2019-05-14T13:27:45-05:00 2018-06-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2017-07-01 474755353 JEWISH HOME LIFE COMMUNITIES INC JEWI 4043518410 3150 HOWELL MILL ROAD ATLANTA GA 303272108 HARLEY TABAK PRESIDENT & CEO 4043518410 2019-05-13 1 JEFF T FUCITO P00120748 7709558600 2019-05-13 50.192.51.169 2019-05-13 14:20:48 ED P C9E50A38AD2D2B127455096DF8E7AFA996FFC2E7 1184A797419869B000A5F527EEEE30D3396FF2E8 2017 2019-02-21 02:37:17Z HARLEY TABAK 3150 HOWELL MILL ROAD ATLANTA GA 303272108 13812428 0 X WWW.JEWISHHOMELIFE.ORG X 2016 GA SEE SCHEDULE O FOR COMPLETE MISSION STATEMENT.TO PROMOTE THE CAUSE OF CHARITY, EDUCATION AND RELIGION INCLUDING THE CARE OF THE ELDERLY OF THE JEWISH FAITH. 36 36 21 36 0 0 1939072 2273854 11226301 11499921 5 43 19932 -167571 13185310 13606247 278151 329205 0 0 8835153 10014571 0 0 504009 4018353 3450740 13131657 13794516 53653 -188269 27244795 26548613 7920745 7402197 19324050 19146416 X PROVIDE FACILITIES AND SERVICES FOR THOSE ELDERLY AND DISABLED WHO NEED LONG AND SHORT TERM PHYSICAL, PSYCHOLOGICAL AND/OR SOCIAL CARE, IN A MANNER CONSISTENT WITH JEWISH VALUES; SERVE AS ONE OF THE PROFESSIONAL RESOURCES TO THE COMMUNITY REGARDING AGING, DISABILITIES AND HEALTH, AND THE DEVELOPMENT OF EFFECTIVE APPROACHES TO CARE AND SERVICES TO THE AGING AND DISABLED; PROVIDE SUPPORT SERVICES FOR FAMILY MEMBERS OF ELDERLY AND DISABLED EITHER ON OUR WAITING LIST AND/OR UTILIZING ANY SERVICE PROVIDED BY JEWISH HOME LIFE COMMUNITIES, INC. AND RELATED ENTITIES. 0 0 5586838 5768605 THE ONE GROUPTHE ONE GROUP PROVIDES A SOLUTION FOR FAMILIES NEEDING PRIVATE HOME CARE AND COMPANIES SEEKING SUPPLEMENTAL MEDICAL STAFFING. 5668621 5332653 BERMAN COMMONSBERMAN COMMONS IS THE NEWEST LICENSED ASSISTED LIVING AND MEMORY CARE COMMUNITY IN THE JEWISH HOME LIFE COMMUNITIES FAMILY. WE HELP RESIDENTS LIVE AS INDEPENDENTLY AS POSSIBLE BY OFFERING PERSONALIZED CARE IN A WARM, VIBRANT ENVIRONMENT THAT IS WELCOMING TO ALL. RESIDENTS CAN EASILY STAY CONNECTED TO THEIR COMMUNITY, ACTIVITIES AND LIFESTYLE 495958 329205 398663 THE AUXILIARY AND ALL OTHER PROGRAM EXPENSES. 11751417 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 21 1 0 0 0 0 0 1 1 0 0 0 0 X 36 36 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 GA X NEELEM RAHATEKAR 4043513536 3160 HOWELL MILL ROAD NW ATLANTA GA 303272111 BRUCE BENATOR ASSISTANT TREASURER 0.50 2.00 X X 0 0 0 BROOKE BLASBERG BOARD CO-CHAIR 0.50 X X 0 0 0 JODIE JACKSON BOARD CO-CHAIR 0.50 X X 0 0 0 ANDREA LIPMAN BOARD MEMBER 0.50 X 0 0 0 ARLENE TAYLOR BOARD MEMBER 0.50 X 0 0 0 DAVID SKID BOARD MEMBER 0.50 X 0 0 0 ETTA RAYE HIRSCH BOARD MEMBER 0.50 X 0 0 0 GAVIN BROWN BOARD MEMBER 0.50 X 0 0 0 FRED HALPERIN BOARD MEMBER 0.50 X 0 0 0 LEE KATZ BOARD MEMBER 0.50 X 0 0 0 STEPHANIE LADDEN BOARD MEMBER 0.50 X 0 0 0 LORI LEWIS BOARD MEMBER 0.50 X 0 0 0 LYNN REDD ONE YEAR CHAIR APPOINTMENT 0.50 X 0 0 0 LOWELL FINE BOARD MEMBER 0.50 X 0 0 0 MARGIE STERN BOARD MEMBER 0.50 X 0 0 0 MICHAEL AXELROD FIRST VICE CHAIR 0.50 2.00 X X 0 0 0 NANCY BARON BOARD MEMBER 0.50 X 0 0 0 NANCY WEISSMANN BOARD MEMBER 0.50 X 0 0 0 PHYLLIS KOZARSKY BOARD MEMBER 0.50 X 0 0 0 SUSAN REISNER BOARD MEMBER 0.50 X 0 0 0 TERRY BAGEN BOARD MEMBER 0.50 2.00 X 0 0 0 DEBORAH MASLIA BOARD CHAIR 0.50 2.00 X X 0 0 0 STEVEN GROSSWALD FIRST VICE CHAIR 0.50 X X 0 0 0 H STEPHEN MERLIN IMMEDIATE PAST CHAIR 0.50 2.00 X 0 0 0 CANDY BERMAN BOARD MEMBER 0.50 X 0 0 0 SARAH BATTS BOARD MEMBER 0.50 X 0 0 0 LARRY COOPER ONE YEAR CHAIR APPOINTMENT 0.50 X 0 0 0 ADAM SKORECKI PAST BOARD CHAIR 0.50 X 0 0 0 GERALD HOROWITZ PAST BOARD CHAIR 0.50 X 0 0 0 HERBERT COHEN PAST BOARD CHAIR 0.50 X 0 0 0 JERRY WEINER PAST BOARD CHAIR 0.50 2.00 X 0 0 0 MARTIN ISENBERG PAST BOARD CHAIR 0.50 X 0 0 0 MARTIN M POLLOCK PAST BOARD CHAIR 0.50 2.00 X 0 0 0 ROGER F KAHN PAST BOARD CHAIR 0.50 X 0 0 0 SIDNEY KIRSHNER PAST BOARD CHAIR 0.50 X 0 0 0 STEPHEN M BERMAN PAST BOARD CHAIR 0.50 0.50 X 0 0 0 MICHELLE KOUFMAN SECRETARY 0.50 2.00 X X 0 0 0 JAY HALPERN TREASURER 0.50 2.00 X X 0 0 0 ABBEY FLAUM VICE CHAIR OF DEVELOPMENT 0.50 2.00 X 0 0 0 PEPI FRIEDMAN VICE CHAIR OF GOVERNANCE 0.50 2.00 X 0 0 0 JEFF BERMAN VICE CHAIR OF QUALITY/RISK 0.50 2.00 X 0 0 0 MARTHA BERLIN ONE YEAR CHAIR APPOINTMENT 0.50 X 0 0 0 NEELAM RAHATEKAR CFO 28.00 12.00 X 177258 0 11267 JEFF GOPEN COO 28.00 12.00 X 171694 0 22460 BEBE B BRYAN EXECUTIVE DIRECTOR-ONE GROUP 40.00 X 136405 0 0 HARLEY TABAK PRESIDENT & CHIEF EXECUTIV 28.00 12.00 X 0 376390 40063 BETH LAXTON SENIOR VP 40.00 X 188480 0 18000 ERIN BARBEE EXECUTIVE DIRECTOR-BERMAN COMONS 40.00 X 103199 0 0 DR ALEX RICHTER MEDICAL DIRECTOR 10.00 30.00 X 30000 81216 0 CAROLE SHOVERS VICE PRESIDENT OF DEVELOPM 28.00 12.00 X 113611 0 10053 PATRICIA BRENNAN NURSE PRACTITIONER-JHLC MED 40.00 X 107377 0 0 1028024 457606 101843 7 0 1 0 0 16826 397472 5000 1854556 2273854 NURSING SERVICE REVENUE 623000 5890420 5890420 ASSISTED LIVING REVENUE 623000 5280331 5280331 MANAGEMENT FEE REVENUE 561000 264348 264348 OTHER REVENUE 999999 64822 64822 11499921 43 43 13564 397472 181371 -167807 -167807 25046 24810 236 236 13606247 11499921 0 -167528 329205 329205 1240122 239604 1000518 7315896 7035317 280579 94513 94513 708458 700041 8417 655582 542275 91843 21464 33425 33425 36219 36219 407171 197786 209385 74953 36818 38135 143018 66965 69796 6257 107804 81756 25590 458 451971 451971 68976 68976 13940 12878 1062 225559 225559 654272 654272 139937 135718 4219 RAW FOOD & SUPPLIES 491466 491466 OTHER EXPENSES 146612 31553 4975 110084 RECREATIONAL ACTIVITIES 132065 132065 RECRUITMENT 69999 26256 43743 253353 196423 19377 37553 13794516 11751417 1539090 504009 988542 881857 374676 145212 1287612 1019886 2835567 2804402 22731401 2045793 21095506 20685608 326728 96366 35000 25000 301164 890282 27244795 26548613 539260 620712 7381485 6781485 7920745 7402197 X 18949374 19001204 374676 145212 19324050 19146416 27244795 26548613 -188269 10635 0 X X 0 1 X 1 0 X 1943072 2273354 4216426 1943072 2273354 4216426 450570 3765856 5 43 48 267367 267367 11991 11991 4495832 22726222 X 561480 561480 21015393 1939256 19076137 136202 12568 123634 1018326 93969 924357 20685608 X PART X, LINE 2: THE 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. BIENNIEL GALA 411036 397472 13564 101182 80189 411036 397472 13564 101182 80189 181371 -167807 1 THE WILLIAM BREMAN JEWISH HOME INC 3150 HOWELL MILL ROAD NW ATLANTA GA 30327 580610059 501 (C) 3 329205 TO FUND OPERATIONAL EXPENSES. 1 0 0 1 0 0 0 0 0 1 0 NEELAM RAHATEKAR CFO 165003 0 12255 0 0 0 0 0 11267 0 188525 0 0 0 JEFF GOPEN COO 150948 0 20746 0 0 0 4375 0 18085 0 194154 0 0 0 HARLEY TABAK PRESIDENT & CHIEF EXECUTIV 0 360859 0 15531 0 0 0 24000 0 16063 0 416453 0 0 BETH LAXTON SENIOR VP 188480 0 0 0 0 0 18000 0 0 0 206480 0 0 0 PART I, LINE 4B 457(B)DEFERRED COMPENSATION PLAN: EMPLOYER CONTRIBUTIONS FOR: HARLEY TABAK $18,000 BETH LAXTON 18,000 REGINA FORD 14,690 CONTRIBUTIONS WERE MADE BY THE ORGANIZATION INTO A DEFINED BENEFIT PENSION PLAN. NO EMPLOYEES RECEIVED PAYMENT FROM THE PLAN. PART I, LINE 7 EXECUTIVE MANAGEMENT RECEIVED BONUSES. HARLEY TABAK $15,531 JEFFREY GOPEN 20,746 NEELAM RAHATEKAR 12,255 CAROLE SHOVERS 7,522 FORM 990, PART VI, SECTION A, LINE 2 H. STEPHEN MERLIN, ABBEY FLAUM AND PEPI FRIEDMAN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B AFTER THE FORM 990 IS REVIEWED BY THE CONTROLLER FOR COMPLETENESS AND ACCUARCY, IT IS REVIEWED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE 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 15 THE BOARD OF DIRECTORS REVIEWS THE ACCOMPLISHMENTS OF THE CEO AGAINST GOALS ON AN ANNUAL BASIS AS WELL AS SALARIED DATA FOR COMPARABLE POSITIONS. THE CEO EVALUATES THE PERFORMANCE OF OTHER EXECUTIVES AGAINST GOALS AND SETS COMPENSATION ACCORDINGLY. THE SALARIES OF ALL NON-CEO EXECUTIVES SHOWN ON THE FORM 990 ARE RATIFIED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST THE WILLIAM BREMAN JEWISH HOME, INC. WILL PRODUCE ANY GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 PART XI, LINE 2C THERE HAVE BEEN NO CHANGES TO THE AUDITOR SELECTION PROCESS NOR THE REVIEW OF AUDITED FINANCIAL STATEMENTS. FORM 990 PART V, LINE 2 THE ORGANIZATION UTILIZES A RELATED ENTITY AS COMMON PAYMASTER. THE WILLIAM BREMAN JEWISH HOME, INC., EIN # 58-0610059 PREPARES PAYROLL AND ISSUES REPORTS FOR JEWISH HOME LIFE COMMUNITIES, INC. AND ALL RELATED ENTITIES. THE RELATED ENTITY IS REIMBURSED FOR PAYROLL-RELATED EXPENSES FOR THE FILING ENTITY. BERMAN COMMONS LLC 3150 HOWELL MILL ROAD ATLANTA GA 30327 ASSISTED LIVING FACILITY GA 5445019 24028832 JEWISH HOME LIFE COMMUNITIES THE ONE GROUP LLC 3150 HOWELL MILL ROAD ATLANTA GA 30327 SUPPORT ELDERLY ACTIVITIES GA 5768605 1129000 JEWISH HOME LIFE COMMUNITIES THE AUXILIARY OF THE WILLIAM BREMEN JEWISH HOME LLC 3150 HOWELL MILL ROAD ATLANTA GA 30327 PRIVATE HOME CARE GA 501288 583444 JEWISH HOME LIFE COMMUNITIES JHLC MEDICAL SERVICES LLC 3150 HOWELL MILL ROAD ATLANTA GA 30327 364839107 SENIOR CARE GA 209315 214170 JEWISH HOME LIFE COMMUNITIES THE ZABAN TOWER INC 3150 HOWELL MILL ROAD ATLANTA GA 30327 582288819 ELDERLY AND DISABLED HOUSING GA 501 (C) 3 509 (A)(2) JEWISH HOME LIFE COMMUNITIES INC 1 THE WILLIAM BREMEN JEWISH HOME 3150 HOWELL MILL ROAD ATLANTA GA 30327 580610059 ELDERLY AND DISABLED HOUSEN GA 501 (C) 3 509 (A)(2) JEWISH HOME LIFE COMMUNITIES INC 1 JEWISH HOME FOUNDATION INC 3150 HOWELL MILL ROAD ATLANTA GA 30327 204873372 CHARITABLE, EDUCATIONAL, & RELIGIOUS PURPOSES GA 501(C)3 509(A)(3) JEWISH HOME LIFE COMMUNITIES INC 1 THE VI AND MILTON WEINSTEN HOSPICE 3150 HOWELL MILL ROAD ATLANTA GA 30327 582483753 END OF LIFE SERVICE AND CARE GA 501(C)3 509(A)(2) JEWISH HOME LIFE COMMUNITIES INC 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 THE WILLIAM BREMAN JEWISH HOME INC R 556050 ACTUAL THE VI AND MILTON WEINSTEIN HOSPICE INC L 180250 ACTUAL THE VI AND MILTON WEINSTEIN HOSPICE INC A 53136 ACTUAL THE WILLIAM BREMAN JEWISH HOME INC B 329205 ACTUAL