CHELSEA JEWISH GREEN HOUSE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CHELSEA JEWISH GREEN HOUSE INC (EIN 04-3326727)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202223199349319417
Schema version
2021v4.2
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)
Return2022-11-15T14:47:48-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043326727EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHELSEA JEWISH GREEN HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHELBusinessNameControlTxt
Phone6178870001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 CAPTAINS ROWAddressLine1Txt
CityCHELSEACityNm
State AbbreviationMAStateAbbreviationCd
ZIP02150ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER SANTERREPersonNm
Person TitleCFOPersonTitleTxt
Phone9784715118PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJENNIFERPersonFirstNm
Person LastSANTERREPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIELLE NIHILLPreparerPersonNm
PTINP01350943PTIN
Phone7819821001PhoneNum
Preparation2022-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerADAM BERMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 CAPTAINS ROWAddressLine1Txt
CityCHELSEACityNm
State AbbreviationMAStateAbbreviationCd
ZIP02150ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,771,996GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHELSEAJEWISH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO PROVIDE THE HIGHEST LEVEL OF SKILLED NURSING AND REHABILITATION, AND ASSISTED LIVING CARE.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,545,149PYContributionsGrantsAmt
CY Contributions Grants$1,180,399CYContributionsGrantsAmt
PY Program Service Revenue$17,455,906PYProgramServiceRevenueAmt
CY Program Service Revenue$19,743,172CYProgramServiceRevenueAmt
PY Investment Income$73,482PYInvestmentIncomeAmt
CY Investment Income$398,660CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$19,074,537PYTotalRevenueAmt
CY Total Revenue$21,322,231CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,554,787PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,418,100CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$108,162CYTotalFundraisingExpenseAmt
PY Other Expenses$7,673,451PYOtherExpensesAmt
CY Other Expenses$8,692,929CYOtherExpensesAmt
PY Total Expenses$20,228,238PYTotalExpensesAmt
CY Total Expenses$23,111,029CYTotalExpensesAmt
PY Revenues Less Expenses-$1,153,701PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,788,798CYRevenuesLessExpensesAmt
Total Assets BOY$47,511,576TotalAssetsBOYAmt
Total Assets EOY$46,425,604TotalAssetsEOYAmt
Total Liabilities BOY$41,860,152TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,271,353TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,651,424NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,154,251NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION'S MISSION IS TO PROVIDE INDIVIDUALS AND FAMILIES THROUGHOUT THE GREATER BOSTON AREA WITH THE HIGHEST LEVEL OF SKILLED NURSING AND REHABILITATION, AND ASSISTED LIVING CARE WITHOUT REGARD TO ABILTY TO PAY. THE GOAL IS TO ENSURE BOTH CLIENTS AND FAMILIES RETAIN HEALTH, INDEPENDENCE, AND WELL-BEING THROUGH OUR SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$17,501,472ExpenseAmt
Grant$0GrantAmt
Revenue$16,925,812RevenueAmt
DescLEONARD FLORENCE CENTER FOR LIVING - OPERATES A 100-BED GREEN HOUSE MODEL NURSING HOMEDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,332,849ExpenseAmt
Grant$0GrantAmt
Revenue$2,817,360RevenueAmt
DescCOHEN FLORENCE LEVINE ESTATES - OPERATES A 69-UNIT ASSISTED LIVING FACILITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$19,834,321TotalProgramServiceExpensesAmt
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 CounselingYes (1)CreditCounselingInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document9IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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 Members5GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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)
PersonJENNIFER SANTERREPersonNm
Phone9784715118PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1240 LYNNFIELD STREETAddressLine1Txt
CityPEABODYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01960ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BARRY BERMAN
TREASURER1.0039.00Yes (X)Yes (X)$0$711,685$20,397
ADAM BERMAN
PRESIDENT AND CEO1.0039.00Yes (X)Yes (X)$0$455,719$27,541
JEFFREY LANDA
CFO1.0039.00Yes (X)$0$276,879$29,524
ELIZABETH MULLEN
COO AND CLERK1.0039.00Yes (X)$0$252,926$11,000
RONILO ANGLO
CHIEF CLINICAL OFFICER1.0039.00$0$215,993$27,422Yes (X)
KAREN PETRUCCELLI
VP OF CLINICAL QUALITY IMPROVEMENT1.0039.00$0$198,950$12,738Yes (X)
KATHERINE SANTOS
VP OF STRATEGY & OPERATION1.0039.00$0$192,277$2,229Yes (X)
THERESA HALLIDAY-BURRI
CHIEF BUSINESS DEVELOPMENT OFFICER1.0039.00$0$172,926$11,038Yes (X)
MEGIN HEMMERLING
DIRECTOR OF ASSISTED LIVING SERVICES1.0039.00$0$131,363$1,686Yes (X)
GILDA RICHMAN
CHAIR1.0039.00Yes (X)Yes (X)$0$77,866$58
JOEL MAZER
DIRECTOR1.007.00Yes (X)$0$0$0
JUDY WEISS
DIRECTOR1.007.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,686,584TotReportableCompRltdOrgAmt
Total Other Compensation$143,633TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CHELSEA JEWISH LIFECARE INC
165 CAPTAINS ROWCHELSEAMA02150MANAGEMENT SERVICES$1,166,818
PROEMS SOLUTIONS
31 SMITH PLCAMBRIDGEMA02138COVID-19 TESTING$659,513
INVASERV
1201 S ALMA SCHOOL RDMESAAZ85210DME PROVIDER$126,082
CHILLER TECHNOLOGY
22 SIXTH ROADWOBURNMA01801HVAC, REFRIGERATION, ETC$111,941
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$879,437GovernmentGrantsAmt
All Other Contributions$300,962AllOtherContributionsAmt
Noncash Contributions$300,962NoncashContributionsAmt
Total Contributions$1,180,399TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE REVENUE623000$19,304,405$19,304,405
OTHER INCOME623000$438,767$438,767
FieldValueIRS element (for citing)
Total Program Service Revenue$19,743,172TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$170,918TotalRevenueColumnAmt
Exclusion$170,918ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$677,507SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$449,765SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$227,742SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$227,742TotalRevenueColumnAmt
Exclusion$227,742ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,322,231TotalRevenueColumnAmt
Related Or Exempt Func Income$19,743,172RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$398,660ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,569,818TotalAmt
Program Services$11,322,268ProgramServicesAmt
Management And General$1,139,580ManagementAndGeneralAmt
Fundraising$107,970FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,475TotalAmt
Program Services$18,696ProgramServicesAmt
Management And General$779ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$876,961TotalAmt
Program Services$805,602ProgramServicesAmt
Management And General$71,359ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$951,846TotalAmt
Program Services$913,772ProgramServicesAmt
Management And General$38,074ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,166,818TotalAmt
Management And General$1,166,818ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$25,375TotalAmt
Management And General$25,375ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$60,739TotalAmt
Management And General$60,739ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$66,249TotalAmt
Management And General$66,249ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$621,744TotalAmt
Program Services$443,166ProgramServicesAmt
Management And General$178,578ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$278,545TotalAmt
Program Services$146,071ProgramServicesAmt
Management And General$132,474ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$237,305TotalAmt
Program Services$146,956ProgramServicesAmt
Management And General$90,349ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$912,654TotalAmt
Program Services$856,228ProgramServicesAmt
Management And General$56,426ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$24,886TotalAmt
Program Services$23,355ProgramServicesAmt
Management And General$1,531ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,789TotalAmt
Management And General$4,789ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$455,408TotalAmt
Program Services$427,252ProgramServicesAmt
Management And General$28,156ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,396,074TotalAmt
Program Services$1,309,760ProgramServicesAmt
Management And General$86,314ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$397,591TotalAmt
Program Services$381,687ProgramServicesAmt
Management And General$15,904ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
NURSING SUPPLIES & EXPE$1,763,163$1,763,163
FOOD$648,829$648,829
NURSING HOME USER FEE$583,411$583,411
SUPPLIES$99,659$99,659

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$50,310TotalAmt
Program Services-$55,554ProgramServicesAmt
Management And General$5,052ManagementAndGeneralAmt
Fundraising$192FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,111,029TotalAmt
Program Services$19,834,321ProgramServicesAmt
Management And General$3,168,546ManagementAndGeneralAmt
Fundraising$108,162FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,629,167BOYAmt
EOY$2,442,435EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$1,201,072EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,864,384BOYAmt
EOY$2,058,541EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$81,110BOYAmt
EOY$31,284EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,783,413LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,256,199LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,320,693BOYAmt
EOY$29,527,214EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$7,406,138BOYAmt
EOY$9,273,249EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,210,084BOYAmt
EOY$1,891,809EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$47,511,576BOYAmt
EOY$46,425,604EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,060,227BOYAmt
EOY$1,457,465EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$514,528BOYAmt
EOY$23,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,051,527BOYAmt
EOY$16,003,926EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,930,822BOYAmt
EOY$16,201,491EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$2,579,605EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,303,048BOYAmt
EOY$1,005,866EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,860,152BOYAmt
EOY$37,271,353EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$989,113BOYAmt
EOY$2,533,172EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,640,537BOYAmt
EOY$6,621,079EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,651,424BOYAmt
EOY$9,154,251EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$47,511,576BOYAmt
EOY$46,425,604EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,788,798ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,516,412NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$164,925PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$3,610,288OtherChangesInNetAssetsAmt
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$47,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$445,477CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$102,734CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,545,149CurrentTaxYearMinus1YearAmt
Current Tax Year$1,180,399CurrentTaxYearAmt
Total$3,321,139TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,989,364CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,108,262CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,940,566CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,455,906CurrentTaxYearMinus1YearAmt
Current Tax Year$19,743,172CurrentTaxYearAmt
Total$91,237,270TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,036,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,553,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,043,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,001,055CurrentTaxYearMinus1YearAmt
Current Tax Year$20,923,571CurrentTaxYearAmt
Total$94,558,409TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$94,558,409PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$82,732CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$106,986CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,672CurrentTaxYearMinus1YearAmt
Current Tax Year$170,918CurrentTaxYearAmt
Total$567,817TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$82,732CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$106,986CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,509CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,672CurrentTaxYearMinus1YearAmt
Current Tax Year$170,918CurrentTaxYearAmt
Total$567,817TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,119,476CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,660,725CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,156,809CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,094,727CurrentTaxYearMinus1YearAmt
Current Tax Year$21,094,489CurrentTaxYearAmt
Total$95,126,226TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99400PublicSupportCY509Pct
Public Support PY5090.99550PublicSupportPY509Pct
Investment Income CY0.00600InvestmentIncomeCYPct
Investment Income PY0.00450InvestmentIncomePYPct
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

FieldValueIRS element (for citing)
Agent Trustee EtcYes (1)AgentTrusteeEtcInd
Beginning Balance$118,585BeginningBalanceAmt
Additions During Year$575,850AdditionsDuringYearAmt
Distributions During Year$574,097DistributionsDuringYearAmt
Ending Balance$120,338EndingBalanceAmt
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,725,952BeginningYearBalanceAmt
Other Expenditures$6,725,952OtherExpendituresAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,723,285BeginningYearBalanceAmt
Contributions$152,667ContributionsAmt
Other Expenditures$150,000OtherExpendituresAmt
End Year Balance$6,725,952EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,743,014BeginningYearBalanceAmt
Contributions$130,271ContributionsAmt
Other Expenditures$150,000OtherExpendituresAmt
End Year Balance$6,723,285EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,636,924BeginningYearBalanceAmt
Contributions$106,090ContributionsAmt
End Year Balance$6,743,014EndYearBalanceAmt

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$522,241OtherCostOrOtherBasisAmt
Book Value$522,241BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,723,779OtherCostOrOtherBasisAmt
Depreciation$15,655,233DepreciationAmt
Book Value$28,068,546BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,537,393OtherCostOrOtherBasisAmt
Depreciation$3,600,966DepreciationAmt
Book Value$936,427BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,527,214TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
FAIR VALUE OF INTEREST RATE SWAPS$370,076
RESIDENT SECURITY DEPOSITS$110,446
DUE TO THIRD-PARTY PAYORS$525,344
FieldValueIRS element (for citing)
Total Liability$1,005,866TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 1B:THE ORGANIZATION IS CUSTODIAN FOR PERSONAL NEEDS ACCOUNTS MAINTAINED FOR RESIDENTS OF THE SKILLED NURSING FACILITY.
PART V, LINE 4:DURING 2020, IT WAS DETERMINED THAT THE AMOUNTS REPORTED IN PRIOR YEARS CONSIST OF DONOR RESTRICTED FUNDS AND DO NOT REPRESENT EITHER TERM OR PERMANENT ENDOWMENTS. THEREFORE, THESE FUNDS ARE NOT REQUIRED TO BE REPORTED IN SCHEDULE D, PART V AND THE BALANCE AS OF DECEMBER 31, 2020 WAS REDUCED TO ZERO.
PART X, LINE 2:THE MEMBERS OF THE ORGANIZATION HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) AND APPLICABLE STATE STATUTES; ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
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 (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BARRY BERMAN
TREASURER$0$677,007$0$0$0$34,678$0$800$0$19,597$0$732,082$0$0
ADAM BERMAN
PRESIDENT AND CEO$0$428,158$0$0$0$27,561$0$800$0$26,741$0$483,260$0$0
JEFFREY LANDA
CFO$0$276,879$0$0$0$0$0$800$0$28,724$0$306,403$0$0
ELIZABETH MULLEN
COO AND CLERK$0$252,926$0$0$0$0$0$800$0$10,200$0$263,926$0$0
RONILO ANGLO
CHIEF CLINICAL OFFICER$0$215,993$0$0$0$0$0$800$0$26,622$0$243,415$0$0
KAREN PETRUCCELLI
VP OF CLINICAL QUALITY IMPROVEMENT$0$198,950$0$0$0$0$0$800$0$11,938$0$211,688$0$0
KATHERINE SANTOS
VP OF STRATEGY & OPERATION$0$192,277$0$0$0$0$0$800$0$1,429$0$194,506$0$0
THERESA HALLIDAY-BURRI
CHIEF BUSINESS DEVELOPMENT OFFICER$0$172,926$0$0$0$0$0$800$0$10,238$0$183,964$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE CEO IS PAID FROM A RELATED ORGANIZATION. PRIOR TO MAJOR SALARY ADJUSTMENTS FOR THE CEO, THE ORGANIZATION'S BOARD OF DIRECTORS COMPENSATION COMMITTEE ARRANGES FOR A SALARY STUDY TO BE PERFORMED. THE STUDY INCLUDES THE EXECUTIVE SALARIES OF COMPARABLY-SIZED COMPANIES IN THE INDUSTRY. THE BOARD OF DIRECTORS THEN CONSIDERS THE FINDINGS OF THE STUDY IN SETTING THE CEO'S COMPENSATION. 2021 WAS THE MOST RECENT YEAR IN WHICH THE PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION. SOME OFFICERS AND KEY EMPLOYEES ARE PAID FROM A RELATED ORGANIZATION. COMPENSATION FOR KEY EMPLOYEES IS DETERMINED THROUGH THE USE OF SALARY STUDIES OR OTHER DATA AND ADJUSTED BASED ON THE EMPLOYEE'S YEARS OF EXPERIENCE AND RESPONSIBILITIES BY A RELATED ORGANIZATION'S BOARD OF DIRECTORS COMPENSATION COMMITTEE AND THE ORGANIZATION'S BOARD OF DIRECTORS COMPENSATION COMMITTEE. 2021 WAS THE MOST RECENT YEAR IN WHICH THE PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIP57584YSL4CUSIPNum
Bond Issued2019-06-20BondIssuedDt
Issue Price$16,323,915IssuePriceAmt
PurposeTO REFUND OLD BONDS, FUND CAPITAL EXPENDITURE, PAY FOR COSTS OF ISSUANCEPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$63,855RetiredAmt
Total Proceeds$16,323,915TotalProceedsAmt
Refunding Escrow$15,597,315RefundingEscrowAmt
Issuance Costs From Proceeds$259,356IssuanceCostsFromProceedsAmt
Credit Enhancement$52,646CreditEnhancementAmt
Capital Expenditures$414,559CapitalExpendituresAmt
Substantial Completion2020SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1M&T BANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge4.500000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K SUPPLENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationTHIS ORGANIZATION IS REPORTING THEIR RESPECTIVE SHARE OF THE $54,725,000 BOND ISSUED ON 06/20/2019. THE FOUR ORGANIZATIONS INVOLVED IN THE ISSUANCE ARE: JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE, INC. (EIN 04-2106768), CHELSEA JEWISH NORTH SHORE ASSISTED LIVING, INC. (EIN - 04-3274643), CHELSEA JEWISH GREEN HOUSE, INC. (EIN 04-3326727) AND CHELSEA JEWISH COMMUNITY, INC. (EIN 27-1756594).ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution641ContributionCnt
Noncash Contributions Rpt F990$300,962NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR VALUE ON DATE CONTRMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
Explanation641 SHARES RECEIVED FROM SINGLE CONTRIBUTORExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, SECTION A, LINE 28C:JEFFREY BRUDNICK, DIRECTOR OF CHELSEA JEWISH LIFECARE, INC., HAS A BUSINESS RELATIONSHIP WITH THE ORGANIZATION; HOWEVER TRANSACTION AMOUNTS ARE BELOW SCHEDULE L REPORTING THRESHOLDS.
FORM 990, PART V, LINE 2A:THIS ORGANIZATION USES A COMMON PAYMASTER, AS SUCH, ALL EMPLOYEES ARE LISTED UNDER THE COMMON PAYMASTER, CHELSEA JEWISH LIFECARE, INC. OF THE 1239 EMPLOYEES PAID BY THE COMMON PAYMASTER, 468 EMPLOYEES HAD A PORTION OR ALL OF THEIR TIME ALLOCATED TO THIS ORGANIZATION DURING 2021.
FORM 990, PART VI, SECTION A, LINE 2ADAM BERMAN, PRESIDENT AND CEO, AND BARRY BERMAN, TREASURER, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT WITH CHELSEA JEWISH LIFECARE EFFECTIVE JANUARY 1,2017. CHELSEA JEWISH LIFECARE, INC. PROVIDED MANAGEMENT SERVICES WHICH INCLUDED THE FOLLOWING RESPONSIBILITIES: 1) KEY PERSONNEL MANAGEMENT 2) PERSONNEL OVERSIGHT (EMPLOYEES & ADMINISTRATION) 3) FINANCIAL RESPONSIBILITIES 4) MANAGEMENT REPORTS 5) REGULATORY COMPLIANCE 6) QUALITY ASSURANCE 7) PURCHASING & CONTRACTING 8) BANK ACCOUNTS
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS A RELATED ORGANIZATION, CHELSEA JEWISH LIFECARE, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE APPROVAL OF THE MEMBER, CHELSEA JEWISH LIFECARE, INC., IS REQUIRED TO ELECT OR REMOVE DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE APPROVAL OF THE MEMBER, CHELSEA JEWISH LIFECARE, INC., IS REQUIRED BEFORE THE BOARD OF DIRECTOR'S ACTION ON ANY OF THE FOLLOWING BECOMES EFFECTIVE: (A) TO AMEND OR TO REPEAL THE ARTICLES OF ORGANIZATION OR THE BYLAWS OF THE CORPORATION; (B) TO APPROVE ALL PLANS OF MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY OF THE CORPORATION, OR THE SALE, LEASE, ASSIGNMENT OR TRANSFER OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OR THE PURCHASE OR ACQUISITION BY THE CORPORATION OF THE CORPORATION OF AN INTEREST IN ANY CORPORATION, PARTNERSHIP, JOINT VENTURE OR OTHER ENTITY, WHETHER NEWLY CREATED OR PREVIOUSLY EXISTING, WHICH INTEREST, IN THE CASE OF A FOR-PROFIT ENTITY, REPRESENTS TWENTY-FIVE PERCENT (25%) OR MORE OF THE VOTING POWER THEREOF OR EQUITY INTEREST THEREIN, OR, IN THE CASE OF A NON-PROFIT ENTITY, REPRESENTS TWENTY-FIVE PERCENT (25%) OR MORE OF THE VOTING POWER THEREOF OR MEMBERSHIP INTEREST THEREIN; (C) TO APPROVE ALL GIFTS, GRANTS, DONATIONS OR SIMILAR TRANSFERS OF FUNDS OF THE CORPORATION TO ANY ENTITY OTHER THAN THE MEMBER OR ITS SUBSIDIARIES; (D) TO ELECT OR REMOVE DIRECTORS OF THE CORPORATION; (E) TO APPROVE THE FORMATION OF ANY SUBSIDIARY OF THE CORPORATION; AND (F) TO APPOINT THE CORPORATION'S AUDITORS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S COMPLETE FORM 990 IS REVIEWED BY THE TOP MANAGEMENT PRIOR TO FILING WITH THE IRS. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, ALL BOARD MEMBERS ARE INSTRUCTED TO INFORM THE REST OF THE BOARD IF ANY CONFLICT OF INTEREST EXISTS PERTAINING TO THEIR MEMBERSHIP ON THE BOARD. ANY POTENTIAL CONFLICT OF INTEREST IS THEN DISCUSSED AND ASSESSED BY THE REMAINING BOARD MEMBERS. IF A CONFLICT EXISTS, IT MUST BE DISCLOSED AND HELD TO A HIGHER LEVEL OF SCRUTINY IN ORDER TO VERIFY THAT ALL TRANSACTIONS ARE AT ARMS-LENGTH. ANY BOARD MEMBER DEEMED TO HAVE A CONFLICT OF INTEREST WILL ABSTAIN FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. THE PRESIDENT AND CEO ARE RESPONSIBLE FOR OVERSEEING THAT THE CONFLICT OF INTEREST PROCESS TAKES PLACE.
FORM 990, PART VI, SECTION B, LINE 15THE CEO IS PAID FROM A RELATED ORGANIZATION. PRIOR TO MAJOR SALARY ADJUSTMENTS FOR THE CEO, THE ORGANIZATION'S BOARD OF DIRECTORS COMPENSATION COMMITTEE ARRANGES FOR A SALARY STUDY TO BE PERFORMED. THE STUDY INCLUDES THE EXECUTIVE SALARIES OF COMPARABLY-SIZED COMPANIES IN THE INDUSTRY. THE BOARD OF DIRECTORS THEN CONSIDERS THE FINDINGS OF THE STUDY IN SETTING THE CEO'S COMPENSATION. 2021 WAS THE MOST RECENT YEAR IN WHICH THE PROCESSINCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION. FORM 990, PART VI, SECTION B, LINE 15B: SOME OFFICERS AND KEY EMPLOYEES ARE PAID FROM A RELATED ORGANIZATION. COMPENSATION FOR KEY EMPLOYEES IS DETERMINED THROUGH THE USE OF SALARY STUDIES OR OTHER DATA AND ADJUSTED BASED ON THE EMPLOYEE'S YEARS OF EXPERIENCE AND RESPONSIBILITIES BY A RELATED ORGANIZATION'S BOARD OFDIRECTORS COMPENSATION COMMITTEE AND THE ORGANIZATION'S BOARD OF DIRECTORS COMPENSATION COMMITTEE. 2021 WAS THE MOST RECENT YEAR IN WHICH THE PROCESS INCLUDED REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 592,143. CHANGE IN BENEFICIAL INTEREST IN NET ASSETS -19,458. TRANSFERS OF NET ASSETS WITHOUT DONOR RESTRICTIONS 3,037,603.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CHELSEA JEWISH LIFECARE INC
165 CAPTAINS ROWCHELSEAMA02150510141617MANAGEMENTMA501(C)(3)LINE 7LEGACY LIFECARE INC0
CHELSEA JEWISH COMMUNITY INC
165 CAPTAINS ROWCHELSEAMA02150271756594MANAGEMENT, HOMECARE & HOSPICEMA501(C)(3)LINE 10CHELSEA JEWISH LIFECARE INC0
CHELSEA JEWISH CHARITABLE FOUNDATION INC
240 LYNNFIELD STREETPEABODYMA01960261244471SUPPORT SERVICES & FUNDRAISINGMA501(C)(3)LINE 12B, IICHELSEA JEWISH LIFECARE INC0
CHELSEA JEWISH NORTH SHORE ASSISTED LIVING INC
240 LYNNFIELD STREETPEABODYMA01960043274643ASSISTED LIVINGMA501(C)(3)LINE 10CHELSEA JEWISH LIFECARE INC0
LEGACY LIFECARE INC
240 LYNNFIELD STREETPEABODYMA01960223102199SUPPORT SERVICES & FUNDRAISINGMA501(C)(3)LINE 12A, I0N/A
CHELSEA JEWISH NURSING HOME INC
17 LAFAYETTE AVENUECHELSEAMA02150042200583NURSING HOMEMA501(C)(3)LINE 10CHELSEA JEWISH LIFECARE INC0
JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE INC
240 LYNNFIELD STREETPEABODYMA01960042106768SKILLED NURSING & ADHMA501(C)(3)LINE 10CHELSEA JEWISH LIFECARE INC0
ADMIRAL'S HILL ASSISTED LIVING CORP II
165 CAPTAINS ROWCHELSEAMA02150043538833ASSISTED LIVINGMA501(C)(3)PFCHELSEA JEWISH LIFECARE INC0
JGS LIFECARE CORPORATION
770 CONVERSE STREETLONGMEADOWMA01106042129128GERIATRIC/NURSING PROVIDERMA501(C)(3)LINE 7CHELSEA JEWISH LIFECARE INC0
JGS ADMINISTRATIVE SERVICES
770 CONVERSE STREETLONGMEADOWMA01106043295014ADMIN SUPPORT TO JEWISH GERIATRIC SERVICESMA501(C)(3)LINE 10JGS LIFECARE CORPORATION0
JEWISH NURSING HOME OF WESTERN MA INC
770 CONVERSE STREETLONGMEADOWMA01106043138403SKILLED NURSING FACILITYMA501(C)(3)LINE 10JGS LIFECARE CORPORATION0
JGS HOUSING SERVICES INC
770 CONVERSE STREETLONGMEADOWMA01106043321157ASSISTED LIVINGMA501(C)(3)LINE 10JGS LIFECARE CORPORATION0
SPECTRUM HOME HEALTH & HOSPICE
770 CONVERSE STREETLONGMEADOWMA01106043237982HOME HEALTH & HOSPICE CAREMA501(C)(3)LINE 10JGS LIFECARE CORPORATION0
SPECTRUM HOME CARE INC
770 CONVERSE STREETLONGMEADOWMA01106043399549NON-CERTIFIED HOME HEALTH AGENCYMA501(C)(3)LINE 10JGS LIFECARE CORPORATION0
DEUTSCHES ALTENHEIM INC
2222 CENTRE STREETWEST ROXBURYMA02132042104144SKILLED NURSING & ADH & ALMA501(C)(3)LINE 10LEGACY LIFECARE INC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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