FURP.ORG / PUBLIC DATA EXPLORER

HEBREW REHABILITATION CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
HEBREW REHABILITATION CENTER (EIN 04-2104298)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-16
IRS object ID
202132289349302863
Schema version
2019v5.2
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)
Return2021-08-16T12:58:33-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 CLARENDON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021165072ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042104298EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hebrew Rehabilitation CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JONATHAN ALLIA VP FINANCEInCareOfNm
Business Name ControlHEBRBusinessNameControlTxt
Phone6173638000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 Centre StreetAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02131ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES D HARTPersonNm
Person TitleCFOPersonTitleTxt
Phone6173638000PhoneNum
Signature2021-08-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE A CINCOTTAPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum
Preparation2021-08-10PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLouis J WoolfPRESIDENT CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 Centre StreetAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02131ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$155,152,435GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEBREWSENIORLIFE.ORG/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1903FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionAS AN AFFILIATE OF HEBREW SENIORLIFE, THE mission of the Hebrew Rehabilitation Center is to honor our elders, by respecting and promoting their independence, spiritual(SEE SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee1812TotalEmployeeCnt
Total Volunteers415TotalVolunteersCnt
Total Gross UBI$261,554TotalGrossUBIAmt
PY Contributions Grants$12,030,776PYContributionsGrantsAmt
CY Contributions Grants$22,500,979CYContributionsGrantsAmt
PY Program Service Revenue$126,068,669PYProgramServiceRevenueAmt
CY Program Service Revenue$121,485,021CYProgramServiceRevenueAmt
PY Investment Income$1,814,609PYInvestmentIncomeAmt
CY Investment Income$2,716,732CYInvestmentIncomeAmt
PY Other Revenue$339,181PYOtherRevenueAmt
CY Other Revenue$329,870CYOtherRevenueAmt
PY Total Revenue$140,253,235PYTotalRevenueAmt
CY Total Revenue$147,032,602CYTotalRevenueAmt
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$95,080,527PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$123,938,532CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$47,025,570PYOtherExpensesAmt
CY Other Expenses$50,926,437CYOtherExpensesAmt
PY Total Expenses$142,106,097PYTotalExpensesAmt
CY Total Expenses$174,864,969CYTotalExpensesAmt
PY Revenues Less Expenses-$1,852,862PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$27,832,367CYRevenuesLessExpensesAmt
Total Assets BOY$55,839,109TotalAssetsBOYAmt
Total Assets EOY$53,925,894TotalAssetsEOYAmt
Total Liabilities BOY$149,071,614TotalLiabilitiesBOYAmt
Total Liabilities EOY$147,059,803TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$93,232,505NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$93,133,909NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO OPERATE ITS HARVARD MEDICAL SCHOOL AFFILIATED CHRONIC CARE HOSPITAL THAT PROVIDES SENIORS WITH COMPASSIONATE LONG-TERM CARE, POST-ACUTE CARE, OUTPATIENT SERVICES AND ADULT DAY HEALTH CARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$142,739,544ExpenseAmt
Grant$0GrantAmt
Revenue$117,544,119RevenueAmt
DescHebrew Rehabilitation Center (HRC) offers long-term care management, rehabilitative, and extended medical care that meets the chronic and acute medical needs of older adult patients in a therapeutic and healing environment. Care is provided in a home-like setting and tailored to the individual needs of each patient. In addition to expert geriatric medical care provided by physicians and nurse practitioners from our onsite Department of Medicine, a multidisciplinary team offers a wide range of therapeutic programs that maximize function with the goal of helping our patients maintain independence for as long as possible. (SEE SCHEDULE O)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,883,058ExpenseAmt
Grant$0GrantAmt
Revenue$1,742,266RevenueAmt
DescHinda and Arthur Marcus Institute for Aging Research: HRC's work is enhanced by the research of the Hinda and Arthur Marcus Institute for Aging Research. The Marcus Institute is one of the largest gerontological research facilities in the United States. Dozens of interventions developed at the Marcus Institute have become standard care for seniors. The Marcus Institute ranks in the top 15 percent of National Institutes of Health grant recipients, with more than $60 million of NIH and NIA funding.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,675,596ExpenseAmt
Grant$0GrantAmt
Revenue$2,198,636RevenueAmt
DescTHE REMAINING PROGRAM SERVICE RELATED EXPENSES INCLUDE TEACHING, FELLOWSHIPS, A VARIETY OF ANCILLARY PROGRAMS AND OTHER MISCELLANEOUS SERVICES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$158,298,198TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document174IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1812EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJONATHAN ALLIA VP FINANCEPersonNm
Phone6173638000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 Centre StreetAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02131ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LOUIS J WOOLF
PRESIDENT & CEO10.040.0Yes (X)Yes (X)$0$1,100,092$102,080
MARY MOSCATO
PRESIDENT, HSL HEALTH CARE SRV40.010.0$414,727$0$62,283Yes (X)
JAMES D HART
CFO & SECRETARY12.038.0Yes (X)Yes (X)$0$391,345$65,378
KATELYN QUYNN
CHIEF DEV OFF & VP BOARD REL.3.047.0$0$381,024$72,646Yes (X)
LEWIS LIPSITZ
DIRECTOR, HMIFAR50.00.0$346,732$0$93,642Yes (X)
HELEN CHEN
CHIEF MEDICAL OFFICER40.010.0$376,764$0$46,392Yes (X)
SHARON K INOUYE
SR. SCIENTIST/DIRECTOR50.00.0$326,391$0$36,178Yes (X)
TAMMY BARKYOUMB RETALIC
CHIEF NURSING OFFICER & VP PCS40.010.0$279,227$0$60,628Yes (X)
DEBORAH L LEMMERMAN
CHIEF PEOPLE OFFICER5.045.0$0$270,420$61,726Yes (X)
RACHEL WHITEHOUSE
CHIEF COM. & PLAN. OFFICER0.549.5$0$259,903$64,738Yes (X)
DOUGLAS P KIEL
SR. SCIENTIST/DIRECTOR50.00.0$245,878$0$66,153Yes (X)
DAVID H TSAI
Palliative Care Physician50.00.0$243,532$0$59,938Yes (X)
ERIC ROGERS
CIO15.035.0Yes (X)$0$245,730$57,518
Trimble Augur
Medical Director, RSU and LTCH50.00.0$238,662$0$22,815Yes (X)
RACHEL LERNER
GEN. COUNSEL & CHIEF COMP OFF5.045.0$0$165,220$37,100Yes (X)
JEFFREY D DRUCKER
BOARD CHAIR1.03.5Yes (X)Yes (X)$0$0$0
MARSHA COHEN
TREASURER1.03.5Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,471,913TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,813,734TotReportableCompRltdOrgAmt
Total Other Compensation$909,215TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K124IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RYAN CONSTRUCTION
505 SOUTH STREETWALTHAMMA02081CONSTRUCTION$3,733,500
CROTHALL HEALTHCARE INC
1500 LIBERTY RIDGE DRIVE SUITE 210WAYNEPA19087HOUSEKEEPING SERVICE$2,471,958
ANGELICA CORPORATION
PO BOX 535122ATLANTAGA30353LAUNDRY SERVICES$1,417,155
COMMONWEALTH CREATIVE ASSOCIATES
75 FOUNTAIN STREETFRAMINGHAMMA01702DIGITAL AND CREATIVE$967,292
REPUBLIC BUILDING CONTRACTORS INC
491 MAPLE STREETDANVERSMA01923BUILDING CONTRACTORS$424,874
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
Government Grants$20,947,319GovernmentGrantsAmt
All Other Contributions$1,553,660AllOtherContributionsAmt
Noncash Contributions$518,350NoncashContributionsAmt
Total Contributions$22,500,979TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE623000$118,417,083$118,417,083$0$0
OTHER RESEARCH GRANTS/CONTRACTS541700$1,742,266$1,742,266$0$0
All Other Program Service900099$1,325,672$1,325,672$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$121,485,021TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,625,298TotalRevenueColumnAmt
Unrelated Business Revenue-$68,316UnrelatedBusinessRevenueAmt
Exclusion$2,693,614ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,211,267SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$8,119,833SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$91,434SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$91,434TotalRevenueColumnAmt
Exclusion$91,434ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CELL TOWER RENTAL REVENUE900099$24,965$0$24,965$0
FEE FROM HOUSEWORKS900099$304,905$0$304,905$0
FieldValueIRS element (for citing)
Other Revenue Total$329,870OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$147,032,602TotalRevenueColumnAmt
Related Or Exempt Func Income$121,485,021RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$261,554UnrelatedBusinessRevenueAmt
Exclusion$2,785,048ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,070,718TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,070,718ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,866,913TotalAmt
Program Services$75,042,057ProgramServicesAmt
Management And General$2,824,856ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,748,707TotalAmt
Program Services$24,073,836ProgramServicesAmt
Management And General$2,674,871ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$12,068,687TotalAmt
Program Services$10,861,818ProgramServicesAmt
Management And General$1,206,869ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,183,507TotalAmt
Program Services$5,565,156ProgramServicesAmt
Management And General$618,351ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$88,929TotalAmt
Program Services$34,093ProgramServicesAmt
Management And General$54,836ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$95,760TotalAmt
Program Services$0ProgramServicesAmt
Management And General$95,760ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$4,833TotalAmt
Program Services$4,833ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$15,986TotalAmt
Management And General$15,986ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,218,117TotalAmt
Program Services$849,967ProgramServicesAmt
Management And General$368,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$498,624TotalAmt
Program Services$448,762ProgramServicesAmt
Management And General$49,862ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,223,407TotalAmt
Program Services$949,396ProgramServicesAmt
Management And General$274,011ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,068TotalAmt
Program Services$12,661ProgramServicesAmt
Management And General$1,407ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,527,276TotalAmt
Program Services$11,224,231ProgramServicesAmt
Management And General$303,045ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,490TotalAmt
Program Services$28,777ProgramServicesAmt
Management And General$713ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$149,425TotalAmt
Program Services$131,142ProgramServicesAmt
Management And General$18,283ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$189,372TotalAmt
Program Services$170,435ProgramServicesAmt
Management And General$18,937ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$5,354,568TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,354,568ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,423,918TotalAmt
Program Services$3,081,526ProgramServicesAmt
Management And General$342,392ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$823,456TotalAmt
Program Services$677,643ProgramServicesAmt
Management And General$145,813ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Supplies & miscellaneous$1,471,605$929,833$541,772$0
EQUIP, REPAIRS & MAINTENANCE$3,848,403$3,262,832$585,571$0
RESEARCH$12,883,058$12,883,058$0$0
CULINARY AND FOOD SERVICE$5,574,515$5,574,515$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,491,627TotalAmt
Program Services$2,491,627ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$174,864,969TotalAmt
Program Services$158,298,198ProgramServicesAmt
Management And General$16,566,771ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$827,793BOYAmt
EOY$2,336,235EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,651,925BOYAmt
EOY$2,164,155EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,356,299BOYAmt
EOY$1,425,457EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,608,101BOYAmt
EOY$8,006,588EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$920,047BOYAmt
EOY$1,382,315EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,043,025BOYAmt
EOY$3,023,040EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$146,827,166LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$118,838,392LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,054,281BOYAmt
EOY$27,988,774EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,092,079BOYAmt
EOY$6,397,913EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,285,559BOYAmt
EOY$1,201,417EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$55,839,109BOYAmt
EOY$53,925,894EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,173,487BOYAmt
EOY$28,880,433EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$866,540BOYAmt
EOY$940,266EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,907,820BOYAmt
EOY$3,206,727EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$259,102BOYAmt
EOY$362,146EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$122,864,665BOYAmt
EOY$113,670,231EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$149,071,614BOYAmt
EOY$147,059,803EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$111,156,790BOYAmt
EOY-$111,392,402EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,924,285BOYAmt
EOY$18,258,493EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$93,232,505BOYAmt
EOY-$93,133,909EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,839,109BOYAmt
EOY$53,925,894EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$27,832,367ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$180,081NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Other Changes In Net Assets$27,750,882OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,075,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,338,552CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,330,224CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,030,776CurrentTaxYearMinus1YearAmt
Current Tax Year$22,500,979CurrentTaxYearAmt
Total$64,275,886TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,075,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,338,552CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,330,224CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,030,776CurrentTaxYearMinus1YearAmt
Current Tax Year$22,500,979CurrentTaxYearAmt
Total$64,275,886TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$358,467SubstantialContributorsTotAmt
Public Support Total170$63,917,419PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$619,103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$721,300CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,205,898CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,588,680CurrentTaxYearMinus1YearAmt
Current Tax Year$2,625,298CurrentTaxYearAmt
Total$6,760,279TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$241,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$312,361CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$375,044CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$339,181CurrentTaxYearMinus1YearAmt
Current Tax Year$261,554CurrentTaxYearAmt
Total$1,529,216TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$72,565,381TotalSupportAmt
Gross Receipts Rltd Activities$604,849,316GrossReceiptsRltdActivitiesAmt
Public Support CY1700.88082PublicSupportCY170Pct
Public Support PY1700.89052PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastYes (true)PublicationsOrBroadcastInd
Publications Or Broadcast$4,833PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Other Activities$0OtherActivitiesAmt
Total Lobbying Expenditures$4,833TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBY ACTIVITY EXPLANATIONFormAndLineReferenceDesc
ExplanationPART II-B, LINE 1F HEBREW REHABILITATION CENTER MAINTAINS MEMBERSHIPS WITH CERTAIN ASSOCIATIONS, OF THE TOTAL DUES PAID, $4,833 WAS USED FOR LOBBYING FOR ELDER CARE.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$202,364OtherCostOrOtherBasisAmt
Book Value$202,364BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,761,714OtherCostOrOtherBasisAmt
Depreciation$56,174,914DepreciationAmt
Book Value$18,586,800BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,456,139OtherCostOrOtherBasisAmt
Depreciation$60,250,493DepreciationAmt
Book Value$8,205,646BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,406,949OtherCostOrOtherBasisAmt
Depreciation$2,412,985DepreciationAmt
Book Value$993,964BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,988,774TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPARENT INVESTMENT POOLDesc
Book Value$6,397,913BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$6,397,913TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to affiliates$113,160,221
Asset retirement obligation$510,010
FieldValueIRS element (for citing)
Total Liability$113,670,231TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART IV LINE 2DEPOSITS CONSIST OF FUNDS HELD FOR patients FOR THEIR PERSONAL USE. IT IS REFERRED TO AS THE patients' BANK, AS ALLOWED BY MEDICAID. EACH MONTH, $75 OF A patient'S SOCIAL SECURITY PAYMENT WILL GO TO THE patients' BANK FOR HIS/HER PERSONAL USE. THE REMAINDER GOES TO PAY FOR HIS/HER CARE.
SCHEDULE D, PART X, LINE 2HEBREW REHABILITATION CENTER's financial statements DO NOT INCLUDE A FOOTNOTE RELATED TO FIN 48/ASC 740.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,785TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$46,785NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,685,129TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,378,006DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,307,123NetCommunityBenefitExpnsAmt
Total Expense0.04180TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,731,914TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$72,378,006DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,353,908NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,919,508TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$430,129DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,489,379NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$965,977TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$938,814NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$524,838TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$311,724DirectOffsettingRevenueAmt
Net Community Benefit Expns$213,114NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,754,754TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,740,123DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,014,631NetCommunityBenefitExpnsAmt
Total Expense0.01720TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,165,077TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,481,976DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,655,938NetCommunityBenefitExpnsAmt
Total Expense0.03230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$102,896,991TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$89,859,982DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,009,846NetCommunityBenefitExpnsAmt
Total Expense0.07440TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,919,508TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$430,129DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,489,379NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,919,508TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$430,129DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,489,379NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$786,121BadDebtExpenseAmt
Reimbursed By Medicare$16,887,768ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$18,295,234CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,407,466MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEBREW REHABILITATION CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 CENTRE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02131ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HEBREWSENIORLIFE.ORGWebsiteAddressTxt
State LicenseLICENSE # 2290StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HEBREW REHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyfalseNondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE H, Part V, line 3eFormAndLineReferenceDesc
ExplanationHebrew Rehabilitation Center's (HRC) 2019 CHNA provides a prioritized description of the significant health needs of the community identified in the CHNA. FORM 990, SCHEDULE H, Part V, line 5 IN SUPPORT OF OUR MISSION TO HONOR OUR ELDERS, HRC IS FOCUSED ON THE MOST VULNERABLE AND UNDER-SERVED SENIORS, E.G. THE MEDICALLY UNDERSERVED, LOW INCOME OR MINORITY POPULATIONS IN THE COMMUNITY. OF SPECIAL IMPORTANCE TO HRC ARE SENIORS AT RISK FOR ELDER ABUSE AND NEGLECT. THE PRIMARY VEHICLE FOR GATHERING COMMUNITY INPUT WAS THE BOSTON CHNA-CHIP COLLABORATIVE SURVEY. OVER 100 GROUPS AND ORGANIZATIONS WERE INVOLVED IN DATA GATHERING ACROSS SECTORS, INCLUDING REPRESENTATIVES FROM HOUSING, TRANSPORTATION, FAITH COMMUNITY, EDUCATION, PUBLIC HEALTH, AND HEALTH CARE; ORGANIZATIONS THAT WORK WITH SPECIFIC POPULATIONS; FOCUS GROUPS WITH COMMUNITY MEMBERS NOT TYPICALLY REPRESENTED IN THESE PROCESSES (E.G., LGBTQ YOUTH, LOW-WAGE WORKERS, FAMILY MEMBERS AFFECTED BY VIOLENCE, SPECIFIC IMMIGRANT POPULATIONS, ETC.). WE LEVERAGED SEVERAL COMMUNITY PARTNERSHIPS TO COMPLETE THE SURVEY, E.G., FORMER MEMBERS OF THE MULTICULTURAL COALITION ON AGING, WHICH REPRESENTED BOSTON AND ITS IMMEDIATE SUBURBS, 2LIFE COMMUNITIES, LOCAL CHURCHES, SENIOR CENTERS, AND THE LIKE. MEMBERS OF THESE GROUPS INCLUDED SENIOR HEALTH FOCUSED GOVERNMENTAL AGENCIES AND OTHER ORGANIZATIONS THAT SERVE AND REPRESENT MEMBERS OF THE MEDICALLY UNDERSERVED, LOW INCOME OR MINORITY POPULATIONS IN THE COMMUNITY. THESE INCLUDE LOW INCOME SENIORS, DISABLED SENIORS, SENIORS WITH MEMORY HEALTH CHALLENGES, SENIORS WITH CHRONIC DISEASES SUCH AS DIABETES AND HEART DISEASES, AND SENIORS WITH MOBILITY CHALLENGES AND FALL RISKS. ALSO REPRESENTED WERE SENIORS OF UNDERSERVED ETHNIC MINORITIES FOR WHOM ENGLISH IS NOT THEIR FIRST LANGUAGE, MANY OF WHOM ARE CHALLENGED BY LOW HEALTH LITERACY, CULTURAL BARRIERS, AND LIMITED ENGLISH PROFICIENCY. THE SURVEYS WERE IN THE FIELD FOR ONE MONTH. IN ADDITION TO THE SURVEY, HRC ALSO TOOK INTO ACCOUNT PUBLICLY AVAILABLE DATA SETS IN CONDUCTING ITS 2019 CHNA, INCLUDING: - 2019 BOSTON CHNA - CHIP - Boston Public Health Commission - "Health of Boston 2016-2017" - 2018 Massachusetts Healthy Aging Community Profile - The Massachusetts DPH West Suburban Community Network Area (CHNA 18) that consists of Brookline, Dedham, Dover, Needham, Newton, Waltham, Wellesley, and Weston. FORM 990, SCHEDULE H, PART V, LINES 6A & 6B AS PART OF THE PROCESS FOR ITS MOST RECENT CHNA, HRC PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE, WHICH GATHERED COMMUNITY INPUT BASED ON THE COLLABORATIVE'S SURVEY. HRC'S SURVEY RESULTS, ALONG WITH THE OTHER MEMBERS OF THE COLLABORITVE WHO SERVE THE SAME COMMUNITY, WERE USED BY HRC AS THE BASIS FOR THE CHNA AND IMPLEMENTATION STRATEGY. FORM 990, SCHEDULE H, Part V - CHNA Line 7a HTTPS://WWW.HEBREWSENIORLIFE.ORG/SITES/DEFAULT/FILES/2019-11/COMMUNITY_HEA LTH_NEEDS_ASSESSMENT_2019.PDF FORM 990, SCHEDULE H, Part V - CHNA Line 10a HTTPS://WWW.HEBREWSENIORLIFE.ORG/SITES/DEFAULT/FILES/2019-11/COMMUNITY_HEA LTH_NEEDS_ASSESSMENT_2019.PDF FORM 990, SCHEDULE H, Part V - CHNA Line 11 THE HRC 2019 CHNA IDENTIFIES THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF SENIORS IN OUR COMMUNITY: - Access to geriatrics specialists - ACCESS TO VARIOUS GERIATRIC SPECIALISTS - TRANSPORTATION - BEHAVIORAL HEALTH - OUTPATIENT ALZHEIMERS CARE - MENTAL HEALTH AND DEPRESSION SERVICES - FINANCIAL SECURITY - PREVENTION OF ELDER ABUSE AND NEGLECT - FINANCIAL ASSISTANCE PROGRAMS - housing affordability - SUPPORTIVE SENIOR LIVING WITH AFFORDABLE SERVICES - closing racial and ethnic disparities that exist in health care - ADDRESSING LINGUISTIC AND CULTURAL BARRIERS DETAILS ON HOW HRC IS WORKING TO INCREASE THE AVAILABILITY, ACCESSIBILITY, AND VISIBILITY OF SPECIALIZED GERIATRIC CARE ARE DETAILED EXTENSIVELY IN THE HRC 2019 CHNA IMPLEMENTATION PLAN. IN DETERMINING HOW HRC WOULD ADDRESS THE NEEDS IDENTIFIED IN ITS CHNA, HRC CONSIDERED THE DEGREE OF COMMUNITY NEED FOR ADDITIONAL RESOURCES, ITS ABILITY TO MEET THE NEED THROUGH ITS EXPERIENCE, EXPERTISE AND PROGRAMMING, AND THE CAPABILITY OF OTHER ORGANIZATIONS TO MEET THAT SAME NEED. THERE ARE NOT ANY NEEDS IDENTIFIED BY THE CHNA THAT ARE NOT BEING ADDRESSED. FORM 990, SCHEDULE H, Part V, Line 13h HEBREW REHABILITATION CENTER ALSO USES MEDICAID ELIGIBILITY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. FORM 990, SCHEDULE H, Part V, Line 16a HTTPS://WWW.HEBREWSENIORLIFE.ORG/SITES/DEFAULT/FILES/2019-12/HRC_FINANCIAL _ASSISTANCE_POLICY.PDF FORM 990, SCHEDULE H, Part V, Line 16b HTTPS://WWW.HEBREWSENIORLIFE.ORG/SITES/DEFAULT/FILES/2019-12/HRC_FINANCIAL _ASSISTANCE_APPLICATION_0.PDF FORM 990, SCHEDULE H, Part V, Line 16c HTTPS://WWW.HEBREWSENIORLIFE.ORG/SITES/DEFAULT/FILES/2019-11/HRC_FINANCIAL _ASSISTANCE_POLICY_SUMMARY.PDF FORM 990, SCHEDULE H, Part V, Line 16j IN ADDITION TO HAVING THE FAP LISTED ON THE WEBSITE, NURSING UNIT COORDINATORS HAVE COPIES OF THE FAP AND APPLICATION IN THEIR OFFICES WHERE THEY ADMIT PATIENTS. FOR THE LONG TERM CHRONIC CARE UNIT, FINANCIAL ASSISTANCE IS DISCUSSED BY THE FISCAL STAFF AT MEETINGS WITH PATIENTS AND FAMILIES.ExplanationTxt
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
HSL MEDICAL GROUP HRC (DEDHAM)
7000 Great Meadow RoadDedhamMA02026outpatient clinic
Hebrew Seniorlife Medical Group at OC
one del pond drivecantonMA02021outpatient clinic
Hebrew Seniorlife Medical Group at CCB
100 Centre StreetBrooklineMA02446outpatient clinic
GREAT DAYS FOR SENIORS (BOSTON)
1200 CENTRE STREETBOSTONMA02131ADULT DAY HEALTH
GREAT DAYS FOR SENIORS (BRIGHTON)
30 WALLINGFORD ROADBRIGHTONMA02135ADULT DAY HEALTH

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule H, Part I, line 7GTHE REPORTED SUBSIDIZED HEALTH SERVICES INCLUDE COSTS OF GREAT DAYS FOR SENIORS ADULT DAY HEALTH PROGRAMS BASED AT HEBREW REHABILITATION CENTER IN ROSLINDALE AND AT 2LIFE ON WALLINGFORD ROAD IN BRIGHTON. DUE TO THE PUBLIC HEALTH EMERGENCY (PHE), THE TWO CENTERS WERE CLOSED DURING THE SECOND HALF OF FY2020. WE EXPECT TO RESUME SERVICES IN AUGUST 2021. THE SERVICE IS FUNDED BY MEDICAID AND SELF-PAY. THE MEDICAID LOSS IS INCLUDED WITH MEDICAID IN LINE 7B. THE SERVICE IS PRICED FOR AFFORDABILITY AND OPERATES AT A LOSS WHEN TOTAL COSTS ARE INCLUDED. FORM 990, SCHEDULE H, Part I, line 7 THE COSTING METHODOLOGY USED IS BASED PRIMARILY ON THE STANDARD COST ACCOUNTING METHODS OF THE MASSACHUSETTS STATE CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) COST REPORT WHICH FOLLOWS THE STANDARD MEDICARE COST ACCOUNTING PRINCIPLES OF THE MEDICARE COST REPORT. TO COST SOME SPECIFIC PROGRAMS, A COST TO CHARGES RATIO SPECIFIC TO EACH PROGRAM WAS DEVELOPED. FORM 990, SCHEDULE H, PART II FOUNDED IN 1903 WITH THE PROMISE TO HONOR OUR ELDERS, HEBREW REHABILITATION CENTER (HRC) IS AN ESSENTIAL MEMBER OF THE GREATER BOSTON HEALTH CARE COMMUNITY. THE HRC ROSLINDALE CAMPUS, A LONG-TIME CULTURAL TOUCHSTONE IN THE AREA, OPENED IN 1963. HRC OPENED A SATELLITE IN DEDHAM AT NEWBRIDGE ON THE CHARLES IN 2009. AT HRC, PATIENTS AND FAMILIES RECEIVE INDUSTRY-LEADING CARE, AND OUR STAFF DO INCREDIBLE WORK THAT REVERBERATES GLOBALLY. HRC IS COMMITTED TO CARING FOR THE UNDERSERVED, AS 90% OF THE SENIORS SERVED HERE ARE LOW-INCOME. AS A CHRONIC CARE HOSPITAL THAT PRIMARILY SERVES A COMMUNITY OF SENIORS, IT IS ALWAYS OUR PRIORITY TO KEEP SENIORS HEALTHY, SAFE AND INDEPENDENT IN THEIR HOMES FOR AS LONG AS POSSIBLE. HRC PUTS A LOT OF EMPHASIS ON EDUCATING SENIORS AND THEIR LOVED ONES ON THE NECESSARY STEPS AND CARE NEEDED TO REMAIN INDEPENDENT. HRC DOES THIS THROUGH OUTPATIENT CARE AT ITS SATELLITE CLINICS SUPPORTING SENIOR HOUSING, ADULT DAY HEALTH PROGRAMS THAT HELP AT-RISK SENIORS STAY AT HOME, OUTPATIENT REHABILITATIVE CARE DESIGNED TO PREVENT RE-HOSPITALIZATIONS, AND BY OFFERING MANY SUPPORTIVE PROGRAMS AND SERVICES THAT IMPROVE THE PHYSICAL AND MENTAL HEALTH AND LIVES OF SENIORS AS SUCH, HRC COMMUNITY ACTIVITIES ARE DESIGNED TO IMPROVE THE HEALTH OF OUR IN-PATIENTS AND AMBULATORY PATIENTS, AS WELL AS SENIORS IN THE COMMUNITIES IN WHICH WE OPERATE. HRCS COMMUNITY ACTIVITIES ARE ALSO DESIGNED TO TEACH THE NEXT GENERATION OF CAREGIVERS, WHICH INCLUDES OUR OWN STAFF AND EXTERNAL LEARNERS ACROSS BOSTON. HRC CONTRIBUTED $101,770 TO WORKFORCE DEVELOPMENT THROUGH CAREER DEVELOPMENT PROGRAMS FOR CERTIFIED NURSE ASSISTANTS (CNAS) AND OTHER STAFF AND A NURSING SCHOLARSHIP PROGRAM DURING FY19 AND THIS PROGRAM IS EXPECTED TO RESUME IN FY21 ONCE THE PHE ENDS. THE PCAS ENROLLED IN THE CAREER DEVELOPMENT PROGRAMS MUST BE CERTIFIED NURSING ASSISTANTS AND BE RECOMMENDED BY THEIR MANAGERS IN ORDER TO BE CONSIDERED FOR THE WORKFORCE DEVELOPMENT PROGRAM. THE PROGRAM INCLUDES COSTS OF ONSITE REMEDIAL CLASSES IN MATH, ENGLISH AS A SECOND LANGUAGE (ESOL), AND READING FOR OUR EMPLOYEES. AN OUTSIDE VENDOR PROVIDES CLASSES FOR 10 MONTHS OF EVERY YEAR WITH THE STUDENTS MEETING TWO TIMES PER WEEK FOR TWO HOURS EACH CLASS. FOR EACH CLASS, HSL PAYS FOR ONE HOUR AS RELEASE TIME AND THE EMPLOYEE ATTENDS ONE HOUR ON THEIR OWN TIME. THE STUDENTS ALSO RECEIVE PROGRESS REPORTS. THESE CLASSES HELP PREPARE EMPLOYEES TO PASS THE COLLEGE PLACEMENT TEST (CPT) SO THEY ARE ABLE TO MOVE ON TO DEGREE PROGRAMS. THE HEBREW SENIORLIFE SCHOLARSHIP PROGRAM PROVIDES EMPLOYEES WITH THE OPPORTUNITY TO INCREASE THEIR NURSING EDUCATION AND SKILLS AT AREA NURSING PROGRAMS. HRC SERVES AS A PRIMARY TRAINING FACILITY FOR 45 AFFILIATE ACADEMIC INSTITUTIONS IN THE GREATER BOSTON AREA, INCLUDING: HARVARD MEDICAL SCHOOL, NORTHEASTERN UNIVERSITY, SIMMONS UNIVERSITY, AMONG OTHERS. HRC TRAINS OVER 900 STUDENTS ANNUALLY IN A WIDE VARIETY OF HEALTH PROFESSIONS INCLUDING; MEDICINE, NURSING, PHARMACY, DENTISTRY, PHYSICAL, OCCUPATIONAL, SPEECH, AND EXPRESSIVE THERAPY, CLINICAL PASTORAL AND SOCIAL WORK. HRC SENIORS ACTIVELY PARTICIPATE IN THE EDUCATION OF 185 HARVARD MEDICAL SCHOOL STUDENTS ANNUALLY DURING ROLE-PLAYING SESSIONS THAT ALLOW OUR SENIORS TO PROVIDE IMPORTANT AND VITAL FEEDBACK TO THE NEXT GENERATION OF DOCTORS ON HOW TO EFFECTIVELY COMMUNICATE AND TREAT OLDER ADULTS. HRC ANNUALLY TRAINS 32 DENTAL STUDENTS FROM HARVARD SCHOOL OF DENTAL MEDICINE AND BOSTON UNIVERSITY SCHOOL OF MEDICINE ON GERIATRIC DENTAL MEDICINE. HRCS DEPARTMENT OF MEDICINE HAS 12 PHYSICIANS AND 7 NPS DEVOTE 2,638 HOURS AND $252,506 TO TEACHING GERIATRIC MEDICINE WHILE AN ADDITIONAL 66 ALLIED CLINICAL AND SPECIALTY SUPPORT EDUCATORS PROVIDE 17,000 HOURS AND $653,054 IN TEACHING. HRC HAS PARTNERED WITH A BOSTON AREA HIGH SCHOOL TO TRAIN 60 STUDENTS ANNUALLY TO BECOME CNAS. OTHER ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS, AND ENVIRONMENTAL BENEFITS WERE IDENTIFIED BUT NOT SPECIFICALLY COSTED IN PART II.
Bad Debt, Medicare & Collection PracticesFORM 990, SCHEDULE H, Part III, line 2 HRC RECORDS PROVISION FOR DOUBTFUL ACCOUNTS AS THE AMOUNT NEEDED TO ADJUST THE RESERVE, WHICH IS BASED ON ESTIMATED PERCENTAGES OF ACCOUNTS RECEIVABLE BY PAYOR AND AGING CATEGORY. IF NOT ALREADY ADJUSTED BY CONTRACTUAL ALLOWANCE, THE CHARGE FIGURE IS ADJUSTED TO COST USING HRCS OVERALL COST TO CHARGE RATIO. FORM 990, SCHEDULE H, Part III, line 4 HRC ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS. GENERALLY, NO FINANCE CHARGES ARE ASSESSED ON RECEIVABLES. ONCE AN ACCOUNT HAS BEEN DETERMINED TO BE UNCOLLECTIBLE, IT IS CHARGED-OFF. Form 990, Schedule H, Part III, Line 8 MEDICARE REVISED ITS REIMBURSEMENT METHODOLOGY FOR LTCH HOSPITALS IN FY16. THE HOSPITAL CONTINUES TO ADAPT, BUT CONTINUES TO INCUR A SIGNIFICANT LOSS OF REVENUE EACH YEAR. SITE NEUTRAL PAYMENT PROVISIONS WERE TEMPORARILY WAIVED DURING THE PHE. IN ADDITION, HRC LTCH PATIENTS OFTEN EXHAUST THEIR MEDICARE BENEFIT DAYS, RESULTING IN UN-REIMBURSED CARE. FORM 990, SCHEDULE H, Part III, line 9b PATIENTS FOUND TO BE ELIGIBLE FOR ASSISTANCE THROUGH MASSACHUSETTS MEDICAID (KNOWN AS MASSHEALTH) OR OTHER PROGRAM ARE NOT PURSUED THROUGH COLLECTION EFFORTS BUT RATHER ARE ASSISTED FREE-OF-CHARGE WITH THE MASSHEALTH APPLICATION AND ELIGIBILITY PROCESS THROUGH TO COMPLETION, INCLUDING ANY NECESSARY APPEALS.
FORM 990, SCHEDULE H, PART VISupplemental Information HEBREW REHABILITATION CENTER (HRC) OPERATES A 725-BED LICENSED CHRONIC CARE HOSPITAL CONSISTING OF A 505-BED FACILITY IN THE ROSLINDALE SECTION OF BOSTON, MA AND A 220-BED SATELLITE FACILITY IN DEDHAM, MA (ALSO KNOWN AS THE HRC-NEWBRIDGE, ON THE CAMPUS OF THE CONTINUING CARE RETIREMENT COMMUNITY OPERATED BY NEWBRIDGE ON THE CHARLES, INC.). HRC-NEWBRIDGE LEASES SPACE FROM NEWBRIDGE ON THE CHARLES, INC., AN AFFILIATED ENTITY, TO OPERATE THE 220-BED SATELLITE. HRC ALSO OPERATES THREE OUTPATIENT CLINIC SATELLITES ON HEBREW SENIORLIFE CAMPUSES: NEWBRIDGE ON THE CHARLES, DEDHAM, MA; ORCHARD COVE, CANTON, MA; AND CENTER COMMUNITIES OF BROOKLINE, BROOKLINE, MA. SERVICES PROVIDED BY HRC INCLUDE LONG-TERM CHRONIC CARE, MEDICAL ACUTE CARE, POST-ACUTE REHABILITATIVE CARE, PRIMARY AND SPECIALTY CARE, OUTPATIENT CLINICS, OUTPATIENT THERAPY SERVICES, AND ADULT DAY CARE. IN ADDITION, THE DEANNA AND SIDNEY WOLK CENTER FOR MEMORY HEALTH AT HEBREW SENIORLIFE PROVIDES OUTPATIENT MEMORY CARE SERVICES, IN PERSON AND VIRTUALLY, FOR PEOPLE LIVING WITH COGNITIVE SYMPTOMS OR DISORDERS AT ANY STAGE AND FOR THEIR FAMILIES AND CAREGIVERS. HRC IS ACCREDITED BY CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES), AND IS THE ONLY GERIATRIC SPECIALIST AFFILIATED WITH HARVARD MEDICAL SCHOOL. HRC IS PART OF THE HEBREW SENIORLIFE HEALTH CARE CONTINUUM, WHICH INCLUDES HOME HEALTH CARE AND HOSPICE SERVICES, REHAB THERAPY AT HOME, PRIVATE CARE SERVICES, AND COMMUNITY PALLIATIVE CARE. HEBREW SENIORLIFE, INC., IS HRCS SOLE MEMBER AND ALSO PROVIDES MANAGEMENT SERVICES TO HRC. HEBREW SENIORLIFE IS A HARVARD MEDICAL SCHOOL AFFILIATE AND A NATIONAL THOUGHT LEADER IN SENIOR HEALTH CARE, SENIOR LIVING, RESEARCH AND TEACHING. HSL IS GOVERNED BY A LARGE AND ACTIVE COMMUNITY BOARD COMPRISED ENTIRELY OF INDEPENDENT PERSONS FROM THE COMMUNITY. HRC, AS A SUBSIDIARY OF HSL, HAS A BOARD COMPRISED OF THREE EMPLOYEES (PRESIDENT, CEO, CFO) AND TWO INDEPENDENT DIRECTORS WHO ARE ALSO MEMBERS OF HSLS BOARD OF DIRECTORS (INCLUDING THE BOARD CHAIR). SURPLUS FUNDS, SHOULD THEY EXIST, ARE REINVESTED IN HRC AS CAPITAL INVESTMENT, FOR UPKEEP OF THE FACILITY AND FOR GROWING PATIENT MEDICAL EQUIPMENT AND TECHNOLOGY NEEDS.
FORM 990, SCHEDULE H, PART VI - SECTION 2NEEDS ASSESSMENT IN 2019, HRC UPDATED ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WE RE-EVALUATED THE NEEDS OF OUR COMMUNITY AND THE SERVICES WE OFFER AS WELL AS THOSE OFFERED BY OTHERS WITHIN AND AROUND THE COMMUNITIES WE SERVE. OUR CHNA FINDINGS SHOW THAT SENIORS IN OUR COMMUNITIES NEED ASSISTANCE WITH ACCESS TO GERIATRIC SPECIALISTS, BEHAVIORAL HEALTH, FINANCIAL SECURITY, HOUSING AFFORDABILITY AND CLOSING RACIAL AND ETHNIC DISPARITIES THAT EXIST IN HEALTH CARE. IN RESPONSE TO THESE FINDINGS, HRC DEVELOPED AN IMPLEMENTATION PLAN DOCUMENTING GOALS, OUR CURRENT SERVICES, AND OUR ACTION PLAN AND TIMELINE.
FORM 990, SCHEDULE H, PART VI - SECTION 3Patient Education of Eligibility for Assistance ALL PATIENTS ADMITTED TO HRC ARE COUNSELED BY AN ADMISSIONS COORDINATOR ABOUT SERVICES RENDERED, BILLING PROCEDURES, PATIENT RIGHTS AND RESPONSIBILITIES, INSURANCE COVERAGE, AND ELIGIBILITY FOR ASSISTANCE AS REQUIRED BY GUIDELINES ESTABLISHED BY THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH. IN ADDITION TO THE ADMISSIONS COORDINATOR, A FISCAL AGENT FOR HRC ALSO PROVIDES EDUCATION ON ELIGIBILITY UNDER FEDERAL, STATE AND LOCAL PROGRAMS. ALL ADMISSIONS DOCUMENTATION IS REVIEWED AND SIGNED BY THE PATIENT OR RESPONSIBLE PARTY ON BEHALF OF THE PATIENT AT THE TIME OF ADMISSION AND RETAINED ON FILE. HRC HAS PROVIDED FINANCIAL ASSISTANCE TO SELECTED ADULT DAY CARE PARTICIPANTS SINCE AUGUST 1999, COVERING THE COSTS OF TRANSPORTATION (IN PRIOR YEARS) AND SOME DAILY PROGRAMS. THE FINANCIAL ASSISTANCE HAS BEEN ESSENTIAL TO THOSE PARTICIPANTS WHO CANNOT AFFORD TO PAY PRIVATELY, BUT WHO HAVE PERIODS OF INELIGIBILITY FOR MASSHEALTH OR OTHER FINANCIAL SUBSIDIES (GIVEN THAT THE SERVICES ARE NOT COVERED BY MEDICARE OR PRIVATE HEALTH INSURANCE PLANS).
FORM 990, SCHEDULE H, PART VI - SECTION 4Community information HRC HONORS DIVERSITY AND PROVIDES HEALTH CARE SERVICES TO ALL WITHOUT REGARD TO RACE, RELIGION, CULTURE COLOR, NATIONAL ORIGIN, CLASS BACKGROUND, GENDER, SEXUAL ORIENTATION, GENDER EXPRESSION, MARITAL STATUS, POLITICAL PERSUASION, OR QUALIFIED HANDICAP. HRC PROVIDES PATIENT CARE AND SERVICES IN ROSLINDALE, AT THE HRC SATELLITE ON THE NEWBRIDGE ON THE CHARLES CAMPUS IN DEDHAM, AND AT THE OUTPATIENT CLINICS IN DEDHAM, CANTON AND BROOKLINE. 95% OF THE PATIENTS OF HEBREW REHABILITATION CENTER AND ITS SATELLITE MEDICAL CLINICS ARE ON MEDICARE AND ARE OLDER THAN 65. IN SUMMARY, OUR PRIMARY COMMUNITY IS COMPRISED OF SENIORS AND LOW-INCOME 65+, IN CERTAIN NEIGHBORHOODS OF BOSTON AND THE TOWNS OF BROOKLINE, DEDHAM, NEEDHAM, NEWTON, WELLESLEY, WESTON, AND WESTWOOD. THE DEANNA AND SIDNEY WOLK CENTER FOR MEMORY HEALTH SERVES PEOPLE LIVING WITH DEMENTIA AND AS A LEADER IN THE COUNTRY, ALSO THEIR FAMILIES, CAREGIVERS, AND OTHER LOVED ONES AT ALL STAGES OF THE ARC OF MEMORY LOSS, INCLUDING THOSE WITH NO COGNITIVE SYMPTOMS; EARLY UNDIAGNOSED SYMPTOMS; MODERATE TO SEVERE COGNITIVE SYMPTOMS; OR ADVANCED SYMPTOMS AT END OF LIFE. THE CENTER FOR MEMORY HEALTH ALSO OFFERS THE FIRST AND ONLY EVIDENCE-BASED CARE MANAGEMENT FOR ALZHEIMERS AND DEMENTIA IN NEW ENGLAND. THE CENTER FOR THE PREVENTION OF ELDER ABUSE AND NEGLECT OFFERS EMERGENCY SHELTER, SUPPORT SERVICES, EDUCATION, AND RESEARCH BENEFITING VICTIMS AND THEIR FAMILIES. HSLS DEPARTMENT OF VOLUNTEER, YOUTH AND COMMUNITY ENGAGEMENT HARNESSES THE ENERGY OF OVER 300 VOLUNTEERS WHO PROVIDED OVER 20,000 OF WORKED HOURS, HELPING SENIORS STAY CONNECTED TO THE LARGER COMMUNITY. THE VOLUNTEER PROGRAM WAS CURTAILED DURING THE PHE, BUT WILL RESUME AS SOON AS IT IS SAFE TO DO SO. HRCS CHAPLAINCY DEPARTMENT PROVIDES SPIRITUAL SUPPORT, WITH WEEKLY PRAYER SERVICES (JEWISH AND ECUMENICAL), PASTORAL VOLUNTEER TRAINING, AND WEEKLY BIBLE STUDY CLASS. HRCS ROSLINDALE CAMPUS MAKES KOSHER MEALS, AN IMPORTANT SERVICE TO MANY IN THE JEWISH COMMUNITY, AND ITS KITCHEN PROVIDES KOSHER MEALS FOR COMBINED JEWISH PHILANTHROPIES AND SPRINGWELL AS PART OF THEIR MEALS ON WHEELS PROGRAM. SENIORS AND THE PROFESSIONAL COMMUNITY ARE SERVED THROUGH SPONSORED EVENTS SUCH AS VARIOUS SUPPORT GROUPS AND HEALTHY AGING PROGRAMS, AND PROFESSIONAL SPONSORSHIPS (65 PROGRAMS REACHED APPROXIMATELY 371 CONSUMERS IN FY20). NOTE THAT MANY EVENTS WERE CANCELED TO THE PHE. HRCS HINDA AND ARTHUR MARCUS INSTITUTE FOR AGING RESEARCH DESCRIBED IN GENERAL IN THE 990 SCHEDULE O PART III LINE 4B, IS A WORLDWIDE LEADER IN AGING RESEARCH, AFFILIATED WITH HARVARD MEDICAL SCHOOL. MARCUS INSTITUTE RESEARCHERS HAVE SEVERAL IMPORTANT FINDINGS THAT WILL DIRECTLY IMPROVE THE HEALTH OF SENIORS, WHICH INCLUDE: 1. A VIDEO EDUCATION TOOL FOR FAMILY MEMBERS IMPROVED ALIGNMENT BETWEEN PREFERENCES FOR COMFORT-FOCUSED CARE AND ADVANCE DIRECTIVES AMONG PATIENTS WITH LATE-STAGE DEMENTIA. 2. RECOGNIZING CALCIFICATION OF THE ABDOMINAL AORTA ON BONE DENSITY SCANS CAN BE AN IMPORTANT CONTRIBUTOR TO HEART ATTACK RISK. DOCTORS SHOULD PAY ATTENTION TO THIS WHEN RECEIVING BONE DENSITY SCANS. 3. WE HAVE FOUND ABNORMALITIES IN BRAIN NETWORKS ASSOCIATED WITH ALTERATIONS IN GAIT THAT CAN LEAD TO FALLS AND ASSOCIATED INJURIES. THIS INFORMATION IS LEADING TO THERAPEUTIC INTERVENTIONS WITH TRANSCRANIAL DIRECT CURRENT STIMULATION THAT STIMULATES THESE NETWORKS AND IMPROVES GAIT AND COGNITION. 4. WE DEVELOPED A PRACTICAL MODEL TO PREDICT FRACTURE IN NURSING HOME RESIDENTS. THE MODEL IS COMPRISED ENTIRELY FROM DATA THAT IS ALREADY COLLECTED ON EVERY NURSING HOME RESIDENT IN THE UNITED STATES, AND THUS, IT HAS THE POTENTIAL TO BE USED TO AUTOMATICALLY INTRODUCE INTERVENTIONS TO PREVENT FRACTURE IN HIGH RISK RESIDENTS. 5. MORE THAN ONE-THIRD OF WOMEN AND MEN AGE 65+ COHORT MEMBERS OF THE FRAMINGHAM HEART STUDY HAD CT IMAGING EVIDENCE OF NEW OR WORSENING MODERATE-TO-SEVERE DISC AND FACET JOINT DEGENERATION OVER 6 YEARS; THE HIGH FREQUENCY OF DEGENERATIVE FINDINGS IN ASYMPTOMATIC OLDER ADULTS SUGGESTS CAUTIOUS INTERPRETATION OF IMAGING RESULTS. 6. BOTH LONG-TERM AND RECENT WEIGHT LOSS IN OLDER ADULTS INCREASE DETERIORATION IN BONE MICROARCHITECTURE, ESPECIALLY AT THE WEIGHT-BEARING SKELETON; ATTENTION TO FRACTURE RISK IN OLDER ADULTS WITH RECENT WEIGHT LOSS AS WELL AS IN THOSE WITH WEIGHT LOSS OVER ADULTHOOD IS WARRANTED. 7. OLDER ADULTS WITH SMALLER SIZE AND LOWER DENSITY TRUNK MUSCLES AS SEEN ON CT IMAGES HAVE GREATER RISK OF EXCESSIVE FORWARD THORACIC CURVATURE (HYPERKYPHOSIS); STRENGTHENING MID-BACK MUSCULATURE MAY IMPROVE MUSCLE PROPERTIES AND PREVENT SPINAL DEFORMITY WITH AGING. 8. OLDER ADULTS WITH DIABETES HAVE DEFICITS IN CORTICAL BONE MICROARCHITECTURE THAT MAY INCREASE RISK OF FRACTURE, WHEREAS LEVELS OF BONE MINERAL DENSITY ARE NORMAL AS DEFINED BY CLINICAL DXA. 9. PROMISING NEW IMAGING METHOD AIDS FRACTURE PREDICTION: DETERIORATION IN BONE MICROSTRUCTURE IS AN INDEPENDENT RISK FACTOR FOR FRACTURE IN OLDER WOMEN AND MEN. 10. WE HAVE DEMONSTRATED THAT NONINVASIVE ELECTRICAL BRAIN STIMULATION (I.E., TRANSCRANIAL DIRECT CURRENT STIMULATION) MAY REDUCE THE SEVERITY OF GAIT DISTURBANCES ASSOCIATED WITH PARKINSON'S DISEASE. 11. WE HAVE DEVELOPED THE MOBILITY CHANGE PACKAGE WHICH IS AVAILABLE TO DOWNLOAD FOR FREE FOR THOSE WHO WANT TO IMPLEMENT A MOBILITY PROGRAM AT THEIR HOSPITAL IN ORDER TO IMPROVE THE CARE OF OLDER ADULTS. MOBILITY IS CRITICAL TO MAINTAIN BOTH COGNITIVE AND PHYSICAL FUNCTIONING THROUGHOUT HOSPITALIZATION. THIS PACKAGE HAS BEEN DOWNLOADED OVER 1,000 TIMES TO DATE. 12. A STUDY OF OLDER ADULTS (AVERAGE AGE 71) SHOWED THAT KNEE HYPERMOBILITY WAS LINKED UP TO 4-FOLD HIGHER ODDS OF ANKLE & FOOT PAIN, ACHING OR STIFFNESS AS WELL AS FOOT OSTEOARTHRITIS. KNEE HYPERMOBILITY REDUCES THE STABILITY OF THE KNEE (AND OTHER LOWER BODY JOINTS), AND IT IS THOUGHT THAT THIS ALTERS KNEE JOINT LOADS AND CONTRIBUTING TO JOINT PAIN. THESE DATA SUGGEST THAT THERAPEUTIC INTERVENTIONS TARGETING MECHANICAL FACTORS, PARTICULARLY FOR KNEE HYPERMOBILITY, MAY BE NEEDED TO PREVENT ANKLE AND FOOT SYMPTOMS. 13. CAFFEINE INTAKE IS INVERSELY ASSOCIATED WITH PARKINSON'S DISEASE (PD) RISK, AND TWO GENETIC POLYMORPHISMS (GRIN2A AND CYP1A2, BOTH IMPLIED IN OTHER SMALL STUDIES) WERE EXAMINED TO SEE IF THEY ACCOUNTED FOR, OR MODIFIED, THE PROTECTIVE EFFECTS. IN A STUDY OF 829 PEOPLE WITH PARKINSONS DISEASE COMPARED TO 2754 PEOPLE WITHOUT THE DISEASE, THE PROTECTIVE EFFECT OF CAFFEINE WAS SEEN BUT THERE WAS NO CAFFEINE-GENE INTERACTION WITH THE POLYMORPHISMS, INDICATING THAT THE RELATION BETWEEN CAFFEINE AND PD RISK IS UNLIKELY TO BE SUBSTANTIALLY MODIFIED BY THESE GENETIC POLYMORPHISMS. 14. WE EVALUATED THE KNOWN RISK FACTORS FOR PARKINSON DISEASE (PD) AS WELL AS FAMILY HISTORY TO EXAMINE HOW THESE FACTORS MAY COMBINE TO DETERMINE OVERALL PARKINSONS RISK. ADDITIVE INTERACTION WAS PRESENT BETWEEN NO FAMILY HISTORY OF PD AND CAFFEINE IN MEN AND BETWEEN CAFFEINE AND PHYSICAL ACTIVITY IN WOMEN. HAVING MULTIPLE KNOWN PROTECTIVE FACTORS FOR PD HAD ADDITIVE OR SUPER-ADDITIVE EFFECTS, SO THAT PD RISK IS VERY LOW IN THESE INDIVIDUALS WITH MULTIPLE PROTECTIVE RISK FACTORS. 15. HIGHER PROTEIN INTAKE IS BENEFICIAL FOR MAINTENANCE OF PHYSICAL FUNCTION IN MIDDLE-AGED AMERICANS OVER THE SPAN OF TWO DECADES. THIS ASSOCIATION WAS PARTICULARLY EVIDENT IN WOMEN. 16. MEN WITH HIGHER INTAKES OF MILK, MILK+YOGURT, AND MILK+YOGURT+CHEESE HAVE HIGHER TRABECULAR AND INTEGRAL VOLUMETRIC BONE MINERAL DENSITY AND VERTEBRAL COMPRESSIVE STRENGTH. DAIRY INTAKE SEEMS TO BE MOST BENEFICIAL FOR OLDER MEN IRRESPECTIVE OF SERUM VITAMIN D LEVELS. 17. HIGHER DIETARY FIBER MAY MODESTLY REDUCE BONE LOSS IN MEN AT THE HIP. 18. AMONG PUERTO RICAN ADULTS RESIDING IN BOSTON, DAIRY FOOD INTAKES WERE ASSOCIATED WITH HIGHER BONE MINERAL DENSITY, PARTICULARLY THOSE WITH SUFFICIENT VITAMIN D STATUS. 19. A LOSS IN HOME TIME IS ASSOCIATED WITH DECLINE IN SEVERAL PATIENT-CENTERED OUTCOME MEASURES IN COMMUNITY-DWELLING MEDICARE BENEFICIARIES. 20. FRAILTY IS ASSOCIATED WITH MAJOR RESPIRATORY COMPLICATIONS, PARTICULARLY RESPIRATORY FAILURE AFTER TRACHEOBRONCHOPLASTY. PREOPERATIVE IDENTIFICATION OF FRAILTY MAY HELP GUIDE DECISION MAKING FOR PATIENTS. 21. DEFICIT-ACCUMULATION FRAILTY INDEX PROVIDES BETTER PREDICTION OF DEATH OR POOR RECOVERY THAN FRAILTY PHENOTYPE IN OLDER PATIENTS UNDERGOING AORTIC VALVE REPLACEMENT. 22. CONSIDERING BOTH MULTIMORBIDITY PATTERNS AND FRAILTY IS IMPORTANT FOR IDENTIFYING OLDER ADULTS AT GREATER RISK OF MORTALITY. OF THE FIVE PATTERNS IDENTIFIED, THE NEUROPSYCHIATRIC CLASS WAS ASSOCIATED WITH LOWER SURVIVAL ACROSS ALL FRAILTY LEVELS. 23. OLDER INDIVIDUALS TREATED WITH PRAVASTATIN COULD LIVE FREE OF CORONARY HEART DISEASE, ON AVERAGE, FOR AN ADDITIONAL 18.7 DAYS IN 6 YEARS, YET THEIR OVERALL SURVIVAL WAS 33.7 DAYS SHORTER THAN THOSE WHO RECEIVED USUAL CARE. 24. A 24-WEEK MULTICOMPONENT PROGRAM HAD SUSTAINED BENEFICIAL EFFECTS UP TO 1 YEAR ON PHYSICAL FUNCTION, FRAILTY, SARCOPENIA, DEPRESSIVE SYMPTOMS, AND NUTRITIONAL
FORM 990, SCHEDULE H, PART VI - SECTION 6Affiliated Health Care System HRC IS PART OF A GROUP OF NOT-FOR-PROFIT AFFILIATED ENTITIES WHOSE SOLE MEMBER IS HEBREW SENIORLIFE, INC. HSLS COORDINATED SYSTEM OF CARE IS BASED ON THE PREMISE THAT RESEARCH, TRAINING OF GERIATRIC HEALTH-CARE PROFESSIONALS, SENIOR LIVING AND HEALTH CARE MUST BE INTEGRATED IN SUCH A WAY TO PROMOTE INDEPENDENCE FOR ALL ADULTS AS THEY AGE. HSL IS WORKING TO CHART THE COURSE FOR SENIOR LIFE. THROUGH OUR UNPARALLELED COMBINATION OF EXPERIENCE, OPTIMISM, VISION AND DETERMINATION, WE ARE WORKING TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE AS THEY AGE AND DISPELLING THE NOTION THAT GROWING OLD HAS TO MEAN GROWING FRAIL. HRCS AFFILIATES INCLUDE SENIOR SUPPORTIVE HOUSING COMMUNITIES, WHICH HELP KEEP SENIORS INDEPENDENT IN THEIR HOMES WITH SUPPORTIVE SERVICES INCLUDING WELLNESS AND FITNESS PROGRAMS, SOCIAL SERVICE SUPPORTS, ACCESS TO HEALTH AND HOME CARE, DINING PROGRAMS, AND RECREATIONAL ACTIVITIES. COORDINATED SERVICES THROUGHOUT THE HSL NETWORK SUPPORT SENIORS IN THEIR INDEPENDENCE AS WELL AS PROVIDE FOR SUCCESSFUL TRANSITIONS BETWEEN CARE SETTINGS. EXAMPLES OF INNOVATIVE PROGRAMS INCLUDE A GRANT-SUPPORTED DEPRESSION SUPPORT SERVICE COORDINATING CARE OF PRIMARY CARE AND MENTAL HEALTH PROVIDERS AND ACTIVELY REACHING OUT TO MONITOR COMPLIANCE AND RESPONSE. HRC COLLABORATES WITH AREA PROVIDERS TO PROMOTE THE HEALTH OF SENIORS AND IS A PREFERRED PROVIDER WITH BETH ISRAEL LAHEY HEALTH FOR BOTH ITS BETH ISRAEL DEACONESS MEDICAL CENTER HOSPITAL AND ITS NEW ENGLAND BAPTIST HOSPITAL. HRC WORKS WITH THESE HOSPITALS TO PROVIDE THE HIGHEST QUALITY, COST-EFFECTIVE HOSPITAL AND POST-HOSPITAL CARE. DRIVEN BY A COMMITMENT TO REDUCE AVOIDABLE HOSPITALIZATIONS AND READMISSIONS, THE GOALS OF THESE AGREEMENTS ARE TO IMPROVE TRANSITIONS OF CARE FOR PATIENTS, ACCESS, COMMUNICATIONS, AND INFORMATION SHARING, AND ENSURE THE BEST POSSIBLE PATIENT OUTCOMES. HSLS CHAPLAINCY INSTITUTE IS ONE OF THE NATIONS 50 MOST INNOVATIVE JEWISH NON-PROFITS IN SLINGSHOT FOR ITS WORK TO TRAIN CHAPLAINS IN ISSUES RELATED TO AGING AND IMPROVING THE QUALITY OF JEWISH PASTORAL CARE NATIONALLY. IT TRAINS 16 GRADUATE LEVEL STUDENTS IN PASTORAL CARE (CLINICAL PASTORAL EDUCATION, ACCREDITED BY THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION) OVER THE COURSE OF A YEAR. HSL ALSO PROVIDES EMPLOYEE SCHOLARSHIPS FOR ROSLINDALE OR NEWBRIDGE EMPLOYEES AND/OR A CHILD/SPOUSE OF AN EMPLOYEE WHO HAS BEEN EMPLOYED AT HSL FOR AT LEAST 6 MONTHS. HSLS EMPLOYEE LIFELINE PROGRAM (H.E.L.P.) WAS CREATED TO HELP EMPLOYEES WHO, DUE TO UNEXPECTED CIRCUMSTANCES, ARE FACING DIRE PERSONAL HARDSHIPS THAT HAVE NEGATIVE FINANCIAL CONSEQUENCES. THE PROGRAM PROVIDES SOME FINANCIAL ASSISTANCE TO EMPLOYEES WHO MEET THE PROGRAMS GUIDELINES. ELIGIBLE BENEFICIARIES INCLUDE ALL STAFF WHO HAVE BEEN EMPLOYED AT HSL FOR A MINIMUM OF ONE YEAR, ARE IN GOOD STANDING, AND WORK A MINIMUM OF 1,000 HOURS ON AN ANNUALIZED BASIS. HELP WAS DESIGNED BY A GROUP OF EMPLOYEES AND IS FUNDED THROUGH EMPLOYEE AND DEVELOPMENT EFFORTS. THROUGH THE HSL WEBSITE, THE MARCUS INSTITUTE PROVIDES A WEALTH OF FREE INFORMATION ON ITS LATEST FINDINGS IN A SERIES OF GUIDES THAT ADDRESS ISSUES FACED BY OLDER ADULTS AND THEIR FAMILIES. THESE GUIDES INCLUDE PREVENTING FALLS IN OLDER ADULTS, THE DELIRIUM GUIDE, AND ADVANCED DEMENTIA, A GUIDE FOR FAMILIES. THROUGH ITS BLOGS, HSL PROVIDES A WEALTH OF FREE INFORMATION ON HEALTHY AGING TO THE GENERAL PUBLIC, COVERING TOPICS SUCH AS MALNUTRITION IN SENIORS: WHAT IT IS, WHY ITS BAD, AND HOW WE CAN STOP IT; HOW HOME CARE CAN HELP SENIORS AVOID RE-HOSPITALIZATION; AND UNDERSTANDING ALZHEIMERS DISEASE AND DEMENTIA. FORM 990, SCHEDULE H, PART VI - SECTION 7 State filing of Community Benefit report THIS IS NOT APPLICABLE AS IN MASSACHUSETTS ONLY ACUTE HOSPITALS FILE COMMUNITY BENEFIT REPORTS WITH THE STATE. HRC PROVIDES ITS SCHEDULE H FILING TO THE STATE VIA THE MASSACHUSETTS HOSPITAL ASSOCIATION.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (true)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

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
LOUIS J WOOLF
PRESIDENT & CEO$0$647,510$0$452,582$0$0$0$24,300$0$77,780$0$1,202,172$0$0
JAMES D HART
CFO & SECRETARY$0$331,483$0$59,466$0$396$0$5,300$0$60,078$0$456,723$0$0
KATELYN QUYNN
CHIEF DEV OFF & VP BOARD REL.$0$349,128$0$31,500$0$396$0$24,300$0$48,346$0$453,670$0$0
ERIC ROGERS
CIO$0$224,023$0$21,617$0$90$0$4,760$0$52,758$0$303,248$0$0
RACHEL WHITEHOUSE
CHIEF COM. & PLAN. OFFICER$0$236,195$0$23,450$0$258$0$5,066$0$59,672$0$324,641$0$0
RACHEL LERNER
GEN. COUNSEL & CHIEF COMP OFF$0$165,178$0$0$0$42$0$3,423$0$33,677$0$202,320$0$0
DEBORAH L LEMMERMAN
CHIEF PEOPLE OFFICER$0$242,992$0$27,032$0$396$0$4,964$0$56,762$0$332,146$0$0
MARY MOSCATO
PRESIDENT, HSL HEALTH CARE SRV$354,106$0$60,225$0$396$0$5,300$0$56,983$0$477,010$0$0$0
HELEN CHEN
CHIEF MEDICAL OFFICER$337,492$0$39,014$0$258$0$5,300$0$41,092$0$423,156$0$0$0
TAMMY BARKYOUMB RETALIC
CHIEF NURSING OFFICER & VP PCS$246,589$0$32,500$0$138$0$5,016$0$55,612$0$339,855$0$0$0
LEWIS LIPSITZ
DIRECTOR, HMIFAR$346,548$0$0$0$184$0$24,300$0$69,342$0$440,374$0$0$0
SHARON K INOUYE
SR. SCIENTIST/DIRECTOR$325,995$0$0$0$396$0$5,300$0$30,878$0$362,569$0$0$0
DAVID H TSAI
Palliative Care Physician$243,442$0$0$0$90$0$4,773$0$55,165$0$303,470$0$0$0
DOUGLAS P KIEL
SR. SCIENTIST/DIRECTOR$245,731$0$0$0$147$0$4,952$0$61,201$0$312,031$0$0$0
Trimble Augur
Medical Director, RSU and LTCH$238,572$0$0$0$90$0$646$0$22,169$0$261,477$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3FormAndLineReferenceDesc
ExplanationSupplemental Compensation Information HEBREW SENIORLIFE, INC. (HSL), THE PARENT ORGANIZATION, ESTABLISHES THE COMPENSATION OF THE ORGANIZATIONS' PRESIDENT/CEO AND CFO. HSL UTILIZES THE FOLLOWING IN ESTABLISHING SUCH COMPENSATION: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, SCHEDULE J, PART I, LINE 4B LOUIS J. WOOLF, PRESIDENT AND CEO, KATELYN QUYNN, CHIEF DEVELOPMENT OFFICER & VP OF BOARD RELATIONS, AND LEWIS LIPSITZ, DIRECTOR, HMIFAR PARTICIPATED IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN THAT INCLUDED $19,500 OF EMPLOYER CONTRIBUTIONS DURING THE YEAR. THIS AMOUNT IS INCLUDED IN THE DEFERRED COMPENSATION SECTION SHOWN IN PART VII. SCHEDULE J, PART I, LINES 5, 6, & 7 EACH YEAR, HEBREW REHABILITATION CENTER WITHHOLDS A PORTION OF ITS SENIOR LEADERSHIP'S COMPENSATION TO CREATE AN "AT RISK" BONUS, WHICH IS THEN PAID, ON AN INCENTIVE BASIS, TO ITS SENIOR LEADERSHIP WHEN TARGET GOALS ARE REACHED. BEFORE ANY BONUS IS PAID OUT UNDER THIS ARRANGEMENT, Hebrew Seniorlife inc.'S COMPENSATION COMMITTEE REVIEWS THE FINANCIAL POSITION OF THE ORGANIZATION, including the organization's gross and net earnings, AND, IF FEASIBLE, WILL APPROVE BONUSES TO ELIGIBLE SENIOR LEADERSHIP. BONUSES ARE BUDGETED EACH YEAR AS A PERCENTAGE OF THE ELIGIBLE EMPLOYEE'S BASE WAGES. THE PERCENTAGE PAYABLE RANGES FROM 5 TO 15 PERCENT. THE FOLLOWING EMPLOYEES RECEIVED BONUSES PAID OUT UNDER HRC'S BONUS ARRANGEMENT IN 2019: MARY MOSCATO $ 60,225 Helen Chen $ 39,014 Tammy Barkyoumb Retalic $ 32,500 THIS AMOUNT IS INCLUDED IN BONUS & INCENTIVE COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN (B)(II).ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIP57586CM93CUSIPNum
Bond Issued2013-04-11BondIssuedDt
Issue Price$9,974,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$9,973,770TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$176,993IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$9,796,777OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2013SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsYes (true)RefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchfalseEngageBondCounselResearchInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00866PrivateBusConcerningUBIPct
Total Private Business Use0.00866TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssuefalseVariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1BANK OF AMERICABusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge3.1TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedYes (true)HedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDescription of Arrangement Related Organization ReportingFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART I VARIABLE RATE DEMAND REVENUE BONDS HEBREW REHABILITATION CENTER ISSUE SERIES A (2013). THE PROCEEDS OF THE 2013 BONDS WERE USED TO REFUND SERIES D.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$518,350NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART 1, LINE 1ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES (CONT'D) vigor, dignity and choice, and by recognizing that they are a resource to be cherished. As part of our mission, we accept special responsibility for the frailest and neediest members of our community who are most dependent on our care. We seek to fulfill our mission by operating programs in: - Memory care - Rehabilitative therapy - Expressive therapy - Palliative care - Life enhancement - Spiritual care - Russian language DESCRIPTION OF NEGATIVE NET ASSETS FORM 990, PART I, LINE 22 THE DECREASE IN UNRESTRICTED NET ASSETS AND UNRESTRICTED NET DEFICIT AT HEBREW REHABILITATION CENTER ("HRC") FOR FISCAL YEAR 2020 REFLECTS THE INCLUSION OF EXPENSES THAT ARE SUPPORTED BY HRC'S PARENT, HEBREW SENIORLIFE, INC. ("HSL"). HSL BENEFITS FROM BOTH MANAGEMENT FEES AND PHILANTHROPIC INCOME THAT ARE AVAILABLE TO FUND HRC'S OPERATING, PENSION FUND AND OTHER EXPENSES. AS SUCH, HSL'S MANAGEMENT, BOARD OF DIRECTORS AND LENDERS VIEW THE ORGANIZATION'S FINANCIAL CONDITION AS HSL'S AND HRC'S COMBINED BALANCE SHEET, WITH $121 MILLION IN UNRESTRICTED NET ASSETS AT 9/30/20. FORM 990, PART III, LINE 1 spiritual vigor, dignity and choice, and by recognizing that they are a resource to be cherished. As part of our mission, we accept special responsibility for the frailest and neediest members of our community who are most dependent on our care. FORM 990, PART III, LINE 4A Examples of our program services are as follows: 1. Memory care: HRC has memory care units in two locations to serve seniors with moderate to advanced memory loss who need special services and accommodations to keep them safe and engaged. We provide to our long-term chronic memory care patients services such as expressive therapies involving music and art, which build on and support their abilities, talents, and interests. We will focus on what residents can still do, rather than on what they cant, thereby offering opportunities for accomplishment, success, and joy each day. 2. Expressive therapy: Expressive therapy is a dynamic, multimodal approach to integrating the arts into the healing process. Used within the context of a health care or rehabilitation setting, expressive therapies like music, art, and dance can foster healing and provide an overall sense of well-being and connection to others. HRC employs expressive therapists who function as members of the multidisciplinary health care team to provide treatment to seniors. Therapists are masters-level mental health counselors who are also professionally trained in their respective disciplines (e.g., art, music, etc.). The overall goals of treatment are to provide a safe, secure setting in which patients can express themselves on both verbal and non-verbal levels and to feel an increased connection to others that in turn decreases their level of distress and psychological discomfort. 3. Palliative care: Since 2007, the HRC palliative care program has been helping patients maximize the quality of life while maintaining dignity and control as they navigate the journey of serious and terminal illness. The palliative team, comprising counselors, doctors, nurses, health aides, and therapists, accomplish this by providing medical information, asking questions, and supporting the patient and familys decisions. The palliative care team also takes measures to provide medical help, massage, music therapy, and other interventions to make the patients journey as comfortable as possible. FORM 990, PART III, LINE 4B facilities in the United States. Dozens of interventions developed at the Marcus Institute have become standard care for seniors. The Marcus Institute ranks in the top 15 percent of National Institutes of Health grant recipients, with more than $60 million of NIH and NIA funding. FORM 990, PART III, LINE 4C OTHER PROGRAM SERVICE REVENUE IS MADE UP OF MISCELLANEOUS NON-PATIENT SERVICE REVENUE AND EXPENSES, INCLUDING DEPARTMENT OF MEDICINE TEACHING, FELLOWSHIPS & OTHER SUPPORT, FOOD SERVICE, VARIETY OF ANCILLARY PROGRAMS, AND SPACE LEASED BY HSL.
DESCRIPTION OF CLASSES OR MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6 HEBREW SENIORLIFE, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
MEMBERS WHO MAY ELECT ONE OR MORE OF THE GOVERNING BODYFORM 990, PART VI, LINE 7A THE HEBREW SENIORLIFE, INC. BOARD CHAIR APPOINTS THE MEMBERS OF THE HEBREW REHABILITATION CENTER BOARD OF DIRECTORS WITH THE ADVICE AND CONSENT OF THE HEBREW SENIORLIFE, INC. BOARD MEMBERS.
CLASSES OR PERSONS, DECISIONS REQ. APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7B DECISIONS INVOLVING MAJOR CHANGES IN ORGANIZATION, DEBT PLACEMENT, SALE OF ASSETS, ETC. ARE ALSO SUBJECT TO APPROVAL BY HEBREW SENIORLIFE, INC.'S BOARD. ULTIMATELY, GOVERNANCE OF THE CORPORATION RESTS WITH THE BOARD OF DIRECTORS OF THE COMPANY'S SOLE CORPORATE MEMBER, HEBREW SENIORLIFE, INC.
PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11 PREPARATION OF THE FORM 990 BEGINS INTERNALLY WITH HEBREW SENIORLIFE STAFF AND ERNST & YOUNG PREPARING THE FORM WITH INPUT PROVIDED BY HEBREW SENIORLIFE, INC. ALL FORMS 990 AND 990T OF THE AFFILIATES OF HEBREW SENIORLIFE, INC. (HSL IS THE SOLE CORPORATE MEMBER OF EACH AFFILIATE) WILL BE REVIEWED PRIOR TO FILING BY THE AUDIT & compliance COMMITTEE OF HEBREW SENIORLIFE, INC. SUBSEQUENT TO SUCH REVIEW AND PRIOR TO FILING COPIES WILL BE PROVIDED TO THE APPROPRIATE GOVERNING BOARD OF DIRECTORS FOR EACH AFFILIATE. THE GOVERNING BOARDS WILL HAVE 5 DAYS TIME IN WHICH TO VIEW THE FULL RETURNS PRIOR TO THEIR FILING.
PROCESS TO MONITOR TRANSACTIONS FOR CONFILCTS OF INTERESTFORM 990, PART VI, LINE 12C THE BOARD OF HEBREW REHABILITATION CENTER VOTED TO ADOPT THE HEBREW SENIORLIFE, INC. CONFLICT OF INTEREST POLICY. MONITORING AND DEALING WITH POTENTIAL OR ACTUAL CONFLICTS INDIVIDUALS COVERED UNDER THE CONFLICT OF INTEREST POLICY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE THE EXISTENCE OR POSSIBILITY OF A CONFLICT OF INTEREST AND SHALL BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE HEBREW SENIORLIFE CONFLICTS COMMITTEE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, EACH COVERED PERSON SHALL SIGN A STATEMENT AFFIRMING THAT SUCH PERSON RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY AND AGREES TO COMPLY WITH THE POLICY. THE SIGNED STATEMENT AFFIRMS THAT THE PERSON UNDERSTANDS HEBREW REHABILITATION CENTER IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, HEBREW REHABILITATION CENTER MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. WHO IS COVERED THE CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, PERSONS SERVING IN SENIOR STAFF POSITIONS OUTLINED IN AN EXHIBIT ATTACHED TO THE CONFLICT OF INTEREST POLICY, AND ANY OTHER PERSON WHO IS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF ANY OF THE ORGANIZATION OR ANYOF ITS AFFILIATES. LEVEL AT WHICH DETERMINATIONS OF CONFLICT ARE MADE AND WHICH ACTUAL CONFLICTS ARE REVIEWED THE HEBREW SENIORLIFE CONFLICTS COMMITTEE IS RESPONSIBLE FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS AND EVALUATING WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A TRANSACTION THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. THE CONFLICTS COMMITTEE REPORTS ITS FINDINGS TO THE BOARD OF DIRECTORS WHO ARE RESPONSIBLE FOR MAKING A FINAL DETERMINATION ON THE CONFLICT. RESTRICTIONS ON CONFLICTED PERSONS ALL COVERED PERSONS ARE RESTRICTED FROM ENTERING INTO A TRANSACTION WITHOUT DISCLOSING THE ACTUAL OR POTENTIAL CONFLICT TO THE HEBREW SENIORLIFE CONFLICT COMMITTEE AND OBTAINING APPROVAL OF THE BOARD DIRECTORS. COVERED PERSONS WITH A CONFLICT MUST LEAVE THE ROOM WHEN TRANSACTIONS GIVING RISE TO THE CONFLICT ARE UNDER DISCUSSION BY THE BOARD OF DIRECTORS. Whistleblower and Document Retention and Destruction Policies Form 990, Part VI, Lines 13 & 14 THE BOARD OF HEBREW REHABILITATION CENTER VOTED TO ADOPT THE HEBREW SENIORLIFE, INC. WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES. PROCESS FOR DETERMINING COMPENSATION FOR OFFICERS AND KEY EXECUTIVES Form 990, Part VI, Line 15a & 15b THE COMPENSATION COMMITTEE OF THE HEBREW SENIORLIFE, INC. BOARD, WITH THE ASSISTANCE OF DATA PROVIDED BY AN INDEPENDENT, EXPERT CONSULTANT, HAS REVIEWED THE PRESIDENT/CEO'S TOTAL COMPENSATION AND THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES AS WELL AS HIGHLY COMPENSATED EMPLOYEES (>$150,000) OF HEBREW SENIORLIFE, INC. AND ITS AFFILIATES. THE FULL HEBREW SENIORLIFE, INC. BOARD FURTHER REVIEWED AND APPROVED THE COMPENSATION OF THE OFFICERS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES OF HEBREW SENIORLIFE, INC. AND ITS AFFILIATES. A FULL MARKET REVIEW AND APPROVAL OF COMPENSATION, FOLLOWING THE PROCEDURES OUTLINED ABOVE WAS LAST COMPLETED IN 2018. ADDITIONALLY THE ORGANIZATION COMPLETED A WALK THROUGH OF SENIOR LEADERSHIP COMPENSATION WITH AN INDEPENDENT, EXPERT CONSULTANT, DURING 2019. ALL OF THESE COMMITTEE MEMBERS ARE INDEPENDENT DIRECTORS. INDEPENDENT CONSULTANTS WERE HIRED BY THE COMPENSATION COMMITTEE AND ASSISTED WITH THE COMPENSATION REVIEW. DOCUMENTATION AND RECORDS OF COMPENSATION COMMITTEE MEETINGS ARE MAINTAINED WITH RESPECT TO DELIBERATIONS AND COMPENSATION DECISIONS. Availability of Gov Docs, Conflict of Interest Policy, & Fin STMTs to Gen Public Form 990, Part VI, Line 19 THE ORGANIZATION'S TAX RETURNS ARE AVAILABLE AT GUIDESTAR. GOVERNING DOCUMENTS ARE AVAILABLE AT THE COMMONWEALTH OF MASSACHUSETTS' WEBSITE. THE TAX RETURNS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST AT THE OFFICES OF HEBREW SENIORLIFE, INC. AT 1200 CENTRE ST. BOSTON, MA 02131 OR BY TELEPHONE AND E-MAIL. PENSION PLAN ACCRUALS AND CONTRIBUTIONS FORM 990, PART IX, LINE 8 ON JANUARY 8, 2020, HSL AGREED TO PURCHASE AN ANNUITY CONTRACT FROM AN INSURANCE COMPANY FOR ALL REMAINING PLAN PARTICIPANTS FOR APPROXIMATELY $43,000,000. HSL MADE AN ADDITIONAL CONTRIBUTION OF $18,400,000 ON JANUARY 13, 2020 TO THE PLAN TO FULLY FUND THE ANNUITY PURCHASE. FUNDS FROM THE PLAN WERE TRANSFERRED TO THE INSURANCE COMPANY ON JANUARY 15, 2020. EFFECTIVE MARCH 1, 2020, THE INSURANCE COMPANY IS RESPONSIBLE FOR ALL PAYMENTS TO REMAINING PLAN PARTICIPANTS; THEREFORE, HSL HAS NO RESPONSIBILITY FOR FUTURE PLAN BENEFITS. THE LUMP SUMS AND ANNUITY PURCHASE RESULTED IN A SETTLEMENT CHARGE OF APPROXIMATELY $26,100,000 IN THE SECOND QUARTER OF THE 2020 FISCAL YEAR. SUCH AMOUNTS WERE PREVIOUSLY RECORDED IN THE STATEMENTS OF CHANGES IN NET ASSETS. AS A RESULT OF THESE TRANSACTIONS, THE SETTLEMENT CHARGES ARE INCLUDED IN THE PERFORMANCE INDICATED FOR FISCAL YEAR 2020 BUT THE RECOGNITION OF THIS SETTLEMENT CHARGE DID NOT IMPACT NET ASSETS IN FISCAL YEAR 2020. FUNDRAISING DISCLOSURE FORM 990, PART IX, COLUMN D Hebrew SeniorLife, Inc. as the parent of the HSL system, raises contributions for itself and its affiliates through its Development department. The contribution revenue is recorded by the affiliate that the donor intended it be given to. Fundraising expenses of the Development department are recorded exclusively by Hebrew SeniorLife, Inc. In order to give the reader a full and transparent view of HSL and affiliates, a summary of all contribution revenue and related expenses is prepared below. Additionally, this includes approximately $300,000 in pledges that have been fully reserved based on donor-imposed contingencies. Management believes that these contingencies will be met and have added the value of the contingent pledges back in the schedule below. FUNDRAISING EXPENSE (HSL 990) $ 4,009,284 CONTRIBUTION REVENUE: HSL CONTRIBUTIONS (HSL 990) $ 9,089,087 CONTINGENT PLEDGE REVENUE $ 800,000 HEBREW REHABILITATION CENTER (PART VIII, LINE 1F) $ 1,553,660 HEBREW SENIORLIFE HOSPICE CARE $ 63,138 ORCHARD COVE, INC. $ 105,507 HRCA SENIOR HOUSING, INC. $ 2,725 HRCA HOUSING FOR ELDERLY, INC. $ 196,235 HRCA BROOKLINE HOUSING 1550 BEACON PLAZA, INC. $ 5,318 HRCA BROOKLINE HOUSING 112-120 CENTRE COURT, INC. $ 0 CENTER COMMUNITIES OF BROOKLINE $ 6,609 ----------------- $ 11,822,279 TOTAL COST PER DOLLAR RAISED 34%
FORM 990, PART XI, LINE 9NET ASSETS RELEASED FROM PARENT ($178,579) CHANGE IN PENSION OBLIGATION $27,929,461 ---------------------------------------------------------- TOTAL OTHER CHANGES IN NET ASSETS $27,750,882

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ORCHARD COVE INC
ONE DEL POND DRIVECANTONMA02021223080006CONT. CAREMA501(C)(3)10HSLYes (true)
HRCA SENIOR HOUSING INC
1200 CENTRE STREETBOSTONMA02131042765428ELDER HOUSINGMA501(C)(3)10HSLYes (true)
CENTER COMMUNITIES OF BROOKLINE INC
1200 CENTRE STREETBOSTONMA02131010569404ELDER HOUSINGMA501(C)(3)10HSLYes (true)
HRCA BROOKLINE HOUSING 112-120 CENTRE CO
1200 CENTRE STREETBOSTONMA02131030372998ELDER HOUSINGMA501(C)(3)10HSLYes (true)
HRCA BROOKLINE HOUSING 1550 BEACON
1200 CENTRE STREETBOSTONMA02131010569403ELDER HOUSINGMA501(C)(3)10HSLYes (true)
HRCA HOUSING FOR ELDERLY INC
1200 CENTRE STREETBOSTONMA02131042543731ELDER HOUSINGMA501(C)(3)10HSLYes (true)
NEWBRIDGE ON THE CHARLES INC
1200 CENTRE STREETBOSTONMA02131383707573ELDER HOUSINGMA501(C)(3)10HSLYes (true)
HRCA BROOKLINE HOUSING 108 CENTRE
1200 CENTRE STREETBOSTONMA02131810612222ELDER HOUSINGMA501(C)(3)12bHSLYes (true)
HEBREW SENIORLIFE HOSPICE CARE INC
1200 CENTRE STREETBOSTONMA02131461309228HOSPICE SERV.MA501(C)(3)10HSLYes (true)
HEBREW SENIORLIFE INC
1200 CENTRE STREETBOSTONMA02131900183119MGMT SERVICESMA501(C)(3)7NAfalse
HEBREW SENIORLIFE AFFILIATED MED GROUP
1200 CENTRE STREETBOSTONMA02131823654673PHYSICIAN SVCMA501(C)(3)10HSLYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
CCB COHEN 112 CENTRE MM LLC
1200 centre stbostonMA02131821763395elder housingMANAN/A
HSL Fireman Operating LP
1200 centre stBOSTONMA02131elder housingMANAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
HSL PAYROLL SERVICES INC
100 CENTRE STREETBROOKLINEMA02446042684823PAYROLL SERVICESMAnaC-CORP$0$0false
HEBREW SENIORLIFE REAGE SOLUTIONS INC
1200 CENTRE STREETBOSTONMA02131814906048MGMT & CONS. SVCSDEnaC-CORP$0$0false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (22 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Hebrew SeniorLife Inc
s$13,345,000ACTUAL
Hebrew SeniorLife Affiliated Medical Group
s$300,000ACTUAL
Hebrew SeniorLife Hospice Care Inc
s$10,115,000ACTUAL
Hebrew SeniorLife Inc
p$622,546ACTUAL
Hebrew SeniorLife Inc
m$5,172,309CONTRACT
NewBridge on the Charles Inc
r$9,811,914ACTUAL
NewBridge on the Charles Inc
k$9,196,164CONTRACT
Hebrew SeniorLife Inc
j$300,000CONTRACT
Center Communities of Brookline Inc
k$74,685CONTRACT
Hebrew SeniorLife Inc
p$331,976ACTUAL
NewBridge on the Charles Inc
p$6,151,087ACTUAL
Orchard Cove Inc
p$288,084ACTUAL
Center Communities of Brookline Inc
q$141,484ACTUAL
HRCA Brookline Housing 1550 Beacon Plaza Inc
q$108,581ACTUAL
HRCA BROOKLINE HOUSING 112-120 CENTRE COURT
q$78,968ACTUAL
Hebrew SeniorLife Inc
q$837,357ACTUAL
HRCA HOUSING FOR ELDERLY INC
q$550,118ACTUAL
NewBridge on the Charles Inc
q$5,470,566ACTUAL
Orchard Cove Inc
q$3,089,712ACTUAL
HRCA SENIOR HOUSING INC
q$327,406ACTUAL
Hebrew SeniorLife Hospice Care Inc
q$501,829ACTUAL
NewBridge on the Charles Inc
L$2,361,060CONTRACT