THE@VI AND MILTON WEINSTEIN HOSPICE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THE@VI AND MILTON WEINSTEIN HOSPICE INC (EIN 58-2483753)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-11
IRS object ID
202341319349300444
Schema version
2021v4.2
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)
Return2023-05-11T07:38:58-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN580692043PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MAULDIN & JENKINS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 GALLERIA PKWY SE STE 1700AddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303395946ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582483753EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE VI AND MILTON WEINSTEIN HOSPICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVIANBusinessNameControlTxt
Phone4043518410PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13150 HOWELL MILL RD NWAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303272108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHARLEY TABAKPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone4043518410PhoneNum
Signature2023-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstHARLEYPersonFirstNm
Person LastTABAKPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROSS CANNONPreparerPersonNm
PTINP01358934PTIN
Phone7709558600PhoneNum
Preparation2023-05-05PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHARLEY TABAKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13150 HOWELL MILL RD NWAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303272108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,803,747GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WEINSTEINHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO PROVIDE SERVICES AND CARE TO PATIENTS WITH END OF LIFE NEEDS.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee32TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$397,665PYContributionsGrantsAmt
CY Contributions Grants$1,749,899CYContributionsGrantsAmt
PY Program Service Revenue$3,091,775PYProgramServiceRevenueAmt
CY Program Service Revenue$3,053,796CYProgramServiceRevenueAmt
PY Investment Income$66PYInvestmentIncomeAmt
CY Investment Income$52CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,489,506PYTotalRevenueAmt
CY Total Revenue$4,803,747CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,775,114PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,887,709CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,376,570PYOtherExpensesAmt
CY Other Expenses$1,180,205CYOtherExpensesAmt
PY Total Expenses$3,151,684PYTotalExpensesAmt
CY Total Expenses$3,067,914CYTotalExpensesAmt
PY Revenues Less Expenses$337,822PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,735,833CYRevenuesLessExpensesAmt
Total Assets BOY$3,437,907TotalAssetsBOYAmt
Total Assets EOY$4,854,520TotalAssetsEOYAmt
Total Liabilities BOY$488,017TotalLiabilitiesBOYAmt
Total Liabilities EOY$168,797TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,949,890NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,685,723NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE VI AND MILTON WEINSTEIN HOSPICE REFLECTS THE TRADITIONAL JEWISH CONCERN FOR THE DIGNITY AND UNIQUENESS OF EACH HUMAN LIFE. OUR MISSION IS TO PROVIDE COMFORT AND THE HIGHEST QUALITY OF CARE TO ADULTS CONFRONTING LIFE LIMITING ILLNESS BY OFFERING THESE INDIVIDUALS AND THEIR FAMILIES SPIRITUAL, EMOTIONAL AND PHYSICAL SUPPORT. WEINSTEIN HOSPICE IS A NOT-FOR-PROFIT ORGANIZATION OFFERING A COMPREHENSIVE ARRAY OF SERVICES FOR ADULTS WHO WISH TO MANAGE THEIR END-OF-LIFE HEALTH CARE NEEDS IN THEIR HOMES. OUR EXPERIENCED TEAM OF HEALTHCARE PROFESSIONALS AND TRAINED VOLUNTEERS ARE DEDICATED TO ALLEVIATING PAIN AND MANAGING SYMPTOMS THAT INTERFERE WITH THE QUALITY OF LIVING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,427,434ExpenseAmt
Revenue$3,053,796RevenueAmt
DescTHE HOSPICE SERVES PATIENTS WITH END OF LIFE NEEDS. SERVICES INCLUDE NURSING AND PHYSICIAN CARE,SOCIAL SERVICES, HOME HEALTH CARE, AND RABBINICAL (PASTORAL) SERVICES.Desc
Total Program Service Expenses$2,427,434TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee32EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEELAM RAHATEKARBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4043518410PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13150 HOWELL MILL RD NWAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303272108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
HARLEY TABAK
PRESIDENT AND CEO12.0028.00Yes (X)$0$462,617$34,776
JEFFREY GOPEN
COO12.0028.00Yes (X)$0$272,943$16,264
NEELAM RAHATEKAR
CFO12.0028.00Yes (X)$0$261,280$15,914
CHERYL JOHNSON
EXECUTIVE DIRECTOR40.00Yes (X)$120,169$0$11,681
JEFF BERMAN
BOARD CHAIR0.502.00Yes (X)$0$0$0Yes (X)
CANDY BERMAN
VICE BOARD CHAIR0.502.00Yes (X)$0$0$0Yes (X)
ANDREA LIPMAN
SECRETARY0.502.00Yes (X)$0$0$0Yes (X)
MICHAEL AXELROD
