2025-09-05T08:41:08-05:00 2024-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2024-01-01 160977850 CHASE MEMORIAL NURSING HOME CO INC CHAS 6078477000 PO BOX 250 NEW BERLIN NY 134110250 ULYSSES S ARNOLD II CFO 6078477000 2025-08-26 1 1 MICHELLE MUNDY P01982856 5853811000 2025-08-26 2024 2025-03-06 01:10:19Z JASON SANTIAGO PO BOX 250 NEW BERLIN NY 134110250 8370492 0 X N/A X 1956 NY OPERATION OF AN EIGHTY-BED RESIDENTIAL HEALTH CARE FACILITY. 13 12 159 12 0 0 98934 36384 7567670 8333350 0 0 19068 758 7685672 8370492 0 0 0 0 4114543 4961209 0 0 0 3837618 3356176 7952161 8317385 -266489 53107 4911464 5550575 1747481 2333485 3163983 3217090 CHASE MEMORIAL NURSING HOME STRIVES TO BE THE PROVIDER AND EMPLOYER OF CHOICE IN LONG TERM CARE WITH AN EMPHASIS ON PROVIDING THE HIGHEST QUALITY CARE FOR OUR RESIDENTS IN A SAFE, CLEAN AND STIMULATING ENVIRONMENT. 0 0 6820547 8334108 OPERATION OF AN EIGHTY-BED RESIDENTIAL HEALTH CARE FACILITY. 6820547 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 19 0 1 159 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 6078477000 ONE TERRACE HEIGHTS NEW BERLIN NY 13411 RICK ALLABAUGH CHAIR 0.25 1.25 X X 0 0 0 KATHLEEN BUNNELL DIRECTOR 0.25 1.25 X 0 0 0 BOB ASH DIRECTOR 0.25 1.25 X 0 0 0 ERIC WEBSTER VICE CHAIR 0.25 1.25 X X 0 0 0 TIMOTHY HYLE DIRECTOR 0.25 1.25 X 0 0 0 DAWN LANOUETTE DIRECTOR 0.25 1.25 X 0 0 0 MARY ROONEY DIRECTOR 0.25 1.25 X 0 0 0 BOB KELLER SECRETARY 0.25 1.25 X X 0 0 0 KYLE SEVEY TREASURER 0.25 1.25 X X 0 0 0 BRIDGET TALBUT DIRECTOR 0.25 1.25 X 0 0 0 JOANN NAVARRO DIRECTOR 0.25 1.25 X 0 0 0 PETER LENNON DIRECTOR 0.25 1.25 X 0 0 0 JASON SANTIAGO CEO (FROM 8/1/23) 7.60 32.40 X 0 374666 29359 ULYSSES S ARNOLD II CFO 7.60 32.40 X 0 192013 19303 MARY WASSEL COO 7.60 32.40 X 0 85749 15250 PATRICIA HITCHCOCK CHASE EXECUTIVE DIRECTOR 40.00 0.00 X 144205 0 446 SUSAN HOLBERT CHASE DON 40.00 0.00 X 104567 0 17586 MICHAEL KEENAN FORMER CEO (THROUGH 7/31/23) 0.00 0.00 X 0 187765 490 248772 840193 82434 2 1 1 0 0 32500 3884 36384 HEALTHCARE REVENUE 623000 7466751 7466751 RESIDENT ANCILLARY SER 623000 757135 757135 OTHER REVENUE 623000 109464 109464 8333350 MISCELLANEOUS 623000 758 758 758 8370492 8334108 0 0 4205954 3871301 334653 15144 15144 456222 316996 139226 283889 259352 24537 33771 33771 41560 41560 611164 507822 103342 132680 132680 30208 23444 6764 160494 121338 39156 6095 2383 3712 1893 1785 108 39383 37134 2249 99338 2968 96370 MANAGEMENT SERVICES - R 559525 82642 476883 CONTRACTED NURSING 462007 462007 NYS HEALTH ASSESSMENT 378614 378614 FOOD 315886 315886 483558 436875 46683 8317385 6820547 1496838 0 219532 318076 1022287 1379357 10780 35351 15616 15933 2618439 360937 2199016 2257502 1183084 1183084 261149 361272 4911464 5550575 635572 636832 50727 28725 59147 75194 1002035 1592734 1747481 2333485 X 3157650 3208579 6333 8511 3163983 3217090 4911464 5550575 53107 0 X X 0 1 X 1 0 X 1209910 611407 725268 98934 36384 2681903 5801458 4674111 6360102 7567670 8333350 32736691 7011368 5285518 7085370 7666604 8369734 35418594 0 0 0 35418594 28939 450 378 19068 758 49593 7040307 5285968 7085748 7685672 8370492 35468187 0.99860 0.99680 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 3315 3315 2112832 158980 1953852 287059 155988 131071 215233 45969 169264 2257502 ASSETS WHOSE USE IS LIMITED 128314 DUE FROM THIRD-PARTY PAYORS 143836 FINANCE LEASE ROU ASSETS 89122 361272 DEBT, RELATED PARTY 43772 DUE TO AFFILIATES 1461043 FINANCE LEASE LIABILITY 87919 1592734 8370492 0 8370492 0 8370492 8317385 0 8317385 0 8317385 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 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 CHASE MEMORIAL NURSING HOME CO., 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. PART XII LINE 2C NO CHANGES FROM PRIOR YEAR. CHASE MEMORIAL COMMUNITY CENTER INC ONE TERRACE HEIGHTS NEW BERLIN NY 13411 150539044 TO FUNDRAISE AND ASSIST IN FUNDING OF ELDERLY CARE 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 NEW BERLIN DAY CARE SERVICES INC ONE TERRACE HEIGHTS NEW BERLIN NY 13411 161376695 CHILD CARE INFANT - SCHOOL AGED CHILDREN NY 501(C)(3) LINE 10 0 NEW BERLIN FAMILY PRACTICE INC ONE TERRACE HEIGHTS NEW BERLIN NY 13411 161601966 CLINICAL CARE FOR ALL AGED PEOPLE NY 501(C)(3) LINE 10 0 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 GOOD SHEPHERD-FAIRVIEW HOME INC 80 FAIRVIEW AVENUE BINGHAMTON NY 13904 TO PROVIDE SUITABLE HOUSING AND HEALTH CARE FOR THE ELDERLY NY 501(C)(3) LINE 10 FGS DBA GOOD SHEPHERD COMMUNITIES 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0