JEWISH HOME: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: JEWISH HOME (EIN 94-0545320)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-13
IRS object ID: 202111339349304291
Schema version: 2019v5.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-13T15:21:13-05:00	ReturnTs
Tax Period End	2020-06-30	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	2019-07-01	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	MARY CONNICK	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	4153342500	PhoneNum
Signature	2021-05-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL LUMSDEN	PreparerPersonNm
PTIN	P01262236	PTIN
Phone	4159561500	PhoneNum
Preparation	2021-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	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	DANIEL RUTH	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	$78,443,972	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 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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	748	TotalEmployeeCnt
Total Volunteers	120	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,225,340	PYContributionsGrantsAmt
CY Contributions Grants	$3,637,780	CYContributionsGrantsAmt
PY Program Service Revenue	$69,382,480	PYProgramServiceRevenueAmt
CY Program Service Revenue	$73,258,556	CYProgramServiceRevenueAmt
PY Investment Income	$2,064	PYInvestmentIncomeAmt
CY Investment Income	$86,687	CYInvestmentIncomeAmt
PY Other Revenue	$545,336	PYOtherRevenueAmt
CY Other Revenue	$1,295,543	CYOtherRevenueAmt
PY Total Revenue	$88,155,220	PYTotalRevenueAmt
CY Total Revenue	$78,278,566	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	$45,368,324	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$47,793,695	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$551,870	CYTotalFundraisingExpenseAmt
PY Other Expenses	$34,140,706	PYOtherExpensesAmt
CY Other Expenses	$31,863,149	CYOtherExpensesAmt
PY Total Expenses	$79,509,030	PYTotalExpensesAmt
CY Total Expenses	$79,656,844	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,646,190	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,378,278	CYRevenuesLessExpensesAmt
Total Assets BOY	$324,441,112	TotalAssetsBOYAmt
Total Assets EOY	$304,306,014	TotalAssetsEOYAmt
Total Liabilities BOY	$156,523,335	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$134,201,478	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$167,917,777	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$170,104,536	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ENRICHING THE QUALITY OF LIFE OF OLDER ADULTS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$69,740,139	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$73,258,556	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$69,740,139	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	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	Yes (1)	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	94	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	748	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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	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	0	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	MARY CONNICK	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DANIEL RUTH
PRESIDENT AND CEO	24.00	4.00	Yes (X)	$0	$965,745	$117,739
MICHAEL SKAFF
CHIEF OPERATING OFFICER	25.00	5.00		$0	$414,782	$10,587	Yes (X)
VICTOR MEINKE
CFO THROUGH 5/2020	25.00	4.00	Yes (X)	$0	$323,224	$67,542
SHERIE KOSHOVER
CHIEF ADVANCEMENT OFFICER	30.00	2.00		$0	$282,216	$46,440	Yes (X)
PEGGY CMIEL
DIR OF NURSING & CLINICAL OPERATIONS	40.00	0.00		$216,429	$0	$23,571	Yes (X)
MARK FRIEDLANDER
EXEC DIRECTOR, NURSING HOME ADMIN	40.00	0.00		$209,618	$0	$14,542	Yes (X)
ELLIOTT STEIN
MEDICAL DIRECTOR, APU	40.00	0.00		$209,740	$0	$1,170	Yes (X)
MARIO LEMAY
DIR OF ORGANIZATIONAL EFFECTIVENESS	40.00	0.00		$190,354	$0	$13,990		Yes (X)
STACI CHANG
DIR OF MARKETING & COMMUNICATIONS	40.00	0.00		$179,834	$0	$12,520		Yes (X)
JAN REICHER
EXECUTIVE DIRECTOR, BYER SQUARE	40.00	0.00		$180,426	$0	$5,589	Yes (X)
ROBERT H SARISON
DIRECTOR OF CAMPUS PROGRAMS	40.00	0.00		$167,461	$0	$5,220		Yes (X)
MARILOU ESPANOL
REGISTERED PSYCH NURSE	40.00	0.00		$151,216	$0	$21,389		Yes (X)
RAN MALOOL
DIRECTOR, PLANT OPERATIONS	40.00	0.00		$151,769	$0	$12,857		Yes (X)
MARY CONNICK
CFO EFFECTIVE 6/2020	25.00	4.00	Yes (X)	$0	$0	$0
HOWARD F FINE
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0			Yes (X)
STEVEN FAYNE
VICE-CHAIR	2.00	0.00	Yes (X)	$0	$0	$0			Yes (X)
BRIAN PERLMAN
VICE-CHAIR	2.00	0.00		$0	$0	$0			Yes (X)
DAVID LOWI
TREASURER	2.00	0.00	Yes (X)	$0	$0	$0			Yes (X)
SOPHIE SHARP
SECRETARY THROUGH 1/2020 / TRUSTEE	2.00	0.00	Yes (X)	$0	$0	$0			Yes (X)
ALEX MANN
TRUSTEE / SECRETARY EFFECTIVE 1/2020	2.00	0.00		$0	$0	$0			Yes (X)
JAMES A DAVIS MD
TRUSTEE	2.00	0.00		$0	$0	$0			Yes (X)
JESSICA EISLER
TRUSTEE	2.00	0.00		$0	$0	$0			Yes (X)
MATTHEW D GERSHUNY
TRUSTEE	2.00	0.00		$0	$0	$0			Yes (X)
DAVID GOLDIN
TRUSTEE	2.00	0.00		$0	$0	$0			Yes (X)
ADRIENNE GREEN MD
TRUSTEE	2.00	0.00		$0	$0	$0			Yes (X)
DANIELLE NEMZER
TRUSTEE	2.00	0.00		$0	$0	$0			Yes (X)
LYNN SEDWAY
TRUSTEE	2.00	0.00		$0	$0	$0			Yes (X)
HOWARD ZACK
TRUSTEE	2.00	0.00		$0	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,656,847	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,985,967	TotReportableCompRltdOrgAmt
Total Other Compensation	$353,156	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	77	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
CAHILL CONTRACTORS
425 CALIFORNIA STREET SUITE 2200	SAN FRANCISCO	CA	94104	CONTRACTORS	$26,365,682
BROADWAY MECHANICAL-CONTRACTORS
873 81ST AVENUE	OAKLAND	CA	94621	CONTRACTORS	$9,779,809
JEWISH SENIOR LIVING GROUP
302 SILVER AVENUE	SAN FRANCISCO	CA	94112	MANAGEMENT/ADMINISTRATIVE SERVICES	$7,428,480
GONSALVES & SANTUCCI INC DBA CONCO
5141 COMMERCIAL CIRCLE	CONCORD	CA	94520	CONTRACTORS	$4,443,919
NORTH COUNTIES DRYWALL INC
PO BOX 260	SONOMA	CA	95476	CONTRACTORS	$4,061,545

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	51	CntrctRcvdGreaterThan100KCnt
Government Grants	$1,372,930	GovernmentGrantsAmt
All Other Contributions	$2,264,850	AllOtherContributionsAmt
Total Contributions	$3,637,780	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERV. REV.	623000	$72,567,539	$72,567,539
OTHER OPERATING REV.	623000	$523,017	$523,017
RENTAL INCOME - JSLG	900099	$168,000	$168,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$73,258,556	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,687	TotalRevenueColumnAmt
Exclusion	$86,687	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$112,992	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$165,406	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$52,414	TotalRevenueColumnAmt
Exclusion	-$52,414	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CONTINGENCY LITIGATION	900099	$843,383	$843,383
REIMBURSEMENTS	900099	$458,362	$458,362
CAFETERIA	722514	$31,127	$31,127

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,085	TotalRevenueColumnAmt
Exclusion	$15,085	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,347,957	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$78,278,566	TotalRevenueColumnAmt
Related Or Exempt Func Income	$73,258,556	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,382,230	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	$848,220	TotalAmt
Program Services	$848,220	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$171,709	TotalAmt
Program Services	$171,709	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,926,805	TotalAmt
Program Services	$35,503,659	ProgramServicesAmt
Management And General	$89,094	ManagementAndGeneralAmt
Fundraising	$334,052	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,000,801	TotalAmt
Program Services	$989,134	ProgramServicesAmt
Management And General	$2,475	ManagementAndGeneralAmt
Fundraising	$9,192	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,128,409	TotalAmt
Program Services	$7,046,335	ProgramServicesAmt
Management And General	$17,414	ManagementAndGeneralAmt
Fundraising	$64,660	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,717,751	TotalAmt
Program Services	$2,686,678	ProgramServicesAmt
Management And General	$6,593	ManagementAndGeneralAmt
Fundraising	$24,480	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$383,798	TotalAmt
Program Services	$376,219	ProgramServicesAmt
Management And General	$7,579	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$93,939	TotalAmt
Management And General	$93,939	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,381,012	TotalAmt
Program Services	$8,234,327	ProgramServicesAmt
Management And General	$8,126,873	ManagementAndGeneralAmt
Fundraising	$19,812	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$335,470	TotalAmt
Program Services	$275,601	ProgramServicesAmt
Management And General	$11,977	ManagementAndGeneralAmt
Fundraising	$47,892	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$791,148	TotalAmt
Program Services	$709,095	ProgramServicesAmt
Management And General	$62,814	ManagementAndGeneralAmt
Fundraising	$19,239	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$431,416	TotalAmt
Management And General	$431,416	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,900,878	TotalAmt
Program Services	$1,673,274	ProgramServicesAmt
Management And General	$227,604	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$70,879	TotalAmt
Program Services	$63,781	ProgramServicesAmt
Management And General	$4,169	ManagementAndGeneralAmt
Fundraising	$2,929	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$482,293	TotalAmt
Program Services	$482,293	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,088,694	TotalAmt
Program Services	$2,994,180	ProgramServicesAmt
Management And General	$73,511	ManagementAndGeneralAmt
Fundraising	$21,003	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$900,628	TotalAmt
Program Services	$900,628	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$2,750,957	$2,750,957
FOOD	$1,838,125	$1,800,912	$35,376	$1,837
EQUIPMENT RENTAL/MAINT	$1,833,060	$1,699,060	$132,659	$1,341
LICENSES & FEES	$279,083	$277,252		$1,831

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$301,769	TotalAmt
Program Services	$256,825	ProgramServicesAmt
Management And General	$41,342	ManagementAndGeneralAmt
Fundraising	$3,602	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$79,656,844	TotalAmt
Program Services	$69,740,139	ProgramServicesAmt
Management And General	$9,364,835	ManagementAndGeneralAmt
Fundraising	$551,870	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$18,668	BOYAmt
EOY	$17,368	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,442,045	BOYAmt
EOY	$23,712,129	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,000,513	BOYAmt
EOY	$6,329	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,042,103	BOYAmt
EOY	$9,757,880	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	$184,169	BOYAmt
EOY	$182,208	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$357,099	BOYAmt
EOY	$1,745,289	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$275,210,334	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$54,428,646	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$139,234,868	BOYAmt
EOY	$220,781,688	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$143,361,647	BOYAmt
EOY	$47,303,123	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$324,441,112	BOYAmt
EOY	$304,306,014	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,766,884	BOYAmt
EOY	$23,423,544	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$140,000	BOYAmt
EOY	$30,000	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$56,369	BOYAmt
EOY	$1,203,923	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$131,994,292	BOYAmt
EOY	$98,018,397	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$5,192,607	BOYAmt
EOY	$4,841,765	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,373,183	BOYAmt
EOY	$6,683,849	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$156,523,335	BOYAmt
EOY	$134,201,478	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	$90,630,365	BOYAmt
EOY	$92,390,056	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$77,287,412	BOYAmt
EOY	$77,714,480	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$167,917,777	BOYAmt
EOY	$170,104,536	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$324,441,112	BOYAmt
EOY	$304,306,014	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,378,278	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$3,565,037	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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$42,390,660	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,461,638	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,765,691	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,225,340	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,637,780	CurrentTaxYearAmt
Total	$91,481,109	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$42,390,660	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,461,638	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,765,691	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,225,340	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,637,780	CurrentTaxYearAmt
Total	$91,481,109	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$27,450,098	SubstantialContributorsTotAmt
Public Support Total170	$64,031,011	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,351	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,638	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,041	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,064	CurrentTaxYearMinus1YearAmt
Current Tax Year	$86,687	CurrentTaxYearAmt
Total	$96,781	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$425,681	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$712,059	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$296,606	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$598,972	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,347,957	CurrentTaxYearAmt
Total	$3,381,275	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$94,959,165	TotalSupportAmt
Gross Receipts Rltd Activities	$347,863,638	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.67430	PublicSupportCY170Pct
Public Support PY170	0.72680	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	OTHER REVENUE - 2015 AMOUNT: $ 425,681. 2016 AMOUNT: $ 712,059. 2017 AMOUNT: $ 296,606. 2018 AMOUNT: $ 598,972. 2019 AMOUNT: $ 1,347,957.	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 D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,365,303	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,396,696	InvestmentEarningsOrLossesAmt
End Year Balance	$14,761,999	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,664,908	BeginningYearBalanceAmt
Investment Earnings Or Losses	$739,632	InvestmentEarningsOrLossesAmt
Other Expenditures	$39,237	OtherExpendituresAmt
End Year Balance	$13,365,303	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,534,341	BeginningYearBalanceAmt
Contributions	$1,000,000	ContributionsAmt
Investment Earnings Or Losses	$1,130,567	InvestmentEarningsOrLossesAmt
End Year Balance	$12,664,908	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,566,044	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$31,703	InvestmentEarningsOrLossesAmt
End Year Balance	$10,534,341	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.54590	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.45410	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	$79,310,720	OtherCostOrOtherBasisAmt
Depreciation	$38,999,064	DepreciationAmt
Book Value	$40,311,656	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,243,798	OtherCostOrOtherBasisAmt
Depreciation	$13,194,799	DepreciationAmt
Book Value	$3,048,999	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$179,564,967	OtherCostOrOtherBasisAmt
Depreciation	$2,234,783	DepreciationAmt
Book Value	$177,330,184	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$220,781,688	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN JHSLF	$20,697,573
SPLIT INTEREST AGREEMENTS	$2,622,529
CAPITALIZED GIFTS IN KIND	$13,165
INTEREST IN NET ASSETS OF JHSLF	$15,088,691
DUE FROM AFFILIATED ORGANIZATIONS	$2,427,215
UNSPENT BOND PROCEEDS HELD BY TRUSTEE	$3,943,850
WORKERS COMP DEPOSITS	$2,265,007
OTHER RECEIVABLES	$241,678
CASH HELD FOR RESIDENTS	$3,415

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$47,303,123	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEPOSITS	$659,456
DUE TO AFFILIATED ORGANIZATIONS	$136,893
AFFILIATED ORGANIZATION LOANS PAYABLE	$5,887,500

Field	Value	IRS element (for citing)
Total Liability	$6,683,849	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$82,009,009	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$3,565,037	OtherRevenueAmt
Revenue Not Reported	$3,565,037	RevenueNotReportedAmt
Revenue Subtotal	$78,443,972	RevenueSubtotalAmt
Other Revenues Not Included	-$165,406	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$165,406	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$78,278,566	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$79,822,250	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$165,406	OtherExpensesIncludedAmt
Expenses Not Reported	$165,406	ExpensesNotReportedAmt
Expenses Subtotal	$79,656,844	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$79,656,844	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 TO THE ORGANIZATION AND CAPITAL CAMPAIGN FUNDS WHICH THE BOARD OF TRUSTEES MAY USE TO REPAY THE PRINCIPAL PORTION OF THE CONSTRUCTION DEBT AND INCLUDES ACCUMULATED EARNINGS THEREON THAT HAVE NOT YET BEEN EXPENDED.
PART X, LINE 2:	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 288,210. CHANGE IN BENEFICIAL INTEREST IN JHSLF 3,276,827.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	COST OF GOODS SOLD -165,406.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	COST OF GOODS SOLD 165,406.

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	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,302	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,302	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,063,322	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,335,971	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,727,351	NetCommunityBenefitExpnsAmt
Total Expense	0.12210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,074,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,335,971	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,738,653	NetCommunityBenefitExpnsAmt
Total Expense	0.12220	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$151,805	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$151,805	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$151,805	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$151,805	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,226,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,335,971	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,890,458	NetCommunityBenefitExpnsAmt
Total Expense	0.12410	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$803,762	BadDebtExpenseAmt
Bad Debt Expense Attributable	$10,523	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,540,292	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,569,697	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$970,595	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	18	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	19	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: 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. THIS CHNA SERVES AS THE COMMON BASIS FOR ALL SAN FRANCISCO'S HOSPITAL CHNAS, INCLUDING OURS. WE HAVE 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.TO SUPPLEMENT THE SFHIP CHNA, SFCJL IMPLEMENTED THE FOLLOWING METHODS IN JUNE 2019:(I) REVIEW OF THE LITERATURE PERTAINING TO OLDER ADULTS WITH PSYCHIATRIC DISORDERS. SEVERAL PUBLISHED BOOK 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 US 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. IN LIEU OF PATIENT INPUT, WE CONDUCTED NINE KEY INFORMANT INTERVIEWS WITH PEOPLE WHO REPRESENT THE BROAD INTERESTS OF OUR POPULATION: FOUR GERIATRIC PSYCHIATRISTS; TWO GERIATRIC PSYCHIATRY HOSPITAL PROGRAM DIRECTORS/ADMINISTRATORS; ONE NURSE MANAGER; ONE RECREATION THERAPIST; AND ONE SOCIAL SERVICES DIRECTOR. SIX OF THE KEY INFORMANTS WERE EXPERTS FROM SFCJL, THREE WERE FROM OTHER INSTITUTIONS WITH REPUTABLE GERIATRIC PSYCHIATRY PROGRAMS, AND ONE WAS AN INDEPENDENT PSYCHIATRY CONSULTANT. COLLECTIVELY, THE INTERVIEW 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 FROM ALL 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: SFCJL CONDUCTED ITS MOST RECENT CHNA IN CONJUNCTION WITH SAN FRANCISCO HEALTH PLAN (SFHIP), A MULTISECTOR COLLABORATION THAT INCLUDES THE FOLLOWING SAN FRANCISCO HOSPITALS (OTHER THAN SAN FRANCISCO CAMPUS FOR JEWISH LIVING): CHINESE HOSPITAL; DIGNITY HEALTH--SAINT FRANCIS MEMORIAL HOSPITAL; DIGNITY HEALTH--ST. MARY'S MEDICAL CENTER; KAISER PERMANENTE; SUTTER HEALTH; AND UCSF HEALTH.
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 SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH, THE CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE'S COMMUNITY ENGAGEMENT AND HEALTH POLICY PROGRAM AT UCSF, THE SAN FRANCISCO UNIFIED SCHOOL DISTRICT, THE OFFICE OF THE MAYOR, HUMAN SERVICES NETWORK, CHICANO/LATINO/INDIGENA HEALTH EQUITY COALITION, THE AFRICAN AMERICAN COMMUNITY HEALTH COUNCIL, THE COMMUNITY CLINIC CONSORTIUM, THE HOSPITAL COUNCIL OF NORTHERN CALIFORNIA, AND FAITH-BASED AND OTHER PHILANTHROPIC PARTNERS.
HEBREW HOME FOR AGED DISABLED	PART V, SECTION B, LINE 11: THE ORGANIZATION'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED THE FOLLOWING FIVE PRIORITY HEALTH NEEDS: (I) ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES; (II) FOOD SECURITY, HEALTHY EATING AND ACTIVE LIVING; (III) HOUSING SECURITY AND AN END TO HOMELESSNESS; (IV) SAFETY FROM VIOLENCE AND TRAUMA; (V) SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTH.TO ADDRESS THE HEALTH NEEDS OF "ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES", THE ORGANIZATION HAS IMPLEMENTED A GOAL TO SHARE KNOWLEDGE AND PROVIDE TRAINING IN SUPPORT OF INCREASING PSYCHIATRIC RESOURCES FOR OLDER ADULTS AND DISPEL THE SOCIETAL STIGMA ASSOCIATED WITH PSYCHIATRIC NEED. TO MEET THIS GOAL, THE ORGANIZATION PLANS ON: (I) TRAINING FOUR GERIATRIC PSYCHIATRY STUDENTS BY JUNE 30, 2022; (II) DEVELOP AND IMPLEMENT A NURSE INTERNSHIP PROGRAM AND TRAIN FOUR NURSES; (III) ENGAGE WITH FIVE COMMUNITY ORGANIZATIONS TO PROVIDE TEN COMMUNITY OUTREACH ACTIVITIES; AND (IV) BY JUNE 30, 2022, EXPAND CURRENT TRAINING OPTIONS FROM ONE SOCIAL WORKER AND ONE RECREATIONAL THERAPIST TO TWO SOCIAL WORKERS, TWO RECREATIONAL THERAPISTS, AND TWO OCCUPATIONAL THERAPISTS.IT SHOULD BE NOTED THAT NO ONE ORGANIZATION CAN ADDRESS ALL THE HEALTH NEEDS IDENTIFIED IN ITS COMMUNITY. JEWISH HOME & REHAB CENTER AT THE SAN FRANCISCO CAMPUS FOR JEWISH LIVING IS COMMITTED TO SERVING THE COMMUNITY BY ADHERING TO ITS MISSION, AND USING ITS SKILLS, EXPERTISE AND RESOURCES TO PROVIDE A RANGE OF COMMUNITY BENEFIT PROGRAMS TO ADDRESS ACCESS TO CARE AND SERVICES. DUE TO LIMITED RESOURCES AND/OR EXPERTISE, THIS IMPLEMENTATION STRATEGY DOES NOT INCLUDE SPECIFIC PLANS TO ADDRESS OTHER PRIORITIZED HEALTH NEEDS INCLUDING: FOOD SECURITY, HEALTHY EATING AND ACTIVE LIVING; HOUSING SECURITY AND AN END TO HOMELESSNESS; SAFETY FROM VIOLENCE AND TRAUMA; SOCIAL, EMOTIONAL AND BEHAVIORAL HEALTH.
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 (12 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 7A AND 7B. THE COSTING METHODOLOGY USED ON LINE 7H WAS CALCULATED BASED ON ACTUAL COSTS FROM THE ORGANIZATION'S GENERAL LEDGER.THE INFORMATION PRESENT ON SCHEDULE H, PART I, LINE 7 DOES ENCOMPASSS MANY OTHER "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 3:	COST-TO-CHARGE RATIO METHOD
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 26-27 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 SFHIP CHNA REPORT DESCRIBES THE PROCESS USED TO PRIORITIZE HEALTH NEEDS. IN SUMMARY: IN OCTOBER 2018, THE SFHIP STEERING COMMITTEE PARTICIPATED IN A STRUCTURED, FACILITATED PROCESS TO IDENTIFY AND PRIORITIZE THE NEEDS BASED ON A REVIEW OF THE CHNA DATA. PRIOR TO THE MEETING, SFHIP IDENTIFIED THE FOLLOWING TWO CRITERIA TO SCREEN AND PRIORITIZE THE HEALTH NEEDS: (I) THE HEALTH NEED IS CONFIRMED BY MORE THAN ONE INDICATOR AND/OR DATA SOURCE, AND (II) THE HEALTH NEED PERFORMS POORLY AGAINST A DEFINED BENCHMARK. THE MEETING WAS FACILITATED USING THE TECHNOLOGY OF PARTICIPATION, A METHOD CREATED BY THE INSTITUTE FOR CULTURAL AFFAIRS THAT INCORPORATES "AN INTEGRATED SET OF FACILITATION METHODS, TOOLS AND APPROACHES THAT FOSTER AUTHENTIC PARTICIPATION AND MEANINGFUL COLLABORATION." THE PROCESS BEGAN WITH SMALL GROUP DISCUSSIONS OF THE DATA, FOLLOWED BY RE-CONVENING AS A LARGE GROUP TO LIST ALL THE NEEDS IDENTIFIED IN THE SMALL GROUPS, CLUSTER SIMILAR NEEDS TOGETHER, AND NAME EACH CLUSTER. THE RESULT WAS CONSENSUS AROUND FIVE PRIORITY HEALTH NEEDS: 1) ACCESS TO COORDINATED, CULTURALLY AND LINGUISTICALLY APPROPRIATE CARE AND SERVICES; 2) FOOD SECURITY, HEALTHY EATING, AND ACTIVE LIVING; 3) HOUSING SECURITY AND AN END TO HOMELESSNESS; 4) SAFETY FROM VIOLENCE AND TRAUMA; AND 5) SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTH. A WORKING GROUP OF SFCJL STAFF, INCLUDING AGPH CLINICAL AND ADMINISTRATIVE STAFF, WAS CONVENED IN JUNE 2019 TO CONDUCT OUR SUPPLEMENTAL NEEDS ASSESSMENT, WHICH FOCUSED ON IDENTIFYING THE SPECIFIC NEEDS OF OUR POPULATION WITHIN EACH OF THESE FIVE PRIORITY HEALTH NEEDS.
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:	IN ADDITION TO SERVING AS A SKILLED NURSING FACILITY, THE ORGANIZATION IS ALSO A LICENSED 13-BED GERO-PSYCHIATRIC INPATIENT UNIT DEVOTED TO PROVIDING BEHAVIORAL HEALTH SERVICES EXCLUSIVELY DESIGNED FOR OLDER ADULTS SUFFERING FROM ACUTE PSYCHIATRIC DISORDERS. 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, ACCORDING TO THE AMERICAN PSYCHOLOGICAL ASSOCIATION. AND PEOPLE 85 AND OLDER HAVE THE HIGHEST SUICIDE RATE OF ANY AGE GROUP ACCORDING TO THE NATIONAL COUNCIL ON AGING." IT IS 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, HOWEVER, 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.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 2018, 83% OF OUR PATIENTS WERE ADMITTED AS 5150 OR 5250 (DANGER TO SELF OR OTHERS, OR GRAVE DISABILITY), 15% WERE VOLUNTARY ADMISSIONS, AND 2% 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.AS WE ARE ONE OF THE ONLY FACILITIES OF ITS KIND IN THE REGION, OUR PATIENTS COME FROM ALL OVER NORTHERN AND CENTRAL CALIFORNIA. IN 2018, WE ADMITTED 170 PATIENTS FROM 18 COUNTIES. WE ACCEPT ELIGIBLE PATIENTS OF ALL RACIAL/ETHNIC IDENTITIES AND GENDERS. THE MOST COMMON PSYCHIATRIC DIAGNOSES OF OUR PATIENTS ARE MAJOR DEPRESSIVE DISORDER (63% IN 2018), ANXIETY (25%), AND BIPOLAR DISORDER (20%). OTHER DISORDERS INCLUDE SCHIZOPHRENIA, SCHIZOAFFECTIVE DISORDER, PSYCHOSIS, SUICIDAL IDEATION, SUICIDE ATTEMPT, PANIC DISORDER, POSTTRAUMATIC STRESS DISORDER (PTSD), AND OBSESSIVE COMPULSIVE DISORDER (OCD). IN ADDITION TO HAVING PSYCHIATRIC NEEDS, OUR PATIENTS ARE ALSO COPING WITH THE TRADITIONAL DISEASES OF AGING, INCLUDING HYPERTENSION (44% IN 2018), CARDIOVASCULAR DISEASE (27%), DEMENTIA AND RELATED ILLNESS (25%), TYPE 2 DIABETES (19%), ATHEROSCLEROSIS (16%), COPD (14%), AND OSTEOARTHRITIS (8%).
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. FOR EXAMPLE, WE ARE IN THE PROCESS OF EXPANDING OUR CAMPUS TO CREATE THE NONRESIDENTIAL, MEMBERSHIP-BASED, COMMUNITY-WIDE BYER SQUARE, THE ORGANIZATION'S FORTHCOMING NEW HUB OF WELLNESS AND ACTIVITY. WE ARE BROADENING 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, OPTOMETRY, 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)
Severance Payment	0	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 (13 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
DANIEL RUTH
PRESIDENT AND CEO	$0	$727,388	$0	$50,000	$0	$188,357	$0	$108,400	$0	$9,339	$0	$1,083,484	$0	$134,438
MICHAEL SKAFF
CHIEF OPERATING OFFICER	$0	$345,455	$0	$52,500	$0	$16,827	$0	$8,400	$0	$2,187	$0	$425,369	$0	$0
VICTOR MEINKE
CFO THROUGH 5/2020	$0	$290,955	$0	$32,269	$0	$0	$0	$58,400	$0	$9,142	$0	$390,766	$0	$0
SHERIE KOSHOVER
CHIEF ADVANCEMENT OFFICER	$0	$246,736	$0	$26,713	$0	$8,767	$0	$45,502	$0	$938	$0	$328,656	$0	$0
PEGGY CMIEL
DIR OF NURSING & CLINICAL OPERATIONS	$201,429	$0	$15,000	$0	$0	$0	$5,211	$0	$18,360	$0	$240,000	$0	$0	$0
MARK FRIEDLANDER
EXEC DIRECTOR, NURSING HOME ADMIN	$186,765	$0	$13,926	$0	$8,927	$0	$5,922	$0	$8,620	$0	$224,160	$0	$0	$0
ELLIOTT STEIN
MEDICAL DIRECTOR, APU	$209,740	$0	$0	$0	$0	$0	$0	$0	$1,170	$0	$210,910	$0	$0	$0
MARIO LEMAY
DIR OF ORGANIZATIONAL EFFECTIVENESS	$177,127	$0	$13,227	$0	$0	$0	$5,370	$0	$8,620	$0	$204,344	$0	$0	$0
STACI CHANG
DIR OF MARKETING & COMMUNICATIONS	$149,834	$0	$30,000	$0	$0	$0	$3,900	$0	$8,620	$0	$192,354	$0	$0	$0
JAN REICHER
EXECUTIVE DIRECTOR, BYER SQUARE	$171,818	$0	$8,608	$0	$0	$0	$5,222	$0	$367	$0	$186,015	$0	$0	$0
ROBERT H SARISON
DIRECTOR OF CAMPUS PROGRAMS	$162,128	$0	$5,333	$0	$0	$0	$4,853	$0	$367	$0	$172,681	$0	$0	$0
MARILOU ESPANOL
REGISTERED PSYCH NURSE	$151,216	$0	$0	$0	$0	$0	$4,609	$0	$16,780	$0	$172,605	$0	$0	$0
RAN MALOOL
DIRECTOR, PLANT OPERATIONS	$141,440	$0	$10,329	$0	$0	$0	$4,267	$0	$8,590	$0	$164,626	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

THE ORGANIZATION RELIED ON A RELATED ORGANIZATION TO ESTABLISH THE COMPENSATION AND BENEFITS OF THE TOP MANAGEMENT OFFICIAL, WHICH UTILIZED THE FOLLOWING METHODS: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

PART I, LINE 4B

DURING THE 2019 CALENDAR YEAR, A RELATED ORGANIZATION CONTRIBUTED THE FOLLOWING AMOUNTS TO THE FOLLOWING INDIVIDUALS' SUPPLEMENTAL 457(F) RETIREMENT PLAN, WHICH HAS BEEN REPORTED AS "DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C): DANIEL RUTH - $100,000 VICTOR MEINKE - $50,000 SHERIE KOSHOVER - $38,087 ADDITIONALLY, DUE TO VESTING OF THE 457(F) RETIREMENT PLAN, DANIEL RUTH RECOGNIZED $134,438 OF TAXABLE COMPENSATION, WHICH HAS BEEN REPORTED WITHIN "OTHER REPORTABLE COMPENSATION" IN SCHEDULE J, PART II, COLUMN (B)(III) AND SCHEDULE J, PART II, COLUMN (F).

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	680164610	BondIssuerEIN
CUSIP	13080SPQ1	CUSIPNum
Bond Issued	2016-11-29	BondIssuedDt
Issue Price	$142,815,660	IssuePriceAmt
Purpose	CONSTRUCTION OF TWO NEW RESIDENTIAL CARE FACILITY BUILDINGS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$142,815,660	TotalProceedsAmt
In Reserve Fund	$2,990,737	InReserveFundAmt
Issuance Costs From Proceeds	$1,960,461	IssuanceCostsFromProceedsAmt
Credit Enhancement	$7,211,174	CreditEnhancementAmt
Working Capital Expenditures	$12,549,544	WorkingCapitalExpendituresAmt
Capital Expenditures	$117,150,631	CapitalExpendituresAmt
Unspent	$953,113	UnspentAmt
Substantial Completion	2020	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

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	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

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KYLE RUTH-ISLAS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SON OF PRESIDENT & CEO	RelationshipDescriptionTxt
Transaction	$171,709	TransactionAmt
Transaction	COMPENSATION	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	THE ORGANIZATION PROVIDES LONG-TERM CARE, SHORT-TERM REHABILITATION, AND ACUTE PSYCH CARE SERVICES. IT PROVIDES PROFESSIONAL AND COMPREHENSIVE PROGRAMS THAT INCLUDES PERSONAL HEALTH CARE TO RESIDENTS IN ITS 374 BED FACILITY. IN THE CURRENT FISCAL YEAR, THE ORGANIZATION SERVED AN AVERAGE OF 345.1 RESIDENTS A DAY. THERE WERE 62 NEW ADMISSIONS FOR LONG-TERM CARE, 1,094 SHORT-TERM CARE PATIENTS, AND 185 PATIENTS THAT REQUIRED ACUTE PSYCH HOSPITALIZATION. THE ORGANIZATION IS A LICENSED, SKILLED NURSING FACILITY, 8-ACRE COMPREHENSIVE SENIOR CARE CENTER WITH FOUR DISTINCT BUILDINGS SPECIALIZING IN SERVING MORE THAN 270 RESIDENTS WITH DIVERSE CARE NEEDS, AND PROVIDING REHABILITATION SERVICES TO NUMEROUS OTHERS SEEKING SHORT-TERM CARE STAYS.
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 15B	THE CHIEF EXECUTIVE OFFICER IS COMPENSATED BY JEWISH SENIOR LIVING GROUP, A RELATED ORGANIZATION. AS SUCH, PART VI, SECTION B, LINE 15A HAS BEEN MARKED "NO", AS MANDATED BY THE FORM 990 INSTRUCTIONS. PLEASE REFERENCE THE DISCLOSURE SCHEDULE J, PART III INCLUDED IN THIS FORM 990 OR PART VI, SECTION B, LINE 15A IN JEWISH SENIOR LIVING GROUP'S FORM 990 FOR A DISCUSSION ON HOW JEWISH SENIOR LIVING GROUP DETERMINES COMPENSATION FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER. 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 VII, SECTION A, COLUMN (B):	AVERAGE HOURS PER WEEK REPORTED IN FORM 990, PART VII, SECTION A, COLUMN (B) FOR DANIEL RUTH, MICHAEL SKAFF, VICTOR MEINKE, SHERIE KOSHOVER, AND MARY CONNICK APPEAR LOW AS THESE INDIVIDUALS DEVOTE A PORTION OF THEIR WORKING TIME TO AFFILIATED ORGANIZATIONS WHICH DO NOT MEET THE DEFINITION OF A RELATED ORGANIZATION, PER THE FORM 990 INSTRUCTIONS.
FORM 990, PART IX, LINE 11G	OTHER CONTRACT SERVICES / PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,196,460. MANAGEMENT AND GENERAL EXPENSES 878,265. FUNDRAISING EXPENSES 19,812. TOTAL EXPENSES 8,094,537. MANAGEMENT & CONSULTING FEE - JSLG: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,130,780. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,130,780. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 117,828. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,828. MEDICAL BILLING & TRANSCRIPTIONS SERVICES: PROGRAM SERVICE EXPENSES 88,399. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,399. MEDICAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 438,672. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 438,672. TRANSPORTATION SERVICES: PROGRAM SERVICE EXPENSES 134,289. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 134,289. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 376,507. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376,507.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS 288,210. CHANGE IN BENEFICIAL INTEREST IN JHSLF 3,276,827.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
JEWISH SENIOR LIVING GROUP
302 SILVER AVENUE	SAN FRANCISCO	CA	94112	800291740	SEE PART VII	CA	501(C)(3)	LINE 12A, I	N/A	0
BAY AREA JEWISH SENIOR LIFE
302 SILVER AVENUE	SAN FRANCISCO	CA	94112	455092344	SEE PART VII	CA	501(C)(3)	LINE 12A, I		0	JEWISH SENIOR LIVING GROUP

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	HOLDING CO	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
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	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, COLUMN (B)	JEWISH SENIOR LIVING GROUP PRIMARY ACTIVITY: TO PROMOTE THE PROVISION OF JEWISH LIVING SERVICES, FACILITIES AND AGING SERVICES IN NORTHERN CALIFORNIA BY PROVIDING SERVICES DESIGNED TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK.
PART II, COLUMN (B)	BAY AREA JEWISH SENIOR LIFE PRIMARY ACTIVITY: TO ASSIST THE SUPPORTED CHARITIES IN THEIR OWN OPERATIONS AND ASSIST WITH DEVELOPING NEW SERVICES AND FACILITIES IN THE AFFILIATED NETWORK.