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HEBREW HOME AND HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEBREW HOME AND HOSPITAL INC (EIN 06-0646672)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202332279349302058
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)
Return2023-08-15T10:48:30-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 LONG WHARF DRIVEAddressLine1Txt
CityNEW HAVENCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06511ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060646672EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEBREW HOME & HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEBRBusinessNameControlTxt
Phone8602182300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 ABRAHMS BLVDAddressLine1Txt
CityWEST HARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06117ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENISE PETERSONPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone8602182300PhoneNum
Signature2023-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDENISEPersonFirstNm
Person LastPETERSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone2037819600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AT HEBREW SENIOR CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDENISE PETERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 ABRAHMS BLVDAddressLine1Txt
CityWEST HARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06117ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,293,117GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHEBREWSENIORCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1901FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY HEALTH CARE TO SENIOR ADULTS IN THE GREATER HARTFORD AREA.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee168TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$384,706PYContributionsGrantsAmt
CY Contributions Grants$241,952CYContributionsGrantsAmt
PY Program Service Revenue$10,112,845PYProgramServiceRevenueAmt
CY Program Service Revenue$11,045,874CYProgramServiceRevenueAmt
PY Investment Income-$61,648PYInvestmentIncomeAmt
CY Investment Income$229CYInvestmentIncomeAmt
PY Other Revenue$3,425,969PYOtherRevenueAmt
CY Other Revenue$5,062CYOtherRevenueAmt
PY Total Revenue$13,861,872PYTotalRevenueAmt
CY Total Revenue$11,293,117CYTotalRevenueAmt
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$6,678,268PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,591,632CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,213,121PYOtherExpensesAmt
CY Other Expenses$2,677,549CYOtherExpensesAmt
PY Total Expenses$8,891,389PYTotalExpensesAmt
CY Total Expenses$10,269,181CYTotalExpensesAmt
PY Revenues Less Expenses$4,970,483PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,023,936CYRevenuesLessExpensesAmt
Total Assets BOY$4,153,957TotalAssetsBOYAmt
Total Assets EOY$4,922,820TotalAssetsEOYAmt
Total Liabilities BOY$4,800,911TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,545,838TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$646,954NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$376,982NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF HEBREW HOME AND HOSPITAL ALIGNS WITH THE MISSION OF ITS PARENT ORGANIZATION, HEBREW HEALTH CARE, TO PROVIDE QUALITY SERVICES TO SENIOR ADULTS. (SEE SCHEDULE O)AS PART OF AN INTEGRATED SYSTEM TO ASSIST SENIORS IN THE HARTFORD, CONNECTICUT HEBREW HOME & HOSPITAL OPERATES A LICENSED HOSPITAL FACILITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,393,262ExpenseAmt
Revenue$11,050,936RevenueAmt
DescBEHAVIORAL HEALTH UNIT (BHU). ON OUR 38-BED HOSPITAL BHU, WE TREAT CHRONIC MENTAL HEALTH ISSUES THAT ARE EXACERBATED BY AGE, NEW BEHAVIORAL SYMPTOMS AND/OR THE ONSET OF DEMENTIA. WE MANAGE CHALLENGING BEHAVIORS WITH THE GOAL OF BRINGING PATIENTS BACK TO A STABLE BASELINE SO THAT THEY CAN RETURN TO THEIR PRIOR LIVING SETTINGS, WHETHER THAT IS IN THE COMMUNITY, IN AN ASSISTED LIVING FACILITY, OR A LONG TERM CARE NURSING HOME. IN THE CASE OF THE LATTER TWO SETTINGS, WE WORK COLLABORATIVELY WITH STAFF TO HELP THEM UNDERSTAND HOW THEY CAN HELP AVOID ENVIRONMENTAL TRIGGERS TO FUTURE EXACERBATIONS AND BEHAVIORAL DISTURBANCES. OUR PSYCHIATRISTS SEE EVERY PATIENT EVERY DAY. A GERIATRICIAN IS ASSIGNED TO EVERY PATIENT TO EVALUATE AND TREAT MEDICAL ISSUES. INDIVIDUAL AND GROUP THERAPIES ARE PROVIDED DAILY; AND SUPPORT GROUPS FOR FAMILIES ARE ALSO AN INTEGRAL PART OF THE CARE PLAN. CONDITIONS WE TREAT INCLUDE CHRONIC PSYCHIATRIC ISSUES, BIPOLAR DISORDER, DELUSIONAL DISORDER, ALZHEIMER'S DISEASE WITH BEHAVIORAL DISTURBANCES, DEPRESSION, SCHIZOPHRENIA AND PARANOID DISORDER. OUR HOSPITAL SERVICES ARE MEDICARE AND MEDICAID CERTIFIED.Desc
Total Program Service Expenses$8,393,262TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee168EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FRED DALICANDROBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8602128558PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 ABRAHMS BLVDAddressLine1Txt
CityWEST HARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06117ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CARLOS SALMON
BOARD MEMBER1.003.00Yes (X)$0$0$0
DEBORAH M KLEINMAN
BOARD MEMBER (UNTIL 11/2021)1.004.00Yes (X)$0$0$0Yes (X)
GARY S GREENBERG
CHAIR1.004.00Yes (X)$0$0$0Yes (X)
ILENE KOHLUN
BOARD MEMBER1.003.00Yes (X)$0$0$0
JEFFREY S HOFFMAN
BOARD MEMBER1.004.00Yes (X)$0$0$0
JEFFREY BLAU
BOARD MEMBER1.003.00Yes (X)$0$0$0
MARK SELTZER
SECRETARY1.003.00Yes (X)$0$0$0Yes (X)
MICHAEL BLOOM
BOARD MEMBER1.003.00Yes (X)$0$0$0
RICHARD ROBINSON
TREASURER1.004.00Yes (X)$0$0$0Yes (X)
RICHARD RUBENSTEIN
BOARD MEMBER (FROM 1/2022)1.004.00Yes (X)$0$0$0
PAMELA ATWOOD
BOARD MEMBER (FROM 10/2021)1.003.00Yes (X)$0$0$0
DENISE PETERSON
PRESIDENT & CEO10.0031.00$0$278,250$23,696Yes (X)
LIISA LIVINGSTON
CFO (UNTIL 11/2021)10.0031.00$0$153,032$0Yes (X)
ROBERT LEAKE
CFO10.0031.00$0$0$0Yes (X)
MADELENE FRANCESE
VP OF DEVELOPMENT15.0025.00$0$150,601$0Yes (X)
LASHONIE L DOUGLAS
NURSE40.000.00$124,907$0$0Yes (X)
JOY A HUGHES
NURSE40.000.00$115,053$0$19,470Yes (X)
HAROLD E SANDALS
NURSE40.000.00$109,650$0$0Yes (X)
KATHLEEN A SMITH
DIRECTOR OF CLINICAL SERVICES40.000.00$106,304$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$455,914TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$581,883TotReportableCompRltdOrgAmt
Total Other Compensation$43,166TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH
7000 CARDINAL PLACEDUBLINOH43017PHARMACY SERVICES$206,964
WOODMARK PHARMACY
1142 WEHRLE DRIVEWILLIAMSVILLENY14221PHARMACY SERVICES$159,703
BEHAVIORAL HEALTH ADVISORY GROUP
259 NASSAU STREET SUITE 386PRINCETONNJ08542CONSULTING$158,901
GERIATRIC MENTAL HEALTH SPECIALIST
270 FARMINGTON AVE 309FARMINGTONCT06032MEDICAL SERVICES$121,225
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$157,976RelatedOrganizationsAmt
All Other Contributions$83,976AllOtherContributionsAmt
Total Contributions$241,952TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BEHAVIORAL HEALTH HOSPITAL622210$10,343,531$10,343,531
PHARMACY446110$702,343$702,343
FieldValueIRS element (for citing)
Total Program Service Revenue$11,045,874TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$229TotalRevenueColumnAmt
Exclusion$229ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$5,062TotalRevenueColumnAmt
Related Or Exempt Func Income$5,062RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,062OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,293,117TotalRevenueColumnAmt
Related Or Exempt Func Income$11,050,936RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$229ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,396,834TotalAmt
Program Services$5,396,735ProgramServicesAmt
Management And General$99ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,838,722TotalAmt
Program Services$616,187ProgramServicesAmt
Management And General$1,222,535ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$356,076TotalAmt
Program Services$284,861ProgramServicesAmt
Management And General$71,215ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$23,155TotalAmt
Management And General$23,155ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$86,736TotalAmt
Program Services$20,124ProgramServicesAmt
Management And General$66,612ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$201,852TotalAmt
Program Services$169,030ProgramServicesAmt
Management And General$32,822ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$120TotalAmt
Program Services$120ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$136,309TotalAmt
Program Services$93,997ProgramServicesAmt
Management And General$42,312ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$48,122TotalAmt
Program Services$38,498ProgramServicesAmt
Management And General$9,624ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$285,426TotalAmt
Program Services$238,248ProgramServicesAmt
Management And General$47,178ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,117TotalAmt
Program Services$10,100ProgramServicesAmt
Management And General$2,017ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,236TotalAmt
Program Services$7,236ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$107,379TotalAmt
Program Services$21,476ProgramServicesAmt
Management And General$85,903ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$395,045TotalAmt
Program Services$146,466ProgramServicesAmt
Management And General$248,579ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROVISION FOR BAD DEBTS$520,596$520,596
MEDICAL SUPPLIES$404,572$404,572
DIETARY$315,349$315,349
STORAGE EXPENSE$67,619$54,095$13,524

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$65,916TotalAmt
Program Services$55,572ProgramServicesAmt
Management And General$10,344ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,269,181TotalAmt
Program Services$8,393,262ProgramServicesAmt
Management And General$1,875,919ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$154,137BOYAmt
EOY$169,860EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,245,536BOYAmt
EOY$1,103,091EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,443BOYAmt
EOY$36,278EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,412BOYAmt
EOY$45,917EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,175,319LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$389,894LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,356,049BOYAmt
EOY$1,785,425EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,108BOYAmt
EOY$2,337EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,362,272BOYAmt
EOY$1,779,912EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,153,957BOYAmt
EOY$4,922,820EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,011,038BOYAmt
EOY$923,882EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$79,574BOYAmt
EOY$87,555EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,725,585BOYAmt
EOY$1,588,841EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,984,714BOYAmt
EOY$1,945,560EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,800,911BOYAmt
EOY$4,545,838EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$646,954BOYAmt
EOY$376,982EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$646,954BOYAmt
EOY$376,982EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,153,957BOYAmt
EOY$4,922,820EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,023,936ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$384,706CurrentTaxYearMinus1YearAmt
Current Tax Year$241,952CurrentTaxYearAmt
Total$638,158TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,300,001CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,246,607CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,223,581CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,112,845CurrentTaxYearMinus1YearAmt
Current Tax Year$11,045,874CurrentTaxYearAmt
Total$43,928,908TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,310,501CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,247,607CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,223,581CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,497,551CurrentTaxYearMinus1YearAmt
Current Tax Year$11,287,826CurrentTaxYearAmt
Total$44,567,066TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$44,567,066PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$278CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$309CurrentTaxYearMinus2YearsAmt
Current Tax Year$229CurrentTaxYearAmt
Total$1,022TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$278CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$206CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$309CurrentTaxYearMinus2YearsAmt
Current Tax Year$229CurrentTaxYearAmt
Total$1,022TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$921,051CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$381,117CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$144,998CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,515,196CurrentTaxYearMinus1YearAmt
Current Tax Year$5,062CurrentTaxYearAmt
Total$2,967,424TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,231,830CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,628,930CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,368,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,012,747CurrentTaxYearMinus1YearAmt
Current Tax Year$11,293,117CurrentTaxYearAmt
Total$47,535,512TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93760PublicSupportCY509Pct
Public Support PY5090.94060PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,240,766OtherCostOrOtherBasisAmt
Depreciation$168,951DepreciationAmt
Book Value$1,071,815BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$934,553OtherCostOrOtherBasisAmt
Depreciation$220,943DepreciationAmt
Book Value$713,610BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,785,425TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DEPOSITS$7,089
OTHER RECEIVABLES$168,417
RIGHT OF USE ASSET - BUILDING$3,000
DUE FROM AFFILIATES$1,601,406
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,779,912TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
FUNDS HELD IN TRUST$100,135
PAYMENTS DUE UNDER PLAN OF REORGANIZATION$997,976
DEFERRED RENT$511,572
CAPITAL LEASE OBLIGATIONS$335,877
FieldValueIRS element (for citing)
Total Liability$1,945,560TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,140,521TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$152,596OtherRevenueAmt
Revenue Not Reported-$152,596RevenueNotReportedAmt
Revenue Subtotal$11,293,117RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,293,117TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,116,585TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,116,585ExpensesSubtotalAmt
Other Expenses Not Included$152,596OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$152,596ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,269,181TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE FOLLOWING FOOTNOTE IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR HEBREW HEALTH CARE, INCORPORATED AND AFFILIATES. EACH ENTITY, WITH THE EXCEPTION OF CGSG, IS QUALIFIED UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. CGSG ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. FASB ASC 740 IS AN ASSET AND LIABILITY METHOD, WHICH REQUIRES THE RECOGNITION OF DEFERRED TAX ASSETS AND LIABILITIES FOR THE EXPECTED FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BETWEEN THE TAX AND FINANCIAL REPORTING BASIS OF CERTAIN ASSETS AND LIABILITIES. AS OF SEPTEMBER 30, 2022 AND 2021, CGSG HAD A NET FEDERAL OPERATING LOSS CARRYFORWARD AVAILABLE TO REDUCE ITS FUTURE TAXABLE INCOME OF APPROXIMATELY $3.75 MILLION AND $3.5 MILLION, RESPECTIVELY, AND STATE OF CONNECTICUT NET OPERATING LOSS CARRYFORWARD OF $3.76 MILLION AND $3.3 MILLION, RESPECTIVELY. THE CARRYFORWARD PERIODS EXPIRE AT VARIOUS DATES THROUGH 2036. THE DEFERRED TAX ASSET OF APPROXIMATELY $1 MILLION AND $939,000, AS OF SEPTEMBER 30, 2022 AND 2021, RESPECTIVELY, ASSOCIATED WITH CGSG'S LOSS CARRYFORWARD AND ACCRUED EXPENSES WAS OFFSET BY A CORRESPONDING VALUATION ALLOWANCE OF $1 MILLION AND $939,000 AS OF SEPTEMBER 30, 2022 AND 2021, AS REALIZATION OF SUCH LOSS CARRYFORWARDS IS NOT ASSURED. THE VALUATION ALLOWANCE FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021 INCREASED BY APPROXIMATELY $72,000 AND $250,000, RESPECTIVELY. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740 WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2022 AND 2021, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN ADMINISTRATION EXPENSES. AS OF SEPTEMBER 30, 2022 AND 2021, THE ORGANIZATION DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. DURING OCTOBER 2021, THE ORGANIZATION RECEIVED NOTICE FROM THE IRS REGARDING A COMPLIANCE CHECK RELATED TO ADHERENCE WITH IRS FINANCIAL ASSISTANCE POLICIES. ALL REQUIRED DOCUMENTATION HAS BEEN UPDATED AND AT THE DATE OF THIS REPORT, THE IRS COMPLIANCE CHECK IS STILL IN PROCESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS -152,596.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBTS 152,596.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$568,846TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$509,816DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,030NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$568,846TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$509,816DirectOffsettingRevenueAmt
Net Community Benefit Expns$59,030NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,100NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,100TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,100NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$571,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$509,816DirectOffsettingRevenueAmt
Net Community Benefit Expns$62,130NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,204TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,204NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,204TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,204NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$525,596BadDebtExpenseAmt
Bad Debt Expense Attributable$5,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,991,810ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,243,858CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,747,952MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HOSPITAL AT HEBREW HEALTH CAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 ABRAHMS BLVDAddressLine1Txt
CityWEST HARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06117ZIPCd
FieldValueIRS element (for citing)
Website AddressHEBREWSENIORCARE.ORGWebsiteAddressTxt
State License16CDStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherBEHAVIORAL UNITSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE HOSPITAL AT HEBREW HEALTH CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.HEBREWSENIORCARE.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.HEBREWSENIORCARE.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care25.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.HEBREWSENIORCARE.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.HEBREWSENIORCARE.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.HEBREWSENIORCARE.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Nondis Emergency Care Policy0NondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
THE HOSPITAL AT HEBREW HEALTH CAREPART V, SECTION B, LINE 3J: EXPAND RESIDENT MEMBER FUND TO ASSIST IN FINANCIAL AID FOR RESIDENTS IN NEED. TRIAL A DRIVING SERVICE TO ASSIST SENIORS WITH HEALTHCARE RELATED APPOINTMENTS. THESE IMPLEMENTATION ITEMS WERE TEMPORARILY SUSPENDED DUE TO THE OUTBREAK OF COVID 19 WHICH CAUSED DISRUPTION TO ALL HOSPITAL ACTIVITIES.
THE HOSPITAL AT HEBREW HEALTH CAREPART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DISTRIBUTED TO COMMUNITY MEMBERS, ADULT CARE COORDINATORS AND FAMILY SERVICES INCLUDING: SENIOR ADULT AND FAMILY SERVICES FOR THE TOWN OF MANCHESTER, NCAAA, CENTER FOR HEALTHY AGING, VARIOUS SENIOR CENTERS IN CENTRAL CONNECTICUT AND THE MANCHESTER COMMUNITY SERVICES COUNCIL.
THE HOSPITAL AT HEBREW HEALTH CAREPART V, SECTION B, LINE 11: THE HOSPITAL HAS INDENTIFIED 4 SIGNIFICANT NEEDS IT PLANS TO ADDRESS:1. DEVELOP EDUCATIONAL OPPORTUNITIES ABOUT COGNITIVE IMPAIRMENT;2. OFFER SEMINARS ABOUT HOW TO DOWNSIZE IN ORDER TO MOVE INTO INDEPENDENT/ASSISTED LIVING FACILITIES;3. DEVELOP PROGRAMS TO EDUCATE PEOPLE ABOUT MEDICARE, PROBATE AND ESTATE PLANNING; AND, 4. HELP PEOPLE DEVELOP AND UNDERSTAND APPROPRIATE ACTIVITIES FOR PEOPLE WITH COGNITIVE IMPAIRMENT.THE HOSPITAL PLANS TO ADDRESS THESE NEEDS THROUGH THE CREATION OF PROGRAMS AND COLLABORATING WITH PARTNERS.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE ORGANIZATION USED THE RATIO OF PATIENT CARE COST TO CHARGES.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 520,596.
PART II, COMMUNITY BUILDING ACTIVITIES:HEBREW SENIOR CARE PROVIDES COMMUNITY BENEFITS TO THE GREATER HARTFORD REGION. OUR ORGANIZATION PROVIDES INFORMATION TO THE COMMUNITY IN SEVERAL WAYS:- OUR VP OF MARKETING HAS A CABLE ACCESS SHOW THAT AIRS ON A MONTHLY BASIS. THE CABLE ACCESS SHOW FEATURES HEALTH PROFESSIONALS WHO CAN PROVIDE ADVICE REGARDING SENIOR HEALTH AND WELLNESS. - OUR ORGANIZATION RUNS DRIVES FOR A VARIETY OF NEEDS: FOOD, COATS AND SCHOOL SUPPLIES FOR LOCAL SCHOOLS IN HARTFORD. -WE OFFER SUPPORT GROUPS FOR FAMILIES STRUGGLING WITH AGING PARENTS OR SPOUSES WHO MAY HAVE DEMENTIA.
PART III, LINE 2:THE ORGANIZATION ESTIMATES BAD DEBT BASED ON HISTORICAL EXPERIENCE AS WELL AS ACTUAL ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE.
PART III, LINE 3:THE HOSPITAL SERVES THE ELDERLY POPULATION OF THE GREATER HARTFORD CONNECTICUT AREA WHICH IS A VULNERABLE POPULATION WHO OFTEN LIVE ON A FIXED INCOME. IN ORDER TO ENSURE QUALITY CARE TO THIS DEMOGRAPHIC, THE HOSPITAL INCURS BAD DEBT EXPENSE WHEN THE INDIVDIUALS CAN NOT PAY. SINCE THERE IS AN IDENTIFIED NEED TO PROVIDE SERVCIES TO THE ELDERLY, THE HOSPITAL BELIEVES THE AMOUNT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. THE HOSPITAL WAS NOT ABLE TO ESTIMATE THE PERCENTAGE OF THE BAD DEBT RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE; HOWEVER, SOME PORTION OF THE BAD DEBT RELATES TO THESE INDIVIDUALS.
PART III, LINE 4:THERE IS NO BAD DEBT FOOTNOTE IN THE FINANCIAL STATEMENTS BUT THE METHOD FOR EVALUATING ACCOUNTS RECEIVABLE IS INCLUDED IN NOTE 2 ON PAGE 15 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:THE HOSPITAL SERVES THE ELDERLY POPULATION OF THE GREATER HARTFORD CONNECTICUT AREA WHICH IS A VULNERABLE POPULATION WHO OFTEN LIVE ON A FIXED INCOME. IN ORDER TO ENSURE QUALITY CARE TO THIS DEMOGRAPHIC. THE HOSPITAL WAS NOT ABLE TO ESTIMATE THE MEDICARE ALLOWABLE COSTS BUT BELIEVES THE SERVICES RESULTED IN A LOSS. SINCE MEDICARE DOES NOT FULLY COVER THE COST OF THE SERVICES PROVICED AND THERE IS AN IDENTIFIED NEED TO PROVIDE SERVCIES TO THE ELDERLY, THE HOSPITAL BELIEVES THE SHORTFALL AMOUNT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.
PART III, LINE 9B:SPECIAL CONSIDERATION IS MADE ON CASE BY CASE BASIS IF PATIENT MEETS THE CHARITY CARE POLICY GUIDELINES AS WELL AS ALL TROUBLED ACCOUNTS.
PART VI, LINE 2:THE COMMUNITY NEEDS ASSESSMENT SURVEY SENT TO ORGANIZATIONS THAT SERVICE GERIATRIC POPULATION OF WEST HARTFORD SURROUNDING COMMUNITIES. THE SURVEY IDENTIFIES THE RESPONDENTS, THE MOST SIGNIFICANT HEALTH NEEDS/ISSUES, GROUPS/INDIVIDUALS THAT COULD BE EFFECTIVE IN HELPING THOSE NEEDS AND ROLE HEBREW HEALTH CARE CAN PROVIDE.
PART VI, LINE 3:FINANCIAL AID APPLICATIONS CAN BE CONSIDERED ANYTIME FROM THE POINT OF SERVICE TO THE BILL BEING RECEIVED. THE FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO PATIENTS WHOSE FAMILY INCOME IS 200 PERCENT OR LESS OF THE FEDERAL POVERTY GUIDELINES AND INDIVIDUAL FINANCIAL CIRCUMSTANCES WILL BE USED IN CONJUNCTION WITH FEDERAL POVERTY GUIDELINES FOR DETERMINATION OF INDIVIDUAL FINANCIAL ASSISTANCE PROGRAM WRITE-OFFS. WHEN AN APPLICATION FOR FINANCIAL ASSISTANCE AND CHARITY CARE IS DENIED, THE RESPONSIBILITY PARTY SHALL RECEIVE A WRITTEN NOTICE OF DENIAL WHICH INCLUDES THE REASON OR REASONS FOR THE DENIAL; THE DATE OF THE DECISION; AND THE INSTRUCTIONS FOR APPEAL OR RECONSIDERATION. THE LETTER ALSO INCLUDES A DESCRIPTION OF THE INFORMATION THAT WAS REQUESTED AND NOT PROVIDED IF THIS IS THE CASE. THE CFO AND/OR ADMINISTRATOR WILL REVIEW ALL APPEALS. IF THIS REVIEW REAFFIRMS THE PREVIOUS DENIAL OF FINANCIAL ASSISTANCE AND CHARITY CARE, WRITTEN NOTIFICATION WILL BE SENT TO THE RESPONSIBLE PARTY AND ALL OTHER STATE LAWS REGARDING NOTIFICATION WILL BE FOLLOWED.
PART VI, LINE 4:OUR BEHAVIORAL HEALTH UNIT WAS OPENED IN 2005, WE HAVE SPECIALIZED IN THE CARE AND TREATMENT OF OLDER ADULTS AGE 50+ WHO ARE EXPERIENCING BEHAVIORAL HEALTH DISORDERS. THE COMMUNITY SERVED BY HEBREW SENIOR CARE'S GERIATRIC BEHAVIORAL HEALTH HOSPITAL IS THE SENIOR POPULATION (AGE 50 AND OLDER) IN THE GREATER HARTFORD CONNECTICUT AREA. THIS IS THE GEOGRAPHIC AREA MOST COMMONLY SERVED BY HEBREW SENIOR CARE'S BEHAVIORAL HEALTH HOSPITAL. HOWEVER, MANY INDIVIDUALS SERVED BY THE GERIATRIC BEHAVIORAL HEALTH HOSPITAL COME FROM THROUGHOUT THE STATE OF CONNECTICUT DUE TO THE LACK OF BEHAVIORAL HEALTH BEDS DEDICATED TO SENIORS.
PART VI, LINE 5:HEBREW SENIOR CARE PROVIDES COMMUNITY BENEFITS TO THE GREATER HARTFORD REGION. DEEPLY DEVOTED LAY LEADERSHIP, A RESPONSIBILITY PROUDLY HANDED DOWN FROM GENERATION TO GENERATION, BEST DEFINES THE COMMITMENT OF HEBREW SENIOR CARE'S BOARD OF TRUSTEES. THE BOARD OF TRUSTEES PROVIDES FISCAL OVERSIGHT WHILE HONORING THE TENETS OF JUDAISM PROVIDING CARE TO THOSE WHO CAME BEFORE US REGARDLESS OF ONE'S ABILITY TO PAY AND ONE'S RELIGIOUS AFFILIATION. HEBREW SENIOR CARE'S LAY LEADERSHIP WORKS IN PARTNERSHIP WITH THE TALENTED STAFF TO ENSURE SERVICE LINES REMAIN RELEVANT IN THIS FAST-CHANGING HEALTH CARE ENVIRONMENT, AND THAT STANDARDS FOR CARE REMAIN AT THE HIGHEST LEVELS. THE BOARD OF DIRECTORS IS A VOLUNTEER BOARD COMPRISED OF PROMINENT MEMBERS OF THE COMMUNITY. THE HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF ALLOWING COMMUNITY PHYSICIANS TO SERVE THEIR PATIENTS.
PART VI, LINE 6:THE STORY OF HEBREW SENIOR CARE CONTINUES TO BE ONE OF COMMITMENT TO SENIOR HEALTH AND WELLNESS, FAITHFULNESS TO OUR JEWISH HERITAGE, AND RESPONSIVENESS TO THE COMMUNITY'S NEEDS. SINCE 1901, HEBREW SENIOR CARE HAS DEVOTED ITSELF TO THE CARE OF OLDER ADULTS AND HAS PROVIDED SENIOR SERVICES THROUGH THE JEWISH TRADITION OF CARING FOR THE ELDERLY WITH COMPASSION AND NOT FORSAKING THE ELDERLY WHEN THEIR STRENGTH FAILS. HEBREW SENIOR CARE SERVICES ARE OPEN TO BOTH THE JEWISH COMMUNITY AND THE COMMUNITY AT LARGE.HEBREW SENIOR CARE HAS SIX AFFILIATES: HEBREW HOME & HOSPITAL - THE ORGANIZATION OPERATES A 38-BED BEHAVIORAL HEALTH HOSPITAL TYPICALLY FOR INDIVIDUALS EXPERIENCING ACUTE PSYCHIATRIC SYMPTOMS OR BEHAVIORS THAT INTERFER WITH THEIR CARE. WHETHER AN OLDER ADULT IS EXPERIENCING DEPRESSION, DEMENTIA ACCOMPANIED BY BEHAVIORAL DISTURBANCES OR SCHIZOPHRENIA, ANXIETY, BIPOLAR DISORDER OR ALCOHOL WITHDRAWAL THE BEHAVIORAL HEALTH HOSPITAL AT HEBREW SENIOR CARE ARE EXPERTS IN SERVING THIS VULNERABLE POPULATION. THE BEHAVIORAL HEALTH HOSPITAL AT HEBREW SENIOR CARE SPECIALIZES IN SERVING OLDER ADULTS (50 YEARS AND OLDER)HEBREW COMMUNITY SERVICES, INC. - THIS ORGANIZATION PROVIDES A SENIOR DAY CARE CENTER AND AN ASSISTED LIVING SERVICES AGENCY. HEBREW LIFE CHOICES, INC. - THIS ORGANIZATION PROVIDES INDEPENDENT AND ASSISTED SENIOR LIVING.HEBREW HEALTH CARE FOUNDATION, INC. - THIS ORGANIZATION PROVIDES FUNDRAISING SERVICES FOR OTHER ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM.HEBREW HEALTH CARE, INC. - THIS ORGANIZATION PROVIDES ADMINISTRATIVE, OVERSIGHT AND FUNDRAISING SERVICES FOR OTHER ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM.CONNECTICUT GERIATRIC SPECIALTY GROUP, PC - THIS ORGANIZATION OPERATES A PHYSICIAN PRACTICE.PART VI, LINE 7 THE HOSPITAL OPERATES IN THE STATE OF CONNECTICUT WHICH DOES NOT REQUIRE REPORTING.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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
DENISE PETERSON
PRESIDENT & CEO$0$265,750$0$12,500$0$0$0$0$0$23,696$0$301,946$0$0
LIISA LIVINGSTON
CFO (UNTIL 11/2021)$0$153,032$0$0$0$0$0$0$0$0$0$153,032$0$0
MADELENE FRANCESE
VP OF DEVELOPMENT$0$150,601$0$0$0$0$0$0$0$0$0$150,601$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR IS PAID BY HEBREW HEALTH CARE, INC. WHICH USES THE FOLLOWING METHODS WHEN DETERMINING COMPENSATION: - COMPENSATION COMMITTEE - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDYExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6HEBREW HOME & HOSPITAL ("THE HOSPITAL") HAS ONLY ONE MEMBER. THE SOLE MEMBER OF THE ORGANIZATION IS HEBREW HEALTH CARE, INC., A CONNECTICUT NONSTOCK CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7APURSUANT TO THE BYLAWS, THE BOARD SHALL HAVE FOURTEEN (14) EX-OFFICIO TRUSTEES. THE PERSONS WHO HOLD THE FOLLOWING OFFICES OR POSITIONS SHALL BE THE EX-OFFICIO TRUSTEES OF THE HOME AT ALL TIMES WHILE SERVING IN SUCH OFFICES OR POSITIONS, AUTOMATICALLY AND WITHOUT THE NEED FOR ANY ACTION BY THE MEMBER OR THE OTHER TRUSTEES: (I) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF THE HEBREW HEALTH CARE FOUNDATION, INC., A CONNECTICUT NONSTOCK CORPORATION; (II) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF HEBREW COMMUNITY SERVICES, INC., A CONNECTICUT NONSTOCK CORPORATION; (III) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF HEBREW LIFE CHOICES, INC., A CONNECTICUT NONSTOCK CORPORATION, (IV) THE PRESIDENT OF THE AUXILIARY OF THE HEBREW HOME AND HOSPITAL, INCORPORATED (THE "AUXILIARY"); (V) THE IMMEDIATE PAST PRESIDENT OF THE AUXILIARY; (VI) THE PRESIDENT ELECT OF THE AUXILIARY; (VII) THE PRESIDENT OF THE HOME; (VIII) THE IMMEDIATE PAST CHAIRPERSON OF THE BOARD OF TRUSTEES OF THE HOME; (IX) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF HEBREW HEALTH CARE, INC.; (X) THE PRESIDENT OF HEBREW HEALTH CARE, INC.; (XI) THE SENIOR VICE PRESIDENT OF HEBREW HEALTH CARE, INC.; AND (XII) THE SECRETARY OF HEBREW HEALTH CARE, INC.; (XIII) THE VICE CHAIRPERSON OF FINANCE OF HEBREW HEALTH CARE, INC.; AND (XIV) THE ASSISTANT VICE CHAIRPERSON OF FINANCE OF HEBREW HEALTH CARE, INC. A PERSON SHALL CEASE TO BE AN EX-OFFICIO TRUSTEE IMMEDIATELY UPON CEASING TO HOLD THE OFFICE OR POSITION FROM WHICH HIS OR HER EX-OFFICIO TRUSTEE STATUS DERIVED, AND HIS OR HER SUCCESSOR IN SUCH OFFICE OR POSITION SHALL AUTOMATICALLY BE AN EX-OFFICIO TRUSTEE, WITHOUT THE NEED FOR ANY ACTION BY THE MEMBER OR THE OTHER TRUSTEES. THE EX-OFFICIO TRUSTEES SHALL BE COUNTED FOR PURPOSES OF DETERMINING THE PRESENCE OF A QUORUM AT MEETINGS OF THE BOARD OF TRUSTEES AND EACH EX-OFFICIO TRUSTEE SHALL HAVE A VOTE ON ALL MATTERS THAT COME BEFORE THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BPURSUANT TO THE BYLAWS, THE MEMBER SHALL HAVE THE RIGHT TO VOTE ON ALL MATTERS UPON WHICH MEMBERS OF A CONNECTICUT NONSTOCK CORPORATION ARE AFFORDED THE RIGHT TO VOTE UNDER THE ACT. WITHOUT LIMITING THE FOREGOING, EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE MEMBER: (A) ADOPTION OF THE HOME'S ANNUAL BUDGET FOR ANTICIPATED REVENUES AND EXPENDITURES, BOTH OPERATING AND CAPITAL; (B) UNLESS ADOPTED AS PART OF THE HOME'S ANNUAL BUDGET: (1) THE SALE, LEASE, EXCHANGE OR OTHER TRANSFER OR DISPOSITION (OTHER THAN AS PROVIDED FOR IN SUBPARAGRAPH (B)(2) BELOW) OF ANY OF THE HOME'S PROPERTY OF ANY NATURE HAVING A VALUE OF MORE THAN $20,000 IN ONE YEAR; (2) THE MORTGAGE, PLEDGE OR OTHER ENCUMBRANCE OF ANY OF THE HOME'S PROPERTY OR ASSETS OF ANY NATURE THAT IS NOT IN CONNECTION WITH A PLANNED GIVING OR OTHER CHARITABLE ARRANGEMENT, INCLUDING BUT NOT LIMITED TO THE HOME'S ISSUANCE OF CHARITABLE GIFT ANNUITIES; (3) THE INCURRENCE BY THE HOME OF INDEBTEDNESS FOR BORROWED MONEY OR THE ISSUANCE BY THE HOME OF A GUARANTY OR OTHER UNDERTAKING TO BECOME OBLIGATED FOR ANY DEBT OR OBLIGATION OF ANY PARTY (IN EACH CASE, OTHER THAN IN CONNECTION WITH A PLANNED GIVING OR OTHER CHARITABLE ARRANGEMENT, INCLUDING BUT NOT LIMITED TO THE HOME'S ISSUANCE OF CHARITABLE GIFT ANNUITIES); (4) THE MAKING OF ANY LOAN BY THE HOME TO ANY PARTY IN EXCESS OF $500; (C) ANY AMENDMENT OR REPEAL OF ANY PROVISION OF THE BYLAWS OF THE HOME; (D) ANY CHANGE IN THE PURPOSES OR MISSION OF THE HOME; (E) ANY MERGER INVOLVING THE HOME; (F) THE DISSOLUTION OF THE HOME; (G) PARTICIPATION BY THE HOME IN ANY JOINT VENTURE, PARTNERSHIP OR SIMILAR ACTIVITY; (H) ENGAGING IN ANY TRANSACTION IN WHICH THE HOME BECOMES A SHAREHOLDER, MEMBER OR EQUITY OWNER OF A CORPORATION, LIMITED LIABILITY COMPANY OR OTHER ENTITY; (I) THE ANNUAL APPOINTMENT OF A FIRM OF PUBLIC ACCOUNTANTS TO CONDUCT AN INDEPENDENT AUDIT OF THE HOME'S FINANCIAL AFFAIRS; OR (J) ANY AMENDMENT OR REPEAL OF ANY PROVISION OF THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF THE HOME.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH THE ASSISTANCE OF MANAGEMENT. A DRAFT FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THE SOLE MEMBER HEBREW HEALTH CARE, INC. FOR REVIEW AND OVERSIGHT.
FORM 990, PART VI, SECTION B, LINE 12CTHIS ORGANIZATION HAS ADOPTED THE POLICY OF ITS SOLE MEMBER HEBREW HEALTH CARE, INC. REGARDING CONFLICT OF INTEREST. PER THE CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM, OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES HAVE A DUTY TO DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. FOLLOWING DISCLOSURE OF AN ACTUAL OR POSSIBLE CONFLICT, THE OTHER MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHAT FURTHER STEPS MAY BE REQUIRED TO INVESTIGATE THE SITUATION. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT WILL RECUSE THEMSELF FROM THE DISCUSSION OF THE MATTER. THE POLICY INCLUDESMPROVISIONS FOR VIOLATION AND FAILURE TO DISCLOSE WHICH COULD LEAD TO DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING, BUT NOT LIMITED TO REMOVAL FROM THE BOARD OR COMMITTEE IN ACCORDANCE WITH THE BYLAWS OF THE ENTITY. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE ADMINISTRATIVE SECRETARY OF HEBREW HOME & HOSPITAL, A MEMBER OF THE HEBREW SENIOR CARE SYSTEM.
FORM 990, PART VI, SECTION B, LINE 15AALL COMPENSATION FOR THE PRESIDENT AND OFFICERS ARE PAID BY THE SOLE MEMBER, HEBREW HEALTH CARE, INC. THIS ORGANIZATION HAS ADOPTED THE POLICY OF ITS SOLE MEMBER HEBREW HEALTH CARE, INC. REGARDING COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
HEBREW HEALTH CARE INC
1 ABRAHMS BLVDWEST HARTFORDCT06117043750515ADMIN OVERSIGHT & FUNDRAISINGCT501(C)(3)LINE 7N/A0
HEBREW COMMUNITY SERVICES INC
1 ABRAHMS BLVDWEST HARTFORDCT06117223182447SENIOR DAY CTR & ALSACT501(C)(3)LINE 100HEBREW HEALTH CARE INC
HEBREW LIFE CHOICES INC
1 ABRAHMS BLVDWEST HARTFORDCT06117061557313SENIOR ASSISTED LIVINGCT501(C)(3)LINE 100HEBREW HEALTH CARE INC
HEBREW HEALTH CARE FOUNDATION INC
1 ABRAHMS BLVDWEST HARTFORDCT06117061310204REPOSITORYCT501(C)(3)LINE 12B, II0HEBREW HEALTH CARE INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONNECTICUT GERIATRIC SPECIALTY GROUP PCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 ABRAHMS BLVDAddressLine1Txt
CityWEST HARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06117ZIPCd
FieldValueIRS element (for citing)
EIN593840584EIN
Primary ActivitiesPHYSICIAN GROUPPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HEBREW HEALTH CARE FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$157,976InvolvedAmt