2023-05-11T07:37:15-05:00 2022-06-30 580692043 MAULDIN & JENKINS LLC 200 GALLERIA PKWY SE STE 1700 ATLANTA GA 303395946 990 2021-07-01 580610059 THE WILLIAM BREMAN JEWISH HOME INC THEW 4043518410 3150 HOWELL MILL ROAD NW ATLANTA GA 30327 HARLEY TABAK PRESIDENT & CEO 4043518410 2023-05-05 1 HARLEY TABAK XXX-XX-XXXX ROSS CANNON P01358934 7709558600 2023-05-05 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z HARLEY TABAK 3150 HOWELL MILL ROAD NW ATLANTA GA 30327 17215390 0 X WWW.WBJH.ORG X 1949 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. 16 16 294 16 0 0 2667358 3442583 11927212 13612476 14285 8200 53185 152131 14662040 17215390 399 399 0 0 6639967 8756495 0 0 0 7989420 8826347 14629786 17583241 32254 -367851 18781291 19133772 8789106 9509438 9992185 9624334 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 THE WILLIAM BREMAN JEWISH HOME AND RELATED ENTITIES. 0 0 12366594 399 11476530 WILLIAM BREMAN HOME MAINTAINS A 96 BED NURSING HOME FOR THE ELDERLY AND INCLUDES NURSING CARE, PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY, FOOD SERVICES, SOCIAL SERVICES AND ROOM SERVICES. 2595038 2135946 THE COHEN HOME IS LOCATED IN ALPHARETTA, GEORGIA AND PROVIDES ASSISTED LIVING TO OLDER ADULTS. THE COHEN HOME IS LICENSED BY THE STATE OF GEORGIA AS A PERSONAL CARE HOME. IN A NURTURING ATMOSPHERE, THE COHEN HOME PROMOTES PRINCIPLES OF FAMILY, COMMUNITY AND JEWISH VALUES. 14961632 1 1 0 0 0 0 0 1 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 1 0 1 294 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 GA X NEELAM RAHETEKAR 4043518410 3150 HOWELL MILL ROAD ATLANTA GA 30327 HARLEY TABAK PRESIDENT AND CEO 12.00 28.00 X 0 462617 34776 JEFFREY GOPEN COO 12.00 28.00 X 0 272943 16264 NEELAM RAHATEKAR CFO 12.00 28.00 X 0 261280 15914 GERIALEAN COOPER EXECUTIVE DIRECTOR - WBJH 40.00 X 126668 0 0 CHERYL CHAMBERS EXECUTIVE DIRECTOR - COHEN HOME 20.00 20.00 X 55817 55817 9005 JEFF BERMAN BOARD CHAIR 0.50 2.00 X X 0 0 0 CANDY BERMAN VICE BOARD CHAIR 0.50 2.00 X X 0 0 0 ANDREA LIPMAN SECRETARY 0.50 2.00 X X 0 0 0 IRWIN SIEGEL CHAIRPERSON OF RESOURCE DEVELOPMENT COMMITTEE 0.50 2.00 X 0 0 0 MICHAEL AXELROD IMMEDIATE PAST BOARD CHAIR 0.50 2.00 X 0 0 0 HERMAN SCHWARZ CHAIRPERSON OF QUALITY/RISK MGMT COMMITTEE 0.50 2.00 X 0 0 0 SUSAN REISNER CHAIRPERSON OF GOVERNANCE COMMITTEE 0.50 2.00 X 0 0 0 DAVID HERSKOVITS CHAIRPERSON OF FINANCE/AUDIT COMMITTEE 0.50 2.00 X 0 0 0 RANDY KORACH DIRECTOR 0.50 2.00 X 0 0 0 LEE KATZ DIRECTOR 0.50 2.00 X 0 0 0 GEOFFREY BROWN DIRECTOR 0.50 2.00 X 0 0 0 JEFF BRICKMAN DIRECTOR 0.50 2.00 X 0 0 0 NANCY WEISSMANN DIRECTOR 0.50 2.00 X 0 0 0 BRUCE BENATOR DIRECTOR 0.50 2.00 X 0 0 0 DEBORAH MASLIA DIRECTOR 0.50 2.00 X 0 0 0 STEVE FETTER DIRECTOR 0.50 2.00 X 0 0 0 182485 1052657 75959 1 0 1 0 HERITAGE HEALTHCARE 536 OLD HOWELL ROAD GREENVILLE SC 29615 REHAB 812344 RIVIERA FINANCE 1000 MANSELL EXCHANGE W SUITE 340 ALPHARETTA GA 30022 SUPPLEMENTAL STAFFING 459757 SYSCO FOOD SERVICES ATLANTA 2225 RIVERDALE RD COLLEGE PARK GA 30349 FOOD SERVICES 383637 CONSULTANTS PHARMACY LLC 105 PATROL RD FORSYTH GA 31029 PHARMACY 320878 MEDLINE INDUSTRIES 9101 RIVERSIDE PKWY LITHIA SPRINGS GA 30122 MEDICAL SUPPLIES 236983 14 240996 2587549 614038 3442583 NET NURSING SERVICE REVENUE 623000 13303397 13303397 ANCILLARY REVENUE 623000 309079 309079 13612476 8200 8200 GUEST AND EMPLOYEE MEAL REVENUE 623000 87006 87006 REFUNDS, REIMBURSEMENTS, TC. 900099 65125 65125 152131 17215390 13612476 0 160331 X 399 399 186987 186987 7208149 6822674 385475 7420 7420 808312 742585 65727 545627 499645 45982 731645 731645 16424 16424 22533 22533 2515210 2288287 226923 16819 16819 123693 123693 160367 160367 440921 440921 78300 73975 4325 82005 82005 1453175 1453175 643872 275985 367887 DIETARY EXPENSE 690017 690017 SUPPLIES 423242 370776 52466 RX COSTS 369190 369190 PROVIDER BED TAX 206360 206360 852574 645638 206936 17583241 14961632 2621609 0 402534 4149974 1532341 2506582 31612705 24223455 8223781 7389250 7234 7116 8615401 5080850 18781291 19133772 2802055 2405756 4103953 0 1883098 7103682 8789106 9509438 X 9987780 9620048 4405 4286 9992185 9624334 18781291 19133772 -367851 0 X X 0 1 X 1 0 X 966750 809042 813432 2667358 3442583 8699165 13251575 13968980 13861595 11927212 13612476 66621838 14218325 14778022 14675027 14594570 17055059 75321003 0 0 0 75321003 47566 56490 32640 14285 8200 159181 47566 56490 32640 14285 8200 159181 276548 179936 138295 53185 152131 800095 14542439 15014448 14845962 14662040 17215390 76280279 0.98740 0.98500 0.00210 0.00290 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: GUEST AND EMPLOYEE MEALS - 2017 AMOUNT: $ 82,733. 2018 AMOUNT: $ 74,488. 2019 AMOUNT: $ 84,522. 2020 AMOUNT: $ 53,185. 2021 AMOUNT: $ 87,006. MISC REVENUE REFUNDS ETC - 2017 AMOUNT: $ 193,815. 2018 AMOUNT: $ 105,448. 2019 AMOUNT: $ 53,773. 2021 AMOUNT: $ 65,125. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32579 X 0 1076561 1076561 16312911 12940569 3372342 2995019 2375863 619156 11228214 8907023 2321191 7389250 ART SCULPTURE 32579 CONSTRUCTION IN PROCESS 4297040 EMPLOYEE RETENTION CREDIT RECEIVABLE 751231 5080850 DUE TO RELATED PARTIES 7103682 7103682 X PART III, LINE 4: ART SCULPTURE CELEBRATING JEWISH HERITAGE, GREETING GUESTS, AND INSPIRING PATIENTS. 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. X 0 0 0 0 0 0 0 0 0 HARLEY TABAK PRESIDENT AND CEO 0 390217 0 72400 0 0 0 26700 0 8076 0 497393 0 0 JEFFREY GOPEN COO 0 247943 0 25000 0 0 0 8188 0 8076 0 289207 0 0 NEELAM RAHATEKAR CFO 0 233280 0 28000 0 0 0 7838 0 8076 0 277194 0 0 FORM 990 PART VII THE WILLIAM BREMAN JEWISH HOME, INC., IS THE COMMON PAYMASTER FOR ALL RELATED ENTITIES. EACH RELATED ENTITY REIMBURSES THE WILLIAM BREMAN JEWISH HOME, INC. FOR PAYROLL-RELATED EXPENSES. FORM 990, PART VI, SECTION A, LINE 3 PAYS RELATED ENTITY, JEWISH HOME LIFE COMMUNITIES, INC., FOR CERTAIN MANAGEMENT AND ACCOUNTING SERVICES. FORM 990, PART VI, SECTION B, LINE 11B AFTER THE FORM 990 IS REVIEWED BY THE CFO FOR COMPLETENESS AND ACCURACY, IT IS REVIEWED BY THE BOARD PRIOR TO FILING. 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 15A THE EXECUTIVE DIRECTOR'S COMPENSATION IS APPROVED BY THE BOARD. 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 IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,454,425. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,454,425. PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 833,862. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 833,862. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 226,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 226,923. FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES TO THE AUDITOR SELECTION PROCESS NOR THE REVIEW OF AUDITED FINANCIAL STATEMENTS. JEWISH HOME LIFE COMMUNITIES INC 3150 HOWELL MILL ROAD ATLANTA GA 30327 474755353 ELDERLY AND DISABLED HOUSING GA 501(C)3 LINE 7 N/A 0 THE JEWISH HOME FOUNDATION INC 3150 HOWELL MILL ROAD ATLANTA GA 30327 204873372 CHARITABLE, EDUCATIONAL, & RELIGIOUS PURPOSES GA 501(C)3 509(A)(3) WILLIAM BREMAN JEWISH HOME 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 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 WEINSTEIN HOSPICE FOUNDATION INC 3150 HOWELL MILL ROAD NW ATLANTA GA 303272108 263459490 OPERATES EXCLUSIVELY FOR THE BENEFIT OF THE VI & MILTON WEINSTEIN HOSPICE. GA 501(C)(3) 509(A)(3) THE VI & MILTON WEINSTEIN HOSPICE INC 1 THE JEWISH HOME TOWER INC 3150 HOWELL MILL ROAD ATLANTA GA 30327 581287829 RETIREMENT CARE GA 501(C)(3) 509(A)(2) JEWISH HOME LIFE COMMUNITIES INC 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0