HEBREW HOME AND HOSPITAL INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HEBREW HOME AND HOSPITAL INC (EIN 06-0646672)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-15
- IRS object ID
- 202412289349302301
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-15T11:58:15-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 LONG WHARF DRIVE | AddressLine1Txt |
| City | NEW HAVEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06511 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060646672 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEBREW HOME & HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEBR | BusinessNameControlTxt |
| Phone | 8602182300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ABRAHMS BLVD | AddressLine1Txt |
| City | WEST HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06117 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DENISE PETERSON | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 8602182300 | PhoneNum |
| Signature | 2024-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 2037819600 | PhoneNum |
| Preparation | 2024-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL AT HEBREW SENIOR CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DENISE PETERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ABRAHMS BLVD | AddressLine1Txt |
| City | WEST HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,536,430 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HEBREWSENIORCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1901 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY HEALTH CARE TO SENIOR ADULTS IN THE GREATER HARTFORD AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 168 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $241,952 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,045,874 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,190,628 | CYProgramServiceRevenueAmt |
| PY Investment Income | $229 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,062 | PYOtherRevenueAmt |
| CY Other Revenue | $345,802 | CYOtherRevenueAmt |
| PY Total Revenue | $11,293,117 | PYTotalRevenueAmt |
| CY Total Revenue | $11,536,430 | 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 | $7,591,632 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,205,564 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,677,549 | PYOtherExpensesAmt |
| CY Other Expenses | $2,502,016 | CYOtherExpensesAmt |
| PY Total Expenses | $10,269,181 | PYTotalExpensesAmt |
| CY Total Expenses | $9,707,580 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,023,936 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,828,850 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,922,820 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,912,912 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,545,838 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,707,080 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $376,982 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,205,832 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF HEBREW HOME AND HOSPITAL ALIGNS WITH THE MISSION OF ITS PARENT ORGANIZATION, HEBREW HEALTH CARE, TO PROVIDE QUALITY SERVICES TO SENIOR ADULTS. (SEE SCHEDULE O)AS PART OF AN INTEGRATED SYSTEM TO ASSIST SENIORS IN THE HARTFORD, CONNECTICUT HEBREW HOME & HOSPITAL OPERATES A LICENSED HOSPITAL FACILITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,758,072 | ExpenseAmt |
| Revenue | $11,190,628 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH UNIT (BHU). ON OUR 38-BED HOSPITAL BHU, WE TREAT CHRONIC MENTAL HEALTH ISSUES THAT ARE EXACERBATED BY AGE, NEW BEHAVIORAL SYMPTOMS AND/OR THE ONSET OF DEMENTIA. WE MANAGE CHALLENGING BEHAVIORS WITH THE GOAL OF BRINGING PATIENTS BACK TO A STABLE BASELINE SO THAT THEY CAN RETURN TO THEIR PRIOR LIVING SETTINGS, WHETHER THAT IS IN THE COMMUNITY, IN AN ASSISTED LIVING FACILITY, OR A LONG TERM CARE NURSING HOME. IN THE CASE OF THE LATTER TWO SETTINGS, WE WORK COLLABORATIVELY WITH STAFF TO HELP THEM UNDERSTAND HOW THEY CAN HELP AVOID ENVIRONMENTAL TRIGGERS TO FUTURE EXACERBATIONS AND BEHAVIORAL DISTURBANCES. OUR PSYCHIATRISTS SEE EVERY PATIENT EVERY DAY. A GERIATRICIAN IS ASSIGNED TO EVERY PATIENT TO EVALUATE AND TREAT MEDICAL ISSUES. INDIVIDUAL AND GROUP THERAPIES ARE PROVIDED DAILY; AND SUPPORT GROUPS FOR FAMILIES ARE ALSO AN INTEGRAL PART OF THE CARE PLAN. CONDITIONS WE TREAT INCLUDE CHRONIC PSYCHIATRIC ISSUES, BIPOLAR DISORDER, DELUSIONAL DISORDER, ALZHEIMER'S DISEASE WITH BEHAVIORAL DISTURBANCES, DEPRESSION, SCHIZOPHRENIA AND PARANOID DISORDER. OUR HOSPITAL SERVICES ARE MEDICARE AND MEDICAID CERTIFIED. | Desc |
| Total Program Service Expenses | $7,758,072 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 168 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRED DALICANDRO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8602128558 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ABRAHMS BLVD | AddressLine1Txt |
| City | WEST HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06117 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CARLOS SALMON | ||||||||
| BOARD MEMBER | 0.05 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY BLAU | ||||||||
| BOARD MEMBER | 0.05 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| ILENE KOHLUN | ||||||||
| BOARD MEMBER | 0.05 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY S HOFFMAN | ||||||||
| BOARD MEMBER | 0.05 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD ROBINSON | ||||||||
| TREASURER | 1.00 | 2.10 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GARY S GREENBERG | ||||||||
| CHAIR | 1.00 | 2.15 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| PAMELA ATWOOD | ||||||||
| BOARD MEMBER | 0.05 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD RUBENSTEIN | ||||||||
| BOARD MEMBER | 1.00 | 2.10 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT LEAKE | ||||||||
| CFO (UNTIL 12/2022) | 10.00 | 31.00 | $0 | $146,080 | $0 | Yes (X) | ||
| DENISE PETERSON | ||||||||
| PRESIDENT & CEO | 20.00 | 20.00 | $0 | $304,862 | $20,293 | Yes (X) | ||
| JOY A HUGHES | ||||||||
| NURSE | 40.00 | $106,605 | $0 | $0 | Yes (X) | |||
| HAROLD E SANDALS | ||||||||
| NURSE | 40.00 | $119,705 | $0 | $0 | Yes (X) | |||
| KORRINE ROTH | ||||||||
| NURSING ADMIN | 40.00 | $120,470 | $0 | $19,489 | Yes (X) | |||
| KATHLEEN A SMITH | ||||||||
| NURSING ADMIN | 40.00 | $139,440 | $0 | $0 | Yes (X) | |||
| TRACEY URSO | ||||||||
| NURSE | 40.00 | $154,163 | $0 | $2,860 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $640,383 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $450,942 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $42,642 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARDINAL HEALTH | |||||
| 7000 CARDINAL PLACE | DUBLIN | OH | 43017 | PHARMACY SERVICES | $176,158 |
| GERIATRIC MENTAL HEALTH SPECIALIST | |||||
| 270 FARMINGTON AVE 309 | FARMINGTON | CT | 06032 | MEDICAL SERVICES | $148,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| BEHAVIORAL HEALTH HOSPITAL | 621300 | $10,714,285 | $10,714,285 |
| PHARMACY | 456110 | $476,343 | $476,343 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,190,628 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REFUND INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $345,802 | TotalRevenueColumnAmt |
| Exclusion | $345,802 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $345,802 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,536,430 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,190,628 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $345,802 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,392,195 | TotalAmt |
| Program Services | $5,234,212 | ProgramServicesAmt |
| Management And General | $1,157,983 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,050 | TotalAmt |
| Program Services | $335,056 | ProgramServicesAmt |
| Management And General | $91,994 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,319 | TotalAmt |
| Program Services | $309,055 | ProgramServicesAmt |
| Management And General | $77,264 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,678 | TotalAmt |
| Management And General | $20,678 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,349 | TotalAmt |
| Program Services | $1,288 | ProgramServicesAmt |
| Management And General | $48,061 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $499,227 | TotalAmt |
| Program Services | $473,991 | ProgramServicesAmt |
| Management And General | $25,236 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,180 | TotalAmt |
| Program Services | $129,738 | ProgramServicesAmt |
| Management And General | $82,442 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,856 | TotalAmt |
| Program Services | $235,856 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,558 | TotalAmt |
| Program Services | $8,558 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $429 | TotalAmt |
| Program Services | $343 | ProgramServicesAmt |
| Management And General | $86 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,241 | TotalAmt |
| Program Services | $7,241 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,059 | TotalAmt |
| Program Services | $41,612 | ProgramServicesAmt |
| Management And General | $166,447 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $396,231 | TotalAmt |
| Program Services | $123,801 | ProgramServicesAmt |
| Management And General | $272,430 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIETARY | $374,177 | $374,177 | |
| MEDICAL SUPPLIES | $364,745 | $363,400 | $1,345 |
| PROVISION FOR BAD DEBTS | $84,153 | $84,153 | |
| MAINTENANCE AND REPAIRS | $40,805 | $35,263 | $5,542 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328 | TotalAmt |
| Program Services | $328 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,707,580 | TotalAmt |
| Program Services | $7,758,072 | ProgramServicesAmt |
| Management And General | $1,949,508 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,860 | BOYAmt |
| EOY | $156,826 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,103,091 | BOYAmt |
| EOY | $1,138,230 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,278 | BOYAmt |
| EOY | $37,599 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,917 | BOYAmt |
| EOY | $39,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,254,396 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $597,952 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,785,425 | BOYAmt |
| EOY | $1,656,444 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,337 | BOYAmt |
| EOY | $2,023 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,779,912 | BOYAmt |
| EOY | $4,881,814 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,922,820 | BOYAmt |
| EOY | $7,912,912 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,882 | BOYAmt |
| EOY | $426,905 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,555 | BOYAmt |
| EOY | $22,345 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,588,841 | BOYAmt |
| EOY | $1,300,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,945,560 | BOYAmt |
| EOY | $3,957,830 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,545,838 | BOYAmt |
| EOY | $5,707,080 | 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 | $376,982 | BOYAmt |
| EOY | $2,205,832 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376,982 | BOYAmt |
| EOY | $2,205,832 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,922,820 | BOYAmt |
| EOY | $7,912,912 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,828,850 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $384,706 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $241,952 | CurrentTaxYearMinus1YearAmt |
| Total | $627,658 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,246,607 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,223,581 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,112,845 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,045,874 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,190,628 | CurrentTaxYearAmt |
| Total | $47,819,535 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,247,607 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,223,581 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,497,551 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,287,826 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,190,628 | CurrentTaxYearAmt |
| Total | $48,447,193 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $48,447,193 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $206 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $309 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $229 | CurrentTaxYearMinus1YearAmt |
| Total | $744 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $206 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $309 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $229 | CurrentTaxYearMinus1YearAmt |
| Total | $744 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $381,117 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $144,998 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,515,196 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,062 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $345,802 | CurrentTaxYearAmt |
| Total | $2,392,175 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,628,930 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,368,888 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,012,747 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,293,117 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,536,430 | CurrentTaxYearAmt |
