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        <BusinessNameLine1>Capital Region Geriatric Center Inc</BusinessNameLine1>
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        <AddressLine1>421 West Columbia Street</AddressLine1>
        <City>Cohoes</City>
        <State>NY</State>
        <ZIPCode>12047</ZIPCode>
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        <Explanation>A bonus based on objective, non-financial performance measures, was paid to James Farnan, Vice-President/Administrator, the amount of which is included in Section VII, Column (D) for the respective individual.</Explanation>
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      <Form990ScheduleKPartI>
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        </IssuerName>
        <IssuerEIN>521205328</IssuerEIN>
        <CUSIPNumber>192554AA1</CUSIPNumber>
        <DateIssued>2008-12-01</DateIssued>
        <IssuePrice>30750000</IssuePrice>
        <DescriptionOfPurpose>Finance construction costs.</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <IssuanceCostsFromProceeds>802612</IssuanceCostsFromProceeds>
        <CreditEnhancement>492586</CreditEnhancement>
        <CapitalExpenditures>25106351</CapitalExpenditures>
        <AmountUnspent>4348451</AmountUnspent>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Bank of America</BusinessNameLine1>
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        <TermOfHedge>10.0000</TermOfHedge>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
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      <GeneralExplanation>
        <ReturnReference>Form 990, Part VII, Section A, Line 1A</ReturnReference>
        <Explanation>The following Officers, Directors, Key Employees and Highest Compensated Employees devote the indicated average number of weekly hours to related organizations:Richard Petterson 35.6 HoursJo-Ann Costantino 38.5 HoursJames K. Reed, MD 40 HoursLaurie Mante 20 Hours</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>In 2009, Northeast Health and its affiliates did not make the above-named documents available to the public, although certificates of incorporation were available from the NYS Secretary of State.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The executive compensation policy described in the note for Line 15a also applies to other officers and key employees of the organization.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Northeast Health, the health system to which the Captial Region Geriatric Center, Inc. belongs, has two system wide conflict of interest policies, one applicable to the Board of Directors of each system affiliate and one applicable to administrative staff and select employees and medical staff. Together, the two policies require annual disclosure of conflicts of interest by all directors, officers and key employees, and prescribe various responses to such conflicts applying customary conflicts of interest principles. Employee disclosure forms are reviewed annually by the system compliance officer for a determination of any conflict's impact on the integrity of the disclosing individual's acts and decisions. Violation of the policy subjects an employee to potential disciplinary action. Board of Directors conflict of interest disclosure forms are reviewed and summarized by the system compliance officer, and the summary is reviewed by the board Corporate Compliance and Audit Committee and any necessary action taken by such committee. Customary procedures are followed, including non-participation by affected individuals in the deliberation and vote on any matters that potentially conflict with the individual's outside interests. Appropriate corrective action is taken by the Board in the event of a director's failure to disclose a conflict of interest or other violation of the policy.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Form 990 was presented to the Board Audit/Compliance Committee for review at a special meeting, to which all other Board Members were invited to attend. The 990 was then made available on the Board website for all Board members to review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Northeast Health elects the members of the organization's governing body.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>LTC (Eddy), Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 4</Identifier>
        <ReturnReference>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</ReturnReference>
        <Explanation>The organization amended it bylaws to extend the date until which the number of directors is set at no less than 17 nor more than 27, to January 2012, and to provide that directors whose final term expires in January 2011 may be re-elected and serve for an additional year, until January 2012.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</ReturnReference>
        <Explanation>The organization delegated control over certain duties of key employees to a related exempt organization.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Directors James E. Prout, Esq. and Robert W. Johnson, III, Esq. have a business relationship.Directors James H. Puleo, MD and James V. Puleo, MD have a family relationship.</Explanation>
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