STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HEBREW REHABILITATION CENTER: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEBREW REHABILITATION CENTER (EIN 04-2104298)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202312279349303001
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2023-08-15T17:30:25+00:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 CLARENDON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021165072ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042104298EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hebrew Rehabilitation CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEBRBusinessNameControlTxt
Phone6173638000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 CENTRE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02131ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLOUIS J WOOLFPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6173638000PhoneNum
Signature2023-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJAMESPersonFirstNm
Person LastHARTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGeorge PaganoPreparerPersonNm
PTINP01978122PTIN
Phone6172662000PhoneNum
Preparation2023-07-19PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOUIS J WOOLF PRESIDENT & CEOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 CENTRE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02131ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$163,009,437GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEBREWSENIORLIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1903FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee1804TotalEmployeeCnt
Total Volunteers375TotalVolunteersCnt
Total Gross UBI$401,489TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$24,607,736PYContributionsGrantsAmt
CY Contributions Grants$23,626,733CYContributionsGrantsAmt
PY Program Service Revenue$120,917,849PYProgramServiceRevenueAmt
CY Program Service Revenue$133,055,190CYProgramServiceRevenueAmt
PY Investment Income$1,415,400PYInvestmentIncomeAmt
CY Investment Income$1,184,771CYInvestmentIncomeAmt
PY Other Revenue$367,507PYOtherRevenueAmt
CY Other Revenue$401,489CYOtherRevenueAmt
PY Total Revenue$147,308,492PYTotalRevenueAmt
CY Total Revenue$158,268,183CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$87,170,311PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$94,382,918CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$64,349,916PYOtherExpensesAmt
CY Other Expenses$65,648,678CYOtherExpensesAmt
PY Total Expenses$151,520,227PYTotalExpensesAmt
CY Total Expenses$160,031,596CYTotalExpensesAmt
PY Revenues Less Expenses-$4,211,735PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,763,413CYRevenuesLessExpensesAmt
Total Assets BOY$54,336,966TotalAssetsBOYAmt
Total Assets EOY$53,393,379TotalAssetsEOYAmt
Total Liabilities BOY$151,301,020TotalLiabilitiesBOYAmt
Total Liabilities EOY$152,629,018TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$96,964,054NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$99,235,639NetAssetsOrFundBalancesEOYAmt
MissionTO OPERATE ITS HARVARD MEDICAL SCHOOL 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$125,404,203ExpenseAmt
Grant$0GrantAmt
Revenue$128,043,380RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,078,756ExpenseAmt
Grant$0GrantAmt
Revenue$2,467,917RevenueAmt
DescHINDA AND ARTHUR MARCUS INSTITUTE FOR AGING RESEARCH: HRC'S WORK IS ENHANCED BY THE RESEARCH OF THE HINDA AND ARTHUR MARCUS INSTITUTE FOR AGING RESEARCH. THE MARCUS INSTITUTE IS ONE OF THE LARGEST GERONTOLOGICAL RESEARCH FACILITIES IN THE UNITED STATES. DOZENS OF INTERVENTIONS DEVELOPED AT THE MARCUS INSTITUTE HAVE BECOME STANDARD CARE FOR SENIORS. THE MARCUS INSTITUTE RANKS IN THE TOP 15 PERCENT OF NATIONAL INSTITUTES OF HEALTH GRANT RECIPIENTS, WITH MORE THAN $75 MILLION OF NIH AND NIA FUNDING within the last five years.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,491,459ExpenseAmt
Grant$0GrantAmt
Revenue$2,543,893RevenueAmt
DescOTHER 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
FieldValueIRS element (for citing)
Total Program Service Expenses$144,974,418TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingYes (true)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document157IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1804EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JONATHAN ALLIA VP FINANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6173638000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11200 CENTRE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02131ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JAMES D HART
SECRETARY & CHIEF FIN. OFFICER5.045.0Yes (X)Yes (X)$0$491,138$67,006
LOUIS J WOOLF
PRESIDENT AND CEO5.045.0Yes (X)Yes (X)$0$1,235,441$105,921
MARSHA COHEN
TREASURER0.13.0Yes (X)Yes (X)$0$0$0
MELISSA BAYER TEARNEY
BOARD CHAIR0.13.0Yes (X)Yes (X)$0$0$0
ERIC ROGERS
CHIEF INFORMATION OFFICER5.045.0Yes (X)$0$301,494$69,279
DEBORAH L LEMMERMAN
CHIEF PEOPLE OFFICER (THRU 01/2022)5.045.0$0$265,927$65,210Yes (X)
HELEN CHEN MD
CHIEF MEDICAL OFFICER25.025.0$417,284$0$47,214Yes (X)
KATELYN QUYNN
CHIEF DEV OFF & VP BOARD REL.5.045.0$0$477,487$72,832Yes (X)
KIMBERLY J BROOKS
CHIEF OP. OFFICER, SEN LIVING1.049.0$0$429,739$63,108Yes (X)
LEWIS LIPSITZ MD
DIR, HMIFAR & CHIEF ACAD. OFF.30.020.0$394,795$0$97,648Yes (X)
MARY MOSCATO FACHE
PRESIDENT, HSL HC SVCS. & HRC25.025.0$522,494$0$62,884Yes (X)
RACHEL LERNER ESQ
GEN. CNSL. & CHIEF COMP. OFF.5.045.0$0$340,148$60,767Yes (X)
RACHEL WHITEHOUSE
CHIEF COMM. & PLAN OFFICER5.045.0$0$305,525$69,677Yes (X)
TAMMY B RETALIC MS RN
CHIEF NURSING OFF. & VP PCS25.025.0$319,420$0$115,600Yes (X)
ALVARO PASCUAL-LEONE
SR. SCIENTIST/DIRECTOR45.00$394,059$0$60,858Yes (X)
ERAN D METZGER
MEDICAL DIRECTOR, HSL PSYCH.45.00$260,828$0$59,421Yes (X)
INNOKENTIY BAKAEV
MEDICAL DIRECTOR, RSU AND LTCH45.00$294,985$0$45,994Yes (X)
RASHMI KAURA
MEDICAL DIRECTOR OF HOSPICE AND PALLIATIVE CARE45.00$269,415$0$28,059Yes (X)
SHARON K INOUYE
SR. SCIENTIST/DIRECTOR45.00$343,751$0$36,155Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,217,031TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,846,899TotReportableCompRltdOrgAmt
Total Other Compensation$1,127,633TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K141IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MAXIM HEALTHCARE SERVICES
12558 COLLECTIONS CENTER DRIVECHICAGOIL60693TEMP AGENCY STAFFING$3,022,849
CROTHALL HEALTHCARE INC
1500 LIBERTY RIDGE DRIVE SUIT 210WAYNEPA19087Housekeeping Services$2,642,613
FRASER ENGINEERING
65 COURT STREETNEWTONMA02460ENGINEERING$1,802,846
TEGRIA SERVICES GROUP-US INC
1900 West Park DriveWestboroughMA01581Consulting Services$1,022,519
ANGELICA CORPORATION
PO BOX 535122ATLANTAGA30353Laundry Services$1,022,051
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K32CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$19,731,291GovernmentGrantsAmt
All Other Contributions$3,895,442AllOtherContributionsAmt
Noncash Contributions$579,199NoncashContributionsAmt
Total Contributions$23,626,733TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE623000$128,043,380$128,043,380$0$0
OTHER RESEARCH GRANTS/CONTRACTS541700$2,467,917$2,467,917$0$0
ALL OTHER PROGRAM SERVICES623000$2,543,893$2,543,893$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$133,055,190TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,012,197TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,012,197ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,913,828SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,741,254SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$172,574SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$172,574TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$172,574ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CELL TOWER RENTAL540000$33,705$0$33,705$0
FEE FROM HOUSEWORKS810000$367,784$0$367,784$0
$0$0$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$401,489OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,268,183TotalRevenueColumnAmt
Related Or Exempt Func Income$133,055,190RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$401,489UnrelatedBusinessRevenueAmt
Exclusion$1,184,771ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,616,677TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,616,677ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$73,652,734TotalAmt
Program Services$71,130,377ProgramServicesAmt
Management And General$2,522,357ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,195,517TotalAmt
Program Services$1,075,965ProgramServicesAmt
Management And General$119,552ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,687,807TotalAmt
Program Services$9,619,026ProgramServicesAmt
Management And General$1,068,781ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,230,183TotalAmt
Program Services$6,507,165ProgramServicesAmt
Management And General$723,018ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$65,302TotalAmt
Program Services$5,388ProgramServicesAmt
Management And General$59,914ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$123,484TotalAmt
Program Services$0ProgramServicesAmt
Management And General$123,484ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$6,809TotalAmt
Program Services$6,809ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,968TotalAmt
Program Services$0ProgramServicesAmt
Management And General$7,968ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,571,787TotalAmt
Program Services$3,478,313ProgramServicesAmt
Management And General$1,093,474ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$472,870TotalAmt
Program Services$425,583ProgramServicesAmt
Management And General$47,287ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$784,600TotalAmt
Program Services$473,259ProgramServicesAmt
Management And General$311,341ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$281,938TotalAmt
Program Services$253,744ProgramServicesAmt
Management And General$28,194ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,141,270TotalAmt
Program Services$11,601,215ProgramServicesAmt
Management And General$540,055ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,356TotalAmt
Program Services$35,533ProgramServicesAmt
Management And General$1,823ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$31,570TotalAmt
Program Services$25,073ProgramServicesAmt
Management And General$6,497ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$38,880TotalAmt
Program Services$34,992ProgramServicesAmt
Management And General$3,888ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$5,312,192TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,312,192ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,409,028TotalAmt
Program Services$3,068,125ProgramServicesAmt
Management And General$340,903ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,053,091TotalAmt
Program Services$780,029ProgramServicesAmt
Management And General$273,062ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
RESEARCH$17,078,755$17,078,755$0
Culinary and Food Services$5,144,759$5,144,759$0
Medical Supplies and PPE$3,560,965$3,196,684$0$364,281
Housekeeping Services$3,381,993$3,381,993$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,144,061TotalAmt
Program Services$7,651,631ProgramServicesAmt
Management And General$492,430ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$160,031,596TotalAmt
Program Services$144,974,418ProgramServicesAmt
Management And General$15,057,178ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,010,120BOYAmt
EOY$4,041,602EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,678,675BOYAmt
EOY$3,008,053EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,506,027BOYAmt
EOY$1,348,481EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,656,845BOYAmt
EOY$9,253,928EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,189,721BOYAmt
EOY$1,125,154EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,568,812BOYAmt
EOY$2,456,444EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$154,452,208LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$125,574,579LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,692,429BOYAmt
EOY$28,877,629EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,293,764BOYAmt
EOY$2,848,557EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,740,573BOYAmt
EOY$433,531EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$54,336,966BOYAmt
EOY$53,393,379EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,871,742BOYAmt
EOY$19,029,217EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,821,939BOYAmt
EOY$1,382,803EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,051,417BOYAmt
EOY$148,848EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$336,616BOYAmt
EOY$313,082EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$124,219,306BOYAmt
EOY$131,755,068EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$151,301,020BOYAmt
EOY$152,629,018EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$119,677,707BOYAmt
EOY-$124,301,973EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,713,653BOYAmt
EOY$25,066,334EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$96,964,054BOYAmt
EOY-$99,235,639EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,336,966BOYAmt
EOY$53,393,379EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,763,413ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$629,738NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$121,566OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,330,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,030,776CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,500,979CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,607,736CurrentTaxYearMinus1YearAmt
Current Tax Year$23,626,733CurrentTaxYearAmt
Total$93,096,448TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,330,224CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,030,776CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,500,979CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,607,736CurrentTaxYearMinus1YearAmt
Current Tax Year$23,626,733CurrentTaxYearAmt
Total$93,096,448TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$93,096,448PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,205,898CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,588,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,625,298CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,235,004CurrentTaxYearMinus1YearAmt
Current Tax Year$1,012,197CurrentTaxYearAmt
Total$7,667,077TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$375,044CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$339,181CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$261,554CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$367,507CurrentTaxYearMinus1YearAmt
Current Tax Year$401,489CurrentTaxYearAmt
Total$1,744,775TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$102,508,300TotalSupportAmt
Gross Receipts Rltd Activities$623,147,045GrossReceiptsRltdActivitiesAmt
Public Support CY1700.9082PublicSupportCY170Pct
Public Support PY1700.898PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
CY Adj Net Income Distributable$0CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income$0CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable$0CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum$0CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY$0CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$6,809OtherActivitiesAmt
Total Lobbying Expenditures$6,809TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationHEBREW REHABILITATION CENTER MAINTAINS MEMBERSHIPS WITH CERTAIN ASSOCIATIONS, OF THE TOTAL DUES PAID, $6,809 WAS USED FOR LOBBYING FOR ELDER CARE.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (true)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,986,127OtherCostOrOtherBasisAmt
Depreciation$59,131,798DepreciationAmt
Book Value$18,854,329BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,643,219OtherCostOrOtherBasisAmt
Depreciation$66,442,781DepreciationAmt
Book Value$9,200,438BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$620,498OtherCostOrOtherBasisAmt
Book Value$620,498BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,877,629TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPARENT INVESTMENT POOLDesc
Book Value$2,848,557BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$2,848,557TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$131,748,063
OPERATING LEASE$7,005
FieldValueIRS element (for citing)
Total Liability$131,755,068TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part IV, Line 2b Explanation of escrow agreementFormAndLineReferenceDesc
ExplanationDEPOSITS 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$93,083,878TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$80,204,179DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,879,699NetCommunityBenefitExpnsAmt
Total Expense0.0807TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$93,083,878TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$80,204,179DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,879,699NetCommunityBenefitExpnsAmt
Total Expense0.0807TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,760,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$688,829DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,071,526NetCommunityBenefitExpnsAmt
Total Expense0.0067TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,869,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,868,205NetCommunityBenefitExpnsAmt
Total Expense0.0117TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,856,021TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,733,664DirectOffsettingRevenueAmt
Net Community Benefit Expns$122,357NetCommunityBenefitExpnsAmt
Total Expense0.0008TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$23,172,856TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,138,335DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,034,521NetCommunityBenefitExpnsAmt
Total Expense0.0315TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$28,658,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,562,328DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,096,609NetCommunityBenefitExpnsAmt
Total Expense0.0507TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$121,742,815TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$100,766,507DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,976,308NetCommunityBenefitExpnsAmt
Total Expense0.1314TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,760,355TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$688,829DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,071,526NetCommunityBenefitExpnsAmt
Total Expense0.0067TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,760,355TotalCommunityBenefitExpnsAmt
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Total Expense0.0067TotalExpensePct
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Reimbursed By Medicare$17,625,357ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,366,346CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,259,011MedicareSurplusOrShortfallAmt

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Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3EHEBREW REHABILITATION CENTER'S (HRC) FY22 (i.e. tax year 2021) CHNA PROVIDES A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED IN THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - HEBREW REHABILITATION CENTER. IN SUPPORT OF OUR MISSION TO HONOR OUR ELDERS, HRC IS FOCUSED ON THE MOST VULNERABLE AND UNDER-SERVED SENIORS, E.G. THE MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS IN THE COMMUNITY. OF SPECIAL IMPORTANCE TO HRC ARE SENIORS AT RISK FOR ELDER ABUSE AND NEGLECT. THE PRIMARY VEHICLE FOR GATHERING COMMUNITY INPUT WAS THE BOSTON CHNA-CHIP COLLABORATIVE SURVEY. OVER 100 GROUPS AND ORGANIZATIONS WERE INVOLVED IN DATA GATHERING ACROSS SECTORS, INCLUDING REPRESENTATIVES FROM HOUSING, TRANSPORTATION, FAITH COMMUNITY, EDUCATION, PUBLIC HEALTH, AND HEALTH CARE; ORGANIZATIONS THAT WORK WITH SPECIFIC POPULATIONS; FOCUS GROUPS WITH COMMUNITY MEMBERS NOT TYPICALLY REPRESENTED IN THESE PROCESSES (E.G., LGBTQ YOUTH, LOW-WAGE WORKERS, FAMILY MEMBERS AFFECTED BY VIOLENCE, SPECIFIC IMMIGRANT POPULATIONS, ETC.). WE LEVERAGED SEVERAL COMMUNITY PARTNERSHIPS TO COMPLETE THE SURVEY, E.G., FORMER MEMBERS OF THE MULTICULTURAL COALITION ON AGING, WHICH REPRESENTED BOSTON AND ITS IMMEDIATE SUBURBS, 2LIFE COMMUNITIES, LOCAL CHURCHES, SENIOR CENTERS, AND THE LIKE. MEMBERS OF THESE GROUPS INCLUDED SENIOR HEALTH FOCUSED GOVERNMENTAL AGENCIES AND OTHER ORGANIZATIONS THAT SERVE AND REPRESENT MEMBERS OF THE MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS IN THE COMMUNITY. THESE INCLUDE LOW- INCOME SENIORS, DISABLED SENIORS, SENIORS WITH MEMORY HEALTH CHALLENGES, SENIORS WITH CHRONIC DISEASES SUCH AS DIABETES AND HEART DISEASES, AND SENIORS WITH MOBILITY CHALLENGES AND FALL RISKS. ALSO REPRESENTED WERE SENIORS OF UNDERSERVED ETHNIC MINORITIES FOR WHOM ENGLISH IS NOT THEIR FIRST LANGUAGE, MANY OF WHOM ARE CHALLENGED BY LOW HEALTH LITERACY, CULTURAL BARRIERS, AND LIMITED ENGLISH PROFICIENCY. THE SURVEYS WERE IN THE FIELD FOR ONE MONTH. IN ADDITION TO THE SURVEY, HRC TOOK INTO ACCOUNT PUBLICLY AVAILABLE DATA SETS IN CONDUCTING ITS 2019 CHNA, INCLUDING: * 2019 BOSTON CHNA - CHIP * BOSTON PUBLIC HEALTH COMMISSION "HEALTH OF BOSTON 2016-2017" * 2018 MASSACHUSETTS HEALTHY AGING COMMUNITY PROFILE * THE MASSACHUSETTS DPH WEST SUBURBAN COMMUNITY NETWORK AREA (CHNA 18) THAT CONSISTS OF BROOKLINE, DEDHAM, DOVER, NEEDHAM, NEWTON, WALTHAM, WELLESLEY, AND WESTON.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - HEBREW REHABILITATION CENTER. CHNA COLLABORATING HOSPITAL FACILITIES NO OTHER HOSPITALS COLLABORATED ON THE 2022 CHNA FOR HEBREW REHABILITATION CENTER.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 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 , 1Facility , 1 - HEBREW REHABILITATION CENTER. THE HRC 2022 CHNA IDENTIFIES THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF SENIORS IN OUR COMMUNITY: * GERIATRIC SPECIALISTS AND SERVICES * BEHAVIORAL/MENTAL HEALTH HEALTH * IN-HOME HEALTH * SOCIAL DETERMINANTS OF HEALTH DETAILS ON HOW HRC IS WORKING TO INCREASE THE AVAILABILITY, ACCESSIBILITY, AND VISIBILITY OF SPECIALIZED GERIATRIC CARE ARE DETAILED EXTENSIVELY IN THE HRC 2022 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 , 1Facility , 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 , 1Facility , 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.
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Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
HSL MEDICAL GROUP HRC (DEDHAM)
7000 GREAT MEADOW ROADDEDHAMMA02026OUTPATIENT CLINIC
HEBREW SENIORLIFE MEDICAL GROUP AT OC
ONE DEL POND DRIVECANTONMA02021OUTPATIENT CLINIC
HEBREW SENIORLIFE MEDICAL GROUP AT CCB
100 CENTRE STREETBROOKLINEMA02446OUTPATIENT CLINIC
GREAT DAYS FOR SENIORS (BRIGHTON)
30 WALLINGFORD ROADBRIGHTONMA02135ADULT DAY HEALTH

Supplemental Information Detail SupplementalInformationDetail (23 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEMHRC 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. HSL is working to chart the course for senior life. 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 seniors 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 seniors in their independence as well as provide for successful transitions between care settings. HSL's Department of Volunteer, Youth and Community Engagement involved 200 consistent volunteers through in person and remote engagement, and an additional 300 student 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, and its kitchen provides Kosher meals for Combined Jewish Philanthropies, Ethos, and Springwell as part of their Meals on Wheels program. The Deanna and Sidney Wolk Center for Memory Health at Hebrew SeniorLife on the Roslindale campus provides outpatient memory care services, in person and virtually, for people living with cognitive symptoms or disorders at any stage - and for their families and caregivers. The Hebrew SeniorLife Center for the Prevention of Elder Abuse and Neglect offers emergency shelter, also on the Roslindale campus, to support services, education, and research benefiting victims and their families. Seniors and the professional community are served through sponsored events such as various support groups and healthy aging programs, and professional sponsorships. There were 68 programs that reached approximately 15,240 consumers in FY22. Through its blogs, HSL provides a wealth of free information on healthy aging to the general public, covering topics such as fighting seasonal depression and anxiety; the hazards of hoarding among seniors; what vaccines do seniors need; and tips to protect seniors from being scammed. HRC collaborates with area providers to promote the health of seniors and is a preferred provider with Beth Israel Lahey Health for both its Beth Israel Deaconess Medical Center Hospital and its New England Baptist Hospital. HRC works with these hospitals to provide the highest quality, cost-effective hospital and post-hospital care. 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. 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, affiliated with Harvard Medical School. Through its HSL web site, 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. We developed a practical model to predict fracture in nursing home residents. 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 to automatically introduce interventions to prevent fracture in high-risk residents. 5. 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. 6. 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. 7. 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. 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. Promising new imaging method aids fracture prediction: Deterioration in bone microstructure is an independent risk factor for fracture in older women and men. 10. 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. 11. We have developed a telemedicine platform and a formal training program to enable remotely supervised, caregiver-led administration of transcranial electrical stimulation (tES) interventions. 12. 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 contributesto joint pain. These data suggest that therapeutic interventions targeting mechanical factors, particularly for knee hypermobility, may be needed to prevent ankle and foot symptoms. 13. 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. 14. 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. 15. 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. 16. Higher dietary fiber may modestly reduce bone loss in men at the hip. 17. Among Puerto Rican adults residing in Boston, dairy food intakes were associated with higher bone mineral density, particularly those with sufficient vitamin D status. 18. Frailty is associated with major respiratory complications, particularly respiratory failure after tracheobronchoplasty. Preoperative identification of frailty may help guide decision making for patients. 19. Deficit-accumulation frailty index provides better prediction of death or poor recovery than frailty phenotype in older patients undergoing aortic valve replacement.
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM20. 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. 21. 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. 22. 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. 23. 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. 24. One in 3 older adults undergoing aortic valve replacement had depressive symptoms at baseline and a higher risk of short-term and midterm mortality. 25. 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. 26. Over the last decade, the rate of tube-feeding in advanced dementia has declined by 50% in the US. 27. Black nursing home residents with advanced dementia receive more aggressive care at the end-of-life compared to white residents. 28. 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) 29. We have found Identification of biomarkers for delirium, including inflammatory, neurodegenerative, imaging-based, and EEG-based. 30. 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 1,162 indexed human and animal studies, collaboration site, measurement information cards, harmonization tools, delirium bibliography (>4600 articles), pilot grants, and mentorship resources. 31. High resolution peripheral quantitative computed tomography scans predict the risk for fracture even after accounting for more commonly used ways to predict fractures. 32. The number of mitochondria in older adults' muscle is associated with walking speed. 33. Drugs used to treat osteoporosis, when given to NH residents, also prevent fractures. 34. Genetic risk scores can identify which older adults do not need to undergo bone density testing for fracture risk. 35. The largest genome wide association study for bone status in 426,824 individuals, identified 518 genome-wide significant loci of which 301 were never before described. 36. A deficit accumulation frailty index captures both improvements and worsening frailty over 1 year, with measurable changes in mortality. 37. Frailty index is associated with functional decline and predicts mortality as well as standard mortality prognostic indices. 38. COVID-19 risk factors among nursing home patients included need for high levels of care such as bowel incontinence. 39. 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. 40. 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. 41. A multicomponent intervention can improve appropriate prescribing of antibiotics to nursing home residents with advanced dementia and reduce the spread of antibiotic resistant bacteria. 42. 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. 43. 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. 44. 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. 45. The occurrence of hip fractures in the US has decreased over the past 40 years, even after taking age changes across that timeframe into account. Some have postulated that treatment for osteoporosis is the reason for this reduction in hip fractures. However, this study showed that the cause of the decline in fractures is more closely related to reductions in smoking and heavy drinking across the past 40 years. Thus, in addition to treatment of osteoporosis, these data emphasize the need to encourage public health interventions for smoking cessation and heavy drinking. 46. Foot arthritis and foot pain were common in this community sample but not as often simultaneously. Metabolic and biomechanical factors (eg, 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. 47. 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. 48. 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. 49. The current medical evidence for foot and ankle osteoarthritis for the diagnosis, patterns of disease, societal burden, outcome assessment and treatments was summarized. We proposed an agenda to guide future research not only in U.S. but also to guide global work, especially among older adults. 50. 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. 51. 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. 52. Vascular dysfunction with aging contributes to the deficits specifically in cortical bone density and microarchitecture. 53. Promising new imaging method, HR-pQCT, identifies older adults are risk of fracture who would otherwise not be identified as having osteoporosis as defined by clinical DXA. 54. 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.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORTTHIS 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 V, Section B, Line 16a FAP AVAILABLE WEBSITEhttps://www.hebrewseniorlife.org/sites/default/files/2019-12/HRC_Financial_Assistance_Policy.pdf
Schedule H, Part V, Section B, Line 16b FAP APPLICATION FORM WEBSITEhttps://www.hebrewseniorlife.org/sites/default/files/2019-12/HRC_Financial_Assistance_Application_0.pdf
Schedule H, Part V, Section B, Line 16c PLAIN LANGUAGE FAP SUMMARY WEBSITEhttps://www.hebrewseniorlife.org/sites/default/files/2019-11/HRC_Financial_Assistance_Policy_Summary.pdf
Schedule H, Part I, Line 7g Subsidized Health ServicesBAD DEBT PROVISION EXPENSE OF $0 WAS INCLUDED IN FORM 990, PART IX, LINE 25, COLUMN A AND WAS EXCLUDED FOR PURPOSE OF CALCULATING THE PERCENTAGE IN THIS COLUMN.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation395058
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceTHE 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 ActivitiesFounded in 1903 with the promise to honor our elders, 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 our staff do incredible work that reverberates globally. HRC is committed to caring for the underserved, as 90% of the seniors served are low-income. As a chronic care hospital that primarily serves a community of seniors, it is always our priority to keep seniors healthy, safe, and independent in their homes for as long as possible. HRC places great emphasis on educating seniors and their loved ones on the necessary steps and care needed to remain independent. HRC does this through outpatient care at its satellite clinics in supportive senior housing, adult day health programs that help at-risk seniors stay at home, outpatient rehabilitative care designed to prevent re-hospitalizations, and many supportive programs and services that improve the physical and mental health and lives of seniors. As such, HRC community activities are designed to improve the health of our inpatients and ambulatory patients, as well as seniors 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 $160,000 to Workforce Development through career development programs, including a Certified Nurse Assistants (CNAs) Training program, Digital Literacy Training Program, and several career ladder programs including the Culinary and Hospitality Immersion Program, engineering career ladder and maintenance career ladder. The CNA Training program includes costs of software and remedial support for English as a Second Language (ESOL). HRC supports the cost of the CNA training program, pays the candidates to attend class, and pays for the certification exam, scrubs, and transportation to the program. HSL's digital literacy training program provides 17 hours of release time for employees to attend computer training classes. HSL trains employees via the three career ladders to train employees within their own department and other departments to move into higher positions and gain higher wages in healthcare support positions. HSL pays for one hour as release time, and the employee attends one hour on their own time. These classes help prepare employees to take and pass the College Placement Test (CPT) so they are able to move on to degree programs. The new nurse residency program is expected to resume in FY22 once the public health emergency ends. HRC offers several 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 2022, 34 scholarships for a total of $108,020 were distributed to employees and their families. * The Nursing Scholarship Program offers scholarships to employees who are pursuing an LPN, RN, NP, or DNP pathway. In 2022, 12 scholarships for a total of $108,000 were distributed to HRC employees. * The NewBridge Scholarship Fund offers scholarships to support educational opportunities for qualified hourly independent employees. In 2022 $34,284 was raised and allocated to 22 NewBridge Scholars. * 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 2022, The Kotler HELP Fund made grants to 21 HSL employees for a total of $15,167.92 disbursed. HRC serves as a primary training facility for 48 affiliate academic institutions in the Greater Boston area, including: Harvard Medical School, Northeastern University, Simmons University, among others. In 2022 HRC trained more than 400 students, which was down from pre-COVID numbers that were more than 1,000 per year, in a wide variety of health professions including: medicine, nursing; pharmacy; dentistry; physical, occupational, speech, and expressive therapies; clinical pastoral and social work. HRC seniors actively participate in the education of 164 Harvard Medical School students annually through role-playing sessions that allow our seniors to provide important and vital feedback to the next generation of doctors on how to effectively communicate and treat older adults. In 2022, through a partnership, HRC became the nurse aide training facility for several long-term care facilities in the Boston area including; Sherrill House, The Boston Home, and CareOne Brookline to help their sites overcome the nurse aide workforce challenges they are facing due to COVID. In 2022, HRC's Department of Medicine's 29 physicians, 1 PhD, and 21 NPs devote 2,582 hours, the equivalent of $352,656 to teaching geriatric medicine. An additional 91 researchers and allied clinical and specialty support educators provide 26,055 hours of instruction, the equivalent of $1,129,306 annually. Typically HRC partners with a Boston area high school to train 30 students to become CNAs and also trains 32 dental students and residents from Harvard School of Dental Medicine and Boston University School of Medicine on geriatric dental medicine. However due to COVID, HRC only took three dental residents from Boston University School of Medicine and the other programs were only hold in 2022. We hope to bring them back in 2023. HSL's Chaplaincy Institute is a nationally respected leader in chaplaincy education with expertise in Jewish spiritual care, geriatrics, dementia, and LGBTQ aging. The Institute trains 20 graduate level students in pastoral care (Clinical Pastoral Education, accredited by the Association for Clinical Pastoral Education) over the course of a year. Other economic development, physical improvements, and environmental benefits were identified but not specifically costed in Part II.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountHRC 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 footnoteHRC 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 FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsThe hospital achieved a slight margin on Medicare that helps defray the loss on Medicaid long 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 vent-weaned 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 assistancePATIENTS 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 assessmentIn 2022, HRC updated its 2019 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 seniors in our communities need assistance with Geriatric Specialists and Services, Behavioral/Mental Health, In-Home Health, and Social Determinants of Health. In response to these findings, HRC developed an implementation plan documenting goals, our current services, and our action plan and timeline. HRC completed its 2022 Community Health Needs Assessment (CHNA) in September 2022, which may be found here: https://www.hebrewseniorlife.org/about-us/community-partnerships
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceAll 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 informationHRC 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 Medicare and are older than 65. In summary, our primary community is comprised of seniors and low-income 65+, in certain neighborhoods of Boston and the towns of Brookline, Chestnut Hill, Dedham, Needham, Newton, Wellesley, Weston, and Westwood.
Schedule H, Part VI, Line 5 Promotion of community healthHebrew 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 the only geriatric specialist 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 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 6 Affiliated health care system55. 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. 56. 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. 57. 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; these findings help to explain why older individuals with diabetes have higher rates of fracture but normal bone density. 58. 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. 59. 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. 60. 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. 61. We developed a practical model to predict fracture in nursing home residents. The model is currently being used in 5 nursing home facilities to identify 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. 62. We made the fracture prediction model publicly available on a website. 63. 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. 64. 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. 65. 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. 66. 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.
Schedule H, Part VI, Line 7 State filing of community benefit reportMA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (true)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES D HART
SECRETARY & CHIEF FIN. OFFICER$0$352,668$0$138,059$0$411$0$5,800$0$61,206$0$558,144$0$0
LOUIS J WOOLF
PRESIDENT AND CEO$0$684,786$0$550,655$0$0$0$25,300$0$80,621$0$1,341,362$0$0
ERIC ROGERS
CHIEF INFORMATION OFFICER$0$254,461$0$46,890$0$143$0$5,774$0$63,505$0$370,773$0$0
KIMBERLY J BROOKS
CHIEF OP. OFFICER, SEN LIVING$0$297,402$0$132,194$0$143$0$5,800$0$57,308$0$492,847$0$0
HELEN CHEN MD
CHIEF MEDICAL OFFICER$344,166$0$72,850$0$268$0$5,800$0$41,414$0$464,498$0$0$0
DEBORAH L LEMMERMAN
CHIEF PEOPLE OFFICER (THRU 01/2022)$0$265,516$0$0$0$411$0$4,825$0$60,385$0$331,137$0$0
RACHEL LERNER ESQ
GEN. CNSL. & CHIEF COMP. OFF.$0$246,912$0$93,174$0$62$0$5,800$0$54,967$0$400,915$0$0
LEWIS LIPSITZ MD
DIR, HMIFAR & CHIEF ACAD. OFF.$358,738$0$36,057$0$0$0$25,300$0$72,348$0$492,443$0$0$0
MARY MOSCATO FACHE
PRESIDENT, HSL HC SVCS. & HRC$378,023$0$144,471$0$0$0$5,800$0$57,084$0$585,378$0$0$0
KATELYN QUYNN
CHIEF DEV OFF & VP BOARD REL.$0$359,207$0$117,869$0$411$0$25,300$0$47,532$0$550,319$0$0
TAMMY B RETALIC MS RN
CHIEF NURSING OFF. & VP PCS$272,318$0$46,834$0$268$0$52,967$0$62,633$0$435,020$0$0$0
RACHEL WHITEHOUSE
CHIEF COMM. & PLAN OFFICER$0$257,645$0$47,612$0$268$0$5,225$0$64,452$0$375,202$0$0
INNOKENTIY BAKAEV
MEDICAL DIRECTOR, RSU AND LTCH$266,869$0$28,060$0$56$0$4,906$0$41,088$0$340,979$0$0$0
SHARON K INOUYE
SR. SCIENTIST/DIRECTOR$333,308$0$10,047$0$396$0$5,779$0$30,376$0$379,906$0$0$0
RASHMI KAURA
MEDICAL DIRECTOR OF HOSPICE AND PALLIATIVE CARE$269,281$0$0$0$134$0$621$0$27,438$0$297,474$0$0$0
ERAN D METZGER
MEDICAL DIRECTOR, HSL PSYCH.$260,432$0$0$0$396$0$4,741$0$54,680$0$320,249$0$0$0
ALVARO PASCUAL-LEONE
SR. SCIENTIST/DIRECTOR$393,663$0$0$0$396$0$5,800$0$55,058$0$454,917$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationHEBREW SENIORLIFE, INC. (HSL), THE PARENT ORGANIZATION, ESTABLISHES THE COMPENSATION OF THE ORGANIZATIONS' 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 4b Supplemental nonqualified retirement planLOUIS J. WOOLF, PRESIDENT AND CEO, KATELYN QUYNN, CHIEF DEVELOPMENT OFFICER & VP OF BOARD RELATIONS, AND LEWIS LIPSITZ, MD, DIRECTOR, HMIFAR PARTICIPATED IN AN IRC SECTION 457(F) SUPPLEMENTAL RETIREMENT PLAN THAT INCLUDED $5,800 OF EMPLOYER CONTRIBUTIONS DURING THE YEAR. THIS AMOUNT IS INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR EACH LISTED INDIVIDUAL.
