2015-11-03T13:43:58-06:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2014-01-01 043274643 AVIV ASSISTED LIVING INC AVIV 9784715100 240 LYNNFIELD STREET PEABODY MA 019605055 KIM JOYCE ASST TREASURER & CFO 9784715100 2015-09-25 1 JUDY DALEY P01294075 6179848100 2015-09-11 2014 2016-04-25 22:37:26Z WOODBRIDGE ASSISTED LIVING KIM JOYCE 240 LYNNFIELD STREET PEABODY MA 019605055 8246966 0 X WWW.AVIVLIVING.ORG X 1995 MA THE ORGANIZATION'S MISSION IS TO ENRICH THE LIFE OF EACH OF OUR RESIDENTS AND PROGRAM PARTICIPANTS SO THAT EACH MAY CONTINUE TO LIVE HIS OR HER LIFE WITH A SENSE OF MEANING AND PURPOSE. WE PROVIDE ASSISTED LIVING UNITS FOR OUR TENANTS. 7 7 0 23 0 0 0 0 7740080 8245240 33 55 0 300 7740113 8245595 0 0 0 0 3686251 3619605 0 0 0 3748285 3514944 7434536 7134549 305577 1111046 18306578 17286758 17177019 14667928 1129559 2618830 TO ENRICH THE LIFE OF EACH OF OUR RESIDENTS AND PROGRAM PARTICIPANTS SO THAT EACH MAY CONTINUE TO LIVE HIS OR HER LIFE WITH A SENSE OF MEANING AND PURPOSE. WE PROVIDE ASSISTED LIVING UNITS FOR OUR TENANTS. 0 0 6329506 8245595 ASSISTED LIVING - OPERATION OF A 130-UNIT ASSISTED LIVING FACILITY IN PEABODY, MA. 32 OF THE UNITS WERE SPECIALLY DESIGNED AND DESIGNATED FOR CARE SPECIALIZING IN MEMORY ISSUES. 6329506 1 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 1 0 0 0 1 18 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 1 1 1 0 0 0 0 1 1 0 0 0 1 1 1 1 0 1 1 0 MA X KIM JOYCE CFO 9784715100 240 LYNNFIELD STREET PEABODY MA 01960 ERIC LEVY CHAIR (THRU 11/30/14) 2.00 5.00 X X 0 0 0 DAVID VARSANO VICE CHAIR (THRU 11/30/14) 1.00 3.00 X X 0 0 0 WAYNE SHERIDAN TREASURER (THRU 03/01/14) 1.00 3.00 X X 0 0 0 NEAL MIZNER SECRETARY (THRU 03/01/14) 1.00 3.00 X X 0 0 0 DAVID PLINER DIRECTOR (THRU 11/30/14) 1.00 3.00 X X 0 0 0 ADAM BERMAN PRESIDENT (AS OF 12/01/14) 1.00 3.00 X X 0 0 0 JOEL MAZER CHAIR (AS OF 12/01/14) 2.00 6.00 X X 0 0 0 BARRY BERMAN TREASURER (AS OF 12/01/14) 1.00 3.00 X X 0 0 0 ELIZABETH MULLEN SECRETARY (AS OF 12/01/14) 1.00 3.00 X X 0 0 0 SUSAN BRUDNICK DIRECTOR (AS OF 12/01/14) 1.00 3.00 X 0 0 0 SHARON FORMAN DIRECTOR (AS OF 12/01/14) 1.00 3.00 X 0 0 0 ROBERT RICHMAN DIRECTOR (AS OF 12/01/14) 1.00 3.00 X 0 0 0 KIM JOYCE ASST TREASURER & CFO 0.00 40.00 X 0 178462 41808 MEGIN HEMMERLING EXECUTIVE DIRECTOR 40.00 0.00 X 133846 0 11742 133846 178462 53550 1 0 1 0 0 PROGRAM SERVICE INCOME 623000 8126995 8126995 OTHER INCOME 623000 118245 118245 8245240 55 55 1671 1371 300 300 8245595 8245540 0 55 3171019 2933567 237452 3570 3303 267 170423 157661 12762 274593 254031 20562 534000 534000 28215 28215 253561 253561 44422 44422 98820 98820 366816 366816 14933 14933 9823 9823 634126 634126 566017 566017 116886 116886 FOOD 538043 538043 SUPPLIES 268053 268053 BAD DEBTS 15000 15000 LICENSE, DUES, & SUBSCR 14685 14685 11544 11544 7134549 6329506 805043 0 260557 769555 94913 33906 27215 25030 19279579 6530416 13167674 12749163 4756219 3709104 18306578 17286758 655450 461711 165770 203280 15338562 12541882 1017237 1461055 17177019 14667928 X 1129559 2618830 1129559 2618830 18306578 17286758 X 1111046 378225 X 0 1 X 1 0 X 7399271 7222895 7991528 7740080 8246911 38600685 7399271 7222895 7991528 7740080 8246911 38600685 0 0 0 38600685 3603 843 51 33 55 4585 3603 843 51 33 55 4585 7402874 7223738 7991579 7740113 8246966 38605270 0.99990 0.99970 0.00010 0.00030 X 1771258 1771258 15596259 5009059 10587200 1912062 1521357 390705 12749163 DEFERRED FINANCING CHARGES, NET 397500 DUE FROM RELATED PARTY 2692367 DEPOSITS 7283 SECURITY DEPOSITS 595144 SOFTWARE, NET 16810 3709104 SECURITY DEPOSITS 579869 FAIR VALUE OF INTEREST RATE SWAP 92511 DUE TO RELATED PARTIES 788675 1461055 X PART X, LINE 2: AVIV ASSISTED LIVING, INC. IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AVIV ASSISTED LIVING, INC. FILES AS A TAX-EXEMPT ORGANIZATION. THE 2011 THROUGH 2014 TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. X X X X X 0 0 0 0 0 0 0 0 0 KIM JOYCE ASST TREASURER & CFO 0 160000 0 18462 0 0 0 25000 0 16808 0 220270 0 0 A MASS DEVELOPMENT FINANCE AGENCY 043431814 57583UBR8 2011-04-29 15446112 TO REFUND OLD BONDS AND REPLACE EXISTING FACILITY. 0 0 0 A 2904230 15446112 230600 189401 12121881 2012 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 1 1 M&T BANK 5.000000000000 0 0 0 0 0 A 0 SCHEDULE K SUPPLENTAL INFORMATION THIS ORGANIZATION IS REPORTING THEIR RESPECTIVE SHARE OF THE $50M BOND ISSUED ON 04/29/11. SEE JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE, INC. (EIN 04-2106768) FOR THE REMAINING PORTION. FORM 990, PART VI, SECTION A, LINE 1 DURING 2014, A STRATEGIC PLANNING COMMITTEE WAS PUT IN PLACE TO REVIEW AND EVALUATE THE ORGANIZATIONS. SIX MEMBERS OF FORMER BOARD WORKED TOGETHER WITH BANKS AND MANAGEMENT TO IDENTIFY OUTSIDE ORGANIZATION TO CONTINUE MISSION OF AVIV WITH THE CAPACITY TO TAKE ON AVIV DEBT AND PROJECT IMPROVEMENT IN OPERATIONS TO BE ABLE TO PAY DEBT. FORM 990, PART VI, SECTION A, LINE 2 BARRY BERMAN AND ADAM BERMAN HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT WITH CHELSEA JEWISH COMMUNITY, INC., A SUBSIDIARY OF CHELSEA JEWISH FOUNDATION, EFFECTIVE DECEMBER 1, 2014. CHELSEA JEWISH COMMUNITY, 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 4 THE COMPOSITION OF THE BOARD OF DIRECTORS CHANGED ON 12/01/14. FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REVIEWS THE CPA-PREPARED FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE 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 15 THE 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 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: SWAP BREAKAGE FEES -970,313. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS 1,348,538. AVIV FOUNDATION INC 240 LYNNFIELD STREET PEABODY MA 01960 223102199 FUNDRAISING MA 501(C)(3) LINE 7 AVIV CENTERS FOR LIVING INC 0 JEWISH REHABILITATION CTR FOR THE AGED OF THE NORTH SHORE INC 240 LYNNFIELD STREET PEABODY MA 01960 042106768 SKILLED NURSING CARE MA 501(C)(3) LINE 9 AVIV CENTERS FOR LIVING INC 0 AVIV CENTERS FOR LIVING INC 240 LYNNFIELD STREET PEABODY MA 01960 261244471 MANAGEMENT MA 501(C)(3) LINE 11B, II 0 JRC REALTY CORPORATION INC 240 LYNNFIELD STREET PEABODY MA 01960 043321272 REAL ESTATE MA N/A C 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0