STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

JEWISH HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
JEWISH HOME (EIN 94-0545320)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-22
IRS object ID
201211439349300311
Schema version
2010v3.7
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)
Timestamp2012-05-22T12:38:08-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SEILER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1THREE LAGOON DRIVE STE 400AddressLine1
CityREDWOOD CITYCity
StateCAState
ZIP Code94065ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN940545320EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEBREW HOME FOR AGED DISABLEDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEBRNameControl
Phone4153342500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code941121510ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN POTTERName
TitleCFOTitle
Phone4153342500Phone
Date Signed2012-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDEBRA K MCCALLName
Phone6503654646Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1JEWISH HOME OF SAN FRANCISCOBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL RUTH CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode
FieldValueIRS element (for citing)
Gross Receipts73721248GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.jhsf.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1871YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionWE ARE A LICENSED NURSING HOME THAT PROVIDES TO SENIORS LIFE ENRICHING SERVICES THAT PROMOTE INDIVIDUAL DIGNITY, ENCOURAGE INDEPENDENCE, AND REFLECT THE SOCIAL, CULTURAL AND SPIRITUAL VALUES OF JEWISH TRADITION.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees869TotalNbrEmployees
Total Nbr Volunteers190TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10672722ContributionsGrantsPriorYear
Contributions Grants Current Year11467323ContributionsGrantsCurrentYear
Program Service Revenue Prior Year55155909ProgramServiceRevenuePriorYear
Program Service Revenue CY61773468ProgramServiceRevenueCY
Investment Income Prior Year18564InvestmentIncomePriorYear
Investment Income Current Year1640InvestmentIncomeCurrentYear
Other Revenue Prior Year-172770OtherRevenuePriorYear
Other Revenue Current Year176322OtherRevenueCurrentYear
Total Revenue Prior Year65674425TotalRevenuePriorYear
Total Revenue Current Year73418753TotalRevenueCurrentYear
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 Year48517400SalariesEtcPriorYear
Salaries Etc Current Year50236580SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year451238TotalFundrsngExpCurrentYear
Other Expense Prior Year17202109OtherExpensePriorYear
Other Expenses Current Year20334417OtherExpensesCurrentYear
Total Expenses Prior Year65719509TotalExpensesPriorYear
Total Expenses Current Year70570997TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-45084RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2847756RevenuesLessExpensesCY
Total Assets BOY114389986TotalAssetsBOY
Total Assets EOY123604099TotalAssetsEOY
Total Liabilities BOY46228867TotalLiabilitiesBOY
Total Liabilities EOY45612430TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY68161119NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY77991669NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION IS A LICENSED SKILLED NURSING FACILITY SPECIALIZING IN PROGRAMS, SERVICES, AND CARE FOR OLDER ADULTS. THE ORGANIZATION IS A NINE-ACRE COMPREHENSIVE SENIOR CARE CENTER WITH FIVE DISTINCT BUILDINGS, SERVING MORE THAN 420 RESIDENTS WITH DIVERSE CARE NEEDS, AND PROVIDING REHABILITATION SERVICES TO NUMEROUS OTHERS SEEKING SHORT-TERM CARE STAYS. OUR MISSION IS TO BECOME A REGIONAL RESOURCE AS AN INTEGRAL PART OF A CONTINUUM OF CARE THROUGHOUT THE BAY AREA THAT PROVIDES SENIOR ADULTS WITH A VARIETY OF LIFE ENRICHING PROGRAMS AND SERVICES THAT ARE ACCESSIBLE, PROMOTE INDIVIDUAL DIGNITY, ENCOURAGE INDEPENDENCE, CONNECT THEM TO THEIR COMMUNITY, AND REFLECT THE SOCIAL, CULTURAL, AND SPIRITUAL VALUES OF JEWISH TRADITION. NON-RESIDENTIAL CARE IS OFFERED THROUGH THE HOME'S SHORT-TERM AND REHABILITATION SERVICES UNIT (STARS) AND ACUTE PSYCHIATRIC SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense62938160Expense
Revenue61773468Revenue
DescriptionThe organization provides long-term care, short-term rehabilitation, and acute psych care services. It provides professional and comprehensive programs that include personal and health care to residents in its over 400-bed facility. In the current fiscal year, the organization served an average of 424 residents a day. There were 104 new admissions for long-term care, 337 short-term care patients and 17 patients that required acute psych hospitalization.Description
Total Program Service Expense62938160TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109658NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees869NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKEVIN POTTERNamePerson
Telephone Number4155622505TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL W ADLER
CHAIR2.0XX000
STEPHAN KRIEGER
CHAIR-ELECT2.0XX000
ALAN SILVERMAN
VICE CHAIR2.0XX000
DAVID J ARRICK
TREASURER2.0XX000
ERIC B FASTIFF
SECRETARY2.0XX000
BENJAMIN ANIXTER THRU 101010
TRUSTEE2.0X000
RICHARD BAUM
TRUSTEE2.0X000
BENJAMIN EISLER THRU 101010
TRUSTEE2.0X000
SUSAN FOLKMAN PHD
TRUSTEE2.0X000
MARK L MYERS THRU 10910
TRUSTEE2.0X000
BILL POMERANZ
TRUSTEE1.0X000
CAROL S ROBERTS THRU 101010
TRUSTEE2.0X000
JOEL I ROOS
TRUSTEE2.0X000
MATTHEW SLEPIN
TRUSTEE2.0X000
JEFFERY STEIN
TRUSTEE2.0X000
MICHAEL STRUNSKY
TRUSTEE2.0X000
DANIEL R RUTH
CHIEF EXECUTIVE OFFICER50.0X5121030108508
KEVIN POTTER
CHIEF FINANCIAL OFFICER50.0X226636020585
EDWIN CABIGAO
CHIEF NURSING OFFICER40.0194043012555X
SHERIE A KOSHOVER
CHIEF ADVANCEMENT OFFICER50.0206142085641X
JAY S LUXENBERG
MEDICAL DIRECTOR40.0179546047148X
SANDRA C SIMON
CHIEF ADMINISTRATIVE OFFICER50.0240727048445X
JANICE B SCHWARTZ
DIRECTOR OF RESEARCH32.0153038036620X
IDA SLEPNYOV
RESIDENT NURSE40.0137214013251X
SHIRLEY HUAN
CONTROLLER50.014512806497X
NAMITA KANSAL
MEDICAL DOCTOR40.014400000X
MICHAEL GEISER MD
APU MEDICAL DIRECTOR32.0141056022856X
RICHARD NAVARRO
IT DIRECTOR40.0138496028984X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2418129TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation431090TotalOtherCompensation
Number Individuals GT100 K38NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MANATT PHELPS PHILLIPS LLP
1841 Page Mill Rd SUITE 200PALO ALTOCA94304LEGAL SERVICES167388
MARYLEE MADDEN-BOST
2025 AVON AVECAMBRIACA93429CONSULTING SERVICES217752
CAROL MARACCINI
428 NORTHWOOD DRIVESOUTH SAN FRANCISCOCA94080TRANSCRIPTION SERVCS128198
SEILER LLP
3 LAGOON DRIVE SUITE 400REDWOOD CITYCA94065ACCOUNTING SERVICES127065
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants487306GovernmentGrants
All Other Contributions10980017AllOtherContributions
Noncash Contributions5220NoncashContributions
Total Contributions11467323TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Business Code623000BusinessCode
Total Revenue Column61773468TotalRevenueColumn
Related Or Exempt Function Income61773468RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue61773468TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1640TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,640ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory144020GrossSalesOfInventory
Cost Of Goods Sold302495CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-158475TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$158,475ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
SETTLEMENT INCOME900099200000$200,000
PARKING REVENUE90009962237$62,237
REIMBURSEMENTS FOR SHARED FACILITIES90009956000$56,000

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column16560TotalRevenueColumn
Exclusion$16,560ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue334797TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column73418753TotalRevenueColumn
Related Or Exempt Function Income61773468RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$177,962ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2045212Total
Program Services662088ProgramServices
Management And General1281998ManagementAndGeneral
Fundraising101126Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36366662Total
Program Services35030080ProgramServices
Management And General1148329ManagementAndGeneral
Fundraising188253Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2173255Total
Program Services2146218ProgramServices
Management And General17087ManagementAndGeneral
Fundraising9950Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6906688Total
Program Services6711230ProgramServices
Management And General157644ManagementAndGeneral
Fundraising37814Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2744763Total
Program Services2598317ProgramServices
Management And General133701ManagementAndGeneral
Fundraising12745Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total226767Total
Program Services183518ProgramServices
Management And General43249ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76693Total
Management And General76693ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total39797Total
Management And General39797ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total647391Total
Program Services325868ProgramServices
Management And General305998ManagementAndGeneral
Fundraising15525Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total113542Total
Program Services6226ProgramServices
Management And General102911ManagementAndGeneral
Fundraising4405Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5502936Total
Program Services5380877ProgramServices
Management And General118554ManagementAndGeneral
Fundraising3505Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1910132Total
Program Services1546579ProgramServices
Management And General363553ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1496942Total
Program Services1017921ProgramServices
Management And General479021ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3309303Total
Program Services2722305ProgramServices
Management And General583761ManagementAndGeneral
Fundraising3237Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total468525Total
Program Services468525ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACT SERVICES46136962530824202636556507
EQUIPMENT RENTAL & MTNCE6746773966872765351455
TAX & LICENSES1654281638451583
COST REIMBURSEMENTS-251522-251522
AMORTIZATION OF BOND COSTS538783538783

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total801327Total
Program Services508269ProgramServices
Management And General276342ManagementAndGeneral
Fundraising16716Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total70570997Total
Program Services62938160ProgramServices
Management And General7181599ManagementAndGeneral
Fundraising451238Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17641BOY
EOY14889EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5772382BOY
EOY7601492EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1339028BOY
EOY2576649EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5598277BOY
EOY7310439EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY800000BOY
EOY800000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY294097BOY
EOY303926EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY492241BOY
EOY396825EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis99050203LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec42481325LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY58468185BOY
EOY56568878EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY41608135BOY
EOY48031001EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY114389986BOY
EOY123604099EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6939583BOY
EOY6734285EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY750000BOY
EOY750000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY34840000BOY
EOY34205000EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1000000BOY
EOY1000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2699284BOY
EOY2923145EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46228867BOY
EOY45612430EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22679686BOY
EOY28141858EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9382130BOY
EOY13695722EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY36099303BOY
EOY36154089EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68161119BOY
EOY77991669EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114389986BOY
EOY123604099EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2847756ReconcilationRevenueExpenses
Reconcilation Other Changes6982794ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1655627CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27652647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11036508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10672721CurrentTaxYearMinus1Year
Current Tax Year11467323CurrentTaxYear
Total62484826Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1655627CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27652647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11036508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10672721CurrentTaxYearMinus1Year
Current Tax Year11467323CurrentTaxYear
Total62484826Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1555776AmountsSubstContributorsTotal
Public Support Total17060929050PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years650520CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years270701CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years60906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11987CurrentTaxYearMinus1Year
Current Tax Year1640CurrentTaxYear
Total995754Total
FieldValueIRS element (for citing)
Total Support63480580TotalSupport
Gross Receipts From Admissions Etc259474458GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95981PublicSupportPertcentage170
Public Support Pertcent Prior Year0.94075PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$39,794DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB39794TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance32381562BeginningOfYearBalance
Contributions689786Contributions
Investment Earnings Or Losses5010245InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures635000OtherExpenditures
End Of Year Balance37446593EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance29666200BeginningOfYearBalance
Contributions122775Contributions
Investment Earnings Or Losses3192587InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures600000OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance32381562EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance38484514BeginningOfYearBalance
Contributions30425Contributions
Investment Earnings Or Losses-5085714InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3763025OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance29666200EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.18630PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.81370TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis90849OtherCostOrOtherBasis
Book Value90849BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis79797425OtherCostOrOtherBasis
Depreciation32909571Depreciation
Book Value46887854BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis16069636OtherCostOrOtherBasis
Depreciation8601649Depreciation
Book Value7467987BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3092293OtherCostOrOtherBasis
Depreciation970105Depreciation
Book Value2122188BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings56568878TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN JHSLF40065797
TRUSTEE ACCOUNTS5264514
OTHER ASSETS582336
BOND ISSUANCE COSTS, NET894834
INTEREST IN NET ASSETS-JHSLF1223520
FieldValueIRS element (for citing)
Total Book Value Other Assets48031001TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
DERIVATIVE FINANCIAL INSTRUMEN$1,494,037
RESIDENTS' TRUST ACCOUNT$225,180
RESIDENTS' MAINTENANCE ACCOUNT$85,438
SPLIT INTEREST LIABILITY$26,619
DEFERRED COMPENSATION PAYABLE$211,015
RESERVE FOR MEDI-CAL RATE ADJ$863,090
OTHER LIABILITIES$17,766
FieldValueIRS element (for citing)
Total Of Amounts2923145TotalOfAmounts
Total Revenue73418753TotalRevenue
Total Expenses70570997TotalExpenses
Excess Or Deficit For Year2847756ExcessOrDeficitForYear
Other$6,982,794OtherAmount
Total Adjustments6982794TotalAdjustments
Excess Or Deficit Per FS9830550ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt80659846TotRevenueEtcAuditedFinclStmt
Other Revenues7241093OtherRevenues
Revenue Not Rptd F9907241093RevenueNotRptdF990
Revenue Subtotal73418753RevenueSubtotal
Total Revenue Per Form99073418753TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt70974296TotExpensesEtcAuditedFinclStmt
Other Expenses Included403299OtherExpensesIncluded
Expenses Not Rptd F990403299ExpensesNotRptdF990
Expenses Subtotal70570997ExpensesSubtotal
Total Expenses Per Form99070570997TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF ENDOWMENT FUNDSPART V, LINE 4THE ORGANIZATION'S ENDOWMENT ASSETS CONSIST OF FUNDS ESTABLISHED TO GENERATE OPERATING SUPPORT TO THE ORGANIZATION AND CAPITAL CAMPAIGN FUNDS WHICH THE BOARD OF TRUSTEES MAY USE TO REPAY THE PRINCIPAL PORTION OF THE CONSTRUCTION DEBT AND INCLUDES ACCUMULATED EARININGS THEREON THAT HAVE NOT YET BEEN EXPENDED. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS.
RECONCILIATION OF CHANGES IN NET ASSETSPART XI, LINE 8INCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS $594,530 INCREASE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $5,700,031 BOOK TO TAX ADJUSTMENT CHANGE IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $145,000 UNREALIZED GAIN ON DERIVATIVE FINANCIAL INSTRUMENT $637,004 CONTRIBUTION EXPENSE - LOAN DISCOUNT ($100,804) IMPUTED INTEREST ON OTHER RECEIVABLES 7,033 ----------- TOTAL $6,982,794 ===========
RECONCILIATION OF REVENUEPART XII, LINE 2DINCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS $594,530 INCREASE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $5,700,031 UNREALIZED GAIN ON DERIVATIVE FINANCIAL INSTRUMENT $637,004 COST OF SALE - GARDEN CAFE AND GIFT SHOP $302,495 IMPUTED INTEREST ON OTHER RECEIVABLES 7,033 ----------- TOTAL $7,241,093 ===========
RECONCILIATION OF EXPENSESPART XIII, LINE 2DCONTRIBUTION EXPENSE - LOAN DISCOUNT $100,804 COST OF SALE - GARDEN CAFE AND GIFT SHOP $302,495 ---------- TOTAL $403,299 ==========
UNCERTAIN TAX POSITION, PART XPART X, LINE 2THE ORGANIZATION ADOPTED THE FASB ASC TOPIC 740-10 "INCOME TAXES" REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THIS ACCOUNTING STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE FOUNDATION'S FINANCIAL STATEMENTS. THE STANDARD REQUIRES AN ENTITY TO RECOGNIZE THE FINANACIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN. THEREFORE, NO LIABILITY HAS BEEN RECORDED.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense51166139TotalCommunityBenefitExpense
Direct Offsetting Revenue45529270DirectOffsettingRevenue
Net Community Benefit Expense5636869NetCommunityBenefitExpense
Percent Of Total Expense0.07990PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense51166139TotalCommunityBenefitExpense
Direct Offsetting Revenue45529270DirectOffsettingRevenue
Net Community Benefit Expense5636869NetCommunityBenefitExpense
Percent Of Total Expense0.07990PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense948423TotalCommunityBenefitExpense
Direct Offsetting Revenue487306DirectOffsettingRevenue
Net Community Benefit Expense461117NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense948423TotalCommunityBenefitExpense
Direct Offsetting Revenue487306DirectOffsettingRevenue
Net Community Benefit Expense461117NetCommunityBenefitExpense
Percent Of Total Expense0.00650PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense52114562TotalCommunityBenefitExpense
Direct Offsetting Revenue46016576DirectOffsettingRevenue
Net Community Benefit Expense6097986NetCommunityBenefitExpense
Percent Of Total Expense0.08640PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$258,252BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare10177966AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9013392CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1164574MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ACUTE PSYCHIATRIC HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
OtherNONEOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ACUTE PSYCHIATRIC HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, LINE 7, COLUMN FPERCENT OF TOTAL EXPENSEBAD DEBT EXPENSE IS REPORTED AS A NET ADJUSTMENT TO PATIENT CHARGES AND THEREFORE NOT INCLUDED AS PART OF TOTAL EXPENSES FROM PART IX, LINE 25, COLUMN A.
PART I, LINE 7COST TO CHARGE RATIOThe cost to charge ratio as determined by worksheet 2 was used to calculate the amounts reported on Line 7b. The costing methodology used on Line 7h was calculated based on actual costs from the organization's general ledger.
PART III, LINE 4Uncollected resident accounts are analyzed based on standard procedures for all resident accounts. The result of the analysis is what is recognized as bad debt expense. The organization follows HFMA Statement 15 and therefore no part of bad debt, as defined by statement 15, represents amounts attributable to patients eligible to receive financial assistance. The audited financial statements do not contain a footnote that describes bad debt expense. The audited financial statements contain a footnote describing patient service revenues and charity care which reads as follows: Patient service revenues are recorded on the accrual basis in the period services are provided at established rates regardless of whether collection in full is anticipated. Contractual allowances and the provision for uncollectible accounts are reported as deductions from patient service revenues. Contractual allowances include differences between established billing rates and amounts estimated by management as payable under various contractual arrangements in effect, including those with the Medicare and Medi-Cal programs. Estimation differences between final settlements and amounts accrued in previous years are reported as adjustments to the current year's contractual allowances. The Home accepts residents of the San Francisco Bay Area who meet certain requirements regardless of their ability to pay. A resident is classified as a charity resident by reference to established policies of the Home. Essentially, these policies define charity services as those services for which lesser payment is anticipated. Charity care is included in gross patient service revenue and a corresponding allowance is reflected in determining net patient service revenue.
PART III, LINE 8Medicare allowable costs were calculated using a cost-to-charge ratio. The amounts reported in lines 5, 6 and 7 come from the Hospital's filed Medicare Cost report. The total revenue equates to Medicare payments and the Medicare Allowable Costs are determined on the Medicare Cost Report that utilized cost to charge ratios applied to covered Medicare Revenues.
NEEDS ASSESSMENTThe organization is a member of Building a Healthier San Francisco (BHSF), a collaboration of San Francisco hospitals, the Department of Public Health, United Way, human services providers, philanthropic foundations, and numerous community-based organizations. BHSF is committed to working toward improving the health status of all people in San Francisco. To that end, BHSF needs-assessment process utilizes the best secondary data available on selected indicators of the health or conditions affecting the well-being of San Francisco's population and subpopulations, and seeks feedback and input from the community to guide the assessment and direct the call to action.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEA Resident Services Coordinator staff is available to assist residents and/or their family members or legal representatives through the process of determining their eligibility for all government programs and assist them in the application process.
COMMUNITY INFORMATIONThe organization serves the most medically/cognitively frail, as well as financially indigent elders (85 percent of the organization residents are indigent and/or Medi-Cal recipients who do not pay the full cost of care), with an average age of 86. It provides professional and comprehensive programs that include personal and health care to the elderly who primarily reside in the greater San Francisco Bay Area.
PROMOTION OF COMMUNITY HEALTHThe Organization is involved in numerous community building activities to promote the health and well-being of the communities it serves as well as to provide training and internship opportunities to the future caretakers and leaders of the communities. Following is a list of some of those activities: The organization's staff attended and presented in conferences related to issues on the care for the elderly. Over the past 38 years, the organization has partnered with San Francisco City College in offering several adult education classes to the general community. Approximately 20 to 25 students enroll each semester in the Creative Arts class. The organization partners with local high schools that aim to involve youth in their community by encouraging them to fulfill needs in their respective milieus. Mutual goals include the promotion of civic responsibility and the development of leadership skills. Students from University of California, San Francisco, Samuel Merritt College, Dominican University, San Jose State University, and San Francisco State University continue to intern with the Organization's physical, occupational, and speech therapists. The organization regularly opens its doors to professional organizations and community groups, offering them free meeting space, and continuing education credits. Staff supported the efforts of the San Francisco Food Bank by hosting and participating in a food drive at the end of 2010. The organization's efforts helped the San Francisco Food Bank supply food to over 400 food programs operated by partnering community service agencies and food partners throughout the city that serve low-income families, senior citizens, and other individuals in need. The organization partners with local organizations, fostering dialogue, collaborations, and ongoing communications with its neighbors. Geriatric fellows from the University of California, San Francisco receive training at the organization. Fourth-year pharmacy students at UCSF spend 12 hours a week, in 12-week rotations, in the Organization's Pharmacy department. Through its affiliation with the Organization, six to seven Touro University School of Pharmacy students per academic year receive six-week's training in long-term care pharmacy. They learn how the geriatric patient processes drugs differently from a younger population, are exposed to how drugs are dispensed and utilized, and gain an understanding of third-party payers. The Organization collaborates with Jewish Family and Children's Services and the San Francisco Jewish Community Center to provide hot, nutritious meals to Jewish seniors.
STATE FILING OF COMMUNITY BENEFIT REPORT990 SCHEDULE H, PART VICalifornia

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base 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
DANIEL R RUTH
498179000139240779480305600620611000
EDWIN CABIGAO
1764420176010007058054970206598000
SHERIE A KOSHOVER
20614200000732660123750291783000
JAY S LUXENBERG
17954600000161590309890226694000
KEVIN POTTER
20587602076000082350123500247221000
SANDRA C SIMON
224350016377000157050327400289172000
IDA SLEPNYOV
137214000001234909020150465000
SHIRLEY HUAN
14512800000550509920151625000
JANICE B SCHWARTZ
15303800000137730228470189658000
MICHAEL GEISER MD
1410560000014106087500163912000
RICHARD NAVARRO
1384960000051910237930167480000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCONTRIBUTIONS TO 457(F) PLANIdentifier
Return ReferencePART I, LINE 4AReturnReference
ExplanationCONTRIBUTION TO THE ORGANIZATION'S 457(F) PLAN SHERIE A. KOSHOVER $37,266 DANIEL RUTH $41,848Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ABAG FINANCE AUTHORITY FOR NON-PROFIT CORPORATIONSBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN942832478IssuerEIN
CUSIP Number00037CGX2CUSIPNumber
Date Issued2005-12-01DateIssued
Issue Price35440000IssuePrice
Description Of PurposeSEE PART VDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1235000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds35440000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest2120489CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds755428IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures32564083CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1WELLSFARGO BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge7.3TermOfHedge
Superintegrated HedgetrueSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1AIG MATCHED FUNDINGBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC1.3TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatetrueExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PURPOSE OF TAX-EXEMPT BONDSSCHEDULE K, PART I, LINE A (f)TO FINANCE THE CONSTRUCTION OF THE EAST WING WHICH WAS COMPLETED IN 2007.
TERM OF HEDGEPART IV LINE 3CDURING THE TAX YEAR, THE ORGANIZATION REFINANCED ITS HEDGE WITH WELLSFARGO BANK WITH SIMILAR TERMS.

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonDANIEL R RUTHNamePerson
Purpose Of LoanCOMPENSATION PACKAGEPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$800,000OriginalPrincipalAmount
Balance Due800000BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due800000TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990FORM 990, PART VI,LINE 11AA COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD OF TRUSTEES PRIOR TO FILING. MANAGEMENT OF THE ORGANIZATION REVIEWS THE COMPLETED FORM 990 AND FOLLOWS UP WITH THE TAX RETURN PREPARATION FIRM TO ANSWER ANY QUESTIONS PRIOR TO FILING.
MONITORING AND ENFORCEMENT OF COMPLIANCEFORM 990, PART VI, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. EACH TRUSTEE AND PRINCIPAL OFFICER OF THE ORGANIZATION AND EACH MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ANNUALLY SIGNS THE CONFLICT OF INTEREST STATEMENT AND DISCLOSURE FORM. THE BOARD OF TRUSTEES REVIEWS AND DETERMINES IF ANY CONFLICTS OF INTEREST EXIST AND TAKES THE APPROPRIATE ACTION AS OUTLINED IN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY.
DETERMINATION, REVIEW AND APPROVAL OF OFFICERS' COMPENSATIONFORM 990, PART VI, LINE 15bTHE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE ANNUAL COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER BASED ON VARIOUS FACTORS SUCH AS: COMPENSATION DATA OBTAINED FROM SURVEYS, PERFORMANCE APPRAISALS AND NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS IN THE SAME GEOGRAPHICAL AREA. THE BOARD OF TRUSTEES APPROVES THE CHIEF EXECUTIVE OFFICER'S EMPLOYMENT CONTRACT. THE CHIEF EXECUTIVE OFFICER REVIEWS AND APPROVES THE ANNUAL COMPENSATION FOR THE OTHER EXECUTIVE TEAM MEMBERS BASED ON VARIOUS FACTORS SUCH AS ANNUAL COMPENSATION SURVEYS, PERFORMANCE APPRAISALS AND OTHER NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS. THE BOARD OF TRUSTEES APPROVES THE ANNUAL BUDGET THAT INCLUDES COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES.
AVAILABILITY OF DOCUMENTS FOR PUBLIC INSPECTIONFORM 990, PART VI, LINE 19THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR ORAL REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.
AUDIT OVERSIGHTFORM 990, PART XII, LINE 2CTHE ROLE AND THE PROCESS OF THE AUDIT COMMITTEE HAS NOT CHANGED.
PURPOSE OF A LOAN TO THE CHIEF EXECUTIVE OFFICERSCHEDULE L, PART II, COL (A)THE ORGANIZATION MADE A LOAN OF $800,000 IN SEPTEMBER 2002 TO THE CHIEF EXECUTIVE OFFICER AS PART OF HIS COMPENSATION PACKAGE THAT REQUIRED HIM TO RELOCATE TO CALIFORNIA. THE COMPENSATION PACKAGE WHICH INCLUDED THE LOAN WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE AND THE BOARD OF TRUSTEES AS REASONABLE AND FAIR. THE LOAN IS INTEREST FREE AND IS SECURED BY A SECOND DEED OF TRUST. INTEREST EXPENSE IS IMPUTED ANNUALLY USING THE APPLICABLE FEDERAL RATE (AFR) FOR DEMAND LOANS AND REPORTED AS COMPENSATION BY THE OFFICER.
RECONCILIATION OF CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5INCREASE IN VALUE OF SPLIT INTEREST AGREEMENTS $594,530 INCREASE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $5,700,031 BOOK TO TAX ADJUSTMENT CHANGE IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION (JHSLF) $145,000 UNREALIZED GAIN ON DERIVATIVE FINANCIAL INSTRUMENT $637,004 CONTRIBUTION EXPENSE - LOAN DISCOUNT ($100,804) IMPUTED INTEREST ON OTHER RECEIVABLES 7,033 ----------- TOTAL $6,982,794 ===========
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL W. ADLER TITLE:CHAIR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:DANIEL R. RUTH TITLE:CHIEF EXECUTIVE OFFICER HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:KEVIN POTTER TITLE:CHIEF FINANCIAL OFFICER HOURS:50

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1JEWISH SENIOR LIVING GROUPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1302 SILVER AVENUEAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94112ZIPCode
FieldValueIRS element (for citing)
EIN800291740EIN
Primary ActivitiesSEE PART VIIPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11APublicCharityStatus
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHARITABLE REMAINDER TRUSTS (5)BusinessNameLine1
FieldValueIRS element (for citing)
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1VARIOUSBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityTRUSTSTypeOfEntity
Share Of EOY Assets5236130ShareOfEOYAssets
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierPART II, LINE 1, COL (B)Identifier
Return ReferenceJEWISH SENIOR LIVING GROUP PRIMARY ACTIVITYReturnReference
ExplanationTO PROMOTE THE PROVISION OF JEWISH LIVING SERVICES, FACILITIES AND AGING SERVICES IN NORTHERN CALIFORNIA BY PROVIDING SERVICES DESIGNED TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK.Explanation