JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE INC (EIN 04-2106768)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349302138
Schema version
2012v2.1
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)
Timestamp2013-11-14T09:57:03-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 CROWN COLONY DRIVE SUITE 310AddressLine1
CityQUINCYCity
StateMAState
ZIP Code02169ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042106768EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1JEWISH REHABILITATION CENTER FORBusinessNameLine1
Business Name Line2AGED OF THE NORTH SHORE INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlJEWINameControl
Phone9784715100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1240 LYNNFIELD STREETAddressLine1
CityPEABODYCity
StateMAState
ZIP Code01960ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKIM JOYCEName
TitleASST TREASURER & CFOTitle
Phone9784715100Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT DILLANName
PTINP01688008PTIN
Phone6179848100Phone
Date Prepared2013-11-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonKIM JOYCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1240 LYNNFIELD STREETAddressLine1
CityPEABODYCity
StateMAState
ZIP Code01960ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16070126GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.AVIVLIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1944YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION OPERATES A 180 BED NURSING HOME WITH AN ADULT DAY CARE CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees389TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2543654ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17078920ProgramServiceRevenuePriorYear
Program Service Revenue CY15224807ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year-406428InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year19622574TotalRevenuePriorYear
Total Revenue Current Year14818379TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11437877SalariesEtcPriorYear
Salaries Etc Current Year11539778SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6758872OtherExpensePriorYear
Other Expenses Current Year7840548OtherExpensesCurrentYear
Total Expenses Prior Year18196749TotalExpensesPriorYear
Total Expenses Current Year19380326TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1425825RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4561947RevenuesLessExpensesCY
Total Assets BOY46119499TotalAssetsBOY
Total Assets EOY43599596TotalAssetsEOY
Total Liabilities BOY43795833TotalLiabilitiesBOY
Total Liabilities EOY46019438TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2323666NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-2419842NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION OPERATES A 180 BED NURSING HOME WITH AN ADULT DAY CARE CENTER. THE MISSION OF THE ORGANIZATION 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16553736Expense
Revenue14169769Revenue
DescriptionPROVIDE QUALITY SKILLED NURSING CARE & THERAPY FOR 180 ELDERLY RESIDENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense565598Expense
Revenue648610Revenue
DescriptionPROVIDE DAY CARE FOR THE ELDERLY.Description
FieldValueIRS element (for citing)
Total Program Service Expense17119334TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees389NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KIM JOYCE CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9784715100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1240 LYNNFIELD STREETAddressLine1
CityPEABODYCity
StateMAState
ZIP Code01960ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
STEPHEN H NEFF
PRESIDENT & CEO0.0040.00XX036073241338
ERIC LEVY
CHAIR2.005.00XX000
DAVID VARSANO
VICE CHAIR1.003.00XX000
WAYNE SHERIDAN
TREASURER1.003.00XX000
NATALIE LEDERMAN
SECRETARY1.002.00XX000
MATTHEW WEINSTOCK
ASST SECRETARY & COO0.0040.00XX019400016282
KIM JOYCE
ASST TREASURER & CFO0.0040.00XX016000016110
TOM DICKER
DIRECTOR1.001.00X000
NEAL MIZNER
DIRECTOR1.001.00X000
RONALD ROSEN MD
DIRECTOR1.001.00X000
MATHEW REMIS
DIRECTOR1.001.00X000
DIANA MEICHES
DIRECTOR1.001.00X000
DANIEL RUBIN
DIRECTOR1.001.00X000
ROBERT MAZOW
DIRECTOR1.001.00X000
ANDREW MERKEN
DIRECTOR1.001.00X000
SUZANNE GRUHL
DIRECTOR1.001.00X000
STEVEN HOLLIS
DIRECTOR1.001.00X000
ROBERT SMITH
DIRECTOR & PAST CHAIR1.001.00X000
MARK JAFFE
DIRECTOR & PAST CHAIR1.001.00X000
SEYMOUR SCHWARTZ
DIRECTOR & PAST CHAIR1.003.00X000
DAVID PLINER
DIRECTOR & PAST CHAIR1.003.00X000
ANDREW KATZ
DIRECTOR & PAST CHAIR1.003.00X000
JAY GOLDMAN
DIRECTOR, UNTIL 08/31/121.001.00X000
ELLEN GORDON
DIRECTOR, UNTIL 08/31/121.001.00X000
DEBRA SLOAN
DIRECTOR, UNTIL 08/31/121.001.00X000
THERESA HALLIDAY-BURRI
SR DIRECTOR BUSINESS DEVELOPMENT0.0040.00015253810358X
JEFF GOPEN
EXECUTIVE DIRECTOR40.000.00137556019131X
MICHAEL HAMMERSCHMIDT
CHIEF DEVELOPMENT OFFICER, RETIRED0.0040.0001350799433X
KATY AHERN-TAVARES
SALES & DEVELOPMENT0.0040.00012120810066X
ETTA DIAZ
REGISTERED NURSE40.000.00111864014897X
FieldValueIRS element (for citing)
Total Reportable Comp From Org249420TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1123557TotalReportableCompFrmRltdOrgs
Total Other Compensation137615TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MERLINO DESIGN PARTNERSHIPS
2200 RENAISSANCE BLVDSTE 300GULP MILLSPA19406PROFESSIONAL SERVICES1496949
SIGNET ELECTRONIC SYSTEMS
106 LONGWATER DRIVENORWELLMA02061PROFESSIONAL SERVICES1361337
PERKINS EQUIPMENT
7 PERMITER ROADMANCHESTERNH03103EQUIPMENT SUPPLIER578750
BOSTON SYSTEMS & SOLUTIONS
241 WINTER STREET 5TH FLOORHAVERHILLMA01830IT SUPPORT380559
KONINGISOR CONSULTING
27 LAKEVIEW ROADFRAMINGHAMMA01701CONSULTING304665
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REV.Description
Business Code623000BusinessCode
Total Revenue Column15224807TotalRevenueColumn
Related Or Exempt Function Income15224807RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue15224807TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column138TotalRevenueColumn
Related Or Exempt Function Income138RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other845181Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1251747Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-406566Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-406566TotalRevenueColumn
Related Or Exempt Function Income-406566RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14818379TotalRevenueColumn
Related Or Exempt Function Income14818379RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10039737Total
Program Services9646296ProgramServices
Management And General393441ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22088Total
Program Services21222ProgramServices
Management And General866ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total671872Total
Program Services645542ProgramServices
Management And General26330ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total806081Total
Program Services774492ProgramServices
Management And General31589ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1623000Total
Management And General1623000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total38798Total
Management And General38798ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5734Total
Management And General5734ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total623467Total
Program Services482233ProgramServices
Management And General141234ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total21872Total
Program Services21872ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total180243Total
Program Services180243ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total570797Total
Program Services570797ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total121829Total
Program Services121829ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total40986Total
Program Services40986ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total659419Total
Program Services659419ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1179330Total
Program Services1179330ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total13500Total
Program Services13500ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
USER FEE763095763095
FOOD665916665916
ANCILLARIES534212534212
SUPPLIES472694472694

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total325656Total
Program Services325656ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19380326Total
Program Services17119334ProgramServices
Management And General2260992ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY573740BOY
EOY679454EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY20483567BOY
EOY917481EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1888026BOY
EOY1466783EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20263BOY
EOY21188EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY275152BOY
EOY318301EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis36669656LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec922192LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4442402BOY
EOY35747464EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY18436349BOY
EOY4448925EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY46119499BOY
EOY43599596EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4801829BOY
EOY1530547EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY46916BOY
EOY68794EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY34553888BOY
EOY34315888EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4393200BOY
EOY10104209EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY43795833BOY
EOY46019438EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2323666BOY
EOY-2419842EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2323666BOY
EOY-2419842EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46119499BOY
EOY43599596EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-4561947ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-30384ReconciliationUnrealizedInvest
Reconcilation Other Changes-151177ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5813CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5462CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years738CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1607943CurrentTaxYearMinus1Year
Total1619956Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16692051CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17109731CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16742872CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17078920CurrentTaxYearMinus1Year
Current Tax Year15224807CurrentTaxYear
Total82848381Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16697864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17115193CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16743610CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18686863CurrentTaxYearMinus1Year
Current Tax Year15224807CurrentTaxYear
Total84468337Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year1607943CurrentTaxYearMinus1Year
Total1607943Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year1607943CurrentTaxYearMinus1Year
Total1607943Total
FieldValueIRS element (for citing)
Public Support Total50982860394PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year935711CurrentTaxYearMinus1Year
Current Tax Year138CurrentTaxYear
Total935849Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year935711CurrentTaxYearMinus1Year
Current Tax Year138CurrentTaxYear
Total935849Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year-406566CurrentTaxYear
Total-406566Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16697864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17115193CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16743610CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19622574CurrentTaxYearMinus1Year
Current Tax Year14818379CurrentTaxYear
Total84997620Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97490PublicSupportPercentage509
Prior Year Support Percentage0.97050PriorYearSupportPercentage
Investment Income Percentage0.01100InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01090PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, SECTION B. TOTAL SUPPORT OTHER INCOME INCLUDES A LOSS ON DISPOSAL OF EQUIPMENT OF $406,566 IN 2012.GeneralExplanation

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis31443534OtherCostOrOtherBasis
Depreciation393256Depreciation
Book Value31050278BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5169066OtherCostOrOtherBasis
Depreciation482453Depreciation
Book Value4686613BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis57056OtherCostOrOtherBasis
Depreciation46483Depreciation
Book Value10573BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings35747464TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
SOFTWARE12134
DEFERRED FINANCING CHARGES989732
CAPITAL INTEREST FUND3943
SECURITY DEPOSITS14828
ASSET HELD FOR SALE3428288
FieldValueIRS element (for citing)
Total Book Value Other Assets4448925TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTIES$7,776,672
FAIR VALUE OF INTEREST RATE SWAPS$1,538,709
ASSET RETIREMENT OBLIGATION$774,000
SECURITY DEPOSITS$14,828
FieldValueIRS element (for citing)
Total Of Amounts10104209TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION UNDER SEC 501(C)(3) OF THE INTERNAL REVENUE CODE. THE 2009 THROUGH 2012 TAX YEARS ARE OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required0SubstantiationRequired
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEPHEN H NEFF
PRESIDENT & CEO03242880003644400041338040207000
MATTHEW WEINSTOCK
ASST SECRETARY & COO0194000000000016282021028200
KIM JOYCE
ASST TREASURER & CFO0160000000000016110017611000
THERESA HALLIDAY-BURRI
SR DIRECTOR BUSINESS DEVELOPMENT0152538000000010358016289600
JEFF GOPEN
EXECUTIVE DIRECTOR1375560000000191310156687000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ASTEPHEN NEFF, PRESIDENT & CEO, RECEIVED A HOUSING ALLOWANCE OF $36,444 IN CALENDAR YEAR 2012 AS INCLUDED IN OTHER REPORTABLE INCOME ON FORM 990, PART VII AND SCHEDULE J, COL. B(III).
PART I, LINE 4AMICHAEL HAMMERSCHMIDT, CHIEF DEVELOPMENT OFFICER, RETIRED ON 11/16/2012 AND RECEIVED APPROXIMATELY $5,000 AS A SEVERANCE PAYMENT IN CALENDAR YEAR 2012.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASS DEVELOPMENT FINANCE AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN043431814IssuerEIN
CUSIP Number57583UBR8CUSIPNumber
Date Issued2011-04-29DateIssued
Issue Price34553888IssuePrice
Description Of PurposeTO REFUND OLD BONDS AND REPLACE EXISTING FACILITY.DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired1601175AmountRetired
Total Proceeds34553888TotalProceeds
Capitalized Interest1314672CapitalizedInterest
Issuance Costs From Proceeds690823IssuanceCostsFromProceeds
Credit Enhancement529178CreditEnhancement
Capital Expenditures29501040CapitalExpenditures
Amount Unspent917000AmountUnspent
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1M&T BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge5.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE K SUPPLENTAL INFORMATIONTHIS ORGANIZATION IS REPORTING THEIR RESPECTIVE SHARE OF THE $50M BOND ISSUED ON 04/29/11. SEE AVIV ASSISTED LIVING, INC. (EIN 04-3274643) FOR THE REMAINING PORTION.
990, SCHEDULE K, PART III, LINE 9, PART IV, LINE 7 & PART VTHE ORGANIZATION DID NOT HAVE FORMAL WRITTEN POLICIES AND PROCEDURES IN PLACE DURING THE 2012 TAX YEAR. HOWEVER, THE ORGANIZATION WAS IN COMPLIANCE DURING THE TAX YEAR AND PLAN TO ADOPT WRITTEN POLICIES AND PROCEDURES DURING 2013.POLICIES AND PROCEDURES RELATING TO COMPLIANCE

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT REVIEWS CPA PREPARED FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS AND EXECUTIVE MANAGERS ARE REQUIRED ANNUALLY TO COMPLETE A CONFLICT OF INTEREST STATEMENT. STATEMENTS ARE REVIEWED BY A SUBCOMMITTEE OF BOARD MEMBERS AND THE CEO. MONTHLY COMPLIANCE COMMITTEE MEETINGS INCLUDE REVIEW AND MONITORING OF ANY POTENTIAL OR ACTUAL CONFLICTS. DETERMINING THE LEVEL OF CONFLICT FOR REVIEW IS BASED ON POTENTIAL FINANCIAL OR LEGAL RISK TO THE ORGANIZATION. IF A CONFLICT (ACTUAL OR POTENTIAL) IS RAISED FOR A BOARD MEMBER, HE/SHE IS REFRAINED FROM VOTING ON RELATED TOPICS. MANAGERS WITH CONFLICT (ACTUAL OR POTENTIAL) ARE BANNED FROM OVERSIGHT AND DECISION MAKING FOR THAT SUBJECT.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE, A SUBCOMMITTEE OF THE BOARD, ANNUALLY REVIEWS CEO AND TOP MANAGEMENT COMPENSATION. INDUSTRY SALARY AND BENEFIT SURVEYS AS WELL AS MARKET DATA ARE REVIEWED AS DEEMED NECESSARY. THE COMPENSATION COMMITTEE AND REVIEW OF COMPENSATION IS DOCUMENTED IN THE FORM OF A REPORT AND MAINTAINED IN HUMAN RESOURCE FILES.
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 VI, SECTION A, LINE 3THE ORGANIZATION'S MANAGEMENT PERFORMS MANAGEMENT DUTIES WHICH INCLUDE, BUT ARE NOT LIMITED TO, HIRING, FIRING, AND SUPERVISING PERSONNEL, PLANNING OR EXECUTING BUDGETS OR FINANCIAL OPERATIONS, OR SUPERVISING EXEMPT OPERATIONS OR UNRELATED TRADES OR BUSINESSES OF THE ORGANIZATION FOR SEVERAL RELATED ENTITIES. MANAGEMENT CONTROL IS NOT CONSIDERED DELEGATED AND MANAGEMENT PERSONNEL ARE PAID FROM A CENTRALIZED MANAGEMENT ORGANIZATION, AVIV CENTERS FOR LIVING, INC. PLEASE SEE FORM 990, PART VII FOR COMPENSATION DETAIL.MANAGEMENT DUTIES
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -164,464. EQUITY TRANSFER WITH RELATED PARTY 13,286. ROUNDING 1.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART IX, LINE 2CTHE ORGANIZATION HAS A COMMITTEE THAT OVERSEES THE AUDIT AND SELECTS THE AUDITOR.OVERSEE AUDIT AND SELECTION OF AUDITOR

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
AVIV FOUNDATION INC
240 LYNNFIELD STREETPEABODYMA01960223102199FUNDRAISINGMA501(C)(3)LINE 7AVIV CENTERS FOR LIVING1
AVIV ASSISTED LIVING INC
240 LYNNFIELD STREETPEABODYMA01960043274643ASSISTED LIVINGMA501(C)(3)LINE 9AVIV CENTERS FOR LIVING1
AVIV CENTERS FOR LIVING INC
240 LYNNFIELD STREETPEABODYMA01960261244471MANAGEMENTMA501(C)(3)LINE 11B, II0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1JRCL HOMECARE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1240 LYNNFIELD STREETAddressLine1
CityPEABODYCity
StateMAState
ZIP Code01960ZIPCode
FieldValueIRS element (for citing)
EIN262743823EIN
Primary ActivityHOME BASED SKILLED NURSINGPrimaryActivity
Legal Domicile StateMALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1JRC REALTY CORPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1240 LYNNFIELD STREETAddressLine1
CityPEABODYCity
StateMAState
ZIP Code01960ZIPCode
FieldValueIRS element (for citing)
EIN043321272EIN
Primary ActivityREAL ESTATEPrimaryActivity
Legal Domicile StateMALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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