FURP.ORG / PUBLIC DATA EXPLORER

WILLOWOOD OF NORTH ADAMS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
WILLOWOOD OF NORTH ADAMS INC (EIN 04-2893906)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-05
IRS object ID
201213109349300841
Schema version
2011v1.2
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)
Timestamp2012-11-05T12:34:26-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042893906EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Willowood of North Adams IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWILLNameControl
Phone4134472996Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 North Street Suite 210AddressLine1
CityPittsfieldCity
StateMAState
ZIP Code01201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam C Jones JrName
TitlePresident/TreasurerTitle
Date Signed2012-11-05DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts9152391GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSkilled nursing facilityActivityOrMissionDescription
Nbr Voting Members Governing Body2NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees174TotalNbrEmployees
Total Nbr Volunteers15TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9360970ProgramServiceRevenuePriorYear
Program Service Revenue CY9150725ProgramServiceRevenueCY
Investment Income Prior Year665InvestmentIncomePriorYear
Investment Income Current Year220InvestmentIncomeCurrentYear
Other Revenue Prior Year573OtherRevenuePriorYear
Other Revenue Current Year1446OtherRevenueCurrentYear
Total Revenue Prior Year9362208TotalRevenuePriorYear
Total Revenue Current Year9152391TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4614021SalariesEtcPriorYear
Salaries Etc Current Year5088048SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3849328OtherExpensePriorYear
Other Expenses Current Year3899027OtherExpensesCurrentYear
Total Expenses Prior Year8463349TotalExpensesPriorYear
Total Expenses Current Year8987075TotalExpensesCurrentYear
Revenues Less Expenses Prior Year898859RevenuesLessExpensesPriorYear
Revenues Less Expenses CY165316RevenuesLessExpensesCY
Total Assets BOY16954619TotalAssetsBOY
Total Assets EOY17047354TotalAssetsEOY
Total Liabilities BOY9380025TotalLiabilitiesBOY
Total Liabilities EOY9671534TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7574594NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7375820NetAssetsOrFundBalancesEOY
Mission DescriptionWillowood of North Adams, 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7655766Expense
Revenue9152391Revenue
DescriptionThis corporation is formed exclusively for charitable purposes and 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.Description
Total Program Service Expense7655766TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
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 LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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 BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109633NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees174NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members2NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
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 ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodyfalseMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonWilliam C Jones Jr TreasurerNamePerson
Telephone Number4134472996TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line175 North St Ste 210AddressLine1
CityPittsfieldCity
StateMAState
ZIP Code01201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Lynn Murphy
Clerk40.00X000
William Jones Jr
President/Treas54.00X041217631838
David Phelps
CEO58.00X061527931138
Robert Post
Administrator40.0010250705202X
FieldValueIRS element (for citing)
Total Reportable Comp From Org102507TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1027455TotalReportableCompFrmRltdOrgs
Total Other Compensation68178TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Petri Contracting
45 Belmar DriveClarksburgMA01247Maintenance CPS109422
Genesis Eldercare Rehab Services
PO Box 7777PhiladelphiaPA19175Therapy CPS586478
BHS Management Services Inc
725 North StPittsfieldMA01201Management Fee807920
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Room & BoardDescription
Business Code623000BusinessCode
Total Revenue Column9150725TotalRevenueColumn
Related Or Exempt Function Income9150725RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9150725TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column220TotalRevenueColumn
Exclusion$220ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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

FieldValueIRS element (for citing)
DescriptionMiscellaneousDescription
Total Revenue Column1446TotalRevenueColumn
Exclusion$1,446ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1446TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9152391TotalRevenueColumn
Related Or Exempt Function Income9150725RelatedOrExemptFunctionIncome
Exclusion$1,666ExclusionAmount

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)
Total4078904Total
Program Services3777065ProgramServices
Management And General301839ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total710433Total
Program Services657861ProgramServices
Management And General52572ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total298711Total
Program Services276606ProgramServices
Management And General22105ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total736176Total
Management And General736176ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24370Total
Management And General24370ManagementAndGeneral

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)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total13664Total
Management And General13664ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16117Total
Program Services16117ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total117858Total
Program Services109137ProgramServices
Management And General8721ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total557323Total
Program Services516081ProgramServices
Management And General41242ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12404Total
Management And General12404ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Telephone2365523655
Supplies21410092141009
Real Estate Taxes3188631886
Prov. for Uncoll. Accounts8633086330
Equipment Rental126489126489

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total11746Total
Program Services11746ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8987075Total
Program Services7655766ProgramServices
Management And General1331309ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2544BOY
EOY21740EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY987694BOY
EOY1115588EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY28798BOY
EOY28798EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY112838BOY
EOY115692EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12941033LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1508349LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11746296BOY
EOY11432684EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4076449BOY
EOY4332852EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16954619BOY
EOY17047354EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY955527BOY
EOY1084641EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8400000BOY
EOY8586893EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY24498BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9380025BOY
EOY9671534EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY7574594BOY
EOY7375820EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7574594BOY
EOY7375820EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16954619BOY
EOY17047354EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses165316ReconcilationRevenueExpenses
Reconcilation Other Changes-364090ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8434280CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9031470CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9269054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9360970CurrentTaxYearMinus1Year
Current Tax Year9150725CurrentTaxYear
Total45246499Total

