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Nonprofiteer
← HEBREW HOMES CAPTIVE SERVICES INC

Form 990 for tax year 2022

Filed by HEBREW HOMES CAPTIVE SERVICES INC.

Totals

Total revenue
$400,000
Total expenses
$1,277,855
Contributions and grants received
$400,000
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$0
Total assets, end of year
$131,392
Total liabilities, end of year
$2,294,728
Net assets or fund balances, end of year
-$2,163,336
Program services expenses (Part IX)
$542,587
Management and general expenses
$735,268
Fundraising expenses
$0
Program service expenses (Part III)
$542,587

Program services were 42.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $400,000

  • 11a · Other revenue: Misc Income

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $250,000 · program services $0 · management and general $250,000 · fundraising $0

  • 10 · Payroll taxes

    total $23,710 · program services $0 · management and general $23,710 · fundraising $0

  • 11b · Fees: legal

    total $13,612 · program services $0 · management and general $13,612 · fundraising $0

  • 11c · Fees: accounting

    total $144,000 · program services $0 · management and general $144,000 · fundraising $0

  • 13 · Office expenses

    total $3,946 · program services $0 · management and general $3,946 · fundraising $0

  • 16 · Occupancy

    total $43,133 · program services $43,133 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $499,454 · program services $499,454 · management and general $0 · fundraising $0

  • 24a · Other expenses: Legal Settlement

    total $300,000 · program services $0 · management and general $300,000 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $106,865 · end of year $22,845

  • 4 · Accounts receivable

    beginning of year $828,633 · end of year -$31,453

  • 9 · Prepaid expenses and deferred charges

    beginning of year $506,369

  • 13 · Investments: program-related

    beginning of year $120,000 · end of year $120,000

  • 15 · Other assets

    beginning of year $20,000 · end of year $20,000

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,538,067 · end of year -$2,796

  • 25 · Other liabilities

    beginning of year $1,329,281 · end of year $2,297,524

  • 27 · Net assets without donor restrictions

    beginning of year -$1,285,481 · end of year -$2,163,336

Mission and programs · 2022

Mission

The organization's mission is to provide self-insurance to affiliated 501(C)(3) entities.

  • The organization provides self-funded liability and workers' compensation insurance to the Hebrew Homes Health Network, Inc. and affiliated 501(C)(3) entities.

    Expenses $542,587 · Revenue $400,000

As filed on the 2022 return.

Listed in Part VII

  • Harry Fruhman

    Chief Executive Officer

    Total calculated
    $285,022
    From this org
    $0
    From related orgs
    $285,022
    Other
    $0
    Hours/week
    0.25

    Schedule J breakdown matched by us

    Base
    $0 + $285,022 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $285,022 related

  • Ben Rozasansky

    Vice Chairman

    Total calculated
    $0
    Hours/week
    0.25

  • Martin Wasserman

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    0.25

  • Joan Brent

    Secretary

    Total calculated
    $0
    Hours/week
    0.25

  • Alan Jotkoff

    Director

    Total calculated
    $0
    Hours/week
    0.25

  • Mickey Minagorri

    Director

    Total calculated
    $0
    Hours/week
    0.25

  • Danylle Ross

    Director

    Total calculated
    $0
    Hours/week
    0.25

  • Abraham Galbut

    Administrator

    Total calculated
    $196,000
    From this org
    $196,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.25

    Schedule J breakdown matched by us

    Base
    $196,000
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $196,000

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Pt I Line 3
The Organization's CEO is compensated by Hebrew Homes Health Network, Inc., a related 501(c)(3) organization. The Group's compensation committee determines the compensation and benefits of the CEO and other top management officials. The committee is independent with respect to all compensation related decisions in that committee members refrain from voting on the compensation if a conflic of interest arises. The comittee utilizes comparability surveys provided by an independent accountant. The review and approval process is documented in committee meeting minutes.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • HEBREW HOMES INSURANCE SERVICES LTD

    C · INSURANCE · CJ · 100% owned · share of income $515,937 · share of assets $4,977,586 · controlled entity

    Directly controlled by HH CAPTIVE SVCS

Provenance

Return type
form_990
Tax year
2022
Filed
24 October 2023
IRS schema version
2022v5.0
Source object
202343199349317454

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