FURP.ORG / PUBLIC DATA EXPLORER

HILLCREST EXTENTED CARE SERVICES INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
HILLCREST EXTENTED CARE SERVICES INC (EIN 36-3700875)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-12
IRS object ID
202433179349302178
Schema version
2023v5.1
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)
Return2024-11-12T07:29:14-08:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363700875EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hillcrest Extended Care Services IncBusinessNameLine1Txt
Business Name Line2Formerly Berkshire Missouri IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHILLBusinessNameControlTxt
Phone4134472996PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 NORTH ST STE 210AddressLine1Txt
CityPittsfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam C Jones JrPersonNm
Person TitlePresident & CEOPersonTitleTxt
Signature2024-11-12SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWilliam C Jones JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 North Street Suite 210AddressLine1Txt
CityPittsfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,260,166GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.integritushealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionSkilled nursing facilityActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee231TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$22,888,649PYProgramServiceRevenueAmt
CY Program Service Revenue$27,126,713CYProgramServiceRevenueAmt
PY Investment Income$407PYInvestmentIncomeAmt
CY Investment Income$2,899CYInvestmentIncomeAmt
PY Other Revenue$1,202,629PYOtherRevenueAmt
CY Other Revenue$130,554CYOtherRevenueAmt
PY Total Revenue$24,091,685PYTotalRevenueAmt
CY Total Revenue$27,260,166CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,527,320PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,834,555CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,825,747PYOtherExpensesAmt
CY Other Expenses$16,174,512CYOtherExpensesAmt
PY Total Expenses$25,353,067PYTotalExpensesAmt
CY Total Expenses$27,009,067CYTotalExpensesAmt
PY Revenues Less Expenses-$1,261,382PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$251,099CYRevenuesLessExpensesAmt
Total Assets BOY$39,342,429TotalAssetsBOYAmt
Total Assets EOY$40,362,965TotalAssetsEOYAmt
Total Liabilities BOY$12,590,833TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,360,270TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$26,751,596NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,002,695NetAssetsOrFundBalancesEOYAmt
MissionHillcrest Extended Care Services, Inc. is a not-for-profit consumer-centered organization committed to fulfilling the health and residential needs of the population in the communities we serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$23,184,466ExpenseAmt
Revenue$27,260,166RevenueAmt
DescThis corporation is formed exclusively for charitable purposes to acquire, establish, maintain and operate skilled nursing and extended care facilities and render related services to residents who are supported by the Medicaid and Medicare programs as well as by private funds.Desc
Total Program Service Expenses$23,184,466TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee231EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyfalseMinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWilliam C Jones Jr PresCEOPersonNm
Phone4134472996PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 North St Suite 210AddressLine1Txt
CityPittsfieldCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
William C Jones Jr
President & CEO7.8554.00Yes (X)$0$722,025$80,787
Jule J Kovacs
Administrator40.000.00$157,981$0$41,732
James Taylor
LPN (blend)64.000.00$188,893$0$9,812
Heather Alexander
LPN (blend)72.000.00$135,044$0$22,033
Shaun M Kennedy
Dir of Nursing41.000.00$141,823$0$14,607
Dagga Mbye
LPN (blend)56.000.00$133,811$0$20,389
Marcie Gingras
Clerk0.0040.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$757,552TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$722,025TotReportableCompRltdOrgAmt
Total Other Compensation$189,360TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Integritus Healthcare Management Services Inc
75 North Street Suite 210PittsfieldMA01201Management services$2,161,548
Powerback Rehabilitation
101 East State StreetKennett SquarePA19348Rehab$1,219,455
Integrinurse Inc
75 North Street Suite 210PittsfieldMA01201Registry$4,970,577
Favorite Healthcare Staffing Inc
PO Box 26225Overland ParkKS66225Registry$484,891
Excellence Nurse Staffing
PO Box 219081 Dept 5082Kansas CityMO64121Registry$596,710
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Ancillary services &623000$27,126,713$27,126,713
patient room & board
FieldValueIRS element (for citing)
Total Program Service Revenue$27,126,713TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,899TotalRevenueColumnAmt
Exclusion$2,899ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
COVID Surv Testing Revenue900099$101,328$101,328
Miscellaneous623000$29,226$29,226
FieldValueIRS element (for citing)
