2014-07-11T18:01:53-05:00 2013-08-31 910189318 MOSS ADAMS LLP 3121 W MARCH LN STE 100 STOCKTON CA 952192303 990 2012-09-01 951691015 EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING EISE 8187743372 18855 VICTORY BLVD RESEDA CA 913356499 SHERRI CUNNINGHAM 8187743372 2014-07-09 1 JOUA V LO P01225144 2099556100 2012 2015-11-30 17:44:51Z SHERRI CUNNINGHAM 18855 VICTORY BLVD RESEDA CA 913356499 27501179 0 X WWW.JHA.ORG X 1979 CA RESIDENTIAL CARE AND SKILLED NURSING FACILITY 7 6 505 130 0 0 0 0 26323118 27485466 23269 13740 93712 -3759 26440099 27495447 0 0 0 0 17335101 18690468 0 0 0 26042748 26653391 43377849 45343859 -16937750 -17848412 90880187 85680248 44467899 58526474 46412288 27153774 X EXCELLENCE IN SENIOR CARE REFLECTIVE OF JEWISH VALUES. 0 1 45160246 0 27485466 OPERATION OF A PHILANTHROPIC HOME IN ACCORDANCE WITH JEWISH TRADITIONS, PROVIDING A CONTINUUM OF CARE, INCLUDING NEIGHBORHOOD HOMES, ASSISTED LIVING, SKILLED NURSING, ALZHEIMER'S DISEASE AND DEMENTIA CARE AND A CONTINUING CARE RETIREMENT COMMUNITY. 183613 0 0 DEVELOPMENT OF CAMPUS IN WEST LA. 45343859 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 31 0 1 505 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X ELAINE KAMIEL 8187743372 7150 TAMPA AVE RESEDA CA 91335 X J FRIEDMAN-RUDZKI 2.00 4.00 X X 0 0 0 T BLOOMGARDEN 2.00 2.00 X X 0 0 0 F GAINES 2.00 2.00 X 0 0 0 M RUBIN 2.00 2.00 X 0 0 0 S SACHS 2.00 2.00 X 0 0 0 D KEKST 2.00 2.00 X 0 0 0 M FORREST 2.00 38.00 X X 0 624672 17002 S CUNNINGHAM 2.00 38.00 X 0 363704 29633 J GRAHAM 2.00 38.00 X 0 334551 11398 L STEPANIANS 2.00 38.00 X 0 0 0 J NIPALES 60.00 X 132473 0 10042 A MARTY 40.00 X 123152 0 5171 N ROISMAN 40.00 X 102612 0 3591 A HERNANDEZ 40.00 X 100532 0 7605 458769 1322927 84442 4 0 1 0 SOLUTIONS ADVISORS LLC 2000 WINDOW DR PRINCETON NJ 08540 MARKETING SERVICES 102709 1 MEDICARE/CAID 623000 11424083 11424083 CCRC REVENUE 623000 5808659 5808659 NEIGHBORHOOD HOMES 623000 5672382 5672382 FUNDING FROM PARENT ORG 623000 2767728 2767728 PRIVATE NURSING CARE 623000 1745840 1745840 66774 66774 27485466 13740 13740 1973 5732 -3759 -3759 27495447 27485466 0 9981 14640907 14640907 196486 196486 2735455 2735455 1117620 1117620 1868 1868 187254 187254 414 414 723187 723187 1496173 1496173 55 55 13501 13501 2558168 2558168 168422 168422 FUNDING TO PARENT ORG. 15896144 15896144 DIETARY FOOD & SUPPLIES 2191601 2191601 ANCILLARY EXPENSES 1043992 1043992 PURCHASED SERVICES 594370 594370 1778242 1778242 45343859 45343859 0 0 24036 125038 15259929 12311361 1490459 1120896 103575 125395 1765781 1459486 93587804 23867549 71071464 69720255 1164943 817817 90880187 85680248 1812939 3396876 40926237 54072549 1728723 1057049 44467899 58526474 X 46412288 27153774 46412288 27153774 90880187 85680248 -17848412 -1410102 0 X 0 1 X 1 0 X 45309394 42784421 22429763 26323118 27485466 164332162 45309394 42784421 22429763 26323118 27485466 164332162 0 25750835 22531846 1374237 2492716 52149634 25750835 22531846 1374237 2492716 52149634 112182528 23720 52195 23269 13740 112924 23720 52195 23269 13740 112924 17335 12111 11254 95185 1973 137858 45326729 42820252 22493212 26441572 27501179 164582944 0.68160 0.63750 0.00070 0.00060 X 817660 817660 87144487 20889524 66254963 2044030 1292167 751863 3581627 1685858 1895769 69720255 ASSET RETIREMENT OBLIGATION 415527 PAYABLE TO THIRD PARTY PAYOR 4154 RESIDENT FUNDS 312732 OTHER 271236 CCRC ESCROW DEPOSITS 53400 1057049 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE HOME RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF AUGUST 31, 2013 OR 2012. 0 0 0 0 0 0 0 0 0 M FORREST 0 501741 0 122931 0 0 0 6809 0 10193 0 641674 0 0 S CUNNINGHAM 0 321204 0 42500 0 0 0 5964 0 23669 0 393337 0 0 J GRAHAM 0 334551 0 0 0 0 0 3476 0 7922 0 345949 0 0 SUPPLEMENTAL INFORMATION PART III PART I, LINE 3 - COMPENSATION FOR THE CEO WAS DETERMINED BY LOS ANGELES JEWISH HOMES FOR THE AGING, A RELATED ORGANIZATION, THAT USED EACH OF THE METHODS DESCRIBED ON LINE 3 TO ESTABLISH COMPENSATION. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 EISENBERG VILLAGE OF THE LA JHA TERMINATED THE DEVELOPMENT OF A CAMPUS IN WEST LA BECAUSE THE PROJECT WAS TRANSFERRED TO ANOTHER ORGANIZATION OF THE LOS ANGELES JEWISH HOME FOR THE AGING. FORM 990, PART VI, SECTION A, LINE 7A THE PARENT ORGANIZATION, LOS ANGELES JEWISH HOME FOR THE AGING, HAS THE RIGHT TO APPOINT THE EISENBERG VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE PARENT ORGANIZATION, LOS ANGELES JEWISH HOME FOR THE AGING, HAS THE RIGHT TO APPROVE CERTAIN ACTIONS TAKEN BY EISENBERG VILLAGE OF THE LAJHA. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE REVIEWED BY THE VOTING MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST FORM SPECIFIES ACTIONS THAT WOULD BE CONSIDERED CONFLICTS OF INTEREST AND EXPLAINS THE ORGANIZATION'S PROCEDURES TO REPORT ANY SUSPECTED CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 POLICY FOR DETERMINATION OF EXECUTIVE COMPENSATION, OFFICERS AND TOP MANAGEMENT INCLUDES REVIEWING COMPARABILITY DATA FROM NUMEROUS SALARY AND COMPENSATION SURVEYS AND THE FORM 990 DATA OF SIMILAR ORGANIZATIONS. THE COMPENSATION FOR TOP MANAGEMENT IS DETERMINED BY THE EXECUTIVE REVIEW COMMITTEE AND APPROVED BY THE FULL EXECUTIVE COMMITTEE OF THE BOARD. COMPENSATION IS REVIEWED FOR OFFICERS AND TOP MANAGEMENT ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VII: AS REQUIRED, THE REPORTABLE COMPENSATIONS ON PART VII, COLUMNS D, E AND F WERE BASED ON COMPENSATIONS REPORTED ON FORMS W-2 OR 1099-MISC FOR CALENDAR YEAR 2012. LARISSA STEPANIANS STARTED AS COO EFFECTIVE ON 2/4/2013, THEREFORE, THERE WERE NO SUCH REPORTABLE COMPENSATIONS FOR HER DURING CALENDAR YEAR 2012. FOUNTAINVIEW AT EISENBERG VILLAGE LLC 7150 TAMPA AVE RESEDA CA 91335 951691015 CONTINUING CARE RETIREMENT COMMUNITY CA 5822399 14498849 N/A JHA WEST 16 LLC 7150 TAMPA AVE RESEDA CA 91335 263639876 RAISE FUNDS TO BUY LAND FOR A WEST LA CAMPUS FOR A CCRC CA 0 0 N/A LOS ANGELES JEWISH HOME FOR THE AGING 7150 TAMPA AVE RESEDA CA 91335 953510024 NURSING, RESIDENTIAL AND CLINICAL CARE FOR THE ELDERLY CA 501(C)(3) 7 N/A 0 JHA GERIATRIC SERVICES INC 7150 TAMPA AVE RESEDA CA 91335 954407317 CLINICAL AND HOSPICE SERVICES FOR THE ELDERLY CA 501(C)(3) 9 LOS ANGELES JEWISH HOME FOR THE AGING 0 ANNENBERG SCHOOL OF NURSING 7150 TAMPA AVE RESEDA CA 91335 208449705 VOCATIONAL NURSE EDUCATION CA 501(C)(3) 2 LOS ANGELES JEWISH HOME FOR THE AGING 0 GRANCELL VILLAGE OF THE LOS ANGELES JEWISH HOME FOR THE AGING 7150 TAMPA AVE RESEDA CA 91335 951831045 RESIDENTIAL CARE AND SKILLED NURSING FACILITY CA 501(C)(3) 9 LOS ANGELES JEWISH HOME FOR THE AGING 0 BRANDMAN CENTERS FOR SENIOR CARE INC 7150 TAMPA AVE RESEDA CA 91335 264023159 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY CA 501(C)(3) 9 LOS ANGELES JEWISH HOME FOR THE AGING 0 JEWISH HOME FOUNDATION 7150 TAMPA AVE RESEDA CA 91335 800927200 FUNDRAISING CA 501(C)(3) LINE 11A, I LOS ANGELES JEWISH HOME FOR THE AGING 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1