Totals
- Total revenue
- $2,160,012
- Total expenses
- $3,151,750
- Contributions and grants received
- $91,803
- Grants paid
- $0
- Program service revenue
- $2,031,845
- Investment income
- $0
- Other revenue
- $36,364
- Total assets, end of year
- $7,876,672
- Total liabilities, end of year
- $3,627,970
- Net assets or fund balances, end of year
- $4,248,702
- Program services expenses (Part IX)
- $2,155,445
- Management and general expenses
- $996,305
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,155,445
Program services were 68.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$91,803
-
2a · Program service revenue: NET PATIENT SERVICE RE
total $2,031,845 · related or exempt $2,031,845
-
11a · Other revenue: OTHER INCOME
total $33,541 · related or exempt $33,541
-
11b · Other revenue: CAFE REVENUE AND MEALS
total $2,823 · excluded $2,823
-
11e · Other revenue, total
$36,364
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $1,856,107 · program services $1,223,535 · management and general $632,572
-
9 · Other employee benefits
total $266,352 · program services $175,578 · management and general $90,774
-
10 · Payroll taxes
total $141,992 · program services $93,600 · management and general $48,392
-
11b · Fees: legal
total $16,890 · management and general $16,890
-
11g · Fees: other
total $128,879 · program services $28,300 · management and general $100,579
-
12 · Advertising and promotion
total $14,029 · management and general $14,029
-
16 · Occupancy
total $179,762 · program services $157,426 · management and general $22,336
-
17 · Travel
total $620 · management and general $620
-
22 · Depreciation, depletion and amortization
total $277,675 · program services $277,675
-
23 · Insurance
total $37,663 · management and general $37,663
-
24a · Other expenses: SUPPLIES
total $205,146 · program services $199,331 · management and general $5,815
-
24b · Other expenses: OTHER EXPENSES
total $26,635 · management and general $26,635
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $69,316 · end of year $190,199
-
2 · Savings and temporary cash investments
beginning of year $33,090 · end of year $29,833
-
4 · Accounts receivable
beginning of year $160,582 · end of year $122,565
-
9 · Prepaid expenses and deferred charges
beginning of year $40,538 · end of year $5,175
-
10a · Land, buildings and equipment: cost or other basis
$10,857,228
-
10b · Land, buildings and equipment: accumulated depreciation
$3,328,328
-
10c · Land, buildings and equipment, net
beginning of year $7,799,684 · end of year $7,528,900
-
17 · Accounts payable and accrued expenses
beginning of year $68,648 · end of year $26,798
-
19 · Deferred revenue
beginning of year $57,255 · end of year $118,354
-
21 · Escrow or custodial account liability
beginning of year $34,278 · end of year $31,021
-
25 · Other liabilities
beginning of year $2,702,589 · end of year $3,451,797
-
29 · Capital stock, trust principal or current funds
beginning of year $0 · end of year $0
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $0 · end of year $0
-
31 · Retained earnings, endowment or other funds
beginning of year $0 · end of year -$991,738
Mission and programs · 2024
Mission
TO PROVIDE A COMFORTABLE SETTING TO ASSIST RESIDENTS WITH MAINTAINING THE NORMALCY OF DAILY ACTIVITIES THAT THEY MAY NOT BE ABLE TO ACHIEVE ON THEIR OWN BY PROVIDING SECURITY 24 HOURS PER DAY WHICH ALLOWS FOR A SAFE AND SECURE LIVING ENVIRONMENT.
Activities or mission (Part I)
TO PROVIDE A COMFORTABLE SETTING TO ASSIST RESIDENTS WITH LIVING COMFORTABLY AND MAINTAINING THE NORMALCY OF DAILY ACTIVITIES THAT THEY MAY NOT BE ABLE TO ACHIEVE ON THEIR OWN BY OFFERING RESIDENCE A SENSE OF INDEPENDENCE, FREEDOM, AND PRIVACY WITH SECURITY 24 HOURS PER DAY WHICH ALLOWS FOR A SAFE AND SECURE LIVING ENVIRONMENT.
-
MEADOWBROOK TERRACE, INC. OPERATES A 60 RESIDENT ASSISTED LIVING FACILITY THAT ALLOWS RESIDENTS TO LEAD AN UNINTERRUPTED LIFESTYLE.
Expenses $2,155,445 · Revenue $2,065,386
As filed on the 2024 return.
Listed in Part VII
-
Dale KlockDALE KLOCK
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Adam FullerADAM FULLER
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Elizabeth ElliotELIZABETH ELLIOT
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Julie WardJULIE WARD
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Matthew CerviniMATTHEW CERVINI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Rich DuvallRICH DUVALL
DIRECTOR, PRESIDENT AND CEO
- Total calculated
- $1,055,536
- From this org
- $0
- From related orgs
- $1,015,873
- Other
- $39,663
- Hours/week
- 1 + 41 related
Schedule J breakdown matched by us
- Base
- $0 + $878,491 related
- Bonus
- $0 + $137,382 related
- Other
- $0
- Deferred
- $0 + $6,900 related
- Nontaxable benefits
- $0 + $32,763 related
- Filer's total
- $0 + $1,055,536 related
-
Jennifer PremoJENNIFER PREMO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Rob BloomROB BLOOM
CHIEF FINANCIAL OFFICER
- Total calculated
- $0
- Hours/week
- 1 + 39 related
-
Heather SaskiHEATHER SASKI
ADMINISTRATOR
- Total calculated
- $165,592
- From this org
- $0
- From related orgs
- $161,361
- Other
- $4,231
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $161,361 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $4,231 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $165,592 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE BOARDS OF DIRECTORS OF CARTHAGE AREA HOSPITAL AND CLAXTON-HEPBURN MEDICAL CENTER CONTRACTS WITH AN INDEPENDENT SALARY COMPENSATION SPECIALIST TO ADVISE THEIR EXECUTIVE COMMITTEES ON SETTING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · HOSPITAL · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
-
CARTHAGE AREA HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · NY · controlled entity
Directly controlled by CARTHAGE AREA HOSPITAL
-
CLAXTON-HEPBURN MEDICAL CENTER
501(C)(3) · HEALTHCARE SERVICES · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
-
501(C)(3) · HOLDING COMPANY · NY
-
501(C)(3) · SPECIALITY HEALTHCARE SERVICES · NY
Directly controlled by CLAXTON-HEPBURN MEDICAL CENTER
-
CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION INC
501(C)(3) · FUNDRAISING · NY
Directly controlled by NORTH STAR HEALTH ALLIANCE INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
NORTH COUNTRY ORTHOPEDIC AMBULATORY SURGERY CENTER LLC
SURGICAL SERVICES · NY
Provenance
- Return type
- form_990
- Tax year
- 2024
- Filed
- 17 November 2025
- IRS schema version
- 2024v5.2
- Source object
- 202523219349316427
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