2025-09-05T08:41:32-05:00 2024-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2024-01-01 160962256 GOOD SHEPHERD-FAIRVIEW HOME INC GOOD 6077242477 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 ULYSSES S ARNOLD II CFO 6077242477 2025-08-26 1 1 MICHELLE MUNDY P01982856 5853811000 2025-08-26 2024 2025-03-06 01:10:19Z JASON SANTIAGO 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 16369920 0 X WWW.GSFHOME.COM X 1969 NY 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. 13 12 336 24 0 0 557047 227758 10852284 13322899 34389 2335 369379 2816928 11813099 16369920 0 0 0 0 7834332 9269898 0 0 0 5734004 5461503 13568336 14731401 -1755237 1638519 6824407 7341024 5362871 4183176 1461536 3157848 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. 0 0 7935042 8870402 SKILLED NURSING FACILITY AND REHAB 3599648 4023964 ADULT CARE FACILITY 665230 743645 INDEPENDENT LIVING 12199920 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 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 23 0 1 336 1 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X X ULYSSES S ARNOLD II CFO 6077242477 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 PETER LENNON DIRECTOR 0.25 1.25 X 0 0 0 JOANN NAVARRO DIRECTOR 0.25 1.25 X 0 0 0 BRIDGET TALBUT DIRECTOR 0.25 1.25 X 0 0 0 BOB KELLER DIRECTOR 0.25 1.25 X 0 0 0 MARY ROONEY DIRECTOR 0.25 1.25 X 0 0 0 DAWN LANOUETTE DIRECTOR 0.25 1.25 X 0 0 0 TIMOTHY HYLE DIRECTOR 0.25 1.25 X 0 0 0 ERIC WEBSTER VICE CHAIR 0.25 1.25 X X 0 0 0 BOB ASH DIRECTOR 0.25 1.25 X 0 0 0 KATHLEEN BUNNELL DIRECTOR 0.25 1.25 X 0 0 0 KYLE SEVEY TREASURER 0.25 1.25 X X 0 0 0 RICK ALLABAUGH CHAIR 0.25 1.25 X X 0 0 0 RYAN LACLAIR EXECUTIVE DIRECTOR 40.00 0.00 X 155639 0 17047 JASON SANTIAGO CEO (FROM 8/1/23) 8.00 32.00 X 0 374666 29359 ULYSSES S ARNOLD II CFO 8.00 32.00 X 0 192013 19303 MARY WASSEL COO 8.00 32.00 X 0 85749 15250 CARRIE SHORE GSFH PHYSICAL THERAPIST 40.00 0.00 X 111330 0 12510 MARYAM OKHRAVI GSFH RN 40.00 0.00 X 103461 0 12519 NICOLE MCCAFFERTY GSFH PHYSICAL THERAPIST 40.00 0.00 X 112805 0 3173 STEPHANIE DYE GSFH OTC 40.00 0.00 X 109177 0 2357 MARTINA BYRNES GSFH HHA 40.00 0.00 X 103681 0 6164 MICHAEL KEENAN FORMER CEO (THROUGH 7/31/23) 0.00 0.00 X 0 187765 490 696093 840193 118172 7 1 1 0 AA SOUTHEAST LLC 494 BROAD ST 4TH FL NEWARK NJ 07102 HEALTHCARE SERVICE 290409 LLY CONSULTING LLC 209 BLOOMSFIELD ST BALDWINSVILLE NY 13027 CONSULTING 114835 2 140303 86102 1353 227758 HEALTHCARE REVENUE 623000 12520577 12520577 INDEPENDENT LIVING AND RELATED SE 623000 739322 739322 RENTAL REVENUE 900099 63000 63000 13322899 2335 2335 EQUITY TRANSFER FROM AFFILIATE 900099 2501816 2501816 GUEST MEALS 721000 133768 133768 SOLD SERVICES 623000 127975 127975 53369 53369 2816928 16369920 13638011 0 2504151 155639 155639 7639292 7355376 283916 71989 71989 818170 563349 254821 584808 551859 32949 5095 5095 27840 27840 76183 39956 36227 106405 106405 415543 341871 73672 5994 556 5438 45311 43408 1903 399258 382486 16772 161598 8253 153345 MANAGEMENT SERVICES - R 1126045 168907 957138 PURCHASED SERVICES 957360 747165 210195 FOOD 626798 626798 SUPPLIES 500935 458105 42830 1007138 911831 95307 14731401 12199920 2531481 0 567500 544519 833810 1459475 35792 20788 35888 22140111 18480438 3926657 3659673 1341132 1398925 98728 242544 6824407 7341024 908972 1025223 73318 110327 4380581 3047626 5362871 4183176 X 115209 1758476 1346327 1399372 1461536 3157848 6824407 7341024 X 1638519 57793 X X 0 1 X 1 0 X 1666320 344665 1166000 557047 227758 3961790 10664882 9889928 9149378 10852284 13259899 53816371 12331202 10234593 10315378 11409331 13487657 57778161 0 0 0 57778161 27182 109867 1184 34389 2335 174957 27182 109867 1184 34389 2335 174957 204183 301707 304980 369379 378112 1558361 12562567 10646167 10621542 11813099 13868104 59511479 0.97090 0.97240 0.00290 0.00400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 475533 475533 10547076 8575989 1971087 7435068 6770246 664822 3682434 3134203 548231 3659673 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1398925 F 1398925 DUE TO RELATED PARTIES, NET 1280126 DUE TO THIRD PARTY PAYORS 20440 FINANCE LEASE LIABILITIES 81467 OPERATING LEASE LIABILITES 10591 RELATED PARTY DEBT 1561025 RESIDENT DEPOSITS 93977 3047626 16427713 57793 57793 16369920 0 16369920 14731401 0 14731401 0 14731401 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGES IN BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 57,793. 0 1 0 0 0 0 0 0 0 JASON SANTIAGO CEO (FROM 8/1/23) 0 332666 0 30000 0 12000 0 0 0 29359 0 404025 0 0 ULYSSES S ARNOLD II CFO 0 192013 0 0 0 0 0 0 0 19303 0 211316 0 0 MICHAEL KEENAN FORMER CEO (THROUGH 7/31/23) 0 154432 0 33333 0 0 0 0 0 490 0 188255 0 0 RYAN LACLAIR EXECUTIVE DIRECTOR 155345 0 0 0 294 0 0 0 17047 0 172686 0 0 0 PART I, LINE 3 FGS, INC., A RELATED IRC SECTION 501(C)(3) ORGANIZATION, USES ALL METHODS OUTLINED TO ESTABLISH THE COMPENSATION FOR THE CEO. PART I, LINE 4B CERTAIN OFFICERS AND DIRECTORS OF GOOD SHEPHERD-FAIRVIEW HOME, INC. PARTICIPATE IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PROVIDED BY FGS, INC., A RELATED IRC SECTION 501(C)(3) ORGANIZATION. FGS, INC. DEPOSITED $24,417 INTO A 457(B) PLAN IN 2024 FOR MICHAEL KEENAN, FORMER PRESIDENT AND CEO. FGS, INC. DEPOSITED $15,910 INTO A 457(B) PLAN IN 2024 FOR JASON SANTIAGO, PRESIDENT AND CEO. FGS, INC. DEPOSITED $5,229 INTO A 457(B) PLAN IN 2024 FOR ULYSSES S. ARNOLD, II, CFO. FORM 990, PART VI, SECTION B, LINE 11B REVIEWED BY OPERATIONS COMMITTEE OF FGS, INC. D/B/A GOOD SHEPHERD COMMUNITIES 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 AN OUTSIDE CONSULTANT. 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 57,793. FORM 990, PART XII, LINE 2(C): NO CHANGE FROM PRIOR YEAR. 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 N/A 0 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 0 0 1 0 1 0 0 0 0 1 0 1 1 0 1 1 1 0 0