2023-11-15T15:18:09-07:00 2022-12-31 990 2022-01-01 261231096 HERITAGE VILLAGE REHAB & SKILLED NURSING INC HERI 7169856820 4570 Route 60 PO Box 351 Gerry NY 14740 Lisa Ressman Chief Financial Officer 7164876800 2023-11-15 1 1 11 1 AAL2 X 2022 2023-04-26 12:10:37Z LISA RESSMAN 4600 ROUTE 60 GERRY NY 14740 14943547 0 X heritage1886.org X 2007 NY TO SERVE OTHERS THROUGH CHRIST-CENTERED MINISTRIES WHICH PROVIDE HOPE, DIGNITY AND PURPOSEFUL LIVING. 12 12 300 0 0 0 5505 228 15184450 14217202 1500 10000 2259465 716117 17450920 14943547 0 0 0 0 8665437 7312751 0 0 0 7097820 7697452 15763257 15010203 1687663 -66656 9734856 9468416 5277820 5078036 4457036 4390380 TO SERVE OTHERS THROUGH CHRIST-CENTERED MINISTRIES WHICH PROVIDE HOPE, DIGNITY AND PURPOSEFUL LIVING. 0 0 12268318 0 14933319 TO ESTABLISH, MAINTAIN AND OPERATE A NURSING HOME FOR THE ELDERLY WHICH INCLUDES FULL TIME MEDICAL CARE AND SUPERVISION. THE FACILITY HAS 120 AVAILABLE BEDS. 0 0 0 12268318 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 300 1 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 NY X ORGANIZATION 7144876800 4600 ROUTE 60 GERRY NY 14740 Lisa Haglund President & CEO 1 39 X 0 331712 22749 Mark Wilcox Chief Information Officer 1 39 X 0 180692 22258 Jennifer Whitten Chief Operating Officer 1 39 X 0 172853 8680 Danielle Bozich Chief Human Resources Officer 1 39 X 0 159115 11808 Matthew Boswell Vice President of Finance 1 39 X 0 156792 10260 Richard Whitver Managing Pharmacist 40 0 X 157304 0 2521 Mark Constantino VP of Quality & Clinical Strategies 1 39 X 0 147800 3302 Kathy Trisket Nurse Practitioner 1 39 X 0 129309 17086 Sallie Williams VP of Advancements 1 39 X 0 127655 13970 Paul DeSantis Chief Financial Officer 1 39 X 0 114009 7597 Bertha Saho Board Member 1 0 X 0 0 0 Edwin Roorda Board Member 1 0 X 0 0 0 Honna Curtis Board Member 1 0 X 0 0 0 Janet Snyder Board Member 1 0 X 0 0 0 Larry Roberts Secretary/Treasurer 1 0 X X 0 0 0 Walter Fleming Chair 1 0 X X 0 0 0 Susan Wilston Vice Chair 1 0 X X 0 0 0 Susanne Mohnkern Board Member 1 0 X 0 0 0 Brent Richardson Board Member 1 0 X 0 0 0 Charles Toy Board Member 1 0 X 0 0 0 Joanne Smikle Board Member 1 0 X 0 0 0 Peter Schmitt Board Member 1 0 X 0 0 0 157304 1519937 120231 2 0 1 0 0 0 0 0 0 0 228 0 228 NET RESIDENT SERVICE REVENUE 623000 9767543 9767543 0 0 PHARMACY REVENUE 623000 4449659 4449659 0 0 0 0 0 0 14217202 0 0 0 10000 0 0 0 10000 10000 0 0 10000 0 COVID RELATED & OTHER REVENUE 623000 185858 185858 0 0 REBATES, REFUNDS AND CASH DISCOUNTS 623000 359275 359275 0 0 CAFETERIA INCOME 623000 156225 156225 0 0 14759 14759 0 0 716117 14943547 14933319 0 10000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6024645 5832090 192555 0 63005 60991 2014 0 777437 752589 24848 0 447664 433356 14308 0 1582597 0 1582597 0 20003 0 20003 0 8615 0 8615 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57980 31938 26042 0 0 0 0 0 0 0 0 0 155762 131534 24228 0 4510 3546 964 0 0 0 0 0 0 0 0 0 82815 67687 15128 0 0 0 0 0 318821 260583 58238 0 224870 213813 11057 0 PURCHASED AND CONTRACTED SERVICES 540050 413553 126497 0 SUPPLIES AND RX DRUGS 4073516 4063592 9924 0 RECRUITING 6788 1665 5123 0 BAD DEBTS, CASH RECEIPTS ASSESSMENTS, OTHER 606439 1381 605058 0 14686 0 14686 15010203 12268318 2741885 0 907008 261709 957417 701901 350001 388007 21698 17687 8702334 7073965 1872468 1628369 5626264 6470743 9734856 9468416 1668852 1783772 74498 1920584 1791885 1613886 1502379 5277820 5078036 X 4449533 4382877 7503 7503 4457036 4390380 9734856 9468416 -66656 0 0 0 0 0 X X 0 1 X 1 1 1 X 835 4363 2270 5505 228 13201 15954065 17349789 18121075 15184450 14217202 80826581 15954900 17354152 18123345 15189955 14217430 80839782 80839782 28 28 0 28 0 0 0 28 2259465 716117 2975582 15954900 17354180 18123345 17449420 14933547 83815392 0.96450 0.97317 0.00000 0.00000 X Schedule A, Part III, Line 12 OTHER INCOME IS COVID REVENUE, REBATES AND REFUNDS, CAFETERIA REVENUE AND OTHER OPERATING INCOME. 0 12778 12778 0 4986184 4135092 851092 0 0 0 0 0 3663910 2938873 725037 0 39462 0 39462 1628369 RESIDENT FUNDS AND OTHER ASSETS 83849 DUE FROM RELATED COMPANY AND AFFILIATES 6386894 6470743 0 RESIDENT TRUST AND OTHER LIABILITIES 95801 THIRD PARTY LIABILITIES 1406578 1502379 X Schedule D, Part X, Line 2 Income Taxes The Organization and its components are not-for-profit corporations and are exempt from income taxes as organizations qualified under Section 501(c)(3) of the Internal Revenue Code. The Internal Revenue Service has also classified the Organization and its components as entities that are not private foundations. 0 0 0 0 0 0 0 0 0 Lisa Haglund President & CEO 0 303161 0 15000 0 13552 0 3204 0 19545 0 354462 0 0 Mark Wilcox Chief Information Officer 0 165865 0 8278 0 6549 0 2716 0 19542 0 202950 0 0 Richard Whitver Managing Pharmacist 155721 0 1400 0 183 0 2365 0 156 0 159825 0 0 0 Jennifer Whitten Chief Operating Officer 0 165041 0 5500 0 2313 0 1731 0 6949 0 181534 0 0 Danielle Bozich Chief Human Resources Officer 0 150634 0 8250 0 231 0 1628 0 10180 0 170923 0 0 Matthew Boswell Vice President of Finance 0 142927 0 13640 0 224 0 2359 0 7902 0 167052 0 0 Mark Constantino VP of Quality & Clinical Strategies 0 135477 0 12000 0 323 0 2221 0 1081 0 151102 0 0 Form 990, Part VI, Section A, Line 3 THE ORGANIZATION HAS DELEGATED CONTROL RELATED TO SIGNIFICANT MANAGEMENT DUTIES NORMALLY PERFORMED BY OFFICERS OF THE ORGANIZATION TO HERITAGE MINISTRIES MANAGEMENT COMPANY (HMMC). HMMC PROVIDES VARIOUS ADMINISTRATIVE FUNCTIONS INCLUDING FINANCIAL REPORTING, PAYROLL, ACCOUNTS RECEIVABLE MANAGEMENT AND EMPLOYS IVES HILL AND ITS AFFILIATES CEO, CFO AND COO. Form 990, Part VI, Section A, Line 6 CORPORATE MEMBERS ARE AS FOLLOWS: HERITAGE MINISTRIES CHARITABLE CARE NETWORK (HMCCN) 100% CORPORATE MEMBER Form 990, Part VI, Section A, Line 7a HMCCN APPOINTS BOARD MEMBERS BASED ON THEIR SOLE CORPORATE MEMBERSHIP. Form 990, Part VI, Section B, Line 11b THE 990 IS AVAILABLE TO BOARD MEMBERS AT THEIR REQUEST. THE 990 IS REVIEWED BY MANAGEMENT PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c BOARD MEMBERS REVIEW CONFLICTS OF INTEREST ON AN ANNUAL BASIS. Form 990, Part VI, Section B, Line 15 HERITAGE VILLAGE REHAB & SKILLED NURSING INC BOARD OF DIRECTORS CONTRACTS WITH HERITAGE MINISTRIES MANAGEMENT COMPANY TO PROVIDE ADMINISTRATIVE SUPPORT, WHICH INCLUDES REVIEW OF PERFORMANCE AND COMPENSATION OF OFFICERS OR TOP MANAGEMENT. Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE MAILED OR SENT ELECTRONICALLY UPON REQUEST. Form 990, Part XII, Line 2c THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS DURING THE YEAR. HERITAGE MINISTRIES CHARITABLE CARE NETWORK 4600 ROUTE 60 GERRY NY 14740 261454957 PASSIVE PARENT ORGANIZATION NY 501(C)(3) LINE 12A, I N/A 0 HERITAGE MINISTRIES MANAGEMENT COMPANY INC 4600 ROUTE 60 GERRY NY 14740 261590078 SUPPORTING ORGANIZATION NY 501(C)(3) LINE 12A, I N/A 0 GERRY HOMES INC 4600 ROUTE 60 GERRY NY 14740 160755780 HEALTH CARE FOR THE ELDERLY NY 501(C)(3) LINE 10 N/A 0 WESTERN NEW YORK MENNONITE RETIREMENT COMMUNITY INC 4945 VINECROFT DRIVE CLARENCE CENTER NY 14032 161560655 HOUSING FOR SENIORS NY 501(C)(3) LINE 10 N/A 0 HEARTHSTONE AT SERENITY CREEK 920 N SEMINARY AVENUE WOODSTOCK IL 60098 463825098 HEALTH CARE FOR THE ELDERLY IL 501(C)(3) LINE 10 N/A 0 WOODSTOCK CHRISTIAN LIFE SERVICES INC 920 N SEMINARY AVENUE WOODSTOCK IL 60098 363186415 HEALTH CARE FOR THE ELDERLY IL 501(C)(3) LINE 10 N/A 0 ROLLING FIELDS INC 9108 STATE HWY 198 CONNEAUTVILLE PA 16406 251364240 HEALTH CARE FOR THE ELDERLY PA 501(C)(3) LINE 10 N/A 0 IVES HILL RETIREMENT COMMUNITY INC 1200 JEWELL DR WATERTOWN NY 13601 161529379 SENIOR LIVING NY 501(C)(3) LINE 10 N/A 0 THE LODGE AT IVES HILL INC 1200 JEWELL DRIVE WATERTOWN NY 13601 274249244 SENIOR CARE NY 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0