HEBREW REHABILITATION CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: HEBREW REHABILITATION CENTER (EIN 04-2104298)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-13
IRS object ID: 202602259349302185
Schema version: 2024v5.1
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 C
Schedule D
Schedule H
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-13T15:37:32+00:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS MAZARS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	ONE OAK ST SUITE 300	AddressLine1Txt
City	ASHEVILLE	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28801	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042104298	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEBREW REHABILITATION CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HEBR	BusinessNameControlTxt
Phone	6173638000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 CENTRE STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02131	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LOUIS J WOOLF	PersonNm
Person Title	PRESIDENT & CEO	PersonTitleTxt
Signature	2026-08-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY BIBBY	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2026-06-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LOUIS J WOOLF PRESIDENT & CEO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 CENTRE STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02131	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$175,345,597	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HEBREWSENIORLIFE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1903	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	2	VotingMembersIndependentCnt
Total Employee	1543	TotalEmployeeCnt
Total Volunteers	380	TotalVolunteersCnt
Total Gross UBI	$70,020	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$3,034	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,918,066	PYContributionsGrantsAmt
CY Contributions Grants	$22,738,018	CYContributionsGrantsAmt
PY Program Service Revenue	$145,009,636	PYProgramServiceRevenueAmt
CY Program Service Revenue	$151,330,515	CYProgramServiceRevenueAmt
PY Investment Income	$1,903,110	PYInvestmentIncomeAmt
CY Investment Income	$1,207,044	CYInvestmentIncomeAmt
PY Other Revenue	$30,693	PYOtherRevenueAmt
CY Other Revenue	$70,020	CYOtherRevenueAmt
PY Total Revenue	$168,861,505	PYTotalRevenueAmt
CY Total Revenue	$175,345,597	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	$104,464,205	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$105,997,285	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$63,740,157	PYOtherExpensesAmt
CY Other Expenses	$70,012,933	CYOtherExpensesAmt
PY Total Expenses	$168,204,362	PYTotalExpensesAmt
CY Total Expenses	$176,010,218	CYTotalExpensesAmt
PY Revenues Less Expenses	$657,143	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$664,621	CYRevenuesLessExpensesAmt
Total Assets BOY	$64,132,589	TotalAssetsBOYAmt
Total Assets EOY	$63,784,064	TotalAssetsEOYAmt
Total Liabilities BOY	$164,969,989	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$164,955,687	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$100,837,400	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$101,171,623	NetAssetsOrFundBalancesEOYAmt
Mission	TO OPERATE ITS HARVARD MEDICAL SCHOOLS AFFILIATED CHRONIC CARE HOSPITAL THAT PROVIDES SENIORS WITH COMPASSIONATE LONG-TERM CARE, POST-ACUTE CARE, OUTPATIENT SERVICES AND ADULT DAY HEALTH CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$160,618,818	ExpenseAmt
Revenue	$148,463,547	RevenueAmt
Desc	SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,101,698	ExpenseAmt
Revenue	$2,866,968	RevenueAmt
Desc	OTHER PROGRAM SERVICE REVENUE IS MADE UP OF MISCELLANEOUS NON-PATIENT SERVICE REVENUE AND EXPENSES, INCLUDING DEPARTMENT OF MEDICINE TEACHING, FELLOWSHIPS & OTHER SUPPORT, FOOD SERVICE, VARIETY OF ANCILLARY PROGRAMS, AND SPACE LEASED BY HSL.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$163,720,516	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1543	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	2	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JONATHAN ALLIA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6173638000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 CENTRE STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02131	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ADAM SCOTT
CEO (EFFECTIVE 06/2025)	1.0	49.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES D HART
SECRETARY & CHIEF FIN. OFFICER (THRU 11/2024)	5.0	45.0	Yes (X)	Yes (X)	$0	$524,960	$74,274
LOUIS J WOOLF
PRESIDENT AND CEO (THRU 7/2023, RETURNED 5/2024 TO 6/2025)	1.0	49.0	Yes (X)	Yes (X)	$0	$1,111,950	$58,342
MARK JOHNSON
SECRETARY & CHIEF FIN. OFFICER (EFFECTIVE 11/2024)	5.0	45.0	Yes (X)	Yes (X)	$0	$60,590	$6,822
MARSHA COHEN
TREASURER & SECRETARY	0.1	3.0	Yes (X)	Yes (X)	$0	$0	$0
RICHARD J HENKEN
CHAIR	0.1	3.1	Yes (X)	Yes (X)	$0	$0	$0
ERIC ROGERS
CHIEF INFORMATION OFFICER	1.0	49.0			$0	$375,841	$72,161	Yes (X)
ERNEST I MANDEL MD
EVP, HEALTHCARE AND CHIEF MEDICAL OFFICER	1.0	49.0			$572,249	$0	$40,833	Yes (X)
KATELYN QUYNN
CHIEF DEV OFF & VP BOARD REL	1.0	49.0			$0	$675,277	$58,293	Yes (X)
KATHYRN W TASKER
CHIEF SPONSORED AWARDS OFFICER	30.0	20.0			$353,255	$0	$77,809	Yes (X)
KIMBERLY J BROOKS
EXECUTIVE VICE PRESIDENT, SENIOR LIVING	1.0	49.0			$0	$508,858	$70,540	Yes (X)
LEWIS LIPSITZ MD
DIR, HMIFAR & CHIEF ACAD. OFF	30.0	20.0			$469,195	$0	$94,121	Yes (X)
LINDA THOMPSON
CHIEF PEOPLE OFFICER	1.0	49.0			$0	$477,336	$51,803	Yes (X)
MARY MOSCATO FACHE
PRESIDENT, HSL HC SVCS. & HRC	30.0	0			$321,888	$0	$850	Yes (X)
RACHEL LERNER ESQUIRE
CHIEF LEGAL OFFICER, EXECUTIVE DIRECTOR OF CP	1.0	49.0			$0	$357,336	$40,148	Yes (X)
SARAH K SJOSTROM
CNO AND VP OF PATIENT CARE SERVICES	25.0	25.0			$197,632	$0	$63,678	Yes (X)
SARAH L SYKORA
CHIEF COMM. & PLAN OFFICER	1.0	49.0			$0	$414,229	$67,955	Yes (X)
TAMMY B RETALIC MS RN
EVP, LUNDER CAREFORCE INSTITTUTE (EFFECTIVE 3/17/25)	5.0	45.0			$439,139	$0	$75,334	Yes (X)
ALVARO PASCUAL-LEONE
SENIOR SCIENTIST	45.0	0			$325,144	$0	$58,808		Yes (X)
ERAN D METZGER
MEDICAL DIRECTOR OF HSL PSYCHIATRY	45.0	0			$317,248	$0	$55,204		Yes (X)
INNOKENTIY BAKAEV
MEDICAL DIRECTOR, RSU AND LTCH	45.0	0			$305,586	$0	$60,955		Yes (X)
RASHMI KAURA
CLINICAL DIRECTOR, PALLIATIVE CARE	45.0	0			$289,923	$0	$42,957		Yes (X)
SHARON K INOUYE
SR. SCIENTIST/DIRECTOR	45.0	0			$370,247	$0	$40,572		Yes (X)
STEVEN LANDERS
PRESIDENT AND CEO (7/2023 - 5/2024)	1.0	49.0			$0	$1,057,095	$35,772			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,961,506	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,563,472	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,147,231	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	287	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$20,806,442	GovernmentGrantsAmt
All Other Contributions	$1,931,576	AllOtherContributionsAmt
Noncash Contributions	$816,018	NoncashContributionsAmt
Total Contributions	$22,738,018	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	623000	$148,463,547	$148,463,547
ALL OHER PROGRAM SERVICES	623000	$2,866,968	$2,866,968

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$151,330,515	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,131,383	TotalRevenueColumnAmt
Exclusion	$1,131,383	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$75,661	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$75,661	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$75,661	TotalRevenueColumnAmt
Exclusion	$75,661	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CELL TOWER RENTAL	Desc
Business	540000	BusinessCd
Total Revenue Column	$70,020	TotalRevenueColumnAmt
Unrelated Business Revenue	$70,020	UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$70,020	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$175,345,597	TotalRevenueColumnAmt
Related Or Exempt Func Income	$151,330,515	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$70,020	UnrelatedBusinessRevenueAmt
Exclusion	$1,207,044	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,007,098	TotalAmt
Management And General	$2,007,098	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$82,997,508	TotalAmt
Program Services	$81,523,860	ProgramServicesAmt
Management And General	$1,473,648	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,250,736	TotalAmt
Program Services	$1,125,662	ProgramServicesAmt
Management And General	$125,074	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,034,239	TotalAmt
Program Services	$11,730,814	ProgramServicesAmt
Management And General	$1,303,425	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,707,704	TotalAmt
Program Services	$6,036,934	ProgramServicesAmt
Management And General	$670,770	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$43,006	TotalAmt
Program Services	$9,031	ProgramServicesAmt
Management And General	$33,975	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$20,216	TotalAmt
Program Services	$20,216	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$5,724	TotalAmt
Management And General	$5,724	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,019,457	TotalAmt
Program Services	$5,424,565	ProgramServicesAmt
Management And General	$594,892	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$279,378	TotalAmt
Program Services	$251,441	ProgramServicesAmt
Management And General	$27,937	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$872,423	TotalAmt
Program Services	$581,464	ProgramServicesAmt
Management And General	$290,959	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,252,135	TotalAmt
Program Services	$2,026,920	ProgramServicesAmt
Management And General	$225,215	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,768,833	TotalAmt
Program Services	$10,289,826	ProgramServicesAmt
Management And General	$479,007	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$75,256	TotalAmt
Program Services	$72,308	ProgramServicesAmt
Management And General	$2,948	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$36,016	TotalAmt
Program Services	$30,445	ProgramServicesAmt
Management And General	$5,571	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,244	TotalAmt
Program Services	$12,820	ProgramServicesAmt
Management And General	$1,424	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$3,991,450	TotalAmt
Management And General	$3,991,450	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,166,910	TotalAmt
Program Services	$2,850,219	ProgramServicesAmt
Management And General	$316,691	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,476,897	TotalAmt
Program Services	$1,093,944	ProgramServicesAmt
Management And General	$382,953	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
RESEARCH	$19,539,966	$19,539,966
OTHER SERVICES	$4,673,616	$4,501,112	$172,504
PHARMACY	$4,169,365	$4,169,365
MEDICAL SUPPLIES AND PPE	$4,113,657	$3,989,816	$123,841

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,494,384	TotalAmt
Program Services	$8,439,788	ProgramServicesAmt
Management And General	$54,596	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$176,010,218	TotalAmt
Program Services	$163,720,516	ProgramServicesAmt
Management And General	$12,289,702	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,347,109	BOYAmt
EOY	$5,003,835	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$442,324	BOYAmt
EOY	$540,604	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,047,239	BOYAmt
EOY	$3,682,078	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,986,599	BOYAmt
EOY	$18,751,345	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,421,356	BOYAmt
EOY	$1,088,912	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,750,927	BOYAmt
EOY	$2,902,667	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$162,368,846	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$134,860,792	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$27,261,450	BOYAmt
EOY	$27,508,054	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,859,164	BOYAmt
EOY	$4,246,432	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$16,421	BOYAmt
EOY	$60,137	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$64,132,589	BOYAmt
EOY	$63,784,064	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,723,845	BOYAmt
EOY	$16,485,520	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,366,240	BOYAmt
EOY	$1,409,423	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,559	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$332,820	BOYAmt
EOY	$460,201	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$149,525,525	BOYAmt
EOY	$146,600,543	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$164,969,989	BOYAmt
EOY	$164,955,687	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$130,845,555	BOYAmt
EOY	-$131,668,623	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,008,155	BOYAmt
EOY	$30,497,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$100,837,400	BOYAmt
EOY	-$101,171,623	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$64,132,589	BOYAmt
EOY	$63,784,064	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$664,621	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$295,709	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$34,689	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24,607,736	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$23,626,733	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,676,200	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,918,066	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,738,018	CurrentTaxYearAmt
Total	$113,566,753	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24,607,736	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$23,626,733	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,676,200	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,918,066	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,738,018	CurrentTaxYearAmt
Total	$113,566,753	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$113,566,753	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,235,004	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,012,197	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,079,630	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,107,102	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,131,383	CurrentTaxYearAmt
Total	$5,565,316	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$367,507	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$401,489	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$356,955	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$30,693	CurrentTaxYearMinus1YearAmt
Current Tax Year	$70,020	CurrentTaxYearAmt
Total	$1,226,664	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$120,358,733	TotalSupportAmt
Gross Receipts Rltd Activities	$684,225,154	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.94357	PublicSupportCY170Pct
Public Support PY170	0.93040	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,435	OtherActivitiesAmt
Total Lobbying Expenditures	$2,435	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	HEBREW REHABILITATION CENTER MAINTAINS MEMBERSHIPS WITH CERTAIN ASSOCIATIONS, OF THE TOTAL DUES PAID, $2,435 WAS USED FOR LOBBYING FOR ELDER CARE.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,420,364	OtherCostOrOtherBasisAmt
Depreciation	$65,271,342	DepreciationAmt
Book Value	$17,149,022	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$79,048,478	OtherCostOrOtherBasisAmt
Depreciation	$69,589,450	DepreciationAmt
Book Value	$9,459,028	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$697,640	OtherCostOrOtherBasisAmt
Book Value	$697,640	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$27,508,054	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES
PARENT INVESTMENT POOL	$4,246,432	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$4,246,432	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
FEDERAL INCOME TAXES
DUE TO AFFILIATES	$146,600,543

Field	Value	IRS element (for citing)
Total Liability	$146,600,543	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART IV, LINE 2B EXPLANATION OF ESCROW AGREEMENT	FormAndLineReferenceDesc
Explanation	DEPOSITS CONSIST OF FUNDS HELD FOR PATIENTS FOR THEIR PERSONAL USE. IT IS REFERRED TO AS THE PATIENTS' BANK, AS ALLOWED BY MEDICAID. EACH MONTH, $75 OF A PATIENT'S SOCIAL SECURITY PAYMENT WILL GO TO THE PATIENTS' BANK FOR HIS/HER PERSONAL USE. THE REMAINDER GOES TO PAY FOR HIS/HER CARE.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,435,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,074,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,361,156	NetCommunityBenefitExpnsAmt
Total Expense	0.05925	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$111,435,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$101,074,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,361,156	NetCommunityBenefitExpnsAmt
Total Expense	0.05925	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,950,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,263,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,687,063	NetCommunityBenefitExpnsAmt
Total Expense	0.00965	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,789,442	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,787,942	NetCommunityBenefitExpnsAmt
Total Expense	0.01023	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,878,043	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,705,478	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,172,565	NetCommunityBenefitExpnsAmt
Total Expense	0.00671	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,033,858	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,337,440	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,696,418	NetCommunityBenefitExpnsAmt
Total Expense	0.04402	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$35,651,956	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,307,968	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,343,988	NetCommunityBenefitExpnsAmt
Total Expense	0.07059	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$147,087,311	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$124,382,167	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,705,144	NetCommunityBenefitExpnsAmt
Total Expense	0.12985	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,950,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,263,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,687,063	NetCommunityBenefitExpnsAmt
Total Expense	0.00965	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,950,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,263,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,687,063	NetCommunityBenefitExpnsAmt
Total Expense	0.00965	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,151,880	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$17,701,401	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,046,305	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$5,655,096	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	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 REHABILITATION CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1200 CENTRE STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02131	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HEBREWSENIORLIFE.ORG	WebsiteAddressTxt
State License	2290	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HEBREW REHABILITATION CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.hebrewseniorlife.org/about-us/community-partnerships	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.hebrewseniorlife.org/about-us/community-partnerships	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART VI - SUPPLEMENTAL INFORMATION	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART VI - SUPPLEMENTAL INFORMATION	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART VI - SUPPLEMENTAL INFORMATION	FAPSummaryOnWebsiteURLTxt
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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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	false	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3E	HEBREW REHABILITATION CENTER'S (HRC) 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA. THE CHNA CAN BE FOUND AT HTTPS://WWW.HEBREWSENIORLIFE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1	FACILITY , 1 - HEBREW REHABILITATION CENTER. IN SUPPORT OF OUR MISSION TO HONOR OUR ELDERS, HRC IS FOCUSED ON THE MOST VULNERABLE AND UNDER-SERVED OLDER PEOPLE, SUCH AS THE MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS IN THE COMMUNITY. HRC HAS ALSO PLACED SPECIAL IMPORTANCE ON OLDER PEOPLE AT RISK FOR ABUSE AND NEGLECT. THE ASSESSMENT DREW ON QUANTITATIVE DATA FROM FEDERAL, STATE, AND LOCAL SOURCES, AS WELL AS QUALITATIVE INSIGHTS OBTAINED MIXED METHODS APPROACH THAT INTEGRATED QUANTITATIVE DATA WITH COMMUNITY PERSPECTIVES, WITH A STRONG FOCUS ON INCLUSIVE ENGAGEMENT THROUGH: * INTERVIEWS - CONDUCTED STRUCTURED INTERVIEWS WITH 20 INDIVIDUALS FROM HEBREW SENIORLIFE'S COMMUNITY BENEFITS SERVICE AREA USING A STANDARDIZED INTERVIEW GUIDE. INTERVIEWEES INCLUDED BOTH ADMINISTRATIVE AND CLINICAL REPRESENTATIVES. * FOCUS GROUPS - HOSTED SIX FOCUS GROUPS TO GATHER INPUT FROM SERVICE PROVIDERS AND COMMUNITY RESIDENTS, WITH A FOCUS ON UNDERSTANDING THE HEALTH NEEDS AND EXPERIENCES OF OLDER ADULTS AND THEIR CAREGIVERS. * COMMUNITY LISTENING SESSION - CONVENED A LISTENING SESSION WITH TEN COMMUNITY RESIDENTS REPRESENTING BOTH RESIDENTS AND SERVICE PROVIDERS. PARTICIPANTS REVIEWED FINDINGS FROM THE INTEGRATED ANALYSIS OF INTERVIEWS, FOCUS GROUPS, SURVEYS, AND QUANTITATIVE DATA AND PROVIDED ADDITIONAL INSIGHTS AND FEEDBACK. * PARTNER-LED SURVEYS - INCORPORATED INPUT FROM SURVEYS CONDUCTED BY PARTNER ORGANIZATIONS, INCLUDING BETH ISRAEL LAHEY HEALTH, BOSTON COMMUNITY HEALTH COLLABORATIVE, AND THE CITY OF BOSTON AGESTRONG COMMISSION. * MULTI-SECTOR COMMUNITY ADVISORY GROUP (CAG), SENIOR LEADERSHIP, AND CLINICAL STAFF - ENGAGED THESE GROUPS THROUGHOUT THE PROCESS TO HELP IDENTIFY KEY HEALTH ISSUES AND PRIORITY POPULATIONS FOR THE IMPLEMENTATION STRATEGY.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1	FACILITY , 1 - HEBREW REHABILITATION CENTER. OTHER ORGANIZATIONS WITH WHOM THE ORGANIZATION CONDUCTED ITS CHNA AS PART OF THE PROCESS FOR ITS MOST RECENT CHNA, HRC PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE, WHICH GATHERED COMMUNITY INPUT BASED ON THE COLLABORATIVE'S SURVEY. HRC'S SURVEY RESULTS, ALONG WITH THE OTHER MEMBERS OF THE COLLABORITVE WHO SERVE THE SAME COMMUNITY, WERE USED BY HRC AS THE BASIS FOR THE CHNA AND IMPLEMENTATION STRATEGY.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1	FACILITY , 1 - HEBREW REHABILITATION CENTER. THE HRC 2025 CHNA IDENTIFIES THE FOLLOWING SIGNIFICANT HEALTH NEEDS FOR THE IDENTIFIED COHORTS IN OUR COMMUNITY. HEALTH NEEDS: * ECONOMIC STABILITY AND BASIC NEEDS * CHRONIC/COMPLEX CONDITIONS AND BEHAVIORAL HEALTH * ACCESS TO CARE AND HEALTH SYSTEM NAVIGATION * COMMUNITY ENVIRONMENT AND SOCIAL CONNECTEDNESS PRIORITY COHORTS: * OLDER ADULTS WITH CHRONIC CONDITIONS * OLDER ADULTS FACING ECONOMIC INSECURITY * OLDER ADULTS LIVING WITH DISABILITIES * LGBTQIA+ OLDER ADULTS * OLDER ADULTS AT-RISK FOR OR EXPERIENCING ABUSE AND NEGLECT * CAREGIVERS DETAILS ON HOW HRC IS WORKING TO INCREASE THE AVAILABILITY, ACCESSIBILITY, AND VISIBILITY OF SPECIALIZED GERIATRIC CARE ARE DETAILED EXTENSIVELY IN THE HRC 2025 CHNA IMPLEMENTATION PLAN. IN DETERMINING HOW HRC WOULD ADDRESS THE NEEDS IDENTIFIED IN ITS CHNA, HRC CONSIDERED THE DEGREE OF COMMUNITY NEED FOR ADDITIONAL RESOURCES, ITS ABILITY TO MEET THE NEED THROUGH ITS EXPERIENCE, EXPERTISE AND PROGRAMMING, AND THE CAPABILITY OF OTHER ORGANIZATIONS TO MEET THAT SAME NEED.
SCHEDULE H, PART V, SECTION B, LINE 13 FACILITY , 1	FACILITY , 1 - HEBREW REHABILITATION CENTER. HEBREW REHABILITATION CENTER ALSO USES MEDICAID ELIGIBILITY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1	FACILITY , 1 - HEBREW REHABILITATION CENTER. IN ADDITION TO HAVING THE FAP LISTED ON THE WEBSITE, NURSING UNIT COORDINATORS HAVE COPIES OF THE FAP AND APPLICATION IN THEIR OFFICES WHERE THEY ADMIT PATIENTS. FOR THE LONG-TERM CHRONIC CARE UNIT, FINANCIAL ASSISTANCE IS DISCUSSED BY THE FISCAL STAFF AT MEETINGS WITH PATIENTS AND FAMILIES.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HSL MEDICAL GROUP HRC (DEDHAM)
7000 GREAT MEADOW ROAD	DEDHAM	MA	02026	OUTPATIENT CLINIC
HEBREW SENIORLIFE MEDICAL GROUP AT OC
ONE DEL POND DRIVE	CANTON	MA	02021	OUTPATIENT CLINIC
HEBREW SENIORLIFE MEDICAL GROUP AT CCB
100 CENTRE STREET	BROOKLINE	MA	02446	OUTPATIENT CLINIC
GREAT DAYS FOR SENIORS (BRIGHTON)
30 WALLINGFORD ROAD	BRIGHTON	MA	02135	ADULT DAY HEALTH

Supplemental Information Detail SupplementalInformationDetail (25 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	HRC IS PART OF A GROUP OF NOT-FOR-PROFIT AFFILIATED ENTITIES WHOSE SOLE MEMBER IS HEBREW SENIORLIFE, INC. HSL'S COORDINATED SYSTEM OF CARE IS BASED ON THE PREMISE THAT RESEARCH, TRAINING OF GERIATRIC HEALTH-CARE PROFESSIONALS, SENIOR LIVING AND HEALTH CARE MUST BE INTEGRATED IN SUCH A WAY TO PROMOTE INDEPENDENCE FOR ALL ADULTS AS THEY AGE. THROUGH OUR UNPARALLELED COMBINATION OF EXPERIENCE, OPTIMISM, VISION, AND DETERMINATION, WE ARE WORKING TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE AS THEY AGE AND DISPELLING THE NOTION THAT GROWING OLD HAS TO MEAN GROWING FRAIL. HRC'S AFFILIATES INCLUDE SENIOR SUPPORTIVE HOUSING COMMUNITIES, WHICH HELP KEEP OLDER PEOPLE INDEPENDENT IN THEIR HOMES WITH SUPPORTIVE SERVICES, INCLUDING WELLNESS AND FITNESS PROGRAMS, SOCIAL SERVICE SUPPORTS, ACCESS TO HEALTH AND HOME CARE, DINING PROGRAMS, AND RECREATIONAL ACTIVITIES. COORDINATED SERVICES THROUGHOUT THE HSL NETWORK SUPPORT OLDER RESIDENTS IN THEIR INDEPENDENCE AND PROVIDE FOR SUCCESSFUL TRANSITIONS BETWEEN CARE SETTINGS. HSL'S DEPARTMENT OF VOLUNTEER, YOUTH, AND COMMUNITY ENGAGEMENT INVOLVED 473 CONSISTENT VOLUNTEERS THROUGH IN-PERSON AND REMOTE ENGAGEMENT AND AN ADDITIONAL 970 VOLUNTEERS THROUGH OUR MULTIGENERATIONAL PROGRAMS. THESE VOLUNTEERS SUPPORT THE HEBREW SENIORLIFE STAFF AND ENRICH THE LIVES OF OUR RESIDENTS AND PATIENTS WITH PROGRAM FACILITATION, ONE-ON-ONE SUPPORT, AND SPECIALIZED INITIATIVES. HRC'S ROSLINDALE CAMPUS MAKES KOSHER MEALS, AN IMPORTANT SERVICE TO MANY IN THE JEWISH COMMUNITY. ITS KITCHEN PROVIDES KOSHER MEALS FOR ETHOS AND SPRINGWELL (BOTH AGING SERVICES ACCESS POINTS) AS PART OF THEIR HOME-DELIVERED MEALS PROGRAM. THE DEANNA AND SIDNEY WOLK CENTER FOR MEMORY HEALTH PROVIDES OUTPATIENT SERVICES, INCLUDING DIAGNOSIS, TREATMENT, AND CARE MANAGEMENT FOR PEOPLE LIVING WITH COGNITIVE SYMPTOMS OR DISORDERS, AND FOR THEIR FAMILIES AND CAREGIVERS. THE WOLK CENTER SEEKS TO HELP INDIVIDUALS MAINTAIN THE HIGHEST POSSIBLE LEVEL OF BRAIN FUNCTION AS THEY AGE AND PROVIDE THE FAMILY AND CAREGIVER SUPPORT THAT IS CRITICAL TO ACHIEVING THE BEST LONG-TERM OUTCOMES AND OFFERS SUPPORT GROUPS AND CUSTOMIZED SUPPORT GROUP OFFERINGS. THE CENTER FOR THE PREVENTION OF ELDER ABUSE AND NEGLECT AT HEBREW SENIORLIFE (CPEAN) PROVIDES SAFE SHELTER AND SERVICES FOR OLDER PEOPLE SUFFERING FROM ABUSE, NEGLECT, OR FINANCIAL EXPLOITATION. WE WORK TO PREVENT ABUSE OF OLDER PEOPLE BY INCREASING AWARENESS AND PROVIDING EDUCATION IN FOUR AREAS: * PHYSICAL SHELTER FOR OLDER ADULTS WHO ARE IN AN UNSAFE SITUATION DUE TO ABUSE * SUPPORTIVE SERVICES TO SENIORS EXPERIENCING ABUSE * TRAINING AND EDUCATION * COMMUNITY AWARENESS-BUILDING OLDER PEOPLE AND THE PROFESSIONAL COMMUNITY ARE SERVED THROUGH SPONSORED EVENTS AND INCLUDE SUPPORT GROUPS, MEMORY CAFES, WEBINARS, CONFERENCE PRESENTATIONS, AND EVENT SPONSORSHIPS. HRC HELPED RAISE CRITICAL FUNDS THAT ALLOW THE ALZHEIMER'S ASSOCIATION TO ADVANCE RESEARCH TOWARD METHODS OF PREVENTION, TREATMENT AND, ULTIMATELY, A CURE FOR PATIENTS AND THEIR FAMILIES IMPACTED BY ALZHEIMER'S DISEASE. THROUGH A MULTITUDE OF COMMUNICATION CHANNELS (BLOGS, WEBSITE, SOCIAL MEDIA POSTS, ETC.) HSL PROVIDES THE GENERAL PUBLIC WITH MATERIALS THAT PROMOTE ACCESS TO SERVICES AND EDUCATION ON TOPICS RELATED TO AGING. THROUGH PREFERRED PROVIDER PARTNERSHIPS WITH AREA ACUTE CARE HOSPITALS - BETH ISRAEL DEACONESS MEDICAL CENTER, NEW ENGLAND BAPTIST HOSPITAL, AND MASS GENERAL BRIGHAM HOSPITAL - HEBREW REHABILITATION CENTER IN BOSTON AND AT NEWBRIDGE ON THE CHARLES IN DEDHAM WORKS TO PROVIDE THE HIGHEST STANDARDS OF CLINICAL CARE FOR OUR MUTUAL PATIENTS. DRIVEN BY A COMMITMENT TO REDUCE AVOIDABLE HOSPITALIZATIONS AND READMISSIONS, THE GOALS OF THESE AGREEMENTS ARE TO IMPROVE TRANSITIONS OF CARE FOR PATIENTS, ACCESS, COMMUNICATIONS, AND INFORMATION SHARING AND ENSURE THE BEST POSSIBLE PATIENT OUTCOMES. IN 2025, HRC ROSLINDALE PROVIDED SPACE AND VOLUNTEERS TO SPONSOR FIVE AMERICAN RED CROSS BLOOD DRIVES. OVER 125 EMPLOYEES AND COMMUNITY MEMBERS PARTICIPATED AS PRESENTING DONORS, AND SEVERAL KEY STAFF MEMBERS WERE INVOLVED IN ADMINISTRATIVE AND LOGISTICAL EFFORTS FOR A TOTAL OF OVER 150 HOURS. THROUGH HSL'S LIVEWELL PROGRAM EMPLOYEES MAY REQUEST GIFT CARDS TO LOCAL SUPERMARKETS TO EMPLOYEES WHO THROUGH THE HOLIDAY SUPPORT PROGRAM. IN 2025, 130 EMPLOYEES WERE ASSISTED FOR A TOTAL OF $9,060 IN GROCERY GIFT CARDS, WHICH REQUIRED 20 HOURS OF STAFF ADMINISTRATIVE TIME TO IMPLEMENT. HRC'S HINDA AND ARTHUR MARCUS INSTITUTE FOR AGING RESEARCH DESCRIBED IN GENERAL IN THE 990 SCHEDULE O PART III LINE 4A, IS A WORLDWIDE LEADER IN AGING RESEARCH. THROUGH THE HSL WEBSITE, THE MARCUS INSTITUTE PROVIDES A WEALTH OF FREE INFORMATION ON ITS LATEST FINDINGS IN A SERIES OF GUIDES THAT ADDRESS ISSUES FACED BY OLDER ADULTS AND THEIR FAMILIES. THESE GUIDES INCLUDE PREVENTING FALLS IN OLDER ADULTS, THE DELIRIUM GUIDE, AND ADVANCED DEMENTIA, A GUIDE FOR FAMILIES. MARCUS INSTITUTE RESEARCHERS HAVE SEVERAL IMPORTANT FINDINGS THAT WILL DIRECTLY IMPROVE THE HEALTH OF SENIORS, WHICH INCLUDE: 1. A VIDEO EDUCATION TOOL FOR FAMILY MEMBERS IMPROVED ALIGNMENT BETWEEN PREFERENCES FOR COMFORT-FOCUSED CARE AND ADVANCE DIRECTIVES AMONG PATIENTS WITH LATE-STAGE DEMENTIA. 2. RECOGNIZING CALCIFICATION OF THE ABDOMINAL AORTA ON BONE DENSITY SCANS CAN BE AN IMPORTANT CONTRIBUTOR TO HEART ATTACK RISK. DOCTORS SHOULD PAY ATTENTION TO THIS WHEN RECEIVING BONE DENSITY SCANS 3. WE HAVE FOUND ABNORMALITIES IN BRAIN NETWORKS ASSOCIATED WITH ALTERATIONS IN GAIT THAT CAN LEAD TO FALLS AND ASSOCIATED INJURIES. THIS INFORMATION IS LEADING TO THERAPEUTIC INTERVENTIONS WITH TRANSCRANIAL DIRECT CURRENT STIMULATION THAT STIMULATES THESE NETWORKS AND IMPROVES GAIT AND COGNITION. 4. MORE THAN ONE-THIRD OF WOMEN AND MEN AGE 65+ COHORT MEMBERS OF THE FRAMINGHAM HEART STUDY HAD CT IMAGING EVIDENCE OF NEW OR WORSENING MODERATE-TO-SEVERE DISC AND FACET JOINT DEGENERATION OVER 6 YEARS; THE HIGH FREQUENCY OF DEGENERATIVE FINDINGS IN ASYMPTOMATIC OLDER ADULTS SUGGESTS CAUTIOUS INTERPRETATION OF IMAGING RESULTS. 5. BOTH LONG-TERM AND RECENT WEIGHT LOSS IN OLDER ADULTS INCREASE DETERIORATION IN BONE MICROARCHITECTURE, ESPECIALLY AT THE WEIGHT-BEARING SKELETON; ATTENTION TO FRACTURE RISK IN OLDER ADULTS WITH RECENT WEIGHT LOSS AS WELL AS IN THOSE WITH WEIGHT LOSS OVER ADULTHOOD IS WARRANTED. 6. OLDER ADULTS WITH SMALLER SIZE AND LOWER DENSITY TRUNK MUSCLES AS SEEN ON CT IMAGES HAVE GREATER RISK OF EXCESSIVE FORWARD THORACIC CURVATURE (HYPERKYPHOSIS); STRENGTHENING MID-BACK MUSCULATURE MAY IMPROVE MUSCLE PROPERTIES AND PREVENT SPINAL DEFORMITY WITH AGING. 7. MORE THAN 50% OF THE VARIATION IN THORACIC SPINE CURVATURE IN OLDER ADULTS IS UNDER GENETIC CONTROL AND SHARES GENETIC FACTORS WITH OTHER AGE-RELATED SPINE TRAITS INCLUDING TRUNK MUSCLE SIZE, VERTEBRAL FRACTURE, AND BONE MINERAL DENSITY. 8. OLDER ADULTS WITH DIABETES HAVE DEFICITS IN CORTICAL BONE MICROARCHITECTURE THAT MAY INCREASE RISK OF FRACTURE, WHEREAS LEVELS OF BONE MINERAL DENSITY ARE NORMAL AS DEFINED BY CLINICAL DXA. 9. WE HAVE DEMONSTRATED THAT NONINVASIVE TRANSCRANIAL ELECTRICAL BRAIN STIMULATION (TES) MAY IMPROVE GAIT AND MOBILITY IN PATIENTS WITH PARKINSON'S DISEASE, AND SEPARATELY, ENHANCE BOTH MEMORY AND BALANCE OUTCOMES IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT. 10. WE HAVE DEVELOPED A TELEMEDICINE PLATFORM AND A FORMAL TRAINING PROGRAM TO ENABLE REMOTELY-SUPERVISED, CAREGIVER-LED ADMINISTRATION OF TRANSCRANIAL ELECTRICAL STIMULATION (TES) INTERVENTIONS. 11. A STUDY OF OLDER ADULTS (AVERAGE AGE 71) SHOWED THAT KNEE HYPERMOBILITY WAS LINKED UP TO 4-FOLD HIGHER ODDS OF ANKLE & FOOT PAIN, ACHING OR STIFFNESS AS WELL AS FOOT OSTEOARTHRITIS. KNEE HYPERMOBILITY REDUCES THE STABILITY OF THE KNEE (AND OTHER LOWER BODY JOINTS), AND IT IS THOUGHT THAT THIS ALTERS KNEE JOINT LOADS AND CONTRIBUTES TO JOINT PAIN. THESE DATA SUGGEST THAT THERAPEUTIC INTERVENTIONS TARGETING MECHANICAL FACTORS, PARTICULARLY FOR KNEE HYPERMOBILITY, MAY BE NEEDED TO PREVENT ANKLE AND FOOT SYMPTOMS. 12. WE EVALUATED THE KNOWN RISK FACTORS FOR PARKINSON DISEASE (PD) AS WELL AS FAMILY HISTORY TO EXAMINE HOW THESE FACTORS MAY COMBINE TO DETERMINE OVERALL PARKINSON'S RISK. ADDITIVE INTERACTION WAS PRESENT BETWEEN NO FAMILY HISTORY OF PD AND CAFFEINE IN MEN AND BETWEEN CAFFEINE AND PHYSICAL ACTIVITY IN WOMEN. HAVING MULTIPLE KNOWN PROTECTIVE FACTORS FOR PD HAD ADDITIVE OR SUPER-ADDITIVE EFFECTS, SO THAT PD RISK IS VERY LOW IN THESE INDIVIDUALS WITH MULTIPLE PROTECTIVE RISK FACTORS. 13. HIGHER PROTEIN INTAKE IS BENEFICIAL FOR MAINTENANCE OF PHYSICAL FUNCTION IN MIDDLE-AGED AMERICANS OVER THE SPAN OF TWO DECADES. THIS ASSOCIATION WAS PARTICULARLY EVIDENT IN WOMEN. 14. MEN WITH HIGHER INTAKES OF MILK, MILK+YOGURT, AND MILK+YOGURT+CHEESE HAVE HIGHER TRABECULAR AND INTEGRAL VOLUMETRIC BONE MINERAL DENSITY AND VERTEBRAL COMPRESSIVE STRENGTH. DAIRY INTAKE SEEMS TO BE MOST BENEFICIAL FOR OLDER MEN IRRESPECTIVE OF SERUM VITAMIN D LEVELS.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	15. HIGHER DIETARY FIBER MAY MODESTLY REDUCE BONE LOSS IN MEN AT THE HIP. 16. AMONG PUERTO RICAN ADULTS RESIDING IN BOSTON, DAIRY FOOD INTAKES WERE ASSOCIATED WITH HIGHER BONE MINERAL DENSITY, PARTICULARLY THOSE WITH SUFFICIENT VITAMIN D STATUS. 17. FRAILTY IS ASSOCIATED WITH MAJOR RESPIRATORY COMPLICATIONS, PARTICULARLY RESPIRATORY FAILURE AFTER TRACHEOBRONCHOPLASTY. PREOPERATIVE IDENTIFICATION OF FRAILTY MAY HELP GUIDE DECISION MAKING FOR PATIENTS. 18. DEFICIT-ACCUMULATION FRAILTY INDEX PROVIDES BETTER PREDICTION OF DEATH OR POOR RECOVERY THAN FRAILTY PHENOTYPE IN OLDER PATIENTS UNDERGOING AORTIC VALVE REPLACEMENT. 19. CONSIDERING BOTH MULTIMORBIDITY PATTERNS AND FRAILTY IS IMPORTANT FOR IDENTIFYING OLDER ADULTS AT GREATER RISK OF MORTALITY. OF THE FIVE PATTERNS IDENTIFIED, THE NEUROPSYCHIATRIC CLASS WAS ASSOCIATED WITH LOWER SURVIVAL ACROSS ALL FRAILTY LEVELS. 20. OLDER INDIVIDUALS TREATED WITH PRAVASTATIN COULD LIVE FREE OF CORONARY HEART DISEASE, ON AVERAGE, FOR AN ADDITIONAL 18.7 DAYS IN 6 YEARS, YET THEIR OVERALL SURVIVAL WAS 33.7 DAYS SHORTER THAN THOSE WHO RECEIVED USUAL CARE. 21. A 24-WEEK MULTICOMPONENT PROGRAM HAD SUSTAINED BENEFICIAL EFFECTS UP TO 1 YEAR ON PHYSICAL FUNCTION, FRAILTY, SARCOPENIA, DEPRESSIVE SYMPTOMS, AND NUTRITIONAL STATUS IN SOCIOECONOMICALLY VULNERABLE OLDER ADULTS IN RURAL COMMUNITIES. 22. IN HOSPITALIZED INDIVIDUALS WHO UNDERWENT CARDIAC SURGERY, THERE ARE HIGHLY VARIABLE PRESCRIBING CULTURES OF ANTIPSYCHOTICS ACROSS HOSPITALS, AND A SHORT-TERM USE OF TYPICAL ANTIPSYCHOTICS WAS ASSOCIATED WITH RISKS OF ADVERSE EVENTS SIMILAR TO THOSE WITH ATYPICAL ANTIPSYCHOTICS. 23. ONE IN 3 OLDER ADULTS UNDERGOING AORTIC VALVE REPLACEMENT HAD DEPRESSIVE SYMPTOMS AT BASELINE AND A HIGHER RISK OF SHORT-TERM AND MIDTERM MORTALITY. 24. A RANDOMIZED TRIAL FOUND AN ADVANCE CARE PLANNING EDUCATION VIDEO PROMOTES CARE THAT IS MORE ALIGNED WITH THE PERSONAL PREFERENCES OF PEOPLE LIVING WITH ADVANCED DEMENTIA. 25. OVER THE LAST DECADE, THE RATE OF TUBE-FEEDING IN ADVANCED DEMENTIA HAS DECLINED BY 50% IN THE US. 26. BLACK NURSING HOME RESIDENTS WITH ADVANCED DEMENTIA RECEIVE MORE AGGRESSIVE CARE AT THE END-OF-LIFE COMPARED TO WHITE RESIDENTS 27. DEVELOPMENT OF NEW TOOLS FOR MEASUREMENT OF DELIRIUM-WHICH HAVE HELPED TO IMPROVE IDENTIFICATION AND MANAGEMENT OF DELIRIUM: 1. DELIRIUM SEVERITY (CAM-S, DEL-S) 2. BURDEN OF DELIRIUM (DEL-B) 3. ULTRABRIEF SCREENING TOOLS (UB-CAM) 28. WE HAVE FOUND IDENTIFICATION OF BIOMARKERS FOR DELIRIUM, INCLUDING INFLAMMATORY, NEURODEGENERATIVE, IMAGING-BASED, AND EEG-BASED. SPECIFICALLY, ABNORMALITIES IN RESTING-STATE EEG SPECTRAL POWER OR TMS-PLASTICITY MAY INDICATE A SUB-CLINICAL RISK FOR POST-SURGERY DELIRIUM. (ROSS, ET AL. NEUROPHYSIOLOGIC PREDICTORS...) 29. PROVISION OF NEW RESOURCES TO ADVANCE THE FIELD OF DELIRIUM RESEARCH THROUGH THE NIDUS (NETWORK FOR INVESTIGATION OF DELIRIUM: UNIFYING SCIENTISTS)-INCLUDING A RESEARCH HUB OF 1,751 INDEXED HUMAN AND ANIMAL STUDIES, 46 MEASUREMENT INFORMATION CARDS, HARMONIZATION TOOLS, DELIRIUM BIBLIOGRAPHY (>5500 ARTICLES), NIDUS UNIVERSITY, PILOT GRANTS, AND MENTORSHIP RESOURCES. 30. HIGH RESOLUTION PERIPHERAL QUANTITATIVE COMPUTED TOMOGRAPHY SCANS PREDICT THE RISK FOR FRACTURE EVEN AFTER ACCOUNTING FOR MORE COMMONLY USED WAYS TO PREDICT FRACTURES AND A NEW ARTIFICIAL INTELLIGENCE METHOD OF EVALUATING THE SCANS PREDICTS BETTER OR EQUAL TO THE MOST COMMON CLINICAL METHODS OF FRACTURE PREDICTION. 31. THE NUMBER OF MITOCHONDRIA IN OLDER ADULTS' MUSCLE IS ASSOCIATED WITH WALKING SPEED. 32. DRUGS USED TO TREAT OSTEOPOROSIS, WHEN GIVEN TO NH RESIDENTS, ALSO PREVENT FRACTURES. 33. A DEFICIT ACCUMULATION FRAILTY INDEX CAPTURES BOTH IMPROVEMENTS AND WORSENING FRAILTY OVER 1 YEAR, WITH MEASURABLE CHANGES IN MORTALITY. 34. FRAILTY INDEX IS ASSOCIATED WITH FUNCTIONAL DECLINE, AND PREDICTS MORTALITY AS WELL AS STANDARD MORTALITY PROGNOSTIC INDICES. 35. COVID-19 RISK FACTORS AMONG NURSING HOME PATIENTS INCLUDED NEED FOR HIGH LEVELS OF CARE SUCH AS BOWEL INCONTINENCE. 36. OLDER ADULTS ADMITTED TO A SNF FOR POST-ACUTE CARE WITH COVID-19 RETURNED TO THE COMMUNITY AND HAD FUNCTIONAL IMPROVEMENT COMPARABLE TO A COVID-19 NEGATIVE GROUP. HOWEVER, THOSE WHO ARE FRAILER AT ADMISSION TENDED TO HAVE LOWER FUNCTION AT DISCHARGE. 37. ESTABLISHING AND LEADING A NATIONAL INSTITUTE OF AGING-FUNDED NATIONAL INFRASTRUCTURE TO ENABLE PRAGMATIC TRIALS EVALUATION INTERVENTIONS IN HEALTH CARE SYSTEMS WILL IMPROVE CARE OF PERSONS LIVING WITH DEMENTIA AND THEIR CARE PARTNERS. 38. A MULTICOMPONENT INTERVENTION CAN IMPROVE APPROPRIATE PRESCRIBING OF ANTIBIOTICS TO NURSING HOME RESIDENTS WITH ADVANCED DEMENTIA AND REDUCE THE SPREAD OF ANTIBIOTIC-RESISTANT BACTERIA 39. DISPARITIES IN CARE FOR NURSING HOME RESIDENTS WITH DEMENTIA CAN BE ACHIEVED BY IMPROVING THE CULTURAL COMPETENCE OF NURSING HOME STAFF, ENHANCING SUPPORT FOR LOW-RESOURCE FACILITIES, STANDARDIZING ADVANCE CARE PLANNING, AND EDUCATING STAFF ABOUT EVIDENCED-BASED CARE AND SHARED DECISION-MAKING. [MITCHELL FY24] 40. LITTLE POPULATION DATA EXIST FOR FOOT OSTEOARTHRITIS (OA), UNLIKE READILY AVAILABLE INFORMATION ON HAND, KNEE OR HIP OA. BY EXAMINING THE UK POPULATION FOR PATTERNS OF FOOT OA, KNEE OA, HAND OA AND HIP OA AND IT WAS FOUND THAT INCIDENCE OF FOOT OA EXCEEDED THAT OF EVEN KNEE OA, PARTICULARLY SO IN PEOPLE 75 YEARS AND OLDER. HIP OA HAD A SIGNIFICANT INCREASED OCCURRENCE IN YOUNGER ADULTS, WHICH IS CONCERNING FOR OCCUPATIONAL DEMANDS AND SURGICAL BURDEN. THE LEVELS OF OA REPRESENT SIGNIFICANT SOCIOECONOMIC BURDEN IN THE UK THAT MAY BE MODIFIABLE, ESPECIALLY IN OLDER AGE GROUPS. 41. THE LARGEST GENOME-WIDE ASSOCIATION STUDY (GWAS) OF HALLUX VALGUS, A COMMON STRUCTURAL FOOT DISORDER KNOWN AS BUNIONS THAT WE PREVIOUSLY SHOWED TO BE HIGHLY HERITABLE. THIS STUDY IDENTIFIED A NEW GWAS LOCUS FOR HALLUX VALGUS SHOWN TO BE RELATED TO COLLAGEN GENES. 42. FOOT ARTHRITIS AND FOOT PAIN WERE COMMON IN THIS COMMUNITY SAMPLE BUT NOT AS OFTEN SIMULTANEOUSLY. METABOLIC AND BIOMECHANICAL FACTORS (E.G., OBESITY, LOAD, PREVIOUS FOOT INJURY) WERE LINKED TO SYMPTOMATIC FOOT ARTHRITIS. RADIOGRAPHIC FOOT ARTHRITIS (BUT NOT SYMPTOMATIC) WAS MORE COMMON IN BLACK THAN WHITE PARTICIPANTS. THIS STUDY HAS PROMPTED FURTHER WORK ON THE EFFECTS OF OCCUPATION AS WELL AS GAIT ADAPTATIONS FOR FOOT ARTHRITIS. 43. WE EVALUATED WHETHER INCREASING SERUM VITAMIN D AND DIETARY CALCIUM INTAKE IN OLDER WOMEN WITH LOW VITAMIN D LEVELS HAD A POSITIVE EFFECT ON MUSCLE, STRENGTH, BALANCE AND FUNCTION. THIS PILOT STUDY SHOWED POSITIVE EFFECTS FOR MUSCLE AND PHYSICAL FUNCTION AFTER 6-MONTHS, AS WELL AS WITH BALANCE. STRENGTH WAS NOT AFFECTED. LARGER STUDIES ARE PLANNED TO EXAMINE SPECIFIC MUSCLE GROUPS AND MORE ASPECTS OF PHYSICAL FUNCTION. 44. WE ADDRESSED WHETHER SOCIAL NETWORKS SIZE AFFECTED THE LINK BETWEEN A PERSON'S FEAR OF FALLING AND SAFETY MODIFICATIONS TO BATHROOMS TO PREVENT FALLS. WHILE IT WAS KNOWN THAT FEAR OF FALLING ENCOURAGED SAFETY MODIFICATIONS, THIS WORK SHOWED THAT SOCIAL ISOLATION REDUCED THE LIKELIHOOD OF HAVING SAFETY MODIFICATIONS DONE, EVEN AMONG THOSE OLDER ADULTS WITH FEAR OF FALLING. THIS PUBLICATION WAS RECEIVED THE GRADUATION STUDENT AWARD FROM HARVARD TH CHAN SCHOOL OF PUBLIC HEALTH FOR EXPANDING THE FOCUS ON SAFETY MODIFICATIONS IN OLDER ADULTS. 45. THE CURRENT MEDICAL EVIDENCE FOR FOOT AND ANKLE OSTEOARTHRITIS FOR THE DIAGNOSIS, PATTERNS OF DISEASE, SOCIETAL BURDEN, OUTCOME ASSESSMENT AND TREATMENTS WERE SUMMARIZED. WE PROPOSED AN AGENDA TO GUIDE FUTURE RESEARCH NOT ONLY IN U.S. BUT ALSO TO GUIDE GLOBAL WORK, ESPECIALLY AMONG OLDER ADULTS. 46. IMPROVING END OF LIFE SYMPTOM ASSESSMENT AND MANAGEMENT AMONG CRITICALLY ILL OLDER ADULTS. NIH FUNDED STUDIES FROM THE MARCUS INSTITUTE HAVE PROVIDED FURTHER EVIDENCE TO GUIDE SYMPTOM PALLIATION AT END OF LIFE. A PUBLICATION FROM THIS WORK IS NOW REQUIRED READING FOR MAINTENANCE OF BOARD CERTIFICATION IN NEUROCRITICAL CARE BY THE UNITED COUNCIL FOR NEUROLOGICAL SUBSPECIALTIES. 47. PRIOR FALLS, FRACTURES, LOW GRIP STRENGTH, AND ELEVATED HBA1C ARE RISK FACTORS FOR FRACTURES IN OLDER ADULTS WITH TYPE 2 DIABETES; EVALUATION OF THESE FACTORS MAY IMPROVE OPPORTUNITIES FOR EARLY INTERVENTION AND REDUCE FRACTURES IN THIS HIGH-RISK GROUP. 48. VASCULAR DYSFUNCTION WITH AGING CONTRIBUTES TO THE DEFICITS SPECIFICALLY IN CORTICAL BONE DENSITY AND MICROARCHITECTURE, HOWEVER, THE ASSOCIATION DOES NOT PERSIST AFTER CONTROLLING FOR AGE, SEX, WEIGHT AND HEIGHT. 49. VERTEBRAL FRACTURES INCREASE RISK OF DEVELOPING FACET JOINT OSTEOARTHRITIS. 50. CONSUMPTION OF AN ANTI-INFLAMMATORY DIET (E.G., A DIET CONSISTING OF NUTRIENTS LIKE FIBER, VITAMIN A, AND VITAMIN C) IS ASSOCIATED WITH REDUCED ODDS OF FRAILTY ONSET. FURTHER STUDY SHOWS THAT THESE ASSOCIATIONS APPEARED STRONGER AMONG THOSE WITH DEPRESSIVE SYMPTOMS. [SAHNI FY25]
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	51. THE HOME AIR TEMPERATURE INFLUENCES SLEEP, MOOD, COGNITIVE FUNCTION, AND SUBJECTIVE WELLBEING OF OLDER ADULTS. THE SPECIFIC RELATIONSHIPS BETWEEN TEMPERATURE AND THESE HEALTH OUTCOMES CAN BE USED TO OPTIMIZE THE HOME ENVIRONMENT BASED ON OLDER ADULTS' UNIQUE AND EVER-CHANGING PHYSIOLOGY. 52. WE DEVELOPED A FRACTURE PREDICTION MODEL TO PREDICT FRACTURE IN NURSING HOME RESIDENTS, AND MADE IT PUBLICLY AVAILABLE ON A WEBSITE. THE MODEL IS BEING USED TO IDENTIFY NURSING HOME RESIDENTS AT GREATEST RISK FOR INJURY AND TARGET INTERVENTIONS TO REDUCE THE RISK OF INJURY. THE MODEL IS COMPRISED ENTIRELY FROM DATA THAT IS ALREADY COLLECTED ON EVERY NURSING HOME RESIDENT IN THE UNITED STATES, AND THUS, IT HAS THE POTENTIAL TO BE USED MORE BROADLY TO PREVENT FRACTURE IN HIGH-RISK RESIDENTS. 53. WE CONDUCTED A SERIES OF STUDIES INCLUDING A PRAGMATIC RANDOMIZED CONTROL TRIAL AND SAMPLING SURVEY TO IDENTIFY EFFECTIVE STRATEGIES TO INCREASE COVID-19 VACCINATION RATES IN NURSING HOME STAFF. RESULTS HAVE BEEN DISSEMINATED THROUGH PEER REVIEWED JOURNALS AND ALSO THROUGH THE AMERICAN HEALTH CARE ASSOCIATION. 54. WE DEVELOPED A NOVEL REMOTE INJURY PREVENTION SERVICE THAT COULD PROVIDE RECOMMENDATIONS TO DEPRESCRIBE MEDICATIONS ASSOCIATED WITH FALLS AND CONSIDERATION OF OSTEOPOROSIS MEDICATIONS FOR HIGH-RISK NURSING HOME RESIDENTS. THIS MODEL COULD BE READILY ADOPTED BY A NURSING HOME CHAIN. 55. A MULTIFACETED STATE-WIDE COVID-19 PREVENTION PROGRAM IN MASSACHUSETTS NURSING HOMES REDUCED THE INCIDENCE OF COVID-19 INFECTION, AND WAS EQUALLY EFFECTIVE IN BLACK RESIDENTS OR RESIDENTS WITH DEMENTIA, WHO WERE AT THE HIGHEST RISK OF INFECTION AND ITS COMPLICATIONS. 56. THE MARCUS INSTITUTE'S DATA COORDINATING CENTER CURRENTLY SUPPORTS 15 RANDOMIZED CLINICAL TRIALS TESTING NOVEL INTERVENTIONS FOR THE PROMOTION OF FUNCTIONAL INDEPENDENCE, AMELIORATION OF LETHARGY AND FATIGUE, MANAGEMENT OF CHRONIC PAIN, PREVENTION OF COGNITIVE DECLINE, AND OTHER OUTCOMES RELEVANT TO THE HEALTH OF OLDER ADULTS. 57. IN A STUDY OF FORTY OLDER ADULTS LIVING IN NURSING HOMES, DELIRIUM WAS IDENTIFIED IN 10% OF RESIDENTS THE DAY AFTER COVID-19 VACCINATION. DELIRIUM AFTER COVID-19 VACCINATION ALL RESOLVED WITHOUT COMPLICATIONS, WHICH CONTRASTS WITH COMPLICATIONS OF COVID-19 ITSELF. THEREFORE, THE RISK-BENEFIT RATIO STRONGLY SUPPORTS VACCINATION IN THIS POPULATION. (MAK, ET AL. DELIRIUM AFTER COVID-19 VACCINATION) [INOUYE FY24] 58. WE COLLECTED AND COMPILED A DATABASE OF VARIOUS MEASUREMENTS FROM 560 OLDER ADULTS AGED 70 AND OLDER UNDERGOING MAJOR NON-CARDIAC SURGERY. WITH THIS AS OUR SOURCE, WE FOUND THAT THE ADMINISTRATION OF BENZODIAZEPINES TO OLDER ADULTS HOSPITALIZED AFTER MAJOR SURGERY IS ASSOCIATED WITH INCREASED POST-OPERATIVE DELIRIUM. ADDITIONALLY, A NOVEL AND IMPORTANT INDEPENDENT RISK FACTOR FOR DELIRIUM WAS UNCOVERED: LACK OF PRIVATE INSURANCE, A SOCIAL DETERMINANT OF HEALTH REFLECTING SOCIOECONOMIC STATUS. DELIRIUM IS ASSOCIATED WITH AN ACCELERATION IN COGNITIVE DECLINE OUT TO SIX YEARS FOLLOWING ELECTIVE SURGERY. (DUPREY, ET AL. ASSOCIATION BETWEEN PERIOPERATIVE MEDICATION...; ARIAS, ET AL. SOCIAL DETERMINANTS OF HEALTH...; KUNICKI, ET AL. SIX-YEAR TRAJECTORY...) [INOUYE FY24] 59. THROUGH INTERVIEWS DONE WITH OLDER ADULTS BETWEEN JULY - DECEMBER 2020, WE FOUND THAT RESILIENCE FACTORS MAY MITIGATE ADVERSE HEALTH OUTCOMES ASSOCIATED WITH LONELINESS. LARGER SOCIAL NETWORK SIZE MODERATES THE EFFECT OF LONELINESS ON PHYSICAL FUNCTION, AND ACTIVITY ENGAGEMENT MODERATES THE EFFECT OF LONELINESS ON MENTAL HEALTH. (LIU, ET AL. ASSOCIATION OF LONELINESS...) [INOUYE FY24] 60. THE MARCUS INSTITUTE HEALTH CARE SERVICES AREA CONTINUES TO PARTICIPATE IN THE PROJECT, INDIVIDUALIZED CARE FOR OLDER PERSONS WITH COMPLEX CHRONIC CONDITIONS (I-CARE4OLD), FUNDED BY THE EUROPEAN UNION'S HORIZON 2020 RESEARCH AND INNOVATION PROGRAM UNDER GRANT AGREEMENT NO. 965341. ACTIVITIES INCLUDE A SECONDARY ANALYSIS OF EXISTING DATA FROM THE INTERRAI HOME CARE AND MDS TOOLS TO CREATE PREDICTION/RISK MODELS FOR THE FOLLOWING OUTCOMES: FUNCTIONAL DECLINE, COGNITIVE DECLINE, INCREASE FRAILTY, DEATH, HOSPITALIZATION, AND DECREASED HEALTH-RELATED QUALITY OF LIFE. THE PROFILES ARE EXAMINED, EVALUATED AND VALIDATED THROUGH A LONGITUDINAL ANALYSIS OF CROSS-NATIONAL COHORTS OF HOME CARE AND NURSING HOME ADMISSIONS FROM ACROSS THE GLOBE. [HOWARD FY24] 61. EVALUATION OF THE MICROBES PRESENT IN STOOL SAMPLES SHOWS THAT CERTAIN BACTERIAL SPECIES ARE RELATED TO BONE HEALTH AND THE MARCUS INSTITUTE IS CONDUCTING A CLINICAL TRIAL OF TAKING PRO- AND PREBIOTICS TO MAINTAIN HEALTHY BONE IN WOMEN. 62. A COMPREHENSIVE EVALUATION OF THE HUMAN "METABOLOME" IDENTIFIED THAT BRANCHED CHAIN AMINO ACIDS CIRCULATING IN THE BLOOD WERE BENEFICIAL FOR BONE HEALTH. THIS MAY SUGGEST SOME NEW DIETARY APPROACHES. 63. IN A SMALL, MATCHED PAIR STUDY FROM THE SAGES II COHORT (N=70, OR 25 MATCHED PAIRS), WE FOUND THAT HIGHER LEVELS OF PLASMA GFAP (MARKER OF ASTROGLIAL ACTIVATION) WAS ASSOCIATED WITH GREATER RISK FOR DELIRIUM, THOUGH NOT AT SIGNIFICANT LEVELS IN THIS SMALL STUDY (P = 0.074, OR = 1.52). FURTHER, PLASMA- AND CSF-GFAP WERE HIGHLY CORRELATED. NO MATCHED DIFFERENCES OR ASSOCIATIONS WITH DELIRIUM WERE OBSERVED FOR NFL, P-TAU 181, A40, OR A42. (FONG ET AL., 2024) 64. WE CONDUCTED ITEM GENERATION FOR A NOVEL INSTRUMENT TO MEASURE DELIRIUM SEVERITY IN PATIENTS WITH MILD-MODERATE AD/ADRD, THE DEL-S. AN INTERDISCIPLINARY EXPERT PANEL ASSESSED 7 DOMAINS AND 21 SUBDOMAINS OF DELIRIUM SEVERITY WITH INPUT FROM NURSING EXPERTS USING A RIGOROUS, ITERATIVE, DELPHI-BASED PROCESS, AND CONSENSUS WAS ACHIEVED ON 21 ITEMS (INCLUDING THEIR BEST RESPONDENTS AND APPROPRIATE LOOK-BACK PERIODS) TO BE INCLUDED IN THE DEL-S. (HSHIEH ET AL., 2024) 65. BECAUSE OF COVID, WE HAD TO CHANGE OUR NEUROPSYCHOLOGICAL IN-PERSON ASSESSMENTS TO REMOTE VIDEO ASSESSMENTS. WHEN IN-PERSON AND VIDEO CONFERENCING-BASED NEUROPSYCHOLOGICAL ASSESSMENTS WERE COMPARED IN THE SAGES II STUDY (WHICH INCLUDED DATA COLLECTION DURING COVID-19 PANDEMIC), ONLY SMALL DIFFERENCES WERE DETECTED. WE FOUND THAT VIDEOCONFERENCE BASED NEUROPSYCHOLOGICAL ASSESSMENT CAN BE AS PRECISE AS IN-PERSON AND GENERATED SCORES WITHOUT EVIDENCE OF SYSTEMIC BIAS. (JOFFE ET AL., 2024) 66. A PILOT CLINICAL TRIAL DEMONSTRATED THAT NONINVASIVE TRANSCRANIAL ELECTRICAL STIMULATION DESIGNED TO INCREASE THE EXCITABILITY OF THE PREFRONTAL CORTEX OF THE BRAIN MAY ENHANCE THE EFFECTIVENESS OF A BEHAVIORAL COUNSELING PROGRAM AIMED AT INCREASING PHYSICAL ACTIVITY IN SEDENTARY OLDER ADULTS. 67. WE DEVELOPED A SMARTPHONE APP THAT ENABLES OLDER ADULTS TO SAFELY SELF-ADMINISTER GAIT PERFORMANCE TESTS IN THE COMFORT OF THEIR OWN HOMES. THE VALIDITY AND RELIABILITY OF THIS NOVEL FORM OF REMOTE ASSESSMENT HAS BEEN ESTABLISHED IN HEALTHY OLDER ADULTS, OLDER ADULTS WITH MILD COGNITIVE IMPAIRMENT, AND IN OLDER ADULTS WITH BLOOD CANCER. 68. A MEDITERRANEAN STYLE DIETARY PATTERN REDUCES THE RISK OF FRAILTY ONSET IN OLDER ADULTS. MEDITERRANEAN STYLE DIETS ARE RICH IN ANTI-AGING NUTRIENTS SUCH AS CAROTENOIDS, WHICH WERE ALSO FOUND TO BE PROTECTIVE AGAINST THE LOSS OF MUSCLE STRENGTH AND WALKING SPEED OVER TIME. 69. HIGHER INTAKE OF DIETARY FLAVANOLS, SPECIFICALLY DIETARY QUERCETIN, IS ASSOCIATED WITH LOWER ODDS OF FRAILTY ONSET. [SAHNI FY25] 70. HIGHER AORTIC STIFFNESS WAS ASSOCIATED WITH LOSS OF PHYSICAL FUNCTION OVER TIME, ALTHOUGH WE FOUND NO EVIDENCE THAT MICROVASCULAR FUNCTION CONTRIBUTED TO THE RELATION. [SAHNI FY25] 71. HIGHER ABDOMINAL FAT MAY BE ASSOCIATED WITH GREATER LEAN MASS BUT POORER MUSCLE QUALITY, PARTICULARLY IN OBESE WOMEN. THIS SUGGESTS THAT ADIPOSE TISSUE MAY HAVE ENDOCRINE INFLUENCES ON MUSCLE [SAHNI FY25] 72. IN MIDDLE-AGED AND OLDER ADULTS, INCREASED INTAKE OF ULTRA PROCESSED FOODS (UPF) IS NOT ASSOCIATED WITH FRAILTY BUT MAY BE RELATED TO WORSENING MUSCLE STRENGTH AND FUNCTION. THIS STUDY ALSO HIGHLIGHTED THE NEED FOR A MORE GRANULAR APPROACH TO UPF CLASSIFICATION. [SAHNI FY25] 73. HIGHER INTAKE OF TOTAL PROTEIN, ANIMAL PROTEIN, ESSENTIAL AMINO ACIDS AND BRANCH CHAIN AMINO ACIDS ARE ASSOCIATED WITH HIGHER AMOUNTS OF TOTAL BODY MUSCLE MASS MEASURED USING A NEW TEST CALLED THE D3CREATINE DILUTION METHOD IN OLDER WOMEN BUT NOT MEN. [KIEL FY25] 74. A LARGE GENOME WIDE ASSOCIATION STUDY IDENTIFIED A NOVEL GENETIC ASSOCIATION OF FEMORAL BONE DENSITY WITH A GENETIC LOCUS ON CHROMOSOME 20 THAT INCLUDED A GENE CALLED "CYP24A1" THAT IS INVOLVED IN INACTIVATING VITAMIN D. THIS AREA OF CHROMOSOME 20 WAS ALSO RELATED TO SEVERAL OTHER REACTIONS IN THE BODY RELATED TO THE CONTROL OF CALCIUM AND VITAMIN D. [KIEL FY25] 75. MUTATIONS THAT OCCUR IN SOME OF THE GENES RELATED TO BONE MARROW PRODUCTION OF BLOOD CELLS SEEM TO BE RELATED TO BETTER BONE, POSSIBLY BECAUSE THE SAME STEM CELLS WITH THE MUTATIONS GO ON TO FORM A DYSFUNCTIONAL TYPE OF BONE CELL THAT BREAKS DOWN BONE. [KIEL FY25]
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	THIS IS NOT APPLICABLE AS IN MASSACHUSETTS ONLY ACUTE HOSPITALS FILE COMMUNITY BENEFIT REPORTS WITH THE STATE. HRC PROVIDES ITS SCHEDULE H FILING TO THE STATE VIA THE MASSACHUSETTS HOSPITAL ASSOCIATION.
SCHEDULE H, PART II DESCRIBE HOW COMMUNITY BUILDING ACTIVITIES PROMOTE THE HEALTH OF THE COMMUNITY	THROUGH HRC'S BILINGUAL SERVICES DEPARTMENT, WE PROVIDE PROFESSIONAL, ACCURATE, AND CULTURALLY SENSITIVE TRANSLATION AND INTERPRETER SERVICES TO ENSURE HEALTH EQUITY AND PATIENT-CENTERED CARE. HRC OFFERS MANY OPPORTUNITIES FOR VOLUNTEERS TO ENGAGE WITH OLDER ADULTS THROUGH OUR VOLUNTEER, YOUTH, AND COMMUNITY ENGAGEMENT DEPARTMENT. HOSPICE VOLUNTEERS VISIT WITH PATIENTS AND FAMILIES IN THEIR HOMES, PROVIDING COMPANY, SOCIAL INTERACTION, AND RESPITE FOR CAREGIVERS. MULTIGENERATIONAL PROGRAMS FACILITATED THROUGH PARTNERSHIPS WITH MANY SCHOOL AND COMMUNITY ORGANIZATIONS CREATE OPENINGS TO FORGE IMPACTFUL, MEANINGFUL RELATIONSHIPS AMONG SENIOR RESIDENTS, PATIENTS, AND STUDENTS FROM THE COMMUNITY. HRC DRIVES POSITIVE SOCIAL CHANGE BY INFLUENCING DECISION-MAKERS AND SHAPING PUBLIC POLICIES. IN 2025, STAFF HOURS WERE DEDICATED TO POLICY ADVOCACY. OTHER ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS, AND ENVIRONMENTAL BENEFITS WERE IDENTIFIED BUT NOT SPECIFICALLY REPORTED IN PART II.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM	76. WE MEASURED BRAIN SHRINKAGE (ATROPHY) BEFORE AND ONE YEAR AFTER SURGERY IN PARTICIPANTS OF SUCCESSFUL AFTER ELECTIVE SURGERY -SAGES STUDY. WE FOUND THAT WHILE DELIRIUM DIDN'T DIRECTLY AFFECT BRAIN SHRINKAGE, IT MADE THE IMPACT OF BRAIN SHRINKAGE ON COGNITIVE DECLINE WORSE. BOTH BRAIN CHANGES AND DELIRIUM SEVERITY INDEPENDENTLY CONTRIBUTED TO THE LONG-TERM COGNITIVE DECLINE SEEN AFTER SURGERY IN OLDER ADULTS (CAVALLARI ET AL., 2024) [INOUYE FY25] 77. WE LOOKED AT HOW WELL NEUROPSYCHOLOGICAL ASSESSMENTS (TESTS THAT MEASURE BRAIN FUNCTION) CAN BE DONE REMOTELY, USING TELEPHONE OR VIDEO CONFERENCING, INSTEAD OF IN PERSON-SOMETHING THAT BECAME NECESSARY DURING THE COVID-19 PANDEMIC. THE RESEARCHERS TESTED THESE NEW METHODS AS PART OF AN ONGOING STUDY ON OLDER ADULTS' HEALTH AFTER SURGERY, WITH A TOTAL OF 420 PARTICIPANTS AND OVER 2,000 INDIVIDUAL ASSESSMENTS (PARTICIPANTS OF SUCCESSFUL AFTER ELECTIVE SURGERY -SAGES STUDY). THE FINDINGS SHOWED THAT THERE WERE ONLY SMALL DIFFERENCES BETWEEN THE IN-PERSON AND VIDEO ASSESSMENTS, WITH NO SIGNIFICANT IMPACT ON THE TEST RESULTS. THE TELEPHONE ASSESSMENTS, HOWEVER, SHOWED A BIT MORE OF A DIFFERENCE, WITH SOME TESTS (LIKE THE DIGIT SPAN BACKWARDS TEST) BEING SLIGHTLY EASIER OVER THE PHONE (JOFFE ET. AL. 2025) [INOUYE FY25] 78. WE ANALYZED PRE-SURGERY BRAIN ACTIVITY (MEASURED BY EEG) AND COGNITIVE FUNCTION (MEASURED WITH THE MONTREAL COGNITIVE ASSESSMENT) IN 85 PATIENTS, WITH 12 DEVELOPING DELIRIUM (PARTICIPANTS OF SUCCESSFUL AFTER ELECTIVE SURGERY -SAGES STUDY) AFTER SURGERY. WE FOUND THAT CERTAIN BRAIN WAVE PATTERNS, PARTICULARLY IN THE OCCIPITAL REGION (THE BACK OF THE BRAIN), WERE STRONG PREDICTORS OF POSTOPERATIVE DELIRIUM. WHILE FURTHER TESTING IS NEEDED, THESE FINDINGS SUGGEST THAT WE MAY BE ABLE TO PREDICT POSTOPERATIVE DELIRIUM USING SIMPLE, COMMONLY AVAILABLE TOOLS, SUCH AS EEG AND COGNITIVE TESTS. THIS COULD HELP DOCTORS TARGET INTERVENTIONS EARLIER, POTENTIALLY REDUCING THE RISK OF DELIRIUM AND ITS RELATED COMPLICATIONS (NING ET AL., 2025) [INOUYE FY25] 79. IN A REVIEW OF 43 CLINICAL TRIALS ON DELIRIUM TREATMENTS PUBLISHED BETWEEN 2003 AND 2023, EIGHT UNIQUE CHALLENGES FOR DELIRIUM TREATMENT TRIALS WERE IDENTIFIED, AND RECOMMENDATIONS TO ADDRESS EACH WERE MADE. THE RECOMMENDATIONS START WITH DESIGN OF INTERVENTIONS THAT CONSIDER THE MULTIFACTORIAL NATURE OF DELIRIUM, INCLUDE BOTH PHARMACOLOGICAL AND NONPHARMACOLOGIC APPROACHES, AND TARGET PATHOPHYSIOLOGIC PATHWAYS WHERE POSSIBLE. RECOMMENDATIONS MADE MAY SERVE AS A ROADMAP FOR ADVANCING DELIRIUM TREATMENT RESEARCH IN OLDER ADULTS (DEVLIN, ET AL, 2025). [INOUYE FY25] 80. A TART CHERRY JUICE INTERVENTION DESIGNED TO IMPROVE SLEEP IN OLDER ADULTS APPEARS FEASIBLE AND SAFE (PUBLICATION IN PROGRESS). [MILLAR FY25] 81. DAILY BLUEBERRY CONSUMPTION IN OLDER ADULTS WITH SEDENTARY BEHAVIOR AND MILD DEPRESSIVE SYMPTOMS APPEARS TO MODULATE CERTAIN ASPECTS OF THE GUT MICROBIOME AND MAY IMPROVE ASPECTS OF MENTAL WELL-BEING (E.G., MOOD, SLEEP QUALITY, EMOTIONAL AFFECT) (PUBLICATION IN PROGRESS). [MILLAR FY25] 82. IMPLEMENTATION OF A LONG-TERM (12 WEEK) DIETARY INTERVENTION THAT REQUIRES DAILY CONSUMPTION OF BLUEBERRIES APPEARS FEASIBLE AND SAFE IN SEDENTARY OLDER ADULTS WITH MILD DEPRESSIVE SYMPTOMS (PUBLICATION IN PROGRESS). [MILLAR FY25] 83. OUR GROUP PUBLISHED A PROTOCOL OF A RANDOMIZED, PLACEBO-CONTROLLED PILOT STUDY TESTING FREEZE-DRIED BLUEBERRY POWDER IN SEDENTARY OLDER ADULTS WITH MILD DEPRESSIVE SYMPTOMS. [MILLAR FY25] 84. INTERMITTENT THERAPY DESIGNED TO TARGET OLD CELLS IN THE BODY, APPEARS FEASIBLE AND SAFE, WHILE HINTING AT POTENTIAL FUNCTIONAL BENEFITS IN OLDER ADULTS AT RISK OF ALZHEIMER'S DISEASE. [MILLAR FY25] 85. TARGETED WEB-BASED ADVERTISING FOR RECRUITING OLDER ADULTS INTO CLINICAL TRIALS APPEARS TO BE FASTER AND MORE EFFECTIVE THAN TRADITIONAL METHODS. [MILLAR FY25] 86. OUR GROUP PUBLISHED ON THE RATIONALE AND DESIGN OF A NOVEL GEROSCIENCE STUDY INVESTIGATING THE FEASIBILITY OF SENOLYTIC THERAPY FOR COGNITIVE AND MOBILITY IMPAIRMENT IN OLDER ADULTS AT RISK OF ALZHEIMER'S DISEASE. [MILLAR FY25] 87. ADHERING TO A PRO-INFLAMMATORY DIET WAS ASSOCIATED WITH INCREASED ODDS OF FRAILTY ONSET, PARTICULARLY IN THOSE WITH CLINICALLY RELEVANT DEPRESSIVE SYMPTOMS. [MILLAR FY25]
SCHEDULE H, PART V, SECTION B, LINE 16A FAP AVAILABLE WEBSITE	https://www.hebrewseniorlife.org/locations/hebrew-rehabilitation-center/financial-information
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION FORM WEBSITE	https://www.hebrewseniorlife.org/locations/hebrew-rehabilitation-center/financial-information
SCHEDULE H, PART V, SECTION B, LINE 16C PLAIN LANGUAGE FAP SUMMARY WEBSITE	https://www.hebrewseniorlife.org/locations/hebrew-rehabilitation-center/financial-information
SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES	THE REPORTED SUBSIDIZED HEALTH SERVICES INCLUDE COSTS OF GREAT DAYS FOR SENIORS ADULT DAY HEALTH PROGRAMS BASED AT HEBREW REHABILITATION CENTER IN ROSLINDALE AND AT 2LIFE ON WALLINGFORD ROAD IN BRIGHTON. THE SERVICE IS FUNDED BY MEDICAID AND SELF-PAY. THE MEDICAID LOSS IS INCLUDED WITH MEDICAID IN LINE 7B. THE SERVICE IS PRICED FOR AFFORDABILITY AND OPERATES AT A LOSS WHEN TOTAL COSTS ARE INCLUDED.
SCHEDULE H, PART I, LINE 7 BAD DEBT EXPENSE EXCLUDED FROM FINANCIAL ASSISTANCE CALCULATION	1151880
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE	THE COSTING METHODOLOGY USED IS BASED PRIMARILY ON THE STANDARD COST ACCOUNTING METHODS OF THE MASSACHUSETTS STATE CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) COST REPORT, WHICH FOLLOWS THE STANDARD MEDICARE COST ACCOUNTING PRINCIPLES OF THE MEDICARE COST REPORT. TO COST SOME SPECIFIC PROGRAMS, A COST TO CHARGES RATIO SPECIFIC TO EACH PROGRAM WAS DEVELOPED.
SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES	FOUNDED IN 1903 , HEBREW REHABILITATION CENTER (HRC) IS AN ESSENTIAL MEMBER OF THE GREATER BOSTON HEALTH CARE COMMUNITY. THE HRC ROSLINDALE CAMPUS, A LONG-TIME CULTURAL TOUCHSTONE IN THE AREA, OPENED IN 1963. HRC OPENED A SATELLITE IN DEDHAM AT NEWBRIDGE ON THE CHARLES IN 2009. AT HRC PATIENTS AND FAMILIES RECEIVE INDUSTRY-LEADING CARE, AND WORK HAS A GLOBAL IMPACT. HRC IS COMMITTED TO CARING FOR THE UNDERSERVED, AS 90% OF THE OLDER ADULTS SERVED ARE LOW-INCOME. AS A CHRONIC CARE HOSPITAL THAT PRIMARILY SERVES A COMMUNITY OF OLDER ADULTS, WE PRIORITIZE KEEPING PEOPLE HEALTHY, SAFE, AND INDEPENDENT IN THEIR HOMES FOR AS LONG AS POSSIBLE. HRC PLACES GREAT EMPHASIS ON EDUCATING OLDER PEOPLE AND THEIR LOVED ONES ON THE NECESSARY STEPS AND CARE NEEDED TO REMAIN INDEPENDENT THROUGH OUTPATIENT CARE AT ITS SATELLITE CLINICS IN SUPPORTIVE SENIOR AFFORDABLE AND MARKET RATE HOUSING, OUTPATIENT REHABILITATIVE CARE DESIGNED TO PREVENT RE-HOSPITALIZATIONS, AND MANY SUPPORTIVE PROGRAMS AND SERVICES THAT IMPROVE THE PHYSICAL AND MENTAL HEALTH AND LIVES OF OLDER PEOPLE. AS SUCH, HRC COMMUNITY ACTIVITIES ARE DESIGNED TO IMPROVE THE HEALTH OF OUR INPATIENTS AND AMBULATORY PATIENTS, AS WELL AS OLDER RESIDENTS IN THE COMMUNITIES IN WHICH WE OPERATE. HRC'S COMMUNITY ACTIVITIES ARE ALSO DESIGNED TO TEACH THE NEXT GENERATION OF CAREGIVERS, WHICH INCLUDES OUR OWN STAFF AND EXTERNAL LEARNERS ACROSS BOSTON. HRC CONTRIBUTED ~$85,000 TO WORKFORCE DEVELOPMENT THROUGH CAREER DEVELOPMENT PROGRAMS, INCLUDING NURSE ASSISTANT AND NURSING CLINICAL HOURS FOR ADVANCING DEGREES AND DIETETIC INTERNSHIP, ENABLING EMPLOYEES TO MOVE INTO HIGHER WAGE POSITIONS IN HEALTHCARE SUPPORT POSITIONS. THE NURSE ASSISTANT TRAINING PROGRAM AT HEBREW REHABILITATION CENTER PREPARES LEARNERS FOR CONTINUED EMPLOYMENT AS ENTRY-LEVEL CERTIFIED NURSE ASSISTANTS (CNA) THROUGH A COMBINATION OF CLASSROOM AND CLINICAL EDUCATION. THIS PROGRAM IS APPROVED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MA DPH) AND EMPHASIZES BASIC NURSING ASSISTANT SKILLS AND RELATED KNOWLEDGE. UPON SUCCESSFUL COMPLETION OF THE MA STATE COMPETENCY EXAM, THE NURSE ASSISTANTS WILL BE RECOGNIZED ON THE MASSACHUSETTS HEALTH AND HUMAN SERVICES LICENSED PROFESSIONALS REGISTRY. THE HEBREW REHABILITATION CENTER (HRC) DIETETIC INTERNSHIP IS A 9-MONTH, FULL-TIME PROGRAM RUNNING FROM SEPTEMBER TO MAY. THE TRAINING, LOCATED IN A LONG-TERM CHRONIC CARE HOSPITAL, FOCUSES ON THE AGING POPULATION AND CLINICAL REHABILITATION THROUGH A SUPERVISED PRACTICE EXPERIENCE DESIGNED TO PROVIDE A STRONG THEORETICAL KNOWLEDGE BASE WITH PRACTICAL EXPERIENCES IN SUB-ACUTE CLINICAL NUTRITION, OUTPATIENT NUTRITION SERVICES, COMMUNITY NUTRITION, FOOD SERVICE MANAGEMENT, SKILLED NURSING, AND LONG-TERM MEDICAL CARE. GRADUATES OF THE PROGRAM ARE ELIGIBLE TO SIT FOR THE COMMISSION OF DIETETIC REGISTRATION CREDENTIALING EXAMINATION FOR REGISTERED DIETITIANS (RD). UPON COMPLETION OF THE PROGRAM, DIETETIC INTERNS RECEIVE A SIGNED VERIFICATION STATEMENT. ONCE DIETETIC INTERNS HAVE BOTH A GRADUATE DEGREE AND THE DI VERIFICATION STATEMENT, THEY ARE ELIGIBLE TO TAKE THE REGISTRATION EXAMINATION FOR DIETITIANS AS ADMINISTERED BY THE COMMISSION ON DIETETIC REGISTRATION. HRC OFFERS OPPORTUNITIES FOR EMPLOYEES TO RECEIVE SCHOLARSHIPS TO PURSUE THEIR EDUCATIONAL GOALS: * THE HEBREW SENIORLIFE SCHOLARSHIP PROGRAM PROVIDES EMPLOYEES AND THEIR FAMILIES THE OPPORTUNITY TO INCREASE THEIR EDUCATION AND SKILLS AT AREA PROGRAMS TOWARDS ANY TYPE OF EDUCATION ADVANCEMENT. IN 2025 $116,802 WERE AWARDED TO 45 APPLICANTS. * CAREER DEVELOPMENT OFFERS SCHOLARSHIPS TO EMPLOYEES WHO ARE PURSUING AN LPN, RN, NP, OR DNP PATHWAY. IN 2025, THERE WERE 8 SCHOLARSHIPS IN PROGRESS/NEW SCHOLARSHIPS AWARDED FOR A TOTAL OF $35,000. * THE NEWBRIDGE SCHOLARSHIP FUND OFFERS SCHOLARSHIPS TO SUPPORT EDUCATIONAL OPPORTUNITIES FOR QUALIFYING EMPLOYEES. IN 2025, $142,275 WAS DISBURSED TO NEWBRIDGE SCHOLARS. * ORCHARD COVE MAINTAINS A SCHOLARSHIP PROGRAM DESIGNED TO PROVIDE QUALIFYING EMPLOYEES WITH FINANCIAL ASSISTANCE TO FURTHER THEIR EDUCATION, IMPROVE WORK PERFORMANCE, AND INCREASE STAFF RETENTION. IN 2025, ORCHARD COVE GRANTED SCHOLARSHIPS TOTALING $44,000. * THE JAMIE AND HAROLD KOTLER HELP FUND PROVIDES EMPLOYEES TANGIBLE AND MEANINGFUL SUPPORT THROUGH SOME OF LIFE'S MOST CHALLENGING AND EMOTIONAL TRANSITIONS. HELP (HSL'S EMPLOYEE LIFELINE PROGRAM) WAS DESIGNED BY A GROUP OF EMPLOYEES AND IS FUNDED THROUGH EMPLOYEE AND DEVELOPMENT EFFORTS. IN 2025, THE KOTLER HELP FUND MADE GRANTS TO 41 HSL EMPLOYEES WITH A TOTAL OF $40,000 DISBURSED. HRC SERVES AS A MAJOR TRAINING SITE FOR THE HARVARD MEDICAL SCHOOL MULTI-CAMPUS FELLOWSHIP IN GERIATRIC MEDICINE, ONE OF THE OLDEST AND LARGEST GRADUATE PROGRAMS IN GERIATRIC MEDICINE IN THE COUNTRY. IN ADDITION TO OUR HARVARD MEDICAL SCHOOL AFFILIATION, WE PARTNER WITH BOSTON-AREA COLLEGES AND UNIVERSITIES FOR STUDENT INTERNSHIPS, INCLUDING UMASS-BOSTON, ROXBURY COMMUNITY COLLEGE, FRAMINGHAM STATE COLLEGE, NORTHEASTERN UNIVERSITY, SIMMONS COLLEGE, MASSACHUSETTS COLLEGE OF PHARMACY AND HEALTH SCIENCES, BRANDEIS UNIVERSITY, HEBREW COLLEGE, AND BOSTON UNIVERSITY. WE TRAIN AT LEAST 500 STUDENTS, INTERNS, RESIDENTS, AND FELLOWS EACH YEAR IN MULTIPLE DISCIPLINES, INCLUDING NURSING, PHYSICAL THERAPY, SOCIAL WORK, AND PHARMACY. ABOUT 90 PERCENT OF HSL'S MEDICAL STAFF ARE INVOLVED IN TEACHING. HRC PATIENTS ACTIVELY PARTICIPATE IN THE EDUCATION OF HARVARD MEDICAL SCHOOL STUDENTS ANNUALLY THROUGH ROLE-PLAYING SESSIONS THAT ALLOW OUR PATIENTS TO PROVIDE IMPORTANT AND VITAL FEEDBACK TO THE NEXT GENERATION OF DOCTORS ON HOW TO EFFECTIVELY COMMUNICATE AND TREAT OLDER ADULTS. IN 2025, HRC'S DEPARTMENT OF MEDICINE'S 60 PHYSICIANS, 20 NPS, 1 PHYSICIAN ASSISTANT, AND 3 PSYCHOLOGISTS/SOCIAL WORKERS DEVOTE APPROXIMATELY 2,500 HOURS, THE EQUIVALENT OF APPROXIMATELY $250,000 TO TEACHING GERIATRIC MEDICINE. ADDITIONAL RESEARCHERS AND ALLIED CLINICAL AND SPECIALTY SUPPORT EDUCATORS PROVIDED 30,872 HOURS OF INSTRUCTION WITH 70 ACTIVE AFFILIATION AGREEMENTS, THE EQUIVALENT OF $1,129,306 ANNUALLY. THROUGH A PARTNERSHIP WITH THE EDWARD M. KENNEDY ACADEMY HEALTH CAREERS (EMK), A COLLEGE PREPARATORY AND VOCATIONAL HIGH SCHOOL FOR BOSTON STUDENTS EXPLORING CAREERS IN THE HEALTH PROFESSIONS AND RELATED FIELDS, THE HRC PROFESSIONAL DEVELOPMENT TEAM SPONSORED A SUMMER INTERNSHIP THAT PROVIDED INTERNSHIPS FOR SIX INDIVIDUALS. THIS PROGRAM PROMOTES A MULTIGENERATIONAL WORKFORCE, AND TRAINING INCLUDES PERSON-CENTERED CARE, HANDS-ON CLINICAL EXPERIENCE, HIGH-FIDELITY SIMULATION, GUEST LECTURES FROM HEALTH CARE TEAM MEMBERS, AND SHADOW EXPERIENCES. THE INTERNS CONCLUDED THEIR EXPERIENCE BY CREATING AND HOSTING A DAY PERSON-CENTERED ENGAGEMENTS. THE HRC PROFESSIONAL DEVELOPMENT ALSO INTRODUCED EDWARD M. KENNEDY STUDENTS TO THE HEALTHCARE ENVIRONMENT, PROVIDING AN OVERVIEW OF PERSON-CENTERED, AGE-FRIENDLY CARE AND PROFESSIONALISM IN THIS SETTING. SPECIAL ATTENTION WAS GIVEN TO INTERACTING WITH AND SUPPORTING PATIENTS LIVING WITH ALZHEIMER'S AND OTHER DEMENTIAS. HRC OFFERS MONTHLY RE/CERTIFICATION IN BASIC LIFE SUPPORT/CPR FOR STAFF WHOM CPR TRAINING IS NOT A REQUIREMENT OF THEIR POSITION. THE TRAINING FOLLOWS THE AMERICAN HEART ASSOCIATION'S CURRICULUM AND TOPICS COVERED INCLUDE: CPR/BLS FOR ADULTS, CHILDREN, AND INFANTS. IN 2025, WE OFFERED 25 OVER CLASSES AT HEBREW REHABILITATION CENTER IN BOSTON AND NEWBRIDGE ON THE CHARLES IN DEDHAM. HSL'S CHAPLAINCY INSTITUTE IS A NATIONALLY RESPECTED LEADER IN CHAPLAINCY EDUCATION WITH EXPERTISE IN JEWISH SPIRITUAL CARE, GERIATRICS, DEMENTIA, TRAUMA-INFORMED CARE, THE NONRELIGIOUS, AND LGBTQ AGING. OVER THE COURSE OF A 2025, THE INSTITUTE TRAINED 25 GRADUATE LEVEL STUDENTS IN SPIRITUAL CARE (CLINICAL PASTORAL EDUCATION, ACCREDITED BY THE ASSOCIATION FOR CLINICAL PASTORAL EDUCATION). OUR CHAPLAINCY INSTITUTE DIRECTOR ALSO PROVIDED TIME TO HOST SIX MEETINGS FOR THE RABBINCAL ASSEMBLY, AN ORGANIZATION THAT REPRESENTS AND SUPPORTS MASORTI/CONSERVATIVE RABBIS WORLDWIDE. HRC'S PROGRESSIVE COMMUNITY-BASED AMBULATORY CARE CENTER OFFERS A RANGE OF PREVENTATIVE CARE SERVICES THAT ARE EASY AND SAFE TO ACCESS INCLUDING: * GET UP AND GO AND FREE COMMUNITY WELLNESS PROGRAMS FOR 141 CLIENTS * TAI CHI FOR BETTER BALANCE FOR 25-30 PARTICIPANTS * TWO PRIME YOUR POSTURE WORKSHOPS FOR 32 PARTICIPANTS * FALL FITNESS FAIR FOR 30 PARTICIPANTS * WHOLE PICTURE HEALTH WORKSHOPS (6 VIRTUAL) FOR 100+ PARTICIPANTS EACH SESSION * WELLNESS COACHING BY PT 10-12 PARTICIPANTS THIS YEAR * CARFIT EDUCATIONAL PROGRAM FOR OLDER ADULTS TO CHECK HOW WELL THEIR PERSONAL VEHICLES "FIT" THEM FOR 26 PARTICIPANTS * SEVEN OPTIMIZING INDEPENDENCE EDUCATION AT SENIOR HOUSING COMMUNITIES LED BY CLINICIANS FROM THERAPY HOUSE CALLS TEAM * TRANSPORTATION PROGRAM PROVIDED RIDES FOR COMMUNITY MEMBERS TO OUR AMBULATORY CARE CENTER AND FOR OUR PATIENTS TO OFF-CAMPUS MEDICAL APPOINTMENTS
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNT	HRC RECORDS PROVISION FOR DOUBTFUL ACCOUNTS AS THE AMOUNT NEEDED TO ADJUST THE RESERVE, WHICH IS BASED ON ESTIMATED PERCENTAGES OF ACCOUNTS RECEIVABLE BY PAYOR AND AGING CATEGORY. IF NOT ALREADY ADJUSTED BY CONTRACTUAL ALLOWANCE, THE CHARGE FIGURE IS ADJUSTED TO COST USING HRC'S OVERALL COST TO CHARGE RATIO.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTE	HRC ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS. GENERALLY, NO FINANCE CHARGES ARE ASSESSED ON RECEIVABLES. ONCE AN ACCOUNT HAS BEEN DETERMINED TO BE UNCOLLECTIBLE, IT IS CHARGED-OFF. PLEASE SEE FOOTNOTE ON PAGE 17 OF THE AUDITED FINANCIALSTATEMENTS.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTS	THE HOSPITAL ACHIEVED A SLIGHT MARGIN ON MEDICARE THAT HELPS DEFRAY THE LOSS ON MEDICAIDLONG TERM CHRONIC CARE. THE GAIN IS DUE IN PART TO THE SITE NEUTRAL PAYMENT PROVISION THAT WERE TEMPORARILY WAIVED DURING THE PHE. ALSO, THE LTAC VENT PROGRAM WAS ENDED, AND VENTWEANED PATIENTS WERE MOVED TO LONG TERM CHRONIC FLOORS. HRC CONTINUES TO TREAT ACUTE CASES, BUT THE LENGTH OF STAY IS NOW IN LINE WITH THE DRG GEOMETRIC MEAN LENGTH OF STAY.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE	PATIENTS FOUND TO BE ELIGIBLE FOR ASSISTANCE THROUGH MASSACHUSETTS MEDICAID (KNOWN AS MASSHEALTH) OR OTHER PROGRAM ARE NOT PURSUED THROUGH COLLECTION EFFORTS BUT RATHER ARE ASSISTED FREE-OF-CHARGE WITH THE MASSHEALTH APPLICATION AND ELIGIBILITY PROCESS THROUGH TO COMPLETION, INCLUDING ANY NECESSARY APPEALS.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE	- HEBREW REHABILITATION CENTER: LINE 16A URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE	- HEBREW REHABILITATION CENTER: LINE 16B URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE	- HEBREW REHABILITATION CENTER: LINE 16C URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT	IN 2025, HRC UPDATED ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). WE RE-EVALUATED THE NEEDS OF OUR COMMUNITY AND THE SERVICES WE OFFER, AS WELL AS THOSE OFFERED BY OTHERS WITHIN AND AROUND THE COMMUNITIES WE SERVE. OUR CHNA FINDINGS SHOW THAT OLDER ADULTS IN OUR COMMUNITIES NEED ASSISTANCE WITH ECONOMIC STABILITY AND BASIC NEEDS; CHRONIC/COMPLEX CONDITIONS AND BEHAVIORAL HEALTH; ACCESS TO CARE AND HEALTH SYSTEM NAVIGATION; AND COMMUNITY ENVIRONMENT AND SOCIAL CONNECTEDNESS. IN RESPONSE TO THESE FINDINGS, HRC DEVELOPED AN IMPLEMENTATION PLAN DOCUMENTING GOALS, OUR CURRENT SERVICES, AND OUR ACTION PLAN AND TIMELINE. HRC COMPLETED ITS 2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN SEPTEMBER 2025, WHICH MAY BE FOUND AT HTTPS://WWW.HEBREWSENIORLIFE.ORG/ABOUT-US/COMMUNITY-PARTNERSHIPS .
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	ALL PATIENTS ADMITTED TO HRC ARE COUNSELED BY AN ADMISSIONS COORDINATOR ABOUT SERVICES RENDERED, BILLING PROCEDURES, PATIENT RIGHTS AND RESPONSIBILITIES, INSURANCE COVERAGE, AND ELIGIBILITY FOR ASSISTANCE AS REQUIRED BY GUIDELINES ESTABLISHED BY THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE COMMONWEALTH OF MASSACHUSETTS' DEPARTMENT OF PUBLIC HEALTH. IN ADDITION TO THE ADMISSIONS COORDINATOR, A FISCAL AGENT FOR HRC ALSO PROVIDES EDUCATION ON ELIGIBILITY UNDER FEDERAL, STATE AND LOCAL PROGRAMS. ALL ADMISSIONS DOCUMENTATION IS REVIEWED AND SIGNED BY THE PATIENT OR RESPONSIBLE PARTY ON BEHALF OF THE PATIENT AT THE TIME OF ADMISSION AND RETAINED ON FILE.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION	HRC HONORS DIVERSITY AND PROVIDES HEALTH CARE SERVICES TO ALL WITHOUT REGARD TO RELIGION, CULTURE, RACE, COLOR, NATIONAL ORIGIN, CLASS BACKGROUND, GENDER, SEXUAL ORIENTATION, GENDER EXPRESSION, MARITAL STATUS, POLITICAL PERSUASION, OR QUALIFIED HANDICAP. HRC PROVIDES PATIENT CARE AND SERVICES IN ROSLINDALE, AT THE HRC SATELLITE ON THE NEWBRIDGE ON THE CHARLES CAMPUS IN DEDHAM, AND AT THE OUTPATIENT CLINICS IN DEDHAM AND CANTON. 95% OF THE PATIENTS OF HEBREW REHABILITATION CENTER AND ITS SATELLITE MEDICAL CLINICS ARE ON USE GOVERNMENT PAYERS AND ARE OLDER THAN 65. IN SUMMARY, OUR PRIMARY COMMUNITY IS COMPRISED OF OLDER PEOPLE AND LOW-INCOME PEOPLE OVER THE AGE OF 65+, INCLUDING FIVE BOSTON NEIGHBORHOODS (ROSLINDALE, BRIGHTON, HYDE PARK, JAMAICA PLAIN, AND WEST ROXBURY) AND SIX SURROUNDING MUNICIPALITIES IN THE GREATER BOSTON AREA (DEDHAM, BROOKLINE, NEEDHAM, WESTWOOD, NEWTON, AND CHESTNUT HILL).
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH	HEBREW REHABILITATION CENTER (HRC) OPERATES A 675-BED LICENSED CHRONIC CARE HOSPITAL CONSISTING OF A 455-BED FACILITY IN THE ROSLINDALE SECTION OF BOSTON, MA AND A 220-BED SATELLITE FACILITY IN DEDHAM, MA (ALSO KNOWN AS THE HRC-NEWBRIDGE, ON THE CAMPUS OF THE CONTINUING CARE RETIREMENT COMMUNITY OPERATED BY NEWBRIDGE ON THE CHARLES, INC.). HRC-NEWBRIDGE LEASES SPACE FROM NEWBRIDGE ON THE CHARLES, INC., AN AFFILIATED ENTITY, TO OPERATE THE 220-BED SATELLITE. HRC ALSO OPERATES TWO OUTPATIENT CLINIC SATELLITES ON HEBREW SENIORLIFE CAMPUSES: NEWBRIDGE ON THE CHARLES, DEDHAM, MA, AND ORCHARD COVE, CANTON, MA. HRC IS ACCREDITED BY CARF (COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES) AND IS AFFILIATED WITH HARVARD MEDICAL SCHOOL. SERVICES PROVIDED BY HRC INCLUDE LONG-TERM CHRONIC CARE, MEDICALLY COMPLEX CARE, POST-ACUTE REHABILITATIVE CARE, PRIMARY AND SPECIALTY CARE, OUTPATIENT CLINICS, OUTPATIENT THERAPY SERVICES, AND ADULT DAY CARE. HRC IS PART OF THE HEBREW SENIORLIFE HEALTH CARE CONTINUUM, WHICH INCLUDES HOME HEALTH CARE AND PRIVATE CARE, HOSPICE CARE, AND COMMUNITY PALLIATIVE CARE. HEBREW SENIORLIFE, INC., IS HRC'S SOLE MEMBER AND ALSO PROVIDES MANAGEMENT SERVICES TO HRC. HEBREW SENIORLIFE IS A HARVARD MEDICAL SCHOOL AFFILIATE AND A NATIONAL THOUGHT LEADER IN AGING, SENIOR HEALTH CARE, SENIOR LIVING, RESEARCH AND TEACHING, HSL IS GOVERNED BY A LARGE AND ACTIVE COMMUNITY BOARD COMPRISED ENTIRELY OF INDEPENDENT PERSONS FROM THE COMMUNITY. HRC, AS A SUBSIDIARY OF HSL, HAS A BOARD COMPRISED OF THREE EMPLOYEES (PRESIDENT, CEO, CFO) AND TWO INDEPENDENT DIRECTORS WHO ARE ALSO MEMBERS OF HSL'S BOARD OF DIRECTORS (INCLUDING THE BOARD CHAIR). SURPLUS FUNDS, SHOULD THEY EXIST, ARE REINVESTED IN HRC AS CAPITAL INVESTMENT, FOR UPKEEP OF THE FACILITY AND FOR GROWING PATIENT MEDICAL EQUIPMENT AND TECHNOLOGY NEEDS.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT	MA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 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
STEVEN LANDERS
PRESIDENT AND CEO (7/2023 - 5/2024)	$0	$1,011,661	$0	$0	$0	$45,434	$0	$0	$0	$35,772	$0	$1,092,867	$0	$0
JAMES D HART
SECRETARY & CHIEF FIN. OFFICER (THRU 11/2024)	$0	$436,910	$0	$88,050	$0	$0	$0	$5,800	$0	$68,474	$0	$599,234	$0	$0
LOUIS J WOOLF
PRESIDENT AND CEO (THRU 7/2023, RETURNED 5/2024 TO 6/2025)	$0	$616,452	$0	$495,498	$0	$0	$0	$6,600	$0	$51,742	$0	$1,170,292	$0	$0
KIMBERLY J BROOKS
EXECUTIVE VICE PRESIDENT, SENIOR LIVING	$0	$434,338	$0	$74,520	$0	$0	$0	$5,800	$0	$64,740	$0	$579,398	$0	$0
RACHEL LERNER ESQUIRE
CHIEF LEGAL OFFICER, EXECUTIVE DIRECTOR OF CP	$0	$357,336	$0	$0	$0	$0	$0	$6,036	$0	$34,112	$0	$397,484	$0	$0
LEWIS LIPSITZ MD
DIR, HMIFAR & CHIEF ACAD. OFF	$469,195	$0	$0	$0	$0	$0	$5,800	$0	$88,321	$0	$563,316	$0	$0	$0
ERNEST I MANDEL MD
EVP, HEALTHCARE AND CHIEF MEDICAL OFFICER	$498,247	$0	$74,002	$0	$0	$0	$5,800	$0	$35,033	$0	$613,082	$0	$0	$0
MARY MOSCATO FACHE
PRESIDENT, HSL HC SVCS. & HRC	$276,690	$0	$0	$0	$45,198	$0	$0	$0	$850	$0	$322,738	$0	$0	$0
KATELYN QUYNN
CHIEF DEV OFF & VP BOARD REL	$0	$608,390	$0	$66,887	$0	$0	$0	$4,253	$0	$54,040	$0	$733,570	$0	$0
TAMMY B RETALIC MS RN
EVP, LUNDER CAREFORCE INSTITTUTE (EFFECTIVE 3/17/25)	$370,642	$0	$68,497	$0	$0	$0	$5,140	$0	$70,194	$0	$514,473	$0	$0	$0
ERIC ROGERS
CHIEF INFORMATION OFFICER	$0	$300,962	$0	$74,879	$0	$0	$0	$5,812	$0	$66,349	$0	$448,002	$0	$0
SARAH K SJOSTROM
CNO AND VP OF PATIENT CARE SERVICES	$197,632	$0	$0	$0	$0	$0	$4,381	$0	$59,297	$0	$261,310	$0	$0	$0
SARAH L SYKORA
CHIEF COMM. & PLAN OFFICER	$0	$346,828	$0	$67,401	$0	$0	$0	$4,345	$0	$63,610	$0	$482,184	$0	$0
KATHYRN W TASKER
CHIEF SPONSORED AWARDS OFFICER	$310,075	$0	$43,180	$0	$0	$0	$5,800	$0	$72,009	$0	$431,064	$0	$0	$0
LINDA THOMPSON
CHIEF PEOPLE OFFICER	$0	$399,835	$0	$77,501	$0	$0	$0	$5,910	$0	$45,893	$0	$529,139	$0	$0
INNOKENTIY BAKAEV
MEDICAL DIRECTOR, RSU AND LTCH	$305,586	$0	$0	$0	$0	$0	$3,543	$0	$57,412	$0	$366,541	$0	$0	$0
SHARON K INOUYE
SR. SCIENTIST/DIRECTOR	$370,247	$0	$0	$0	$0	$0	$6,079	$0	$34,493	$0	$410,819	$0	$0	$0
RASHMI KAURA
CLINICAL DIRECTOR, PALLIATIVE CARE	$289,923	$0	$0	$0	$0	$0	$6,036	$0	$36,921	$0	$332,880	$0	$0	$0
ERAN D METZGER
MEDICAL DIRECTOR OF HSL PSYCHIATRY	$317,248	$0	$0	$0	$0	$0	$5,783	$0	$49,421	$0	$372,452	$0	$0	$0
ALVARO PASCUAL-LEONE
SENIOR SCIENTIST	$325,144	$0	$0	$0	$0	$0	$6,051	$0	$52,757	$0	$383,952	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION	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: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, & APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM THE LISTED ORGANIZATION. THESE PAYMENTS WERE TREATED AS TAXABLE WAGES AND INCLUDED IN THEIR CALENDAR YEAR 2024 FORM W-2S. MARY MOSCATO - $321,888 - HEBREW REHABILITATION CENTER STEVE LANDERS - $593,752 - HEBREW SENIOR LIFE, INC

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Contribution	10	ContributionCnt
Noncash Contributions Rpt F990	$816,018	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS	FormAndLineReferenceDesc
Explanation	SECURITIES - PUBLICLY TRADED - NUMBER OF CONTRIBUTIONS	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS	HSL IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODY	THE HSL BOARD CHAIR APPOINTS THE MEMBERS OF THE HRC BOARD OF DIRECTORS WITH THE ADVICE AND CONSENT OF THE HSL BOARD MEMBERS.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS	CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS DECISIONS INVOLVING MAJOR CHANGES IN ORGANIZATION, DEBT PLACEMENT, SALE OF ASSETS, ETC. ARE ALSO SUBJECT TO APPROVAL BY HSL'S BOARD. ULTIMATELY, GOVERNANCE OF THE CORPORATION RESTS WITH THE BOARD OF DIRECTORS OF THE COMPANY'S SOLE CORPORATE MEMBER, HSL.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY	PREPARATION OF THE FORM 990 BEGINS INTERNALLY WITH HSL STAFF AND FORVIS MAZARS PREPARING THE FORM WITH INFORMATION FROM HSL STAFF AND THE HSL AUDIT. ALL FORMS 990 AND 990-T OF THE AFFILIATES OF HSL (HSL IS THE SOLE CORPORATE MEMBER OF EACH AFFILIATE) WILL BE REVIEWED PRIOR TO FILING BY THE AUDIT & COMPLIANCE COMMITTEE OF HSL. 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 FIVE DAYS TIME IN WHICH TO VIEW THE FULL RETURNS PRIOR TO THEIR FILING.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICY	THE BOARD OF HRC VOTED TO ADOPT THE HSL 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 HSL 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 HRC IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, HRC 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 HSL CONFLICTS COMMITTEE IS RESPONSIBLE OR 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 HSL 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, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES	THE COMPENSATION COMMITTEE OF THE HSL BOARD, WITH THE ASSISTANCE OF DATA PROVIDED BY AN INDEPENDENT, EXPERT CONSULTANT, HAS REVIEWED THE PRESIDENT/CEO'S TOTAL COMPENSATION AND THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES AS WELL AS HIGHLY COMPENSATED EMPLOYEES (> $150,000) OF 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. THE REVIEW AND APPROVAL PROCEDURES OUTLINED ABOVE WERE LAST COMPLETED IN 2025. ADDITIONALLY, THE ORGANIZATION COMPLETED A WALK THROUGH OF SENIOR LEADERSHIP COMPENSATION WITH AN INDEPENDENT, EXPERT CONSULTANT, DURING 2025. ALL OF THESE COMMITTEE MEMBERS ARE INDEPENDENT DIRECTORS. INDEPENDENT CONSULTANTS WERE HIRED BY THE COMPENSATION COMMITTEE AND ASSISTED WITH THE COMPENSATION REVIEW. DOCUMENTATION AND RECORDS OF COMPENSATION COMMITTEE MEETINGS ARE MAINTAINED WITH RESPECT TO DELIBERATIONS AND COMPENSATION DECISIONS.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC	THE ORGANIZATION'S TAX RETURNS ARE AVAILABLE AT WWW.GUIDESTAR.ORG. 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.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES	TRANSFERS TO AFFILIATES - 34689; TOTAL - 34689;
FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION	AS AN AFFILIATE OF HEBREW SENIORLIFE, INC. (HSL), THE MISSION OF THE HEBREW REHABILITATION CENTER (HRC) IS TO HONOR OUR ELDERS, BY RESPECTING AND PROMOTING THEIR INDEPENDENCE, SPIRITUAL VIGOR, DIGNITY AND CHOICE, AND BY RECOGNIZING THAT THEY ARE A RESOURCE TO BE CHERISHED. AS PART OF OUR MISSION, WE ACCEPT SPECIAL RESPONSIBILITY FOR THE FRAILEST AND NEEDIEST MEMBERS OF OR COMMUNITY WHO ARE MOST DEPENDENT ON OUR CARE. WE SEEK TO FULFILL OUR MISSION BY OPERATING PROGRAMS IN: - MEMORY CARE - REHABILITATIVE THERAPY - EXPRESSIVE THERAPY - PALLIATIVE CARE - LIFE ENHANCEMENT - SPIRITUAL CARE - RUSSIAN LANGUAGE
FORM 990, PART III, LINE 4A THREE LARGEST PROGRAM SERVICES	HRC OFFERS LONG-TERM CARE MANAGEMENT, REHABILITATIVE, AND EXTENDED MEDICAL CARE THAT MEETS THE CHRONIC AND ACUTE MEDICAL NEEDS OF OLDER ADULT PATIENTS IN A THERAPEUTIC AND HEALING ENVIRONMENT. CARE IS PROVIDED IN A HOME-LIKE SETTING AND TAILORED TO THE INDIVIDUAL NEEDS OF EACH PATIENT. IN ADDITION TO EXPERT GERIATRIC MEDICAL CARE PROVIDED BY PHYSICIANS AND NURSE PRACTITIONERS FROM OUR ONSITE DEPARTMENT OF MEDICINE, A MULTIDISCIPLINARY TEAM OFFERS A WIDE RANGE OF THERAPEUTIC PROGRAMS THAT MAXIMIZE FUNCTION WITH THE GOAL OF HELPING OUR PATIENTS MAINTAIN INDEPENDENCE FOR AS LONG AS POSSIBLE. EXAMPLES OF OUR PROGRAM SERVICES ARE AS FOLLOWS: 1. MEMORY CARE: HRC HAS MEMORY CARE UNITS IN TWO LOCATIONS TO SERVE SENIORS WITH MODERATE TO ADVANCED MEMORY LOSS WHO NEED SPECIAL SERVICES AND ACCOMMODATIONS TO KEEP THEM SAFE AND ENGAGED. WE PROVIDE TO OUR LONG-TERM CHRONIC MEMORY CARE PATIENTS SERVICES SUCH AS EXPRESSIVE THERAPIES INVOLVING MUSIC AND ART, WHICH BUILD ON AND SUPPORT THEIR ABILITIES, TALENTS, AND INTERESTS. WE WILL FOCUS ON WHAT RESIDENTS CAN STILL DO, RATHER THAN ON WHAT THEY CAN'T, THEREBY OFFERING OPPORTUNITIES FOR ACCOMPLISHMENT, SUCCESS, AND JOY EACH DAY. 2. EXPRESSIVE THERAPY: EXPRESSIVE THERAPY IS A DYNAMIC, MULTIMODAL APPROACH TO INTEGRATING THE ARTS INTO THE HEALING PROCESS. USED WITHIN THE CONTEXT OF A HEALTH CARE OR REHABILITATION SETTING, EXPRESSIVE THERAPIES LIKE MUSIC, ART, AND DANCE CAN FOSTER HEALING AND PROVIDE AN OVERALL SENSE OF WELL-BEING AND CONNECTION TO OTHERS. HRC EMPLOYS EXPRESSIVE THERAPISTS WHO FUNCTION AS MEMBERS OF THE MULTIDISCIPLINARY HEALTH CARE TEAM TO PROVIDE TREATMENT TO SENIORS. THERAPISTS ARE MASTERS-LEVEL MENTAL HEALTH COUNSELORS WHO ARE ALSO PROFESSIONALLY TRAINED IN THEIR RESPECTIVE DISCIPLINES (E.G., ART, MUSIC, ETC.). THE OVERALL GOALS OF TREATMENT ARE TO PROVIDE A SAFE, SECURE SETTING IN WHICH PATIENTS CAN EXPRESS THEMSELVES ON BOTH VERBAL AND NON-VERBAL LEVELS. PATIENTS ALSO FEEL AN INCREASED CONNECTION TO OTHERS THAT IN TURN DECREASES THEIR LEVEL OF DISTRESS AND PSYCHOLOGICAL DISCOMFORT. 3. PALLIATIVE CARE: SINCE 2007, THE HRC PALLIATIVE CARE PROGRAM HAS BEEN HELPING PATIENTS MAXIMIZE THE QUALITY OF LIFE WHILE MAINTAINING DIGNITY AND CONTROL AS THEY NAVIGATE THE JOURNEY OF SERIOUS AND TERMINAL ILLNESS. THE PALLIATIVE TEAM COMPRISING OF COUNSELORS, DOCTORS, NURSES, HEALTH AIDES, AND THERAPISTS, ACCOMPLISH THIS BY PROVIDING MEDICAL INFORMATION, ASKING QUESTIONS, AND SUPPORTING THE PATIENT AND FAMILY'S DECISIONS. THE PALLIATIVE CARE TEAM ALSO TAKES MEASURES TO PROVIDE MEDICAL HELP, MASSAGE, MUSIC THERAPY, AND OTHER INTERVENTIONS TO MAKE THE PATIENT'S JOURNEY AS COMFORTABLE AS POSSIBLE.
FORM 990, PART I, LINE 22 DESCRIPTION OF NEGATIVE NET ASSETS	THE DECREASE IN UNRESTRICTED NET ASSETS AND UNRESTRICTED NET DEFICIT AT HRC FOR FISCAL YEAR 2025 REFLECTS THE INCLUSION OF EXPENSES THAT ARE SUPPORTED BY HRC'S PARENT, HSL. HSL BENEFITS FROM BOTH MANAGEMENT FEES AND PHILANTHROPIC INCOME THAT ARE AVAILABLE TO FUND HRC'S OPERATING, PENSION FUND, AND OTHER EXPENSES. AS SUCH, HSL'S MANAGEMENT, BOARD OF DIRECTORS, AND LENDERS VIEW THE ORGANIZATION'S FINANCIAL CONDITION AS HSL AND HRC'S COMBINED BALANCE SHEET, WITH $124 MILLION IN UNRESTRICTED NET ASSETS AT 9/30/25.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
HEBREW SENIORLIFE HOSPICE CARE INC
1200 CENTRE STREET	BOSTON	MA	02131	461309228	ELDER HOUSING	MA	501(C)(3)	10	HSL	Yes (true)
NEWBRIDGE ON THE CHARLES INC
1200 CENTRE STREET	BOSTON	MA	02131	383707573	ELDER HOUSING	MA	501(C)(3)	10	HSL	Yes (true)
ORCHARD COVE INC
ONE DEL POND DRIVE	CANTON	MA	02021	223080006	CONT. CAR	MA	501(C)(3)	10	HSL	Yes (true)
HRCA SENIOR HOUSING INC
1200 CENTRE STREET	BOSTON	MA	02131	042765428	ELDER HOUSING	MA	501(C)(3)	10	HSL	Yes (true)
CTR COMMUNITIES OF BROOKLINE INC
1200 CENTRE STREET	BOSTON	MA	02131	010569404	ELDER HOUSING	MA	501(C)(3)	10	HSL	Yes (true)
HRCA BROOKLINE HOUSING 112-120 CENTRE COURT INC
1200 CENTRE STREET	BOSTON	MA	02131	030372998	ELDER HOUSING	MA	501(C)(3)	10	HSL	Yes (true)
HRCA HOUSING FOR ELDERLY INC
1200 CENTRE STREET	BOSTON	MA	02131	042543731	ELDER HOUSING	MA	501(C)(3)	10	HSL	Yes (true)
HRCA BROOKLINE HOUSING 108 CENTRE STREET INC
1200 CENTRE STREET	BOSTON	MA	02131	810612222	ELDER HOUSING	MA	501(C)(3)	TYPE II	HSL	Yes (true)
HEBREW SENIORLIFE INC
1200 CENTRE STREET	BOSTON	MA	02131	900183119	MGMT SERVICES	MA	501(C)(3)	7	NA	false
HEBREW SENIORLIFE AFFILIATED MEDICAL GROUP INC
1200 CENTRE STREET	BOSTON	MA	02131	823654673	PHYSICIAN SVC	MA	501(C)(3)	10	HSL	Yes (true)
HRCA BROOKLINE HOUSING 1550 BEACON PLAZA INC
1201 CENTRE STREET	BOSTON	MA	02131	010569403	ELDER HOUSING	MA	501(C)(3)	10	HSL	Yes (true)
HEBREW SENIORLIFE SOLUTIONS INC
1200 CENTRE ST	ROSLINDALE	MA	02131	934963180	ELDER HOUSING	MA	501(C)(3)	10	HSL	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
CCB COHEN 112 CENTRE MM LLC
1200 CENTRE ST	BOSTON	MA	02131	821763395	ELDER HOUSING	MA	NA	N/A	false	false
HSL FIREMAN OPERATING LP
640 N MAIN ST	RANDOLPH	MA	02368	844212813	ELDER HOUSING	MA	NA	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
HSL PAYROLL SERVICES INC
100 CENTRE STREET	BROOKLINE	MA	02446	042684823	PAYROLL SERVICES	MA	NA	C CORPORATION	false
HEBREW SENIORLIFE REAGE SOLUTIONS INC
1200 CENTRE STREET	BOSTON	MA	02131	814906048	MGMT & CONS. SVCS	DE	NA	C CORPORATION	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd