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BERKSHIRE RETIREMENT HOME INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
BERKSHIRE RETIREMENT HOME INC (EIN 04-2103875)
Tax period
2023-06-01 to 2024-05-31
Filed
2024-12-03
IRS object ID
202443389349301114
Schema version
2023v5.1
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)
Return2024-12-03T11:10:51-06:00ReturnTs
Tax Period End2024-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14 BATTERYMARCH PARK SUITE 100AddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042103875EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BERKSHIRE RETIREMENT HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBERKBusinessNameControlTxt
Phone4134454056PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1290 SOUTH STREETAddressLine1Txt
CityPITTSFIELDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD HERRICKPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4134454056PhoneNum
Signature2024-12-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATARZYNA O PADZIKPreparerPersonNm
PTINP02268641PTIN
Phone7819821001PhoneNum
Preparation2024-12-02PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BERKSHIRE PLACEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerNELSON FURLANOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1290 SOUTH STREETAddressLine1Txt
CityPITTSFIELDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,411,721GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BERKSHIREPLACE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1890FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO BETTER SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY. OUR SERVICES FOCUS ON EXCEPTIONAL CARE AND SERVICES WITH AN EMPHASIS ON RETAINING A PERSONALIZED, HOME-LIKE ENVIRONMENT.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee119TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$39,495PYContributionsGrantsAmt
CY Contributions Grants$44,064CYContributionsGrantsAmt
PY Program Service Revenue$6,378,867PYProgramServiceRevenueAmt
CY Program Service Revenue$7,106,783CYProgramServiceRevenueAmt
PY Investment Income$21,433PYInvestmentIncomeAmt
CY Investment Income$56,678CYInvestmentIncomeAmt
PY Other Revenue$179,758PYOtherRevenueAmt
CY Other Revenue$204,196CYOtherRevenueAmt
PY Total Revenue$6,619,553PYTotalRevenueAmt
CY Total Revenue$7,411,721CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$900,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,393,148PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,462,877CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,526,461PYOtherExpensesAmt
CY Other Expenses$2,962,393CYOtherExpensesAmt
PY Total Expenses$5,919,609PYTotalExpensesAmt
CY Total Expenses$7,325,270CYTotalExpensesAmt
PY Revenues Less Expenses$699,944PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$86,451CYRevenuesLessExpensesAmt
Total Assets BOY$13,156,670TotalAssetsBOYAmt
Total Assets EOY$12,908,750TotalAssetsEOYAmt
Total Liabilities BOY$11,377,867TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,041,499TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,778,803NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,867,251NetAssetsOrFundBalancesEOYAmt
MissionTO BETTER SERVE HEALTHCARE NEEDS OF OUR COMMUNITY. OUR SERVICES FOCUS ON EXCEPTIONAL CARE AND SERVICES WITH AN EMPHASIS ON RETAINING A PERSONALIZED, HOME-LIKE ENVIRONMENT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,466,587ExpenseAmt
Grant$900,000GrantAmt
Revenue$7,310,979RevenueAmt
DescBERKSHIRE PLACE PROVIDES SKILLED NURSING AND REHABILITATION CARE, LONG TERM CARE RESIDENCY, MEMORY CARE SUPPORT, PALLIATIVE CARE/COMFORT CARE, OUTPATIENT REHABILITATION AND RESPITE CARE. 222 CLIENTS WERE SERVED DURING THE YEAR.Desc
Total Program Service Expenses$6,466,587TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee119EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEDWARD FORFAPersonNm
Phone4134454056PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 SOUTH STREETAddressLine1Txt
CityPITTSFIELDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
EDWARD A FORFA
EXECUTIVE DIRECTOR20.0020.00Yes (X)$139,980$139,979$21,408
PATRICIA MEADER
CERTIFIED NURSING ASSISTANT87.000.00$132,179$0$0Yes (X)
TERRIE CHOQUETTE
ADMINISTRATOR40.000.00$128,776$0$13,069Yes (X)
ELIZABETH SHEPARD
REGISTERED NURSE58.000.00$123,340$0$0Yes (X)
NELSON FURLANO
PRESIDENT0.500.50Yes (X)$0$0$0Yes (X)
JOHN MURPHY
VICE-PRESIDENT0.500.50Yes (X)$0$0$0Yes (X)
DOROTHY MARA
TREASURER0.500.50Yes (X)$0$0$0Yes (X)
MARK GILLIGAN
SECRETARY/CLERK0.500.50Yes (X)$0$0$0Yes (X)
RICHARD HERRICK
MEMBER - IMMEDIATE PAST PRESIDENT0.500.50$0$0$0Yes (X)
SHELLEY GUYETTE
MEMBER0.500.00$0$0$0Yes (X)
CRAIG KAHN
MEMBER0.500.00$0$0$0Yes (X)
ELIZABETH KIRBY
MEMBER0.500.00$0$0$0Yes (X)
VINCENT MARINARO
MEMBER0.500.00$0$0$0Yes (X)
JACQUELINE MCNINCH
MEMBER0.500.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$524,275TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$139,979TotReportableCompRltdOrgAmt
Total Other Compensation$34,477TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INTELYCARE INC
1250 HANCOCK ST 501NQUINCYMA02169TEMPORARY NURSING STAFFING$575,304
PREFERRED THERAPY SOLUTIONS
850 SILAS DEANE HWY 2WETHERSFIELDCT06109THERAPY SERVICES$339,531
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$44,064AllOtherContributionsAmt
Total Contributions$44,064TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE623000$6,985,060$6,985,060
USER FEE623000$110,934$110,934
MISCELLANEOUS INCOME623000$10,789$10,789
FieldValueIRS element (for citing)
Total Program Service Revenue$7,106,783TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,678TotalRevenueColumnAmt
Exclusion$56,678ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCHANGE IN FUTURE SERVICE OBLIGATIDesc
Business900099BusinessCd
Total Revenue Column$204,196TotalRevenueColumnAmt
Related Or Exempt Func Income$204,196RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$204,196OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,411,721TotalRevenueColumnAmt
Related Or Exempt Func Income$7,310,979RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$56,678ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$900,000TotalAmt
Program Services$900,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$150,684TotalAmt
Management And General$150,684ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,779,279TotalAmt
Program Services$2,552,163ProgramServicesAmt
Management And General$227,116ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$54,884TotalAmt
Program Services$44,572ProgramServicesAmt
Management And General$10,312ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$201,027TotalAmt
Program Services$170,092ProgramServicesAmt
Management And General$30,935ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$277,003TotalAmt
Program Services$111,997ProgramServicesAmt
Management And General$165,006ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$839TotalAmt
Management And General$839ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,018TotalAmt
Management And General$50,018ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$866,689TotalAmt
Program Services$860,625ProgramServicesAmt
Management And General$6,064ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$63,406TotalAmt
Management And General$63,406ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$83,266TotalAmt
Management And General$83,266ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$136,759TotalAmt
Program Services$134,040ProgramServicesAmt
Management And General$2,719ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$354,446TotalAmt
Program Services$346,081ProgramServicesAmt
Management And General$8,365ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$337,817TotalAmt
Program Services$329,845ProgramServicesAmt
Management And General$7,972ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$152,450TotalAmt
Program Services$148,975ProgramServicesAmt
Management And General$3,475ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ANCILLARIES$427,402$427,402
DIETARY SUPPLIES & EXPE$173,853$173,853
USER FEES$113,038$113,038
PLANT OPERATIONS EXPENS$106,111$103,689$2,422

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$96,299TotalAmt
Program Services$50,215ProgramServicesAmt
Management And General$46,084ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,325,270TotalAmt
Program Services$6,466,587ProgramServicesAmt
Management And General$858,683ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$204,773BOYAmt
EOY$432,009EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$371,450BOYAmt
EOY$294,607EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$205,468BOYAmt
EOY$197,934EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$329BOYAmt
EOY$2,427EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,168,934LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,744,627LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,732,212BOYAmt
EOY$10,424,307EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,008,683BOYAmt
EOY$912,330EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$633,755BOYAmt
EOY$645,136EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,156,670BOYAmt
EOY$12,908,750EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$330,159BOYAmt
EOY$408,812EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,702,921BOYAmt
EOY$10,492,096EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$344,787BOYAmt
EOY$140,591EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,377,867BOYAmt
EOY$11,041,499EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,739,341BOYAmt
EOY$1,828,678EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,462BOYAmt
EOY$38,573EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,778,803BOYAmt
EOY$1,867,251EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,156,670BOYAmt
EOY$12,908,750EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$86,451ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,997NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,723CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$841,764CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$68,540CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,495CurrentTaxYearMinus1YearAmt
Current Tax Year$44,064CurrentTaxYearAmt
Total$1,013,586TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,782,022CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,654,519CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,736,512CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,378,867CurrentTaxYearMinus1YearAmt
Current Tax Year$7,106,783CurrentTaxYearAmt
Total$33,658,703TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,801,745CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,496,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,805,052CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,418,362CurrentTaxYearMinus1YearAmt
Current Tax Year$7,150,847CurrentTaxYearAmt
Total$34,672,289TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$1,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,950CurrentTaxYearMinus1YearAmt
Current Tax Year$1,475CurrentTaxYearAmt
Total$4,625TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,688,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,095,949CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,904,548CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,079,471CurrentTaxYearMinus1YearAmt
Current Tax Year$2,036,134CurrentTaxYearAmt
Total$8,804,297TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,688,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,095,949CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,905,748CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,081,421CurrentTaxYearMinus1YearAmt
Current Tax Year$2,037,609CurrentTaxYearAmt
Total$8,808,922TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$25,863,367PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,425CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,553CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$6,988CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,434CurrentTaxYearMinus1YearAmt
Current Tax Year$57,567CurrentTaxYearAmt
Total$104,991TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,425CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,553CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$6,988CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,434CurrentTaxYearMinus1YearAmt
Current Tax Year$57,567CurrentTaxYearAmt
Total$104,991TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$328,972CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years-$203,836CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$179,757CurrentTaxYearMinus1YearAmt
Current Tax Year$204,196CurrentTaxYearAmt
Total$509,089TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,156,142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,503,836CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,594,228CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,619,553CurrentTaxYearMinus1YearAmt
Current Tax Year$7,412,610CurrentTaxYearAmt
Total$35,286,369TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.73300PublicSupportCY509Pct
Public Support PY5090.75460PublicSupportPY509Pct
Investment Income CY0.00300InvestmentIncomeCYPct
Investment Income PY0.00190InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$264,543OtherCostOrOtherBasisAmt
Book Value$264,543BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,281,621OtherCostOrOtherBasisAmt
Depreciation$3,161,384DepreciationAmt
Book Value$10,120,237BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$622,770OtherCostOrOtherBasisAmt
Depreciation$583,243DepreciationAmt
Book Value$39,527BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,424,307TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESERVE FOR OBLIGATION TO PROVIDE FUTURE SERVICESDesc
Amt$140,591Amt
FieldValueIRS element (for citing)
Total Liability$140,591TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationBERKSHIRE RETIREMENT HOME, INC. AND 89 SOUTH CARE SUPPORT, INC. ARE EXEMPT FROM FEDERAL TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND STATE TAXES UNDER APPLICABLE STATE LAW. IN ADDITION, 89 SOUTH CARE SUPPORT, INC. QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 509(A)(3) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. AT HOME WITH BERKSHIRE PLACE, LLC HAS BEEN ORGANIZED AS A LIMITED LIABILITY COMPANY AND A PASS-THROUGH ENTITY AND IS INCLUDED WITHIN THE CONSOLIDATED TAX RETURN OF 89 SOUTH CARE SUPPORT, INC. MANAGEMENT HAS EVALUATED SIGNIFICANT TAX POSITIONS AGAINST THE CRITERIA ESTABLISHED BY PROFESSIONAL STANDARDS AND BELIEVES THERE ARE NO SUCH TAX POSITIONS REQUIRING ACCOUNTING RECOGNITION. GENERALLY, THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR THE PRIOR THREE FILING YEARS. THERE ARE CURRENTLY NO EXAMINATIONS PENDING OR IN PROGRESS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line189 SOUTH CARE SUPPORT INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 SOUTH STREETAddressLine1Txt
CityPITTSFIELDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd
FieldValueIRS element (for citing)
Recipient EIN823380934RecipientEIN
IRC SectionN/AIRCSectionDesc
Cash Grant$900,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGENERAL OPERATING SUPPORTPurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PROVIDED A CONTRIBUTION TO ITS RELATED NON-PROFIT ORGANIZATION, 89 SOUTH CARE SUPPORT, INC. DURING THE YEAR. THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS 89 SOUTH CARE SUPPORT, INC.'S FINANCIAL STATEMENTS ON A PERIODIC BASIS TO MONITOR THE USE OF THE FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonEDWARD A FORFAPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$109,980BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$109,979CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$30,000BonusFilingOrganizationAmount
Bonus Related Organizations$30,000BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$9,100DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$9,100DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$1,604NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$1,604NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$150,684TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$150,683TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1AAUTHORITY IS GRANTED TO AN EXECUTIVE COMMITTEE TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF THE FOUR OFFICERS OF THE BOARD OF DIRECTORS AND TWO CHAIRPERSONS OF STANDING COMMITTEES, WHICH ARE ALSO MEMBERS OF THE BOARD OF DIRECTORS. NO DECISIONS WERE MADE BY THE EXECUTIVE COMMITTEE DURING THE CURRENT YEAR, HOWEVER ALL DECISIONS MADE BY THE EXECUTIVE COMMITTEE WOULD BE REPORTED TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PREPARED BY TAX ADVISORS OF A NATIONAL ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT, AND IS PROVIDED TO THE AUDIT COMMITTEE AND THEN TO THE BOARD OF DIRECTORS FOR AUTHORIZATION.
FORM 990, PART VI, SECTION B, LINE 12CA QUESTIONNAIRE MUST BE COMPLETED ANNUALLY BY OFFICERS, DIRECTORS AND KEY EMPLOYEES DISCLOSING ANY RELATIONSHIPS PRESENTING POTENTIAL CONFLICT OF INTEREST. ALL MEMBERS OF THE BOARD, TRUSTEES AND OFFICERS THAT ARE MAKING PURCHASES OR FUTURE RELATED PARTY TRANSACTIONS, MUST EXECUTE A CONFLICT OF INTEREST DISCLOSURE FORM. CONFLICTS OF INTEREST ARE MONITORED BY THE EXECUTIVE DIRECTOR AND ARE REVIEWED AND ENFORCED BY THE BOARD OF DIRECTORS. THE PERSON WITH THE CONFLICT MUST BE ABSTAIN FROM ANY DISCUSSION REGARDING THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S EXECUTIVE DIRECTOR IS PAID BY A RELATED ORGANIZATION, 89 SOUTH CARE SUPPORT, INC. AND A PORTION OF THE EXECUTIVE DIRECTOR'S SALARY AND BENEFITS IS ALLOCATED TO THIS ORGANIZATION. ANNUALLY, THE PRESIDENT, VICE PRESIDENT, COMMITTEE CHAIR, TREASURER AND SECRETARY REVIEW COMPENSATION BASED UPON GOALS, RESULTS, ACCOMPLISHMENTS AND COMPARABLE WAGE/BENEFITS DATA. THE PROCESS WAS COMPLETED MOST RECENTLY IN 2023. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.
FORM 990, PART VI, SECTION C, LINE 18THE FORM 990 IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 860,625. MANAGEMENT AND GENERAL EXPENSES 6,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 866,689.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1AT HOME WITH BERKSHIRE PLACEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 SOUTH STREETAddressLine1Txt
CityPITTSFIELDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd
FieldValueIRS element (for citing)
EIN274015376EIN
Primary ActivitiesHOME CARE AND OTHER SERVICESPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Total Income$226,328TotalIncomeAmt
End Of Year Assets$415,099EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line189 SOUTH CARE SUPPORT INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line189 SOUTH CARE SUPPORT INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 SOUTH STREETAddressLine1Txt
CityPITTSFIELDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01201ZIPCd
FieldValueIRS element (for citing)
EIN823380934EIN
Primary ActivitiesSUPPORTIVE RESIDENTIAL AND HEALTHCARE SERVICES TO OLDER ADULTSPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 12A, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BERKSHIRE RETIREMENT HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
89 SOUTH CARE SUPPORT INC
O$150,684FMV
89 SOUTH CARE SUPPORT INC
B$900,000FMV