Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
JEWISH FAMILY SERVICE OF NEW MEXICO
Employer identification number
85-0346550
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
925,816
931,402
1,324,923
1,427,837
1,416,544
6,026,522
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
925,816
931,402
1,324,923
1,427,837
1,416,544
6,026,522
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
6,026,522
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
925,816
931,402
1,324,923
1,427,837
1,416,544
6,026,522
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
4,653
3,689
4,424
2,160
1,259
16,185
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
3,583
3,583
11
Total support (Add lines 7 through 10).
6,046,290
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
366,995
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
99.670 %
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
92.140 %
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public Support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13
Total support (Add lines 9, 10c, 11 and 12.).
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
JEWISH FAMILY SERVICE OF NEW MEXICO
Employer identification number
85-0346550
Identifier
Return Reference
Explanation
FIRST ACCOMPLISHMENT DESCRIPTION
FORM 990, PAGE 2, PART III, LINE 4A
ROAD TO WELLNESS (NORC - NATURALLY OCCURRING RETIREMENT COMMUNITIES AND CIAIP - COMMUNITY INNOVATIONS IN AGING IN PLACE) - COLLABORATIVE NATIONAL DEMONSTRATION PROJECTS WHICH PROVIDE SUPPORTIVE HOME-BASED SERVICES AND WELLNESS INTERVENTIONS IN SELECTED SITES IN NEW MEXICO INCLUDING BERNALILLO, SANDOVAL, AND DEBACA COUNTIES, AND THE ZUNI PUEBLO. OTHER SERVICES INCLUDE NURSE MEDICATION MANAGEMENT, A CONGREGATE MEAL SITE, AND HOME-DELIVERED FOOD BOXES
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990
FORM 990, PAGE 6, PART VI, LINE 11B
A DRAFT OF THE 990 WAS PROVIDED ELECTRONICALLY TO THE BOARD MEMBERS FOR THEIR REVIEW AND APPROVAL. THEN NOTIFICATION OF THEIR APPROVAL WAS MADE TO THE PREPARER OF THE RETURN WHO FINALIZED THE RETURN FOR FILING.
ENFORCEMENT OF CONFLICTS POLICY
FORM 990, PAGE 6, PART VI, LINE 12C
A CONFLICT OF INTEREST POLICY WAS ADOPTED AND REQUIRES THE DISCLOSURE OF POTENTIAL INTERESTS THAT COULD LEAD TO A POSSIBLE CONFLICT OF INTEREST AMONG BOARD MEMBERS. THESE CONFLICTS ARE REQUIRED TO BE DOCUMENTED AND MADE TO THE PRESIDENT OF THE BOARD OF DIRECTORS INDEPENDENTLY AS THEY ARISE THROUGHOUT THE YEAR. NEW BOARD MEMBERS WILL SIGN A CONFLICT OF INTEREST STATEMENT DURING THEIR BOARD MEMBER ORIENTATION AND DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST OR AFFILIATIONS WITH ORGANIZATIONS WHERE A POTENTIAL CONFLICT COULD ARISE, AND DISCLOSE ANY TRANSACTIONS THEY HAVE BEEN INVOLVED WITH, OCCURRING IN THE LAST YEAR, THAT COULD POSE A POTENTIAL CONFLICT. THIS PROCESS WILL BE MANAGED AND ENFORCED BY THE CHAIR OF THE GOVERNANCE COMMITTEE. SIGNED CONFLICT OF INTEREST STATEMENTS FOR EACH ACTIVE BOARD MEMBER WILL BE FILED ALONG WITH BOARD MINUTES IN THE BOARD MEETING MINUTES BINDER. ALL BOARD MEMBERS WILL BE ASKED TO UPDATE ANY CHANGES IN THEIR CONFLICT OF INTEREST STATEMENT ANNUALLY AND AS CIRCUMSTANCES CHANGE.
COMPENSATION PROCESS FOR TOP OFFICIAL
FORM 990, PAGE 6, PART VI, LINE 15A
THE ORGANIZATION HAS IMPLEMENTED THE FOLLOWING PERSONNEL POLICIES - JEWISH FAMILY SERVICE OF NEW MEXICO IS COMMITTED TO DEVELOPING AND IMPLEMENTING COMPENSATION POLICIES AND PRACTICES THAT ATTRACT A QUALIFIED WORKFORCE AND RETAIN MOTIVATED EMPLOYEES, STRESS A LINK BETWEEN PERFORMANCE AND COMPENSATION, ACCOMPLISH INTERNAL AND EXTERNAL EQUITY, MAINTAIN SATISFACTION AND OFFICE MORALE, AND CREATE AN ORGANIZATIONAL REPUTATION AS A GREAT PLACE TO WORK. TO ACCOMPLISH THIS JFS WILL ADHERE TO THE FOLLOWING COMPENSATION PRACTICES FOR EMPLOYEES. COMPENSATION FOR ALL POSITIONS IN THE ORGANIZATION WILL BE DETERMINED AND LIMITED BY THE FINANCIAL RESOURCES AVAILABLE AS DETERMINED BY THE ORGANIZATION'S BUDGET. JFS SEEKS TO ACHIEVE A BALANCE BETWEEN PROVIDING COMPENSATION COMMENSURATE WITH THE MARKET RATE OF COMPARABLE EXPERIENCE, CREDENTIALS, AND PERFORMANCE OF INDIVIDUALS AND THE PRUDENT ALLOCATION OF AVAILABLE FINANCIAL RESOURCES TO FINANCE COMPENSATION PACKAGES TO BOTH ATTRACT AND RETAIN EMPLOYEES OR OTHER PAID AGENTS OF THE ORGANIZATION. AS PART OF THE BUDGETING PROCESS, TOTAL COMPENSATION FOR ALL EMPLOYEES WILL BE DETERMINED FOR THE ENTIRE FISCAL YEAR TO ENSURE COMPENSATION PACKAGE PLAN FEASIBILITY. TOTAL COMPENSATION INCLUDES SALARIES, BONUSES, PAID LEAVE OR TIME OFF, AND ANY AND ALL EMPLOYER CONTRIBUTIONS TO THE COSTS OF OTHER BENEFITS (E.G. HEALTH INSURANCE, ETC.). GENERALLY, JFS PROVIDES INCREASES IN SALARY BASED ON MERIT AS EVIDENCED BY EMPLOYEE PERFORMANCE. NORMALLY, THESE MERIT INCREASES ARE PROVIDED ANNUALLY FOLLOWING A PERFORMANCE REVIEW, BUT CAN BE OFFERED MORE FREQUENTLY IF REQUIRED OR OTHERWISE INDICATED. HOWEVER, ANNUAL INCREASES IN SALARIES OR OTHER COMPENSATION ARE NOT GUARANTEED; THE FINANCIAL HEALTH AND FINANCIAL OBJECTIVES OF THE ORGANIZATION AS OUTLINED IN THE BUDGET DETERMINES THE RESOURCES AVAILABLE TO COVER COMPENSATION COSTS.
COMPENSATION PROCESS FOR OFFICERS
FORM 990, PAGE 6, PART VI, LINE 15B
IN DETERMINING COMPENSATION FOR KEY EMPLOYEES THE FOLLOWING PRACTICES WILL BE FOLLOWED: NOTE: KEY EMPLOYEES INCLUDE THE EXECUTIVE DIRECTOR, DIRECTOR OF FINANCE, AND THE DIRECTOR OF PROGRAMS & SERVICES. KEY EMPLOYEES ARE AMONG THE HIGHEST PAID EMPLOYEES WITH THE HIGHEST LEVELS OF RESPONSIBILITIES WITHIN THE ORGANIZATION. IN DETERMINING COMPENSATION FOR KEY EMPLOYEES THE TOTAL COMPENSATION PACKAGE TO INCLUDE THE VALUE OF BENEFITS AND BONUSES ETC.. THE ORGANIZATION WILL RELY ON COMPARABLE DATA IN DETERMINING COMPENSATION PACKAGES OF KEY EMPLOYEES. THE AIM IS TO PROVIDE COMPENSATION THAT IS REASONABLE AND COMPETITIVE. TOTAL COMPENSATION SHOULD BE REFLECTIVE OF THE MARKET RATE OF LABOR BEING PAID BY COMPARABLE ORGANIZATIONS FOR COMPARABLE LABOR QUALITY. THE MOST RECENT SALARY DATA WILL BE REVIEWED TO DETERMINE MARKET RATES FOR COMPARABLE LABOR QUALITY. JFS WILL UTILIZE SALARY SURVEY DATA, OR GUIDESTAR OR OTHER SUCH RESOURCES TO REVIEW THE 990'S OF ORGANIZATIONS OF COMPARABLE SIZE, SCOPE, AND MISSION TO MAKE COMPARISONS. ADDITIONALLY, THE FOLLOWING WILL BE TAKEN INTO CONSIDERATION TO MAKE ADEQUATE AND APPROPRIATE COMPARISONS: SPECIFICS IN THE JOB DESCRIPTION, EXPERIENCE AND CREDENTIALS OF THE MANAGER, SCOPE OF THE ACTIVITIES IN THE ORGANIZATION, NUMBER OF EMPLOYEES, BUDGET SIZE, LOCATION OF THE OFFICE OR SPECIFIC MARKET OF OPERATIONS, ETC. ADDITIONALLY, THOSE PERSONS INVOLVED IN THE DETERMINATION OF COMPENSATION FOR KEY EMPLOYEES SHOULD AVOID ANY CONFLICT OF INTEREST. PERSONS INVOLVED IN DETERMINING COMPENSATION FOR KEY EMPLOYEES WILL DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST AND SHALL NOT PARTICIPATE IN ANY VOTE TAKEN OR FINAL DECISION MADE IN RESPECT TO DETERMINING COMPENSATION. COMPLETE CONTEMPORANEOUS RECORDS WILL BE MAINTAINED THAT DOCUMENT THE PROCESS EMPLOYED IN THE DETERMINATION OF COMPENSATION FOR KEY EMPLOYEES TO INCLUDE THE COMPARATIVE DATA USED; THE PERSONS INVOLVED IN THE DETERMINATIONS AND APPROVAL; ANY DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST; AND THE RATIONALE FOR FINAL DECISIONS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION
FORM 990, PAGE 6, PART VI, LINE 19
GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE AVAILABLE ON GUIDESTAR AND UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.