2015-08-14T08:04:16-05:00 2014-09-30 410746749 CLIFTONLARSONALLEN LLP 300 CROWN COLONY DRIVE SUITE 310 QUINCY MA 02169 990 2013-10-01 042543731 HRCA HOUSING FOR ELDERLY INC HRCA 6173258000 1200 CENTRE STREET BOSTON MA 02131 JAMES D HART CFO 6173258000 2015-08-12 1 BARBARA MORRISON P00173340 6179848100 2015-07-30 2013 2016-03-07 17:11:31Z JACK SATTER HOUSE LOUIS J WOOLF 1200 CENTRE STREET BOSTON MA 02131 4502583 0 X WWW.HEBREWSENIORLIFE.ORG X 1973 MA SEE SCHEDULE O. 4 2 66 70 0 0 114948 56953 4235683 4355569 9468 9642 44010 46444 4404109 4468608 0 0 0 0 1178394 1194175 0 0 0 3406567 3838548 4584961 5032723 -180852 -564115 23021631 22099647 18014451 17656582 5007180 4443065 X TO OPERATE AFFORDABLE, SUPPORTIVE RESIDENTIAL HOUSING FOR LOW-INCOME SENIORS IN AN ATMOSPHERE THAT SUPPORTS INDIVIDUALITY AND RESPECT, FOSTERS ACTIVE AND ENERGETIC LIFESTYLES, ENCOURAGES INDEPENDENCE AND SELF-FULFILLMENT, AND VALUES VOLUNTEERISM AND PARTICIPATION. 0 0 3837129 4393878 THE ORGANIZATION PROVIDES SUPPORTIVE, AFFORDABLE INDEPENDENT HOUSING FOR PEOPLE 62 AND OVER IN REVERE, MA. THE 266-UNIT SPECIALIZED HOUSING COMPLEX INCLUDES 47 EFFICIENCY APARTMENTS, 202 ONE-BEDROOM APARTMENTS AND 17 TWO-BEDROOM APARTMENTS, ALL WITH OCEAN VIEWS OF THE REVERE BEACH SHORELINE. THE HOUSING COMPLEX IS DESIGNED FOR SENIORS WHO ARE ABLE TO LIVE ON THEIR OWN, BUT DESIRE THE SECURITY AND CONVENIENCES OF COMMUNITY LIVING WITH REGULAR PROGRAMS SUCH AS SOCIAL AND RECREATIONAL EVENTS. ALL APARTMENTS ARE DESIGNED FOR EASY ACCESS BY HANDICAPPED INDIVIDUALS AND EACH CONTAINS A 24-HOUR EMERGENCY CALL SYSTEM, WALL-TO-WALL CARPETING, AND INDIVIDUAL HEAT AND AIR CONDITIONING CONTROLS. ADDITIONALLY, THE HOUSING COMPLEX IS LOCATED EIGHT MILES FROM THE CULTURAL RICHNESS OF BOSTON AND THE COMMUNITY HAS EASY ACCESS TO NEARBY SHOPPING CENTERS, RESTAURANTS, AND PUBLIC TRANSPORTATION. 3837129 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 13 0 1 66 1 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X ANNA TRIOLO 7812894505 420 REVERE BEACH BLVD REVERE MA 02151 LOUIS J WOOLF PRESIDENT & CEO 0.20 49.80 X X 0 562832 95930 MARSHA COHEN TREASURER 0.10 4.40 X X 0 0 0 JAMES D HART SECRETARY & CFO 0.20 49.80 X X 0 311955 33430 TODD FINARD CHAIR 0.10 4.40 X X 0 0 0 JENNIFER K SILVER DIRECTOR (THRU 11/01/13) 0.10 4.40 X 0 0 0 JAY L WEBBER DIRECTOR (THRU 11/01/13) 0.10 4.40 X 0 0 0 FRANCIS X HINCKLEY CIO (THRU 05/05/15) 0.20 49.80 X 0 218779 31648 STEPHEN POST EXECUTIVE DIRECTOR 40.00 0.00 X 103228 0 11130 KATELYN QUYNN VP OF DEVELOPMENT 0.20 49.80 X 0 397652 25792 KIMBERLY BROOKS VP OF SENIOR LIVING 0.20 49.80 X 0 171540 11901 LEN FISHMAN FORMER CEO (THRU 02/15/13) 0.00 0.00 X 0 599573 9543 ALESSANDRA DE VACA FORMER CAO (THRU 09/06/13) 0.00 0.00 X 0 155671 19709 103228 2418002 239083 1 1 1 0 COROLLA CONTRACTING INC 15 BATES AVENUE WINTHROP MA 02152 CONSTRUCTION 331897 CONSIGLI CONSTRUCTION CO INC 72 SUMNER STREET MILFORD MA 01757 CONSTRUCTION 227965 TJ DRISCOLL CONSTRUCTION 968 CENTRAL STREET EAST BRIDGEWATER MA 02333 CONSTRUCTION 130375 3 56713 240 56953 RENTAL REVENUE 532000 3746486 3746486 MEALS 722210 604587 604587 COMMERCIAL INCOME 900099 4496 4496 4355569 9642 9642 42110 33975 8135 8135 LAUNDRY AND VENDING 812300 29007 29007 OTHER REVENUE 561499 9302 9302 38309 4468608 4393878 0 17777 968302 839913 128389 12849 10885 1964 139006 125045 13961 74018 64076 9942 186711 186711 14901 14901 12517 12517 10915 10915 10801 10801 114090 313 113777 1056369 985625 70744 472756 330929 141827 1420963 994674 426289 125058 87541 37517 FOOD SERVICE 366923 366923 TENANT SERVICES 30552 30552 OTHER EXPENSES 15992 653 15339 5032723 3837129 1195594 0 232021 299945 1962 1938 10207 11936 18045 21954 20676 23360 44673 40305 35266916 17542186 18038341 17724730 4655706 3975479 23021631 22099647 699853 414455 85637 96068 17189206 17093743 39755 52316 18014451 17656582 X 5007180 4443065 5007180 4443065 23021631 22099647 -564115 0 X 0 1 X 1 1 1 X 2226324 1814024 76883 114948 56953 4289132 3948509 3972727 4049713 4224228 4355569 20550746 6174833 5786751 4126596 4339176 4412522 24839878 0 0 0 24839878 5433 3431 6021 9468 9642 33995 5433 3431 6021 9468 9642 33995 50771 151278 152567 55465 80419 490500 6231037 5941460 4285184 4404109 4502583 25364373 0.97930 0.98080 0.00130 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 364500 364500 32768035 16075628 16692407 1884056 1466558 417498 250325 250325 17724730 REPLACEMENT RESERVE 2104474 ESCROW DEPOSITS & RESIDUAL RECEIPTS 273415 SECURITY DEPOSIT 96583 DEFERRED FINANCING COSTS, NET 513847 CERTIFICATES OF DEPOSIT 981560 OTHER ASSETS 5600 3975479 PREPAID RENT 9591 PAYABLES TO AFFILIATES 42725 52316 4502583 33975 33975 4468608 0 4468608 5066698 33975 33975 5032723 0 5032723 PART IV, LINE 2B: THE ORGANIZATION COLLECTS SECURITY DEPOSITS FROM THE TENANTS. THE DEPOSITS ARE HELD IN A SEPARATE BANK ACCOUNT AND ARE RETURNED TO THE TENANT AT THE TERMINATION OF THE LEASE. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF COST OF GOODS SOLD 33,975. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS OF COST OF GOODS SOLD 33,975. 1 1 0 0 0 0 0 0 0 LOUIS J WOOLF PRESIDENT & CEO 0 562832 0 0 0 0 0 67600 0 28330 0 658762 0 0 JAMES D HART SECRETARY & CFO 0 311955 0 0 0 0 0 5100 0 28330 0 345385 0 0 FRANCIS X HINCKLEY CIO (THRU 05/05/15) 0 218779 0 0 0 0 0 3318 0 28330 0 250427 0 0 KATELYN QUYNN VP OF DEVELOPMENT 0 397652 0 0 0 0 0 22600 0 3192 0 423444 0 0 KIMBERLY BROOKS VP OF SENIOR LIVING 0 171540 0 0 0 0 0 0 0 11901 0 183441 0 0 LEN FISHMAN FORMER CEO (THRU 02/15/13) 0 599573 0 0 0 0 0 0 0 9543 0 609116 0 0 ALESSANDRA DE VACA FORMER CAO (THRU 09/06/13) 0 155671 0 0 0 0 0 0 0 19709 0 175380 0 0 PART I, LINE 3 HEBREW SENIORLIFE, INC. (HSL), THE PARENT ORGANIZATION, ESTABLISHES COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO AND CFO. HSL UTILIZES THE FOLLOWING IN ESTABLISHING SUCH COMPENSATION: 1)COMPENSATION COMMITTEE 2)WRITTEN EMPLOYMENT CONTRACT 3)INDEPENDENT COMPENSATION CONSULTANT 4)COMPENSATION SURVEY OR STUDY 5)APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B DURING THE FISCAL YEAR, TWO FORMER OFFICERS RECEIVED COMPENSATION AND BENEFITS: 1)LEN FISHMAN, FORMER CEO, RECEIVED COMPENSATION OF $599,573 AND BENEFITS OF $9,543. 2)ALESSANDRA DE VACA, FORMER CAO, RECEIVED COMPENSATION OF $155,671 AND BENEFITS OF $19,709. LOUIS J. WOOLF, PRESIDENT & CEO, RECEIVED A HOUSING ALLOWANCE OF $20,000 WHICH WAS REPORTED AND INCLUDED ON HIS FORM W-2 AS WAGES. ADDITIONALLY, LOUIS J. WOOLF PARTICIPATED IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN, THAT INCLUDED $62,500 OF EMPLOYER CONTRIBUTIONS DURING THE YEAR. THIS AMOUNT IS INCLUDED IN THE DEFERRED COMPENSATION SECTION SHOWN IN FORM 990, PART VII. FORM 990, PART I, LINE 1: TO OPERATE AFFORDABLE, SUPPORTIVE RESIDENTIAL HOUSING FOR LOW-INCOME SENIORS IN AN ATMOSPHERE THAT SUPPORTS INDIVIDUALITY AND RESPECT, FOSTERS ACTIVE AND ENERGETIC LIFESTYLES, ENCOURAGES INDEPENDENCE AND SELF-FULFILLMENT, AND VALUES VOLUNTEERISM AND PARTICIPATION. FORM 990, PART VI, SECTION A, LINE 6 HEBREW SENIORLIFE, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE HEBREW SENIORLIFE BOARD CHAIR APPOINTS THE MEMBERS OF THE HRCA HOUSING FOR THE ELDERLY, INC. BOARD OF DIRECTORS WITH THE ADVICE AND CONSENT OF THE HEBREW SENIORLIFE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS INVOLVING MAJOR CHANGES IN ORGANIZATION, BUDGETARY DECISIONS, FINANCE, SALE OF ASSETS, ETC. ARE ALSO SUBJECT TO APPROVAL BY THE HEBREW SENIORLIFE'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 PREPARATION OF THE FORM 990 BEGINS INTERNALLY WITH HEBREW SENIORLIFE AND AFFILIATES STAFF AND CLIFTONLARSONALLEN PREPARES THE FORM WITH INPUT PROVIDED BY HEBREW SENIORLIFE. ALL FORMS 990 AND 990T OF THE AFFILIATES OF HEBREW SENIORLIFE, INC. (HSL IS THE SOLE CORPORATE MEMBER OF EACH AFFILIATE) WILL BE REVIEWED PRIOR TO FILING BY THE AUDIT COMMITTEE OF HEBREW SENIORLIFE, INC. SUBSEQUENT TO SUCH REVIEW AND PRIOR TO FILING COPIES WILL BE PROVIDED TO THE APPROPRIATE GOVERNING BOARD OF DIRECTORS FOR EACH AFFILIATE. THE GOVERNING BOARDS WILL HAVE 5 DAYS TIME IN WHICH TO VIEW THE FULL AND ACCURATE RETURNS PRIOR TO THEIR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF HRCA HOUSING FOR ELDERLY, INC., AN AFFILIATE OF HEBREW SENIORLIFE, VOTED TO ADOPT THE HEBREW SENIORLIFE CONFLICT OF INTEREST POLICY. MONITORING AND DEALING WITH POTENTIAL OR ACTUAL CONFLICTS: INDIVIDUALS COVERED UNDER THE CONFLICT OF INTEREST POLICY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE THE EXISTENCE OR POSSIBILITY OF A CONFLICT OF INTEREST AND SHALL BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE HEBREW SENIORLIFE CONFLICTS COMMITTEE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, EACH COVERED PERSON SHALL SIGN A STATEMENT AFFIRMING THAT SUCH PERSON RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY AND AGREES TO COMPLY WITH THE POLICY. THE SIGNED STATEMENT AFFIRMS THAT THE PERSON UNDERSTANDS HRCA HOUSING FOR ELDERLY, INC. IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, HRCA HOUSING FOR ELDERLY, INC. MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. WHO IS COVERED: THE CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, PERSONS SERVING IN SENIOR STAFF POSITIONS OUTLINED IN AN EXHIBIT ATTACHED TO THE CONFLICT OF INTEREST POLICY, AND ANY OTHER PERSON WHO IS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF ANY OF THE ORGANIZATION OR ANY OF ITS AFFILIATES. LEVEL AT WHICH DETERMINATIONS OF CONFLICT ARE MADE AND WHICH ACTUAL CONFLICTS ARE REVIEWED: THE HEBREW SENIORLIFE CONFLICTS COMMITTEE IS RESPONSIBLE FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS AND EVALUATING WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A TRANSACTION THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. THE CONFLICTS COMMITTEE REPORTS ITS FINDINGS TO THE BOARD OF DIRECTORS WHO ARE RESPONSIBLE FOR MAKING A FINAL DETERMINATION ON THE CONFLICT. RESTRICTIONS ON CONFLICTED PERSONS: ALL COVERED PERSONS ARE RESTRICTED FROM ENTERING INTO A TRANSACTION WITHOUT DISCLOSING THE ACTUAL OR POTENTIAL CONFLICT TO THE HEBREW SENIORLIFE CONFLICT COMMITTEE AND OBTAINING APPROVAL OF THE BOARD OF DIRECTORS. COVERED PERSONS WITH A CONFLICT MUST LEAVE THE ROOM WHEN TRANSACTIONS GIVING RISE TO THE CONFLICT ARE UNDER DISCUSSION BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE BOARD, WITH THE ASSISTANCE OF INDEPENDENT, EXPERT CONSULTANTS, HAS REVIEWED THE CEO'S TOTAL COMPENSATION, THE PRESIDENT'S TOTAL COMPENSATION AND THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES AS WELL AS HIGHLY COMPENSATED (>$150,000) EMPLOYEES OF HSL AND ITS AFFILIATES. THE FULL HSL BOARD FURTHER REVIEWED AND APPROVED THE COMPENSATION OF THE OFFICERS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES OF HSL AND ITS AFFILIATES. ALL OF THESE COMMITTEE MEMBERS ARE INDEPENDENT DIRECTORS. DOCUMENTATION AND RECORDS OF COMPENSATION COMMITTEE MEETINGS ARE MAINTAINED WITH RESPECT TO DELIBERATIONS AND COMPENSATION DECISIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S TAX RETURNS ARE AVAILABLE AT GUIDESTAR. GOVERNING DOCUMENTS ARE AVAILABLE AT THE COMMONWEALTH OF MASSACHUSETTS' WEBSITE. THE TAX RETURNS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST AT THE OFFICES OF HSL AT 1200 CENTRE STREET, BOSTON, MA 02131 OR BY TELEPHONE AND E-MAIL. HEBREW REHABILITATION CENTER 1200 CENTRE STREET BOSTON MA 02131 042104298 HEALTHCARE REHABILITATION FOR THE ELDERLY MA 501(C)(3) LINE 9 HEBREW SENIORLIFE INC 0 ORCHARD COVE INC 1200 CENTRE STREET BOSTON MA 02131 223080006 CONTINUING CARE RETIREMENT COMMUNITY MA 501(C)(3) LINE 9 HEBREW SENIORLIFE INC 0 HRCA BROOKLINE HOUSING 112-120 CENTRE STREET INC 1200 CENTRE STREET BOSTON MA 02131 030372998 OPERATE AFFORDABLE RESIDENTIAL HOUSING FOR THE ELDERLY MA 501(C)(3) LINE 9 HEBREW SENIORLIFE INC 0 HRCA BROOKLINE HOUSING 108 CENTRE STREET INC 1200 CENTRE STREET BOSTON MA 02131 810612222 PROVIDE HOUSING SUPPORT SERVICES FOR CENTER COMMUNITIES OF BROOKLINE MA 501(C)(3) LINE 11B, II HEBREW SENIORLIFE INC 0 HEBREW SENIORLIFE INC 1200 CENTRE STREET BOSTON MA 02131 900183119 PROVIDE MANAGEMENT,FINANCE,AND FUNDRAISING SERVICES TO RELATED ORGANIZATIONS MA 501(C)(3) LINE 7 N/A 0 NEWBRIDGE ON THE CHARLES INC 1200 CENTRE STREET BOSTON MA 02131 383707573 CONTINUING CARE RETIREMENT COMMUNITY MA 501(C)(3) LINE 9 HEBREW SENIORLIFE INC 0 HRCA BROOKLINE HOUSING 1550 BEACON PLAZA INC 1200 CENTRE STREET BOSTON MA 02131 040569403 OPERATE AFFORDABLE RESIDENTIAL HOUSING FOR THE ELDERLY MA 501(C)(3) LINE 9 HEBREW SENIORLIFE INC 0 HRCA SENIOR HOUSING INC 1200 CENTRE STREET BOSTON MA 02131 042765428 PROVIDE HOUSING TO LOW INCOME AND HANDICAPPED INDIVIDUALS MA 501(C)(3) LINE 9 HEBREW SENIORLIFE INC 0 CENTER COMMUNITIES OF BROOKLINE INC 1200 CENTRE STREET BOSTON MA 02131 010569404 OPERATE AFFORDABLE RESIDENTIAL HOUSING FOR THE ELDERLY MA 501(C)(3) LINE 9 HEBREW SENIORLIFE INC 0 HEBREW SENIORLIFE HOSPICE CARE INC 1200 CENTRE STREET BOSTON MA 02131 461309228 HOSPICE CARE MA 501(C)(3) LINE 9 HEBREW SENIORLIFE INC 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0