2019-05-13T12:07:22-05:00 2018-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2017-07-01 940545320 HEBREW HOME FOR AGED DISABLED HEBR 4153342500 302 SILVER AVENUE SAN FRANCISCO CA 941121510 VICTOR MEINKE CFO 4153342500 2019-05-13 1 MICHAEL LUMSDEN P01262236 4159561500 2019-05-09 12.129.7.100 2019-05-13 11:17:29 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 32BFBF1104AA8EEBC72962A0CCB0C2C16BC479E3 2017 2019-02-21 02:37:17Z SAN FRANCISCO CAMPUS FOR JEWISH LIVING DANIEL RUTH 302 SILVER AVENUE SAN FRANCISCO CA 941121510 81188124 0 X WWW.SFCJL.ORG X 1871 CA 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. 11 11 715 119 0 144940 13461638 13765691 67612709 66999478 -27702 -72344 690842 354606 81737487 81047431 0 0 0 0 39786015 42425083 0 0 322939 28074320 29318671 67860335 71743754 13877152 9303677 301216046 314025310 151061396 153571419 150154650 160453891 X ENRICHING THE QUALITY OF LIFE OF OLDER ADULTS. 0 0 62260718 66999478 SEE SCHEDULE O 62260718 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 78 0 1 715 1 1 1 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 1 0 CA X VICTOR MEINKE 4155622690 302 SILVER AVENUE SAN FRANCISCO CA 94112 X HOWARD FINE CHAIR 2.00 0.00 X X 0 0 0 SOPHIE SHARP SECRETARY 2.00 0.00 X X 0 0 0 DAVID LOWI TREASURER 2.00 0.00 X X 0 0 0 RICHARD BAUM IMMEDIATE PAST CHAIR THROUGH 1/2018 2.00 0.00 X 0 0 0 JAMES DAVIS TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL EISLER TRUSTEE 2.00 0.00 X 0 0 0 STEVEN FAYNE TRUSTEE 2.00 0.00 X 0 0 0 MATTHEW GERSHUNY TRUSTEE 2.00 0.00 X 0 0 0 ALEX MANN TRUSTEE 2.00 0.00 X 0 0 0 JACK MUNSON TRUSTEE THROUGH 4/2018 2.00 0.00 X 0 0 0 BRIAN PERLMAN TRUSTEE 2.00 0.00 X 0 0 0 LYNN SEDWAY TRUSTEE 2.00 0.00 X 0 0 0 HOWARD ZACK TRUSTEE 2.00 0.00 X 0 0 0 DANIEL RUTH PRESIDENT AND CEO 24.00 12.00 X 0 1786261 195142 VICTOR MEINKE CHIEF FINANCIAL OFFICER 30.00 1.00 X 0 307056 214254 MARK FRIEDLANDER EXEC DIRECTOR, NURSING HOME ADMIN 40.00 0.00 X 201569 0 11676 SHERIE KOSHOVER CHIEF ADVANCEMENT OFFICER 24.00 3.00 X 0 507872 46465 KATHY BURKLE CIO THROUGH 6/30/2017 4.00 32.00 X 0 154345 481 MICHAEL SKAFF CIO/COO 4.00 32.00 X 0 159830 11204 ELLIOTT STEIN MEDICAL DIRECTOR, APU 8.00 0.00 X 209731 0 588 MARIO LEMAY DIRECTOR OF UTILIZATION MANAGEMENT 40.00 0.00 X 184184 0 11155 SHARON BERNAL NURSE PRACTITIONER 40.00 0.00 X 157849 0 3005 ZENAIDA CURA ASSISTANT DIRECTOR, NURSING 40.00 0.00 X 154709 0 13311 RAN MALOOL DIRECTOR, FACILITIES 40.00 0.00 X 142132 0 14913 MATTHEW POWONDRA DIRECTOR, ADMISSIONS & MARKETING 40.00 0.00 X 146016 0 17667 1196190 2915364 539861 29 0 1 0 CANNON CONSTRUCTORS INC 6000 SHORELINE COURT 206 SOUTH SAN FRANCISCO CA 94080 CONTRACTORS 10579997 JEWISH SENIOR LIVING GROUP 302 SILVER AVENUE SAN FRANCISCO CA 94112 MANAGEMENT/ADMINISTRATIVE SERVICES 7094301 ONR INC 1101 S CAPITAL OF TEXAS HWY BLDG AUSTIN TX 78746 CONTRACT PHYSICAL/OCCUPATIONAL THERAPIST 4075655 DOME CONSTRUCTION CORPORATION 393 EAST GRAND AVE SOUTH SAN FRANCISCO CA 94080 CONTRACTORS 1338107 ANKROM 38 NW DAVIS ST 300 PORTLAND OR 97209 CONTRACTORS 1003092 38 1085509 12680182 16713 13765691 NET PATIENT SERV. REV. 623000 66866630 66866630 OTHER OPERATING REV. 623000 132848 132848 66999478 2041 2041 74385 -74385 -74385 -74385 124308 66308 58000 58000 SHARED FACILITY REIMB. 900099 168000 168000 CAFETERIA 722514 31543 31543 PARKING REVENUE 812930 15720 15720 81343 81343 296606 81047431 66999478 0 282262 X 440189 440189 31886161 31596402 88454 201305 1010248 1001138 2781 6329 6695753 6635651 18347 41755 2392732 2370783 6407 15542 214772 179018 35179 575 61636 61636 15812753 8219284 7583672 9797 200693 197710 2983 3610936 3189918 405893 15125 1949729 1691920 257809 13234 13234 35911 35911 603570 410428 193142 2859669 2545105 285967 28597 674296 674296 MED./NURSING SUPPLIES 2275318 2275318 LICENSES AND TAXES 255149 255149 DUES AND FEES 144707 144125 582 RECREATIONAL ACTIVITIES 53572 53572 552726 529277 23100 349 71743754 62260718 9160097 322939 30617 29116 8511388 13130807 12000513 12000513 9834039 9825168 800000 800000 148900 185860 362085 346414 140141477 48446635 66662946 91694842 202865558 186012590 301216046 314025310 5426389 9113647 300000 140000 56369 56369 133108376 132553289 5850758 5528925 6319504 6179189 151061396 153571419 X 79735199 83094525 61854595 68833747 8564856 8525619 150154650 160453891 301216046 314025310 X 9303677 995564 X 0 1 X 1 0 X 4883137 15152450 42390660 13461638 13765691 89653576 4883137 15152450 42390660 13461638 13765691 89653576 12300009 77353567 5288 4341 3351 2638 2041 17659 234399 300619 425681 712059 296606 1969364 91640599 331221895 0.84410 0.85320 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: 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. 12664908 739632 39237 13365303 10534341 1000000 1130567 12664908 10566044 -31703 10534341 10048442 125000 392602 10566044 41023535 275075 5978748 37228916 10048442 0.00000 0.63790 0.36210 1 0 90849 90849 76217084 34842668 41374416 15015757 11601925 3413832 48817787 2002042 46815745 91694842 BENEFICIAL INTEREST IN JHSLF 18730535 SPLIT INTEREST AGREEMENTS 5387903 CAPITALIZED GIFTS IN KIND 13887 INTEREST IN NET ASSETS OF JHSLF 48259763 DUE FROM RELATED PARTIES 229165 UNSPENT BOND PROCEEDS HELD BY TRUSTEE 105384649 CAPITALIZED INTEREST FROM BONDS 5495136 ACCRUED INTEREST RECEIVABLE 246545 WORKERS COMP DEPOSITS 2265007 186012590 DEPOSITS 105715 DUE TO RELATED PARTIES 6073474 6179189 X 82199928 16240 995564 1011804 81188124 -140693 -140693 81047431 71900687 16240 140693 156933 71743754 0 71743754 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. 1 1 X 1 X 1 X 1 1 0 1 1 485290 485290 0.00680 34031296 36230063 34516586 36230063 485290 0.00680 122968 122968 0.00170 122968 122968 0.00170 34639554 36230063 608258 0.00850 1 664945 6210 16675301 14958992 1716309 X 1 1 1 1 HEBREW HOME FOR AGED DISABLED 302 SILVER AVENUE SAN FRANCISCO CA 94112 WWW.SFCJL.ORG 220000224 X ACUTE PSYCHIATRIC HOSPITAL HEBREW HOME FOR AGED DISABLED 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X HTTPS://SFCJL.ORG/ABOUT-COMMUNITY-BENEFIT.HTM X 1 16 1 HTTPS://SFCJL.ORG/ABOUT-COMMUNITY-BENEFIT.HTM 0 1 X 100.000000000000 350.000000000000 X X X 1 1 X X X 1 X X X X X 1 X 0 X X X X 1 X 0 0 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 1 1 - HEBREW HOME FOR AGED DISABLED 302 SILVER AVENUE SAN FRANCISCO CA 94112 SKILLED NURSING FACILITY AND REHABILITATION CENTER 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 0 1 0 0 0 0 0 0 0 DANIEL RUTH PRESIDENT AND CEO 0 729521 0 225000 0 831740 0 186177 0 8965 0 1981403 0 816412 VICTOR MEINKE CHIEF FINANCIAL OFFICER 0 275816 0 31240 0 0 0 208100 0 6154 0 521310 0 0 MARK FRIEDLANDER EXEC DIRECTOR, NURSING HOME ADMIN 181750 0 19015 0 804 0 5516 0 6160 0 213245 0 0 0 SHERIE KOSHOVER CHIEF ADVANCEMENT OFFICER 0 225342 0 25856 0 256674 0 45503 0 962 0 554337 0 240023 KATHY BURKLE CIO THROUGH 6/30/2017 0 127874 0 24020 0 2451 0 0 0 481 0 154826 0 0 MICHAEL SKAFF CIO/COO 0 159830 0 0 0 0 0 2769 0 8435 0 171034 0 0 ELLIOTT STEIN MEDICAL DIRECTOR, APU 209731 0 0 0 0 0 0 0 588 0 210319 0 0 0 MARIO LEMAY DIRECTOR OF UTILIZATION MANAGEMENT 164977 0 19207 0 0 0 4994 0 6161 0 195339 0 0 0 SHARON BERNAL NURSE PRACTITIONER 155841 0 0 0 2008 0 0 0 3005 0 160854 0 0 0 ZENAIDA CURA ASSISTANT DIRECTOR, NURSING 139260 0 8193 0 7256 0 5200 0 8111 0 168020 0 0 0 RAN MALOOL DIRECTOR, FACILITIES 127133 0 14999 0 0 0 3601 0 11312 0 157045 0 0 0 MATTHEW POWONDRA DIRECTOR, ADMISSIONS & MARKETING 127639 0 18377 0 0 0 1100 0 16567 0 163683 0 0 0 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 A CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SPQ1 2016-11-29 142815660 CONSTRUCTION OF TWO NEW RESIDENTIAL CARE FACILITY BUILDINGS 0 0 0 A 142815660 3010355 2350849 1960461 7211174 12549544 7315735 108417542 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 DANIEL RUTH PRESIDENT & CEO PART V X 800000 800000 0 1 1 800000 SCHEDULE L, PART II, COLUMN C COMPENSATION PACKAGE X 2 1000 APPRAISED VALUE X 200 FAIR MARKET VALUE X 8453 FAIR MARKET VALUE X 1 750 APPRAISED VALUE X 4 1425 COST OF DONATED PROPERTY X WINE AND SPIRITS 6 1879 COST OF DONATED PROP X GIFT CERTIFICATES 4 1500 COST OF DONATED PROP X ELECTRONICS 5 1071 FAIR MARKET VALUE X RELIGIOUS ARTICLES 1 222 APPRAISED VALUE X FLOWERS 1 214 COST OF DONATED PROP 2 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN SCHEDULE M, PART I, COLUMN (B). 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. 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 JEWISH SENIOR LIVING GROUP 0 CHARITABLE REMAINDER TRUSTS (3) HOLDING CO CA N/A 1 0 0 0 0 1 0 0 0 0 1 0 0 1 1 1 0 1 0 0 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.