BEVERWYCK INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BEVERWYCK INC (EIN 14-1717028)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-10
IRS object ID
201132239349300503
Schema version
2010v3.2
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)
Timestamp2011-08-10T11:14:34-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN141717028EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Beverwyck IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBEVENameControl
Phone5184828774Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line140 Autumn DriveAddressLine1
CitySlingerlandsCity
StateNYState
ZIP Code12159ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRichard PettersonName
TitleCFOTitle
Date Signed2011-08-10DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts9668312GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTo provide a high-quality, accessible continuum of healthcare, supportive housing and community services.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees166TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year15953ContributionsGrantsPriorYear
Contributions Grants Current Year10802ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8878843ProgramServiceRevenuePriorYear
Program Service Revenue CY8984210ProgramServiceRevenueCY
Investment Income Prior Year1069017InvestmentIncomePriorYear
Investment Income Current Year673300InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year9963813TotalRevenuePriorYear
Total Revenue Current Year9668312TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3132553SalariesEtcPriorYear
Salaries Etc Current Year3199436SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4783805OtherExpensePriorYear
Other Expenses Current Year4732323OtherExpensesCurrentYear
Total Expenses Prior Year7916358TotalExpensesPriorYear
Total Expenses Current Year7931759TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2047455RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1736553RevenuesLessExpensesCY
Total Assets BOY37934005TotalAssetsBOY
Total Assets EOY39878514TotalAssetsEOY
Total Liabilities BOY36273893TotalLiabilitiesBOY
Total Liabilities EOY36525135TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1660112NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3353379NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide a high-quality, accessible continuum of healthcare, supportive housing and community services.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6209154Expense
Revenue8984210Revenue
DescriptionBeverwyck provides a "home for the aged" including 197 independent living apartments and cottages, and health care for the elderly in a 41 unit assisted living residence. The retirement community serves residents 60 years of age and older, and provides security, maintenance, dining, activities and amenities to allow residents to stay independent as long as possible. The assisted living residence provides assistance with the activities of daily living, as well as health related services to its residents. Beverwyck is committed to making its services and facilities available to those residents who can no longer meet the financial obligations of residency to the extent that it is financially feasible to do so. Beverwyck's activities are funded primarily from gross receipts from admissions and monthly service fees.Description
Total Program Service Expense6209154TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
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 BondsfalseTaxExemptBonds
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 With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees166NumberOfEmployees
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
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 FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMelissa InmanNamePerson
Telephone Number5182715038TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 Northern Blvd East WingAddressLine1
CityAlbanyCity
StateNYState
ZIP Code12204ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
William Foley PhD
Board Member2.00X000
Thomas Nowak
Treasurer4.00X000X
Russell Oster
Board Member2.00X000
Ronald Guzior
Board Member2.00X000
Robert W Johnson III
Chairman4.00X000X
Robert Fortune
Board Member2.00X000
Robert C Davenport
Former0.0001072727300
Robert Bylancik
Board Member2.00X0500000
Richard Petterson
CFO1.40020984426700X
Mark Cartwright
Board Member2.00X000
John Lang
Board Member2.00X000
Jo-Ann Costantino
Exec. VP & CEO1.10034292818369X
Jane Altes PhD
Board Member2.00X000
James Reed MD
Board Member0.00X050807328508
James E Prout Esq
Board Member2.00X000
Harry L Robinson Esp
Board member2.00X000
Harold Gordon Esq
Vice Chair4.00X000X
Dr Lisa Thorn
Board Member2.00X0250000
Dr James V Puleo
Board Member2.00X0250000
Dr James Slavin
Board Member2.00X000
Dr James H Puleo
Board Member2.00X000
Douglas R Miller
Vice President40.0011595709699X
Craig Duncan
Former CEO0.0004026370X
Chester Opalka
Board Member2.00X000
Anthony P Tartaglia MD
Secretary4.00X000X
Ann DiSarro
Board Member2.00X000
Alan Goldberg
Board member2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org115957TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1670754TotalReportableCompFrmRltdOrgs
Total Other Compensation90576TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Morrison Management Specialists
PO Box 102289AtlantaGA30368Food Service979753
Architecture
297 River StreetTroyNY12180construction209367
AOW Associates
30 Essex StreetAlbanyNY12206construction2227559
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions10802AllOtherContributions
Total Contributions10802TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRetirement CommunityDescription
Total Revenue Column8984210TotalRevenueColumn
Related Or Exempt Function Income8984210RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8984210TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column673300TotalRevenueColumn
Related Or Exempt Function Income673300RelatedOrExemptFunctionIncome

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9668312TotalRevenueColumn
Related Or Exempt Function Income9657510RelatedOrExemptFunctionIncome

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)
Total125646Total
Management And General125646ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2525600Total
Program Services2059752ProgramServices
Management And General465848ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total78136Total
Program Services47663ProgramServices
Management And General30473ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total279402Total
Program Services245730ProgramServices
Management And General33672ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total190652Total
Program Services148136ProgramServices
Management And General42516ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total343768Total
Management And General343768ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total16196Total
Management And General16196ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8256Total
Management And General8256ManagementAndGeneral

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)
Total77867Total
Management And General77867ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total297273Total
Program Services266029ProgramServices
Management And General31244ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total74177Total
Program Services23798ProgramServices
Management And General50379ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total666241Total
Program Services502397ProgramServices
Management And General163844ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total7414Total
Program Services2970ProgramServices
Management And General4444ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4055Total
Program Services574ProgramServices
Management And General3481ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total25112Total
Program Services25112ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1571356Total
Program Services1571356ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total83739Total
Management And General83739ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Purchased Services739874531659208215
Maintenance repairs & rentals258948258948
Land Lease1971819718
Food450110450110
Bank Fees7492074920

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13299Total
Management And General13299ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7931759Total
Program Services6209154ProgramServices
Management And General1722605ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9195445BOY
EOY7917755EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32242BOY
EOY38283EOY

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)
BOY4300658BOY
EOY4018382EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY177440BOY
EOY157310EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis40343850LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19479944LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18030501BOY
EOY20863906EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3936270BOY
EOY4366270EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1390545BOY
EOY1625167EOY

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)
BOY870904BOY
EOY891441EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37934005BOY
EOY39878514EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1344613BOY
EOY1076769EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5400000BOY
EOY5000000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY142688BOY
EOY142688EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29386592BOY
EOY30305678EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY36273893BOY
EOY36525135EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY954698BOY
EOY2516575EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY461891BOY
EOY455530EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY243523BOY
EOY381274EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1660112BOY
EOY3353379EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37934005BOY
EOY39878514EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1736553ReconcilationRevenueExpenses
Reconcilation Other Changes-43286ReconcilationOtherChanges
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)
Current Tax Year Minus2 Years201CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15953CurrentTaxYearMinus1Year
Current Tax Year15007CurrentTaxYear
Total31161Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6915668CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7425482CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7794821CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8338141CurrentTaxYearMinus1Year
Current Tax Year8340505CurrentTaxYear
Total38814617Total

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 Years6915668CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7425482CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7795022CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8354094CurrentTaxYearMinus1Year
Current Tax Year8355512CurrentTaxYear
Total38845778Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20545CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5616CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12372CurrentTaxYearMinus1Year
Total48141Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9608CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20545CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5616CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12372CurrentTaxYearMinus1Year
Total48141Total
FieldValueIRS element (for citing)
Public Support Total50938797637PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years683774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years825196CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year287807CurrentTaxYearMinus1Year
Current Tax Year612691CurrentTaxYear
Total2412369Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years683774CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years825196CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year287807CurrentTaxYearMinus1Year
Current Tax Year612691CurrentTaxYear
Total2412369Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7599442CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8250678CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7797923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8641901CurrentTaxYearMinus1Year
Current Tax Year8968203CurrentTaxYear
Total41258147Total
FieldValueIRS element (for citing)
Public Support Percentage5090.94040PublicSupportPercentage509
Prior Year Support Percentage0.94160PriorYearSupportPercentage
Investment Income Percentage0.05850InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.05690PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis664682OtherCostOrOtherBasis
Book Value664682BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35877427OtherCostOrOtherBasis
Depreciation16970112Depreciation
Book Value18907315BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis180003OtherCostOrOtherBasis
Depreciation54044Depreciation
Book Value125959BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3621738OtherCostOrOtherBasis
Depreciation2455788Depreciation
Book Value1165950BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20863906TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Unearned Entrance Fees$1,808,055
Resident Deposits$259,449
Refundable Entrance Fees$28,028,338
Due to Affiliates.$87,095
Construction costs Payable$12,528
Accrued Pension Liability$110,213
FieldValueIRS element (for citing)
Total Of Amounts30305678TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteNortheast Health is classified for tax purposes as an organization under 501 (c) (3) of the Internal Revenue Code (the Code), and as such it is generally exempt from income taxes under the provisions of Section 501 (a) of the Code.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesPension Adjustment . $19593 Change in Elderfund & NEH Foundation $131390 NEH Assessment $ -150000 Foundation Subsidy $ -44269

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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Robert C Davenport
96364934997442783022114572
Richard Petterson
2062003230414872317977236544
Jo-Ann Costantino
312858776522305116726697361297
James Reed MD
46079714190330861482713681536581
Craig Duncan
402637402637

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 7Identifier
Return ReferencePart I, Line 7: Non-Fixed payments not listed aboveReturnReference
ExplanationThe Board Executive/Compensation Committee approved a bonus for Executive Director Douglas Miller. This bonus is included in Part VII, Section A, line 1a, column D.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VII, Section A, Line 1aThe following officers, directors, key employees and highest compensated employees devote the indicated average number of hours to related organizations:Jo-Ann Costantino 38.9Richard Petterson 38.6James K. Reed, MD 40
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableIn 2010, 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.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe executive compensation policy described in the note for Line 15a also applies to other officers and key employees of the organization.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsNortheast Health, the health system to which Beverwyck 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.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessForm 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.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyNortheast Health elects the members of the organization's governing body.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderLTC (Eddy), Inc.Form 990, Part VI, Line 6
Form 990, Part VI, Line 4: Description of Significant Changes to Organizational DocumentsThe organization amended its 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.Form 990, Part VI, Line 4
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyThe organization delegated control over certain duties of key employees to a related exempt organization.Form 990, Part VI, Line 3
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDirectors Robert Johnson and James Prout have a business relationship. Directors James H. Puleo, M.D. and James V. Puleo, M.D. have a family relationship.Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (16 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Empire Home Infusion Service Inc
10 Blacksmith DriveMaltaNY12020141795732Home CareNY501 (c)(3)9N/Afalse
Home Aide Service of Eastern New York
433 River StreetTroyNY12180141514867Home CareNY501 (c)(3)9N/Afalse
The Marjorie Doyle Rockwell Center Inc
421 West Columbia StreetCohoesNY12047141793885Adult/Alzheimers HomeNY501 (c)(3)9N/Afalse
Sunnyview Hospital & Rehabilitation Ctr
1270 Belmont AvenueSchenectadyNY12308141338386Rehabilitation HospitalNY501 (c)(3)3N/Afalse
Shaker Properties Inc
2212 Burdett AvenueTroyNY12180223119882Real Estate HoldingNY501 (c)(2)N/AN/Afalse
Samaritan Hospital of Troy New York
2215 Burdett AvenueTroyNY12180141338544General HospitalNY501 (c)(3)3N/Afalse
Northeast Health Inc
2212 Burdett AvenueTroyNY12180042450756Health SystemNY501 (c)(3)11, Type IIN/Afalse
LTC Eddy Inc
2212 Burdett AvenueTroyNY12180222564710Elderly Health/HousingNY501 (c)(3)11, Type IIN/Afalse
Heritage House Nursing Center Inc
2920 Tibbits AvenueTroyNY12180141725101Nursing HomeNY501 (c)(3)9N/Afalse
Hawthorne Ridge Inc
30 Community WayEast GreenbushNY12061800102840Independent/Assisted LivingNY501 (c)(3)9N/Afalse
Glen Eddy Inc
1 Glen Eddy DriveNiskayunaNY12309141794150Independent/Assisted LivingNY501 (c)(3)9N/Afalse
Senior Care Connection Inc
504 State StreetSchenectadyNY12305141708754PACE ProgramNY501 (c)(3)9N/Afalse
Capital Region Geriatric Center Inc
421 West Columbia StreetCohoesNY12047141701597Nursing HomeNY501 (c)(3)9N/Afalse
James A Eddy Memorial Geriatric Center
2256 Burdett AvenueTroyNY12180222570478Nursing HomeNY501 (c)(3)9N/Afalse
Beechwood Inc
2218 Burdett AvenueTroyNY12180141649089Real Estate HoldingNY501 (c)(2)N/AN/Afalse
Memorial Hospital Albany NY
600 Northern BoulevardAlbanyNY12204141338457General HospitalNY501 (c)(3)3N/Afalse

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Samaritan Professional Office BuildingBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12231 Burdett AveAddressLine1
CityTroyCity
StateNYState
ZIP Code12180ZIPCode
FieldValueIRS element (for citing)
EIN141607244EIN
Primary ActivityReal EstatePrimaryActivity
Legal Domicile StateNYLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
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 OrgtrueLoansOrGuaranteesToOtherOrg
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 OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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