | |||||||
| TREASURER | 0.25 | 0.75 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LINDA GLAJCH | |||||||
| SECRETARY | 0.25 | 0.75 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JILL ANDREWS | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| LAWRENCE HARRIS | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| DOUGLAS JOHNSON | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| JOAN LACEY | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| PAUL MARRA | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| R MARK PATTERSON | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| PATTI REUTHER | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| OLIVER RILEY JR | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| THOMAS SYLVESTER | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| KENNETH TOMKO | |||||||
| DIRECTOR | 0.25 | 0.75 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL KEENAN | |||||||
| PRESIDENT & CEO | 8.00 | 32.00 | Yes (X) | Yes (X) | $0 | $319,498 | $47,484 |
| PATRICIA MACKEY | |||||||
| COO | 8.00 | 32.00 | Yes (X) | $0 | $151,567 | $15,057 | |
| JUDITH L SEIER | |||||||
| CFO | 8.00 | 32.00 | Yes (X) | $0 | $132,394 | $14,292 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $603,459 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $76,833 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SELECT REHABILITATION | |||||
| 550 FRONTAGE ROAD SUITE 2415 | NORTHFIELD | IL | 60093 | THERAPY SERVICES | $774,020 |
| MEDICINE SHOPPE | |||||
| 4999 LOUISE DRIVE SUITE 204 | MECHANICSBURG | PA | 17055 | PHARMACY & CONSULTATION | $282,903 |
| SODEXO | |||||
| 9801 WASHINGTON BLVD | GAITHERSBURG | MD | 20878 | DINING SERVICES | $142,455 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $183,589 | RelatedOrganizationsAmt |
| Government Grants | $315,001 | GovernmentGrantsAmt |
| All Other Contributions | $16,932 | AllOtherContributionsAmt |
| Total Contributions | $515,522 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENTIAL SERVICE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $10,711,114 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,711,114 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,711,114 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,869 | TotalRevenueColumnAmt |
| Exclusion | $11,869 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,805 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,022 | SecuritiesAmt |
| Other | $35,141 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,783 | SecuritiesAmt |
| Other | -$35,141 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,358 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$18,358 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| GUEST MEALS | 722210 | $74,412 | $74,412 |
| SOLD SERVICES | 623000 | $71,560 | $71,560 |
| REFUNDS | 900099 | $44,415 | $44,415 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,397 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,397 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $246,784 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,466,931 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,939,540 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,869 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,001 | TotalAmt |
| Program Services | $315,001 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,853,372 | TotalAmt |
| Program Services | $4,368,802 | ProgramServicesAmt |
| Management And General | $484,570 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,188 | TotalAmt |
| Management And General | $124,188 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $891,176 | TotalAmt |
| Program Services | $548,528 | ProgramServicesAmt |
| Management And General | $342,648 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,983 | TotalAmt |
| Program Services | $318,374 | ProgramServicesAmt |
| Management And General | $35,609 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,641 | TotalAmt |
| Management And General | $31,641 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,300 | TotalAmt |
| Management And General | $22,300 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,296 | TotalAmt |
| Management And General | $1,296 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,258 | TotalAmt |
| Management And General | $98,258 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $317,733 | TotalAmt |
| Program Services | $273,472 | ProgramServicesAmt |
| Management And General | $44,261 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,793 | TotalAmt |
| Program Services | $2,508 | ProgramServicesAmt |
| Management And General | $5,285 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,633 | TotalAmt |
| Management And General | $202,633 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $777,170 | TotalAmt |
| Management And General | $777,170 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,251 | TotalAmt |
| Program Services | $4,020 | ProgramServicesAmt |
| Management And General | $64,231 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $1,381,121 | $1,376,446 | $4,675 |
| MANAGEMENT SERVICES - R | $822,223 | $77,810 | $744,413 |
| SUPPLIES | $524,744 | $488,428 | $36,316 |
| FOOD | $450,207 | $427,390 | $22,817 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $778,598 | TotalAmt |
| Program Services | $649,012 | ProgramServicesAmt |
| Management And General | $129,586 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,021,688 | TotalAmt |
| Program Services | $8,849,791 | ProgramServicesAmt |
| Management And General | $3,171,897 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,552 | BOYAmt |
| EOY | $294,525 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $350,625 | BOYAmt |
| EOY | $66,042 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,254,155 | BOYAmt |
| EOY | $1,529,808 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,071 | BOYAmt |
| EOY | $89,647 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,328,717 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,446,518 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,531,965 | BOYAmt |
| EOY | $6,882,199 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,779 | BOYAmt |
| EOY | $351,668 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,528,163 | BOYAmt |
| EOY | $1,742,193 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,360 | BOYAmt |
| EOY | $396,162 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,336,670 | BOYAmt |
| EOY | $11,352,244 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $931,468 | BOYAmt |
| EOY | $1,615,488 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,787 | BOYAmt |
| EOY | $56,915 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,741,788 | BOYAmt |
| EOY | $4,545,317 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $718,463 | BOYAmt |
| EOY | $596,510 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,482,506 | BOYAmt |
| EOY | $6,814,230 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,323,659 | BOYAmt |
| EOY | $2,793,919 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,092,612 | BOYAmt |
| EOY | $1,306,202 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $437,893 | BOYAmt |
| EOY | $437,893 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,854,164 | BOYAmt |
| EOY | $4,538,014 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,336,670 | BOYAmt |
| EOY | $11,352,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$554,757 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $24,577 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $214,030 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,962 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,111 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,802 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,932 | CurrentTaxYearAmt |
| Total | $74,042 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,459,761 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,956,142 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,608,572 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,893,746 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,078,544 | CurrentTaxYearAmt |
