THE@VI AND MILTON WEINSTEIN HOSPICE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
THE@VI AND MILTON WEINSTEIN HOSPICE INC (EIN 58-2483753)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-07
IRS object ID
202121279349300807
Schema version
2019v5.2
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)
Return2021-05-07T06:53:43-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

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 Begin2019-07-01TaxPeriodBeginDt

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
Signature2021-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROSS CANNONPreparerPersonNm
PTINP01358934PTIN
Phone7709558600PhoneNum
Preparation2021-05-05PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$4,165,902GrossReceiptsAmt
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 Employee35TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,430,627PYContributionsGrantsAmt
CY Contributions Grants$611,038CYContributionsGrantsAmt
PY Program Service Revenue$2,463,409PYProgramServiceRevenueAmt
CY Program Service Revenue$3,554,673CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$191CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,894,036PYTotalRevenueAmt
CY Total Revenue$4,165,902CYTotalRevenueAmt
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$2,174,876PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,314,380CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$841,491PYOtherExpensesAmt
CY Other Expenses$1,034,195CYOtherExpensesAmt
PY Total Expenses$3,016,367PYTotalExpensesAmt
CY Total Expenses$3,348,575CYTotalExpensesAmt
PY Revenues Less Expenses$877,669PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$817,327CYRevenuesLessExpensesAmt
Total Assets BOY$2,019,659TotalAssetsBOYAmt
Total Assets EOY$3,168,100TotalAssetsEOYAmt
Total Liabilities BOY$224,918TotalLiabilitiesBOYAmt
Total Liabilities EOY$556,032TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,794,741NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,612,068NetAssetsOrFundBalancesEOYAmt
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$2,694,453ExpenseAmt
Revenue$3,554,673RevenueAmt
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$2,694,453TotalProgramServiceExpensesAmt
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
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee35EmployeeCnt
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 RlnYes (1)FamilyOrBusinessRlnInd
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DEBORAH MASLIA
IMMEDIATE PAST CHAIR0.502.00Yes (X)$0$0$0
MICHAEL AXELROD
CHAIR OF THE BOARD0.502.00Yes (X)$0$0$0
CANDY BERMAN
CHAIR, DEVELOPMENT0.502.00Yes (X)$0$0$0
JEFF BERMAN
FIRST VICE CHAIR0.502.00Yes (X)$0$0$0
PEPI FRIEDMAN
CHAIR, GOVERNANCE0.502.00Yes (X)$0$0$0
BRUCE BENATOR
CHAIR, FINANCE/AUDIT0.502.00Yes (X)$0$0$0
STEPHEN MERLIN
DIRECTOR0.502.00Yes (X)$0$0$0
NANCY WEISSMANN
CHAIR, QUALITY AND RISK0.502.00Yes (X)$0$0$0
ANDREA LIPMAN
SECRETARY0.502.00Yes (X)$0$0$0
LOWELL FINE
DIRECTOR0.502.00Yes (X)$0$0$0
SUSAN REISNER
DIRECTOR0.502.00Yes (X)$0$0$0
LEE KATZ
DIRECTOR0.502.00Yes (X)$0$0$0
JOE RUBIN
DIRECTOR0.502.00Yes (X)$0$0$0
ABBEY FLAUM
DIRECTOR0.502.00Yes (X)$0$0$0
ED LOVERN
DIRECTOR0.502.00Yes (X)$0$0$0
TERRI BAGEN
DIRECTOR0.502.00Yes (X)$0$0$0
HARLEY TABAK
PRESIDENT & CEO6.0034.00$0$406,783$37,475Yes (X)
JEFF GOPEN
COO6.0034.00$0$234,013$14,292Yes (X)
NEELAM RAHATEKAR
CFO6.0034.00$0$225,021$14,023Yes (X)
CORINNE SHAW
INTERIM EXECUTIVE DIRECTOR40.00$0$0$0Yes (X)
SARAH POPOWSKI
CHIEF HR OFFICER6.0034.00$0$115,665$10,742Yes (X)
STEPHANIE WYATT
CHIEF DEVELOPMENT OFFICER6.0034.00$0$126,037$3,781Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,107,519TotReportableCompRltdOrgAmt
Total Other Compensation$80,313TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE ONE GROUP LLC
3150 HOWELL MILL RD NWATLANTAGA30327HOME HEALTH SERVICES$126,803
PALLIATIVE PHARMACY SOLUTIONS
2338 MAIN STREETTUCKERGA30084MEDICAL SUPPLIES$112,606
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$54,000RelatedOrganizationsAmt
All Other Contributions$557,038AllOtherContributionsAmt
Total Contributions$611,038TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU623000$3,367,251$3,367,251
HHS SERVICE REVENUE623000$173,303$173,303
OTHER SERVICE REVENUE623000$14,119$14,119
FieldValueIRS element (for citing)
Total Program Service Revenue$3,554,673TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$191TotalRevenueColumnAmt
Exclusion$191ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,165,902TotalRevenueColumnAmt
Related Or Exempt Func Income$3,554,673RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$191ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,031,943TotalAmt
Program Services$1,840,971ProgramServicesAmt
Management And General$190,972ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$35,052TotalAmt
Program Services$21,000ProgramServicesAmt
Management And General$14,052ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$133,625TotalAmt
Program Services$109,065ProgramServicesAmt
Management And General$24,560ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$113,760TotalAmt
Program Services$99,543ProgramServicesAmt
Management And General$14,217ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$253,965TotalAmt
Management And General$253,965ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$774TotalAmt
Management And General$774ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$20,000TotalAmt
Management And General$20,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$142,106TotalAmt
Program Services$135,297ProgramServicesAmt
Management And General$6,809ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,548TotalAmt
Program Services$2,548ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$165,548TotalAmt
Program Services$101,057ProgramServicesAmt
Management And General$64,491ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,384TotalAmt
Program Services$13,384ProgramServicesAmt

Occupancy OccupancyGrp

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

Travel TravelGrp

FieldValueIRS element (for citing)
Total$38,680TotalAmt
Program Services$38,680ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,558TotalAmt
Program Services$2,874ProgramServicesAmt
Management And General$2,684ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,166TotalAmt
Management And General$4,166ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,120TotalAmt
Program Services$48,120ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$132,575$132,575
LABS, PHARMACY, AND OTH$116,311$116,311
BAD DEBT EXPENSE$21,636$21,636
COVID RELATED EXPENSES$8,248$8,248

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,144TotalAmt
Program Services$3,144ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,348,575TotalAmt
Program Services$2,694,453ProgramServicesAmt
Management And General$654,122ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$328,229BOYAmt
EOY$1,214,111EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$565,180BOYAmt
EOY$666,371EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,119,466BOYAmt
EOY$1,034,048EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$156,562LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$146,687LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,784BOYAmt
EOY$9,875EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$243,695EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,019,659BOYAmt
EOY$3,168,100EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$141,753BOYAmt
EOY$224,579EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$83,165BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$224,918BOYAmt
EOY$556,032EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$969,721BOYAmt
EOY$2,056,584EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$825,020BOYAmt
EOY$555,484EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,794,741BOYAmt
EOY$2,612,068EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,019,659BOYAmt
EOY$3,168,100EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$817,327ReconcilationRevenueExpnssAmt
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$551,136CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$632,549CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$657,910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,430,627CurrentTaxYearMinus1YearAmt
Current Tax Year$611,038CurrentTaxYearAmt
Total$3,883,260TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,209,037CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,323,275CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,967,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,463,409CurrentTaxYearMinus1YearAmt
Current Tax Year$3,554,673CurrentTaxYearAmt
Total$13,517,943TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,760,173CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,955,824CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,625,459CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,894,036CurrentTaxYearMinus1YearAmt
Current Tax Year$4,165,711CurrentTaxYearAmt
Total$17,401,203TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,396CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,560CurrentTaxYearMinus1YearAmt
Current Tax Year$5,000CurrentTaxYearAmt
Total$25,956TotalAmt

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$5,396CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,560CurrentTaxYearMinus1YearAmt
Current Tax Year$5,000CurrentTaxYearAmt
Total$25,956TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$17,375,247PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105CurrentTaxYearMinus2YearsAmt
Current Tax Year$191CurrentTaxYearAmt
Total$530TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$105CurrentTaxYearMinus2YearsAmt
Current Tax Year$191CurrentTaxYearAmt
Total$530TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,760,269CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,955,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,625,564CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,894,036CurrentTaxYearMinus1YearAmt
Current Tax Year$4,165,902CurrentTaxYearAmt
Total$17,401,733TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99850PublicSupportCY509Pct
Public Support PY5090.99830PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
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$156,562OtherCostOrOtherBasisAmt
Depreciation$146,687DepreciationAmt
Book Value$9,875BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,875TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE TO/FROM AFFILIATESDesc
Book Value$243,695BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$243,695TotalBookValueOtherAssetsAmt
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)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 & CEO$0$351,599$0$55,184$0$0$0$30,203$0$7,272$0$444,258$0$0
JEFF GOPEN
COO$0$216,013$0$18,000$0$0$0$7,020$0$7,272$0$248,305$0$0
NEELAM RAHATEKAR
CFO$0$205,021$0$20,000$0$0$0$6,751$0$7,272$0$239,044$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
Explanation457(B)DEFERRED COMPENSATION PLAN: EMPLOYER CONTRIBUTION FOR: HARLEY TABAK $18,000ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2H. STEPHEN MERLIN, ABBEY FLAUM AND PEPI FRIEDMAN HAVE A BUSINESS RELATIONSHIP.
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 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 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 (6 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 JEWISH HOME FOUNDATION INC
3150 HOWELL MILL ROADATLANTAGA30327204873372CHARITABLE, EDUCATIONAL, & RELIGIOUS PURPOSESGA501(C)(3)509(A)(3)0THE WILLIAM BREMAN JEWISH HOME INC
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
WEINSTEIN HOSPICE FOUNDATION INC
3150 HOWELL MILL ROAD NWATLANTAGA303272108263459490OPERATES EXCLUSIVELY FOR THE BENEFIT OF THE VI & MILTON WEINSTEIN HOSPICE.GA501(C)(3)509(A)(3)Yes (1)THE VI & MILTON WEINSTEIN HOSPICE 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 OrgYes (1)GiftGrntCapContriFromOthOrgInd
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

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