IMMEDIATE PAST BOARD CHAIR0.502.00$0$0$0Yes (X)
IRWIN SIEGEL
CHAIRPERSON OF RESOURCE DEVELOPMENT COMMITTEE0.502.00$0$0$0Yes (X)
HERMAN SCHWARZ
CHAIRPERSON OF QUALITY/RISK MGMT COMMITTEE0.502.00$0$0$0Yes (X)
SUSAN REISNER
CHAIRPERSON OF GOVERNANCE COMMITTEE0.502.00$0$0$0Yes (X)
DAVID HERSKOVITS
CHAIRPERSON OF FINANCE/AUDIT COMMITTEE0.502.00$0$0$0Yes (X)
RANDY KORACH
DIRECTOR0.502.00$0$0$0Yes (X)
LEE KATZ
DIRECTOR0.502.00$0$0$0Yes (X)
GEOFFREY BROWN
DIRECTOR0.502.00$0$0$0Yes (X)
JEFF BRICKMAN
DIRECTOR0.502.00$0$0$0Yes (X)
NANCY WEISSMANN
DIRECTOR0.502.00$0$0$0Yes (X)
BRUCE BENATOR
DIRECTOR0.502.00$0$0$0Yes (X)
DEBORAH MASLIA
DIRECTOR0.502.00$0$0$0Yes (X)
STEVE FETTER
DIRECTOR0.502.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$120,169TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$996,840TotReportableCompRltdOrgAmt
Total Other Compensation$78,635TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$591,646GovernmentGrantsAmt
All Other Contributions$1,158,253AllOtherContributionsAmt
Total Contributions$1,749,899TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU623000$3,053,739$3,053,739
OTHER SERVICE REVENUE623000$57$57
FieldValueIRS element (for citing)
Total Program Service Revenue$3,053,796TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$52TotalRevenueColumnAmt
Exclusion$52ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,803,747TotalRevenueColumnAmt
Related Or Exempt Func Income$3,053,796RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$52ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$133,474TotalAmt
Management And General$133,474ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,512,945TotalAmt
Program Services$1,453,192ProgramServicesAmt
Management And General$59,753ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$15,672TotalAmt
Program Services$14,364ProgramServicesAmt
Management And General$1,308ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$123,851TotalAmt
Program Services$117,317ProgramServicesAmt
Management And General$6,534ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$101,767TotalAmt
Program Services$88,041ProgramServicesAmt
Management And General$13,726ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$262,584TotalAmt
Management And General$262,584ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,000TotalAmt
Management And General$17,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$193,886TotalAmt
Program Services$185,374ProgramServicesAmt
Management And General$8,512ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,316TotalAmt
Program Services$30,316ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$198,485TotalAmt
Program Services$128,880ProgramServicesAmt
Management And General$69,605ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,990TotalAmt
Program Services$6,990ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,432TotalAmt
Management And General$57,432ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$45,798TotalAmt
Program Services$45,798ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$670TotalAmt
Program Services$189ProgramServicesAmt
Management And General$481ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,071TotalAmt
Management And General$10,071ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$54,454TotalAmt
Program Services$54,454ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$150,513$150,513
LABS, PHARMACY, AND OTH$115,477$115,477
BAD DEBT EXPENSE$24,996$24,996
STAFF RELATIONS$6,250$6,250

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,283TotalAmt
Program Services$5,283ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,067,914TotalAmt
Program Services$2,427,434ProgramServicesAmt
Management And General$640,480ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$514,855BOYAmt
EOY$494,626EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$866,437BOYAmt
EOY$616,489EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$616,353BOYAmt
EOY$1,541,453EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$209,768LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$165,429LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$31,037BOYAmt
EOY$44,339EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,409,225BOYAmt
EOY$2,157,613EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,437,907BOYAmt
EOY$4,854,520EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$156,564BOYAmt
EOY$168,797EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$331,453BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$488,017BOYAmt
EOY$168,797EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,799,890BOYAmt
EOY$3,527,675EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$150,000BOYAmt
EOY$1,158,048EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,949,890BOYAmt
EOY$4,685,723EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,437,907BOYAmt
EOY$4,854,520EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,735,833ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$657,910CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,430,627CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$611,038CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$397,665CurrentTaxYearMinus1YearAmt
Current Tax Year$1,749,899CurrentTaxYearAmt
Total$4,847,139TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,967,549CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,463,409CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,554,673CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,091,775CurrentTaxYearMinus1YearAmt
Current Tax Year$3,053,796CurrentTaxYearAmt
Total$15,131,202TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,625,459CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,894,036CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,165,711CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,489,440CurrentTaxYearMinus1YearAmt
Current Tax Year$4,803,695CurrentTaxYearAmt
Total$19,978,341TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,000CurrentTaxYearMinus2YearsAmt
Total$15,560TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,000CurrentTaxYearMinus2YearsAmt
Total$15,560TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$19,962,781PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$191CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66CurrentTaxYearMinus1YearAmt
Current Tax Year$52CurrentTaxYearAmt
Total$414TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$191CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66CurrentTaxYearMinus1YearAmt
Current Tax Year$52CurrentTaxYearAmt
Total$414TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,625,564CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,894,036CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,165,902CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,489,506CurrentTaxYearMinus1YearAmt
Current Tax Year$4,803,747CurrentTaxYearAmt
Total$19,978,755TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99920PublicSupportCY509Pct
Public Support PY5090.99880PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$209,768OtherCostOrOtherBasisAmt
Depreciation$165,429DepreciationAmt
Book Value$44,339BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$44,339TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE TO/FROM AFFILIATESDesc
Book Value$2,157,613BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,157,613TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION QUALIFIES AS A CHARITABLE ORGANIZATION EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS, INCLUDING UNRELATED BUSINESS TAXABLE INCOME, THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HARLEY TABAK
PRESIDENT AND CEO$0$390,217$0$72,400$0$0$0$26,700$0$8,076$0$497,393$0$0
JEFFREY GOPEN
COO$0$247,943$0$25,000$0$0$0$8,188$0$8,076$0$289,207$0$0
NEELAM RAHATEKAR
CFO$0$233,280$0$28,000$0$0$0$7,838$0$8,076$0$277,194$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 PART VIIALL PAYROLL IS PROCESSED AND REPORTED TO THE IRS BY RELATED ENTITY,THE WILLIAM BREMAN JEWISH HOME, INC., EIN # 58-0610059. THE RELATED ENTITY IS REIMBURSED FOR PAYROLL-RELATED EXPENSES BY THE VI AND MILTON WEINSTEIN HOSPICE, INC.
FORM 990, PART VI, SECTION A, LINE 3THE VI AND MILTON WEINSTEIN HOSPICE, INC PAYS RELATED ENTITIES, THE WILLIAM BREMAN JEWISH HOME, INC. AND JEWISH HOME LIFE COMMUNITIES, INC., FOR CERTAIN MANAGEMENT AND ACCOUNTING SERVICES.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD REVIEWS AND APPROVES FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HAS POLICIES IN PLACE PROHIBITING ANY ACTIVITY THAT MAY BE CONSTRUED AS A CONFLICT OF INTEREST WITH BOARD OF DIRECTOR RESPONSIBILITIES. THESE POLICIES ARE REGULARLY COMMUNICATED TO BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15ABOARD REVIEWS COMPENSATION OF OTHER SIMILAR SIZE NON-PROFIT HOSPICES AND DETERMINES THE EXECUTIVE DIRECTOR'S COMPENSATION. EVERY YEAR THE BOARD APPROVES EXECUTIVE DIRECTOR'S COMPENSATION BASED ON HER PERFORMANCE FOR THE YEAR.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990 PART XII LINE 2CTHE ORGANIZATION HAS NOT CHANGED ITS PROCESS FOR OVERSIGHT OF AUDITED FINANCIALS NOR SELECTION OF AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
JEWISH HOME LIFE COMMUNITIES INC
3150 HOWELL MILL ROAD NWATLANTAGA30327474755353ELDERLY HOUSING AND NURSING CAREGA501(C)(3)LINE 7N/A0
THE WILLIAM BREMAN JEWISH HOME INC
3150 HOWELL MILL ROAD NWATLANTAGA303272108580610059ELDERLY HOUSING AND CAREGA501(C)(3)509(A)(2)Yes (1)JEWISH HOME LIFE COMMUNITIES INC
THE ZABAN TOWER INC
3150 HOWELL MILL ROADATLANTAGA30327582288819ELDERLY AND DISABLED HOUSINGGA501(C)(3)509(A)(2)Yes (1)JEWISH HOME LIFE COMMUNITIES INC
THE JEWISH HOME TOWER INC
3150 HOWELL MILL ROADATLANTAGA30327581287829LOW-INCOME HOUSINGGA501(C)(3)LINE 10Yes (1)JEWISH HOME LIFE COMMUNITIES INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.