2019-08-12T15:28:53-05:00 2018-09-30 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2017-10-01 042104298 Hebrew Rehabilitation Center % JONATHAN ALLIA HEBR 6173638000 1200 CENTRE STREET BOSTON MA 02131 JAMES D HART CFO 6173638000 2019-08-07 true MIKE A CINCOTTA P01595811 6172662000 164.57.159.254 02007720192245000004 2019-08-12 P C99FCB001138C8CD09C93F6724B52E2D790F832C 42D26865FF540D3EA6F803EEB3CCA5BB79F92251 2017 2019-02-21 02:37:17Z LOUIS J WOOLFPRESIDENT CEO 1200 Centre Street Boston MA 02131 137245307 false X www.hebrewseniorlife.org X 1903 MA As an affiliate of Hebrew SeniorLife, the mission of the Hebrew Rehabilitation Center is to honor our elders, by respecting and promoting their independence, spiritual(SEE SCHEDULE O) 4 2 1855 390 285124 10338552 10330224 116042692 121620317 862973 1381202 329843 375044 127574060 133706787 0 0 0 0 93544680 92432055 0 0 0 41134879 43778297 134679559 136210352 -7105499 -2503565 43127805 53154697 135435880 140968651 -92308075 -87813954 X TO OPERATE ITS HARVARD MEDICAL SCHOOL AFFILIATED CHRONIC CARE HOSPITAL THAT PROVIDES SENIORS WITH COMPASSIONATE LONG-TERM CARE, POST-ACUTE CARE, OUTPATIENT SERVICES AND ADULT DAY HEALTH CARE. false false 114048075 0 118497143 Hebrew Rehabilitation Center (HRC) offers long-term care management, rehabilitative, and extended medical care that meets the chronic and acute medical needs of older adult patients in a therapeutic and healing environment. Care is provided in a home-like setting and tailored to the individual needs of each patient. In addition to expert geriatric medical care provided by physicians and nurse practitioners from our onsite Department of Medicine, a multidisciplinary team offers a wide range of therapeutic programs that maximize function with the goal of helping our patients maintain independence for as long as possible. (SEE SCHEDULE O) 7727782 0 1730689 Hinda and Arthur Marcus Institute for Aging Research: HRC's work is enhanced by the research of the Hinda and Arthur Marcus Institute for Aging Research. The Marcus Institute is one of the largest gerontological research facilities in the United States. Dozens of interventions developed at the Marcus Institute have become standard care for seniors. The Marcus Institute ranks in the top 15 percent of National Institutes of Health grant recipients, with more than $60 million of NIH and NIA funding. 1340202 0 1392485 THE REMAINING PROGRAM SERVICE RELATED EXPENSES INCLUDE TEACHING, FELLOWSHIPS, A VARIETY OF ANCILLARY PROGRAMS AND OTHER MISCELLANEOUS SERVICES. 123116059 true true false true false false false false true false true true false false true false false true false false false false false false false false true true false false true true false false false false false false false false false false true false false false false true true true false false true 180 0 true 1855 true true true false false false false false false false false false X 4 2 false false false false true true true true true false false true true true true true true false true false MA X JONATHAN ALLIA 6173258000 1200 CENTRE STREET ROSLINDLAE MA 02131 HINDA MARCUS BOARD CHAIR (UNTIL 11/2017) 1.0 3.5 X X 0 0 0 JAMES D HART CFO & SECRETARY 12.0 38.0 X X 0 332228 63728 LOUIS J WOOLF President & CEO 10.0 40.0 X X 0 1356296 98143 MARSHA COHEN TREASURER 1.0 3.5 X X 0 0 0 JEFFREY D DRUCKER BOARD CHAIR (AS OF 11/2017) 1.0 3.5 X X 0 0 0 ERIC ROGERS CIO 15.0 35.0 X 0 196209 54527 RACHEL LERNER GEN. COUNSEL & CHIEF COMP OFF 5.0 45.0 X 0 211786 27483 RACHEL WHITEHOUE CHIEF COM. & PLAN. OFFICER 0.5 49.5 X 0 236342 57959 DEBORAH L LEMMERMAN CHIEF PEOPLE OFFICER 5.0 45.0 X 0 249028 64460 KATELYN QUYNN Chief Dev Off & VP Board Rel. 3.0 47.0 X 0 365718 70014 MARY MOSCATO President, HSL Health Care Srv 40.0 10.0 X 387626 0 59643 HELEN CHEN CHIEF MEDICAL OFFICER 40.0 10.0 X 353838 0 44888 TAMMY BARKYOUMB RETALIC Chief nursing officer & vp PCS 40.0 10.0 X 258330 0 60530 HASSAN ARIF HOSPITALIST 50.0 0.0 X 227980 0 4594 LEWIS LIPSITZ Director, HMIFAR 50.0 0.0 X 329811 0 71924 SHARON K INOUYE sr. scientist/director 50.0 0.0 X 344239 0 33999 DOUGLAS P KIEL SR. 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OF THE TOTAL DUES PAID, $13,003 WAS USED FOR LOBBYING FOR ELDER CARE. false true X 202364 202364 67192681 53479215 13713466 63602172 56359245 7242927 2733886 2301129 432757 21591514 PARENT INVESTMENT POOL 6718931 F 6718931 0 PENSION OBLIGATION 16353984 DUE TO AFFILIATES 101941983 ASSET RETIREMENT OBLIGATION 510010 118805977 AMOUNTS HELD FOR PATIENT SCHEDULE D, PART IV LINE 2 DEPOSITS CONSIST OF FUNDS HELD FOR patients FOR THEIR PERSONAL USE. IT IS REFERRED TO AS THE patients' BANK, AS ALLOWED BY MEDICAID. EACH MONTH, $75 OF A patient'S SOCIAL SECURITY PAYMENT WILL GO TO THE patients' BANK FOR HIS/HER PERSONAL USE. THE REMAINDER GOES TO PAY FOR HIS/HER CARE. FIN 48/ASC 740 DISCLOSURE SCHEDULE D, PART X, LINE 2 HEBREW REHABILITATION CENTER's financial statements DO NOT INCLUDE A FOOTNOTE RELATED TO FIN 48/ASC 740. true true X true X true X true false false 161806 161806 0.00120 75050636 74528298 522338 0.00380 75212442 74528298 684144 0.00500 1229038 186425 1042613 0.00770 1009781 90512 919269 0.00670 550399 407792 142607 0.00100 14848859 10420986 4427873 0.03250 17638077 11105715 6532362 0.04790 92850519 85634013 7216506 0.05290 279749 279749 0.00200 279749 279749 0.00200 true 923540 0 19354138 19767873 -413735 X true true 1 1 HEBREW REHABILIATION CENTER 1200 CENTRE STREET BOSTON MA 02131 WWW.HEBREWSENIORLIFE.ORG License # 2290 X X X X HEBREW REHABILITATION CENTER 1 false false true X X X X X X X X X 16 true false false true X SEE PART V, SECTION C true 16 true SEE PART V, SECTION C false true X 200. 400. X X X true true X X X true X SEE PART V, SECTION C X See Part V, Section C X See Part V, Section C X X X X X true X false X X X X false X X false false FORM 990, SCHEDULE H, Part V, line 5 In support of our mission to honor our elders, Hebrew rehabilitation center (hrc) is focused on the most vulnerable and under-served seniors, e.g. the medically underserved, low income or minority populations in the community. Of special importance to HRC are seniors at risk for elder abuse and neglect. The primary vehicle for gathering community input was an online survey of community leaders, academics, Area Agencies on Aging (ASAPs), Adult Day Health and Home Health agencies. The survey was sent to approximately 150 members of the Multicultural Coalition on Aging, which represents Boston and its immediate suburbs, and to members of the Healthy Living Centers of Excellence, Boston Collaborative. Members of these groups included senior health focused governmental agencies and other organizations that serve and represent members of the medically underserved, low income or minority populations in the community. These include low-income seniors, disabled seniors, seniors with memory health challenges, seniors with chronic diseases such as diabetes and heart diseases, and seniors with mobility challenges and fall risks. Also represented are seniors of underserved ethnic minorities for whom English is not their first language, many of whom are challenged by low health literacy, cultural barriers, and limited English proficiency. Specifically, HRCs survey responses included input from the follow state and local governmental public health departments: - Boston Public Health Commission - Massachusetts Department of Public Health - Massachusetts Executive Office of Elder Affairs - Boston VA Healthcare Systems - Elder Services Representing Central Boston, Mystic Valley, Greater Lynn, Causeway, Old Colony and Minuteman In addition to the survey, HRC also took into account publicly available data from the Public Health Departments in conducting its 2016 CHNA. FORM 990, SCHEDULE H, Part V - CHNA Line 7a https://www.hebrewseniorlife.org/community-health-needs-assessment FORM 990, SCHEDULE H, Part V - CHNA Line 10a https://www.hebrewseniorlife.org/workfiles/HealthCare/Outpatient/Community _Health_Needs_Assessment.pdf FORM 990, SCHEDULE H, Part V - CHNA Line 11 The HRC 2016 CHNA identifies the following significant health needs of seniors in our community: - Transportation - Alzheimers Care - Mental health and depression services - Linguistic and cultural barriers - Access to various geriatric specialists - Falls prevention Details on how HRC is working to increase the availability, accessibility, and visibility of specialized geriatric care are detailed extensively in the HRC 2016 CHNA implementation plan. In determining how HRC would address the needs identified in its CHNA, HRC considered the degree of community need for additional resourced, its ability to meet the need through its experience, expertise and programming, and the capability of other organizations to meet that same need. FORM 990, SCHEDULE H, Part V, Line 13h Hebrew Rehabilitation Center also uses Medicaid eligibility to determine eligibility for financial assistance. FORM 990, SCHEDULE H, Part V, Line 16a https://www.hebrewseniorlife.org/workfiles/HealthCare/fap.pdf FORM 990, SCHEDULE H, Part V, Line 16b https://www.hebrewseniorlife.org/workfiles/HealthCare/fap_application.pdf FORM 990, SCHEDULE H, Part V, Line 16c http://www.hebrewseniorlife.org/workfiles/HealthCare/fap_summary.pdf FORM 990, SCHEDULE H, Part V, Line 16j In addition to having the FAP listed on the website, Nursing Unit Coordinators have copies of the FAP and application in their offices where they admit patients. For the Long Term Chronic Care Unit, Financial assistance is discussed by the fiscal staff at meetings with patients and families. 5 Hebrew Rehabilitation Center (Dedham) 7000 Great Meadow Road Dedham MA 02026 outpatient clinic orchard cove one del pond drive canton MA 02021 outpatient clinic hebrew seniorlife medical group at CCB 100 Centre Street Brookline MA 02446 outpatient clinic GREAT DAYS FOR SENIORS (BOSTON) 1200 CENTRE STREET ROSLINDALE MA 02131 ADULT DAY HEALTH GREAT DAYS FOR SENIORS (BRIGHTON) 30 WALLINGFORD ROAD BRIGHTON MA 02135 ADULT DAY HEALTH FORM 990, SCHEDULE H, Part I, line 7g The reported subsidized health services include costs of HRCs adult day clinic in Roslindale and Brighton. The service is funded by Medicaid and self pay. The Medicaid loss is included with Medicaid in line 7b. The service is priced for affordability and operates at a loss when total costs are included. FORM 990, SCHEDULE H, Part I, line 7 column (f) Bad Debt provision expense of $0 was included in FORM 990, Part IX, line 25, column A and was excluded for purpose of calculating the percentage in this column. FORM 990, SCHEDULE H, Part I, line 7 The costing methodology used is based primarily on the standard cost accounting methods of the Massachusetts state DHCFP-403 Cost Report for FY16 which follows the standard Medicare cost accounting principles of the Medicare Cost Report. To cost some specific programs, a Cost to Charge ratio specific to each program was developed. FORM 990, SCHEDULE H, PART II Founded in 1903 with the promise to honor our elders, Hebrew Rehabilitation Center (HRC) is an essential member of the Greater Boston health care community. The HRC Roslindale campus, a long-time cultural touchstone in the area, opened in 1963. HRC opened a satellite in Dedham at NewBridge on the Charles in 2009. At HRC patients and families receive industry-leading care, and our staff do incredible work that reverberates globally. HRC is committed to caring for the underserved, as 90% of the seniors served here are low-income. As a chronic care hospital that primarily serves a community of seniors, it is always our priority to keep seniors healthy, safe and independent in their homes for as long as possible. HRC puts a lot of emphasis on educating seniors and their loved ones on the necessary steps and care needed to remain independent. HRC does this through outpatient care at its satellite clinics supporting senior housing, adult day health programs that help at-risk seniors stay at home, outpatient rehabilitative care designed to prevent rehospitalizations, and by offering many supportive programs and services that improve the physical and mental health and lives of seniors. As such, HRC community activities are designed to improve the health of our in-patients and ambulatory patients, as well as seniors in the communities in which we operate. HRCs community activities are also designed to teach the next generation of caregivers, which includes our own staff and external learners across Boston. HRC contributed $279,749 to Workforce Development through career development programs for Certified Nurse Assistants (CNAs) and other staff and a Nursing Scholarship Program. The PCAs enrolled in the career development programs must be certified nursing assistants and be recommended by their managers in order to be considered for the workforce development program. The program includes costs of onsite remedial classes in math, English as a Second Language (ESOL), and reading for our employees. An outside vendor provides classes for 10 months of every year with the students meeting two times per week for two hours each class. For each class, HSL pays for one hour as release time and the employee attends one hour on their own time. The students also receive progress reports. These classes help prepare employees to pass the College Placement Test (CPT) so they are able to move on to degree programs. The Hebrew SeniorLife Scholarship Program provides employees with the opportunity to increase their nursing education and skills at area nursing programs. HRC serves as a primary training facility for 45 affiliate academic institutions in the Greater Boston area, including: Harvard Medical School, Northeastern University, Simmons University, among others. HRC trains over 900 students annually in a wide variety of health professions including; medicine, nursing, pharmacy, dentistry, physical, occupational, speech, and expressive therapy, clinical pastoral and social work. HRC seniors actively participate in the education of 185 Harvard Medical School students annually during role-playing sessions that allow our seniors to provide important and vital feedback to the next generation of doctors on how to effectively communicate and treat older adults. HRC annually trains 32 dental students from Harvard School of Dental Medicine and Boston University School of Medicine on geriatric dental medicine. HRCs Department of Medicine has 13 physicians and 4 NPs devote 3,055 hours and $282,222 to teaching geriatric medicine while an additional 58 allied clinical and specialty support educators provide 16,000 hours and $728,430 in teaching. HRC has partnered with a Boston area high school to train 60 students annually to become CNAs. Other economic development, physical improvements, and environmental benefits were identified but not specifically costed in Part II. FORM 990, SCHEDULE H, Part III, Section A Line 2 HRC records provision for doubtful accounts as the amount needed to adjust the reserve, which is based on estimated percentages of accounts receivable by payor and aging category. If not already adjusted by contractual allowance, the charge figure is adjusted to cost using HRCs overall cost to charge ratio. FORM 990, SCHEDULE H, Part III, line 4 HRC estimates an allowance for uncollectible patient accounts. Generally, no finance charges are assessed on receivables. Once an account has been determined to be uncollectible, it is charged-off. Form 990, Schedule H, Part III, Line 8 Medicare revised its reimbursement methodology for LTCH hospitals in FY16. The hospital continues to adapt, but continues to incur a significant loss of revenue each year. In addition, HRC LTCH patients often exhaust their Medicare benefit days, resulting in un-reimbursed care. FORM 990, SCHEDULE H, Part III, line 9b Patients found to be eligible for assistance through Massachusetts Medicaid (known as MassHealth) or other program are not pursued through collection efforts but rather are assisted free-of-charge with the MassHealth application and eligibility process through to completion, including any necessary appeals. FORM 990, SCHEDULE H, Part VI Supplemental Information Hebrew Rehabilitation Center (HRC) operates a 725-bed licensed chronic care hospital consisting of a 505-bed facility in the Roslindale section of Boston, MA and a 220-bed satellite facility in Dedham, MA (also known as the NewBridge Health Care Center, on the campus of the continuing care retirement community operated by NewBridge on the Charles, Inc.). HRC leases space from NewBridge on the Charles, Inc., an affiliated entity, to operate the 220-bed satellite. HRC also operates three outpatient clinic satellites on Hebrew SeniorLife campuses: NewBridge on the Charles, Dedham, Mass.; Orchard Cove, Canton, MA; and Center Communities of Brookline, Brookline, MA. Services provided by HRC include long-term chronic care, medical acute care, post-acute rehabilitative care, primary and specialty care, outpatient clinics, outpatient therapy services, and adult day care. HRC is accredited by CARF (Commission on Accreditation of Rehabilitation Facilities), and is the only geriatric specialist affiliated with Harvard Medical School. HRC is part of the Hebrew SeniorLife health care continuum, which includes home health care and hospice services, private care services, and community palliative care. Hebrew SeniorLife, Inc., is HRCs sole member and also provides management services to HRC. Hebrew SeniorLife is a Harvard Medical School affiliate and a national thought leader in senior health care, senior living, research and teaching. HSL is governed by a large and active community board comprised entirely of independent persons from the community. HRC, as a subsidiary of HSL, has a board comprised of three employees (President, CEO, CFO) and two independent directors who are also members of HSLs Board of Directors (including the Board Chair). Surplus funds, should they exist, are reinvested in HRC as capital investment, for upkeep of the facility and for growing patient medical equipment and technology needs. FORM 990, SCHEDULE H, Part VI Line 2 Needs assessment In 2016, HRC updated its 2013 Community Health Needs Assessment (CHNA). We re-evaluated the needs of our community and the services we offer as well as those offered by others within and around the communities we serve. Our CHNA findings show that seniors in our communities need assistance with transportation, Alzheimers Care, mental health and depression services, linguistic and cultural barriers, access to various geriatric specialists, falls prevention, In response to these findings, HRC developed an implementation plan documenting goals, our current services, and our action plan and timeline. FORM 990, SCHEDULE H, Part VI Section 3 Patient Education of Eligibility for Assistance All patients admitted to HRC are counseled by an admissions coordinator about services rendered, billing procedures, patient rights and responsibilities, insurance coverage, and eligibility for assistance as required by guidelines established by the federal Centers for Medicare and Medicaid Services and the Commonwealth of Massachusetts Department of Public Health. In addition to the admissions coordinator, a fiscal agent for HRC also provides education on eligibility under federal, state and local programs. All admissions documentation is reviewed and signed by the patient or responsible party on behalf of the patient at the time of admission and retained on file. HRC has provided financial assistance to selected adult day care participants since August 1999, covering the costs of transportation (in prior years) and some daily programs. The financial assistance has been essential to those participants who cannot afford to pay privately, but who have periods of ineligibility for MassHealth or other financial subsidies (given that the services are not covered by Medicare or private health insurance plans). FORM 990, SCHEDULE H, Part VI Section 4 Community information HRC honors diversity and provides health care services to all without regard to race, religion, culture color, national origin, class background, gender, sexual orientation, gender expression, marital status, political persuasion, or qualified handicap. HRC provides patient care and services in Roslindale, at the HRC satellite on the NewBridge on the Charles campus in Dedham, and at the outpatient clinics in Dedham, Canton and Brookline. 95% of the patients of Hebrew Rehabilitation Center and its satellite medical clinics are on Medicare and are older than 65. Our primary community is seniors and low income seniors, 65+, in certain neighborhoods of Boston, and the towns of Dedham, Canton, Brookline, Needham, Newton and Westwood. FORM 990, SCHEDULE H, Part VI Section 5 Promotion of Community Health In addition to its direct inpatient and outpatient care services, specifically long-term chronic care, medical acute care, post-acute rehabilitative care, primary and specialty care, outpatient clinics, outpatient therapy services, and adult day care, HRC promotes the health of the community in many other ways. With a senior population that grows every day, and longer life expectancies bringing increasingly complex medical needs, the senior care industry looks to HRC as a leader in advancing the standard of care. HRC hosts a number of programs designed to improve the quality of life for a growing number of seniors and their families not only in greater Boston, but seniors and their families across the nation and around the globe. HRC is committed to the continuous development, improvement, innovation and sharing of our best practice models in care, research, and teaching. The Center for Memory Health serves people living with dementia and as a leader in the country, also their families, caregivers, and other loved ones at all stages of the arc of memory loss, including those with no cognitive symptoms; early undiagnosed symptoms; moderate to severe cognitive symptoms; or advanced symptoms at end of life. The Center for Memory Health also offers the first and only evidence-based care management for Alzheimers and dementia in New England. The Center for the Prevention of Elder Abuse and Neglect offers emergency shelter, support services, education, and research benefiting victims and their families. HRCs Volunteer department harnesses the energy of over 300 volunteers who provided over 20,000 of worked hours, helping seniors stay connected to the larger community. HRCs Chaplaincy department provides spiritual support, with weekly prayer services (Jewish and ecumenical), pastoral volunteer training, and weekly bible study class. HRCs Palliative Care program helps seniors, families and staff navigate difficult decisions and issues, helping seniors have dignity and comfort at end-of-life. HRCs Roslindale campus makes Kosher meals, an important service to many in the Jewish community, and its kitchen provides Kosher meals for Combined Jewish Philanthropies and Springwell as part of their Meals on Wheels program. Seniors and the professional community are served through sponsored events such as various support groups and healthy aging programs, and professional sponsorships (160 programs reached approximately 575,037 consumers in FY18). HRC collaborates with area providers to promote the health of seniors and is a preferred provider with Beth Israel Lahey Health for both its Beth Israel Deaconess Medical Center Hospital and its New England Baptist Hospital. HRC works with these hospitals to provide the highest quality, cost-effective hospital and post-hospital care. Driven by a commitment to reduce avoidable hospitalizations and readmissions, the goals of these agreements are to improve transitions of care for patients, access, communications, and information sharing, and ensure the best possible patient outcomes. HRCs Hinda and Arthur Marcus Institute for Aging Research described in general in the 990 Schedule O Part III Line 4A, is a worldwide leader in aging research, affiliated with Harvard Medical School. Marcus Institute and Brandeis Universitys Heller School for Social Policy and Management operate a joint Center to inform health care policy and practices in aging to address the impact of the nations unprecedented demographic shift as baby boomers enter retirement years, and to collaborate to translate clinical research into policy and practice recommendations for healthy aging. Marcus Institute researchers have several important findings that will directly improve the health of seniors, which include: 1. A video education tool for family members improved alignment between preferences for comfort-focused care and advance directives among patients with late-stage dementia. 2. Recognizing calcification of the abdominal aorta on bone density scans can be an important contributor to heart attack risk. Doctors should pay attention to this when receiving bone density scans 3. We have found abnormalities in brain networks associated with alterations in gait that can lead to falls and associated injuries. This information is leading to therapeutic interventions with transcranial direct current stimulation that stimulates these networks and improves gait and cognition. 4. We developed a practical model to predict fracture in nursing home residents. The model is comprised entirely from data that is already collected on every nursing home resident in the United States, and thus, it has the potential to be used to automatically introduce interventions to prevent fracture in high risk residents. 5. More than one-third of women and men age 65+ cohort members of the Framingham Heart Study had CT imaging evidence of new or worsening moderate-to-severe disc and facet joint degeneration over 6 years; the high frequency of degenerative findings in asymptomatic older adults suggests cautious interpretation of imaging results. 6. Both long-term and recent weight loss in older adults increase deterioration in bone microarchitecture, especially at the weight-bearing skeleton; attention to fracture risk in older adults with recent weight loss as well as in those with weight loss over adulthood is warranted. 7. Older adults with smaller size and lower density trunk muscles as seen on CT images have greater risk of excessive forward thoracic curvature (hyperkyphosis); strengthening mid-back musculature may improve muscle properties and prevent spinal deformity with aging. 8. Older adults with diabetes have deficits in cortical bone microarchitecture that may increase risk of fracture, whereas levels of bone mineral density are normal as defined by clinical DXA. 9. Promising new imaging method aids fracture prediction: Deterioration in bone microstructure is an independent risk factor for fracture in older women and men. 10. We have demonstrated that noninvasive electrical brain stimulation (i.e., transcranial direct current stimulation) may reduce the severity of gait disturbances associated with Parkinson's disease. 11. We have developed the Mobility Change Package which is available to download for free for those who want to implement a mobility program at their hospital in order to improve the care of older adults. Mobility is critical to maintain both cognitive and physical functioning throughout hospitalization. This package has been downloaded over 1,000 times to date. 12. National Academy of Medicine (NAM) Healthy Longevity Initiative: Dr. Inouye serves on the Steering Committee for the NAM Healthy Longevity Roadmap Project. This initiative will develop a comprehensive global roadmap report that will assess the challenges and opportunities of global aging with recommendations for action. Dr. Inouye also serves as the Chair of the Aging Interest Group for the National Academy of Medicine, with a goal of recommending policies to improve healthcare for older adults. 13. A study of older adults (average age 71) showed that knee hypermobility was linked up to 4-fold higher odds of ankle & foot pain, aching or stiffness as well as foot osteoarthritis. Knee hypermobility reduces the stability of the knee (and other lower body joints), and it is thought that this alters knee joint loads and contributing to joint pain. These data suggest that therapeutic interventions targeting mechanical factors, particularly for knee hypermobility, may be needed to prevent ankle and foot symptoms. 14. Caffeine intake is inversely associated with Parkinson's disease (PD) risk, and two genetic polymorphisms (GRIN2A and CYP1A2, both implied in other small studies) were examined to see if they accounted for, or modified, the protective effects. In a study of 829 people with Parkinsons disease compared to 2754 people without the disease, the protective effect of caffeine was seen but there was no caffeine-gene interaction with the polymorphisms, indicating that the relation between caffeine and PD risk is unlikely to be substantially modified by these genetic polymorphisms. 15. We evaluated the known risk factors for Parkinson disease (PD) as well as family history to examine how these factors may combine to determine overall Parkinsons risk. Additive interaction was present between no family history of PD and caffeine in men and between caffeine and physical activity in women. Having multiple known protective factors for PD had additive or super-additive effects, so that PD risk is very low in these individuals with multiple protective risk factors. 16. Higher protein intake is beneficial for maintenance of physical function in middle-aged Americans over the span of two decades. This association was particularly evident in women. 17. Men with higher intakes of milk, milk+yogurt, and milk+yogurt+cheese have higher trabecular and integral volumetr FORM 990, SCHEDULE H, Part VI Section 6 Affiliated Health Care System HRC is part of a group of not-for-profit affiliated entities whose sole member is Hebrew SeniorLife, Inc. HSLs coordinated system of care is based on the premise that research, training of geriatric health-care professionals, senior living and health care must be integrated in such a way to promote independence for all adults as they age. HSL is working to chart the course for senior life. Through our unparalleled combination of experience, optimism, vision and determination, we are working to improve the quality of life for people as they age and dispelling the notion that growing old has to mean growing frail. HRCs affiliates include senior supportive housing communities, which help keep seniors independent in their homes with supportive services including wellness and fitness programs, social service supports, access to health and home care, dining programs, and recreational activities. Coordinated services throughout the HSL network support seniors in their independence as well as provide for successful transitions between care settings. Examples of innovative programs include a grant-supported Depression Support service coordinating care of primary care and mental health providers and actively reaching out to monitor compliance and response. HSLs Chaplaincy Institute is one of the nations 50 most innovative Jewish non-profits in Slingshot for its work to train chaplains in issues related to aging and improving the quality of Jewish pastoral care nationally. It trains 16 graduate level students in pastoral care (Clinical Pastoral Education, accredited by the Association for Clinical Pastoral Education) over the course of a year. HSL also provides employee scholarships for Roslindale or NewBridge employees and/or a child/spouse of an employee who has been employed at HSL for at least 6 months. HSLs Employee Lifeline Program (H.E.L.P.) was created to help employees who, due to unexpected circumstances, are facing dire personal hardships that have negative financial consequences. The program provides some financial assistance to employees who meet the programs guidelines. Eligible beneficiaries include all staff who have been employed at HSL for a minimum of one year, are in good standing, and work a minimum of 1,000 hours on an annualized basis. HELP was designed by a group of employees and is funded through employee and Development efforts. Through the HSL web site, the Marcus Institute provides a wealth of free information on its latest findings in a series of guides that address issues faced by older adults and their families. These guides include Preventing Falls in Older Adults, the Delirium Guide, and Advanced Dementia, a Guide for Families. Through its Blogs, HSL provides a wealth of free information on healthy aging to the general public, covering topics such as Malnutrition in Seniors: What it is, why its bad, and how we can stop it; How Home Care Can Help Seniors Avoid Rehospitalization; and Understanding Alzheimers Disease and Dementia. HORM 990, SCHEDULE H, Part VI Section 7 State filing of Community Benefit report This is not applicable as in Massachusetts only acute hospitals file community benefit reports with the state. HRC provides its Schedule H filing to the state via the Massachusetts Hospital Association. false true false true true true true true false JAMES D HART CFO & SECRETARY 301055 30915 258 5100 58628 395956 LOUIS J WOOLF President & CEO 661952 300000 394344 23100 75043 1454439 ERIC ROGERS CIO 187569 8550 90 4065 50462 250736 RACHEL LERNER GEN. COUNSEL & CHIEF COMP OFF 202774 8958 54 4351 23132 239269 RACHEL WHITEHOUE CHIEF COM. & PLAN. OFFICER 217054 19150 138 4896 53063 294301 DEBORAH L LEMMERMAN CHIEF PEOPLE OFFICER 227910 20860 258 4440 60020 313488 KATELYN QUYNN Chief Dev Off & VP Board Rel. 348825 16635 258 23205 46809 435732 MARY MOSCATO President, HSL Health Care Srv 354627 32603 396 5100 54543 447269 HASSAN ARIF HOSPITALIST 227800 180 4030 564 232574 HELEN CHEN CHIEF MEDICAL OFFICER 331419 22281 138 5100 39788 398726 LEWIS LIPSITZ Director, HMIFAR 329627 0 184 5100 66824 401735 SHARON K INOUYE sr. scientist/director 311567 32276 396 5300 28699 378238 TAMMY BARKYOUMB RETALIC Chief nursing officer & vp PCS 214742 43450 138 5278 55252 318860 DOUGLAS P KIEL SR. SCIENTIST/DIRECTOR 246173 7637 396 4828 58992 318026 ROBERT J SCHREIBER MEDICAL DIRECTOR 253554 290 5100 45676 304620 Schedule J, Part I, Line 3 Supplemental Compensation Information HEBREW SENIORLIFE, INC. (HSL), THE PARENT ORGANIZATION, ESTABLISHES THE COMPENSATION OF THE ORGANIZATIONS' PRESIDENT/CEO AND CFO. HSL UTILIZES THE FOLLOWING IN ESTABLISHING SUCH COMPENSATION: COMPENSATION COMMITTEE WRITTEN EMPLOYMENT CONTRACT INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, SCHEDULE J, PART I, LINE 4B LOUIS J. WOOLF, PRESIDENT AND CEO, PARTICIPATED IN A 457(F) SUPPLEMENTAL RETIREMENT PLAN THAT INCLUDED $18,000 OF EMPLOYER CONTRIBUTIONS DURING THE YEAR. THIS AMOUNT IS INCLUDED IN THE DEFERRED COMPENSATION SECTION SHOWN IN PART VII. SCHEDULE J, PART I, LINES 5, 6, & 7 EACH YEAR, HEBREW REHABILITATION CENTER WITHHOLDS A PORTION OF ITS SENIOR LEADERSHIP'S COMPENSATION TO CREATE AN "AT RISK" BONUS, WHICH IS THEN PAID, ON AN INCENTIVE BASIS, TO ITS SENIOR LEADERSHIP WHEN TARGET GOALS ARE REACHED. BEFORE ANY BONUS IS PAID OUT UNDER THIS ARRANGEMENT, Hebrew Seniorlife inc.'S COMPENSATION COMMITTEE REVIEWS THE FINANCIAL POSITION OF THE ORGANIZATION, including the organization's gross and net earnings, AND, IF FEASIBLE, WILL APPROVE BONUSES TO ELIGIBLE SENIOR LEADERSHIP. BONUSES ARE BUDGETED EACH YEAR AS A PERCENTAGE OF THE ELIGIBLE EMPLOYEE'S BASE WAGES. THE PERCENTAGE PAYABLE RANGES FROM 5 TO 15 PERCENT. THE FOLLOWING EMPLOYEES RECEIVED BONUSES PAID OUT UNDER HRC'S BONUS ARRANGEMENT IN 2017: MARY MOSCATO $ 32,603 Helen Chen $ 22,281 Tammy Barkyoumb Retalic $ 43,450 Sharon K Inouye $ 32,276 Douglas P Kiel $ 7,637 THIS AMOUNT IS INCLUDED IN BONUS & INCENTIVE COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN (B)(II). A MASSACHUSETTS HEALTH AND EDUCATION FACILITIES 042456011 57586CM93 2013-04-02 9974000 SEE PART VI false false false A 0 0 9974000 0 0 0 0 0 0 0 9974000 0 2013 false true true true A false false false true false 0.00000 0.00535 0.00535 false false false true A false true false false false true BANK OF AMERICA 3.1 false true false 0 false true A true PURPOSE OF BOND SCHEDULE K, PART I VARIABLE RATE DEMAND REVENUE BONDS HEBREW REHABILITATION CENTER ISSUE SERIES A (2013). THE PROCEEDS OF THE 2013 BONDS WERE USED TO REFUND SERIES D. X 3 498027 FMV false true false organization's mission or most significant activities (cont'd) FORM 990, PART 1, LINE 1 vigor, dignity and choice, and by recognizing that they are a resource to be cherished. As part of our mission, we accept special responsibility for the frailest and neediest members of our community who are most dependent on our care. We seek to fulfill our mission by operating programs in: - Memory care - Rehabilitative therapy - Expressive therapy - Palliative care - Life enhancement - Spiritual care - Russian language DESCRIPTION OF NEGATIVE NET ASSETS FORM 990, PART I, LINE 22 THE DECREASE IN UNRESTRICTED NET ASSETS AND UNRESTRICTED NET DEFICIT AT HEBREW REHABILITATION CENTER ("HRC") FOR FISCAL YEAR 2018 REFLECTS THE INCLUSION OF EXPENSES THAT ARE SUPPORTED BY HRC'S PARENT, HEBREW SENIORLIFE, INC. ("HSL"). HSL BENEFITS FROM BOTH MANAGEMENT FEES AND PHILANTHROPIC INCOME THAT ARE AVAILABLE TO FUND HRC'S OPERATING, PENSION FUND AND OTHER EXPENSES. AS SUCH, HSL'S MANAGEMENT, BOARD OF DIRECTORS AND LENDERS VIEW THE ORGANIZATION'S FINANCIAL CONDITION AS HSL'S AND HRC'S COMBINED BALANCE SHEET, WITH $111.9 MILLION IN UNRESTRICTED NET ASSETS AT 9/30/18. FORM 990, PART III, LINE 1 spiritual vigor, dignity and choice, and by recognizing that they are a resource to be cherished. As part of our mission, we accept special responsibility for the frailest and neediest members of our community who are most dependent on our care. FORM 990, PART III, LINE 4A Examples of our program services are as follows: 1. Memory care: HRC has memory care units in two locations to serve seniors with moderate to advanced memory loss who need special services and accommodations to keep them safe and engaged. We provide to our long-term chronic memory care patients services such as expressive therapies involving music and art, which build on and support their abilities, talents, and interests. We will focus on what residents can still dorather than on what they cantthereby offering opportunities for accomplishment, success, and joy each day. 2. Expressive therapy: Expressive therapy is a dynamic, multimodal approach to integrating the arts into the healing process. Used within the context of a health care or rehabilitation setting, expressive therapies like music, art, and dance can foster healing and provide an overall sense of well-being and connection to others. HRC employs expressive therapists who function as members of the multidisciplinary health care team to provide treatment to seniors. Therapists are masters-level mental health counselors who are also professionally trained in their respective disciplines (e.g., art, music, etc.). The overall goals of treatment are to provide a safe, secure setting in which patients can express themselves on both verbal and non-verbal levels and to feel an increased connection to others that in turn decreases their level of distress and psychological discomfort. 3. Palliative care: Since 2007, the HRC palliative care program has been helping patients maximize the quality of life while maintaining dignity and control as they navigate the journey of serious and terminal illness. The palliative team, comprising counselors, doctors, nurses, health aides, and therapists, accomplish this by providing medical information, asking questions, and supporting the patient and familys decisions. The palliative care team also takes measures to provide medical help, massage, music therapy, and other interventions to make the patients journey as comfortable as possible. FORM 990, PART III, LINE 4B facilities in the United States. Dozens of interventions developed at the Marcus Institute have become standard care for seniors. The Marcus Institute ranks in the top 15 percent of National Institutes of Health grant recipients, with more than $60 million of NIH and NIA funding. FORM 990, PART III, LINE 4C OTHER PROGRAM SERVICE REVENUE IS MADE UP OF MISCELLANEOUS NON-PATIENT SERVICE REVENUE AND EXPENSES, INCLUDING DEPARTMENT OF MEDICINE TEACHING, FELLOWSHIPS & OTHER SUPPORT, FOOD SERVICE, VARIETY OF ANCILLARY PROGRAMS, AND SPACE LEASED BY HSL. DESCRIPTION OF CLASSES OR MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 HEBREW SENIORLIFE, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. MEMBERS WHO MAY ELECT ONE OR MORE OF THE GOVERNING BODY fORM 990, PART VI, LINE 7A THE HEBREW SENIORLIFE, INC. BOARD CHAIR APPOINTS THE MEMBERS OF THE HEBREW REHABILITATION CENTER BOARD OF DIRECTORS WITH THE ADVICE AND CONSENT OF THE HEBREW SENIORLIFE, INC. BOARD MEMBERS. CLASSES OF PERONS, DECISIONS REQ. APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTIONS 7B DECISIONS INVOLVING MAJOR CHANGES IN ORGANIZATION, DEBT PLACEMENT, SALE OF ASSETS, ETC. ARE ALSO SUBJECT TO APPROVAL BY HEBREW SENIORLIFE, INC.'S BOARD. ULTIMATELY, GOVERNANCE OF THE CORPORATION RESTS WITH THE BOARD OF DIRECTORS OF THE COMPANY'S SOLE CORPORATE MEMBER, HEBREW SENIORLIFE, INC. PROCESS USED BY MGMT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11 PREPARATION OF THE FORM 990 BEGINS INTERNALLY WITH HEBREW SENIORLIFE STAFF AND ERNST & YOUNG PREPARING THE FORM WITH INPUT PROVIDED BY HEBREW SENIORLIFE, INC. ALL FORMS 990 AND 990T OF THE AFFILIATES OF HEBREW SENIORLIFE, INC. (HSL IS THE SOLE CORPORATE MEMBER OF EACH AFFILIATE) WILL BE REVIEWED PRIOR TO FILING BY THE AUDIT & compliance COMMITTEE OF HEBREW SENIORLIFE, INC. SUBSEQUENT TO SUCH REVIEW AND PRIOR TO FILING COPIES WILL BE PROVIDED TO THE APPROPRIATE GOVERNING BOARD OF DIRECTORS FOR EACH AFFILIATE. THE GOVERNING BOARDS WILL HAVE 5 DAYS TIME IN WHICH TO VIEW THE FULL RETURNS PRIOR TO THEIR FILING. PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C THE BOARD OF HEBREW REHABILITATION CENTER VOTED TO ADOPT THE HEBREW SENIORLIFE, INC. CONFLICT OF INTEREST POLICY. MONITORING AND DEALING WITH POTENTIAL OR ACTUAL CONFLICTS INDIVIDUALS COVERED UNDER THE CONFLICT OF INTEREST POLICY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE THE EXISTENCE OR POSSIBILITY OF A CONFLICT OF INTEREST AND SHALL BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE HEBREW SENIORLIFE CONFLICTS COMMITTEE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, EACH COVERED PERSON SHALL SIGN A STATEMENT AFFIRMING THAT SUCH PERSON RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY AND AGREES TO COMPLY WITH THE POLICY. THE SIGNED STATEMENT AFFIRMS THAT THE PERSON UNDERSTANDS HEBREW REHABILITATION CENTER IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, HEBREW REHABILITATION CENTER MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. WHO IS COVERED THE CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, PERSONS SERVING IN SENIOR STAFF POSITIONS OUTLINED IN AN EXHIBIT ATTACHED TO THE CONFLICT OF INTEREST POLICY, AND ANY OTHER PERSON WHO IS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF ANY OF THE ORGANIZATION OR ANYOF ITS AFFILIATES. LEVEL AT WHICH DETERMINATIONS OF CONFLICT ARE MADE AND WHICH ACTUAL CONFLICTS ARE REVIEWED THE HEBREW SENIORLIFE CONFLICTS COMMITTEE IS RESPONSIBLE FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS AND EVALUATING WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A TRANSACTION THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. THE CONFLICTS COMMITTEE REPORTS ITS FINDINGS TO THE BOARD OF DIRECTORS WHO ARE RESPONSIBLE FOR MAKING A FINAL DETERMINATION ON THE CONFLICT. RESTRICTIONS ON CONFLICTED PERSONS ALL COVERED PERSONS ARE RESTRICTED FROM ENTERING INTO A TRANSACTION WITHOUT DISCLOSING THE ACTUAL OR POTENTIAL CONFLICT TO THE HEBREW SENIORLIFE CONFLICT COMMITTEE AND OBTAINING APPROVAL OF THE BOARD OF DIRECTORS. COVERED PERSONS WITH A CONFLICT MUST LEAVE THE ROOM WHEN TRANSACTIONS GIVING RISE TO THE CONFLICT ARE UNDER DISCUSSION BY THE BOARD OF DIRECTORS. Whistleblower and Document Retention and Destruction Policies Form 990, Part VI, Lines 13 & 14 THE BOARD OF HEBREW REHABILITATION CENTER VOTED TO ADOPT THE HEBREW SENIORLIFE, INC. WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION POLICIES. Offices & Positions for Which Process was Used, & Year Process Was Begun Form 990, Part VI, Line 15a & 15b THE COMPENSATION COMMITTEE OF THE HEBREW SENIORLIFE, INC. BOARD, WITH THE ASSISTANCE OF DATA PROVIDED BY AN INDEPENDENT, EXPERT CONSULTANT, HAS REVIEWED THE PRESIDENT/CEO'S TOTAL COMPENSATION AND THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES AS WELL AS HIGHLY COMPENSATED EMPLOYEES (>$150,000) OF HEBREW SENIORLIFE, INC. AND ITS AFFILIATES. THE FULL HEBREW SENIORLIFE, INC. BOARD FURTHER REVIEWED AND APPROVED THE COMPENSATION OF THE OFFICERS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES OF HEBREW SENIORLIFE, INC. AND ITS AFFILIATES. THE REVIEW AND APPROVAL PROCEDURES OUTLINED ABOVE WERE LAST COMPLETED IN 2018. ALL OF THESE COMMITTEE MEMBERS ARE INDEPENDENT DIRECTORS. INDEPENDENT CONSULTANTS WERE HIRED BY THE COMPENSATION COMMITTEE AND ASSISTED WITH THE COMPENSATION REVIEW. DOCUMENTATION AND RECORDS OF COMPENSATION COMMITTEE MEETINGS ARE MAINTAINED WITH RESPECT TO DELIBERATIONS AND COMPENSATION DECISIONS. Availability of Gov Docs, Conflict of Interest Policy, & Fin STMTs to Gen Public Form 990, Part VI, Line 19 THE ORGANIZATION'S TAX RETURNS ARE AVAILABLE AT GUIDESTAR. GOVERNING DOCUMENTS ARE AVAILABLE AT THE COMMONWEALTH OF MASSACHUSETTS' WEBSITE. THE TAX RETURNS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST AT THE OFFICES OF HEBREW SENIORLIFE, INC. AT 1200 CENTRE ST. BOSTON, MA 02131 OR BY TELEPHONE AND E-MAIL. FUNDRAISING DISCLOSURE FORM 990, PART IX, COLUMN D Hebrew SeniorLife, Inc. as the parent of the HSL system, raises contributions for itself and its affiliates through its Development department. The contribution revenue is recorded by the affiliate that the donor intended it be given to. Fundraising expenses of the Development department are recorded exclusively by Hebrew SeniorLife, Inc. In order to give the reader a full and transparent view of HSL and affiliates, a summary of all contribution revenue and related expenses is prepared below. Additionally, this includes approximately $400,000 in pledges that have been fully reserved based on donor-imposed contingencies. Management believes that these contingencies will be met and have added the value of the contingent pledges back in the schedule below. FUNDRAISING EXPENSE (HSL 990) $3,484,573 CONTRIBUTION REVENUE: HSL CONTRIBUTIONS (HSL 990) $ 6,838,099 CONTINGENT PLEDGE REVENUE $ 400,000 HEBREW REHABILITATION CENTER (PART VIII, LINE 1F) $ 2,819,273 HEBREW SENIORLIFE HOSPICE CARE $ 101,377 ORCHARD COVE, INC. $ 138,251 HRCA SENIOR HOUSING, INC. $ 67,612 HRCA HOUSING FOR ELDERLY, INC. $ 60,265 HRCA BROOKLINE HOUSING 1550 BEACON PLAZA, INC. $ 1,646 HRCA BROOKLINE HOUSING 112-120 CENTRE COURT, INC. $ 0 CENTER COMMUNITIES OF BROOKLINE $ 54,687 ----------------- $ 10,481,210 TOTAL COST PER DOLLAR RAISED 33% OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 NET ASSETS RELEASED FROM PARENT ($309,262) ADJUSTMENT OF MINIMUM PENSION LIABILITY $7,320,228 Total Other Changes in Net Assets $7,010,966 ORCHARD COVE INC ONE DEL POND DRIVE CANTON MA 02021 223080006 CONT. CARE MA 501(C)(3) 10 HSL true HRCA SENIOR HOUSING INC 1200 CENTRE STREET BOSTON MA 02131 042765428 ELDER HOUSING MA 501(C)(3) 10 HSL true CENTER COMMUNITIES OF BROOKLINE INC 1200 CENTRE STREET BOSTON MA 02131 010569404 ELDER HOUSING MA 501(C)(3) 10 HSL true HRCA BROOKLINE HOUSING 112-120 CENTRE 1200 CENTRE STREET BOSTON MA 02131 030372998 ELDER HOUSING MA 501(C)(3) 10 HSL true HRCA BROOKLINE HOUSING 1550 BEACON 1200 CENTRE STREET BOSTON MA 02131 010569403 ELDER HOUSING MA 501(C)(3) 10 HSL true HRCA HOUSING FOR ELDERLY INC 1200 CENTRE STREET BOSTON MA 02131 042543731 ELDER HOUSING MA 501(C)(3) 10 HSL true NEWBRIDGE ON THE CHARLES INC 1200 CENTRE STREET BOSTON MA 02131 383707573 ELDER HOUSING MA 501(C)(3) 10 HSL true HRCA BROOKLINE HOUSING 108 CENTRE 1200 CENTRE STREET BOSTON MA 02131 810612222 ELDER HOUSING MA 501(C)(3) 12b HSL true HEBREW SENIORLIFE HOSPICE CARE INC 1200 CENTRE STREET BOSTON MA 02131 461309228 HOSPICE SERV. MA 501(C)(3) 10 HSL true HEBREW SENIORLIFE INC 1200 CENTRE STREET BOSTON MA 02131 900183119 MGMT SERVICES MA 501(C)(3) 7 NA false HEBREW SENIORLIFE AFFILIATED MED GROUP 1200 CENTRE STREET BOSTON MA 02131 823654673 PHYSICIAN SVC MA 501(C)(3) 10 HSL true ccb cohen 112 centre mm llc 1200 centre st boston MA 02131 821763395 elder housing MA na N/A HSL PAYROLL SERVICES INC 100 CENTRE STREET BROOKLINE MA 02446 042684823 PAYROLL SERVICES MA na C-CORP 0 0 false HEBREW SENIORLIFE REAGE SOLUTIONS INC 1200 CENTRE STREET BOSTON MA 02131 814906048 MGMT & Cons. SVCS DE na C-CORP 0 0 false false false false false false false false false false true true true true false false true true true true Hebrew SeniorLife Inc S 23787000 actual Hebrew SeniorLife Hospice Care Inc S 11005000 actual Hebrew SeniorLife Inc M 2819273 actual Hebrew SeniorLife Inc P 429847 actual Hebrew SeniorLife Inc M 5237353 Contract NewBridge on the Charles Inc R 9596965 actual NewBridge on the Charles Inc K 9481247 Contract Hebrew SeniorLife Inc J 300000 Contract Center Communities of Brookline Inc K 70398 Contract Hebrew SeniorLife Inc P 284016 actual NewBridge on the Charles Inc P 6055745 actual Orchard Cove Inc P 492799 actual Center Communities of Brookline Inc Q 198849 actual HRCA Brookline Housing 1550 Beacon Plaza Inc Q 152605 actual HRCA Brookline Housing 112-120 Centre Inc Q 110985 actual Hebrew SeniorLife Inc Q 781475 actual HRCA HOUSING FOR ELDERLY INC Q 357327 actual NewBridge on the Charles Inc Q 2875236 actual Orchard Cove Inc Q 1705488 actual HRCA senior housing INC Q 156207 actual Hebrew SeniorLife Hospice Care Inc Q 459568 actual NewBridge on the Charles Inc L 471128 Contract