STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

THE BETHEL SPRINGVALE NURSING HOME INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE BETHEL SPRINGVALE NURSING HOME INC (EIN 13-3844619)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349302937
Schema version
2012v2.1
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)
Timestamp2013-11-14T13:23:17-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1527 TOWNLINE ROADAddressLine1
CityHAUPPAUGECity
StateNYState
ZIP Code11788ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133844619EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHEL SPRINGVALE NURSING HOME INCBusinessNameLine1
Business Name Line2D/B/A BETHEL NURSING AND REHABILITATION CENTEBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% BETH GOLDSTEINInCareOfName
Name ControlBETHNameControl
Phone9147396700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line167 SPRINGVALE ROADAddressLine1
Address Line2SuiteAddressLine2
CityCROTONONHUDSONCity
StateNYState
ZIP Code10520ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBETH GOLDSTEINName
TitleCEOTitle
Phone9147396700Phone
Date Signed2013-11-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6312656289Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBETH GOLDSTEINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line167 SPRINGVALE ROADAddressLine1
CityCROTONONHUDSONCity
StateNYState
ZIP Code10520ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20278208GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BETHELWELL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees311TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18633348ProgramServiceRevenuePriorYear
Program Service Revenue CY20202610ProgramServiceRevenueCY
Investment Income Prior Year2699InvestmentIncomePriorYear
Investment Income Current Year1557InvestmentIncomeCurrentYear
Other Revenue Prior Year39546OtherRevenuePriorYear
Other Revenue Current Year74041OtherRevenueCurrentYear
Total Revenue Prior Year18675593TotalRevenuePriorYear
Total Revenue Current Year20278208TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11255097SalariesEtcPriorYear
Salaries Etc Current Year11539903SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9291463OtherExpensePriorYear
Other Expenses Current Year9475619OtherExpensesCurrentYear
Total Expenses Prior Year20546560TotalExpensesPriorYear
Total Expenses Current Year21015522TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1870967RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-737314RevenuesLessExpensesCY
Total Assets BOY19843214TotalAssetsBOY
Total Assets EOY19399387TotalAssetsEOY
Total Liabilities BOY25839393TotalLiabilitiesBOY
Total Liabilities EOY25282593TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-5996179NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-5883206NetAssetsOrFundBalancesEOY
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense18284860Expense
Revenue20278208Revenue
DescriptionTHE BETHEL SPRINGVALE NURSING HOME, INC. A LICENSED NURSING HOME WHICH PROVIDES RESIDENTIAL HEALTH CARE, COMMUNITY HEALTHCARE, OCCUPATIONAL THERAPY, PHYSICAL THERAPY AND SPEECH THERAPY TO RESIDENTS.Description
Total Program Service Expense18284860TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109621NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees311NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBETH GOLDSTEINNamePerson
Telephone Number9147396700TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line167 SPRINGVALE RDAddressLine1
CityCROTONONHUDSONCity
StateNYState
ZIP Code10520ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOSEPH DEL SINDACO
BOARD MEMEBER1.0X
CATHERINE WISSNER MD
BOARD MEMBER1.0X
ROBERT W ELLIOTT
VICE CHAIRMAN1.0X
JAMES HOLDEN JR
CHAIRMAN1.0X
JOHN E WATKINS JR
SECRETARY1.0X
ANDREW SALAMIN
TREASURER1.0X
JANET LEVINE
ADMINSTRATOR37.5X15000002730
GLENN FISCHER
DON37.5X1019231896
MARGIE GRAHAM
DON37.5X33654672312730
FieldValueIRS element (for citing)
Total Reportable Comp From Org285577TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs67231TotalReportableCompFrmRltdOrgs
Total Other Compensation7356TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Angel Care
67 SPRINGVALE RDCROTONNY10520NURSING AGENCY496059
Med World Pharmacy
80 Red Schoolhouse RoadCHESTNUT RIDGENY10977PHARMACY268318
Windsor Ambulette
1580 BRONXDALE AVEBRONXNY10462AMBULETTE SERVICE192488
Sysco Food Services
1 LIEBICH LANEHALFMOONNY12065FOOD SERVICE457351
TEI Roofing
1118 ROUTE 52 SUITE BCARMELNY10512ROOFING152760
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIVATE ROOM & BOA62300034766583476658
ANCILLARY6230002972729727
ADULT DAY CARE623000756703756703
MEDICARE AND MEDICAID PAYMENTS6230001593952215939522
FieldValueIRS element (for citing)
Total Program Service Revenue20202610TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1557TotalRevenueColumn
Related Or Exempt Function Income1557RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
BARBER AND BEAUTY SHOP62199032403240
VENDING MACHINE INCOME62300036873687
MISCELLANEOUS REVENUE6230006711467114
FieldValueIRS element (for citing)
Total Other Revenue74041TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20278208TotalRevenueColumn
Related Or Exempt Function Income20278208RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8203616Total
Program Services7909158ProgramServices
Management And General294458ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total478400Total
Program Services478400ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2105928Total
Program Services2030338ProgramServices
Management And General75590ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total751959Total
Program Services724968ProgramServices
Management And General26991ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14642Total
Management And General14642ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1498227Total
Program Services1455494ProgramServices
Management And General42733ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total418463Total
Program Services418463ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total32087Total
Program Services30960ProgramServices
Management And General1127ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total979945Total
Program Services918289ProgramServices
Management And General61656ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total788673Total
Program Services788673ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total233484Total
Program Services125166ProgramServices
Management And General108318ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACTED SERVICES1217592118939028202
MISCELLANEOUS EXPENSE1369405916977771
CONSULTANT FEES57903452955249482
AMORTIZATION OF START-UP & MTG20912091

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3574441Total
Program Services1624749ProgramServices
Management And General1949692ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21015522Total
Program Services18284860ProgramServices
Management And General2730662ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2564652BOY
EOY2892257EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY24352BOY
EOY33545EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY102737BOY
EOY61818EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26239323LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11309706LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15522564BOY
EOY14929617EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1628909BOY
EOY1482150EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19843214BOY
EOY19399387EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4717306BOY
EOY5851769EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY337219BOY
EOY372516EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY17239834BOY
EOY15189599EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3545034BOY
EOY3868709EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY25839393BOY
EOY25282593EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-5996179BOY
EOY-5883206EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-5996179BOY
EOY-5883206EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19843214BOY
EOY19399387EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-737314ReconcilationRevenueExpenses
Reconcilation Other Changes850287ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
FS Audited BasisFSAuditedBasis
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20832557CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20329483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18428782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18633348CurrentTaxYearMinus1Year
Current Tax Year20202610CurrentTaxYear
Total98426780Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20832557CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20329483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18428782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18633348CurrentTaxYearMinus1Year
Current Tax Year20202610CurrentTaxYear
Total98426780Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50998426780PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2331CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3039CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2699CurrentTaxYearMinus1Year
Current Tax Year1557CurrentTaxYear
Total23121Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2331CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3039CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2699CurrentTaxYearMinus1Year
Current Tax Year1557CurrentTaxYear
Total23121Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years204386CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years162816CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39546CurrentTaxYearMinus1Year
Current Tax Year74041CurrentTaxYear
Total503207Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21050438CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20494630CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18454239CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18675593CurrentTaxYearMinus1Year
Current Tax Year20278208CurrentTaxYear
Total98953108Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99468PublicSupportPercentage509
Prior Year Support Percentage0.99452PriorYearSupportPercentage
Investment Income Percentage0.00023InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00065PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1802400OtherCostOrOtherBasis
Book Value1802400BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19926065OtherCostOrOtherBasis
Depreciation7571629Depreciation
Book Value12354436BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis709185OtherCostOrOtherBasis
Depreciation533291Depreciation
Book Value175894BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3672071OtherCostOrOtherBasis
Depreciation3125494Depreciation
Book Value546577BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis129602OtherCostOrOtherBasis
Depreciation79292Depreciation
Book Value50310BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14929617TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED MORTGAGE COSTS31355
PATIENTS FUNDS-SECURITY DEP.144831
PATIENTS FUNDS67802
ASSETS WHOSE USE IS LIMITED476034
DUE FROM THRID PARTY PAYORS326045
DUE FROM MEDICAID436083
FieldValueIRS element (for citing)
Total Book Value Other Assets1482150TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED EXPENSES$174,363
DUE TO THIRD PARTIES$3,628,044
PATIENTS FUNDS$66,302
FieldValueIRS element (for citing)
Total Of Amounts3868709TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt20278208TotRevenueEtcAuditedFinclStmt
Revenue Subtotal20278208RevenueSubtotal
Total Revenue Per Form99020278208TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21015522TotExpensesEtcAuditedFinclStmt
Expenses Subtotal21015522ExpensesSubtotal
Total Expenses Per Form99021015522TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJANET LEVINENamePerson
TitleADMINSTRATORTitle
Base Compensation Filing Org150000BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org2730NontaxableBenefitsFilingOrg
Total Compensation Filing Org152730TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, PART IQUESTION #1THE BETHEL NOT-FOR-PROFIT COMPANIES ARE COMMITTED TO BEING THE INNOVATIVE LEADER IN HEALTHCARE, HOUSING AND SERVICES TO SENIORS AND THE COMMUNITY AT LARGE BY PROVIDING AN INTEGRATED CONTINUUM OF HIGH QUALITY PROGRAMS TO MEET AND EXCEED THE EXPECTATIONS OF THE COMMUNITY WE SERVE.
FORM 990, PART IIIQUESTION #1THE BETHEL NOT-FOR-PROFIT COMPANIES ARE COMMITTED TO BEING THE INNOVATIVE LEADER IN HEALTHCARE, HOUSING AND SERVICES TO SENIORS AND THE COMMUNITY AT LARGE BY PROVIDING AN INTEGRATED CONTINUUM OF HIGH QUALITY PROGRAMS TO MEET AND EXCEED THE EXPECTATIONS OF THE COMMUNITY WE SERVE.
FORM 990, PART VISECTION B, QUESTION #11IN 2009 WE CONDUCTED AN EDUCATION SESSION FOR THE BOARD ON THE REQUIREMENTS RELATED TO THE NEW 990 INCLUDING RECEIVING A HANDOUT WITH 990 QUESTIONS FROM OUR AUDITORS. THE 990 WAS EMAILED TO ALL BOARD MEMBERS FOR THEIR REVIEW.
FORM 990, PART VISECTION B, QUESTION #12cANNUALLY THE BOARD OF DIRECTORS ARE GIVEN A COPY OF OUR CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. THIS DISCLOSURE IS KEPT ON FILE. THE CONFLICT OF INTEREST POLICY IS PERIODICALLY REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND REVISED AS NECESSARY.
FORM 990, PART VISECTION C, QUESTION #19THE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9NON-OPERATING GAIN ON DEBT FORGIVENESS $850,287
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:MANAGEMENT FEE TOTAL EXPENSES:1779560 PROGRAM SERVICES:41722 MANAGEMENT AND GENERAL:1737838
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:PROFESSIONAL FEES TOTAL EXPENSES:117501 PROGRAM SERVICES:117501
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:EQUIPMENT RENTAL TOTAL EXPENSES:204077 PROGRAM SERVICES:202073 MANAGEMENT AND GENERAL:2004
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:MEDICAID ASSESSMENT TOTAL EXPENSES:1043139 PROGRAM SERVICES:1043139
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:TRANSPORTATION TOTAL EXPENSES:205953 PROGRAM SERVICES:205953
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:INTEREST & PENALTY TOTAL EXPENSES:209850 MANAGEMENT AND GENERAL:209850
OTHER EXPENSESFORM 990 PART IXDESCRIPTION:SUPPLIES TOTAL EXPENSES:14361 PROGRAM SERVICES:14361

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStatePublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BETHEL METHODIST HOME
17-19 NARRAGANSETT AVENUEOSSININGNY10562131739921MANAGEMENTNY9NA
BETHEL NURSING HOME
17-19 NARRAGANSETT AVENUEOSSININGNY10562132699737NURSING HOMENY3NA
LIFE INC
62 SPRINGVALE ROADCROTONONHUDSONNY10520133099812HOUSING ELDERNY9NA
THE PINES AT NARRAGANSETT HOUSING DEVEL
19 NARRAGANSETT AVENUEOSSININGNY10562510462667HOUSINGNY9NA
THE PINES AT NARRAGANSETT INC
19 NARRAGANSETT AVENUEOSSININGNY10562311788016HOUSINGNY9NA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ANGEL CARE SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line167 SPRINGVALE ROADAddressLine1
CityCROTONONHUDSONCity
StateNYState
ZIP Code10520ZIPCode
FieldValueIRS element (for citing)
EIN562407261EIN

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BETHEL MEHODISTBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC corpTypeOfEntity
Share Of Total Income742963ShareOfTotalIncome
Share Of EOY Assets110885ShareOfEOYAssets
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BETHEL METHODIST HOME
M,O,P1779560TIME SPENT
THE PINES AT NARRAGANSETT HOUSING DEVELOPMENT
K80647ACTUAL VALUE
BETHEL NURSING HOME
O67231TIME SPENT