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JEWISH NURSING HOME OF WESTERN MASS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
JEWISH NURSING HOME OF WESTERN MASS INC (EIN 04-3138403)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-12
IRS object ID
201112289349301286
Schema version
2010v3.4
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)
Timestamp2011-08-12T15:51:55-00:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043138403EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Jewish Nursing Home of Western Massachusetts IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJEWINameControl
Phone4135676211Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1770 Converse StreetAddressLine1
CityLongmeadowCity
StateMAState
ZIP Code011061786ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAlan RosenfeldName
TitlePresidentTitle
Date Signed2011-08-10DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSherry Giando FosterName
Phone8608777472Phone
Date Prepared2011-08-10DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAlan RosenfeldNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1770 Converse StreetAddressLine1
CityLongmeadowCity
StateMAState
ZIP Code01106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17180159GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.jewishgeriatric.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionOperates a 200 bed Skilled Nursing Facility and Adult Day Care Center Operates a 200 bed Skilled Nursing Facility and Adult Day Care CenterActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees373TotalNbrEmployees
Total Nbr Volunteers75TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17311003ProgramServiceRevenuePriorYear
Program Service Revenue CY17015566ProgramServiceRevenueCY
Investment Income Prior Year453InvestmentIncomePriorYear
Investment Income Current Year2718InvestmentIncomeCurrentYear
Other Revenue Prior Year163391OtherRevenuePriorYear
Other Revenue Current Year161875OtherRevenueCurrentYear
Total Revenue Prior Year17474847TotalRevenuePriorYear
Total Revenue Current Year17180159TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10627434SalariesEtcPriorYear
Salaries Etc Current Year10653369SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6745828OtherExpensePriorYear
Other Expenses Current Year6740670OtherExpensesCurrentYear
Total Expenses Prior Year17373262TotalExpensesPriorYear
Total Expenses Current Year17394039TotalExpensesCurrentYear
Revenues Less Expenses Prior Year101585RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-213880RevenuesLessExpensesCY
Total Assets BOY11179479TotalAssetsBOY
Total Assets EOY10324056TotalAssetsEOY
Total Liabilities BOY10628481TotalLiabilitiesBOY
Total Liabilities EOY9986938TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY550998NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY337118NetAssetsOrFundBalancesEOY
Mission DescriptionThe home is a non-profit organization which owns and operates a 200 bed Skilled Nursing Facility and Adult Day Care CenterMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15117066Expense
DescriptionThe home is a non-profit organization which owns and operates a 200 bed Skilled Nursing Facility and Adult Day Care CenterDescription
Total Program Service Expense15117066TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
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 With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees373NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
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
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJewish Geriatric Services Inc A EdwNamePerson
Telephone Number4135676211TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1770 Converse StreetAddressLine1
CityLongmeadowCity
StateMAState
ZIP Code01106ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormerKey EmployeeKeyEmployee
Alan S Rosenfeld
President040.00X027535439540
Stuart Anfang
Chairman001.00X000
Michael Ginsburg
Treasurer001.00X000
Donald Frank
Clerk001.00X000
Linda M Donoghue
COO040.00X021435023648
Karen L Johnson
EVP HR040.00X013332016388
Thomas E Dybick
Former CFO040.0001423706366X
Udaya Jagadeesan MD
Medical Director040.00X018593223011
Carolyn Brown
Physician040.00015924515175X
Robert Petroff
Administrator040.00010594817661X
A Edward Roman Jr
CFO040.00X0777525429
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs1294271TotalReportableCompFrmRltdOrgs
Total Other Compensation147218TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Nursing Home6230001631166516311665
Day Care Revenue624100618169618169
Meals Program6241008573285732
FieldValueIRS element (for citing)
Total Program Service Revenue17015566TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2718TotalRevenueColumn
Exclusion$2,718ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Misc Revenue90009918827$18,827
Related Party Space Rental Income532000130200130200
Coffee, Beauty, Gift Shops4532201284812848
FieldValueIRS element (for citing)
Total Other Revenue161875TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17180159TotalRevenueColumn
Related Or Exempt Function Income17158614RelatedOrExemptFunctionIncome
Exclusion$21,545ExclusionAmount

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)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8557091Total
Program Services8397241ProgramServices
Management And General159850ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total254565Total
Program Services252339ProgramServices
Management And General2226ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1218871Total
Program Services1089449ProgramServices
Management And General129422ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total622842Total
Program Services600705ProgramServices
Management And General22137ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1782279Total
Management And General1782279ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39996Total
Management And General39996ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1024029Total
Program Services829895ProgramServices
Management And General194134ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total-68433Total
Program Services21047ProgramServices
Management And General-89480ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7040Total
Management And General7040ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1636339Total
Program Services1636339ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7889Total
Program Services6071ProgramServices
Management And General1818ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total497951Total
Program Services497951ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total961837Total
Program Services961837ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Licenses, Dues Subscriptions22732278319949
Equipment Rental Maintenance..1300791256434436
Food Activities695766695766
Bad Debts Bank Fees31663166

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17394039Total
Program Services15117066ProgramServices
Management And General2276973ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY875563BOY
EOY269429EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1291258BOY
EOY1814226EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY49090BOY
EOY49048EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis24198069LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16018033LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8945762BOY
EOY8180036EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17806BOY
EOY11317EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11179479BOY
EOY10324056EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1204232BOY
EOY1172859EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY70108BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY600000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8754141BOY
EOY8814079EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10628481BOY
EOY9986938EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY550998BOY
EOY337118EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY550998BOY
EOY337118EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11179479BOY
EOY10324056EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-213880ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17170785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17969707CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17866853CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17311003CurrentTaxYearMinus1Year
Current Tax Year17015566CurrentTaxYear
Total87333914Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17170785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17969707CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17866853CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17311003CurrentTaxYearMinus1Year
Current Tax Year17015566CurrentTaxYear
Total87333914Total
FieldValueIRS element (for citing)
Public Support Total50987333914PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years12848CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5665CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year453CurrentTaxYearMinus1Year
Current Tax Year2718CurrentTaxYear
Total21684Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years12848CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5665CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year453CurrentTaxYearMinus1Year
Current Tax Year2718CurrentTaxYear
Total21684Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years160139CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year163391CurrentTaxYearMinus1Year
Current Tax Year161875CurrentTaxYear
Total485405Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17170785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17982555CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18032657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17474847CurrentTaxYearMinus1Year
Current Tax Year17180159CurrentTaxYear
Total87841003Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99420PublicSupportPercentage509
Prior Year Support Percentage0.99610PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00020PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestPart III Line 12 Related Party Space Rental 130,200 Part III Line 12 Coffee, Beauty Gift Shoppes 12,848 Part III Line 12 Misc Revenue 18,827FactsAndCircumstancesTest

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis281188OtherCostOrOtherBasis
Book Value178207BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15881537OtherCostOrOtherBasis
Depreciation10416352Depreciation
Book Value5465185BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3769599OtherCostOrOtherBasis
Depreciation2012874Depreciation
Book Value1756725BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4265745OtherCostOrOtherBasis
Depreciation3485826Depreciation
Book Value779919BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8180036TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$7,928,090
Estimated Third Party Payor Settlements$829,103
Funds Held in Trust$56,886
FieldValueIRS element (for citing)
Total Of Amounts8814079TotalOfAmounts
Total Revenue17180159TotalRevenue
Total Expenses17394039TotalExpenses
Excess Or Deficit For Year-213880ExcessOrDeficitForYear
Excess Or Deficit Per FS-213880ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18426033TotRevenueEtcAuditedFinclStmt
Other Revenues1245874OtherRevenues
Revenue Not Rptd F9901245874RevenueNotRptdF990
Revenue Subtotal17180159RevenueSubtotal
Total Revenue Per Form99017180159TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18639913TotExpensesEtcAuditedFinclStmt
Other Expenses Included1245874OtherExpensesIncluded
Expenses Not Rptd F9901245874ExpensesNotRptdF990
Expenses Subtotal17394039ExpensesSubtotal
Total Expenses Per Form99017394039TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
XII2dUser Fee Tax netted with Revenue 1,245,874
XIII2dUser Fee Tax netted with Revenue 1,245,874

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 (5 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Alan S Rosenfeld
26083470311715015360300375303508
Linda M Donoghue
2073684800150052844230017215115
Thomas E Dybick
14234742712095148713136321
Udaya Jagadeesan MD
1925121115611855215523243834
Carolyn Brown
16001495555620175189170116

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Baystate Orthopedics
BOD Member412Medical Servicesfalse
Grodsky Services Inc
Corporator5221General Contracting/Repairsfalse
Raleigh Rug Company
Husband of COO730Carpetingfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI11aProcess organization uses to review the Form 990 --- As part of its existing charter, the Audit Committee all independent members were asked by the Board to review required disclosures in the Form 990 and, if approved, recommend the return for filing. The CFO discussed in detail with the Audit Committee the preparation, completion and finalization of the Form 990 with emphasis on the newly required disclosures of Activities in furtherance of the organizations exempt purpose Governance, financial transactions among insiders and compensation Community benefit, bonds and corporate policies and procedures Disclosure of key governance, financial and mission policies. Based on its review and findings, the Audit Committee recommended the filing of the Form 990. A copy of the return is made available to all Board members post filing.
Form 990 Part VI12cProcess for monitoring compliance with conflicts of interest policy --- The Corporate Compliance Officer consistently monitors and enforces compliance with the conflict of interest policy through annual Corporate Compliance training and confirmations signed by all employees and by obtaining annual written confirmations from independent Board members. The policy states that employees or directors must seek guidance from appropriate management personnel prior to pursuing any business or personal activity that may constitute a conflict of interest. Actual or potential conflicts of interest must be disclosed to appropriate personnel.
Form 990 Part VI15aProcess for determining compensation of other officers and key employees --- The President and CEO determine the compensation of the senior officers considering their performance, experience and compensation studies for comparable positions.
Form 990 Part VI19Process of how organization makes its governing documents, conflict of interest policy and financial statement available to the public. These documents are available upon written request to the organization and on-line at the GuideStar.org website.Process organization uses to review the Form 990 --- As part of its existing charter, the Audit Committee all independent members were asked by the Board to review required disclosures in the Form 990 and, if approved, recommend the return for filing. The CFO discussed in detail with the Audit Committee the preparation, completion and finalization of the Form 990 with emphasis on the newly required disclosures of Activities in furtherance of the organizations exempt purpose Governance, financial transactions among insiders and compensation Community benefit, bonds, and corporate policies and procedures Disclosure of key governance, financial and mission policies. Based on its review and findings, the Audit Committee recommended the filing of the Form 990. A copy of the return is made available to all Board members post filing

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Jewish Geriatric Services Inc
770 Converse StreetLongmeadowMA01106042129128Geriatric/Nursing ProviderMA501 c39N/Afalse
JGS Administrative Services Inc
770 Converse StreetLongmeadowMA01106043295014Managerial AdminMA501 c39N/Afalse
JGS Housing Services Inc
770 Converse StreetLongmeadowMA01106043321157Assisted LivingMA501 c39N/Afalse
Spectrum Home and Hospice Care Inc
770 Converse StreetLongmeadowMA01106043237982Patient TransistionMA501 c39N/Afalse
Spectrum Home Care Inc
770 Converse StreetLongmeadowMA01106043399549NonCert Home CareMA501 c39N/Afalse
Genesis House Inc
770 Converse StreetLongmeadowMA01106042817295Elderly HousingMA501 c39N/Afalse
Genesis House II Inc
770 Converse StreetLongmeadowMA01106222611647Elderly HousingMA501 c39N/Afalse
Genesis House III Inc
770 Converse StreetLongmeadowMA01106042817295Elderly HousingMA501 c39N/Afalse
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 OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
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 OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg