THE@VI AND MILTON WEINSTEIN HOSPICE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE@VI AND MILTON WEINSTEIN HOSPICE INC (EIN 58-2483753)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201921349349306002
Schema version
2017v2.3
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)
Return2019-05-14T13:27:18-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 Begin2017-07-01TaxPeriodBeginDt

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
Signature2019-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFF T FUCITOPreparerPersonNm
PTINP00120748PTIN
Phone7709558600PhoneNum
Preparation2019-05-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.192.51.169IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-13IPDt
IP Tm14:30:15IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id22397CF411DA9A20D8DBC42A8DABE317774C2EB9AtSubmissionCreationDeviceId
At Submission Filing Device Id1184A797419869B000A5F527EEEE30D3396FF2E8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTALYA BLOOMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13150 HOWELL MILL RD NWAddressLine1Txt
CityATLANTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP303272108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,625,564GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee28TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$632,549PYContributionsGrantsAmt
CY Contributions Grants$657,910CYContributionsGrantsAmt
PY Program Service Revenue$2,323,725PYProgramServiceRevenueAmt
CY Program Service Revenue$2,967,549CYProgramServiceRevenueAmt
PY Investment Income$138PYInvestmentIncomeAmt
CY Investment Income$105CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,956,412PYTotalRevenueAmt
CY Total Revenue$3,625,564CYTotalRevenueAmt
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$1,406,279PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,911,429CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,105,234PYOtherExpensesAmt
CY Other Expenses$1,244,208CYOtherExpensesAmt
PY Total Expenses$2,511,513PYTotalExpensesAmt
CY Total Expenses$3,155,637CYTotalExpensesAmt
PY Revenues Less Expenses$444,899PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$469,927CYRevenuesLessExpensesAmt
Total Assets BOY$1,138,146TotalAssetsBOYAmt
Total Assets EOY$1,051,393TotalAssetsEOYAmt
Total Liabilities BOY$691,001TotalLiabilitiesBOYAmt
Total Liabilities EOY$134,321TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$447,145NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$917,072NetAssetsOrFundBalancesEOYAmt
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$2,452,089ExpenseAmt
Revenue$2,967,549RevenueAmt
DescTHE HOSPICE SERVES PATIENTS WITH END OF LIFE NEEDS. SERVICES INCLUDE NURSING AND PHYSICIAN CARE,SOCIAL SERVICES, HOME HEALTH CARE, AND RABBI SERVICES.Desc
Total Program Service Expenses$2,452,089TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee28EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 OtherYes (1)CompensationProcessOtherInd
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 (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ABBEY FLAUM
DIRECTOR0.502.00Yes (X)$0$0$0
BRUCE BENATOR
DIRECTOR, ASST TREASURER0.502.00Yes (X)$0$0$0
DEBORAH MASLIA
DIRECTOR, BOARD CHAIR0.502.00Yes (X)$0$0$0Yes (X)
JAY HALPERN
DIRECTOR, TREASURER0.504.00Yes (X)$0$0$0Yes (X)
JEFF BERMAN
DIRECTOR0.502.00Yes (X)$0$0$0
JERRY WEINER
DIRECTOR, PAST CHAIR0.502.00Yes (X)$0$0$0
MARTIN M POLLOCK
DIRECTOR, PAST CHAIR0.502.00Yes (X)$0$0$0
MICHELLE KOUFMAN
DIRECTOR, SECRETARY0.502.00Yes (X)$0$0$0Yes (X)
PEPI FRIEDMAN
DIRECTOR0.502.00Yes (X)$0$0$0
STEPHEN M BERMAN
DIRECTOR, PAST CHAIR0.502.00Yes (X)$0$0$0
MICHAEL AXELROD
DIRECTOR0.502.00Yes (X)$0$0$0
STEPHEN MERLIN
DIRECTOR, PAST CHAIR0.502.00Yes (X)$0$0$0
TERRI BAGEN
DIRECTOR0.502.00Yes (X)$0$0$0
HARLEY TABAK
PRESIDENT6.0034.00$0$376,390$40,063Yes (X)
TALYA BLOOM
EXECUTIVE DIRECTOR40.00$115,200$0$27,236Yes (X)
JEFF GOPEN
COO6.0034.00$0$171,694$22,460Yes (X)
NEELAM RAHATEKAR
CFO6.0034.00$0$177,258$11,267Yes (X)
CAROLE SHOVERS
VP OF DEVELOPMENT6.0034.00$0$113,611$10,708Yes (X)
ALEX RIKTER
MEDICAL DIRECTOR23.0017.00$65,000$46,216$0Yes (X)
SARAH POPOWSKI
HR DIRECTOR6.0034.00$0$107,845$10,535Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$180,200TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$993,014TotReportableCompRltdOrgAmt
Total Other Compensation$122,269TotalOtherCompensationAmt
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
Related Organizations$15,000RelatedOrganizationsAmt
All Other Contributions$642,910AllOtherContributionsAmt
Total Contributions$657,910TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU623000$2,956,702$2,956,702
OTHER SERVICE REVENUE623000$10,847$10,847
FieldValueIRS element (for citing)
Total Program Service Revenue$2,967,549TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$105TotalRevenueColumnAmt
Exclusion$105ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,625,564TotalRevenueColumnAmt
Related Or Exempt Func Income$2,967,549RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$105ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$115,200TotalAmt
Management And General$115,200ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,496,756TotalAmt
Program Services$1,336,119ProgramServicesAmt
Management And General$160,637ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$39,996TotalAmt
Program Services$20,004ProgramServicesAmt
Management And General$19,992ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$152,686TotalAmt
Program Services$129,691ProgramServicesAmt
Management And General$22,995ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$106,791TotalAmt
Program Services$88,452ProgramServicesAmt
Management And General$18,339ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$180,250TotalAmt
Management And General$180,250ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,756TotalAmt
Management And General$3,756ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,737TotalAmt
Management And General$24,737ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$451,262TotalAmt
Program Services$409,896ProgramServicesAmt
Management And General$41,366ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,498TotalAmt
Program Services$5,498ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$99,886TotalAmt
Program Services$81,357ProgramServicesAmt
Management And General$18,529ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$54,634TotalAmt
Program Services$27,317ProgramServicesAmt
Management And General$27,317ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$53,939TotalAmt
Management And General$53,939ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$45,469TotalAmt
Program Services$43,847ProgramServicesAmt
Management And General$1,622ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,374TotalAmt
Program Services$7,099ProgramServicesAmt
Management And General$1,275ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,958TotalAmt
Management And General$12,958ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$142,262$142,262
LABS, PHARMACY, AND OTH$135,042$135,042
STAFF RELATIONS$9,713$9,713
EDUCATION AND TRAINING$5,738$5,738

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,690TotalAmt
Program Services$10,054ProgramServicesAmt
Management And General$636ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,155,637TotalAmt
Program Services$2,452,089ProgramServicesAmt
Management And General$703,548ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$711,530BOYAmt
EOY$429,880EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$153,102BOYAmt
EOY$160,344EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$253,787BOYAmt
EOY$311,014EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$20,020EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$148,158LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$138,978LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,727BOYAmt
EOY$9,180EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$120,955EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,138,146BOYAmt
EOY$1,051,393EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$142,168BOYAmt
EOY$134,321EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$548,833BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$691,001BOYAmt
EOY$134,321EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$447,145BOYAmt
EOY$917,072EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$447,145BOYAmt
EOY$917,072EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,138,146BOYAmt
EOY$1,051,393EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$469,927ReconcilationRevenueExpnssAmt
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$413,542CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$640,970CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$551,136CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$632,549CurrentTaxYearMinus1YearAmt
Current Tax Year$657,910CurrentTaxYearAmt
Total$2,896,107TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,700,848CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,017,498CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,209,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,323,275CurrentTaxYearMinus1YearAmt
Current Tax Year$2,967,549CurrentTaxYearAmt
Total$11,218,207TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,114,390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,658,468CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,760,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,955,824CurrentTaxYearMinus1YearAmt
Current Tax Year$3,625,459CurrentTaxYearAmt
Total$14,114,314TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,586CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,396CurrentTaxYearMinus1YearAmt
Current Tax Year$10,270CurrentTaxYearAmt
Total$33,252TotalAmt

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$7,586CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,396CurrentTaxYearMinus1YearAmt
Current Tax Year$10,270CurrentTaxYearAmt
Total$33,252TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$14,081,062PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$96CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$138CurrentTaxYearMinus1YearAmt
Current Tax Year$105CurrentTaxYearAmt
Total$535TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$96CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$138CurrentTaxYearMinus1YearAmt
Current Tax Year$105CurrentTaxYearAmt
Total$535TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,114,477CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,658,577CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,760,269CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,955,962CurrentTaxYearMinus1YearAmt
Current Tax Year$3,625,564CurrentTaxYearAmt
Total$14,114,849TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99760PublicSupportCY509Pct
Public Support PY5090.99810PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$148,158OtherCostOrOtherBasisAmt
Depreciation$138,978DepreciationAmt
Book Value$9,180BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,180TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$120,955BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$120,955TotalBookValueOtherAssetsAmt
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$0$360,859$0$15,531$0$0$0$24,000$0$16,063$0$416,453$0$0
JEFF GOPEN
COO$0$150,948$0$20,746$0$0$0$4,375$0$18,085$0$194,154$0$0
NEELAM RAHATEKAR
CFO$0$165,003$0$12,255$0$0$0$0$0$11,267$0$188,525$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 $18,000 TALYA BLOOM 16,480ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 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 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.
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 15BOARD 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 IX, LINE 11GHOSPICE CARE: PROGRAM SERVICE EXPENSES 303,231. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 303,231. NURSING CARE: PROGRAM SERVICE EXPENSES 106,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,665. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,600. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 38,766. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,766.
FORM 990 PART XII LINE 2CTHE ORGANIZATION HAS NOT CHANGED ITS PROCESS FOR OVERSIGHT OF AUDITED FINANCIALS NOR SELECTION OF AUDITOR.
FORM 990 PART XTHE ORGANIZATION DOES NOT HAVE A LIABILITY FOR ANY UNCERTAIN TAX POSITIONS UNDER FIN 48.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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)0JEWISH HOME LIFE COMMUNITIES INC
THE WILLIAM BREMAN JEWISH HOME INC
3150 HOWELL MILL ROAD NWATLANTAGA303272108580610059ELDERLY HOUSING AND CAREGA501(C)(3)509(A)(2)0THE JEWISH HOME LIFE COMMUNITIES INC
THE ZABAN TOWER INC
3150 HOWELL MILL ROADATLANTAGA30327582288819ELDERLY AND DISABLED HOUSINGGA501(C)(3)509(A)(2)0JEWISH 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
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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