LTC EDDY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LTC EDDY INC (EIN 22-2564710)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-10
IRS object ID
201142239349300219
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)
Timestamp2011-08-10T11:48:36-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222564710EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LTC Eddy IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLTCENameControl
Phone5182743382Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12212 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 Receipts2112973GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteNEHEALTH.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 Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year18190ContributionsGrantsPriorYear
Contributions Grants Current Year3243ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year495839InvestmentIncomePriorYear
Investment Income Current Year428445InvestmentIncomeCurrentYear
Other Revenue Prior Year1600475OtherRevenuePriorYear
Other Revenue Current Year1681285OtherRevenueCurrentYear
Total Revenue Prior Year2114504TotalRevenuePriorYear
Total Revenue Current Year2112973TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year276SalariesEtcPriorYear
Salaries Etc Current Year4411SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1149105OtherExpensePriorYear
Other Expenses Current Year948200OtherExpensesCurrentYear
Total Expenses Prior Year1149381TotalExpensesPriorYear
Total Expenses Current Year952611TotalExpensesCurrentYear
Revenues Less Expenses Prior Year965123RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1160362RevenuesLessExpensesCY
Total Assets BOY22268717TotalAssetsBOY
Total Assets EOY22637897TotalAssetsEOY
Total Liabilities BOY1689566TotalLiabilitiesBOY
Total Liabilities EOY1484855TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20579151NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY21153042NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide a high-quality, accessible continuum of healthcare, supportive housing and community services.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense952611Expense
DescriptionLTC, Eddy provides support to its tax exempt, charitable affiliates necessary for development of services for the elderly.Description
Total Program Service Expense952611TotalProgramServiceExpense
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
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 PersonAndrea PaoneNamePerson
Telephone Number5182715023TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 Northern BlvdAddressLine1
CityAlbanyCity
StateNYState
ZIP Code12204ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 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 Member2.00X000
Robert W Johnson III Esq
Chair4.00X000X
Robert J Bylancik
Board Member2.00X0500000
Robert Fortune
Board Member2.00X000
Robert C Davenport
Board Member0.0001072727300
Richard Petterson
CFO17.00020984426700X
Mark Cartwright
Board Member2.00X000
John M Lang
Board Member2.00X000
Jo-Ann Costantino
CEO21.00034292818369X
Jane Altes PhD
Board Member2.00X000
James K Reed MD
CEO1.20X050807328508
James E Prout Esq
Board member2.00X000
Harry L Robinson Esq
Board Member2.00X000
Harold Gordon Esq
Vice Chair4.00X000X
Dr Lisa Thorn
Board member2.00X0250000
Dr James V Puleo
Board member2.00X0250000
Dr James H Puleo
Board Member2.00X000
Dr James Slavin
Board Member2.00X000
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 Frm Rltd Orgs1670754TotalReportableCompFrmRltdOrgs
Total Other Compensation80877TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions3243AllOtherContributions
Total Contributions3243TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column428445TotalRevenueColumn
Exclusion$428,445ExclusionAmount

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
Other income181285181285
Distrib. from Eddy Trust15000001500000
FieldValueIRS element (for citing)
Total Other Revenue1681285TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2112973TotalRevenueColumn
Related Or Exempt Function Income1681285RelatedOrExemptFunctionIncome
Exclusion$428,445ExclusionAmount

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)
Total3529Total
Program Services3529ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total882Total
Program Services882ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Supplies & Other122372122372
Purchased Services825828825828

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total952611Total
Program Services952611ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3396250BOY
EOY4779151EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

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)
BOY1696795BOY
EOY1490284EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY752337BOY
EOY817391EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY266855BOY
EOY304241EOY

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)
BOY16156480BOY
EOY15246830EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22268717BOY
EOY22637897EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24310BOY
EOY5006EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1665256BOY
EOY1479849EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1689566BOY
EOY1484855EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20317495BOY
EOY20824656EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY261656BOY
EOY328386EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20579151BOY
EOY21153042EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22268717BOY
EOY22637897EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1160362ReconcilationRevenueExpenses
Reconcilation Other Changes-586471ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (9 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
Heritage House Nursing Center Inc
141725101509(a)(2)false$0
Senior Care Connection Inc
141708754509(a) (2)false$0
Marjorie Doyle Rockwell Center Inc
141793885509(a) (2)false$0
James A Eddy Memorial Geriatric Ct
222570478170b(1)(A)(iii)false$0
Home Aide Service of Eastern NY
141514867509(a) (2)false$0
Glen Eddy Inc
141794150170b(1)(A)(vi)false$0
Hawthorne Ridge Inc
800102840170b (1)(A)(vi)false$0
Capital Region Geriatric Center Inc
141701597170b(1)(A)(iii)false$0
Beverwyck Inc
141414028170b(1) (A) (vifalse$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs9TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Other accounts receivable1968650
Interest in Net Assets of Foundation328386
Due from affiliates12949794
FieldValueIRS element (for citing)
Total Book Value Other Assets15246830TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDeferred Compensation LiabilityDescription
Amount$1,479,849Amount
FieldValueIRS element (for citing)
Total Of Amounts1479849TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteLTC (Eddy), Inc. 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 BalancesChange in Interest in Foundation $63529 NEH assessment $ -400000 Transfer to Affiliate $ -250000

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (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 K Reed MD
46079714190330861482713681536581
Craig Duncan
402637402637

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 weekly hours to related organizations:Jo-Ann Costantino 19.0Richard Petterson 23.0James Reed, MD 38.8
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 LTC(Eddy), 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 ShareholderNortheast Health, 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 Aid Service of Eastern New YorkInc
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)Line 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 Center Inc
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
James A Eddy Memorial Geriatric Center
2256 Burdett AvenueTroyNY12180222570478Nursing HomeNY501 (c)(3)9N/Afalse

Form990 Schedule R Part III Form990ScheduleRPartIII

FieldValueIRS element (for citing)
Direct Controlling Entity NAN/ADirectControllingEntityNA
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

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 AveAddressLine1
CityTroyCity
StateNYState
ZIP Code12180ZIPCode
FieldValueIRS element (for citing)
Primary ActivityReal EstatePrimaryActivity
Legal Domicile StateNYLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC corpTypeOfEntity
Share Of Total Income34912ShareOfTotalIncome
Share Of EOY Assets88337ShareOfEOYAssets
Percentage Ownership0.15000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
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 OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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