| Total | $52,996,765 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,466,723 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,967,253 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,613,374 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,927,981 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,095,476 | CurrentTaxYearAmt |
| Total | $53,070,807 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $53,070,807 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,963 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,751 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,414 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,632 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,869 | CurrentTaxYearAmt |
| Total | $47,629 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,963 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,751 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,414 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,632 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,869 | CurrentTaxYearAmt |
| Total | $47,629 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $208,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $241,405 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $206,604 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $221,047 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $246,784 | CurrentTaxYearAmt |
| Total | $1,124,211 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,685,057 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,217,409 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,828,392 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,157,660 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,354,129 | CurrentTaxYearAmt |
| Total | $54,242,647 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97840 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97900 | PublicSupportPY509Pct |
| Investment Income CY | 0.00090 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00090 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION: VITAL ACCESS PROVIDER DATE: 08/01/16 AMOUNT: 315001. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,528,163 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $214,030 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,742,193 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,128,985 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $399,178 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,528,163 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,809,691 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Other Expenditures | $685,706 | OtherExpendituresAmt |
| End Year Balance | $1,128,985 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,258,544 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $546,122 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,809,691 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,069,871 | BeginningYearBalanceAmt |
| Contributions | $53,630 | ContributionsAmt |
| Investment Earnings Or Losses | $135,043 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,258,544 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.25000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.75000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $469,533 | OtherCostOrOtherBasisAmt |
| Book Value | $469,533 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,261,525 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,499,573 | DepreciationAmt |
| Book Value | $3,761,952 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,686,226 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,047,420 | DepreciationAmt |
| Book Value | $1,638,806 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,911,433 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,899,525 | DepreciationAmt |
| Book Value | $1,011,908 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,882,199 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION | Desc |
| Book Value | $1,742,193 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,742,193 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| CONTRIBUTIONS PAYABLE | $187,823 |
| DUE TO THIRD PARTY PAYERS | $30,967 |
| LINE OF CREDIT | $250,000 |
| RESIDENT DEPOSITS | $67,946 |
| WORKERS' COMPENSATION INSURANCE LIABILITY | $59,774 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $596,510 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $11,740,679 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $24,577 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $214,030 | OtherRevenueAmt |
| Revenue Not Reported | $238,607 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,502,072 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$35,141 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$35,141 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,466,931 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,056,829 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $35,141 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $35,141 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,021,688 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,021,688 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | TO SUPPORT THE HOME'S ACTIVITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGES IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 214,030. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS -35,141. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF ASSETS 35,141. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHASE MEMORIAL NURSING HOME | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE TERRACE HEIGHTS | AddressLine1Txt |
| City | NEW BERLIN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13411 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 160977850 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $315,001 | CashGrantAmt |
| Purpose Of Grant | TO IMPROVE FINANCIAL STATUS AND VIABILITY | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 1 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL KEENAN | ||||||||||||||
| PRESIDENT & CEO | $0 | $264,994 | $0 | $54,504 | $0 | $0 | $0 | $15,212 | $0 | $32,272 | $0 | $366,982 | $0 | $0 |
| PATRICIA MACKEY | ||||||||||||||
| COO | $0 | $141,767 | $0 | $9,800 | $0 | $0 | $0 | $8,676 | $0 | $6,381 | $0 | $166,624 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | REVIEW WITH THE OP'S COMMITTEE OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT 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 15 | CEO 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 COO. |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 990 IS AVAILABLE BY REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, ETC. ARE AVAILABLE BY REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 214,030. |
| FORM 990, PART XII, LINE 2(C): | NO CHANGE FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GOOD SHEPHERD-FAIRVIEW FOUNDATION INC | |||||||||||
| 80 FAIRVIEW AVENUE | BINGHAMTON | NY | 13904 | 133386383 | TO PROVIDE FINANCIAL SUPPORT FOR AFFILIATED COMPANIES | NY | 501(C)(3) | LINE 7 | FGS DBA GOOD SHEPHERD COMMUNITIES | 0 | |
| GOOD SHEPHERD VILLAGE AT ENDWELL INC | |||||||||||
| 32 VILLAGE DRIVE | ENDWELL | NY | 13760 | 205580506 | TO PROVIDE A CONTINUING CARE RETIREMENT COMMUNITY FOR THE ELDERY | NY | 501(C)(3) | LINE 10 | FGS DBA GOOD SHEPHERD COMMUNITIES | 0 | |
| FGS DBA GOOD SHEPHERD COMMUNITIES | |||||||||||
| 80 FAIRVIEW AVENUE | BINGHAMTON | NY | 13904 | 161256975 | TO PROVIDE SUITABLE HOUSING TO THE ELDERLY | NY | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| CHASE MEMORIAL NURSING HOME COMPANY INC | |||||||||||
| ONE TERRACE HEIGHTS | NEW BERLIN | NY | 13411 | 160977850 | LONG TERM HEALTH CARE FOR ELDERLY | NY | 501(C)(3) | LINE 10 | FGS DBA GOOD SHEPHERD COMMUNITIES | 0 | |
| CHASE HOUSING CORPORATION | |||||||||||
| ONE TERRACE HEIGHTS | NEW BERLIN | NY | 13411 | 161080510 | HOUSING COMPLEX FOR THE ELDERLY AND HANDICAPPED | NY | 501(C)(3) | LINE 10 | FGS DBA GOOD SHEPHERD COMMUNITIES | 0 | |
| CHASE MEMORIAL COMMUNITY CENTER INC | |||||||||||
| ONE TERRACE HEIGHTS | NEW BERLIN | NY | 13411 | 150539044 | SUPPORT OF HEALTH CARE/ELDERLY SERVICES | NY | 501(C)(3) | LINE 10 | FGS DBA GOOD SHEPHERD COMMUNITIES | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |