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JEWISH HOME LIFECARE UNIVERSITY AVENUE ASSISTED LIVING INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
JEWISH HOME LIFECARE UNIVERSITY AVENUE ASSISTED LIVING INC (EIN 27-3960910)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201643199349303839
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T12:32:55-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN131517563PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273960910EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jewish Home Lifecare University AvenueBusinessNameLine1Txt
Business Name Line2Assisted Living IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJEWIBusinessNameControlTxt
Phone2128705000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 West 106th StreetAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAudrey S WeinerPersonNm
Person TitlePresident and CEOPersonTitleTxt
Phone2128705000PhoneNum
Signature2016-11-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAaron ShapiroPreparerPersonNm
PTINP01333816PTIN
Phone2128674000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAudrey S WeinerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 West 106th StreetAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,583,524GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.jewishhome.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateDELegalDomicileStateCd
Activity Or MissionJewish Home Lifecare, University Avenue Assisted Living, Inc., was formed for the purpose of operation of a Medicaid assisted living facility on the Bronx Campus. Under the supervision of the New York State Department of Health the building was completed and residents began to move-in in 2014.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$51,796CYContributionsGrantsAmt
PY Program Service Revenue$879,825PYProgramServiceRevenueAmt
CY Program Service Revenue$2,531,728CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$879,825PYTotalRevenueAmt
CY Total Revenue$2,583,524CYTotalRevenueAmt
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$784,939PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,413,258CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$996,640PYOtherExpensesAmt
CY Other Expenses$1,880,612CYOtherExpensesAmt
PY Total Expenses$1,781,579PYTotalExpensesAmt
CY Total Expenses$3,293,870CYTotalExpensesAmt
PY Revenues Less Expenses-$901,754PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$710,346CYRevenuesLessExpensesAmt
Total Assets BOY$26,855,203TotalAssetsBOYAmt
Total Assets EOY$25,977,828TotalAssetsEOYAmt
Total Liabilities BOY$1,446,139TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,279,110TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,409,064NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,698,718NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionJewish Home Lifecare (d.b.a. The New Jewish Home), University Avenue Assisted Living, Inc., was formed for the purpose of operating a Medicaid assisted living facility on the Bronx Campus. Under the supervision of the New York State Department of Health the building was completed in 2014.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,002,397ExpenseAmt
Revenue$2,531,728RevenueAmt
DescSee Schedule OUniversity Avenue Assisted Living is a high-quality living option for medically- and income-eligible Bronx seniors aged 65 and older who are independent yet require support services. The building is located on The New Jewish Home's, Harry and Jeanette Weinberg Campus, Bronx. Completed in fall of 2013, the 72-bed facility features handicapped accessible studio apartments each with a kitchenette and private bathroom. The building has dining and program spaces. Residents receive three daily meals, weekly housekeeping, personal care and medication assistance, on-site nursing services and physician visits, social work services and 24-hour security. Individuals continue to enjoy their independent lifestyle while receiving the care and support they need.For more information, visit www.jewishhome.orgDesc
Total Program Service Expenses$3,002,397TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee25EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
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 FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Elliot HaglerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2128705973PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 West 106th StreetAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Elizabeth Grayer
Chair0.256.05Yes (X)Yes (X)$0$0$0
Stanley H Pantowich
Treasurer0.255.75Yes (X)Yes (X)$0$0$0
David Haas
Secretary0.255.85Yes (X)Yes (X)$0$0$0
Audrey S Weiner
President and CEO0.5048.50Yes (X)Yes (X)$13,217$1,379,768$64,600
Thomas J Gilmartin
Chief Financial Officer0.5052.50Yes (X)Yes (X)$5,439$535,893$115,358
Edward A Greenberg
Director0.102.60Yes (X)$0$0$0
Lynn Oberlander
Director0.105.30Yes (X)$0$0$0
Mel Barkan
Director0.104.00Yes (X)$0$0$0
Bridget Gallagher
Director/Senior VP Community Svs0.1050.90Yes (X)$0$362,397$127,576
Rita Morgan
Director/Administrator of Bronx0.1037.40Yes (X)$0$159,259$21
Audrey Wathen
Senior VP Human Resources0.5046.50$2,644$234,228$31,322Yes (X)
Bruce Nathanson
Senior VP Marketing0.5040.50$854$203,104$42,953Yes (X)
Nancy Stoddard
Vice President IT0.5043.50$2,895$256,424$47,972Yes (X)
Firouzeh Naima
Director of Finance0.5041.50$2,157$191,051$26,202Yes (X)
Dale Cooper
Associate General Counsel0.5040.50$1,971$174,578$28,726Yes (X)
Regina Melly
VP Business Development0.5041.50$2,883$255,349$37,082Yes (X)
Maryanne Morgan
Director of Finance0.5042.50$1,917$169,793$35,548Yes (X)
Elizabeth Weingast
VP of Clinical Excellence0.5042.50$1,851$163,939$59,869Yes (X)
Robert Lanfranchi
Director of IT0.5045.50$2,273$201,386$11,669Yes (X)
Svetlana DeBellis
VP Managed Care0.5037.50$3,124$200,797$37,486Yes (X)
Antonio Pilgrim
Director of Internal Audit0.5039.50$1,738$153,923$26,921Yes (X)
Thomas Mathew
Director of Finance0.5040.50$1,177$104,335$25,489Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$44,140TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,746,224TotReportableCompRltdOrgAmt
Total Other Compensation$718,794TotalOtherCompensationAmt
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
Jewish Home Lifecare Home Assistanc
2545 University AvenueBronxNY10468Home Health Aides and Social Workers$400,259
Morrison Dietary
4721 Morrison Drive Suite 300MobileAL36609Dietary services$192,566
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$5,000RelatedOrganizationsAmt
Government Grants$46,796GovernmentGrantsAmt
Total Contributions$51,796TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescInpatient RevenueDesc
Business623000BusinessCd
Total Revenue Column$2,531,728TotalRevenueColumnAmt
Related Or Exempt Func Income$2,531,728RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,531,728TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,583,524TotalRevenueColumnAmt
Related Or Exempt Func Income$2,531,728RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$38,238TotalAmt
Management And General$38,238ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$976,130TotalAmt
Program Services$976,130ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$75,059TotalAmt
Program Services$75,059ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$244,359TotalAmt
Program Services$244,359ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$79,472TotalAmt
Program Services$76,810ProgramServicesAmt
Management And General$2,662ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$37,863TotalAmt
Program Services$37,863ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$474TotalAmt
Management And General$474ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$605,209TotalAmt
Program Services$605,209ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22TotalAmt
Program Services$22ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$196,325TotalAmt
Program Services$196,325ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$98,465TotalAmt
Program Services$98,465ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,500TotalAmt
Program Services$4,500ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$668,517TotalAmt
Program Services$668,517ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescAdministration allocatiDesc
Total$250,099TotalAmt
Management And General$250,099ManagementAndGeneralAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,138TotalAmt
Program Services$19,138ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$3,293,870TotalAmt
Program Services$3,002,397ProgramServicesAmt
Management And General$291,473ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$103,606BOYAmt
EOY$85,951EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$562,207BOYAmt
EOY$260,618EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,523,649LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,002,776LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,189,390BOYAmt
EOY$25,520,873EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$110,386EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$26,855,203BOYAmt
EOY$25,977,828EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$91,065BOYAmt
EOY$575,252EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$7,348BOYAmt
EOY$34,585EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,347,726BOYAmt
EOY$669,273EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,446,139BOYAmt
EOY$1,279,110EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,409,064BOYAmt
EOY$24,698,718EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,409,064BOYAmt
EOY$24,698,718EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$26,855,203BOYAmt
EOY$25,977,828EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$710,346ReconcilationRevenueExpnssAmt
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)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
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$2,589,553CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,775,649CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,950,105CurrentTaxYearMinus2YearsAmt
Current Tax Year$51,796CurrentTaxYearAmt
Total$26,367,103TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$879,825CurrentTaxYearMinus1YearAmt
Current Tax Year$2,531,728CurrentTaxYearAmt
Total$3,411,553TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,589,553CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,775,649CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,950,105CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$879,825CurrentTaxYearMinus1YearAmt
Current Tax Year$2,583,524CurrentTaxYearAmt
Total$29,778,656TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$29,778,656PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$108CurrentTaxYearMinus2YearsAmt
Total$108TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$108CurrentTaxYearMinus2YearsAmt
Total$108TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,589,553CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,775,649CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,950,213CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$879,825CurrentTaxYearMinus1YearAmt
Current Tax Year$2,583,524CurrentTaxYearAmt
Total$29,778,764TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$474DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$474TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationExpenses related to lobbying activities for the time spent and travel by CEO.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,510,799OtherCostOrOtherBasisAmt
Depreciation$993,474DepreciationAmt
Book Value$25,517,325BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,850OtherCostOrOtherBasisAmt
Depreciation$9,302DepreciationAmt
Book Value$3,548BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,520,873TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Accrued salaries$64,273
Estimated liabilities to third parties$605,000
FieldValueIRS element (for citing)
Total Liability$669,273TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,583,524TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,583,524RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,583,524TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$3,293,870TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$3,293,870ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$3,293,870TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:The organization maintains resident personal funds in a separate bank account.
Part X, Line 2:Jewish Home Lifecare, University Avenue Assisted Living, Inc. has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements. Periods ending December 31, 2012 and subsequent remain subject to examination by applicable taxing authorities.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (15 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
Audrey S Weiner
President and CEO$6,543$683,040$0$0$6,674$696,728$439$45,857$174$18,130$13,830$1,443,755$0$0
Thomas J Gilmartin
Chief Financial Officer$4,993$491,966$0$0$446$43,927$655$64,526$504$49,673$6,598$650,092$0$0
Bridget Gallagher
Director/Senior VP Community Svs$0$243,043$0$0$0$119,354$0$19,213$0$108,363$0$489,973$0$0
Rita Morgan
Director/Administrator of Bronx$0$159,112$0$0$0$147$0$0$0$21$0$159,280$0$0
Audrey Wathen
Senior VP Human Resources$2,600$230,315$0$0$44$3,913$193$17,059$157$13,913$2,994$265,200$0$0
Bruce Nathanson
Senior VP Marketing$845$201,057$0$0$9$2,047$64$15,244$116$27,529$1,034$245,877$0$0
Nancy Stoddard
Vice President IT$2,880$255,099$0$0$15$1,325$214$18,999$321$28,438$3,430$303,861$0$0
Firouzeh Naima
Director of Finance$2,142$189,726$0$0$15$1,325$158$13,973$135$11,936$2,450$216,960$0$0
Dale Cooper
Associate General Counsel$1,948$172,545$0$0$23$2,033$136$12,069$184$16,337$2,291$202,984$0$0
Regina Melly
VP Business Development$2,875$254,640$0$0$8$709$165$14,642$249$22,026$3,297$292,017$0$0
Maryanne Morgan
Director of Finance$1,909$169,084$0$0$8$709$143$12,640$254$22,511$2,314$204,944$0$0
Elizabeth Weingast
VP of Clinical Excellence$1,846$163,477$0$0$5$462$147$12,976$522$46,224$2,520$223,139$0$0
Robert Lanfranchi
Director of IT$2,265$200,677$0$0$8$709$130$11,539$0$0$2,403$212,925$0$0
Svetlana DeBellis
VP Managed Care$3,119$200,340$0$0$5$457$0$0$418$37,068$3,542$237,865$0$0
Antonio Pilgrim
Director of Internal Audit$1,715$151,890$0$0$23$2,033$0$0$301$26,620$2,039$180,543$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a1) Tax indemnification and gross-up payment 2) Audrey S. Weiner and Thomas J. Gilmartin 3) The amounts were treated as taxable compensation
Part I, Line 4bAudrey S. Weiner participated in a supplemental defined benefit retirement plan. The accrual for the year was $27,083. During 2015, Audrey vested in the plan and as a result $699,701 was included in Ms. Weiner's W-2 reportable compensation. Thomas J. Gilmartin participated in a supplemental defined contribution retirement plan. The accrual for the year was $45,968. During 2015, Mr. Gilmartin's vesting in the plan resulted in an additional $42,004 of W-2 reportable compensation for Mr. Gilmartin. Bridget Gallagher participated in a supplemental defined contribution retirement plan. During 2015, Ms. Gallagher's vesting in the plan resulted in an additional $118,797 of W-2 reportable compensation for Ms. Gallagher and $95,205 of non-taxable benefit.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Management responsibilities are fulfilled by administrative personnel employed by a related entity, JHL Corporate Services, Inc. In 2015, costs incurred by JHL Corporate Services, Inc. were allocated to individual Jewish Home Lifecare's entities in accordance with expense-based methodology. The organization periodically reviews the method by which administrative overhead expenses are allocated.
Form 990, Part VI, Section A, line 6The sole member of the organization is Jewish Home Lifecare, a New York not-for-profit corporation.
Form 990, Part VI, Section A, line 7aJewish Home Lifecare may elect one or more members of the governing body.
Form 990, Part VI, Section B, line 11A draft of the completed return was reviewed by Management. Any comments arised from the review were discussed and and changes were made. The draft was submitted to the Audit and Compliance Committee of Jewish Home Lifecare and Subsidiaries for their review and approval. Audit and Compliance Committee completed their reviews and a copy of the return was provided to all board members prior filing with IRS.
Form 990, Part VI, Section B, line 12cAnnually all Board members, officers, and key employees are provided a copy of the conflict of interest policy and are asked to review the policy and to disclose any potential or actual conflicts that may have occurred since the last disclosure. The Audit and Compliance Committee of the Board reviews the disclosures as summarized by the Compliance department. All identified conflicts of interest are discussed and either approved or rejected by the Board. If the Board of Directors or the Governance Committee determines that a conflict of interest exists, the Director with the conflict may not take part in the decision process to which the conflict relates. Such disclosure and the fact that the Director did not vote or participate in the deliberations is recorded in the relevant minutes.
Form 990, Part VI, Section B, line 15Annually, the Chairman of the Board of Jewish Home Lifecare, in consultation with the Compensation Committee, reviews and evaluates the President/CEO, officers and key employees' performance against a series of goals and objectives for the year. In establishing compensation levels for the CEO/President, officers and key employees, the Board Chair and the Compensation Committee of the Board use performance and periodic compensation surveys of other similar type organizations, completed by an external consultant, to inform their decisions. Minutes of the meeting are maintained in a confidential file. The meeting of the compensation committee at which this took place was held in November 2013.
Form 990, Part VI, Section C, line 19The governing documents and financial statements are available to the public upon request.
Form 990, Part IX, line 11gHome health aide: Program service expenses 341,606. Management and general expenses 0. Fundraising expenses 0. Total expenses 341,606. RN and LPN agencies: Program service expenses 59,376. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,376. Recreation services: Program service expenses 3,847. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,847. Nutritionalist: Program service expenses 6,945. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,945. Social worker fees: Program service expenses 58,653. Management and general expenses 0. Fundraising expenses 0. Total expenses 58,653. Contract services: Program service expenses 127,231. Management and general expenses 0. Fundraising expenses 0. Total expenses 127,231. Laundry services: Program service expenses 5,131. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,131. Electrical Repairs: Program service expenses 2,142. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,142. Extermination Services: Program service expenses 278. Management and general expenses 0. Fundraising expenses 0. Total expenses 278.