| Total | $50,840,112 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95290 | PublicSupportCY509Pct |
| Public Support PY509 | 0.93760 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,272,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $231,439 | DepreciationAmt |
| Book Value | $1,041,287 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $981,670 | OtherCostOrOtherBasisAmt |
| Depreciation | $366,513 | DepreciationAmt |
| Book Value | $615,157 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,656,444 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $7,059 |
| OTHER RECEIVABLES | $9,263 |
| DUE FROM AFFILIATES | $2,759,715 |
| OPERATING LEASE, RIGHT OF USE ASSETS | $2,105,777 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,881,814 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYMENTS DUE UNDER PLAN OF REORGANIZATION | $1,050,094 |
| LEASE OBLIGATIONS | $2,907,736 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,957,830 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,106,475 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$84,153 | OtherRevenueAmt |
| Revenue Not Reported | -$84,153 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,190,628 | RevenueSubtotalAmt |
| Other Revenues Not Included | $345,802 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $345,802 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,536,430 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,277,625 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$345,802 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$345,802 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,623,427 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $84,153 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $84,153 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,707,580 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE FOLLOWING FOOTNOTE IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR HEBREW HEALTH CARE, INCORPORATED AND AFFILIATES. EACH ENTITY, WITH THE EXCEPTION OF CGSG, IS QUALIFIED UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. CGSG ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. FASB ASC 740 IS AN ASSET AND LIABILITY METHOD, WHICH REQUIRES THE RECOGNITION OF DEFERRED TAX ASSETS AND LIABILITIES FOR THE EXPECTED FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BETWEEN THE TAX AND FINANCIAL REPORTING BASIS OF CERTAIN ASSETS AND LIABILITIES. AS OF SEPTEMBER 30, 2023 AND 2022, CGSG HAD A NET FEDERAL OPERATING LOSS CARRYFORWARD AVAILABLE TO REDUCE ITS FUTURE TAXABLE INCOME OF APPROXIMATELY $4 MILLION AND $3.75 MILLION, RESPECTIVELY, AND STATE OF CONNECTICUT NET OPERATING LOSS CARRYFORWARD OF $4 MILLION AND $3.76 MILLION, RESPECTIVELY. THE CARRYFORWARD PERIODS EXPIRE AT VARIOUS DATES THROUGH 2036. THE DEFERRED TAX ASSET OF APPROXIMATELY $1.2 MILLION AND $1 MILLION, AS OF SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY, ASSOCIATED WITH CGSG'S LOSS CARRYFORWARD AND ACCRUED EXPENSES WAS OFFSET BY A CORRESPONDING VALUATION ALLOWANCE OF $1.2 MILLION AND $1 MILLION AS OF SEPTEMBER 30, 2023 AND 2022, AS REALIZATION OF SUCH LOSS CARRYFORWARDS IS NOT ASSURED. THE VALUATION ALLOWANCE FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022 INCREASED BY APPROXIMATELY $88,652 AND $72,000, RESPECTIVELY. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740 WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN ADMINISTRATION EXPENSES. AS OF SEPTEMBER 30, 2023 AND 2022, THE ORGANIZATION DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. DURING OCTOBER 2021, THE ORGANIZATION RECEIVED NOTICE FROM THE IRS REGARDING A COMPLIANCE CHECK RELATED TO ADHERENCE WITH IRS FINANCIAL ASSISTANCE POLICIES. ALL REQUIRED DOCUMENTATION HAS BEEN UPDATED AND AT THE DATE OF THIS REPORT, THE IRS COMPLIANCE CHECK IS STILL IN PROCESS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS -84,153. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECLASS OF REFUND INCOME 345,802. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RECLASS OF REFUND INCOME -345,802. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 84,153. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $475,125 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $329,550 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $145,575 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $475,125 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $329,550 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $145,575 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01510 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,150 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,150 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $480,275 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $329,550 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $150,725 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,204 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,204 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,204 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,204 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $84,153 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,610,401 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,957,801 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,652,600 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HOSPITAL AT HEBREW HEALTH CARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ABRAHMS BLVD | AddressLine1Txt |
| City | WEST HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HEBREWSENIORCARE.ORG | WebsiteAddressTxt |
| State License | 16CD | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | BEHAVIORAL UNITS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HOSPITAL AT HEBREW HEALTH CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.HEBREWSENIORCARE.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.HEBREWSENIORCARE.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 25.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.HEBREWSENIORCARE.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.HEBREWSENIORCARE.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.HEBREWSENIORCARE.ORG | 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 |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE HOSPITAL AT HEBREW HEALTH CARE | PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DISTRIBUTED TO COMMUNITY MEMBERS, ADULT CARE COORDINATORS AND FAMILY SERVICES INCLUDING: SENIOR ADULT AND FAMILY SERVICES FOR THE TOWN OF MANCHESTER, NCAAA, CENTER FOR HEALTHY AGING, VARIOUS SENIOR CENTERS IN CENTRAL CONNECTICUT AND THE MANCHESTER COMMUNITY SERVICES COUNCIL. |
| THE HOSPITAL AT HEBREW HEALTH CARE | PART V, SECTION B, LINE 11: THE HOSPITAL HAS INDENTIFIED 4 SIGNIFICANT NEEDS IT PLANS TO ADDRESS:1. DEVELOP EDUCATIONAL OPPORTUNITIES ABOUT COGNITIVE IMPAIRMENT;2. OFFER SEMINARS ABOUT HOW TO DOWNSIZE IN ORDER TO MOVE INTO INDEPENDENT/ASSISTED LIVING FACILITIES;3. DEVELOP PROGRAMS TO EDUCATE PEOPLE ABOUT MEDICARE, PROBATE AND ESTATE PLANNING; AND, 4. HELP PEOPLE DEVELOP AND UNDERSTAND APPROPRIATE ACTIVITIES FOR PEOPLE WITH COGNITIVE IMPAIRMENT.THE HOSPITAL PLANS TO ADDRESS THESE NEEDS THROUGH THE CREATION OF PROGRAMS, COLLABORATING WITH PARTNERS AND EXPANDING RESIDENT MEMBER FUNDS TO ASSIST IN FINANCIAL AID FOR RESIDENTS IN NEED. |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE ORGANIZATION USED THE RATIO OF PATIENT CARE COST TO CHARGES. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 84,153. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | HEBREW SENIOR CARE PROVIDES COMMUNITY BENEFITS TO THE GREATER HARTFORD REGION. OUR ORGANIZATION PROVIDES INFORMATION TO THE COMMUNITY IN SEVERAL WAYS:- OUR VP OF MARKETING HAS A CABLE ACCESS SHOW THAT AIRS ON A MONTHLY BASIS. THE CABLE ACCESS SHOW FEATURES HEALTH PROFESSIONALS WHO CAN PROVIDE ADVICE REGARDING SENIOR HEALTH AND WELLNESS. - OUR ORGANIZATION RUNS DRIVES FOR A VARIETY OF NEEDS: FOOD, COATS AND SCHOOL SUPPLIES FOR LOCAL SCHOOLS IN HARTFORD. -WE OFFER SUPPORT GROUPS FOR FAMILIES STRUGGLING WITH AGING PARENTS OR SPOUSES WHO MAY HAVE DEMENTIA. |
| PART III, LINE 2: | THE ORGANIZATION ESTIMATES BAD DEBT BASED ON HISTORICAL EXPERIENCE AS WELL AS ACTUAL ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE. |
| PART III, LINE 3: | THE HOSPITAL SERVES THE ELDERLY POPULATION OF THE GREATER HARTFORD CONNECTICUT AREA WHICH IS A VULNERABLE POPULATION WHO OFTEN LIVE ON A FIXED INCOME. IN ORDER TO ENSURE QUALITY CARE TO THIS DEMOGRAPHIC, THE HOSPITAL INCURS BAD DEBT EXPENSE WHEN THE INDIVDIUALS CAN NOT PAY. SINCE THERE IS AN IDENTIFIED NEED TO PROVIDE SERVCIES TO THE ELDERLY, THE HOSPITAL BELIEVES THE AMOUNT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. THE HOSPITAL WAS NOT ABLE TO ESTIMATE THE PERCENTAGE OF THE BAD DEBT RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE; HOWEVER, SOME PORTION OF THE BAD DEBT RELATES TO THESE INDIVIDUALS. |
| PART III, LINE 4: | THERE IS NO BAD DEBT FOOTNOTE IN THE FINANCIAL STATEMENTS BUT THE METHOD FOR EVALUATING ACCOUNTS RECEIVABLE IS INCLUDED IN NOTE 2 ON PAGE 13 OF THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE HOSPITAL SERVES THE ELDERLY POPULATION OF THE GREATER HARTFORD CONNECTICUT AREA WHICH IS A VULNERABLE POPULATION WHO OFTEN LIVE ON A FIXED INCOME. IN ORDER TO ENSURE QUALITY CARE TO THIS DEMOGRAPHIC. THE HOSPITAL WAS NOT ABLE TO ESTIMATE THE MEDICARE ALLOWABLE COSTS BUT BELIEVES THE SERVICES RESULTED IN A LOSS. SINCE MEDICARE DOES NOT FULLY COVER THE COST OF THE SERVICES PROVICED AND THERE IS AN IDENTIFIED NEED TO PROVIDE SERVCIES TO THE ELDERLY, THE HOSPITAL BELIEVES THE SHORTFALL AMOUNT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. |
| PART III, LINE 9B: | SPECIAL CONSIDERATION IS MADE ON CASE BY CASE BASIS IF PATIENT MEETS THE CHARITY CARE POLICY GUIDELINES AS WELL AS ALL TROUBLED ACCOUNTS. |
| PART VI, LINE 2: | THE COMMUNITY NEEDS ASSESSMENT SURVEY SENT TO ORGANIZATIONS THAT SERVICE GERIATRIC POPULATION OF WEST HARTFORD SURROUNDING COMMUNITIES. THE SURVEY IDENTIFIES THE RESPONDENTS, THE MOST SIGNIFICANT HEALTH NEEDS/ISSUES, GROUPS/INDIVIDUALS THAT COULD BE EFFECTIVE IN HELPING THOSE NEEDS AND ROLE HEBREW HEALTH CARE CAN PROVIDE. |
| PART VI, LINE 3: | FINANCIAL AID APPLICATIONS CAN BE CONSIDERED ANYTIME FROM THE POINT OF SERVICE TO THE BILL BEING RECEIVED. THE FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO PATIENTS WHOSE FAMILY INCOME IS 200 PERCENT OR LESS OF THE FEDERAL POVERTY GUIDELINES AND INDIVIDUAL FINANCIAL CIRCUMSTANCES WILL BE USED IN CONJUNCTION WITH FEDERAL POVERTY GUIDELINES FOR DETERMINATION OF INDIVIDUAL FINANCIAL ASSISTANCE PROGRAM WRITE-OFFS. WHEN AN APPLICATION FOR FINANCIAL ASSISTANCE AND CHARITY CARE IS DENIED, THE RESPONSIBILITY PARTY SHALL RECEIVE A WRITTEN NOTICE OF DENIAL WHICH INCLUDES THE REASON OR REASONS FOR THE DENIAL; THE DATE OF THE DECISION; AND THE INSTRUCTIONS FOR APPEAL OR RECONSIDERATION. THE LETTER ALSO INCLUDES A DESCRIPTION OF THE INFORMATION THAT WAS REQUESTED AND NOT PROVIDED IF THIS IS THE CASE. THE CFO AND/OR ADMINISTRATOR WILL REVIEW ALL APPEALS. IF THIS REVIEW REAFFIRMS THE PREVIOUS DENIAL OF FINANCIAL ASSISTANCE AND CHARITY CARE, WRITTEN NOTIFICATION WILL BE SENT TO THE RESPONSIBLE PARTY AND ALL OTHER STATE LAWS REGARDING NOTIFICATION WILL BE FOLLOWED. |
| PART VI, LINE 4: | OUR BEHAVIORAL HEALTH UNIT WAS OPENED IN 2005, WE HAVE SPECIALIZED IN THE CARE AND TREATMENT OF OLDER ADULTS AGE 50+ WHO ARE EXPERIENCING BEHAVIORAL HEALTH DISORDERS. THE COMMUNITY SERVED BY HEBREW SENIOR CARE'S GERIATRIC BEHAVIORAL HEALTH HOSPITAL IS THE SENIOR POPULATION (AGE 50 AND OLDER) IN THE GREATER HARTFORD CONNECTICUT AREA. THIS IS THE GEOGRAPHIC AREA MOST COMMONLY SERVED BY HEBREW SENIOR CARE'S BEHAVIORAL HEALTH HOSPITAL. HOWEVER, MANY INDIVIDUALS SERVED BY THE GERIATRIC BEHAVIORAL HEALTH HOSPITAL COME FROM THROUGHOUT THE STATE OF CONNECTICUT DUE TO THE LACK OF BEHAVIORAL HEALTH BEDS DEDICATED TO SENIORS. |
| PART VI, LINE 5: | HEBREW SENIOR CARE PROVIDES COMMUNITY BENEFITS TO THE GREATER HARTFORD REGION. DEEPLY DEVOTED LAY LEADERSHIP, A RESPONSIBILITY PROUDLY HANDED DOWN FROM GENERATION TO GENERATION, BEST DEFINES THE COMMITMENT OF HEBREW SENIOR CARE'S BOARD OF TRUSTEES. THE BOARD OF TRUSTEES PROVIDES FISCAL OVERSIGHT WHILE HONORING THE TENETS OF JUDAISM PROVIDING CARE TO THOSE WHO CAME BEFORE US REGARDLESS OF ONE'S ABILITY TO PAY AND ONE'S RELIGIOUS AFFILIATION. HEBREW SENIOR CARE'S LAY LEADERSHIP WORKS IN PARTNERSHIP WITH THE TALENTED STAFF TO ENSURE SERVICE LINES REMAIN RELEVANT IN THIS FAST-CHANGING HEALTH CARE ENVIRONMENT, AND THAT STANDARDS FOR CARE REMAIN AT THE HIGHEST LEVELS. THE BOARD OF DIRECTORS IS A VOLUNTEER BOARD COMPRISED OF PROMINENT MEMBERS OF THE COMMUNITY. THE HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF ALLOWING COMMUNITY PHYSICIANS TO SERVE THEIR PATIENTS. |
| PART VI, LINE 6: | THE STORY OF HEBREW SENIOR CARE CONTINUES TO BE ONE OF COMMITMENT TO SENIOR HEALTH AND WELLNESS, FAITHFULNESS TO OUR JEWISH HERITAGE, AND RESPONSIVENESS TO THE COMMUNITY'S NEEDS. SINCE 1901, HEBREW SENIOR CARE HAS DEVOTED ITSELF TO THE CARE OF OLDER ADULTS AND HAS PROVIDED SENIOR SERVICES THROUGH THE JEWISH TRADITION OF CARING FOR THE ELDERLY WITH COMPASSION AND NOT FORSAKING THE ELDERLY WHEN THEIR STRENGTH FAILS. HEBREW SENIOR CARE SERVICES ARE OPEN TO BOTH THE JEWISH COMMUNITY AND THE COMMUNITY AT LARGE.HEBREW SENIOR CARE HAS SIX AFFILIATES: HEBREW HOME & HOSPITAL - THE ORGANIZATION OPERATES A 38-BED BEHAVIORAL HEALTH HOSPITAL TYPICALLY FOR INDIVIDUALS EXPERIENCING ACUTE PSYCHIATRIC SYMPTOMS OR BEHAVIORS THAT INTERFER WITH THEIR CARE. WHETHER AN OLDER ADULT IS EXPERIENCING DEPRESSION, DEMENTIA ACCOMPANIED BY BEHAVIORAL DISTURBANCES OR SCHIZOPHRENIA, ANXIETY, BIPOLAR DISORDER OR ALCOHOL WITHDRAWAL THE BEHAVIORAL HEALTH HOSPITAL AT HEBREW SENIOR CARE ARE EXPERTS IN SERVING THIS VULNERABLE POPULATION. THE BEHAVIORAL HEALTH HOSPITAL AT HEBREW SENIOR CARE SPECIALIZES IN SERVING OLDER ADULTS (50 YEARS AND OLDER)HEBREW COMMUNITY SERVICES, INC. - THIS ORGANIZATION PROVIDES A SENIOR DAY CARE CENTER AND AN ASSISTED LIVING SERVICES AGENCY. HEBREW LIFE CHOICES, INC. - THIS ORGANIZATION PROVIDES INDEPENDENT AND ASSISTED SENIOR LIVING.HEBREW HEALTH CARE FOUNDATION, INC. - THIS ORGANIZATION PROVIDES FUNDRAISING SERVICES FOR OTHER ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM.HEBREW HEALTH CARE, INC. - THIS ORGANIZATION PROVIDES ADMINISTRATIVE, OVERSIGHT AND FUNDRAISING SERVICES FOR OTHER ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM.CONNECTICUT GERIATRIC SPECIALTY GROUP, PC - THIS ORGANIZATION OPERATES A PHYSICIAN PRACTICE.PART VI, LINE 7 THE HOSPITAL OPERATES IN THE STATE OF CONNECTICUT WHICH DOES NOT REQUIRE REPORTING. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENISE PETERSON | ||||||||||||||
| PRESIDENT & CEO | $0 | $304,862 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $20,293 | $0 | $325,155 | $0 | $0 |
| TRACEY URSO | ||||||||||||||
| NURSE | $154,163 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $2,860 | $0 | $157,023 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR IS PAID BY HEBREW HEALTH CARE, INC. WHICH USES THE FOLLOWING METHODS WHEN DETERMINING COMPENSATION: - COMPENSATION COMMITTEE - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | HEBREW HOME & HOSPITAL ("THE HOSPITAL") HAS ONLY ONE MEMBER. THE SOLE MEMBER OF THE ORGANIZATION IS HEBREW HEALTH CARE, INC., A CONNECTICUT NONSTOCK CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | PURSUANT TO THE BYLAWS, THE BOARD SHALL HAVE FOURTEEN (14) EX-OFFICIO TRUSTEES. THE PERSONS WHO HOLD THE FOLLOWING OFFICES OR POSITIONS SHALL BE THE EX-OFFICIO TRUSTEES OF THE HOME AT ALL TIMES WHILE SERVING IN SUCH OFFICES OR POSITIONS, AUTOMATICALLY AND WITHOUT THE NEED FOR ANY ACTION BY THE MEMBER OR THE OTHER TRUSTEES: (I) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF THE HEBREW HEALTH CARE FOUNDATION, INC., A CONNECTICUT NONSTOCK CORPORATION; (II) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF HEBREW COMMUNITY SERVICES, INC., A CONNECTICUT NONSTOCK CORPORATION; (III) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF HEBREW LIFE CHOICES, INC., A CONNECTICUT NONSTOCK CORPORATION, (IV) THE PRESIDENT OF THE AUXILIARY OF THE HEBREW HOME AND HOSPITAL, INCORPORATED (THE "AUXILIARY"); (V) THE IMMEDIATE PAST PRESIDENT OF THE AUXILIARY; (VI) THE PRESIDENT ELECT OF THE AUXILIARY; (VII) THE PRESIDENT OF THE HOME; (VIII) THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD OF TRUSTEES OF THE HOME; (IX) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF HEBREW HEALTH CARE, INC.; (X) THE PRESIDENT OF HEBREW HEALTH CARE, INC.; (XI) THE SENIOR VICE PRESIDENT OF HEBREW HEALTH CARE, INC.; AND (XII) THE SECRETARY OF HEBREW HEALTH CARE, INC.; (XIII) THE VICE CHAIRPERSON OF FINANCE OF HEBREW HEALTH CARE, INC.; AND (XIV) THE ASSISTANT VICE CHAIRPERSON OF FINANCE OF HEBREW HEALTH CARE, INC. A PERSON SHALL CEASE TO BE AN EX-OFFICIO TRUSTEE IMMEDIATELY UPON CEASING TO HOLD THE OFFICE OR POSITION FROM WHICH HIS OR HER EX-OFFICIO TRUSTEE STATUS DERIVED, AND HIS OR HER SUCCESSOR IN SUCH OFFICE OR POSITION SHALL AUTOMATICALLY BE AN EX-OFFICIO TRUSTEE, WITHOUT THE NEED FOR ANY ACTION BY THE MEMBER OR THE OTHER TRUSTEES. THE EX-OFFICIO TRUSTEES SHALL BE COUNTED FOR PURPOSES OF DETERMINING THE PRESENCE OF A QUORUM AT MEETINGS OF THE BOARD OF TRUSTEES AND EACH EX-OFFICIO TRUSTEE SHALL HAVE A VOTE ON ALL MATTERS THAT COME BEFORE THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO THE BYLAWS, THE MEMBER SHALL HAVE THE RIGHT TO VOTE ON ALL MATTERS UPON WHICH MEMBERS OF A CONNECTICUT NONSTOCK CORPORATION ARE AFFORDED THE RIGHT TO VOTE UNDER THE ACT. WITHOUT LIMITING THE FOREGOING, EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE MEMBER: (A) ADOPTION OF THE HOME'S ANNUAL BUDGET FOR ANTICIPATED REVENUES AND EXPENDITURES, BOTH OPERATING AND CAPITAL; (B) UNLESS ADOPTED AS PART OF THE HOME'S ANNUAL BUDGET: (1) THE SALE, LEASE, EXCHANGE OR OTHER TRANSFER OR DISPOSITION (OTHER THAN AS PROVIDED FOR IN SUBPARAGRAPH (B)(2) BELOW) OF ANY OF THE HOME'S PROPERTY OF ANY NATURE HAVING A VALUE OF MORE THAN $20,000 IN ONE YEAR; (2) THE MORTGAGE, PLEDGE OR OTHER ENCUMBRANCE OF ANY OF THE HOME'S PROPERTY OR ASSETS OF ANY NATURE THAT IS NOT IN CONNECTION WITH A PLANNED GIVING OR OTHER CHARITABLE ARRANGEMENT, INCLUDING BUT NOT LIMITED TO THE HOME'S ISSUANCE OF CHARITABLE GIFT ANNUITIES; (3) THE INCURRENCE BY THE HOME OF INDEBTEDNESS FOR BORROWED MONEY OR THE ISSUANCE BY THE HOME OF A GUARANTY OR OTHER UNDERTAKING TO BECOME OBLIGATED FOR ANY DEBT OR OBLIGATION OF ANY PARTY (IN EACH CASE, OTHER THAN IN CONNECTION WITH A PLANNED GIVING OR OTHER CHARITABLE ARRANGEMENT, INCLUDING BUT NOT LIMITED TO THE HOME'S ISSUANCE OF CHARITABLE GIFT ANNUITIES); (4) THE MAKING OF ANY LOAN BY THE HOME TO ANY PARTY IN EXCESS OF $500; (C) ANY AMENDMENT OR REPEAL OF ANY PROVISION OF THE BYLAWS OF THE HOME; (D) ANY CHANGE IN THE PURPOSES OR MISSION OF THE HOME; (E) ANY MERGER INVOLVING THE HOME; (F) THE DISSOLUTION OF THE HOME; (G) PARTICIPATION BY THE HOME IN ANY JOINT VENTURE, PARTNERSHIP OR SIMILAR ACTIVITY; (H) ENGAGING IN ANY TRANSACTION IN WHICH THE HOME BECOMES A SHAREHOLDER, MEMBER OR EQUITY OWNER OF A CORPORATION, LIMITED LIABILITY COMPANY OR OTHER ENTITY; (I) THE ANNUAL APPOINTMENT OF A FIRM OF PUBLIC ACCOUNTANTS TO CONDUCT AN INDEPENDENT AUDIT OF THE HOME'S FINANCIAL AFFAIRS; OR (J) ANY AMENDMENT OR REPEAL OF ANY PROVISION OF THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF THE HOME. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH THE ASSISTANCE OF MANAGEMENT. A DRAFT FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR THE SOLE MEMBER HEBREW HEALTH CARE, INC. FOR REVIEW AND OVERSIGHT. |
| FORM 990, PART VI, SECTION B, LINE 12C | THIS ORGANIZATION HAS ADOPTED THE POLICY OF ITS SOLE MEMBER HEBREW HEALTH CARE, INC. REGARDING CONFLICT OF INTEREST. PER THE CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM, OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES HAVE A DUTY TO DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. FOLLOWING DISCLOSURE OF AN ACTUAL OR POSSIBLE CONFLICT, THE OTHER MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHAT FURTHER STEPS MAY BE REQUIRED TO INVESTIGATE THE SITUATION. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT WILL RECUSE THEMSELF FROM THE DISCUSSION OF THE MATTER. THE POLICY INCLUDESMPROVISIONS FOR VIOLATION AND FAILURE TO DISCLOSE WHICH COULD LEAD TO DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING, BUT NOT LIMITED TO REMOVAL FROM THE BOARD OR COMMITTEE IN ACCORDANCE WITH THE BYLAWS OF THE ENTITY. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE ADMINISTRATIVE SECRETARY OF HEBREW HOME & HOSPITAL, A MEMBER OF THE HEBREW SENIOR CARE SYSTEM. |
| FORM 990, PART VI, SECTION B, LINE 15A | ALL COMPENSATION FOR THE PRESIDENT AND OFFICERS ARE PAID BY THE SOLE MEMBER, HEBREW HEALTH CARE, INC. THIS ORGANIZATION HAS ADOPTED THE POLICY OF ITS SOLE MEMBER HEBREW HEALTH CARE, INC. REGARDING COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEBREW HEALTH CARE INC | |||||||||||
| 1 ABRAHMS BLVD | WEST HARTFORD | CT | 06117 | 043750515 | ADMIN OVERSIGHT & FUNDRAISING | CT | 501(C)(3) | LINE 7 | N/A | 0 | |
| HEBREW COMMUNITY SERVICES INC | |||||||||||
| 1 ABRAHMS BLVD | WEST HARTFORD | CT | 06117 | 223182447 | SENIOR DAY CTR & ALSA | CT | 501(C)(3) | LINE 10 | 0 | HEBREW HEALTH CARE INC | |
| HEBREW LIFE CHOICES INC | |||||||||||
| 1 ABRAHMS BLVD | WEST HARTFORD | CT | 06117 | 061557313 | SENIOR ASSISTED LIVING | CT | 501(C)(3) | LINE 10 | 0 | HEBREW HEALTH CARE INC | |
| HEBREW HEALTH CARE FOUNDATION INC | |||||||||||
| 1 ABRAHMS BLVD | WEST HARTFORD | CT | 06117 | 061310204 | REPOSITORY | CT | 501(C)(3) | LINE 12B, II | 0 | HEBREW HEALTH CARE INC | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONNECTICUT GERIATRIC SPECIALTY GROUP PC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 ABRAHMS BLVD | AddressLine1Txt |
| City | WEST HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06117 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593840584 | EIN |
| Primary Activities | PHYSICIAN GROUP | PrimaryActivitiesTxt |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |