INSTITUTE FOR APPLIED GERONTOLOGY INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: INSTITUTE FOR APPLIED GERONTOLOGY INC (EIN 11-3135751)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-13
IRS object ID: 201723179349101792
Schema version: 2016v3.1
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
Form 990-PF
Schedule B
Depreciation Schedule
Other Assets Schedule
Other Expenses Schedule
Other Income Schedule2
Other Liabilities Schedule
Other Professional Fees Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-13T14:59:11-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	401 BROADHOLLOW ROAD STE 201	AddressLine1Txt
City	MELVILLE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11747	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	113135751	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INSTITUTE FOR APPLIED GERONTOLOGY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% JEFFREY DAVIS	InCareOfNm
Business Name Control	INST	BusinessNameControlTxt
Phone	7189217742	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6323 7TH AVENUE	AddressLine1Txt
City	BROOKLYN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11220	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALEXANDER BALKO	PersonNm
Person Title	President/CEO	PersonTitleTxt
Phone	7189217742	PhoneNum
Signature	2017-10-19	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Angelo Pirozzi CPA	PreparerPersonNm
PTIN	P00446022	PTIN
Phone	6315019600	PhoneNum
Preparation	2017-10-19	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	162.249.80.3	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	12894920173175000015	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-13	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	EE057800E4A178E9AC3AFE9F4334FD4004F4CA47	AtSubmissionCreationDeviceId
At Submission Filing Device Id	EE057800E4A178E9AC3AFE9F4334FD4004F4CA47	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$2,291,419	FMVAssetsEOYAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Rcvd Rev And Expnss	$3,855,133	ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss	$441	InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm	$441	InterestOnSavNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm	$0	CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss	$22,900	OtherIncomeRevAndExpnssAmt
Total Rev And Expnss	$3,878,474	TotalRevAndExpnssAmt
Total Net Invst Incm	$441	TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss	$0	CompOfcrDirTrstRevAndExpnssAmt
Oth Empl Slrs Wgs Rev And Expnss	$1,664,779	OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl	$1,166,770	OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss	$383,119	PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Dsbrs Chrtbl	$268,512	PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss	$8,694	AccountingFeesRevAndExpnssAmt
Other Prof Fees Rev And Expnss	$154,307	OtherProfFeesRevAndExpnssAmt
Other Prof Fees Dsbrs Chrtbl	$151,399	OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss	$92,025	TaxesRevAndExpnssAmt
Taxes Dsbrs Chrtbl	$64,496	TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss	$3,056	DeprecAndDpltnRevAndExpnssAmt
Occupancy Rev And Expnss	$276,676	OccupancyRevAndExpnssAmt
Trav Conf Meeting Rev And Expnss	$54,164	TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl	$38,464	TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss	$169,311	OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl	$148,642	OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss	$2,806,131	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$0	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$1,838,283	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$0	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$0	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$2,806,131	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$0	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$1,838,283	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	$1,072,343	ExcessRevenueOverExpensesAmt
Net Investment Income	$441	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$525,502	CashBOYAmt
Cash EOY	$523,730	CashEOYAmt
Cash EOYFMV	$523,730	CashEOYFMVAmt
Pledges Rcvbl	$984,869	PledgesRcvblAmt
Pledges Rcvbl BOY	$159,802	PledgesRcvblBOYAmt
Pledges Rcvbl EOY	$984,869	PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV	$984,869	PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY	$6,250	PrepaidExpensesBOYAmt
Prepaid Expenses EOY	$3,333	PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV	$3,333	PrepaidExpensesEOYFMVAmt
Land Bldg Equip Cost Or Other Bss	$16,479	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,814	LandBldgEquipAccumDeprecAmt
Land BOY	$11,323	LandBOYAmt
Land EOY	$10,665	LandEOYAmt
Land EOYFMV	$10,665	LandEOYFMVAmt
Other Assets BOY	$353,159	OtherAssetsBOYAmt
Other Assets EOY	$768,822	OtherAssetsEOYAmt
Other Assets EOYFMV	$768,822	OtherAssetsEOYFMVAmt
Total Assets BOY	$1,056,036	TotalAssetsBOYAmt
Total Assets EOY	$2,291,419	TotalAssetsEOYAmt
Total Assets EOYFMV	$2,291,419	TotalAssetsEOYFMVAmt
Accounts Payable BOY	$264,648	AccountsPayableBOYAmt
Accounts Payable EOY	$200,090	AccountsPayableEOYAmt
Other Liabilities BOY	$291,063	OtherLiabilitiesBOYAmt
Other Liabilities EOY	$518,661	OtherLiabilitiesEOYAmt
Total Liabilities BOY	$555,711	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$718,751	TotalLiabilitiesEOYAmt
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind
Unrestricted BOY	-$195,099	UnrestrictedBOYAmt
Unrestricted EOY	-$5,360	UnrestrictedEOYAmt
Temporarily Restricted BOY	$695,424	TemporarilyRestrictedBOYAmt
Temporarily Restricted EOY	$1,578,028	TemporarilyRestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY	$500,325	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$1,572,668	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$1,056,036	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$2,291,419	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$500,325	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	$1,072,343	ExcessRevenueOverExpensesAmt
Subtotal	$1,572,668	SubtotalAmt
Tot Net Ast Or Fund Balances EOY	$1,572,668	TotNetAstOrFundBalancesEOYAmt

Field	Value	IRS element (for citing)
Cap Gains Loss Tx Invst Incm Detail		CapGainsLossTxInvstIncmDetail

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

Field	Value	IRS element (for citing)
Liable Section4942 Tax	false	LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1	$1,831,588	AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1	$1,284,351	NetVlNoncharitableAssetsYr1Amt
Distribution Yr1	1.426081	DistributionYr1Rt
Adjusted Qlfy Distri Yr2	$1,131,339	AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2	$756,195	NetVlNoncharitableAssetsYr2Amt
Distribution Yr2	1.496094	DistributionYr2Rt
Adjusted Qlfy Distri Yr3	$0	AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3	$0	NetVlNoncharitableAssetsYr3Amt
Distribution Yr3	0.0	DistributionYr3Rt
Adjusted Qlfy Distri Yr4	$0	AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4	$0	NetVlNoncharitableAssetsYr4Amt
Distribution Yr4	0.0	DistributionYr4Rt
Adjusted Qlfy Distri Yr5	$0	AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5	$0	NetVlNoncharitableAssetsYr5Amt
Distribution Yr5	0.0	DistributionYr5Rt
Total Distribution	2.922175	TotalDistributionRt
Average Distribution	0.584435	AverageDistributionRt
Net Vl Noncharitable Assets	$2,194,844	NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets	$1,282,744	AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct	$4	NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct	$1,282,748	AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions	$1,838,283	QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	Yes (X)	DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax	$4	InvestmentIncomeExciseTaxAmt
Subtotal	$4	SubtotalAmt
Tax Based On Investment Income	$4	TaxBasedOnInvestmentIncomeAmt
Applied To Es Tax	$100	AppliedToEsTaxAmt
Total Payments And Credits	$100	TotalPaymentsAndCreditsAmt
Overpayment	$96	OverpaymentAmt
Applied To ES Tax	$96	AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

Field	Value	IRS element (for citing)
Legislative Political Acty	false	LegislativePoliticalActyInd
More Than100 Spent	false	MoreThan100SpentInd
Form1120 POL Filed	false	Form1120POLFiledInd
Activities Not Previously Rpt	false	ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws	false	ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc	false	OrganizationDissolvedEtcInd
Section508e Rqr Satisfied	Yes (true)	Section508eRqrSatisfiedInd
At Least5000 In Assets	Yes (true)	AtLeast5000InAssetsInd
Org Report Or Register State	NY	OrgReportOrRegisterStateCd
Form990 PF Filed With Atty Gen	Yes (true)	Form990PFFiledWithAttyGenInd
Private Operating Foundation	false	PrivateOperatingFoundationInd
New Substantial Contributors	false	NewSubstantialContributorsInd
Own Controlled Entity	false	OwnControlledEntityInd
Donor Advised Fund	false	DonorAdvisedFundInd
Comply With Public Insp Rqr	Yes (true)	ComplyWithPublicInspRqrInd
Website Address	www.mjhs.org	WebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFREY DAVIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7184917261	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	6323 7TH AVENUE	AddressLine1Txt
City	BROOKLYN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	11220	ZIPCd

Field	Value	IRS element (for citing)
Foreign Accounts Question	false	ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

Field	Value	IRS element (for citing)
Sale Or Exch Disqualified Prsn	false	SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn	false	BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn	false	FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn	false	PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn	false	TransferAstDisqualifiedPrsnInd
Payment To Government Official	false	PaymentToGovernmentOfficialInd
Uncorrected Prior Acts	false	UncorrectedPriorActsInd
Undistributed Income PY	false	UndistributedIncomePYInd
Business Holdings	false	BusinessHoldingsInd
Jeopardy Investments	false	JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst	false	UncorrectedPYJeopardyInvstInd
Influence Legislation	false	InfluenceLegislationInd
Influence Election	false	InfluenceElectionInd
Grants To Individuals	false	GrantsToIndividualsInd
Grants To Organizations	false	GrantsToOrganizationsInd
Noncharitable Purpose	false	NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Proceeds Or Net Income	false	ProceedsOrNetIncomeInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee Benefit ProgramEmployeeBenefitProgramAmt	Expense Account Other AllwncExpenseAccountOtherAllwncAmt
Alexander S Balko
6323 7TH AVENUE	BROOKLYN	NY	11220	President-CEO	0.5	$0	$0	$0
Jeffrey Davis
6323 7TH AVENUE	BROOKLYN	NY	11220	CFO-MJHS	0.5	$0	$0	$0
Russell Portenoy
6323 7TH AVENUE	BROOKLYN	NY	11220	executive director	23.0	$0	$0	$0
Shmuel Lefkowitz
6323 7TH AVENUE	BROOKLYN	NY	11220	Director	0.5	$0	$0	$0
ARTHUR GOSHIN
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR	0.5	$0	$0	$0
RONALD MILCH
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR	0.5	$0	$0	$0
BURTON ESRIG
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR	0.5	$0	$0	$0
ALAN BATKIN
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR	0.5	$0	$0	$0
JAMES BORYNACK
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR	0.5	$0	$0	$0
STEVEN TOPAL
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR	0.5	$0	$0	$0
robert leamer
6323 7TH AVENUE	BROOKLYN	NY	11220	assistant secretary	0.5	$0	$0	$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee BenefitsEmployeeBenefitsAmt	Expense AccountExpenseAccountAmt
MARILYN BOOKBINDER
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR OF QUALITY	35.0	$143,806	$9,033	$15,662
LARA DHINGRA
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR OF HEALTH D	35.0	$117,092	$8,338	$28,551
COLLEEN FLEMING-DAMON
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR OF EDUCATIO	35.0	$131,708	$8,686	$24,551
MYRA GLAJCHEN
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR OF MEDICAL	35.0	$127,855	$8,448	$1,831
HELENA KNOTKOVA
6323 7TH AVENUE	BROOKLYN	NY	11220	DIRECTOR OF CLINICAL	35.0	$118,601	$8,338	$28,700

Field	Value	IRS element (for citing)
Other Employee Paid Over50k	6	OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BETH ISRAEL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	150 EAST 42ND STREET 5th floor	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10017	ZIPCd

Field	Value	IRS element (for citing)
Service Type	Subcontract	ServiceTypeTxt
Compensation	$166,661	CompensationAmt

Field	Value	IRS element (for citing)
Contractor Paid Over50k	0	ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

Field	Value	IRS element (for citing)
Description1	THE INSTITUTE PROMOTES ACCESS TO EVIDENCE-BASED SPECIALIST LEVEL PALLIATIVE CARE THROUGH INNOVATION, SCIENTIFIC INQUIRY, QUALITY IMPROVEMENT AND PROFESSIONAL EDUCATION	Description1Txt
Expenses1	$1,834,282	Expenses1Amt

Field	Value	IRS element (for citing)
Sum Of Program Related Invst		SumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

Field	Value	IRS element (for citing)
Average Monthly FMV Of Sec	$0	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$460,579	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$1,767,689	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$2,228,268	TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness	$0	AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast	$2,228,268	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$33,424	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$2,194,844	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$109,742	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$109,742	MinimumInvestmentReturnAmt
Tax Based On Investment Income	$4	TaxBasedOnInvestmentIncomeAmt
Total Tax	$4	TotalTaxAmt
Distributable Before Adj	$109,738	DistributableBeforeAdjAmt
Distributable Before Ded	$109,738	DistributableBeforeDedAmt
Distributable As Adjusted	$109,738	DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$1,838,283	ExpensesAndContributionsAmt
Program Related Invst Total	$0	ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid	$0	CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test	$0	SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test	$0	SetAsideCashDistriTestAmt
Qualifying Distributions	$1,838,283	QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm	$4	PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri	$1,838,279	AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$109,738	DistributableAsAdjustedAmt
Undistributed Income PY	$0	UndistributedIncomePYAmt
Prior Year1	2014	PriorYear1Yr
Prior Year2	2013	PriorYear2Yr
Prior Year3	2012	PriorYear3Yr
Total For Prior Years	$0	TotalForPriorYearsAmt
Excess Distribution Cyov Yr2	$1,093,537	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$1,767,386	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$2,860,923	TotalExcessDistributionCyovAmt
Qualifying Distributions	$1,838,283	QualifyingDistributionsAmt
Applied To Year1	$0	AppliedToYear1Amt
Applied To Current Year	$109,738	AppliedToCurrentYearAmt
Remaining Distri From Corpus	$1,728,545	RemainingDistriFromCorpusAmt
Total Corpus	$4,589,468	TotalCorpusAmt
Prior Year Undistributed Incm	$0	PriorYearUndistributedIncmAmt
Taxable1	$0	Taxable1Amt
Taxable2	$0	Taxable2Amt
Undistributed Income CY	$0	UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr	$4,589,468	ExcessDistriCyovToNextYrAmt
Excess From Year2	$1,093,537	ExcessFromYear2Amt
Excess From Year1	$1,767,386	ExcessFromYear1Amt
Excess From Current Year	$1,728,545	ExcessFromCurrentYearAmt

Field	Value	IRS element (for citing)
Private Operating Foundations		PrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Only Contri To Preselected	Yes (X)	OnlyContriToPreselectedInd

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Rev Part VII ProgramServiceRevPartVIIGrp

Field	Value	IRS element (for citing)
Desc	FELLOWSHIP PROGRAM FEES	Desc
Related Or Exempt Function Incm	$22,900	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Fees Contracts From Govt Ag		FeesContractsFromGovtAgGrp
Membership Dues And Assmnt		MembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$441	ExclusionAmt

Field	Value	IRS element (for citing)
Div And Int From Sec Part VII		DivAndIntFromSecPartVIIGrp
Net Rntl Incm Re Debt Fincd Prop		NetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd Prop		NetRntlIncmReNotDebtFincdProp
Net Rental Income Personal Prop		NetRentalIncomePersonalPropGrp
Other Investment Incm Part VII		OtherInvestmentIncmPartVIIGrp
Gain Sales Ast Oth Than Invntry		GainSalesAstOthThanInvntryGrp
Net Income Loss From Special Evt		NetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of Invntry		GrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Exclusion	$441	ExclusionAmt
Related Or Exempt Function Incm	$22,900	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	$23,341	TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Field	Value	IRS element (for citing)
Line Number	1a	LineNumberTxt
Relationship Statement	THESE PROGRAMS ADDRESS THE EDUCATIONAL OBJECTIVES OF THE INSTITUTE TO IMPROVE THE WORKFORCE IN PALLIATIVE CARE.	RelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO	false	TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO	false	TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets	false	SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO	false	PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets	false	RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements	false	ReimbursementArrangementsInd
Loans Or Loan Guarantees	false	LoansOrLoanGuaranteesInd
Performance Of Services Etc	false	PerformanceOfServicesEtcInd
Sharing Of Facilities Etc	false	SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO	false	RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
General Rule	Yes (X)	GeneralRuleInd

Contributor Information ContributorInformationGrp (14 entries)

ContributorContributorNum	Address Line1ContributorUSAddress/AddressLine1Txt	CityContributorUSAddress/CityNm	State AbbreviationContributorUSAddress/StateAbbreviationCd	ZIPContributorUSAddress/ZIPCd	Total ContributionsTotalContributionsAmt	Person ContributionPersonContributionInd
MJHS Foundation
1	6323 Seventh Ave	Brooklyn	NY	11220	$1,982,604	Yes (X)
Community Care of Brooklyn
2	4802 10th Ave	Brooklyn	NY	11219	$360,000	Yes (X)
American Academy of Hospice Palli
3	8735 W Higgins Road Suite 300	Chicago	IL	60631	$289,883	Yes (X)
Cystic Fibrosis Foundation Therapeu
4	6931 Arlington Road	Bethesda	MD	20814	$111,941	Yes (X)
The Milbank Foundation
5	116 Village Blvd Suite 200	Princeton	NJ	08540	$100,000	Yes (X)
Mount Sinai Beth Israel
6	PO Box 790	New York	NY	10276	$55,362	Yes (X)
Avrom Greenberg
7	11 Barton Lane	Cos Cob	CT	06807	$17,000	Yes (X)
Four Seasons CFL
8	571 S Allen Rd	Flat Rock	NC	28731	$16,000	Yes (X)
Ametek Foundation
9	1100 Cassatt Road	Berwyn	PA	19312	$15,000	Yes (X)
Jewish Communal Fund
10	Teena Larry Lerner Fund 575 Mad	New York	NY	10022	$10,000	Yes (X)
Geoffrey Felder
11	145 East 16th Street Apt 8C	New York	NY	10003	$6,000	Yes (X)
St John's University
12	8000 Utopia Parkway	Queens	NY	11439	$5,600	Yes (X)
David and Andrea Holbrook
13	42 Downing St	New York	NY	10014	$5,000	Yes (X)
Martha Wallau
14	1215 Fifth Avenue Apt 3C	New York	NY	10029	$5,000	Yes (X)

Depreciation Schedule DepreciationSchedule

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

Field	Value	IRS element (for citing)
Desc	DUE FROM MJHS AGENCIES	Desc
BOY Book Value	$353,159	BOYBookValueAmt
EOY Book Value	$768,822	EOYBookValueAmt
EOYFMV	$768,822	EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt	Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INFORMATION TECHNOLOGY	$29,435	$29,435
FELLOWSHIPS AND HONORARIA	$96,911	$96,911
OFFICE SUPPLIES	$38,875	$18,206
EDUCATIONAL MATERIALS	$4,090	$4,090

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

Field	Value	IRS element (for citing)
Desc	Program Fees	Desc
Revenue And Expenses Per Books	$22,900	RevenueAndExpensesPerBooksAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

Field	Value	IRS element (for citing)
Desc	DUE TO MJHS AGENCIES	Desc
BOY Book Value	$291,063	BOYBookValueAmt
EOY Book Value	$518,661	EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)

CategoryCategoryTxt	AmtAmt	Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CONSULTING	$47,022	$47,022
SUBCONTRACT	$88,218	$88,218
TRANSLATIONS	$16,159	$16,159
ADP PAYROLL	$2,908	$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	PAYROLL	CategoryTxt
Amt	$92,025	Amt
Disbursements Charitable Prps	$64,496	DisbursementsCharitablePrpsAmt