Other Revenue Total$130,554OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,260,166TotalRevenueColumnAmt
Related Or Exempt Func Income$27,126,713RelatedOrExemptFuncIncomeAmt
Exclusion$133,453ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,776,966TotalAmt
Program Services$7,679,845ProgramServicesAmt
Management And General$1,097,121ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,364,336TotalAmt
Program Services$1,193,794ProgramServicesAmt
Management And General$170,542ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$693,253TotalAmt
Program Services$606,596ProgramServicesAmt
Management And General$86,657ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,569,472TotalAmt
Management And General$1,569,472ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$129,201TotalAmt
Management And General$129,201ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,214TotalAmt
Program Services$4,214ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,501TotalAmt
Program Services$19,501ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$299,331TotalAmt
Management And General$299,331ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,201,960TotalAmt
Program Services$1,051,715ProgramServicesAmt
Management And General$150,245ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$167,032TotalAmt
Management And General$167,032ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$12,232,468$12,232,468
Equipment Rental$330,417$330,417
Bad Debt Expense$155,000$155,000
Telephone$58,858$58,858

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,058TotalAmt
Program Services$7,058ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,009,067TotalAmt
Program Services$23,184,466ProgramServicesAmt
Management And General$3,824,601ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$321,736BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,825,402BOYAmt
EOY$5,646,527EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$134,044BOYAmt
EOY$93,310EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$295,124BOYAmt
EOY$970,603EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$29,530,378LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,659,246LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,881,339BOYAmt
EOY$10,871,132EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,884,784BOYAmt
EOY$22,781,393EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$39,342,429BOYAmt
EOY$40,362,965EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,037,095BOYAmt
EOY$3,210,189EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,610,485BOYAmt
EOY$10,177,346EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$19,401BOYAmt
EOY$7,876EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY-$76,148BOYAmt
EOY-$35,141EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,590,833BOYAmt
EOY$13,360,270EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$26,751,596BOYAmt
EOY$27,002,695EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,751,596BOYAmt
EOY$27,002,695EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,342,429BOYAmt
EOY$40,362,965EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$251,099ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$3,832OtherActivitiesAmt
Total Lobbying Expenditures$3,832TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II-B, Line 1i - Other Activities DescriptionPart II-B, Line 1(I), Other Lobbying Activities:Annual membership dues are paid to Massachusetts Senior Care Association and American Healthcare Association. A portion of these dues are used to conduct lobbying activities for the fiscal year.
Part IV - Additional Information

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,242,534OtherCostOrOtherBasisAmt
Book Value$1,242,534BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,554,429OtherCostOrOtherBasisAmt
Depreciation$11,328,914DepreciationAmt
Book Value$5,225,515BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,058,943OtherCostOrOtherBasisAmt
Depreciation$2,488,151DepreciationAmt
Book Value$3,570,792BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,792,752OtherCostOrOtherBasisAmt
Depreciation$2,428,544DepreciationAmt
Book Value$364,208BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,881,720OtherCostOrOtherBasisAmt
Depreciation$2,413,637DepreciationAmt
Book Value$468,083BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,871,132TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Due from 501(c)3 affiliates$22,864,856
Due to a related Party-$277,348
Patient Personal Needs Accounts$111,406
Renewal and Replacement Fund$82,479
FieldValueIRS element (for citing)
Total Book Value Other Assets$22,781,393TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Cost of Issuance-$91,137
Due to third Party$55,996
FieldValueIRS element (for citing)
Total Liability-$35,141TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
Dagga Mbye
LPN (blend)$133,811$20,389$154,200
Heather Alexander
LPN (blend)$135,044$22,033$157,077
James Taylor
LPN (blend)$188,893$9,812$198,705
Jule J Kovacs
Administrator$157,981$41,732$199,713
Shaun M Kennedy
Dir of Nursing$141,823$14,607$156,430
William C Jones Jr
President & CEO$643,750$78,275$68,623$12,164$802,812

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III, Additional InformationFormAndLineReferenceDesc
ExplanationIn reference to Form 990, Part VII and Schedule J Part II, no compensation is paid by the filing entity to any director (trustee) for his or her role as director (trustee). The officers of the filing entity are all compensated by Integritus Healthcare Management Services, Inc., ("IHCMS") a supporting organization of the filing entity. A portion of the compensation amount paid to officers of the filing entity is allocated internally among the filing entity and its 20 associated non-profit, tax-exempt entities and, in order to reflect the division of the officers' time and effort among those various entities and each entity's relative contribution to the officers' total compensation. (See Below). Compensation of the President & CEO of the filing entity is reviewed and established every two to three years by the independent volunteer governing body of Integritus Healthcare, Inc., (the filing entity or parent company of the filing entity) based on performance reviews and comparison to independently established, regionally appropriate benchmarks for similar positions in similarly sized healthcare organizations, as verified by independent, nationally recognized compensation consultants. Compensation of any other officers and key employees is set in accordance with governing-body established principles based on comparable benchmarks identified by such independent consultants. The governing bodies currently target total compensation for management employees at the 60th percentile of appropriate benchmarks. William C. Jones Hrs/Wk DollarsBourne Management Systems, Inc. 3.17 $42,400Greenfield Management Systems, Inc. 3.32 $44,389New Bedford Management Systems, Inc. 3.94 $52,657Northampton Management Systems, Inc. 4.09 $54,732East Longmeadow Management Systems, Inc. 1.78 $23,803Danvers Management Systems, Inc. 1.75 $23,372Peabody Management Systems, Inc. 3.17 $42,351South Yarmouth Management Systems, Inc. 2.02 $27,028Willowood of Great Barrington, Inc. 2.75 $36,799Willowood of North Adams, Inc. 2.48 $33,212Willowood of Williamstown, Inc. 3.99 $53,379Hillcrest Extended Care Services, Inc. 7.87 $105,276Berkshire Retirement Community 1.23 $16,479 William C. Jones Hrs/Wk DollarsBerkshire Extended Care Services, Inc. 0.62 $ 8,352IntegriNurse, Inc. 0.49 $ 6,455IntegriScript, Inc. 1.23 $16,354Pittsfield Management Systems, Inc. 3.49 $46,616HospiceCare in the Berkshires, Inc. 2.87 $38,299Hospice of Franklin County, Inc. 1.06 $14,191Holyoke Retirement Community, Inc. 2.68 $35,881Total 54.00 $722,025ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Mass Def Finance AgencyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issued2016-11-30BondIssuedDt
Issue Price$12,967,639IssuePriceAmt
PurposeRefunding of existing bondsPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$12,967,639TotalProceedsAmt
Issuance Costs From Proceeds$167,672IssuanceCostsFromProceedsAmt
Other Spent Proceeds$12,967,639OtherSpentProceedsAmt
Refunding Tax Exempt BondsYes (true)RefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart VIFormAndLineReferenceDesc
ExplanationPart II Line 11Other spent proceeds were used to refund a prior issue.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 8bIntegritus Healthcare, Inc. (IHC) is the parent corporation of Willowood ExtendedCare Services, Inc. Hillcrest Extended Care Services, Inc. is a subsidiary ofWillowood Extended Care Services, Inc. Governance duties conducted on behalf ofHillcrest Extended Care Services, Inc., take place at the IHC level. Meeting of thegoverning board and committees with authority to act on behalf of the governingboard of IHC are documented.
Form 990, Part VI, Section B, Line 11bForm 990 is reviewed by executive management. Prior to filing, all members of theIntegritus Healthcare Inc., Board are provided with a copy of Form 990 via a secureintranet connection. The Integritus Healthcare Board delegates review of Form 990to its Finance Committee. Finance Committee members conduct their review of Form990 prior to filing.
Form 990, Part VI, Section B, Line 12cThe organization enforces and monitors its conflict of interest policy by requiring all members of the governing body and senior employees to disclose potential conflicts of interest (a) annually and (b) as potential conflicts arise. Senior employees are not permitted to have material conflicts of interests and members of the governing body are to abstain from action that may be influenced by their conflict or potential conflict.
Form 990, Part VI, Section B, Line 15aThe Integritus Healthcare Board of Trustees reviews and approves the compensation ofthe CEO and President. Every two or three years, the organization engages anationally recognized healthcare compensation firm to provide information concerningmarket rates of compensation and assess the organization's compensation structureagainst those independent benchmarks.
Form 990, Part VI, Section C, Line 19Governance documents, the conflict of interest policy and financial statements areavailable to the public at the office of the Clerk and Vice President and GeneralCounsel at 75 North Street, Suite 210 Pittsfield, MA 01201.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Berkshire Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201042979430Skilled nursing facilityMA501(c)(3)3Berkshire Retirement Community Incfalse
Berkshire Retirement Community Inc
75 North Street Suite 210PittsfieldMA01201222579838Skilled nursing facility and residential unitsMA501(c)(3)10Integritus Healthcare Incfalse
Berkshire Pennsylvania Inc
75 North Street Suite 210PittsfieldMA01201251627992Skilled nursing facilityPA501(c)(3)3Fairview Extended Care Services Incfalse
Integritus Healthcare Inc
75 North Street Suite 210PittsfieldMA01201043030633Maintain skilled nursing facilitiesMA501(c)(3)12anafalse
Bourne Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337127Skilled nursing facilityMA501(c)(3)10CEC Management Systems Incfalse
CEC Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337130Maintain skilled nursing facilitiesMA501(c)(3)12aIntegritus Healthcare Incfalse
Fairview Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201042979430Maintain skilled nursing facilitiesMA501(c)(3)12aIntegritus Healthcare Incfalse
East Longmeadow Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080762Skilled nursing facility and memory careMA501(c)(3)3Fairview Extended Care Services Incfalse
Greenfield Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337128Skilled nursing facilityMA501(c)(3)10CEC Management Systems Incfalse
South Yarmouth Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080763Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
Northampton Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337116Skilled nursing facility and residentialMA501(c)(3)10CEC Management Systems Incfalse
Peabody Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080764Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
New Bedford Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337124Skilled nursing facilityMA501(c)(3)10CEC Management Systems Incfalse
Danvers Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080765Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
Willowood Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201043480600Maintain skilled nursing facilitiesMA501(c)(3)12aIntegritus Healthcare Incfalse
Willowood of Great Barrington Inc
75 North Street Suite 210PittsfieldMA01201042854118Skilled nursing facilityMA501(c)(3)10Willowood Extended Care Services Incfalse
Willowood of North Adams Inc
75 North Street Suite 210PittsfieldMA01201042893906Skilled nursing facilityMA501(c)(3)10Willowood Extended Care Services Incfalse
Willowood of Williamstown Inc
75 North Street Suite 210Pittsfield MAMA01201042893911Skilled nursing facilityMA501(c)(3)10Willowood Extended Care Services Incfalse
Xenia East Management Systems Inc
75 North Street Suite 210PittsfieldMA01201311295974Skilled nursing facilityOH501(c)(3)3Fairview Extended Care Services Incfalse
Xenia West Management Systems Inc
75 North Street Suite 210PittsfieldMA01201311295975Skilled nursing facilityOH501(c)(3)3Fairview Extended Care Services Incfalse
IntegriNurse Inc
75 North Street Suite 210PittsfieldMA01201261446630Nursing staffingMA501(c)(3)12bIntegritus Healthcare Mgmt Srvcs Incfalse
Integritus Healthcare Mgmt Srvcs Inc
75 North Street Suite 210PittsfieldMA01201043031987Management companyMA501(c)(3)3Integritus Healthcare Incfalse
Pittsfield Management Systems Inc
75 North Street Suite 210PittsfieldMA01201042982134Skilled nursing facilityMA501(c)(3)10Integritus Healthcare Incfalse
Hospicecare in the Berkshires Inc
75 North Street Suite 210PittsfieldMA01201043084466Provide hospice and palliative careMA501(c)(3)7Integritus Healthcare Incfalse
IntegriScript Inc
75 North StreetPittsfieldMA01201271465523Closed door pharmacyMA501(c)(3)12bIntegritus Healthcare Mgmt Srvcs Incfalse
Hospice of Franklin County Inc
75 North Street Suite 210PittsfieldMA01201201611913Provide Hospice ServicesMA501(c)(3)10Integritus Healthcare Incfalse
Holyoke Retirement Community Inc
75 North Street Suite 210PittsfieldMA01201821583686Skilled nursing facility & residentialMA501 (c)(3)7Integritus Healthcare Incfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd