JEWISH HOME: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: JEWISH HOME (EIN 94-0545320)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202531359349306323
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T11:04:22-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SECOND STREET SUITE 900	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94105	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	940545320	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEBREW HOME FOR AGED DISABLED	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HEBR	BusinessNameControlTxt
Phone	4153342500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	302 SILVER AVENUE	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	941121510	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CARL GERLACH	PersonNm
Person Title	INTERIM CFO	PersonTitleTxt
Phone	4153342500	PhoneNum
Signature	2025-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL LUMSDEN	PreparerPersonNm
PTIN	P01262236	PTIN
Phone	4159561500	PhoneNum
Preparation	2025-05-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SAN FRANCISCO CAMPUS FOR JEWISH LIVING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	ADRIENNE GREEN MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	302 SILVER AVENUE	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	941121510	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$117,043,372	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SFCJL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1871	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	WE ARE A LICENSED NURSING HOME AND LICENSED RESIDENTIAL CARE FOR THE ELDERLY FACILITY THAT PROVIDES TO SENIORS LIFE ENRICHING SERVICES THAT PROMOTE INDIVIDUAL DIGNITY, ENCOURAGE INDEPENDENCE, AND REFLECT THE SOCIAL, CULTURAL, AND SPIRITUAL VALUES OF THE JEWISH TRADITION.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1039	TotalEmployeeCnt
Total Volunteers	175	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,132,120	PYContributionsGrantsAmt
CY Contributions Grants	$2,369,445	CYContributionsGrantsAmt
PY Program Service Revenue	$103,050,512	PYProgramServiceRevenueAmt
CY Program Service Revenue	$113,701,911	CYProgramServiceRevenueAmt
PY Investment Income	$148,827	PYInvestmentIncomeAmt
CY Investment Income	$291,784	CYInvestmentIncomeAmt
PY Other Revenue	$1,439,093	PYOtherRevenueAmt
CY Other Revenue	$677,445	CYOtherRevenueAmt
PY Total Revenue	$105,770,552	PYTotalRevenueAmt
CY Total Revenue	$117,040,585	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,335,017	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$76,883,517	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$64,839,527	PYOtherExpensesAmt
CY Other Expenses	$59,725,483	CYOtherExpensesAmt
PY Total Expenses	$130,174,544	PYTotalExpensesAmt
CY Total Expenses	$136,609,000	CYTotalExpensesAmt
PY Revenues Less Expenses	-$24,403,992	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$19,568,415	CYRevenuesLessExpensesAmt
Total Assets BOY	$267,729,741	TotalAssetsBOYAmt
Total Assets EOY	$248,259,612	TotalAssetsEOYAmt
Total Liabilities BOY	$139,368,416	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$134,843,504	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$128,361,325	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$113,416,108	NetAssetsOrFundBalancesEOYAmt
Mission	ENRICHING THE QUALITY OF LIFE OF OLDER ADULTS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$129,673,989	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$113,701,911	RevenueAmt
Desc	THE ORGANIZATION PROVIDES LONG-TERM CARE, SHORT-TERM REHABILITATION, AND ACUTE PSYCHIATRIC CARE SERVICES IN ITS 374 BED FACILITY. IN THE CURRENT FISCAL YEAR, THE ORGANIZATION SERVED AN AVERAGE OF 348 PATIENTS AND RESIDENTS PER DAY. THERE WERE 81 NEW ADMISSIONS FOR LONG-TERM CARE, 998 SHORT-TERM CARE PATIENTS, AND 171 PATIENTS THAT REQUIRED ACUTE PSYCH HOSPITALIZATION. THE ORGANIZATION ALSO PROVIDES ASSISTED LIVING AND MEMORY CARE IN A NEWLY CONSTRUCTED FACILITY WITH 190 UNITS. THIS FACILITY OPENED IN SEPTEMBER 2020 AND SERVED AN AVERAGE OF 130 RESIDENTS DURING THE YEAR. THE ORGANIZATION AND ITS PROGRAMS ARE HOUSED IN 5 BUILDINGS ON A 9-ACRE CAMPUS.	Desc
Total Program Service Expenses	$129,673,989	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	109	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1039	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARL GERLACH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4155622650	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	302 SILVER AVENUE	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94112	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MARY CONNICK
CHIEF FINANCIAL OFFICER THRU 2/2024	40.00	0.00	Yes (X)	$752,758	$0	$9,342
DANIEL RUTH
FORMER PRESIDENT & CEO	0.00	0.00		$460,393	$0	$0	Yes (X)
ADRIENNE GREEN MD
CEO START 7/2023	40.00	0.00	Yes (X)	$303,944	$0	$8,804
PEGGY CMIEL
DIR OF NURSING & CLINICAL OPERATIONS	40.00	0.00		$264,035	$0	$30,129		Yes (X)
STEPHEN HALL
MEDICAL DIRECTOR	24.00	0.00		$250,000	$0	$34,328			Yes (X)
KEVIN BEUTLER
CHIEF HUMAN RESOURCES OFFICER	40.00	0.00		$272,373	$0	$3,683		Yes (X)
MICHAEL SKAFF
CHIEF INFORMATION OFFICER THRU 2/2023	40.00	0.00		$274,022	$0	$1,679		Yes (X)
MARILYN MINERALES
LICENSED VOCATIONAL NURSE	40.00	0.00		$220,908	$0	$39,396			Yes (X)
STACI CHANG
CHIEF MARK & BUS STRAT OFF THRU 9/2023	40.00	0.00		$243,279	$0	$9,903		Yes (X)
MARLENE VELASCO
LICENSED VOCATIONAL NURSE	40.00	0.00		$220,800	$0	$28,625			Yes (X)
TERI GRADOS
ASSISTANT DIRECTOR OF NURSING	40.00	0.00		$219,473	$0	$22,744			Yes (X)
EDWINA TANG
EXECUTIVE DIRECTOR, FRANK RESIDENCES	40.00	0.00		$212,906	$0	$10,811		Yes (X)
SANDRA GUAN
REGISTERED NURSE	40.00	0.00		$215,449	$0	$330			Yes (X)
GREGORY K BOGART
ADMINISTRATOR THRU 5/2023	40.00	0.00		$122,210	$0	$3,893	Yes (X)
DAVID CALDWELL
CHIEF FINANCIAL OFFICER START 2/2024	40.00	0.00	Yes (X)	$0	$0	$0
STEVEN FAYNE
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0				Yes (X)
SOPHIE SHARP
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0				Yes (X)
HOWARD F FINE
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0				Yes (X)
JAMES A DAVIS MD
ASST SECR THRU 12/2023 / VICE CHAIR START 12/2023	2.00	0.00	Yes (X)	$0	$0	$0				Yes (X)
ALEX MANN
SECRETARY THRU 12/2023 / ASST SECR START 12/2023	2.00	0.00	Yes (X)	$0	$0	$0				Yes (X)
LAURA KLAPPER
SECRETARY START 12/2023	2.00	0.00	Yes (X)	$0	$0	$0				Yes (X)
JASON SECORE
TREASURER THROUGH 4/2024 / TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0				Yes (X)
DAVID LOWI
TREASURER START 5/2024	2.00	0.00	Yes (X)	$0	$0	$0				Yes (X)
SUE DIAMOND
TRUSTEE	2.00	0.00		$0	$0	$0				Yes (X)
JESSICA EISLER
TRUSTEE	2.00	0.00		$0	$0	$0				Yes (X)
RICHARD FIEDOTIN
TRUSTEE	2.00	0.00		$0	$0	$0				Yes (X)
MATTHEW D GERSHUNY
TRUSTEE THRU 12/2023	2.00	0.00		$0	$0	$0				Yes (X)
DAVID GOLDIN
TRUSTEE	2.00	0.00		$0	$0	$0				Yes (X)
VALERIE KREIGER JAHAN MD
TRUSTEE	2.00	0.00		$0	$0	$0				Yes (X)
JUDITH PLAYER
TRUSTEE THRU 9/2023	2.00	0.00		$0	$0	$0				Yes (X)
BILL POMERANZ
TRUSTEE	2.00	0.00		$0	$0	$0				Yes (X)
JEFF ZLOT
TRUSTEE	2.00	0.00		$0	$0	$0				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,032,550	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$203,667	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	151	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ONR INC
8500 BLUFFSTONE COVE	AUSTIN	TX	78759	PHYSICAL, OCCUPATIONAL & SPEECH THERAPY	$3,734,765
HERITAGE NURSING AGENCY
704 TUOLOMNE ST	VALLEJO	CA	94590	TEMPORARY STAFFING	$3,260,295
ACCLAIM PROFESSIONAL HEALTHCARE LLC
4340 REDWOOD HIGHWAY A14	SAN RAFAEL	CA	94903	TEMPORARY STAFFING	$2,485,309
VITALIS STAFFING LLC
355 GELLERT BLVD STE 110	DALY CITY	CA	94015	TEMPORARY STAFFING	$2,019,929
ALIXARX LLC
4727 W SHAW AVE 105	FRESNO	CA	93722	PHARMACY SERVICES	$1,736,620

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,369,445	GovernmentGrantsAmt
Total Contributions	$2,369,445	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERV. REV.	623000	$113,557,574	$113,557,574
OTHER OPERATING REV.	623000	$144,337	$144,337

Field	Value	IRS element (for citing)
Total Program Service Revenue	$113,701,911	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$291,784	TotalRevenueColumnAmt
Exclusion	$291,784	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$14,869	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,787	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,082	TotalRevenueColumnAmt
Exclusion	$12,082	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
JHSLF SERVICE REVENUE	541900	$320,000	$320,000
PARKING/GARAGE REV	812930	$186,702	$186,702
CAFETERIA/GUEST MEALS	722514	$139,908	$139,908

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,753	TotalRevenueColumnAmt
Exclusion	$18,753	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$665,363	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$117,040,585	TotalRevenueColumnAmt
Related Or Exempt Func Income	$113,701,911	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$969,229	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,184,891	TotalAmt
Program Services	$1,980,245	ProgramServicesAmt
Management And General	$204,646	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$82,979	TotalAmt
Program Services	$82,979	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,848,047	TotalAmt
Program Services	$58,730,305	ProgramServicesAmt
Management And General	$117,742	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,457,833	TotalAmt
Program Services	$1,287,749	ProgramServicesAmt
Management And General	$170,084	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,833,431	TotalAmt
Program Services	$8,698,125	ProgramServicesAmt
Management And General	$1,135,306	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,476,336	TotalAmt
Program Services	$3,960,294	ProgramServicesAmt
Management And General	$516,042	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$377,655	TotalAmt
Program Services	$15,462	ProgramServicesAmt
Management And General	$362,193	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$149,498	TotalAmt
Management And General	$149,498	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,887,210	TotalAmt
Program Services	$16,654,016	ProgramServicesAmt
Management And General	$2,233,194	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$468,025	TotalAmt
Program Services	$173,639	ProgramServicesAmt
Management And General	$294,386	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$696,396	TotalAmt
Program Services	$610,213	ProgramServicesAmt
Management And General	$86,183	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$600,595	TotalAmt
Program Services	$8,865	ProgramServicesAmt
Management And General	$591,730	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,453,815	TotalAmt
Program Services	$3,207,954	ProgramServicesAmt
Management And General	$245,861	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$64,554	TotalAmt
Program Services	$52,528	ProgramServicesAmt
Management And General	$12,026	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$47,057	TotalAmt
Program Services	$41,114	ProgramServicesAmt
Management And General	$5,943	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,087,110	TotalAmt
Program Services	$5,087,110	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,425,371	TotalAmt
Program Services	$16,425,371	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,020,766	TotalAmt
Program Services	$2,020,766	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$4,442,657	$4,442,657
FOOD	$3,009,320	$2,986,583	$22,737
EQUIPMENT & MAINTENANCE	$1,791,798	$1,464,494	$327,304
LICENSES AND FEES	$718,329	$705,281	$13,048

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,485,327	TotalAmt
Program Services	$1,038,239	ProgramServicesAmt
Management And General	$447,088	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$136,609,000	TotalAmt
Program Services	$129,673,989	ProgramServicesAmt
Management And General	$6,935,011	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$38,842	BOYAmt
EOY	$16,292	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,933,373	BOYAmt
EOY	$12,826,099	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,500,814	BOYAmt
EOY	$19,047,294	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$800,000	BOYAmt
EOY	$800,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$188,322	BOYAmt
EOY	$197,476	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$889,391	BOYAmt
EOY	$1,227,181	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$294,042,223	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$109,093,615	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$197,400,272	BOYAmt
EOY	$184,948,608	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$34,978,727	BOYAmt
EOY	$29,196,662	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$267,729,741	BOYAmt
EOY	$248,259,612	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$15,170,730	BOYAmt
EOY	$13,843,873	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$57,484	BOYAmt
EOY	$59,420	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,658,161	BOYAmt
EOY	$111,313,029	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,615,826	BOYAmt
EOY	$3,146,136	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,866,215	BOYAmt
EOY	$6,481,046	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$139,368,416	BOYAmt
EOY	$134,843,504	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$112,995,487	BOYAmt
EOY	$98,857,549	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,365,838	BOYAmt
EOY	$14,558,559	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$128,361,325	BOYAmt
EOY	$113,416,108	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$267,729,741	BOYAmt
EOY	$248,259,612	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$19,568,415	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$176	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,623,022	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,637,780	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,534,334	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,568,277	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,132,120	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,369,445	CurrentTaxYearAmt
Total	$34,241,956	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$73,258,556	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$76,455,771	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$90,364,519	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$103,050,512	CurrentTaxYearMinus1YearAmt
Current Tax Year	$113,701,911	CurrentTaxYearAmt
Total	$456,831,269	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$112,992	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$105,131	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$108,479	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$70,356	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,869	CurrentTaxYearAmt
Total	$411,827	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$77,009,328	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$101,095,236	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$93,041,275	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$104,252,988	CurrentTaxYearMinus1YearAmt
Current Tax Year	$116,086,225	CurrentTaxYearAmt
Total	$491,485,052	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

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

Field	Value	IRS element (for citing)
Public Support Total509	$491,485,052	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$86,687	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$121,552	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$144,485	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$184,746	CurrentTaxYearMinus1YearAmt
Current Tax Year	$291,784	CurrentTaxYearAmt
Total	$829,254	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$86,687	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$121,552	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$144,485	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$184,746	CurrentTaxYearMinus1YearAmt
Current Tax Year	$291,784	CurrentTaxYearAmt
Total	$829,254	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,347,957	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$514,994	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$113,186	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,412,564	CurrentTaxYearMinus1YearAmt
Current Tax Year	$665,363	CurrentTaxYearAmt
Total	$4,054,064	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$78,443,972	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$101,731,782	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$93,298,946	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$105,850,298	CurrentTaxYearMinus1YearAmt
Current Tax Year	$117,043,372	CurrentTaxYearAmt
Total	$496,368,370	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99020	PublicSupportCY509Pct
Investment Income CY	0.00170	InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	OTHER REVENUE - 2019 AMOUNT: $ 1,347,957. 2020 AMOUNT: $ 514,994. 2021 AMOUNT: $ 113,186. 2022 AMOUNT: $ 1,412,564. 2023 AMOUNT: $ 665,363.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$14,009	OtherActivitiesAmt
Total Lobbying Expenditures	$14,009	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAYS DUES TO: (I) THE CALIFORNIA HOSPITAL ASSOCIATION/HOSPITAL COUNCIL NORTHERN AND CENTRAL CALIFORNIA; (II) LEADING AGE CALIFORNIA; AND (III) LEADING AGE NATIONAL. A PORTION OF THOSE DUES HAVE BEEN INDICATED AS UTILIZED FOR LOBBYING ACTIVITIES RELATED TO THE PROMOTION OF SENIOR CARE INITIATIVES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,242,437	BeginningYearBalanceAmt
Investment Earnings Or Losses	$855,553	InvestmentEarningsOrLossesAmt
Other Expenditures	$612,241	OtherExpendituresAmt
End Year Balance	$11,485,749	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,956,069	BeginningYearBalanceAmt
Investment Earnings Or Losses	$377,423	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,091,055	OtherExpendituresAmt
End Year Balance	$11,242,437	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$18,535,446	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$2,579,377	InvestmentEarningsOrLossesAmt
End Year Balance	$15,956,069	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,617,661	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,917,785	InvestmentEarningsOrLossesAmt
End Year Balance	$18,535,446	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,761,999	BeginningYearBalanceAmt
Investment Earnings Or Losses	$855,662	InvestmentEarningsOrLossesAmt
End Year Balance	$15,617,661	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.66387	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.33613	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$90,849	OtherCostOrOtherBasisAmt
Book Value	$90,849	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$250,253,408	OtherCostOrOtherBasisAmt
Depreciation	$89,132,161	DepreciationAmt
Book Value	$161,121,247	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,896,555	OtherCostOrOtherBasisAmt
Depreciation	$13,989,708	DepreciationAmt
Book Value	$13,906,847	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,801,411	OtherCostOrOtherBasisAmt
Depreciation	$5,971,746	DepreciationAmt
Book Value	$9,829,665	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$184,948,608	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN JHSLF	$12,095,249
SPLIT INTEREST AGREEMENTS	$896,331
INTEREST IN NET ASSETS OF JHSLF	$3,535,773
DUE FROM AFFILIATED ORGANIZATIONS	$2,413,975
UNSPENT BOND PROCEEDS HELD BY TRUSTEE	$7,109,373
WORKERS COMP DEPOSITS	$2,549,000
RESIDENT TRUST FUNDS	$124,192
INVESTMENTS HELD FOR 457 PLAN	$472,769

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$29,196,662	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEPOSITS	$120,777
AFFILIATED ORGANIZATION LOANS PAYABLE	$5,887,500
DEFERRED COMPENSATION PAYABLE	$472,769

Field	Value	IRS element (for citing)
Total Liability	$6,481,046	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$121,666,570	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$176	NetUnrealizedGainsInvstAmt
Other Revenue	$4,623,022	OtherRevenueAmt
Revenue Not Reported	$4,623,198	RevenueNotReportedAmt
Revenue Subtotal	$117,043,372	RevenueSubtotalAmt
Other Revenues Not Included	-$2,787	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$2,787	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$117,040,585	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$136,611,787	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,787	OtherExpensesIncludedAmt
Expenses Not Reported	$2,787	ExpensesNotReportedAmt
Expenses Subtotal	$136,609,000	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$136,609,000	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE ORGANIZATION'S ENDOWMENT ASSETS CONSISTS OF FUNDS ESTABLISHED TO GENERATE OPERATING SUPPORT FOR THE ORGANIZATION.
PART X, LINE 2:	THE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION AND IS RECOGNIZED AS SUCH BY THE INTERNAL REVENUE SERVICE (IRS) UNDER SECTION 501(C)(3) AND BY THE FRANCHISE TAX BOARD UNDER SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. THE ORGANIZATION FOLLOWS THE U.S. GAAP ACCOUNTING STANDARD REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THIS ACCOUNTING STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE STANDARD REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN YEARS AND BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR THE TAX POSITIONS TAKEN. THEREFORE, NO LIABILITY HAS BEEN RECORDED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 2,806. CHANGE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION 968,944. CHANGE IN INTEREST IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION 3,651,272.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	COST OF GOODS SOLD -2,787.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 2,787.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	0	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,517,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,521,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,996,058	NetCommunityBenefitExpnsAmt
Total Expense	0.04390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,517,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,521,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,996,058	NetCommunityBenefitExpnsAmt
Total Expense	0.04390	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$67,517,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,521,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,996,058	NetCommunityBenefitExpnsAmt
Total Expense	0.04390	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,256,362	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$17,944,721	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$16,633,071	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,311,650	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEWISH HOME & REHAB CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	302 SILVER AVENUE	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94112	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SFCJL.ORG	WebsiteAddressTxt
State License	106380842	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	ACUTE PSYCHIATRIC HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HEBREW HOME FOR AGED DISABLED	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://SFCJL.ORG/ABOUT-COMMUNITY-BENEFIT.HTM	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://SFCJL.ORG/ABOUT-COMMUNITY-BENEFIT.HTM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://SFCJL.ORG/ABOUT-CHARITABLE.HTM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://SFCJL.ORG/ABOUT-CHARITABLE.HTM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://SFCJL.ORG/ABOUT-CHARITABLE.HTM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HEBREW HOME FOR AGED DISABLED	PART V, SECTION B, LINE 5: NUMEROUS INSTITUTIONS AND COMMUNITY GROUPS HAVE A STAKE IN THE HEALTH OF SAN FRANCISCO'S POPULATIONS. MANY OF THESE STAKEHOLDERS HAVE COME TOGETHER UNDER THE UMBRELLA OF SFHIP, WHOSE CHNA SERVES AS THE FOUNDATION FOR SAN FRANCISCO'S NONPROFIT HOSPITAL CHNAS. TO SUPPLEMENT THE SFHIP CHNA, SFCJL IMPLEMENTED THE FOLLOWING METHODS IN JUNE 2019 AND AGAIN IN JUNE 2022:(I) REVIEW OF THE LITERATURE PERTAINING TO OLDER ADULTS WITH PSYCHIATRIC DISORDERS: SEVERAL PUBLISHED BOOKS AND JOURNAL ARTICLES, AS WELL AS NEWS ARTICLES, SERVED AS SOURCES FOR IDENTIFYING POPULATION NEEDS.(II) KEY INFORMANT INTERVIEWS WITH EXPERTS: IT WAS NOT FEASIBLE FOR SFCJL TO GATHER DIRECT INPUT FROM PATIENTS DUE TO THE CHALLENGES INHERENT IN CONDUCTING INTERVIEWS OR FOCUS GROUPS WITH PATIENTS WITH ACUTE MENTAL HEALTH DISORDERS, INCLUDING PATIENT ABILITY TO PROVIDE INFORMED CONSENT AND BE SUFFICIENTLY STABLE, BOTH MEDICALLY AND PSYCHIATRICALLY, TO PARTICIPATE. (OF NOTE, IN 2019, SFCJL WAS CONSIDERING CREATIVE METHODS FOR COLLECTING INPUT DIRECTLY FROM PATIENTS AND COMMUNITY MEMBERS AND HAD HOPED TO INCORPORATE THE DIRECT COMMUNITY VOICE IN THE 2022 CHNA. IN EARLY 2020, THE COVID-19 PANDEMIC FORCED SFCJL TO POSTPONE THESE PLANS. SFCJL HOPES TO BE ABLE TO RECONSIDER DIRECT INPUT FROM PATIENTS AND COMMUNITY FOR OUR NEXT CHNA). IN LIEU OF PATIENT INPUT, WE CONDUCTED KEY INFORMANT INTERVIEWS WITH FIVE EXPERTS IN JUNE 2022 TO REVIEW AND CONFIRM THE PRIORITY HEALTH NEEDS. THESE KEY INFORMANTS INCLUDED FOUR EXPERTS FROM SFCJL AS WELL AS THE MEDICAL DIRECTOR OF ANOTHER ADULT PSYCHIATRIC HOSPITAL CLINIC IN SAN FRANCISCO. COLLECTIVELY, THE INTERVIEWS PARTICIPANTS HAVE EXTENSIVE EXPERIENCE AND A LONG HISTORY OF SERVING OLDER ADULTS WITH MENTAL HEALTH DISORDERS ACROSS THE SOCIOECONOMIC SPECTRUM, INCLUDING PEOPLE OF ALL GENDERS AND RACIAL/ETHNIC BACKGROUNDS. DATA FROM THESE INTERVIEWS WAS ANALYZED USING BASIC THEMATIC ANALYSIS TECHNIQUES.
HEBREW HOME FOR AGED DISABLED	PART V, SECTION B, LINE 6A: THE CITY AND COUNTY OF SAN FRANCISCO'S CHNA, AS CONDUCTED BY THE HEALTH DEPARTMENT AND OVERSEEN BY THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), IS A MULTISECTOR COLLABORATION THAT INCLUDES CHINESE HOSPITAL ASSOCIATION, SAINT FRANCIS MEMORIAL HOSPITAL, ST. MARY'S MEDICAL CENTER, KAISER PERMANENTE, SUTTER HEALTH, AND UCSF HEALTH. THIS CHNA SERVES AS THE COMMON BASIS FOR ALL SAN FRANCISCO'S HOSPITAL CHNAS, INCLUDING SFCJL'S.
HEBREW HOME FOR AGED DISABLED	PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL FACILITIES WHO COLLABORATED WITH SFHIP IN DEVELOPING THE MOST RECENT CHNA INCLUDE THE HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA, SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, UNIVERSITY OF CALIFORNIA SAN FRANCISCO, SAN FRANCISCO UNIFIED SCHOOL DISTRICT, AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL, ASIAN & PACIFIC ISLANDER HEALTH PARITY COALITION, CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM, SAN FRANCISCO INTERFAITH COUNCIL, AS WELL AS VARIOUS FUNDERS, THE BUSINESS SECTOR, THE MAYOR'S OFFICE, AND OTHER KEY STAKEHOLDERS.
HEBREW HOME FOR AGED DISABLED	PART V, SECTION B, LINE 11: THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA INCLUDE:1) ACCESS TO COORDINATED, CULTURALLY, AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES2) FOOD SECURITY, HEALTHY EATING, AND ACTIVE LIVING3) HOUSING SECURITY AND AN END TO HOMELESSNESS4) SAFETY FROM VIOLENCE AND TRAUMA5) SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTHTO ADDRESS THE HEALTH NEED OF "ACCESS TO COORDINATED, CULTURALLY, AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES", SFCJL HAS A GOAL OF TRAINING SIX GERIATRIC PSYCHIATRY STUDENTS IN ORDER TO PROVIDE MORE PSYCHIATRIC RESOURCES IN NORTHERN CALIFORNIA. ACTIVITIES UNDERTAKEN TO ASSIST IN ACHIEVING THIS OUTCOME INCLUDE: THE HOLDING OF DIDACTIC LECTURES AND DISCUSSIONS ON RELEVANT PATIENT DIAGNOSES, TREATMENTS, AND MEDICATIONS (THERE WERE 2 LECTURES HELD BETWEEN JULY 2023 JUNE 2024); UTILIZING INTERNS THROUGHOUT ITS OPERATIONS (THERE WERE 4 FELLOWS BETWEEN 2023 - 2024); AND HOLDING CLINICAL REVIEWS OF PATIENTS WITH GERIATRIC PSYCHIATRISTS (THERE WAS AN AVERAGE OF 20 PATIENT REVIEWS CONDUCTED BETWEEN 2023 - 2024). IN ORDER TO CONTINUE TO ACHIEVE ITS GOALS IN THIS AREA OF INCREASING PSYCHIATRIC RESOURCES IN NORTHERN CALIFORNIA, SFCJL WILL CONTINUE TO DEVOTE STAFF TIME TO COORDINATE THE PROGRAM, PHYSICIAN TIME FOR CLASSROOM EDUCATION, AND PHYSICIAN TIME FOR ON THE FLOOR TRAINING WITH PATIENTS. ADDITIONALLY, TO ADDRESS THE HEALTH NEED OF "ACCESS TO COORDINATED, CULTURALLY, AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES", SFCJL HAS DEVELOPED AND IMPLEMENTED A STUDENT NURSE INTERNSHIP PROGRAM TO TRAIN THREE NURSES BY JUNE 30, 2025. DURING FY2024, SFCJL HAS: REVIEWED AND REVISED THE INTERNSHIP PROGRAM OUTLINE BY DEVELOPING NURSING CORE COMPETENCIES; EDUCATED HOSPITAL NURSES IN THE FORMALIZED PRECEPTOR PROGRAM THROUGH THE JEWISH HOME NURSING EDUCATION DEPARTMENT; AND DONE OUTREACH TO USF AND SFSU FOR POSSIBLE NURSE INTERNS. THROUGH THESE EFFORTS, ITS ANTICIPATED THAT SFCJL WILL INCREASE THOSE WORKING THE FIELD OF GERIATRIC PSYCHIATRY.ADDITIONALLY, TO ADDRESS THE HEALTH NEED OF "ACCESS TO COORDINATED, CULTURALLY, AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES", SFCJL WILL ENGAGE WITH FIVE COMMUNITY ORGANIZATIONS TO PROVIDE TEN COMMUNITY OUTREACH ACTIVITIES IN ORDER TO DISPEL STIGMA ASSOCIATED WITH PSYCHIATRIC NEED. DURING FY2024, SFCJL: CONTINUED TO RESEARCH COMMUNITY OUTREACH PROGRAMS/EVENTS FOR THE SENIOR COMMUNITY (OUTREACH WAS MADE TO 5 ASSISTED LIVING FACILITIES TO IDENTIFY COMMUNITY NEEDS); UPDATED THE OUTREACH PLAN TO PRESENT AT PUBLIC EVENTS; AND HOSTED 2 EDUCATIONAL PRESENTATIONS TO 100+ MEMBER AUDIENCES. THROUGH THESE EFFORTS, SFCJL ENHANCED RELATIONSHIPS WITH COMMUNITY ORGANIZATIONS SERVING SENIORS AND/OR THEIR CAREGIVERS, AND INCREASED THE AVAILABILITY OF INFORMATION TO HELP DISPEL STIGMA ASSOCIATED WITH PSYCHIATRIC NEED; ADDITIONALLY, SFCJL WILL EDUCATE SENIORS ON IDENTIFYING AND COPING WITH PSYCHIATRIC ISSUES PREVALENT IN SENIORS.LASTLY, TO ADDRESS THE HEALTH NEED OF "ACCESS TO COORDINATED, CULTURALLY, AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES", SFCJL WILL EXPAND CURRENT TRAINING OPTIONS FOR TWO SOCIAL WORKERS AND TWO RECREATIONAL THERAPISTS TRAINED IN CARING FOR OLDER PSYCHIATRIC PATIENTS IN ORDER TO INCREASE SERVICES FOR THESE PATIENTS. DURING FY2024, SFCJL: CONTINUED PROGRAM PROMOTION AND OUTREACH THROUGH CLASSROOM TRAINING, RESULTING IN 1 RECREATIONAL THERAPIST INTERN IN 2023 AND 1 SOCIAL WORKER INTERN IN 2023; AND PROVIDED CLINICAL TRAINING TO 2 INTERNS AND 4 STUDENTS.THE HEALTH NEEDS OF: FOOD SECURITY, HEALTHY EATING, AND ACTIVE LIVING; HOUSING SECURITY AND AN END TO HOMELESS; SAFETY FROM VIOLENCE AND TRAUMA; AND SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTH ARE NOT BEING ADDRESSED IN SFCJL'S IMPLEMENTATION STRATEGY DUE TO LIMITED RESOURCES/EXPERTISE.
HEBREW HOME FOR AGED DISABLED	PART V, SECTION B, LINE 13B: MEDICAID/MEDICARE, STATE REGULATION

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - HEBREW HOME FOR AGED DISABLED	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	302 SILVER AVENUE	AddressLine1Txt
City	SAN FRANCISCO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94112	ZIPCd

Field	Value	IRS element (for citing)
Facility	SKILLED NURSING FACILITY AND REHABILITATION CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A COST TO CHARGE RATIO, AS DETERMINED BY WORKSHEET 2 OF THE SCHEDULE H INSTRUCTIONS, WAS USED TO CALCULATE THE AMOUNTS REPORTED ON LINE 7C.THE INFORMATION PRESENT ON SCHEDULE H, PART I, LINE 7 DOES ENCOMPASS MANY "NON-HOSPITAL" ACTIVITIES OF THE ORGANIZATION, SUCH AS ITS SKILLED-NURSING FACILITY.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE IS REPORTED AS A NET ADJUSTMENT TO PATIENT CHARGES AND THEREFORE, IS NOT INCLUDED AS A PART OF TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN A.
PART III, LINE 2:	UNCOLLECTED RESIDENT ACCOUNTS ARE ANALYZED BASED ON STANDARD PROCEDURES FOR ALL RESIDENT ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY).FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES, IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE ORGANIZATION RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES FOR SERVICES PROVIDED. BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE ORGANIZATION'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS RELATED TO UNINSURED PATIENTS IN THE PERIOD THE SERVICES ARE PROVIDED.
PART III, LINE 4:	THE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT ADDRESSES "PATIENT ACCOUNTS RECEIVABLE, NET", WHICH INCLUDES A DISCUSSION OF "ALLOWANCE FOR DOUBTFUL ACCOUNTS" CAN BE FOUND ON PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS; IN ADDITION, NOTE 14 - NET PATIENT SERVICE REVENUE" ON PAGES 27-29 ADDRESSES BAD DEBT EXPENSE.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. THE AMOUNTS REPORTED IN LINES 5, 6, AND 7 COME FROM THE ORGANIZATION'S FILED MEDICARE COST REPORT. THE TOTAL REVENUE EQUATES TO MEDICARE PAYMENTS, AND THE MEDICARE ALLOWABLE COSTS ARE DETERMINED ON THE MEDICARE COST REPORT THAT UTILIZED COST TO CHARGE RATIOS APPLIED TO COVERED MEDICARE REVENUES.
PART III, LINE 9B:	PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE MAY REQUEST AND NEGOTIATE THE TERMS OF AN EXTENDED PAYMENT PLAN. IF THE PATIENT AND SFCJL AGREE ON A PAYMENT PLAN, THE PATIENT MUST MAKE REGULAR, TIMELY PAYMENTS. A PATIENT WHO DOES NOT COMPLY WILL BE SENT TO COLLECTIONS, MAY HAVE ADVERSE INFORMATION REPORTED TO A CREDIT AGENCY, AND MAY BE SUBJECT TO A PROPERTY LIEN, EXCLUDING THE PATIENT'S PRIMARY RESIDENCE. HOWEVER, ASSET INFORMATION OBTAINED IN THE CHARITY CARE ELIGIBILITY DETERMINATION PROCESS ARE NOT USED FOR COLLECTION ACTIVITIES.
PART VI, LINE 2:	THE CITY AND COUNTY OF SAN FRANCISCO'S CHNA IS CONDUCTED BY THE HEALTH DEPARTMENT AND OVERSEEN BY THE SAN FRANCISCO HEALTH IMPROVEMENT PARTNERSHIP (SFHIP), A MULTISECTOR COLLABORATION THAT INCLUDES SAN FRANCISCO'S HOSPITALS. THE MOST RECENT CITY AND COUNTY OF SAN FRANCISCO CHNA WAS PUBLISHED IN MAY 2019. THIS CHNA SERVES AS THE COMMON BASIS FOR ALL SAN FRANCISCO'S HOSPITAL CHNAS, INCLUDING OURS. IN 2019, WE SUPPLEMENTED THE SFHIP CHNA WITH OUR OWN ASSESSMENT OF NEEDS, DUE TO THE FACT THAT WE SERVE A HIGHLY SPECIALIZED POPULATION AND MANY OF OUR PATIENTS LIVE OUTSIDE OF SAN FRANCISCO. AND, IN JUNE 2022, WE UPDATED OUR CHNA, AND THE FINDINGS ARE DESCRIBED IN THIS DOCUMENT. THE PROCESS AND METHODS FOR THE 2019 SFHIP CHNA, OUR 2019 CHNA, AND OUR 2022 CHNA UPDATE ARE DESCRIBED BELOW.THE SFHIP CHNA INVOLVED THREE DATA COLLECTION METHODS:(I) COMMUNITY HEALTH STATUS ASSESSMENT. THIS METHOD EXAMINED EXISTING POPULATION LEVEL HEALTH DETERMINANT AND OUTCOME DATA, ANALYZED BY AGE, RACE/ETHNICITY, POVERTY, PLACE, AND OTHER RELEVANT VARIABLES, IN ORDER TO IDENTIFY HEALTH DISPARITIES.(II) ASSESSMENT OF PRIOR ASSESSMENTS. THIS METHOD INVOLVED A REVIEW OF REPORTS PRODUCED BY COMMUNITY-BASED ORGANIZATIONS, HEALTHCARE SERVICE PROVIDERS, PUBLIC AGENCIES, AND TASK FORCES. WHILE THESE REPORTS ARE GENERALLY PRODUCED FOR PLANNING AND EVALUATION PURPOSES, THEY CONTAIN RICH DATA ON SAN FRANCISCO'S POPULATIONS, ESPECIALLY THOSE WHO ARE MARGINALIZED AND VULNERABLE.(III) COMMUNITY ENGAGEMENT. FOCUS GROUPS WITH COMMUNITY MEMBERS AND KEY INFORMANTS/EXPERTS WERE HELD TO HELP FILL IN GAPS WHERE QUANTITATIVE DATA IS SPARSE.NUMEROUS INSTITUTIONS AND COMMUNITY GROUPS HAVE A STAKE IN THE HEALTH OF SAN FRANCISCO'S POPULATIONS. MANY OF THESE STAKEHOLDERS HAVE COME TOGETHER UNDER THE UMBRELLA OF SFHIP. ONE OF SFHIP'S KEY ACTIVITIES IS TO CONDUCT A CHNA EVERY THREE YEARS. THE CHNA SERVES MULTIPLE PURPOSES: IN ADDITION TO BEING THE FOUNDATION FOR SAN FRANCISCO'S NONPROFIT HOSPITAL CHNAS, IT FULFILLS THE COMMUNITY HEALTH ASSESSMENT REQUIREMENT FOR PUBLIC HEALTH ACCREDITATION FOR THE HEALTH DEPARTMENT AND IT INFORMS SAN FRANCISCO'S HEALTH CARE SERVICES MASTER PLAN. COLLABORATORS INVOLVED IN SFHIP INCLUDE: HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA; SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH (SFDPH); UNIVERSITY OF CALIFORNIA SAN FRANCISCO (UCSF); SAN FRANCISCO UNIFIED SCHOOL DISTRICT (SFUSD); AFRICAN AMERICAN COMMUNITY HEALTH EQUITY COUNCIL (AACHEC); ASIAN & PACIFIC ISLANDER HEALTH PARITY COALITION (APIHPC); CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION; SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM; SAN FRANCISCO INTERFAITH COUNCIL; AND FUNDERS, THE BUSINESS SECTOR, THE MAYOR'S OFFICE, AND OTHER KEY STAKEHOLDERS.
PART VI, LINE 3:	A RESIDENT SERVICES COORDINATOR STAFF MEMBER IS AVAILABLE TO ASSIST RESIDENTS AND/OR THEIR FAMILY MEMBERS OR LEGAL REPRESENTATIVES THROUGH THE PROCESS OF DETERMINING THEIR ELIGIBILITY FOR ALL GOVERNMENT PROGRAMS AND ASSIST THEM IN THE APPLICATION PROCESS.WRITTEN NOTICE OF THE ORGANIZATION'S CHARITY CARE AND DISCOUNT PAYMENT POLICY FOR FINANCIALLY QUALIFIED PATIENTS IS CLEARLY AND CONSPICUOUSLY POSTED AND VISIBLE TO THE PUBLIC IN THE ADMISSIONS OFFICE AND THE BILLING DEPARTMENT. THE NOTICE INCLUDES INFORMATION ABOUT ELIGIBILITY, AND CONTACT INFORMATION FOR THE ORGANIZATION'S PATIENT FINANCIAL SERVICES STAFF, FROM WHOM PATIENTS AND OTHER INTERESTED PERSONS CAN OBTAIN FURTHER INFORMATION ABOUT THIS POLICY.LASTLY, ALL PRIVATE INVOICES THAT ARE MAILED MONTHLY TO PATIENTS INCLUDE THE FOLLOWING STATEMENT: "IF YOU ARE NOT ABLE TO PAY THE BALANCE IN FULL, PLEASE CONTACT THE PATIENT FINANCIAL SERVICES OFFICE FOR PAYMENT OPTIONS."WRITTEN NOTICE, INCLUDING THE ABOVE INFORMATION, IS GIVEN TO EACH PATIENT AS A PART OF THEIR ADMISSION PACKET.
PART VI, LINE 4:	ACCORDING TO A RECENTLY PUBLISHED ARTICLE IN US NEWS AND WORLD REPORT, "ONE IN FOUR ADULTS AGES 65 AND OLDER EXPERIENCES A MENTAL HEALTH PROBLEM SUCH AS DEPRESSION, ANXIETY, SCHIZOPHRENIA OR DEMENTIA", AND PEOPLE 85 AND OLDER HAVE THE HIGHEST SUICIDE RATE OF ANY AGE GROUP. ACCORDING TO THE NATIONAL COUNCIL ON AGING, AN ESTIMATED THAT 5.6-8.0 MILLION U.S. ADULTS OVER AGE 65 EXPERIENCED A MENTAL HEALTH DISORDER (INCLUDING SUBSTANCE USE DISORDERS) IN 2010, AND THIS NUMBER IS EXPECTED TO GROW BY 80% BY 2030. A 2015 STUDY USING A NATIONALLY REPRESENTATIVE SAMPLE OF ADULTS AGES 55 AND OLDER FOUND THAT IN THE PRIOR YEAR, 6.77% EXPERIENCED A MOOD DISORDER, 11.39% AN ANXIETY DISORDER, AND 3.75% A SUBSTANCE USE DISORDER. IN ADDITION, 14.53% EXPERIENCED A PERSONALITY DISORDER IN THEIR LIFETIME.INSUFFICIENT DATA EXISTS TO DEVELOP A SCIENTIFICALLY SOUND ESTIMATE OF THE SIZE OF OUR TARGET COMMUNITY IN CALIFORNIA. BASED ON NATIONAL DATA, IT IS SAFE TO SAY THAT THERE ARE AT LEAST 1 MILLION OLDER ADULTS IN OUR STATE WITH MENTAL HEALTH DISORDERS, ALTHOUGH ONLY A SMALL SUBSET OF THOSE WILL EXPERIENCE SYMPTOMS ACUTE ENOUGH TO REQUIRE HOSPITALIZATION.THE COVID-19 PANDEMIC HAS HAD A PROFOUND IMPACT ON OLDER ADULTS EXPERIENCING MENTAL HEALTH DISORDERS AND HAS GREATLY AFFECTED THOSE WE SERVE. A RECENT ARTICLE BY HWANG ET AL. STATED THAT THE "PANDEMIC HAS ILLUMINATED THE PRE-EXISTING THREAT TO WELL-BEING THAT OLDER ADULTS FREQUENTLY EXPERIENCE WITH SOCIAL ISOLATION AND LONELINESS." THEY NOTED THAT NO ASPECT OF NORMAL SOCIETAL FUNCTIONING WAS SPARED FROM COVID-19 AND THAT THE MEASURES NECESSARY TO PREVENT COVID-19, SUCH AS QUARANTINE AND SOCIAL DISTANCING, ALSO LED TO ELEVATED LEVELS OF LONELINESS AND SOCIAL ISOLATION, WHICH IN TURN PRODUCED PHYSICAL AND MENTAL HEALTH-RELATED REPERCUSSIONS. AS A RESULT, OLDER ADULTS, WHO HAVE EXPERIENCED AN ACUTE, SEVERE SENSE OF SOCIAL ISOLATION AND LONELINESS HAVE POTENTIALLY SERIOUS MENTAL AND PHYSICAL HEALTH CONSEQUENCES. THE AUTHORS WARN THAT THE IMPACT MAY BE DISPROPORTIONATELY AMPLIFIED IN THOSE WITH PRE-EXISTING MENTAL ILLNESS, WHO WERE OFTEN SUFFERING FROM LONELINESS AND SOCIAL ISOLATION PRIOR TO ISOLATION IMPOSED DURING THE COVID-19 PANDEMIC PUBLIC HEALTH MEASURES.ANOTHER RECENT STUDY OF ELDERLY PSYCHIATRIC PATIENTS FOUND THAT PATIENTS WITH DEPRESSION, HIGHER PSYCHIATRIC ILLNESS SEVERITY, AND LESS SOCIAL CONTACT WERE MORE AFFECTED BY THE CURRENT COVID-19 PANDEMIC. UTILIZATION OF PSYCHOSOCIAL SUPPORT SERVICES DECREASED DURING THE PANDEMIC DESPITE A HIGH DEMAND FOR SUPPORT REPORTED BY ELDERLY PATIENTS. THE AUTHORS NOTED THAT DEPRESSION IN THE ELDERLY IS LINKED TO LOWER RESILIENCE, I.E., "A DECREASED ABILITY TO PROTECT ONE'S MENTAL HEALTH WHEN CONFRONTED WITH STRESSORS." THEY SPECULATED, THEREFORE, THAT PATIENTS WITH DEPRESSION MAY BE LESS ABLE TO HANDLE ISOLATION, UNCERTAINTY, AND OTHER DEMANDS DURING THE PANDEMIC.AN ARTICLE BY VAHIA POSITED THAT OLDER ADULTS ARE ALSO MORE VULNERABLE TO SOCIAL ISOLATION AND LONELINESS BECAUSE 1) THEY ARE FUNCTIONALLY VERY DEPENDENT ON FAMILY MEMBERS OR SUPPORTS BY COMMUNITY SERVICES, AND 2) BECAUSE THEY ARE AT A HIGHER RISK OF NEGATIVE OUTCOMES FROM COVID-19, OLDER ADULTS MAY SELF-RESTRICT THEIR ACTIVITIES AND INTERACTIONS EVEN BEYOND THE GENERAL POPULATION. THIS APPEARS TO TRIGGER "INCREASING ISOLATION AND LONELINESS, DISRUPTING DAILY ROUTINES AND ACTIVITIES, AND CHANGED ACCESS TO ESSENTIAL SERVICES SUCH AS DOCTOR'S VISITS." WEBB STATES THAT THE MANAGEMENT OF COVID-19 LOCKDOWN PRESENTED A PERFECT STORM FOR MENTAL DISTRESS FOR OLDER PEOPLE "BY ENFORCING ISOLATION AND HEIGHTENING PERCEPTIONS OF RISK OF DEATH AND ILLNESS." OLDER PEOPLE WILL EXPERIENCE SOCIAL ISOLATION FOR THE LONGEST PERIOD BECAUSE THEY CARRY THE HIGHEST MORTALITY. AND FINALLY, SEPULVEDA-LOYOLA AND COLLEAGUES PUBLISHED A STUDY ON THE MENTAL AND PHYSICAL EFFECTS OF SOCIAL ISOLATION ON OLDER PEOPLE DUE TO COVID-19. THEIR STUDY FOUND THAT OLDER PEOPLE EXPERIENCED HIGH LEVELS OF ANXIETY, DEPRESSION, POOR SLEEP QUALITY, AND PHYSICAL INACTIVITY FROM COVID-19-IMPOSED SOCIAL DISTANCING.THE MENTAL HEALTH IMPACTS FROM COVID-19 OF FEAR AND ISOLATION AMONG OLDER ADULTS, AND PARTICULARLY OLDER ADULTS WITH PSYCHIATRIC ILLNESSES, HAVE BEEN WIDELY DOCUMENTED. IN ADDITION TO EXPERIENCING THESE NEGATIVE IMPACTS MORE FREQUENTLY THAN YOUNGER ADULTS, OLDER ADULTS OFTEN HAVE FEWER RESOURCES TO MITIGATE THEM. THEREFORE, EACH OF THE PRIORITY HEALTH NEEDS IDENTIFIED IN THIS CHNA HAVE BEEN EXACERBATED BY COVID-19.OUR PROGRAM PROVIDES TREATMENT AND FACILITATES RECOVERY FOR ADULTS AGED 55 AND OLDER RESIDING IN CALIFORNIA WITH ACUTE PSYCHIATRIC NEEDS, INCLUDING ANXIETY, DEPRESSION, MOOD OR BEHAVIORAL DISTURBANCES, IMPAIRMENT IN LEVEL OF FUNCTIONING, THOUGHT OR OTHER EMOTIONAL DISTURBANCES, SUICIDALITY, ASSAULTIVE BEHAVIORS DUE TO A PSYCHIATRIC DISORDER, OR WHO ARE A THREAT TO OTHERS. IN 2021, 80% OF OUR PATIENTS WERE ADMITTED AS 5150 OR 5250 (DANGER TO SELF OR OTHERS OR GRAVE DISABILITY), 19% WERE VOLUNTARY ADMISSIONS, AND 1% WERE UNDER CONSERVATORSHIP. OUR GOAL IS TO STABILIZE PATIENTS AND PROVIDE THEM WITH THE TOOLS AND RESOURCES TO BE ABLE TO RETURN TO COMMUNITY-BASED LIVING.BECAUSE THERE ARE FEW GERIATRIC PSYCHIATRY HOSPITALS IN THE REGION, OUR PATIENTS COME FROM ALL OVER NORTHERN AND CENTRAL CALIFORNIA. IN 2021, WE ADMITTED 205 PATIENTS FROM 21 COUNTIES AND ONE FROM OUT OF STATE. WE ACCEPT ELIGIBLE PATIENTS OF ALL RACIAL/ETHNIC IDENTITIES AND GENDERS. PATIENT DEMOGRAPHICS ARE AS FOLLOWS: 67% MALE, 33% FEMALE; 2% AGED 50-59, 16% AGED 60-69, 57% AGED 70-79, 21% AGED 80-89, AND 4% AGED 90+; 80% IDENTIFY AS WHITE, 8% AS ASIAN/PACIFIC ISLANDER, 5% AS BLACK/AFRICAN AMERICAN, AND 6% AS LATINX; AND 54% HAVE PUBLIC INSURANCE WHILE 46% HAVE PRIVATE INSURANCE.THE MOST COMMON PSYCHIATRIC DIAGNOSES OF OUR PATIENTS ARE MAJOR DEPRESSIVE DISORDER (57% IN 2021), PSYCHOSIS (12%), AND BIPOLAR DISORDER (24%). OTHER DISORDERS INCLUDE PARANOID SCHIZOPHRENIA, SCHIZOPHRENIA, SCHIZOAFFECTIVE DISORDER, SUICIDAL IDEATION, SUICIDE ATTEMPT, AND PANIC DISORDER. IN ADDITION TO HAVING PSYCHIATRIC NEEDS, OUR PATIENTS ARE ALSO COPING WITH THE TRADITIONAL DISEASES OF AGING, INCLUDING HYPERTENSION, CARDIOVASCULAR DISEASE, DEMENTIA AND RELATED ILLNESS, TYPE 2 DIABETES, ATHEROSCLEROSIS, COPD, AND OSTEOARTHRITIS.
PART VI, LINE 5:	A COMMITMENT TO EXCELLENCE IN SERVICE TO OTHERS AND PROVIDING EXCEPTIONAL CARE TO FRAIL VULNERABLE SENIORS, INCLUDING CHARITABLE SUPPORT, IS SFCJL'S FOUNDING FOCUS AND REMAINS KEY TO ITS MISSION--TO ENHANCE AND ENRICH OLDER ADULTS' QUALITY OF LIFE. AS SUCH, SFCJL DEDICATES SUBSTANTIAL RESOURCES TO SERVICES, TRAINING, RESEARCH, AND OTHER ACTIVITIES THAT BENEFIT THE LARGER COMMUNITY OF OLDER ADULTS IN THE BAY AREA. MANY OF THESE RESOURCES HELP TO ADDRESS SOME OF THE NEEDS IDENTIFIED IN ITS MOST RECENTLY COMPLETED CHNA. WE BROADENED THE CONTINUUM OF LIVING OPTIONS, OFFERING INDEPENDENT LIVING, ASSISTED LIVING, AND MEMORY CARE AND SUPPORT FOR THE SURGING POPULATION OF SENIORS, AS WELL AS DEVELOPING SENIOR-ORIENTED SERVICES THAT WILL ADDRESS THIS COHORT'S CHANGING AND UNMET NEEDS. THIS EXPANSION IS DESIGNED TO BENEFIT THE ENTIRE BAY AREA COMMUNITY. OUR EXTENSIVE AND CLOSE PARTNERSHIPS WITH NUMEROUS ORGANIZATIONS HAVE ALLOWED US TO HELP SHAPE AND EXPAND THE RESOURCES AND SERVICE NETWORKS THAT ARE SO CRITICAL FOR THE HEALTH AND WELL-BEING OF SENIORS. IN ADDITION, SINCE 2012, SFCJL HAS SERVED AS A TRAINING SITE FOR FUTURE GERIATRIC PSYCHIATRISTS AND PROVIDES CLINICAL TRAINING AND INTERNSHIP OPPORTUNITIES TO MITIGATE THE CURRENT AND FUTURE PROVIDER SHORTAGES.THE ORGANIZATION IS FORTUNATE TO BE CO-LOCATED WITH NUMEROUS CLINICAL AND SUPPORT SERVICES ON OUR NINE ACRE CAMPUS. PATIENTS HAVE ACCESS TO PAIN MANAGEMENT SERVICES, CARE PLANNING, DENTAL CARE, PHARMACY, AUDIOLOGY, PHYSICAL REHABILITATION, OCCUPATIONAL THERAPY, NUTRITION COUNSELING (ALL SFCJL PATIENTS SEE A DIETICIAN WITHIN 72 HOURS OF ADMISSION), AND A HOST OF SOCIAL, SPIRITUAL, AND ENRICHMENT OPPORTUNITIES. ALL THESE SERVICES HELP TO SOCIALIZE PATIENTS AND REDUCE THEIR SENSE OF ISOLATION. WE ALSO OFFER INDIVIDUALIZED PATIENT EDUCATION AND SKILLS-BASED GROUPS TO STRENGTHEN PATIENTS' COPING SKILLS IN PREPARATION FOR SUCCESSFUL POST-DISCHARGE COMMUNITY LIVING.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARY CONNICK
CHIEF FINANCIAL OFFICER THRU 2/2024	$625,473	$0	$100,000	$0	$27,285	$0	$7,500	$0	$1,842	$0	$762,100	$0	$0	$0
DANIEL RUTH
FORMER PRESIDENT & CEO	$0	$0	$0	$0	$460,393	$0	$0	$0	$0	$0	$460,393	$0	$0	$0
ADRIENNE GREEN MD
CEO START 7/2023	$303,944	$0	$0	$0	$0	$0	$0	$0	$8,804	$0	$312,748	$0	$0	$0
PEGGY CMIEL
DIR OF NURSING & CLINICAL OPERATIONS	$251,535	$0	$12,500	$0	$0	$0	$5,407	$0	$24,722	$0	$294,164	$0	$0	$0
STEPHEN HALL
MEDICAL DIRECTOR	$250,000	$0	$0	$0	$0	$0	$0	$0	$34,328	$0	$284,328	$0	$0	$0
KEVIN BEUTLER
CHIEF HUMAN RESOURCES OFFICER	$240,470	$0	$30,000	$0	$1,903	$0	$0	$0	$3,683	$0	$276,056	$0	$0	$0
MICHAEL SKAFF
CHIEF INFORMATION OFFICER THRU 2/202	$188,988	$0	$0	$0	$85,034	$0	$1,500	$0	$179	$0	$275,701	$0	$0	$0
MARILYN MINERALES
LICENSED VOCATIONAL NURSE	$216,462	$0	$3,700	$0	$746	$0	$0	$0	$39,396	$0	$260,304	$0	$0	$0
STACI CHANG
CHIEF MARK & BUS STRAT OFF THRU 9/20	$241,178	$0	$0	$0	$2,101	$0	$3,750	$0	$6,153	$0	$253,182	$0	$0	$0
MARLENE VELASCO
LICENSED VOCATIONAL NURSE	$219,641	$0	$1,159	$0	$0	$0	$500	$0	$28,125	$0	$249,425	$0	$0	$0
TERI GRADOS
ASSISTANT DIRECTOR OF NURSING	$201,673	$0	$9,000	$0	$8,800	$0	$0	$0	$22,744	$0	$242,217	$0	$0	$0
EDWINA TANG
EXECUTIVE DIRECTOR, FRANK RESIDENCES	$212,906	$0	$0	$0	$0	$0	$6,347	$0	$4,464	$0	$223,717	$0	$0	$0
SANDRA GUAN
REGISTERED NURSE	$201,811	$0	$7,500	$0	$6,138	$0	$0	$0	$330	$0	$215,779	$0	$0	$0
GREGORY K BOGART
ADMINISTRATOR THRU 5/2023	$115,871	$0	$0	$0	$6,339	$0	$3,673	$0	$220	$0	$126,103	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	DURING THE 2023 CALENDAR YEAR, DANIEL RUTH RECEIVED A SEVERANCE PAYMENT OF $460,393 FROM THE ORGANIZATION, WHICH WAS TAXABLE COMPENSATION TO HIM AND REPORTED WITHIN FORM 990, PART VII, COLUMN (D) AND SCHEDULE J, PART II, COLUMN (B)(III). DURING THE 2023 CALENDAR YEAR, DANIEL RUTH WAS A PARTICIPANT IN A SUPPLEMENTAL 457(F) PLAN SPONSORED BY THE ORGANIZATION. THERE WERE NO EMPLOYER CONTRIBUTIONS TO THE 457(F) OR AMOUNTS CHARACTERIZED AS TAXABLE INCOME DUE TO VESTING OF THE 457(F) PLAN DURING THE 2023 CALENDAR YEAR.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
A	680164610	13080SPQ1	2016-11-29	$142,815,660	CONSTRUCTION OF TWO NEW RESIDENTIAL CARE FACILITY BUILDINGS	0	0	0
CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
B	680164610	13080SK37	2021-11-17	$33,184,965	CONSTRUCTION OF NEW FACILITY BUILDING	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$40,085,000	$142,815,660	$3,264,950	$1,960,461	$7,211,174	$12,549,544	$117,829,531	2020	0	0	Yes (1)	Yes (1)
B		$33,184,965	$957,761	$663,699	$1,522,907		$29,928,478	2022	0	0	Yes (1)	Yes (1)	$112,120

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/06/2019	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	DANIEL RUTH	PersonNm
Relationship With Org	FORMER PRESIDENT & CEO	RelationshipWithOrgTxt
Loan Purpose	COMPENSATION PACKAGE	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$800,000	OriginalPrincipalAmt
Balance Due	$800,000	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$800,000	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. MANAGEMENT OF THE ORGANIZATION ALSO REVIEWS THE COMPLETED FORM 990 AND FOLLOWS UP WITH THE TAX RETURN PREPARATION FIRM TO ANSWER ANY QUESTIONS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. EACH PERSON WHO IS DEEMED TO HAVE SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION (INCLUDING TRUSTEES, OFFICERS, AND KEY EMPLOYEES) SIGNS AN ANNUAL DISCLOSURE STATEMENT WHICH AFFIRMS THAT THE PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTOOD THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY, AND DISCLOSES ANY DIRECT OR INDIRECT AFFILIATIONS. ALL ANNUAL DISCLOSURE STATEMENTS ARE SUBMITTED TO THE SECRETARY. EACH EMPLOYEE DISCLOSES TO THE CHIEF EXECUTIVE OFFICER ALL MATERIAL FACTS REGARDING THE AFFILIATION OF SUCH EMPLOYEE WITH ANY PERSON WITH WHOM THE ORGANIZATION IS CONSIDERING ENTERING A TRANSACTION; THE CHIEF EXECUTIVE OFFICER THEN DETERMINES WHETHER A CONFLICT OF INTEREST EXISTS FOR THESE EMPLOYEES. THE CHIEF EXECUTIVE OFFICER AND ANY OTHER PERSON WITH SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION SHALL DISCLOSE TO THE BOARD ALL MATERIAL FACTS REGARDING HIS OR HER AFFILIATION WITH ANY PERSON WITH WHOM THE JEWISH HOME IS CONSIDERING ENTERING A TRANSACTION; THE BOARD THEN DETERMINES IF A CONFLICT OF INTEREST EXISTS FOR THE CHIEF EXECUTIVE OFFICER OR PERSON WITH SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION. IF A BOARD MEMBER IS THE INDIVIDUAL WITH WHICH A CONFLICT OF INTEREST IS BEING DETERMINED, THE BOARD MEMBER IS NOT ALLOWED TO VOTE ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE ANNUAL COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER BASED ON VARIOUS FACTORS, INCLUDING DATA COLLECTED FROM AN INDEPENDENT COMPENSATION CONSULTANT (WHO UTILIZES COMPENSATION DATA OBTAINED FROM SURVEYS), PERFORMANCE APPRAISALS, AND NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS IN THE SAME GEOGRAPHICAL AREA. THE BOARD OF TRUSTEES APPROVES THE CHIEF EXECUTIVE OFFICER'S AND CHIEF FINANCIAL OFFICER'S EMPLOYMENT CONTRACT. THE CHIEF EXECUTIVE OFFICER REVIEWS AND APPROVES THE ANNUAL COMPENSATION FOR THE OTHER EXECUTIVE TEAM MEMBERS BASED ON VARIOUS FACTORS, INCLUDING DATA COLLECTED FROM AN INDEPENDENT COMPENSATION CONSULTANT (DEPENDING ON POSITION) WHO UTILIZES COMPENSATION DATA OBTAINED FROM SURVEYS, ANNUAL COMPENSATION SURVEYS, PERFORMANCE APPRAISALS, AND OTHER NON-PROFIT RESOURCES FOR SIMILAR ORGANIZATIONS. THE BOARD OF TRUSTEES APPROVES THE ANNUAL BUDGET THAT INCLUDES COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	RECRUITING: PROGRAM SERVICE EXPENSES 150. MANAGEMENT AND GENERAL EXPENSES 400,512. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 400,662. VALET PARKING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 206,707. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 206,707. MEDICAL BILLING AND TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 23,725. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,725. MANAGEMENT & CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 2,439,137. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,439,137. OTHER CONSULTING, CONTRACT, & PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,289,352. MANAGEMENT AND GENERAL EXPENSES 1,625,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,915,327. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,121. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,121. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 981,286. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 981,286. REGISTRY PERSONNEL: PROGRAM SERVICE EXPENSES 6,917,245. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,917,245.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 2,806. CHANGE IN BENEFICIAL INTEREST IN JEWISH HOME & SENIOR LIVING FOUNDATION 968,944. CHANGE IN INTEREST IN NET ASSETS OF JEWISH HOME & SENIOR LIVING FOUNDATION 3,651,272.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CHARITABLE REMAINDER TRUSTS (3)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	CHARITABLE GIVING	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd