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JEWISH NURSING HOME OF WESTERN MASS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
JEWISH NURSING HOME OF WESTERN MASS INC (EIN 04-3138403)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-11
IRS object ID
201643169349301779
Schema version
2015v2.1
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)
Return2016-11-11T10:11:36-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135381590PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12 INTERNATIONAL PLACE 4TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043138403EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEWISH NURSING HOME OF WESTERNBusinessNameLine1Txt
Business Name Line2MASSACHUSETTS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJEWIBusinessNameControlTxt
Phone4135676211PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1770 CONVERSE STREETAddressLine1Txt
CityLONGMEADOWCityNm
State AbbreviationMAStateAbbreviationCd
ZIP011061786ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBETH CHAGUEPersonNm
Person TitleCFOPersonTitleTxt
Phone4135676211PhoneNum
Signature2016-10-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY T ROGERSPreparerPersonNm
PTINP01074284PTIN
Phone6177427788PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBETH CHAGUEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1770 CONVERSE STREETAddressLine1Txt
CityLONGMEADOWCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01106ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,424,462GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JGSLIFECARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO CARE FOR THE FRAIL ELDERLY AND INFIRMED ACCORDING TO JEWISH TRADITIONS.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee420TotalEmployeeCnt
Total Volunteers87TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$17,744,387PYProgramServiceRevenueAmt
CY Program Service Revenue$18,270,873CYProgramServiceRevenueAmt
PY Investment Income-$87PYInvestmentIncomeAmt
CY Investment Income$33CYInvestmentIncomeAmt
PY Other Revenue$256,018PYOtherRevenueAmt
CY Other Revenue$153,556CYOtherRevenueAmt
PY Total Revenue$18,000,318PYTotalRevenueAmt
CY Total Revenue$18,424,462CYTotalRevenueAmt
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$10,900,267PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,215,846CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,480,707PYOtherExpensesAmt
CY Other Expenses$9,800,827CYOtherExpensesAmt
PY Total Expenses$19,380,974PYTotalExpensesAmt
CY Total Expenses$20,016,673CYTotalExpensesAmt
PY Revenues Less Expenses-$1,380,656PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,592,211CYRevenuesLessExpensesAmt
Total Assets BOY$9,454,640TotalAssetsBOYAmt
Total Assets EOY$8,342,514TotalAssetsEOYAmt
Total Liabilities BOY$10,602,888TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,082,973TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,148,248NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,740,459NetAssetsOrFundBalancesEOYAmt
MissionTO CARE FOR THE FRAIL ELDERLY AND INFIRMED ACCORDING TO JEWISH TRADITIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,795,514ExpenseAmt
Revenue$18,424,429RevenueAmt
DescTHE HOME IS A NON-PROFIT ORGANIZATION WHICH OWNS AND OPERATES A 200 BED SKILLED NURSING FACILITY AND ADULT DAY CARE CENTER.Desc
Total Program Service Expenses$15,795,514TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee420EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JGS LIFECARE CORPORATION BETH CHAGUE CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4135675211PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1770 CONVERSE STREETAddressLine1Txt
CityLONGMEADOWCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01106ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARTIN BAICKER
PRESIDENT AND CEO1.0040.00Yes (X)Yes (X)$0$287,008$21,236
STUART ANFANG
BOARD MEMBER1.00Yes (X)$0$0$0
DONALD FRANK
BOARD MEMBER UNTIL 5/31/151.00Yes (X)$0$0$0
MICHAEL GINSBURG
BOARD MEMBER UNTIL 5/31/151.00Yes (X)$0$0$0
ERIC BERG
BOARD MEMBER1.00Yes (X)$0$0$0
JIM GORDON
BOARD MEMBER1.00Yes (X)$0$0$0
A EDWARD ROMAN JR
FORMER CFO1.0040.00Yes (X)$0$169,967$12,773
BETH CHAGUE
CFO1.0040.00Yes (X)$0$36,079$3,511
LORI A YOUNG
DIRECTOR OF NURSING1.0040.00$121,554$0$7,540Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$121,554TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$493,054TotReportableCompRltdOrgAmt
Total Other Compensation$45,060TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHPRO REHABILITATION
307 INTERNATIONAL CIRCLE SUITE 100HUNT VALLEYMD21030THERAPY$686,466
HEALTHCARE SERVICES GROUP
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING$623,553
WORLDWIDE STAFFING
1200 CONVERSE STREET SUITE L-4LONGMEADOWMA01106NURSING$129,929
EXPERT STAFFING
120 STAFFORD STREET SUITE 202WORCESTERMA01603NURSING$117,354
CLINICAL RESOURCES LLC
3338 PEACHTREE ROAD NE SUITE 102ATLANTAGA30326NURSING$115,488
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING HOME623000$17,661,415$17,661,415
DAY CARE REVENUE624100$552,877$552,877
MEALS PROGRAM624100$56,581$56,581
FieldValueIRS element (for citing)
Total Program Service Revenue$18,270,873TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$33TotalRevenueColumnAmt
Exclusion$33ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$73,200RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$73,200RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,200TotalRevenueColumnAmt
Related Or Exempt Func Income$73,200RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
COFFEE, BEAUTY, GIFT SHOPS453220$28,576$28,576
EMPLOYEE MEALS REVENUE722210$26,998$26,998
MISC REVENUE900099$24,782$24,782
FieldValueIRS element (for citing)
Other Revenue Total$80,356OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,424,462TotalRevenueColumnAmt
Related Or Exempt Func Income$18,424,429RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$33ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,471,122TotalAmt
Program Services$8,264,986ProgramServicesAmt
Management And General$206,136ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,099,172TotalAmt
Program Services$929,684ProgramServicesAmt
Management And General$169,488ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$645,552TotalAmt
Program Services$615,838ProgramServicesAmt
Management And General$29,714ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,285,584TotalAmt
Program Services$79,425ProgramServicesAmt
Management And General$2,206,159ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,535,965TotalAmt
Program Services$2,336,666ProgramServicesAmt
Management And General$199,299ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$411,568TotalAmt
Program Services$391,184ProgramServicesAmt
Management And General$20,384ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,724TotalAmt
Management And General$5,724ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$706,453TotalAmt
Program Services$706,453ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$134,369TotalAmt
Program Services$126,054ProgramServicesAmt
Management And General$8,315ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$500,723TotalAmt
Program Services$500,723ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$863,767TotalAmt
Program Services$863,767ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$151,687TotalAmt
Management And General$151,687ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
USER FEE$1,152,080$1,152,080
FOOD FUNCTIONS$688,398$688,398
PHARMACY$256,052$256,052
MISCELLANEOUS$108,457$72,173$36,284

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,016,673TotalAmt
Program Services$15,795,514ProgramServicesAmt
Management And General$4,221,159ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$178,362BOYAmt
EOY$966,481EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,789,428BOYAmt
EOY$1,758,138EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$70,919BOYAmt
EOY$54,412EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,039,078LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,477,095LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,414,431BOYAmt
EOY$5,561,983EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,500BOYAmt
EOY$1,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,454,640BOYAmt
EOY$8,342,514EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,865,872BOYAmt
EOY$2,546,853EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$40,604BOYAmt
EOY$63,614EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$121,990BOYAmt
EOY$85,739EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,574,422BOYAmt
EOY$8,386,767EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,602,888BOYAmt
EOY$11,082,973EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,148,248BOYAmt
EOY-$2,740,459EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,148,248BOYAmt
EOY-$2,740,459EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,454,640BOYAmt
EOY$8,342,514EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,592,211ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,537,699CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,589,592CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,731,232CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,744,387CurrentTaxYearMinus1YearAmt
Current Tax Year$18,270,873CurrentTaxYearAmt
Total$91,873,783TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,537,699CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,589,592CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,731,232CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,744,387CurrentTaxYearMinus1YearAmt
Current Tax Year$18,270,873CurrentTaxYearAmt
Total$91,873,783TotalAmt

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$91,873,783PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$129,206CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,207CurrentTaxYearMinus1YearAmt
Current Tax Year$73,233CurrentTaxYearAmt
Total$275,692TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$129,206CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,207CurrentTaxYearMinus1YearAmt
Current Tax Year$73,233CurrentTaxYearAmt
Total$275,692TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,834CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$41,044CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$182,818CurrentTaxYearMinus1YearAmt
Current Tax Year$80,356CurrentTaxYearAmt
Total$345,052TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,578,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,589,624CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,901,482CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,000,412CurrentTaxYearMinus1YearAmt
Current Tax Year$18,424,462CurrentTaxYearAmt
Total$92,494,527TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99330PublicSupportCY509Pct
Public Support PY5090.99480PublicSupportPY509Pct
Investment Income CY0.00300InvestmentIncomeCYPct
Investment Income PY0.00230InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationENDOWMENT SUPPORT - 2011 AMOUNT: $ 40,834. MISCELLANEOUS INCOME - 2013 AMOUNT: $ 41,044. 2014 AMOUNT: $ 182,818. 2015 AMOUNT: $ 80,356.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$344,934OtherCostOrOtherBasisAmt
Book Value$344,934BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,205,053OtherCostOrOtherBasisAmt
Depreciation$11,563,832DepreciationAmt
Book Value$1,641,221BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,061,913OtherCostOrOtherBasisAmt
Depreciation$4,684,489DepreciationAmt
Book Value$2,377,424BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,044,416OtherCostOrOtherBasisAmt
Depreciation$4,119,455DepreciationAmt
Book Value$924,961BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$382,762OtherCostOrOtherBasisAmt
Depreciation$109,319DepreciationAmt
Book Value$273,443BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,561,983TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$8,051,189
ESTIMATED THIRD PARTY PAYOR SETTLEMENTS$295,748
ASSET RETIREMENT OBLIGATION$39,830
FieldValueIRS element (for citing)
Total Liability$8,386,767TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION HOLDS FUNDS ON BEHALF OF ITS RESIDENTS TO BE USED AS DIRECTED BY THE RESIDENTS.
PART X, LINE 2:THE ORGANIZATION ANNUALLY EVALUATES ITS TAX STATUS AND TAX POSITIONS TAKEN WITH RESPECT TO ITS OPERATIONS AND FINANCIAL POSITION. TAX YEARS FROM 2012 THROUGH THE CURRENT YEAR REMAIN OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
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 (2 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
MARTIN BAICKER
PRESIDENT AND CEO$0$287,008$0$0$0$0$0$0$0$21,236$0$308,244$0$0
A EDWARD ROMAN JR
FORMER CFO$0$169,967$0$0$0$0$0$0$0$12,773$0$182,740$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11AS PART OF ITS EXISTING CHARTER, THE FINANCE COMMITTEE (ALL INDEPENDENT MEMBERS) WERE ASKED BY THE BOARD TO REVIEW REQUIRED DISCLOSURES IN THE FORM 990 AND, IF APPROVED, RECOMMEND THE RETURN FOR FILING. THE CFO DISCUSSED IN DETAIL WITH THE FINANCE COMMITTEE THE PREPARATION, COMPLETION AND FINALIZATION OF THE FORM 990 WITH EMPHASIS ON THE NEWLY REQUIRED DISCLOSURES OF: ACTIVITIES IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSE; GOVERNANCE, FINANCIAL TRANSACTIONS AMONG INSIDERS AND COMPENSATION; COMMUNITY BENEFIT, BONDS, AND CORPORATE POLICIES AND PROCEDURES; DISCLOSURE OF KEY GOVERNANCE, FINANCIALS AND MISSION POLICIES. BASED ON ITS REVIEW AND FINDINGS, THE FINANCE COMMITTEE RECOMMENDED THE FILING OF THE FORM 990. A COPY OF THE RETURN IS MADE AVAILABLE AND REVIEWED WITH THE BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CPROCESS FOR MONITORING COMPLIANCE WITH CONFLICTS OF INTEREST POLICY- THE CORPORATE COMPLIANCE OFFICER CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH ANNUAL CORPORATE COMPLIANCE TRAINING AND CONFIRMATIONS SIGNED BY ALL EMPLOYEES AND BY OBTAINING ANNUAL WRITTEN CONFIRMATIONS FROM INDEPENDENT BOARD MEMBERS. THE POLICY STATES THAT EMPLOYEES OR DIRECTORS MUST SEEK GUIDANCE FROM APPROPRIATE MANAGEMENT PERSONNEL PRIOR TO PURSUING ANY BUSINESS OR PERSONAL ACTIVITY THAT MAY CONSTITUTE A CONFLICT OF INTEREST. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO APPROPRIATE PERSONNEL.
FORM 990, PART VI, SECTION B, LINE 15ATHE HUMAN RESOURCES COMMITTEE REVIEWS AND APPROVED SALARIES OF TOP MANAGEMENT
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 195,786. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,786. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 176,682. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,682. ADMINISTRATIVE/BUSINESS OFFICE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 197,334. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,334. PHYISCAL THERAPY: PROGRAM SERVICE EXPENSES 896,118. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 896,118. LAUNDRY AND HOUSEKEEPING: PROGRAM SERVICE EXPENSES 680,196. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 680,196. NURSING: PROGRAM SERVICE EXPENSES 197,452. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,452. ENGINEERING: PROGRAM SERVICE EXPENSES 138,837. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,837. OTHER: PROGRAM SERVICE EXPENSES 51,595. MANAGEMENT AND GENERAL EXPENSES 1,965. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,560.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
GENESIS HOUSE III INC
770 CONVERSE STREETLONGMEADOWMA01106000739159ELDERLY HOUSINGMA501 (C) (3)9N/A0
JGS LIFECARE CORPORATION
770 CONVERSE STREETLONGMEADOWMA01106042129128GERIATRIC/NURSING PROVIDERMA501 (C) (3)9N/A0
JGS ADMINISTRATIVE SERVICES
770 CONVERSE STREETLONGMEADOWMA01106043295014MANAGERIAL & ADMINMA501 (C) (3)9N/A0
JGS HOUSING SERVICES INC
770 CONVERSE STREETLONGMEADOWMA01106043321157ASSISTED LIVINGMA501 (C) (3)9N/A0
SPECTRUM HOME HEALTH AND HOSPICE CARE INC
770 CONVERSE STREETLONGMEADOWMA01106043237982PATIENT TRANSISTIONMA501 (C) (3)9N/A0
SPECTRUM HOME CARE INC
770 CONVERSE STREETLONGMEADOWMA01106043399549NONCERT HOME CAREMA501 (C) (3)9N/A0
GENESIS HOUSE INC
770 CONVERSE STREETLONGMEADOWMA01106042817295ELDERLY HOUSINGMA501 (C) (3)9N/A0
GENESIS HOUSE II INC
770 CONVERSE STREETLONGMEADOWMA01106222611647ELDERLY HOUSINGMA501 (C) (3)9N/A0
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 Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
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 Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

InvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JGS LIFECARE CORPORATION
$13,341,881COST
JGS HOUSING SERVICES INC
$1,735,464COST
JGS ADMINISTRATIVE SERVICES
$3,573,710COST
SPECTRUM HOME HEALTH AND HOSPICE CARE
$2,001,243COST
SPECTRUM HOME CARE INC
$82,511COST