JEWISH HOME: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- JEWISH HOME (EIN 94-0545320)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-13
- IRS object ID
- 201931339349302728
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-13T12:07:22-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 940545320 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEBREW HOME FOR AGED DISABLED | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEBR | BusinessNameControlTxt |
| Phone | 4153342500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SILVER AVENUE | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 941121510 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VICTOR MEINKE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4153342500 | PhoneNum |
| Signature | 2019-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL LUMSDEN | PreparerPersonNm |
| PTIN | P01262236 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2019-05-09 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.129.7.100 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-13 | IPDt |
| IP Tm | 11:17:29 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 32BFBF1104AA8EEBC72962A0CCB0C2C16BC479E3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN FRANCISCO CAMPUS FOR JEWISH LIVING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIEL RUTH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SILVER AVENUE | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 941121510 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $81,188,124 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SFCJL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1871 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | WE ARE A LICENSED NURSING HOME THAT PROVIDES TO SENIORS LIFE ENRICHING SERVICES THAT PROMOTE INDIVIDUAL DIGNITY, ENCOURAGE INDEPENDENCE, AND REFLECT THE SOCIAL, CULTURAL, AND SPIRITUAL VALUES OF THE JEWISH TRADITION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 715 | TotalEmployeeCnt |
| Total Volunteers | 119 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $144,940 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,461,638 | PYContributionsGrantsAmt |
| CY Contributions Grants | $13,765,691 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $67,612,709 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $66,999,478 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$27,702 | PYInvestmentIncomeAmt |
| CY Investment Income | -$72,344 | CYInvestmentIncomeAmt |
| PY Other Revenue | $690,842 | PYOtherRevenueAmt |
| CY Other Revenue | $354,606 | CYOtherRevenueAmt |
| PY Total Revenue | $81,737,487 | PYTotalRevenueAmt |
| CY Total Revenue | $81,047,431 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,786,015 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $42,425,083 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $322,939 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,074,320 | PYOtherExpensesAmt |
| CY Other Expenses | $29,318,671 | CYOtherExpensesAmt |
| PY Total Expenses | $67,860,335 | PYTotalExpensesAmt |
| CY Total Expenses | $71,743,754 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,877,152 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $9,303,677 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $301,216,046 | TotalAssetsBOYAmt |
| Total Assets EOY | $314,025,310 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $151,061,396 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $153,571,419 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $150,154,650 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $160,453,891 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ENRICHING THE QUALITY OF LIFE OF OLDER ADULTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $62,260,718 | ExpenseAmt |
| Revenue | $66,999,478 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $62,260,718 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (1) | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 78 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 715 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VICTOR MEINKE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4155622690 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SILVER AVENUE | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| HOWARD FINE | |||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SOPHIE SHARP | |||||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID LOWI | |||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD BAUM | |||||||||
| IMMEDIATE PAST CHAIR THROUGH 1/2018 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES DAVIS | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL EISLER | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| STEVEN FAYNE | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW GERSHUNY | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ALEX MANN | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JACK MUNSON | |||||||||
| TRUSTEE THROUGH 4/2018 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN PERLMAN | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LYNN SEDWAY | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HOWARD ZACK | |||||||||
| TRUSTEE | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL RUTH | |||||||||
| PRESIDENT AND CEO | 24.00 | 12.00 | Yes (X) | $0 | $1,786,261 | $195,142 | |||
| VICTOR MEINKE | |||||||||
| CHIEF FINANCIAL OFFICER | 30.00 | 1.00 | Yes (X) | $0 | $307,056 | $214,254 | |||
| MARK FRIEDLANDER | |||||||||
| EXEC DIRECTOR, NURSING HOME ADMIN | 40.00 | 0.00 | Yes (X) | $201,569 | $0 | $11,676 | |||
| SHERIE KOSHOVER | |||||||||
| CHIEF ADVANCEMENT OFFICER | 24.00 | 3.00 | $0 | $507,872 | $46,465 | Yes (X) | |||
| KATHY BURKLE | |||||||||
| CIO THROUGH 6/30/2017 | 4.00 | 32.00 | $0 | $154,345 | $481 | Yes (X) | |||
| MICHAEL SKAFF | |||||||||
| CIO/COO | 4.00 | 32.00 | $0 | $159,830 | $11,204 | Yes (X) | |||
| ELLIOTT STEIN | |||||||||
| MEDICAL DIRECTOR, APU | 8.00 | 0.00 | $209,731 | $0 | $588 | Yes (X) | |||
| MARIO LEMAY | |||||||||
| DIRECTOR OF UTILIZATION MANAGEMENT | 40.00 | 0.00 | $184,184 | $0 | $11,155 | Yes (X) | |||
| SHARON BERNAL | |||||||||
| NURSE PRACTITIONER | 40.00 | 0.00 | $157,849 | $0 | $3,005 | Yes (X) | |||
| ZENAIDA CURA | |||||||||
| ASSISTANT DIRECTOR, NURSING | 40.00 | 0.00 | $154,709 | $0 | $13,311 | Yes (X) | |||
| RAN MALOOL | |||||||||
| DIRECTOR, FACILITIES | 40.00 | 0.00 | $142,132 | $0 | $14,913 | Yes (X) | |||
| MATTHEW POWONDRA | |||||||||
| DIRECTOR, ADMISSIONS & MARKETING | 40.00 | 0.00 | $146,016 | $0 | $17,667 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,196,190 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,915,364 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $539,861 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CANNON CONSTRUCTORS INC | |||||
| 6000 SHORELINE COURT 206 | SOUTH SAN FRANCISCO | CA | 94080 | CONTRACTORS | $10,579,997 |
| JEWISH SENIOR LIVING GROUP | |||||
| 302 SILVER AVENUE | SAN FRANCISCO | CA | 94112 | MANAGEMENT/ADMINISTRATIVE SERVICES | $7,094,301 |
| ONR INC | |||||
| 1101 S CAPITAL OF TEXAS HWY BLDG | AUSTIN | TX | 78746 | CONTRACT PHYSICAL/OCCUPATIONAL THERAPIST | $4,075,655 |
| DOME CONSTRUCTION CORPORATION | |||||
| 393 EAST GRAND AVE | SOUTH SAN FRANCISCO | CA | 94080 | CONTRACTORS | $1,338,107 |
| ANKROM | |||||
| 38 NW DAVIS ST 300 | PORTLAND | OR | 97209 | CONTRACTORS | $1,003,092 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,085,509 | RelatedOrganizationsAmt |
| All Other Contributions | $12,680,182 | AllOtherContributionsAmt |
| Noncash Contributions | $16,713 | NoncashContributionsAmt |
| Total Contributions | $13,765,691 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERV. REV. | 623000 | $66,866,630 | $66,866,630 |
| OTHER OPERATING REV. | 623000 | $132,848 | $132,848 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $66,999,478 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,041 | TotalRevenueColumnAmt |
| Exclusion | $2,041 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $74,385 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$74,385 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$74,385 | TotalRevenueColumnAmt |
| Exclusion | -$74,385 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $124,308 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $66,308 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,000 | TotalRevenueColumnAmt |
| Exclusion | $58,000 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| SHARED FACILITY REIMB. | 900099 | $168,000 | $168,000 |
| CAFETERIA | 722514 | $31,543 | $31,543 |
| PARKING REVENUE | 812930 | $15,720 | $15,720 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,343 | TotalRevenueColumnAmt |
| Exclusion | $81,343 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $296,606 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,047,431 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,999,478 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $282,262 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,189 | TotalAmt |
| Program Services | $440,189 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,886,161 | TotalAmt |
| Program Services | $31,596,402 | ProgramServicesAmt |
| Management And General | $88,454 | ManagementAndGeneralAmt |
| Fundraising | $201,305 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,010,248 | TotalAmt |
| Program Services | $1,001,138 | ProgramServicesAmt |
| Management And General | $2,781 | ManagementAndGeneralAmt |
| Fundraising | $6,329 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,695,753 | TotalAmt |
| Program Services | $6,635,651 | ProgramServicesAmt |
| Management And General | $18,347 | ManagementAndGeneralAmt |
| Fundraising | $41,755 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,392,732 | TotalAmt |
| Program Services | $2,370,783 | ProgramServicesAmt |
| Management And General | $6,407 | ManagementAndGeneralAmt |
| Fundraising | $15,542 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,772 | TotalAmt |
| Program Services | $179,018 | ProgramServicesAmt |
| Management And General | $35,179 | ManagementAndGeneralAmt |
| Fundraising | $575 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,636 | TotalAmt |
| Management And General | $61,636 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,812,753 | TotalAmt |
| Program Services | $8,219,284 | ProgramServicesAmt |
| Management And General | $7,583,672 | ManagementAndGeneralAmt |
| Fundraising | $9,797 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,693 | TotalAmt |
| Management And General | $197,710 | ManagementAndGeneralAmt |
| Fundraising | $2,983 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,610,936 | TotalAmt |
| Program Services | $3,189,918 | ProgramServicesAmt |
| Management And General | $405,893 | ManagementAndGeneralAmt |
| Fundraising | $15,125 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,949,729 | TotalAmt |
| Program Services | $1,691,920 | ProgramServicesAmt |
| Management And General | $257,809 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,234 | TotalAmt |
| Program Services | $13,234 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,911 | TotalAmt |
| Program Services | $35,911 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $603,570 | TotalAmt |
| Program Services | $410,428 | ProgramServicesAmt |
| Management And General | $193,142 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,859,669 | TotalAmt |
| Program Services | $2,545,105 | ProgramServicesAmt |
| Management And General | $285,967 | ManagementAndGeneralAmt |
| Fundraising | $28,597 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $674,296 | TotalAmt |
| Program Services | $674,296 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| MED./NURSING SUPPLIES | $2,275,318 | $2,275,318 | |
| LICENSES AND TAXES | $255,149 | $255,149 | |
| DUES AND FEES | $144,707 | $144,125 | $582 |
| RECREATIONAL ACTIVITIES | $53,572 | $53,572 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,726 | TotalAmt |
| Program Services | $529,277 | ProgramServicesAmt |
| Management And General | $23,100 | ManagementAndGeneralAmt |
| Fundraising | $349 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,743,754 | TotalAmt |
| Program Services | $62,260,718 | ProgramServicesAmt |
| Management And General | $9,160,097 | ManagementAndGeneralAmt |
| Fundraising | $322,939 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,617 | BOYAmt |
| EOY | $29,116 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,511,388 | BOYAmt |
| EOY | $13,130,807 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,000,513 | BOYAmt |
| EOY | $12,000,513 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,834,039 | BOYAmt |
| EOY | $9,825,168 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $800,000 | BOYAmt |
| EOY | $800,000 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,900 | BOYAmt |
| EOY | $185,860 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $362,085 | BOYAmt |
| EOY | $346,414 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $140,141,477 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $48,446,635 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,662,946 | BOYAmt |
| EOY | $91,694,842 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,865,558 | BOYAmt |
| EOY | $186,012,590 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,216,046 | BOYAmt |
| EOY | $314,025,310 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,426,389 | BOYAmt |
| EOY | $9,113,647 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,000 | BOYAmt |
| EOY | $140,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,369 | BOYAmt |
| EOY | $56,369 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,108,376 | BOYAmt |
| EOY | $132,553,289 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,850,758 | BOYAmt |
| EOY | $5,528,925 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,319,504 | BOYAmt |
| EOY | $6,179,189 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,061,396 | BOYAmt |
| EOY | $153,571,419 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,735,199 | BOYAmt |
| EOY | $83,094,525 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,854,595 | BOYAmt |
| EOY | $68,833,747 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,564,856 | BOYAmt |
| EOY | $8,525,619 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,154,650 | BOYAmt |
| EOY | $160,453,891 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $301,216,046 | BOYAmt |
| EOY | $314,025,310 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $9,303,677 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $995,564 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,883,137 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,152,450 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,390,660 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,461,638 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,765,691 | CurrentTaxYearAmt |
| Total | $89,653,576 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,883,137 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,152,450 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $42,390,660 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,461,638 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,765,691 | CurrentTaxYearAmt |
| Total | $89,653,576 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $12,300,009 | SubstantialContributorsTotAmt |
| Public Support Total170 | $77,353,567 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,341 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,351 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,638 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,041 | CurrentTaxYearAmt |
| Total | $17,659 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $234,399 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $300,619 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $425,681 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $712,059 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $296,606 | CurrentTaxYearAmt |
| Total | $1,969,364 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $91,640,599 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $331,221,895 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.84410 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85320 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | PARKING REVENUE - 2013 AMOUNT: $ 44,985. 2014 AMOUNT: $ 50,186. 2015 AMOUNT: $ 25,597. 2016 AMOUNT: $ 12,441. 2017 AMOUNT: $ 15,720. REIMBURSEMENTS FOR SHARED FACILITIES - 2013 AMOUNT: $ 168,000. 2014 AMOUNT: $ 168,000. 2015 AMOUNT: $ 168,000. 2016 AMOUNT: $ 168,000. 2017 AMOUNT: $ 168,000. ALL OTHER REVENUE - 2013 AMOUNT: $ 21,414. 2014 AMOUNT: $ 82,433. 2015 AMOUNT: $ 232,084. 2016 AMOUNT: $ 531,618. 2017 AMOUNT: $ 112,886. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,664,908 | BeginningYearBalanceAmt |
| Contributions | $739,632 | ContributionsAmt |
| Other Expenditures | $39,237 | OtherExpendituresAmt |
| End Year Balance | $13,365,303 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,534,341 | BeginningYearBalanceAmt |
| Contributions | $1,000,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,130,567 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $12,664,908 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,566,044 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$31,703 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,534,341 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,048,442 | BeginningYearBalanceAmt |
| Contributions | $125,000 | ContributionsAmt |
| Investment Earnings Or Losses | $392,602 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,566,044 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $41,023,535 | BeginningYearBalanceAmt |
| Contributions | $275,075 | ContributionsAmt |
| Investment Earnings Or Losses | $5,978,748 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $37,228,916 | AdministrativeExpensesAmt |
| End Year Balance | $10,048,442 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.63790 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.36210 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,849 | OtherCostOrOtherBasisAmt |
| Book Value | $90,849 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $76,217,084 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,842,668 | DepreciationAmt |
| Book Value | $41,374,416 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,015,757 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,601,925 | DepreciationAmt |
| Book Value | $3,413,832 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,817,787 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,002,042 | DepreciationAmt |
| Book Value | $46,815,745 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $91,694,842 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN JHSLF | $18,730,535 |
| SPLIT INTEREST AGREEMENTS | $5,387,903 |
| CAPITALIZED GIFTS IN KIND | $13,887 |
| INTEREST IN NET ASSETS OF JHSLF | $48,259,763 |
| DUE FROM RELATED PARTIES | $229,165 |
| UNSPENT BOND PROCEEDS HELD BY TRUSTEE | $105,384,649 |
| CAPITALIZED INTEREST FROM BONDS | $5,495,136 |
| ACCRUED INTEREST RECEIVABLE | $246,545 |
| WORKERS COMP DEPOSITS | $2,265,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $186,012,590 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEPOSITS | $105,715 |
| DUE TO RELATED PARTIES | $6,073,474 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,179,189 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $82,199,928 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $16,240 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $995,564 | OtherRevenueAmt |
| Revenue Not Reported | $1,011,804 | RevenueNotReportedAmt |
| Revenue Subtotal | $81,188,124 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$140,693 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$140,693 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $81,047,431 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $71,900,687 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $16,240 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $140,693 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $156,933 | ExpensesNotReportedAmt |
| Expenses Subtotal | $71,743,754 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $71,743,754 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT ASSETS CONSISTS OF FUNDS ESTABLISHED TO GENERATE OPERATING SUPPORT TO THE ORGANIZATION AND CAPITAL CAMPAIGN FUNDS WHICH THE BOARD OF TRUSTEES MAY USE TO REPAY THE PRINCIPAL PORTION OF THE CONSTRUCTION DEBT AND INCLUDES ACCUMULATED EARNINGS THEREON THAT HAVE NOT YET BEEN EXPENDED. |
| PART X, LINE 2: | THE ORGANIZATION FOLLOWS THE U.S. GAAP ACCOUNTING STANDARD REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THIS ACCOUNTING STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE STANDARD REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN. THEREFORE, NO LIABILITY HAS BEEN RECORDED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 19,585. CHANGE IN BENEFICIAL INTEREST IN JHSLF 975,979. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF FIXED ASSETS -74,385. COST OF GOODS SOLD -66,308. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS ON DISPOSAL OF FIXED ASSETS 74,385. COST OF GOODS SOLD 66,308. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $485,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $485,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,031,296 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,230,063 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,516,586 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,230,063 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $485,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00680 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $122,968 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $122,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $122,968 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $122,968 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,639,554 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,230,063 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $608,258 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00850 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $664,945 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $6,210 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,675,301 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $14,958,992 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,716,309 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEBREW HOME FOR AGED DISABLED | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SILVER AVENUE | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.SFCJL.ORG | WebsiteAddressTxt |
| State License | 220000224 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | ACUTE PSYCHIATRIC HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEBREW HOME FOR AGED DISABLED | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://SFCJL.ORG/ABOUT-COMMUNITY-BENEFIT.HTM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://SFCJL.ORG/ABOUT-COMMUNITY-BENEFIT.HTM | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HEBREW HOME FOR AGED DISABLED | PART V, SECTION B, LINE 5: THE ORGANIZATION IS A MEMBER OF THE SAN FRANCISCO HEALTH IMPROVEMENT PLAN (SFHIP), WHICH CONSISTS OF NON-PROFIT HOSPITAL PARTNER MEMBERS WHO COLLABORATED TOGETHER TO COMPLETE THE 2016 SAN FRANCISCO COMMUNITY HEALTH NEEDS ASSESSMENT.THE GOALS OF THE COMMUNITY ENGAGEMENT COMPONENT OF THE CHNA WERE TO: (I) IDENTIFY SAN FRANCISCAN'S HEALTH PRIORITIES, ESPECIALLY THOSE OF VULNERABLE POPULATIONS, (II) OBTAIN DATA ON POPULATIONS FOR WHICH THERE WAS LITTLE QUANTITATIVE DATA, (III) BUILD RELATIONSHIPS BETWEEN THE COMMUNITY AND SFHIP, AND (IV) MEET THE REGULATORY REQUIREMENTS, INCLUDING THE IRS RULES FOR CHARITABLE 501(C)(3) HOSPITALS, PUBLIC HEALTH ACCREDITATION BOARD REQUIREMENTS FOR SAN FRANCISCO HEALTH DEPARTMENT, AND THE SAN FRANCISCO PLANNING CODE REQUIREMENTS FOR A HEALTH CARE SERVICES MASTER PLAN.SFHIP WORKED WITH COMMUNITY PARTNERS TO CO-HOST COMMUNITY MEETINGS WITH TARGET POPULATIONS. SUCH COMMUNITY PARTNERS INCLUDE: ADVANCING JUSTICE OF THE ASIAN LAW CAUCUS, AFRICAN AMERICAN ART AND CULTURAL CENTER, ASOCIACION MAYAB, CARECEN, FILIPINO AMERICAN DEVELOPMENT FOUNDATION, INSTITUTO FAMILIAR DE LA RAZA, LARKIN STREET YOUTH, LGBT CENTER, NATIVE AMERICAN HEALTH CENTER, ON LOK 30TH STREET SENIOR CENTER, SWORDS TO PLOWSHARES, AND TRANSITIONS CLINIC. TARGET POPULATIONS WERE SELECTED BASED ON FOUR FACTORS: (1) THE POPULATION HAS KNOWN HEALTH DISPARITIES, (2) LITTLE INFORMATION DESCRIBING THE HEALTH OF THE POPULATION WAS AVAILABLE, (3) THE POPULATION WAS NOT INCLUDED IN A RECENT HEALTH ASSESSMENT, AND (4) THE POPULATION WAS REACHABLE THROUGH AN EXISTING COMMUNITY GROUP.WHEN POSSIBLE, SFHIP JOINED EXISTING MEETINGS IN AN EFFORT TO INCREASE EFFICIENCY AND FACILITATE PARTICIPATION BY RESIDENTS. THE MAIN QUESTION ASKED OF PARTICIPANTS IN THESE MEETINGS WAS "WHAT ACTIONS CAN WE TAKE--INCLUDING RESIDENTS, COMMUNITY GROUPS, AND SFHIP--TO IMPROVE HEALTH"? PARTICIPANTS WERE ALSO ASKED ABOUT THE ASSETS AND BARRIERS WHICH EXIST IN THEIR COMMUNITIES REGARDING HEALTH.IN TOTAL, 127 PARTICIPANTS ATTENDED 11 MEETINGS BETWEEN JULY 1ST AND OCTOBER 2ND, 2015. PARTICIPANTS CAME FROM A WIDE VARIETY OF BACKGROUNDS. THE ETHNIC GROUP WITH THE LARGEST REPRESENTATION IN THE MEETINGS WERE LATINO (23%), BLACK/AFRICAN AMERICAN (15%), WHITE (17%), AND ASIAN (12%). OTHER SELF-REPORTED ETHNICITIES INCLUDED ARAB, FILIPINO, JEWISH, MIDDLE EASTERN, AND NATIVE AMERICAN. THE MAJORITY OF PARTICIPANTS WERE FEMALE (59%). |
| HEBREW HOME FOR AGED DISABLED | PART V, SECTION B, LINE 6A: HEBREW HOME FOR THE AGED DISABLED CONDUCTED ITS MOST RECENT CHNA IN CONJUNCTION WITH THE SAN FRANCISCO HEALTH IMPROVEMENT PLAN, WHICH INCLUDES THE FOLLOWING NON-PROFIT HOSPITAL PARTNER MEMBERS: SAINT FRANCIS MEMORIAL HOSPITAL, ST. MARY'S MEDICAL CENTER, SUTTER HEALTH CALIFORNIA PACIFIC MEDICAL CENTER, AND KAISER PERMANENTE SAN FRANCISCO. |
| HEBREW HOME FOR AGED DISABLED | PART V, SECTION B, LINE 11: THE JEWISH HOME HAS A 140-PLUS-YEAR HISTORY OF COMMUNITY BENEFIT TO THE ELDERLY POPULATION OF THE BAY AREA. OBJECTIVES TO CONTINUE THIS HISTORY OF SERVICE ARE A PRINCIPAL PART OF THE HOME'S ORGANIZATIONAL PHILOSOPHY AND STRATEGIC PLANNING INITIATIVES. SPECIFIC ACTIVITIES TO ADDRESS COMMUNITY BENEFITS INCLUDE:-PLANNING TO REVITALIZE THE JEWISH HOME'S CAMPUS INTO A MODEL OF CARE THAT WILL BENEFIT OLDER ADULTS IN THE BAY AREA (INCLUDING THE FRAIL AND VULNERABLE), ADDRESS URGENT SOCIETAL CHALLENGES (SUCH AS THE HUGE WAVE OF BABY BOOMERS REACHING RETIREMENT AGE), AND HELP SUSTAIN THE JEWISH HOME'S CHARITABLE MISSION BY BEING FINANCIALLY VIABLE. THIS DEVELOPMENT OF FINANCIALLY SUSTAINABLE FACILITIES, SERVICES, AND PROGRAMS WILL SERVE AND SUPPORT A BROADER CROSS-SECTION OF OLDER ADULTS RESIDING ON THE JEWISH HOME'S CAMPUS, OR IN THEIR OWN HOMES AND THE COMMUNITY.-EXPLORING COLLABORATIONS WITH ORGANIZATIONS WHOSE MISSIONS ARE SIMILAR TO THAT OF THE JEWISH HOME'S, WITH THE INTENT OF EXTENDING THE BREADTH OF CARE, PROGRAMS, AND SERVICES SO AS TO BETTER SERVE CONSTITUENT MEMBERS.-CONTINUING FUNDRAISING INITIATIVES TO ENSURE CONTINUED ABILITY TO SERVE THE FRAIL AND INDIGENT ELDERLY IN THE FUTURE.-COORDINATING WITH NEW AND ESTABLISHED RESIDENTIAL CARE FACILITIES AND PROGRAMS THROUGHOUT THE BAY AREA.-COORDINATING SERVICES AMONG OTHER JEWISH-SPONSORED ORGANIZATIONS.-DEVELOPING PROGRAMS AS THE NEEDS OF RESIDENTS CHANGE.-AS PART OF THE JEWISH SENIOR LIVING GROUP NETWORK, WORKING COLLABORATIVELY TO FURTHER DEVELOP A BROAD AND INTEGRATED NETWORK OF SENIOR LIVING COMMUNITIES, PROGRAMS, AND SERVICES IN THE BAY AREA.THE BOARD OF TRUSTEES OF THE JEWISH HOME IS COMMITTED TO ITS LONG TRADITION OF SERVICE TO THE ENTIRE COMMUNITY AND, IN PARTICULAR, THE UNDERSERVED. IT WILL CONTINUE TO IDENTIFY AND PLAN FOR NEEDS AS THE AGES AND DEMOGRAPHICS OF BOTH MEMBERS OF THE COMMUNITY AND THE HOME'S POPULATION UNDERGO GROWTH AND CHANGE. |
| HEBREW HOME FOR AGED DISABLED | PART V, SECTION B, LINE 13B: MEDICAID/MEDICARE, STATE REGULATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - HEBREW HOME FOR AGED DISABLED | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 302 SILVER AVENUE | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | SKILLED NURSING FACILITY AND REHABILITATION CENTER | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | A COST TO CHARGE RATIO, AS DETERMINED BY WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS, WAS USED TO CALCULATE THE AMOUNTS REPORTED ON LINE 7A AND 7B. THE COSTING METHODOLOGY USED ON LINE 7H WAS CALCULATED BASED ON ACTUAL COSTS FROM THE ORGANIZATION'S GENERAL LEDGER. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE IS REPORTED AS A NET ADJUSTMENT TO PATIENT CHARGES AND THEREFORE, IS NOT INCLUDED AS A PART OF TOTAL EXPENSES FROM PART IX, LINE 25, COLUMN A. |
| PART III, LINE 2: | UNCOLLECTED RESIDENT ACCOUNTS ARE ANALYZED BASED ON STANDARD PROCEDURES FOR ALL RESIDENT ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY).FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE ORGANIZATION RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ORGANIZATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED. |
| PART III, LINE 3: | COST-TO-CHARGE RATIO METHOD |
| PART III, LINE 4: | THE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT ADDRESS "PATIENT ACCOUNTS RECEIVABLE, NET", WHICH INCLUDES A DISCUSSION OF "ALLOWANCE FOR DOUBTFUL ACCOUNTS" CAN BE FOUND ON PAGES 10-11 OF THE AUDITED FINANCIAL STATEMENTS; THERE IS NO SEPARATE FOOTNOTE FOR BAD DEBT EXPENSE. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. THE AMOUNTS REPORTED IN LINES 5, 6, AND 7 COME FROM THE HOSPITAL'S FILED MEDICARE COST REPORT. THE TOTAL REVENUE EQUATES TO MEDICARE PAYMENTS AND THE MEDICARE ALLOWABLE COSTS ARE DETERMINED ON THE MEDICARE COST REPORT THAT UTILIZED COST TO CHARGE RATIOS APPLIED TO COVERED MEDICARE REVENUES. |
| PART III, LINE 9B: | PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MAY REQUEST AND NEGOTIATE THE TERMS OF AN EXTENDED PAYMENT PLAN. IF THE PATIENT AND SFCJL AGREE ON A PAYMENT PLAN, THE PATIENT MUST MAKE REGULAR, TIMELY PAYMENTS. A PATIENT WHO DOES NOT COMPLY WILL BE SENT TO COLLECTIONS, MAY HAVE ADVERSE INFORMATION REPORTED TO A CREDIT AGENCY, AND MAY BE SUBJECT TO A PROPERTY LIEN, EXCLUDING THE PATIENT'S PRIMARY RESIDENCE. HOWEVER, ASSET INFORMATION OBTAINED IN THE CHARITY CARE ELIGIBILITY DETERMINATION PROCESS ARE NOT USED FOR COLLECTION ACTIVITIES. |
| PART VI, LINE 2: | TO IDENTIFY THE MOST SIGNIFICANT HEALTH NEEDS IN SAN FRANCISCO, THE SFHIP STEERING COMMITTEE, AND SFHIP COMMUNITY HEALTH NEEDS ASSESSMENT SUBCOMMITTEE (INCLUDING REPRESENTATIVES FROM SFCJL) MET ON OCTOBER 8, AND NOVEMBER 4TH, 2015. PARTICIPANTS IDENTIFIED HEALTH NEEDS THROUGH A MULTISTEP PROCESS. FIRST PARTICIPANTS REVIEWED DATA AND INFORMATION FROM THE COMMUNITY HEALTH STATUS ASSESSMENT, THE ASSESSMENT OF PRIOR ASSESSMENTS, AND THE COMMUNITY ENGAGEMENT, AS WELL AS THE HEALTH PRIORITIES FROM THE 2012 COMMUNITY HEALTH IMPROVEMENT PLAN. THEN, USING THE TECHNOLOGY OF PARTICIPATION APPROACH TO CONSENSUS DEVELOPMENT, PARTICIPANTS ENGAGED IN SMALL GROUP FOCUSED DISCUSSIONS ABOUT THE DATA. FINALLY, PARTICIPANTS DEVELOPED CONSENSUS ON THE HEALTH NEEDS. THROUGHOUT THE PROCESS NEEDS WERE SCREENED USING PRE-ESTABLISHED CRITERIA. THROUGH THIS PROCESS TWO FOUNDATIONAL ISSUES AND SEVEN HEALTH NEEDS WERE IDENTIFIED. FOUNDATIONAL ISSUES ARE NEEDS WHICH AFFECT HEALTH AT EVERY LEVEL AND MUST BE ADDRESSED TO IMPROVE HEALTH IN SAN FRANCISCO. THE TWO FOUNDATIONAL ISSUES IDENTIFIED WERE: (I) ECONOMIC BARRIERS TO HEALTH, AND (II) RACIAL HEALTH INEQUITIES. THE SEVEN HEALTH NEEDS IDENTIFIED WERE: (I) PSYCHOSOCIAL HEALTH, (II) HEALTHY EATING, (III) SAFETY AND VIOLENCE PREVENTION, (IV) ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES ACROSS THE CONTINUUM, (V) HOUSING STABILITY/HOMELESSNESS, (VI) SUBSTANCE ABUSE, AND (VII) PHYSICAL ACTIVITY. |
| PART VI, LINE 3: | A RESIDENT SERVICES COORDINATOR STAFF IS AVAILABLE TO ASSIST RESIDENTS AND/OR THEIR FAMILY MEMBERS OR LEGAL REPRESENTATIVES THROUGH THE PROCESS OF DETERMINING THEIR ELIGIBILITY FOR ALL GOVERNMENT PROGRAMS AND ASSIST THEM IN THE APPLICATION PROCESS. |
| PART VI, LINE 4: | THE ORGANIZATION SERVES THE MOST MEDICALLY/COGNITIVELY FRAIL, AS WELL AS FINANCIALLY INDIGENT ELDERS (82 PERCENT OF THE ORGANIZATION RESIDENTS ARE INDIGENT AND/OR MEDI-CAL RECIPIENTS WHO DO NOT PAY THE FULL COST OF CARE), WITH AN AVERAGE AGE OF 87. IT PROVIDES PROFESSIONAL AND COMPREHENSIVE PROGRAMS THAT INCLUDE PERSONAL AND HEALTH CARE TO THE ELDERLY WHO PRIMARILY RESIDE IN THE GREATER SAN FRANCISCO BAY AREA.SAN FRANCISCO IS THE CULTURAL AND COMMERCIAL CENTER OF THE BAY AREA AND IS THE ONLY CONSOLIDATED CITY AND COUNTY JURISDICTION IN CALIFORNIA. AT ROUGHLY 47 SQUARE MILES, IT IS THE SMALLEST COUNTY IN THE STATE, BUT IS THE MOST DENSELY POPULATED LARGE CITY IN CALIFORNIA AND THE SECOND MOST DENSELY POPULATED MAJOR CITY IN THE UNITED STATES. BETWEEN 2010 AND 2014, THE POPULATION OF SAN FRANCISCO GREW BY 5 PERCENT TO 845,602, OUTPACING POPULATION GROWTH IN CALIFORNIA. BY 2030, SAN FRANCISCO'S POPULATION IS EXPECTED TO TOTAL NEARLY 970,000.SAN FRANCISCO IS AN AGING POPULATION; THE PROPORTION OF SAN FRANCISCO'S POPULATION THAT IS 65 YEARS AND OLDER IS EXPECTED TO INCREASE FROM 13.7 PERCENT IN 2010 TO 19.9% IN 2030. THE PROPORTION OF THE POPULATION 75 YEARS AND OLDER WILL INCREASE FROM 6.9% TO 9.8%. AT THE SAME TIME, IT IS ESTIMATED THAT THE PROPORTION OF WORKING AGE RESIDENTS (25 TO 64 YEARS OLD) WILL DECREASE FROM 63 PERCENT IN 2010 TO 57.7 PERCENT IN 2030. THIS SHIFT COULD HAVE IMPLICATIONS FOR THE PROVISION OF SOCIAL SERVICES.CURRENTLY, ABOUT ONE THIRD OF SAN FRANCISCO'S POPULATION IS FOREIGN BORN AND 23 PERCENT OF RESIDENTS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME AND SPEAK ENGLISH LESS THAN VERY WELL. |
| PART VI, LINE 5: | THE ORGANIZATION IS INVOLVED IN NUMEROUS COMMUNITY BUILDING ACTIVITIES TO PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES AS WELL AS TO PROVIDE TRAINING AND INTERNSHIP OPPORTUNITIES TO THE FUTURE CARETAKERS AND LEADERS OF THE COMMUNITIES. THE FOLLOWING IS A LIST OF SOME OF THOSE ACTIVITIES: THE ORGANIZATION'S STAFF ATTENDED AND PRESENTED IN CONFERENCES RELATED TO ISSUES ON THE CARE FOR THE ELDERLY; OVER THE PAST 39 YEARS, THE ORGANIZATION HAS PARTNERED WITH SAN FRANCISCO CITY COLLEGE IN OFFERING SEVERAL ADULT EDUCATION CLASSES TO THE GENERAL COMMUNITY--APPROXIMATELY 20 TO 25 STUDENTS ENROLL EACH SEMESTER IN THE CREATIVE ARTS CLASS; THE ORGANIZATION PARTNERS WITH LOCAL HIGH SCHOOLS THAT AIM TO INVOLVE YOUTH IN THEIR COMMUNITY BY ENCOURAGING THEM TO FULFILL NEEDS IN THEIR RESPECTIVE MILIEUS--MUTUAL GOALS INCLUDE THE PROMOTION OF CIVIC RESPONSIBILITY AND THE DEVELOPMENT OF LEADERSHIP SKILLS; STUDENTS FROM UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, SAMUEL MERRITT COLLEGE, DOMINICAN UNIVERSITY, SAN JOSE STATE UNIVERSITY, AND SAN FRANCISCO STATE UNIVERSITY CONTINUE TO INTERN WITH THE ORGANIZATION'S PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPISTS; THE ORGANIZATION REGULARLY OPENS ITS DOORS TO PROFESSIONAL ORGANIZATIONS AND COMMUNITY GROUPS, OFFERING THEM FREE MEETING SPACE, AND CONTINUING EDUCATION CREDITS; THE ORGANIZATION PARTNERS WITH LOCAL ORGANIZATIONS, FOSTERING DIALOGUE, COLLABORATIONS, AND ONGOING COMMUNICATIONS WITH ITS NEIGHBORS; GERIATRIC FELLOWS FROM THE HEBREW UNION COLLEGE-JEWISH INSTITUTE OF RELIGION IN LOS ANGELES, CA (IN COOPERATION WITH THE KALSMAN INSTITUTE ON JUDAISM AND HEALTH), AND HEBREW UNION COLLEGE-JEWISH INSTITUTE OF RELIGION (HUC-JIR) IN NEW YORK RECEIVE TRAINING AT THE ORGANIZATION; FOURTH-YEAR PHARMACY STUDENTS AT UCSF SPEND 12 HOURS A WEEK, IN 12-WEEK ROTATIONS, IN THE ORGANIZATION'S PHARMACY DEPARTMENT; THROUGH ITS AFFILIATION WITH THE ORGANIZATION, SIX TO SEVEN TOURO UNIVERSITY SCHOOL OF PHARMACY STUDENTS PER ACADEMIC YEAR RECEIVE A SIX-WEEK TRAINING IN LONG-TERM CARE PHARMACY--THEY LEARN HOW THE GERIATRIC PATIENT PROCESSES DRUGS DIFFERENTLY FROM A YOUNGER POPULATION, ARE EXPOSED TO HOW DRUGS ARE DISPENSED AND UTILIZED, AND GAIN AN UNDERSTANDING OF THIRD-PARTY PAYERS; THE ORGANIZATION COLLABORATES WITH THE SAN FRANCISCO JEWISH COMMUNITY CENTER TO PROVIDE HOT, NUTRITIOUS MEALS TO JEWISH SENIORS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL RUTH | ||||||||||||||
| PRESIDENT AND CEO | $0 | $729,521 | $0 | $225,000 | $0 | $831,740 | $0 | $186,177 | $0 | $8,965 | $0 | $1,981,403 | $0 | $816,412 |
| VICTOR MEINKE | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $275,816 | $0 | $31,240 | $0 | $0 | $0 | $208,100 | $0 | $6,154 | $0 | $521,310 | $0 | $0 |
| MARK FRIEDLANDER | ||||||||||||||
| EXEC DIRECTOR, NURSING HOME ADMIN | $181,750 | $0 | $19,015 | $0 | $804 | $0 | $5,516 | $0 | $6,160 | $0 | $213,245 | $0 | $0 | $0 |
| SHERIE KOSHOVER | ||||||||||||||
| CHIEF ADVANCEMENT OFFICER | $0 | $225,342 | $0 | $25,856 | $0 | $256,674 | $0 | $45,503 | $0 | $962 | $0 | $554,337 | $0 | $240,023 |
| KATHY BURKLE | ||||||||||||||
| CIO THROUGH 6/30/2017 | $0 | $127,874 | $0 | $24,020 | $0 | $2,451 | $0 | $0 | $0 | $481 | $0 | $154,826 | $0 | $0 |
| MICHAEL SKAFF | ||||||||||||||
| CIO/COO | $0 | $159,830 | $0 | $0 | $0 | $0 | $0 | $2,769 | $0 | $8,435 | $0 | $171,034 | $0 | $0 |
| ELLIOTT STEIN | ||||||||||||||
| MEDICAL DIRECTOR, APU | $209,731 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $588 | $0 | $210,319 | $0 | $0 | $0 |
| MARIO LEMAY | ||||||||||||||
| DIRECTOR OF UTILIZATION MANAGEMENT | $164,977 | $0 | $19,207 | $0 | $0 | $0 | $4,994 | $0 | $6,161 | $0 | $195,339 | $0 | $0 | $0 |
| SHARON BERNAL | ||||||||||||||
| NURSE PRACTITIONER | $155,841 | $0 | $0 | $0 | $2,008 | $0 | $0 | $0 | $3,005 | $0 | $160,854 | $0 | $0 | $0 |
| ZENAIDA CURA | ||||||||||||||
| ASSISTANT DIRECTOR, NURSING | $139,260 | $0 | $8,193 | $0 | $7,256 | $0 | $5,200 | $0 | $8,111 | $0 | $168,020 | $0 | $0 | $0 |
| RAN MALOOL | ||||||||||||||
| DIRECTOR, FACILITIES | $127,133 | $0 | $14,999 | $0 | $0 | $0 | $3,601 | $0 | $11,312 | $0 | $157,045 | $0 | $0 | $0 |
| MATTHEW POWONDRA | ||||||||||||||
| DIRECTOR, ADMISSIONS & MARKETING | $127,639 | $0 | $18,377 | $0 | $0 | $0 | $1,100 | $0 | $16,567 | $0 | $163,683 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THIS ORGANIZATION RELIED ON A RELATED ORGANIZATION TO ESTABLISH THE COMPENSATION AND BENEFITS OF THE TOP MANAGEMENT OFFICIAL, WHICH UTILIZED THE FOLLOWING METHODS: COMPENSATION COMMITTEE, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINE 4B | DURING THE 2017 CALENDAR YEAR, A RELATED ORGANIZATION CONTRIBUTED THE FOLLOWING AMOUNTS TO THE FOLLOWING INDIVIDUALS' SUPPLEMENTAL 457(F) RETIREMENT PLAN, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): DANIEL RUTH - $178,077 VICTOR MEINKE - $182,000 SHERIE KOSHOVER - $38,435 ADDITIONALLY, THE FOLLOWING INDIVIDUALS RECEIVED A TAXABLE DISTRIBUTION FROM THE 457(F) PLAN DUE TO VESTING, WHICH HAS BEEN INCLUDED IN "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III); THESE AMOUNTS HAVE ALSO BEEN REPORTED ON A PRIOR YEAR FORM 990 AS "DEFERRED COMPENSATION", AND THUS APPEARS ON SCHEDULE J, PART II, COLUMN (F) AS "COMPENSATION IN COLUMN (B) REPORTED AS DEFERRED ON PRIOR FORM 990": DANIEL RUTH - $816,412 SHERIE KOSHOVER - $240,023 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 680164610 | BondIssuerEIN |
| CUSIP | 13080SPQ1 | CUSIPNum |
| Bond Issued | 2016-11-29 | BondIssuedDt |
| Issue Price | $142,815,660 | IssuePriceAmt |
| Purpose | CONSTRUCTION OF TWO NEW RESIDENTIAL CARE FACILITY BUILDINGS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $142,815,660 | TotalProceedsAmt |
| In Reserve Fund | $3,010,355 | InReserveFundAmt |
| Capitalized Interest | $2,350,849 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $1,960,461 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $7,211,174 | CreditEnhancementAmt |
| Working Capital Expenditures | $12,549,544 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $7,315,735 | CapitalExpendituresAmt |
| Unspent | $108,417,542 | UnspentAmt |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL RUTH | PersonNm |
| Relationship With Org | PRESIDENT & CEO | RelationshipWithOrgTxt |
| Loan Purpose | PART V | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $800,000 | OriginalPrincipalAmt |
| Balance Due | $800,000 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $800,000 | TotalBalanceDueAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART II, COLUMN C | FormAndLineReferenceDesc |
| Explanation | COMPENSATION PACKAGE | ExplanationTxt |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | APPRAISED VALUE | MethodOfDeterminingRevenuesTxt |
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $200 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $8,453 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Collectibles CollectiblesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $750 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | APPRAISED VALUE | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,425 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST OF DONATED PROPERTY | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | WINE AND SPIRITS | 6 | $1,879 | COST OF DONATED PROP |
| Yes (X) | GIFT CERTIFICATES | 4 | $1,500 | COST OF DONATED PROP |
| Yes (X) | ELECTRONICS | 5 | $1,071 | FAIR MARKET VALUE |
| Yes (X) | RELIGIOUS ARTICLES | 1 | $222 | APPRAISED VALUE |
| Yes (X) | FLOWERS | 1 | $214 | COST OF DONATED PROP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 2 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN SCHEDULE M, PART I, COLUMN (B). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A: | THE ORGANIZATION PROVIDES LONG-TERM CARE, SHORT-TERM REHABILITATION, AND ACUTE PSYCHIATRIC CARE SERVICES. IT PROVIDES PROFESSIONAL AND COMPREHENSIVE PROGRAMS THAT INCLUDE PERSONAL AND HEALTH CARE TO RESIDENTS IN ITS OVER 374-BED FACILITY. IN THE CURRENT FISCAL YEAR, THE ORGANIZATION SERVED AN AVERAGE OF 356 RESIDENTS A DAY. THERE WERE 95 NEW ADMISSIONS FOR LONG-TERM CARE, 1,346 SHORT-TERM CARE PATIENTS AND 170 PATIENTS THAT REQUIRED ACUTE PSYCHIATRIC HOSPITALIZATION. THE ORGANIZATION IS A LICENSED SKILLED NURSING FACILITY SPECIALIZING IN PROGRAMS, SERVICES, AND CARE FOR OLDER ADULTS. THE ORGANIZATION IS AN 8-ACRE COMPREHENSIVE SENIOR CARE CENTER WITH FOUR DISTINCT BUILDINGS SERVING MORE THAN 270 RESIDENTS WITH DIVERSE CARE NEEDS, AND PROVIDING REHABILITATION SERVICES TO NUMEROUS OTHERS SEEKING SHORT-TERM CARE STAYS. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. MANAGEMENT OF THE ORGANIZATION REVIEWS THE COMPLETED FORM 990 AND FOLLOWS UP WITH THE TAX RETURN PREPARATION FIRM TO ANSWER ANY QUESTIONS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. EACH PERSON WHO IS DEEMED TO HAVE SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION (INCLUDING TRUSTEES, OFFICERS, AND KEY EMPLOYEES) SIGNS AN ANNUAL DISCLOSURE STATEMENT WHICH AFFIRMS THAT THE PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTOOD THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY, AND DISCLOSES ANY DIRECT OR INDIRECT AFFILIATIONS. ALL ANNUAL DISCLOSURE STATEMENTS ARE SUBMITTED TO THE SECRETARY. EACH EMPLOYEE DISCLOSES TO THE CHIEF EXECUTIVE OFFICER ALL MATERIAL FACTS REGARDING THE AFFILIATION OF SUCH EMPLOYEE WITH ANY PERSON WITH WHOM THE ORGANIZATION IS CONSIDERING ENTERING A TRANSACTION; THE CHIEF EXECUTIVE OFFICER THEN DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS FOR THESE EMPLOYEES. THE CHIEF EXECUTIVE OFFICER AND ANY OTHER PERSON WITH SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION SHALL DISCLOSE TO THE BOARD ALL MATERIAL FACTS REGARDING HIS OR HER AFFILIATION WITH ANY PERSON WITH WHOM THE JEWISH HOME IS CONSIDERING ENTERING A TRANSACTION; THE BOARD THEN DETERMINES IF A CONFLICT OF INTEREST EXISTS FOR THE CHIEF EXECUTIVE OFFICER OR PERSON WITH SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION. IF A BOARD MEMBER IS THE INDIVIDUAL WITH WHICH A CONFLICT OF INTEREST IS BEING DETERMINED, THE BOARD MEMBER IS NOT ALLOWED TO VOTE ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE CHIEF EXECUTIVE OFFICER IS COMPENSTED BY JEWISH SENIOR LIVING GROUP, A RELATED ORGANIZATION. AS SUCH, PART VI, SECTION B, LINE 15A HAS BEEN MARKED "NO", AS MANDATED BY THE FORM 990 INSTRUCTIONS. PLEASE REFERENCE THE DISCLOSURE IN SCHEDULE J, PART I, LINE 3 INCLUDED IN THIS FORM 990 OR PART VI, SECTION B, LINE 15A IN JEWISH SENIOR LIVING GROUP'S FORM 990 FOR A DISCUSSION ON HOW THAT ENTITY DETERMINES COMPENSATION FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. THE CHIEF EXECUTIVE OFFICER REVIEWS AND APPROVES THE ANNUAL COMPENSATION FOR THE OTHER EXECUTIVE TEAM MEMBERS BASED ON VARIOUS FACTORS SUCH AS ANNUAL COMPENSATION SURVEYS, PERFORMANCE APPRAISALS, AND OTHER NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS. THE BOARD OF TRUSTEES APPROVES THE ANNUAL BUDGET THAT INCLUDES COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON WRITTEN OR ORAL REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. |
| 990, PART VII, SECTION A: | HOURS FOR DANIEL RUTH, VICTOR MEINKE, SHERRIE KOSHOVER, KATHY BURKLE, MICHAEL SKAFF, AND ELLIOT STEIN APPEAR LOW AS THESE INDIVIDUALS DEVOTE A PORTION OF THEIR TIME TO AFFILIATED ORGANIZATIONS NOT RELATED (BY FORM 990 DEFINITIONS) TO THE HEBREW HOME FOR AGED DISABLED. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 173,268. MANAGEMENT AND GENERAL EXPENSES 341,694. FUNDRAISING EXPENSES 352. TOTAL EXPENSES 515,314. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 8,046,016. MANAGEMENT AND GENERAL EXPENSES 7,241,978. FUNDRAISING EXPENSES 9,445. TOTAL EXPENSES 15,297,439. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 19,585. CHANGE IN BENEFICIAL INTEREST IN JHSLF 975,979. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JEWISH SENIOR LIVING GROUP | |||||||||||
| 302 SILVER AVENUE | SAN FRANCISCO | CA | 94112 | 800291740 | SEE PART VII | CA | 501(C)(3) | LINE 12A, I | N/A | 0 | |
| BAY AREA JEWISH SENIOR LIFE | |||||||||||
| 302 SILVER AVENUE | SAN FRANCISCO | CA | 94112 | 455092344 | SEE PART VII | CA | 501(C)(3) | LINE 12A, I | 0 | JEWISH SENIOR LIVING GROUP | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARITABLE REMAINDER TRUSTS (3) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOLDING CO | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, COLUMN (B) | JEWISH SENIOR LIVING GROUP PRIMARY ACTIVITY: TO PROMOTE THE PROVISION OF JEWISH LIVING SERVICES, FACILITIES AND AGING SERVICES IN NORTHERN CALIFORNIA BY PROVIDING SERVICES DESIGNED TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK. |
| PART II, COLUMN (B) | BAY AREA JEWISH SENIOR LIFE PRIMARY ACTIVITY: TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK. |
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