THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC (EIN 22-2570478)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-10
IRS object ID
201142229349301504
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)
Timestamp2011-08-10T11:24:47-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222570478EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1James A Eddy Memorial GeriatricBusinessNameLine1
Business Name Line2Center IncBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlJAMENameControl
Phone5182749890Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12256 Burdett AvenueAddressLine1
CityTroyCity
StateNYState
ZIP Code12180ZIPCode

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 Receipts11499243GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.nehealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
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 Employees289TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year104829ContributionsGrantsPriorYear
Contributions Grants Current Year213298ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10455748ProgramServiceRevenuePriorYear
Program Service Revenue CY10516477ProgramServiceRevenueCY
Investment Income Prior Year824955InvestmentIncomePriorYear
Investment Income Current Year432989InvestmentIncomeCurrentYear
Other Revenue Prior Year370983OtherRevenuePriorYear
Other Revenue Current Year336479OtherRevenueCurrentYear
Total Revenue Prior Year11756515TotalRevenuePriorYear
Total Revenue Current Year11499243TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6824444SalariesEtcPriorYear
Salaries Etc Current Year6850130SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3610613OtherExpensePriorYear
Other Expenses Current Year3646780OtherExpensesCurrentYear
Total Expenses Prior Year10435057TotalExpensesPriorYear
Total Expenses Current Year10496910TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1321458RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1002333RevenuesLessExpensesCY
Total Assets BOY49265828TotalAssetsBOY
Total Assets EOY52823111TotalAssetsEOY
Total Liabilities BOY1830039TotalLiabilitiesBOY
Total Liabilities EOY1732770TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY47435789NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY51090341NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo provide a high-quality, accessible continuum of healthcare, supportive housing and community services.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5461633Expense
Revenue6780577Revenue
DescriptionThe Skilled Nursing Facility provides therapy, dental, optometry, podiatry, and Hospice services, social work counseling, housekeeping and personal laundry, beautician and barber services, religious services, family support groups, various activities (on and off site), cable TV, telephone and internet. There is also a specialized unit for individuals with Alzheimer's disease or other dementia.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2732396Expense
Revenue2940552Revenue
DescriptionThe Assisted Living facility provides a safe and secure environment for individuals that require help with everyday activities. The services provided include daily restaurant-style meals, private studio apartments with a kitchenette, assistance with bathing, dressing and medication management, housekeeping and laundry services, social activities, cultural, recreational and educational programs, transportation, security and an emergency call system.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense941164Expense
Revenue795348Revenue
DescriptionThe Eddy Daybreak adult services provide a full range of health and social services to help individuals with physical, emotional, or mental impairments, or who require supervision and/or medical care. These services allow the individual to remain independent as long as possible while allowing caregivers relief from at-home caregiving. Services provided include skilled nursing/preventative medical care, assistance with bathing/showering, social work services and care coordination, rehabilitation services, podiatry, nutritional counseling and help with special dietary needs, and a variety of engaging and stimulating activities.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp165606TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev184948TotalOfOtherProgramServiceRev
Total Program Service Expense9300799TotalProgramServiceExpense
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 EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees289NumberOfEmployees
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
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKristin SignorNamePerson
Telephone Number5183863590TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11270 Belmont AvenueAddressLine1
CitySchenectadyCity
StateNYState
ZIP Code12308ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
William J Foley PhD
Board Member2.00X000
Thomas Nowak
Treasurer4.00X000X
Russell Oster
Board Member2.00X000
Ronald L Guzior
Board Member4.00X000
Robert W Johnson III Esq
Chair4.00X000X
Robert J Bylancik
Board Member2.00X0500000
Robert Fortune
Board Member2.00X000
Robert C Davenport MD
0.0001072727300X
Richard Petterson
CFO1.10020984426700X
Peter Young
Vice President40.00150915011752X
Mark Cartwright
Board Member2.00X000
Lisa Thorn MD
Board Member2.00X0250000
Laurie Mante
VP Residential5.000768191931X
John Lang
Board Member2.00X000
Jo-Ann Costantino
CEO of The Eddy1.00034292818369X
Jane Altes PhD
Board Member2.00X000
James V Puleo MD
Board Member2.00X0250000
James Slavin MD
Board Member2.00X000
James K Reed MD
Board Member0.00X050807328508
James H Puleo MD
Board Member2.00X000
James E Prout Esq
Board Member2.00X000
Harry L Robinson Esq
Board Member2.00X000
Harold D Gordon Esq
Vice Chair4.00X000X
Craig Duncan
0.0004026370X
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 Org150915TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1747573TotalReportableCompFrmRltdOrgs
Total Other Compensation94560TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Morrison Senior DiningBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 102289AddressLine1
CityAlantaCity
StateGAState
ZIP Code303682289ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDining ServicesDescriptionOfServices
Compensation510547Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Government Grants211527GovernmentGrants
All Other Contributions1771AllOtherContributions
Total Contributions213298TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Terrace62300029405522940552
Nursing Facility62300067805776780577
Daybreak Programs623000795348795348
FieldValueIRS element (for citing)
Total Program Service Revenue10516477TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column432989TotalRevenueColumn
Related Or Exempt Function Income432989RelatedOrExemptFunctionIncome

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 (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Shared Service281588281588
Other Operating Rev5489154891
FieldValueIRS element (for citing)
Total Other Revenue336479TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11499243TotalRevenueColumn
Related Or Exempt Function Income11285945RelatedOrExemptFunctionIncome

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)
Total162667Total
Management And General162667ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5483291Total
Program Services5084026ProgramServices
Management And General399265ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total172820Total
Program Services153136ProgramServices
Management And General19684ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total626740Total
Program Services585526ProgramServices
Management And General41214ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total404612Total
Program Services358527ProgramServices
Management And General46085ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1000Total
Management And General1000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36370Total
Management And General36370ManagementAndGeneral

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)
Total194072Total
Program Services178040ProgramServices
Management And General16032ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total39859Total
Program Services1512ProgramServices
Management And General38347ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1646890Total
Program Services1556889ProgramServices
Management And General90001ManagementAndGeneral

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)
Total5927Total
Program Services3103ProgramServices
Management And General2824ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6458Total
Program Services5078ProgramServices
Management And General1380ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2580Total
Program Services2580ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total692732Total
Program Services613777ProgramServices
Management And General78955ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total45091Total
Program Services45091ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Printing and Publications14959310811851
NEH Home Office Allocation228181228181
Morrison Dining Services505264505264
Contracted Services16703115500012031
All other expenses41554377113843

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total18812Total
Program Services12431ProgramServices
Management And General6381ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10496910Total
Program Services9300799ProgramServices
Management And General1196111ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY687367BOY
EOY1541557EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY623664BOY
EOY680705EOY

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)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY242864BOY
EOY233987EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20542316LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12673598LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8258417BOY
EOY7868718EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY31612540BOY
EOY33957891EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7548597BOY
EOY8292917EOY

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)
BOY292379BOY
EOY247336EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49265828BOY
EOY52823111EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY615512BOY
EOY671150EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1214527BOY
EOY1061620EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1830039BOY
EOY1732770EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12805311BOY
EOY13801846EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY117489BOY
EOY26091114EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY34512989BOY
EOY11197381EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY47435789BOY
EOY51090341EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49265828BOY
EOY52823111EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1002333ReconcilationRevenueExpenses
Reconcilation Other Changes2652219ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Minus4 Years107676CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20460CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2709CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year104829CurrentTaxYearMinus1Year
Current Tax Year213298CurrentTaxYear
Total448972Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9278824CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9738558CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9967245CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10455748CurrentTaxYearMinus1Year
Current Tax Year10516477CurrentTaxYear
Total49956852Total

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 Years9386500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9759018CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9969954CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10560577CurrentTaxYearMinus1Year
Current Tax Year10729775CurrentTaxYear
Total50405824Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22028CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18057CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years268286CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62015CurrentTaxYearMinus1Year
Current Tax Year114992CurrentTaxYear
Total485378Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22028CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18057CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years268286CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62015CurrentTaxYearMinus1Year
Current Tax Year114992CurrentTaxYear
Total485378Total
FieldValueIRS element (for citing)
Public Support Total50949920446PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years380068CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years817257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-1256999CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year824955CurrentTaxYearMinus1Year
Current Tax Year432989CurrentTaxYear
Total1198270Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years380068CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years817257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-1256999CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year824955CurrentTaxYearMinus1Year
Current Tax Year432989CurrentTaxYear
Total1198270Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years347401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years330620CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years346383CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year369055CurrentTaxYearMinus1Year
Current Tax Year350868CurrentTaxYear
Total1744327Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10113969CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10906895CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9059338CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11754587CurrentTaxYearMinus1Year
Current Tax Year11513632CurrentTaxYear
Total53348421Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93570PublicSupportPercentage509
Prior Year Support Percentage0.93710PriorYearSupportPercentage
Investment Income Percentage0.02250InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02140PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance34471572BeginningOfYearBalance
Investment Earnings Or Losses4150079InvestmentEarningsOrLosses
Other Expenditures-1500000OtherExpenditures
End Of Year Balance37121651EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance28989858BeginningOfYearBalance
Investment Earnings Or Losses6981714InvestmentEarningsOrLosses
Other Expenditures-1500000OtherExpenditures
End Of Year Balance34471572EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance42126727BeginningOfYearBalance
Investment Earnings Or Losses-11636869InvestmentEarningsOrLosses
Other Expenditures-1500000OtherExpenditures
End Of Year Balance28989858EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.69950BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.30050PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis97500OtherCostOrOtherBasis
Book Value97500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12633272OtherCostOrOtherBasis
Depreciation5682775Depreciation
Book Value6950497BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis371942OtherCostOrOtherBasis
Depreciation347874Depreciation
Book Value24068BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4013441OtherCostOrOtherBasis
Depreciation3410019Depreciation
Book Value603422BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3426161OtherCostOrOtherBasis
Depreciation3232930Depreciation
Book Value193231BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7868718TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value8292917BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities8292917TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Tenant deposits$152,000
Pension Liability$385,746
Other Liabilities$106
Estimated third-party settlements$344,300
Deferred third-party reimbursement$148,187
Amounts held for residents$31,281
FieldValueIRS element (for citing)
Total Of Amounts1061620TotalOfAmounts
Total Revenue11499243TotalRevenue
Total Expenses10496910TotalExpenses
Excess Or Deficit For Year1002333ExcessOrDeficitForYear
Net Unrealized GL On Investments4156423NetUnrealizedGLOnInvestments
Other-$1,504,204OtherAmount
Total Adjustments2652219TotalAdjustments
Excess Or Deficit Per FS3654552ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11499243TotRevenueEtcAuditedFinclStmt
Revenue Subtotal11499243RevenueSubtotal
Total Revenue Per Form99011499243TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10496910TotExpensesEtcAuditedFinclStmt
Expenses Subtotal10496910ExpensesSubtotal
Total Expenses Per Form99010496910TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 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 BalancesTemp Restricted Gifts and Bequests $18286 Change in Funded Status of Pension Plan $48266 Transfer to Affiliate $ -50000 Net Assets released for Operations $ -1514294 Foundation Subsidy $ -6462
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.The primary objective of the "James A. Eddy Memorial Geriatric Foundation" is to provide necessary "hospital" care for persons (1) suffering from incurable disease, or from what may at the time be deemed to be an incurable disease; (2) suffering from chronic (though curable) diseases and (3) permanently physically incapacitated by who still need medical or surgical treatment, and more particularly for persons who, after a life of usefulness and industry are afflicted with diseases of character mentioned above to such a degree that it is unlikely that they will be able to continue in any remunerative occupation. In no case is it intended for those who are rightfully public charges.

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 (6 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Robert C Davenport MD
96364934997442783022114572
Richard Petterson
2062003230414872317977236544
Peter Young
1421382124665358265926162667
Jo-Ann Costantino
312858776522305116726697361297
James K 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
ExplanationA bonus based on objective, non-financial performance measures, was paid to Peter Young, Vice-President/Administrator, the amount of which is included in Column B(ii) for the respective individual.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VII, Section A, Line 1AThe following Officers, Directors, Key Employees and Highest Compensated Employees devote the indicated average number of weekly hours to related organizations:Richard Petterson 38.9 HoursJo-Ann Costantino 39 HoursJames Reed, MD 40 HoursLaurie Mante 27 Hours
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 the James A. Eddy Memorial Geriatric Center 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 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.Form 990, Part VI, Line 2
Form 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Other revenue is for outpatient and grant services.Form 990, Part III, Line 4d

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 Drive 2MaltaNY12020141795732Home CareNY501(c)(3)9N/Afalse
Home Aide Service of Eastern NY Inc
433 River Street 3000TroyNY12180141514867Home 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
The Capital Region Geriatric CenterInc
421 West Columbia StreetCohoesNY12047141701597Nursing HomeNY501(c)(3)9N/Afalse
Beverwyck Inc
40 Autumn DriveSlingerlandsNY12159141717028Independent/Assisted LivingNY501(c)(3)9N/Afalse
Beechwood Inc
2218 Burdett AvenueTroyNY12180141651563Real 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 Medical Office Building IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12231 Burdett AvenueAddressLine1
CityTroyCity
StateNYState
ZIP Code12180ZIPCode
FieldValueIRS element (for citing)
EIN141607244EIN
Primary ActivityReal Estate Holding/MgmtPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
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 OrgtrueLoansOrGuaranteesFromOtherOrg
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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