Form 990, Part XII, Line 2c:The Audit and Compliance Committee of the organization has the oversight responsibility for the audit of the organization's financial statements. As part of the financial statement audit process, the Audit and Compliance Committee is responsible to: 1. Select the independent audit firm 2. Review and approve audit scope and fees 3. Oversee the financial reporting process 4. Ensure open communications between management, audit firm, and the Audit and Compliance Committee 5. Review of independent audit firm's annual performance 6. Meet in Executive Session (absent management) with the audit firm to discuss any potential concerns with management's performance

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Jewish Home Lifecare
120 West 106th StreetNew YorkNY10025133267073Provides care for the elderlyNY501(c)(3)11, type iiN/A0
Jewish Home Lifecare Manhattan
120 West 106th StreetNew YorkNY10025131624033Provides care for the elderlyNY501(c)(3)30Jewish Home Lifecare
Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
120 West 106th StreetNew YorkNY10025237071900Provides care for the elderlyNY501(c)(3)90Jewish Home Lifecare
Fund for the Aged Inc
120 West 106th StreetNew YorkNY10025133603516Solicit and distribute contributions for care to the elderlyNY501(c)(3)70Jewish Home Lifecare
Jewish Home Lifecare Sarah Neuman Center Westchester
845 Palmer AvenueMamaroneckNY10543133620568Provides care for the elderlyNY501(c)(3)90Jewish Home Lifecare
Kittay House Jewish Home Lifecare Inc
100 West Kingsbridge RoadBronxNY10468132619576Provides housing to the elderlyNY501(c)(3)90Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
WK Diagnostic and Treatment Center
100 West Kingsbridge RoadBronxNY10468133527664Provides healthcare servicesNY501(c)(3)pf0Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
Jewish Home Lifecare Receivership Corp
120 West 106th StreetNew YorkNY10025133500285Manages housing organizationsNY501(c)(3)11, type i0Jewish Home Lifecare
Lifecare Property Holding Corp
120 West 106th StreetNew YorkNY10025205945618Owns propertyNY501(c)(2)n/a0Jewish Home Lifecare
Harry and Jeanette Weinberg Riverdale HouseHousing Development Fund Co Inc
120 West 106th StreetNew YorkNY10025133865179Provides subsidized housing for the elderlyNY501(c)(3)90Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
Kenneth Gladstone Building Housing Development Fund Company Inc
120 West 106th StreetNew YorkNY10025134078893Provides subsidized housing for the elderlyNY501(c)(3)90Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
Harry and Jeanette Weinberg Gardens Housing Development Fund Company Inc
120 West 106th StreetNew YorkNY10468204981328Provides subsidized housing for the elderlyNY501(c)(3)70Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
JHL Corporate Services Inc
120 West 106th StreetNew YorkNY10025263385174Management servicesDE501(c)(3)11, type i0Jewish Home Lifecare
Lifecare Manhattan Property Holding Corp
120 West 106th StreetNew YorkNY10025263070863Owns propertyDE501(c)(3)11, type i0Jewish Home Lifecare Manhattan
Jewish Home Lifecare Community Services Inc
120 West 106th StreetNew YorkNY10025270158524Provides community servicesNY501(c)(3)90Jewish Home Lifecare
Jewish Home Lifecare Development Corp
120 West 106th StreetNew YorkNY10025262054641Owns propertyNY501(c)(3)11, type i0Jewish Home Lifecare Manhattan
Lifecare Manhattan Supporting Corp
120 West 106th StreetNew YorkNY10025262634853Owns propertyDE501(c)(3)11, type i0Jewish Home Lifecare Manhattan
156 West 106th Street Holding Corp
120 West 106th StreetNew YorkNY10025270308650Owns propertyNY501(c)(2)n/a0Jewish Home Lifecare
Geriatric Career Development Program Inc
120 West 106th StreetNew YorkNY10025462452619To operate programs for at-risk youthDE501(c)(3)70Jewish Home Lifecare

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
2614 Kingsbridge Corp
120 West 106th StreetNew YorkNY10025132749776Provides parking facilitiesNYN/AC0
Jewish Home Lifecare Home Assistance Personnel Inc
120 West 106th StreetNew YorkNY10025133267068Provides long term home health careNYN/AC0
JHHA Medical Group PC
120 West 106th StreetNew YorkNY10025133364558Provides health care servicesNYN/AC0
102 West 107TH Street Corp
120 West 106th StreetNew YorkNY10025132760057Provides parking facilitiesNYN/AC0
Jewish Home Lifecare Spectrum Services Inc
120 West 106th StreetNew YorkNY10025453563804Holding company for for-profit affiliatesNYN/AC0
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 OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Jewish Home Lifecare Home Assistance Personnel IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeMTransactionTypeTxt
Involved$400,259InvolvedAmt
Method Of Amount DeterminationcostMethodOfAmountDeterminationTxt