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 Years8434280CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9031470CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9269054CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9360970CurrentTaxYearMinus1Year
Current Tax Year9150725CurrentTaxYear
Total45246499Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50945246499PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12444CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5314CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3172CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year665CurrentTaxYearMinus1Year
Current Tax Year220CurrentTaxYear
Total21815Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12444CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5314CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3172CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year665CurrentTaxYearMinus1Year
Current Tax Year220CurrentTaxYear
Total21815Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17802CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5458CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years603CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year573CurrentTaxYearMinus1Year
Current Tax Year1446CurrentTaxYear
Total25882Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8464526CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9042242CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9272829CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9362208CurrentTaxYearMinus1Year
Current Tax Year9152391CurrentTaxYear
Total45294196Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99890PublicSupportPercentage509
Prior Year Support Percentage0.99870PriorYearSupportPercentage
Investment Income Percentage0.00050InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$839OtherActivitiesAmount
Total Lobbying Expenditures IIB839TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationPart 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 ending 12/31/11.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis920000OtherCostOrOtherBasis
Book Value920000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9580000OtherCostOrOtherBasis
Depreciation319331Depreciation
Book Value9260669BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1235156OtherCostOrOtherBasis
Depreciation656994Depreciation
Book Value578162BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1205877OtherCostOrOtherBasis
Depreciation532024Depreciation
Book Value673853BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11432684TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Other49770
Goodwill792689
Due from third parties305364
Due from affiliated entities3185029
FieldValueIRS element (for citing)
Total Book Value Other Assets4332852TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationSWAP Fair Market Value Adjustment $ -289069 SWAP Interest Expense $ -75021Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
William Jones Jr
41217631838444014
David Phelps
61527931138646417

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part III, Additional InformationIdentifier
Return ReferencePart III, Additional InformationReturnReference
ExplanationIn reference to Schedule J Part 2, no compensation is paid by the filing entity to any officer or director, although a proportional share of the compensation amount is allocated internally to the filing entity for accounting and management purposes (see below). Compensation is paid to the officers of the filing entity by BHS Management Services, Inc., a supporting organization that provides management services to the filing entity and 30 other not-for-profit, tax-exempt healthcare service entities. Compensation for these two individuals is reviewed and established at least biannually by independent volunteer governing bodies, based on performance review and comparison to independent, regionally appropriate benchmarks for similar positions in similarly sized organizations, as verified by independent, nationally recognized compensation consultants. The governing bodies target total compensation for management employees at the 50th to 60th percentiles of appropriate benchmarks. David E. Phelps William C. Jones Hrs/Wk Dollars Hrs/Wk DollarsBourne Management Systems, Inc. 0.82 $14,242 3.67 $28,061Greenfield Management Systems, Inc. 0.75 $13,113 3.38 $25,836New Bedford Management Systems, Inc. 0.86 $15,007 3.87 $29,568In reference to Schedule J Part 2, cont.Northampton Management Systems, Inc. 0.74 $12,839 3.31 $25,296East Longmeadow Management Systems, Inc. 0.42 $ 7,332 1.89 $14,446Danvers Management Systems, Inc. 0.39 $ 6,822 1.76 $13,441Peabody Management Systems, Inc. 0.71 $12,360 3.19 $24,352South Yarmouth Management Systems, Inc. 0.45 $ 7,881 2.03 $15,529Berkshire Pennsylvania, Inc. 0.67 $11,766 3.04 $23,182Xenia East Management Systems, Inc. 0.19 $ 3,303 0.85 $ 6,507Willowood of Great Barrington, Inc. 0.62 $10,740 2.77 $21,161Willowood of North Adams, Inc. 0.71 $12,301 3.17 $24,236Willowood of Williamstown, Inc. 0.89 $15,548 4.01 $30,634Hillcrest Extended Care Services, Inc. 1.64 $28,575 7.37 $56,301Berkshire Retirement Community, Inc. 0.56 $ 9,706 2.54 $19,124Berkshire Extended Care Services, Inc. 0.05 $ 825 0.22 $ 1,626IntegriNurse, Inc. 0.16 $ 2,838 0.74 $ 5,591IntegriScript, Inc. 0.24 $ 4,257 1.10 $ 8,387In reference to Schedule J Part 2, cont.Pittsfield Management Systems, Inc. 0.78 $13,547 3.49 $26,691HospiceCare in the Berkshires, Inc. 0.36 $ 6,195 1.60 $12,205Non Affiliated Entities 46.00 $406,084 0.00 $ 0Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Mass Dev Finance AgencyBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2010-12-30DateIssued
Issue Price8400000IssuePrice
Description Of PurposeProperty acquisitionDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds8400000TotalProceeds
Capital Expenditures8400000CapitalExpenditures
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGovernance documents, the conflict of interest policy and financial statements are available to the public at the office of the Vice President and General Counsel at 725 North Street, Pittsfield, MA 01201, and at the President/Treasurer's office at 75 North Street, Pittsfield, MA 01201.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesPerformance and compensation are reviewed annually by a subcommittee of the governing body, whose members are independent. The full governing body reviews and approves the compensation of the senior executive. Every two or three years, the organization engages a nationally recognized healthcare compensation firm to provide information concerning market rates of compensation and assess the organization's compensation structure against those independent benchmarks.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe 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, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessForm 990 is reviewed by executive management. Prior to filing, all members of the Berkshire Healthcare Systems, Inc. Board are provided with a copy of Form 990 via a secure intranet connection. The Berkshire Healthcare Systems, Inc. Board delegates review of Form 990 to its Finance Committee. Finance Committee members conduct their review of Form 990 prior to filing.
Form 990, Part VI, Line 8Form 990, Part VI, Line 8 : Explanation of No Contemporaneously Documentation of MeetingsBerkshire Healthcare Systems, Inc. (BHCS) is the parent corporation of Willowood Extended Care Services, Inc. Willowood of North Adams, Inc. is a subsidiary of Willowood Extended Care Services, Inc. Governance duties conducted on behalf of Willowood of North Adams, Inc., take place at the BHCS level. Meetings of the governing board and committees with authority to act on behalf of the governing board of BHCS are documented.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
IntegriScript Inc
75 North Street Suite 210PittsfieldMA01201271465523closed door pharmacyMA501(c)(3)11bBHCS Management Services Incfalse
HospiceCare in the Berkshires Inc
75 North Street Suite 210PittsfieldMA01201043084466Provide hospice and palliative careMA501(c)(3)7falseN/A
Pittsfield Management Systems Inc
75 North Street Suite 210PittsfieldMA01201042982134Skilled nursing facilityMA501(c)(3)9Berkshire Healthcare Systems Incfalse
BHCS Management Service Inc
75 North St Suite 210PittsfieldMA01201043031987Managment servicesMA501(c)(3)3Berkshire Healthcare Systems Incfalse
Xenia West Management Systems Inc
75 North Street Suite 210PittsfieldMA01201311295975Skilled nursing facilityOH501(c)(3)3Fairview Extended Care Services Incfalse
Xenia East Management Systems Inc
75 North Street Suite 210PittsfieldMA01201311295974Skilled nursing facilityOH501(c)(3)3Fairview Extended Care Services Incfalse
Berkshire Healthcare Systems Inc
75 North Street Suite 210PittsfieldMA01201043030633Maintain skilled nursing facilitiesMA501(c)(3)11anafalse
Willowood of Williamstown Inc
75 North Street Suite 210PittsfieldMA01201042893911Skilled nursing facilityMA501(c)(3)9Willowood Extended Care Services Incfalse
Willowood of Great Barrington Inc
75 North Street Suite 210PittsfieldMA01201042854118Skilled nursing facilityMA501(c)(3)9Willowood Extended Care Services Incfalse
Willowood Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201043480600Maintain skilled nursing facilitiesMA501(c)(3)11aBerkshire Healthcare Systems Incfalse
Danvers Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080765Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
New Bedford Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337124Skilled nursing facilityMA501(c)(3)9CEC Management Systems Incfalse
Peabody Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080764Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
Northampton Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337116Skilled nursing facilityMA501(c)(3)9CEC Management Systems Incfalse
IntegriNurse Inc
75 North Street Suite 210PittsfieldMA01201261446630Nursing staffingMA501(c)(3)11bBHCS Management Services Incfalse
South Yarmouth Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080763Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
Greenfield Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337128Skilled nursing facilityMA501(c)(3)9CEC Management Systems Incfalse
East Longmeadow Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043080762Skilled nursing facilityMA501(c)(3)3Fairview Extended Care Services Incfalse
Fairview Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201042979430Maintain skilled nursing facilitiesMA501(c)(3)3Berkshire Healthcare Systems Incfalse
CEC Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337130Maintain skilled nursing facilitiesMA501(c)(3)11aBerkshire Healthcare Systems Incfalse
Bourne Management Systems Inc
75 North Street Suite 210PittsfieldMA01201043337127Skilled nursing facilityMA501(c)(3)9CEC Management Systems Incfalse
Berkshire Retirement Community Inc
75 North Street Suite 210PittsfieldMA01201222579838Skilled nursing facility and residential unitsMA501(c)(3)9Berkshire Healthcare Systems Incfalse
Berkshire Pennsylvania Inc
75 North Street Suite 210PittsfieldMA01201251627992Skilled nursing facilityPA501(c)(3)3Fairview Extended Care Services Incfalse
Hillcrest Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201363700875Skilled nursing facilityMO501(c)(3)3Willowood Extended Care Services Incfalse
Berkshire Extended Care Services Inc
75 North Street Suite 210PittsfieldMA01201043020520Skilled nursing facilityMA501(c)(3)3Berkshire Retirement Community Incfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BHCS Management Company IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line175 North Street Suite 210AddressLine1
CityPittsfieldCity
StateMAState
ZIP Code01201ZIPCode
FieldValueIRS element (for citing)
EIN043472881EIN
Primary ActivityManagement companyPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Berkshire Healthcare Systems IncBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC corpTypeOfEntity
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
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 OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg