STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CHELSEA JEWISH NORTH SHORE ASSISTED LIVING INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHELSEA JEWISH NORTH SHORE ASSISTED LIVING INC (EIN 04-3274643)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349301982
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)
EIN043274643EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AVIV ASSISTED LIVING INCBusinessNameLine1
Business Name Line2F/K/A JRC ASSISTED LIVING INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlAVIVNameControl
Phone9784715100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1240 LYNNFIELD STREETAddressLine1
CityPEABODYCity
StateMAState
ZIP Code019605055ZIPCode

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

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1WOODBRIDGE ASSISTED LIVINGBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKIM JOYCENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1240 LYNNFIELD STREETAddressLine1
CityPEABODYCity
StateMAState
ZIP Code019605055ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7991578GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.AVIVLIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees169TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7222895ProgramServiceRevenuePriorYear
Program Service Revenue CY7991527ProgramServiceRevenueCY
Investment Income Prior Year843InvestmentIncomePriorYear
Investment Income Current Year51InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7223738TotalRevenuePriorYear
Total Revenue Current Year7991578TotalRevenueCurrentYear
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 Year3673985SalariesEtcPriorYear
Salaries Etc Current Year3630866SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3855404OtherExpensePriorYear
Other Expenses Current Year3770221OtherExpensesCurrentYear
Total Expenses Prior Year7529389TotalExpensesPriorYear
Total Expenses Current Year7401087TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-305651RevenuesLessExpensesPriorYear
Revenues Less Expenses CY590491RevenuesLessExpensesCY
Total Assets BOY17482238TotalAssetsBOY
Total Assets EOY18114927TotalAssetsEOY
Total Liabilities BOY17535666TotalLiabilitiesBOY
Total Liabilities EOY17479656TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-53428NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY635271NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6419830Expense
Revenue7991527Revenue
DescriptionPROVIDE 130 UNITS OF ASSISTED LIVING TO THE ELDERLY.Description
Total Program Service Expense6419830TotalProgramServiceExpense
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 With109623NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees169NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
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 CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
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 (14 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 & COO20.0020.00XX019400016282
KIM JOYCE
ASST TREASURER & CFO0.0040.00XX016000016110
DAVID PLINER
DIRECTOR1.003.00X000
ANDREW KATZ
CHAIR, UNTIL 08/31/121.003.00XX000
JEFF GOPEN
EXECUTIVE DIRECTOR0.0040.00013755619131X
MICHAEL HAMMERSCHMIDT
CHIEF DEVELOPMENT OFFICER0.0040.0001350799433X
KATY AHERN-TAVARES
SALES & MARKETING40.000.00121208010066X
ETTA DIAZ
REGISTERED NURSE0.0040.00011186414897X
THERESA HALLIDAY BURRI
SR DIRECTOR BUSINESS DEVELOPMENT0.0040.00015253810358X
FieldValueIRS element (for citing)
Total Reportable Comp From Org121208TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1251769TotalReportableCompFrmRltdOrgs
Total Other Compensation137615TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SODEXOBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18011 34TH AVENUE SOUTHAddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55425ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesDIETARY/MANAGEMENTDescriptionOfServices
Compensation230000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT RENTAL FEES62300076215717621571
OTHER INCOME623000186907186907
SERVICE INCOME623000183049183049
FieldValueIRS element (for citing)
Total Program Service Revenue7991527TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column51TotalRevenueColumn
Exclusion$51ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7991578TotalRevenueColumn
Related Or Exempt Function Income7991527RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$51ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3149819Total
Program Services2985109ProgramServices
Management And General164710ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5183Total
Program Services4912ProgramServices
Management And General271ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total199176Total
Program Services188761ProgramServices
Management And General10415ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total276688Total
Program Services262219ProgramServices
Management And General14469ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total750000Total
Management And General750000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7025Total
Management And General7025ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2684Total
Management And General2684ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total318831Total
Program Services287148ProgramServices
Management And General31683ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total47629Total
Program Services47629ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total116875Total
Program Services116875ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total367557Total
Program Services367557ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total17096Total
Program Services17096ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8992Total
Program Services8992ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total676150Total
Program Services676150ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total549579Total
Program Services549579ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total104000Total
Program Services104000ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD524123524123
SUPPLIES238625238625
BAD DEBTS2200022000
LICENSE, DUES, & SUBSCR1640216402

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2653Total
Program Services2653ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7401087Total
Program Services6419830ProgramServices
Management And General981257ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY462205BOY
EOY456160EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY80193BOY
EOY93878EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1200BOY
EOY1200EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23783BOY
EOY12893EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18892275LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5430479LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13426900BOY
EOY13461796EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3487957BOY
EOY4089000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17482238BOY
EOY18114927EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY581669BOY
EOY602129EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY175997BOY
EOY123050EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY15665562BOY
EOY15508700EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1112438BOY
EOY1245777EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17535666BOY
EOY17479656EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-53428BOY
EOY635271EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-53428BOY
EOY635271EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17482238BOY
EOY18114927EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses590491ReconcilationRevenueExpenses
Reconcilation Other Changes98208ReconcilationOtherChanges
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 Years43CurrentTaxYearMinus4Years
Total43Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7754184CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7570859CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7399271CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7222895CurrentTaxYearMinus1Year
Current Tax Year7991528CurrentTaxYear
Total37938737Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7754227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7570859CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7399271CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7222895CurrentTaxYearMinus1Year
Current Tax Year7991528CurrentTaxYear
Total37938780Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50937938780PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7173CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3603CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year843CurrentTaxYearMinus1Year
Current Tax Year51CurrentTaxYear
Total35830Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7173CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3603CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year843CurrentTaxYearMinus1Year
Current Tax Year51CurrentTaxYear
Total35830Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7778387CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7578032CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7402874CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7223738CurrentTaxYearMinus1Year
Current Tax Year7991579CurrentTaxYear
Total37974610Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99910PublicSupportPercentage509
Prior Year Support Percentage0.99760PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00240PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1771258OtherCostOrOtherBasis
Book Value1771258BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15390179OtherCostOrOtherBasis
Depreciation4109992Depreciation
Book Value11280187BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1730838OtherCostOrOtherBasis
Depreciation1320487Depreciation
Book Value410351BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13461796TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED MORTGAGE ACQUISITION CO427500
DUE FROM RELATED PARTY2721994
DEPOSITS7283
FUNDED RESERVES340026
SECURITY DEPOSITS592197
FieldValueIRS element (for citing)
Total Book Value Other Assets4089000TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
SECURITY DEPOSITS$583,330
ADMISSION DEPOSITS$3,000
FAIR VALUE OF INTEREST RATE SWAP$659,447
FieldValueIRS element (for citing)
Total Of Amounts1245777TotalOfAmounts
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 AS DESCRIBED IN SEC 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE TAXES. THE 2009 THROUGH 2012 TAX YEARS ARE OPEN FOR 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
JEFF GOPEN
EXECUTIVE DIRECTOR0137556000000019131015668700
THERESA HALLIDAY BURRI
SR DIRECTOR BUSINESS DEVELOPMENT0152538000000010358016289600

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 Price15446112IssuePrice
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 Retired15026111AmountRetired
Total Proceeds15446112TotalProceeds
Issuance Costs From Proceeds230600IssuanceCostsFromProceeds
Credit Enhancement189401CreditEnhancement
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
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 4/29/11. SEE JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE, INC. (EIN 04-2106768) 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 (6 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 C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE 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.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER 168,693. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -70,485.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, 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 LIVING INC1
JEWISH REHABILITATION CTR FOR THE AGED OF THE NORTH SHORE INC
240 LYNNFIELD STREETPEABODYMA01960042106768SKILLED NURSING CAREMA501(C)(3)LINE 9AVIV CENTERS FOR LIVING INC1
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 LYNNFIELDAddressLine1
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 Org1LoansOrGuaranteesToOtherOrg
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg