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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PARKER JEWISH INSTITUTE FOR HEALTH CARE
AND REHABILITATION
Employer identification number
13-2631069
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018
Page 2

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) ALZHEIMER'S CAREGIVER SCHOLARSHIPS 226 309,544      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: APPLICANTS AND CARE RECIPIENTS MUST BE ENROLLED IN THE WILLING HEARTS HELPFUL HANDS PROGRAM AND LIVE IN NASSAU OR SUFFOLK COUNTY IN ORDER TO BE ELIGIBLE FOR RESPITE SERVICES. THERE ARE NO INCOME REQUIREMENTS FOR THIS PROGRAM. FOR A CARE RECIPIENT TO BE DEEMED ELIGIBLE TO RECEIVE SERVICES, THEY MUST HAVE A DIAGNOSIS OF ALZHEIMER'S DISEASE OR DEMENTIA. TO APPLY, AN APPLICATION MUST BE SUBMITTED TO THE PROGRAM. ONCE THE APPLICATION IS SUBMITTED A COMPREHENSIVE IN-HOME CLINICAL ASSESSMENT TO DETERMINE ELIGIBILITY. CLIENTS MUST BE DEEMED ELIGIBLE TO RECEIVE SERVICES UNDER THE GRANT BY THE STATE. GRANT FUNDS MAY NOT BE USED TO SUPPLANT OTHER SOURCES OF GOVERNMENTAL FUNDING. WE HAVE AN INTERNAL MONITORING TOOL THAT TRACKS APPLICATIONS AND APPROVALS. FOR EACH APPROVED APPLICATION, A NOTICE IS ISSUED TO THE VENDOR CONFIRMING THE NUMBER OF HOURS, THE SCHOLARSHIP AMOUNT, AND THE SERVICES APPROVED. ON A REGULAR BASIS WE CALL CAREGIVERS TO VERIFY THAT THE SERVICES AUTHORIZED ARE BEING PROVIDED. AT THAT TIME WE ALSO CONFIRM THE HOURS AND AMOUNTS REMAINING.
Schedule I (Form 990) 2018



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