2020-11-16T11:32:26-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2019-01-01 042106768 JEWISH REHABILITATION CENTER FOR THE AGED OF THE NORTH SHORE INC JEWI 9784715100 240 LYNNFIELD STREET PEABODY MA 01960 JEFFREY LANDA CFO 9784715100 2020-11-14 1 DOUGLAS FIEBELKORN P00173341 6179848100 2020-11-13 67.137.57.251 2020-11-14 06:37:11 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 DB4D876F1E865A169F112399513D375B5F212DAE 2019 2021-01-29 14:40:06Z JEFFREY & SUSAN BRUDNICK CENTER FOR LIVING ADAM BERMAN 240 LYNNFIELD STREET PEABODY MA 01960 19727456 0 X WWW.CHELSEAJEWISH.ORG X 1944 MA THE ORGANIZATION'S MISSION IS TO ENRICH THE LIFE OF EACH OF OUR RESIDENTS AND PROGRAM PARTICIPANTS. 6 2 419 28 0 0 0 6200 19254766 19720992 0 264 118 0 19254884 19727456 0 0 0 0 12575641 12659007 0 0 93164 7969135 7841312 20544776 20500319 -1289892 -772863 32526959 35241045 29486176 33341269 3040783 1899776 THE ORGANIZATION'S MISSION IS TO ENRICH THE LIFE OF EACH OF OUR RESIDENTS AND PROGRAM PARTICIPANTS, SO THAT EACH CAN CONTINUE TO LIVE HIS OR HER LIFE WITH A SENSE OF MEANING AND PURPOSE THROUGH THE OPERATION OF A 144-BED NURSING HOME WITH AN ADULT DAY CARE CENTER. 0 0 17581831 19720992 NURSING HOME - PROVIDE QUALITY SKILLED NURSING CARE & REHABILITATIVE THERAPY FOR UP TO 144 ELDERLY RESIDENTS OF A NURSING HOME.ADULT DAY CARE - PROVIDE SUPPORTIVE CARE TO PATIENTS OF THE ADULT DAY CARE FACILITY. 17581831 1 1 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 419 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 2 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X JEFFREY LANDA 9784715100 240 LYNNFIELD STREET PEABODY MA 01960 BARRY BERMAN CEO AND TREASURER 1.00 39.00 X X 0 677517 75254 ADAM BERMAN PRESIDENT 1.00 39.00 X X 0 349563 51303 ELIZABETH MULLEN COO AND CLERK 1.00 39.00 X X 0 229257 28058 GILDA RICHMAN CHAIR 1.00 39.00 X X 0 74333 5774 JOEL MAZER DIRECTOR 1.00 8.00 X 0 0 0 JUDY WEISS DIRECTOR 1.00 8.00 X 0 0 0 JEFFREY LANDA CFO 1.00 39.00 X 0 285500 31390 TAMMY STARION DNS 40.00 X 129149 0 35124 ESTHER KAIRU RN 40.00 X 132202 0 28854 261351 1616170 255757 2 0 1 0 0 6200 6200 PROGRAM SERVICE INCOME 623000 19585268 19585268 OTHER INCOME 623000 135724 135724 19720992 264 264 19727456 19720992 0 264 10980215 10018129 868922 93164 21331 20371 960 823281 705355 117926 834180 796642 37538 1179253 1179253 5207 5207 61380 61380 205231 120593 84638 4537 4537 173472 154365 19107 830626 768497 62129 166398 162264 4134 3493 3493 791530 728007 63523 1197582 1107939 89643 207208 197884 9324 USER FEE 854445 854445 ANCILLARIES 705514 705514 FOOD 611543 611543 SUPPLIES 524200 524200 319693 106083 213610 20500319 17581831 2825324 93164 1624748 1409306 2365754 2699906 76157 54644 37826805 10786590 28135835 27040215 43087 324465 3993887 32526959 35241045 1536872 1523272 112881 64271 23692325 24212499 1339618 4144098 6201609 29486176 33341269 X 3040783 1364776 535000 3040783 1899776 32526959 35241045 X -772863 -368144 X 0 1 X 1 0 X 6200 6200 18621075 18953377 19368096 19254884 19720992 95918424 18621075 18953377 19368096 19254884 19727192 95924624 0 0 0 95924624 494 264 758 494 264 758 18621569 18953377 19368096 19254884 19727456 95925382 1.00000 0.97820 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10573 X RELIGIOUS CEREMONIES 0 535000 535000 1.00000 0 0 31437891 5894603 25543288 672681 123686 548995 5714733 4768301 946432 1500 1500 27040215 SECURITY DEPOSITS 11334 DUE FROM RELATED PARTIES 3435053 ARTWORK 12500 ASSETS LIMITED TO USE - PROMISES TO GIVE 535000 3993887 SECURITY DEPOSITS 14003 DEFERRED MANAGEMENT FEES - RELATED PARTY 4126111 DUE TO RELATED PARTIES 1921961 FAIR VALUE OF INTEREST SWAPS 139534 6201609 X PART III, LINE 4: TORAH - USED FOR JEWISH RELIGIOUS CEREMONIES FOR RESIDENTS. PART V, LINE 4: CHELSEA JEWISH NORTH SHORE FOUNDATION TRANSFERRED A PURPOSE RESTRICTED ENDOWMENT FUND TO THE ORGANIZATION DURING 2019. THE BOARD OF DIRECTORS HAS CLASSIFIED THIS ENDOWMENT AND RELATED APPRECIATION/DEPRECIATION IN ACCORDANCE WITH MASSACHUSETTS GENERAL LAW UNDER SECTION 180A. UNDER MASSACHUSETTS LAW, UNLESS EXPLICITLY STATED OTHERWISE BY THE DONOR, THE REALIZED AND UNREALIZED APPRECIATION ON INVESTMENTS OF PERMANENTLY RESTRICTED ASSETS OF MASSACHUSETTS PUBLIC CHARITIES SHOULD, UNTIL APPROPRIATED PURSUANT TO PROPER GOVERNING BOARD ACTION, BE CLASSIFIED IN THE FINANCIAL STATEMENTS AS NET ASSETS WITH DONOR RESTRICTIONS. ANNUALLY, THE ORGANIZATION USES THE NET APPRECIATION OF THE ENDOWMENT FOR ITS RESTRICTED PURPOSE IN ACCORDANCE WITH THE DONOR'S RESTRICTION. THE ORGANIZATION INVESTS ENDOWMENT FUNDS IN CASH AND CASH EQUIVALENTS. THIS POLICY IS DESIGNED TO PRESERVE THE VALUE OF THE PORTFOLIO. PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ENTITY. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ITS 2016 THROUGH 2019 TAX YEARS ARE OPEN FOR EXAMINATION BY THE FEDERAL AND STATE TAXING AUTHORITIES. THE ORGANIZATION FOLLOWS THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEAR ENDED DECEMBER 31, 2019. THE ORGANIZATION EVALUATES TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN ITS TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE MORE LIKELY THAN NOT THRESHOLD, ALONG WITH ACCRUED INTEREST AND PENALTY THEREON WOULD BE RECORDED AS AN EXPENSE IN THE CURRENT YEAR FINANCIAL STATEMENTS. AT DECEMBER 31, 2019, MANAGEMENT BELIEVES THAT IT HAS NO UNCERTAIN TAX POSITIONS WITH ANY OF ITS OPEN TAX YEARS. X X 0 0 0 0 0 0 0 0 0 BARRY BERMAN CEO AND TREASURER 0 677517 0 0 0 0 0 0 0 75254 0 752771 0 0 ADAM BERMAN PRESIDENT 0 349563 0 0 0 0 0 0 0 51303 0 400866 0 0 ELIZABETH MULLEN COO AND CLERK 0 229257 0 0 0 0 0 0 0 28058 0 257315 0 0 JEFFREY LANDA CFO 0 285500 0 0 0 0 0 0 0 31390 0 316890 0 0 TAMMY STARION DNS 129149 0 0 0 0 0 0 0 35124 0 164273 0 0 0 ESTHER KAIRU RN 132202 0 0 0 0 0 0 0 28854 0 161056 0 0 0 A MASS DEVELOPMENT FINANCE AGENCY 043431814 57584YSL4 2019-06-20 24664700 TO REFUND OLD BONDS, FUND CAPITAL EXPENDITURE, PAY FOR COSTS OF ISSUANCE. 0 0 0 A 24664700 23566839 391875 79545 626441 2020 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 1 M&T BANK 7.000000000000 0 0 0 0 1 A 1 SCHEDULE K SUPPLENTAL INFORMATION THIS 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). JEFFREY BRUDNICK LOUIS J BRUDNICK JEFFREY BRUDNICK IS A DIRECTOR OF THE BOARD OF CHELSEA JEWISH LIFECARE 214081 INSURANCE BROKER/AGENT 0 FORM 990, PART I, ITEM C DBA: JEFFREY & SUSAN BRUDNICK CENTER FOR LIVING DBA: SHAPIRO-RUDOLPH ADULT DAY HEALTH CENTER FORM 990, PART VI, SECTION A, LINE 2 ADAM BERMAN, PRESIDENT, AND BARRY BERMAN, TREASURER, HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE 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 6 THE SOLE MEMBER OF THE CORPORATION IS A RELATED ORGANIZATION, CHELSEA JEWISH LIFECARE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE 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 7B THE 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 11B THE ORGANIZATION'S MANAGEMENT TEAM WILL CONDUCT A REVIEW OF THE FORM 990 AFTER IT HAS BEEN FINALIZED, INCLUDING READING AND REVIEWING THE KEY INFORMATION. MANAGEMENT WILL REPORT TO THE BOARD IF THERE ARE ANY MAJOR DEVIATIONS FROM THE PROVIDED DATA. 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 12C ON 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. FORM 990, PART VI, SECTION B, LINE 15 THE CEO IS PAID FROM A RELATED ORGANIZATION. PRIOR TO MAJOR SALARY ADJUSTMENTS FOR THE CEO, A RELATED ORGANIZATION'S BOARD OF DIRECTORS 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. 2019 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 B, LINE 15B: 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. 2019 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 19 THE 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 -240,026. LOSS ON EXTINGUISHMENT OF DEBT -793,774. EQUITY TRANSFER FROM AFFILIATED NONPROFIT ENTITY 665,656. CHELSEA JEWISH LIFECARE INC 165 CAPTAINS ROW CHELSEA MA 02150 510141617 MANAGEMENT MA 501(C)(3) LINE 7 CHELSEA JEWISH LIFECARE INC 0 CHELSEA JEWISH COMMUNITY INC 165 CAPTAINS ROW CHELSEA MA 02150 271756594 SENIOR CARE SERVICES MA 501(C)(3) LINE 10 CHELSEA JEWISH LIFECARE INC 0 CHELSEA JEWISH CHARITABLE FOUNDATION INC 240 LYNNFIELD STREET PEABODY MA 01960 261244471 FUNDRAISING & SUPPORT MA 501(C)(3) LINE 12B, II CHELSEA JEWISH LIFECARE INC 0 CHELSEA JEWISH GREEN HOUSE INC 165 CAPTAINS ROW CHELSEA MA 02150 043326727 ASSISTED LIVING & NURSING HOME MA 501(C)(3) LINE 10 CHELSEA JEWISH LIFECARE INC 0 CHELSEA JEWISH NORTH SHORE ASSISTED LIVING INC 240 LYNNFIELD STREET PEABODY MA 01960 043274643 ASSISTED LIVING MA 501(C)(3) LINE 10 CHELSEA JEWISH LIFECARE INC 0 CHELSEA JEWISH NORTH SHORE FOUNDATION INC 240 LYNNFIELD STREET PEABODY MA 01960 223102199 FUNDRAISING & SUPPORT MA 501(C)(3) LINE 7 CHELSEA JEWISH LIFECARE INC 0 CHELSEA JEWISH NURSING HOME INC 165 CAPTAINS ROW CHELSEA MA 02150 042200583 NURSING HOME MA 501(C)(3) LINE 10 CHELSEA JEWISH LIFECARE INC 0 ADMIRAL'S HILL ASSISTED LIVING CORP II 17 LAFAYETTE AVE CHELSEA MA 02150 043538833 ASSISTED LIVING MA 501(C)(3) LINE 10 CHELSEA JEWISH LIFECARE INC 0 JGS LIFECARE CORPORATION 770 CONVERSE STREET LONGMEADOW MA 01106 042129128 GERIATRIC/NURSING PROVIDER MA 501(C)(3) LINE 7 CHELSEA JEWISH LIFECARE INC 0 JGS ADMINISTRATIVE SERVICES 770 CONVERSE STREET LONGMEADOW MA 01106 043295014 ADMIN SUPPORT TO JEWISH GERIATRIC SERVICES MA 501(C)(3) LINE 10 JGS LIFECARE CORPORATION 0 JEWISH NURSING HOME OF WESTERN MA INC 770 CONVERSE STREET LONGMEADOW MA 01106 043138403 SKILLED NURSING FACILITY MA 501(C)(3) LINE 10 JGS LIFECARE CORPORATION 0 JGS HOUSING SERVICE INC 770 CONVERSE STREET LONGMEADOW MA 01106 043321157 ASSISTED LIVING MA 501(C)(3) LINE 10 JGS LIFECARE CORPORATION 0 SPECTRUM HOME HEALTH & HOSPICE 770 CONVERSE STREET LONGMEADOW MA 01106 043237982 HOME HEALTH & HOSPICE CARE MA 501(C)(3) LINE 10 JGS LIFECARE CORPORATION 0 SPECTRUM HOME CARE INC 770 CONVERSE STREET LONGMEADOW MA 01106 043399549 NON-CERTIFIED HOME HEALTH AGENCY MA 501(C)(3) LINE 10 JGS LIFECARE CORPORATION 0 WINTHROP APARTMENTS LLC 165 CAPTAINS ROW CHELSEA MA 02150 463739775 REAL ESTATE MA N/A 0 0 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1