Schedule J, Part I Schedule J, Part I, Lines 5A, 5B, 6A, & 6BEACH YEAR, HEBREW REHABILITATION CENTER WITHHOLDS A PORTION OF ITS SENIOR LEADERSHIP'S COMPENSATION TO CREATE AN "AT RISK" BONUS, WHICH IS THEN PAID, ON AN INCENTIVE BASIS, TO ITS SENIOR LEADERSHIP WHEN TARGET GOALS ARE REACHED. BEFORE ANY BONUS IS PAID OUT UNDER THIS ARRANGEMENT, HSL'S COMPENSATION COMMITTEE REVIEWS THE FINANCIAL POSITION OF THE ORGANIZATION, INCLUDING THE ORGANIZATION'S GROSS AND NET EARNINGS, AND, IF FEASIBLE, WILL APPROVE BONUSES TO ELIGIBLE SENIOR LEADERSHIP. BONUSES ARE BUDGETED EACH YEAR AS A PERCENTAGE OF THE ELIGIBLE EMPLOYEE'S BASE WAGES. THE PERCENTAGE PAYABLE RANGES FROM 5 TO 15 PERCENT. THE FOLLOWING EMPLOYEES RECEIVED BONUSES PAID OUT UNDER HRC'S BONUS ARRANGEMENT IN CALENDAR YEAR 2021: MARY MOSCATO, FACHE $144,471 HELEN CHEN, MD $72,850 TAMMY B. RETALIC, M.S., RN $46,834 LEWIS LIPSITZ, MD $36,057 INNOKENTIY BAKAEV $28,060 SHARON K. INOUYE $10,047 THIS AMOUNT IS INCLUDED IN BONUS & INCENTIVE COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN (B)(II).

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$579,199NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationSecurities - Publicly traded - THE NUMBER REPORTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1 ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIESORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES 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 OUR 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 I, Line 22 DESCRIPTION OF NEGATIVE NET ASSETSTHE DECREASE IN UNRESTRICTED NET ASSETS AND UNRESTRICTED NET DEFICIT AT HRC FOR FISCAL YEAR 2022 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 $304.2 MILLION IN UNRESTRICTED NET ASSETS AT 9/30/22.
Form 990, Part III, Line 4a THREE LARGEST PROGRAM SERVICESHRC 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 VI, Line 15 PROCESS FOR DETERMINING COMP. FOR OFFICERS AND KEY EXEC. (Lines 15a & b)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. A FULL MARKET REVIEW AND APPROVAL OF COMPENSATION, FOLLOWING THE PROCEDURES OUTLINED ABOVE WAS LAST COMPLETED IN 2018. ADDITIONALLY, THE ORGANIZATION COMPLETED A WALK THROUGH OF SENIOR LEADERSHIP COMPENSATION WITH AN INDEPENDENT, EXPERT CONSULTANT, DURING 2019. 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 6 Classes of members or stockholdersHSL IS THE SOLE MEMBER OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE 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 stockholdersCLASSES 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 bodyPREPARATION OF THE FORM 990 BEGINS INTERNALLY WITH HSL STAFF AND ERNST & YOUNG PREPARING THE FORM WITH INPUT PROVIDED BY HRC. 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 policyPROCESS USED TO CONSISTENTLY AND REGULARLY MONITOR AND ENFORCE THE 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 FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS AND EVALUATING WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A TRANSACTION THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. THE CONFLICTS COMMITTEE REPORTS ITS FINDINGS TO THE BOARD OF DIRECTORS WHO ARE RESPONSIBLE FOR MAKING A FINAL DETERMINATION ON THE CONFLICT. RESTRICTIONS ON CONFLICTED PERSONS: ALL COVERED PERSONS ARE RESTRICTED FROM ENTERING INTO A TRANSACTION WITHOUT DISCLOSING THE ACTUAL OR POTENTIAL CONFLICT TO THE HSL CONFLICT COMMITTEE AND OBTAINING APPROVAL OF THE BOARD 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 19 Required documents available to the publicAVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE GENERAL 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 ST. BOSTON, MA 02131 OR BY TELEPHONE AND E-MAIL.
Form 990, Part VIII, Line 2f Other Program Service Revenue- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Column (D) FUNDRAISING DISCLOSUREHSL AS THE PARENT OF THE HSL SYSTEM, RAISES CONTRIBUTIONS FOR ITSELF AND ITS AFFILIATES THROUGH ITS DEVELOPMENT DEPARTMENT. THE CONTRIBUTION REVENUE IS RECORDED BY THE AFFILIATE THAT THE DONOR INTENDED IT BE GIVEN TO. FUNDRAISING EXPENSES OF THE DEVELOPMENT DEPARTMENT ARE RECORDED EXCLUSIVELY BY HSL. IN ORDER TO GIVE THE READER A FULL AND TRANSPARENT VIEW OF HSL AND AFFILIATES, A SUMMARY OF ALL CONTRIBUTION REVENUE AND RELATED EXPENSES IS PREPARED BELOW. ADDITIONALLY, THIS INCLUDES APPROXIMATELY $300,000 IN PLEDGES THAT HAVE BEEN FULLY RESERVED BASED ON DONOR-IMPOSED CONTINGENCIES. MANAGEMENT BELIEVES THAT THESE CONTINGENCIES WILL BE MET AND HAVE ADDED THE VALUE OF THE CONTINGENT PLEDGES BACK IN THE SCHEDULE BELOW. FUNDRAISING EXPENSES (HSL FORM 990, PART IX, LINE 25, COL. D) $3,652,098 CONTRIBUTION REVENUE: HSL CONTRIBUTIONS (HSL FORM 990, PART VIII, LINE 1H) $13,607,220 CONTINGENT PLEDGE REVENUE $640,000 HEBREW REHABILITATION CENTER (PART VIII, LINE 1F) $3,895,442 HEBREW SENIORLIFE HOSPICE CARE, INC. $0 ORCHARD COVE, INC. $ 2,815,524 HRCA SENIOR HOUSING, INC. $ 0 HRCA HOUSING FOR ELDERLY, INC. $ 22,224 HRCA BROOKLINE HOUSING 1550 BEACON PLAZA, INC. $ 50,621 HRCA BROOKLINE HOUSING 112-120 CENTRE COURT, INC. $ 0 CENTER COMMUNITIES OF BROOKLINE, INC. $82,094 NEWBRIDGE ON THE CHARLES, INC. $608,608 HRCA BROOKLINE HOUSING 108 CENTRE STREET, INC. $ 0 HEBREW SENIORLIFE AFFILIATED MEDICAL GROUP, INC. $ 0 TOTAL $21,691,733
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFER TO AFFILIATES - 121566;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ORCHARD COVE INC
ONE DEL POND DRIVECANTONMA02021223080006CONT. CAREMA501(c)(3)10HSLYes (true)
HRCA SENIOR HOUSING INC
1200 CENTRE STREETBOSTONMA02131042765428ELDER HOUSINGMA501(c)(3)10HSLYes (true)
CTR COMMUNITIES OF BROOKLINE INC
1200 CENTRE STREETBOSTONMA02131010569404ELDER HOUSINGMA501(c)(3)10HSLYes (true)
HRCA BROOKLINE HOUSING 112-120 CENTRE CO
1200 CENTRE STREETBOSTONMA02131030372998ELDER HOUSINGMA501(c)(3)10HSLYes (true)
HRCA BROOKLINE HOUSING 1550 BEACON
1200 CENTRE STREETBOSTONMA02131010569403ELDER HOUSINGMA501(c)(3)10HSLYes (true)
HRCA HOUSING FOR ELDERLY INC
1200 CENTRE STREETBOSTONMA02131042543731ELDER HOUSINGMA501(c)(3)10HSLYes (true)
NEWBRIDGE ON THE CHARLES INC
1200 CENTRE STREETBOSTONMA02131383707573ELDER HOUSINGMA501(c)(3)10HSLYes (true)
HRCA BROOKLINE HOUSING 108 CENTRE
1200 CENTRE STREETBOSTONMA02131810612222ELDER HOUSINGMA501(c)(3)Type IIHSLYes (true)
HEBREW SENIORLIFE HOSPICE CARE INC
1200 CENTRE STREETBOSTONMA02131461309228HOSPICE CAREMA501(c)(3)10HSLYes (true)
HEBREW SENIORLIFE INC
1200 CENTRE STREETBOSTONMA02131900183119MGMT SERVICESMA501(c)(3)7NAfalse
HEBREW SENIORLIFE AFFILIATED MED GROUP
1200 CENTRE STREETBOSTONMA02131823654673PHYSICIAN SVCMA501(c)(3)10HSLYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
CCB COHEN 112 CENTRE MM LLC
1200 CENTRE STBOSTONMA02131821763395ELDER HOUSINGMANAN/A$0$0falsefalse
HSL FIREMAN OPERATING LP
640 N MAIN STRANDOLPHMA02368844212813ELDER HOUSINGMANAN/A$0$0falsefalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
HSL PAYROLL SERVICES INC
100 CENTRE STREETBROOKLINEMA02446042684823PAYROLL SERVICESMANAC Corporation$0$0false
HEBREW SENIORLIFE REAGE SOLUTIONS INC
1200 CENTRE STREETBOSTONMA02131814906048MGMT & CONS. SVCSDENAC Corporation$0$0false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (23 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Center Communities of Brookline Inc
L$241,344actual
Center Communities of Brookline Inc
Q$206,450actual
Center Communities of Brookline Inc
K$81,610Contract
Hebrew SeniorLife Affiliated Medical Group
S$550,000actual
Hebrew SeniorLife Hospice Care Inc
S$13,300,000actual
Hebrew SeniorLife Hospice Care Inc
Q$524,706actual
Hebrew SeniorLife Inc
S$10,600,000actual
Hebrew SeniorLife Inc
M$3,895,441actual
Hebrew SeniorLife Inc
M$5,662,391Contract
Hebrew SeniorLife Inc
J$300,000Contract
Hebrew SeniorLife Inc
M$2,419,492actual
Hebrew SeniorLife Inc
L$1,046,762actual
HRCA Brookline Housing 1550 Beacon Plaza Inc
Q$158,438actual
HRCA Brookline Housing 1550 Beacon Plaza Inc
L$185,442actual
HSL Fireman Operting Limited Partnership
Q$309,675actual
HSL Fireman Operting Limited Partnership
L$315,172actual
HRCA Housing For Elderly Inc
Q$355,472actual
HRCA Housing For Elderly Inc
L$310,405actual
NewBridge on the Charles Inc
R$9,403,178actual
NewBridge on the Charles Inc
K$8,167,749Contract
NewBridge on the Charles Inc
P$3,105,902actual
Orchard Cove Inc
L$2,794,284actual
Orchard Cove Inc
Q$6,001,398actual