2018-08-07T09:09:18-05:00 2017-09-30 ERNST & YOUNG US LLP 200 CLARENDON STREET BOSTON MA 021165072 990 2016-10-01 042104298 Hebrew Rehabilitation Center % JONATHAN ALLIA HEBR 6173638000 1200 CENTRE STREET BOSTON MA 02131 JAMES D HART CFO 6173638000 2018-08-01 true MIKE A CINCOTTA P01595811 6172662000 2016 2022-09-23 18:48:47Z Louis J WoolfPresident CEO 1200 CENTRE STREET BOSTON MA 02131 131559501 false X www.hebrewseniorlife.org X 1903 MA TO OPERATE ITS HARVARD MEDICAL SCHOOL AFFILIATED CHRONIC CARE HOSPITAL THAT PROVIDES SENIORS WITH COMPASSIONATE LONG-TERM, POST-ACUTE CARE, (SEE SCHEDULE O) 4 2 1893 385 312361 9075355 10338552 119632617 116042692 681398 862973 253284 329843 129642654 127574060 0 0 0 0 94315551 93544680 0 0 0 45857296 41134879 140172847 134679559 -10530193 -7105499 43443619 43127805 138839528 135435880 -95395909 -92308075 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 111938194 0 112501017 HRC IS ACCREDITED BY CARF (COMMISSION ACCREDITATION OF REHABILITATION FACILITIES), AN INDEPENDENT NONPROFIT ORGANIZATION PROVIDING ACCREDITATION SERVICES WORLDWIDE. HRC MEETS AND SURPASSES CARF GUIDELINES FOR SERVICE AND QUALITY. HRC CONFORMS TO NATIONALLY AND INTERNATIONALLY RECOGNIZED SERVICE STANDARDS AND IS FOCUSED ON DELIVERING FIRST CLASS HEALTH CARE AND CONTINUES TO STRIVE FOR EXCELLENCE. (SEE SCHEDULE O) 7528286 0 1391145 THE INSTITUTE FOR AGING RESEARCH (IFAR), A DIVISION OF HEBREW REHABILITATION CENTER, SEEKS TO TRANSFORM THE HUMAN EXPERIENCE OF AGING BY ENSURING A LIFE OF HEALTH, DIGNITY AND PRODUCTIVITY INTO ADVANCED AGE. IFAR'S MISSION IS TO CONDUCT RESEARCH THAT DISCOVERS THE MECHANISMS OF AGE-RELATED DISEASE AND DISABILITY; LEADS TO THE PREVENTION, TREATMENT AND CURE OF DISEASE; ADVANCES THE STANDARD OF CARE FOR OLDER PEOPLE; INFORMS PUBLIC DECISION-MAKING; AND DEVELOPS THE NEXT GENERATION OF LEADERS IN AGING RESEARCH. 2321111 0 2150530 THE REMAINING PROGRAM SERVICE RELATED EXPENSES INCLUDE TEACHING, FELLOWSHIPS, A VARIETY OF ANCILLARY PROGRAMS AND OTHER MISCELLANEOUS SERVICES. 121787591 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 false false false false false true true true false false true 168 0 true 1893 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 6173638000 1200 CENTRE STREET roslindale MA 02131 HINDA MARCUS CHAIR 1.0 3.5 X X 0 0 0 JAMES D HART CFO & SECRETARY 12.0 38.0 X X 0 317714 60549 LOUIS J WOOLF President & CEO 10.0 40.0 X X 0 679090 127161 MARSHA COHEN TREASURER 1.0 3.5 X X 0 0 0 ERIC ROGERS CIO 15.0 35.0 X 0 106595 37303 RACHEL LERNER Compl. 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OF THE TOTAL DUES PAID, $6,471 WAS USED FOR LOBBYING FOR ELDER CARE. false true X 202364 202364 57935299 52173846 5761453 0 0 0 61858848 54354567 7504281 7061639 2068542 4993097 18461195 parent investment pool 5356720 F 5356720 0 PENSION OBLIGATION 23531791 DUE TO AFFILIATES 87000302 ASSET RETIREMENT OBLIGATION 510010 111042103 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. 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X X X true true X X X true X SEE PART V, SECTION C X X true X false X X X X false X X false false FORM 990, SCHEDULE H, Part V, line 5 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 from September to October 2016 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 disease, and seniors with mobility challenges and fall risks. Also represented were seniors of underserved ethnic minorities for whom English is not their first language, many of whom are challenged by low health literacy, cultural barriers, and limited English proficiency. Of special note to Hebrew SeniorLife are seniors at risk for elder abuse and neglect. 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, Line 7a http://www.hebrewseniorlife.org/community-health-needs-assessment Form 990, Schedule H, Part V, Line 10a http://www.hebrewseniorlife.org/workfiles/healthcare/outpatient/community_ Health_needs_assessment.pdf Form 990, Schedule H, Part V, Line 11 The HRC 2016 CHNA identifies the following significant health needs of seniors in our community: - Transportation - Alzheimer's Care - Mental Health and Depression Services - Linguistic and Cultural Barriers - Access to Various Geriatric Specialists - Fall Prevention Details on how HRC is working to increase the avialability, 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 resources, its ability to meet that 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 uses medicaid eligibility to determine eligibility for financial assistance. Form 990, Schedule H, Part V, Line 16a http://www.hebrewseniorlife.org/body_healthcare.cfm?id=2788 Form 990, Schedule H, Part V, Line 16J In addition to being listed on the website, unit coordinators have copies of the FAP in their offices where they admit patients. For the long term chronic care unit, financial assistance is discussed by 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 SUPLEMENTAL 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 outpatient clinic satellites on the NewBridge campus, and in Canton, MA and Brookline, MA. Hebrew SeniorLife, Inc. (HSL), a regional and emerging national thought leader in senior health care, senior living, research and teaching, is HRCs sole member and also provides management services to HRC. HRC is accredited by CARF (Commission on Accreditation of Rehabilitation Facilities), and is the only geriatric specialist affiliated with Harvard Medical School. HRC provides a continuum of care to the senior community, focusing on the most frail and needy of the local senior population. Services provided by HRC include long-term care, medical acute care, post-acute rehabilitative care, primary and specialty care, outpatient clinics, outpatient rehabilitative services, and adult day care. 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 The $217K of Workforce Development represents HRCs Career Development programs for Certified Nurse Assistants (CNAs) and other staff. Included in this amount are costs of onsite remedial classes in math, 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. In FY12 this program received a $300K three-year grant from The Boston Foundation for the program "Advanced Career Path for CNAs: Creating Frontline Leaders". This unique nursing specialty certification program will enhance the skill set of CNAs and improve the quality of care that seniors receive; it is an extension of HSLs existing career development programs and is a replicable model for professional development. HRC serves as a primary training facility across a number of health-care disciplines for academic institutions in the Greater Boston area, including Harvard Medical School. HRC participates in the University of Massachusetts nursing program in which RNs employed by HSL may apply to UMass for a scholarship for their Bachelor in Nursing Degree. Over 800 students annually train at HRC in a wide of health professions including medicine, nursing, recreational therapy, pharmacy, dentistry, physical, occupational, and speech therapy, clinical pastoral and social work. As part of its coalition building activity, HSL has been actively involved in the Multicultural Coalition on Aging (MCA). HSL had hosted the coalitions monthly meetings until December 2016. The MCA was established in 1994, is comprised of about 200 organizations and individuals serving seniors who have cultural and linguistic barriers to health care information. The MCA has sponsored 11 bi-annual health and wellness conferences in which the curriculum is delivered in 10 different languages: English, Creole, Haitian Creole, Spanish, Portuguese, Vietnamese, Chinese, Cambodian, Russian, and Sub-Saharan African. These conferences usually serve about 350 seniors and are sponsored through the MCA member organizations. There were 5 MCA meetings reaching total of 134 professionals and consumers in FY17. Most of monthly meetings include a speaker on issues relevant to cultural diversity. Other economic development, physical improvements, and environmental benefits were identified but not specifically costed in Part II. FORM 990, SCHEDULE H, PART III, 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. 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 adapted, but still incurred a significant loss of revenue. 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 SECTION 2 In 2016, Hebrew Rehabilitation Center (HRC), an affiliate of Harvard Medical School, updated its 2013 Community Health Needs Assessment (CHNA). Founded with the promise to honor our elders, for 113 years we have served seniors health care needs in several neighborhoods within the city of Boston, and more recently, in the towns of Brookline, Canton, Dedham, Needham, Newton, Randolph and Westwood. As a chronic care hospital that primarily serves a community of seniors, it is always our priority to keep seniors healthy and safe in their homes for as long as possible. From flu clinics to caregiver training sessions, we put a lot of emphasis on educating seniors and their loved ones on the necessary steps and care needed to remain independent. 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 goal is to continue to move forward to meet the guidelines that the U.S. Department of Health and Human Services outlined for seniors in its Healthy People 2020 Report and better address the health needs of seniors in our community. Our findings show that HRC continues to align with Healthy People 2020 in the areas of prevention, long-term services and supports for our seniors. However, the CHNA findings show that seniors in our communities also need assistance with the following: - 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. We thank members of the HRC community for their helpful guidance and input in compiling this 2016 CHNA. FORM 990, SCHEDULE H, Part VI - Section 3 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 Hebrew SeniorLife provides services to seniors. HRC, in Roslindale, at the satellite Health Care Center at the NewBridge on the Charles campus in Dedham, and at the outpatient clinics in Dedham, Canton and Brookline, provides long-term care; post-acute care, including rehabilitative and hospital-level care; specialized geriatric primary and specialty outpatient clinics; outpatient services; hospice services; home health care and private care (through an HSL affiliate); and adult day health care. 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. HRC provides health care services to all without regard to race, religion, color, national origin, gender, sexual orientation, marital status, political persuasion, or qualified handicap. FORM 990, SCHEDULE H, Part VI - Section 5 Hebrew Rehabilitation Center contributes to community health in many ways. Part of HRCs mission is to promote the independence of seniors, including by supporting them in their homes and avoiding institutional care. It 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. Seniors learn to take control of their own health and maximize their physical and social vitality in a number of HRC-sponsored wellness programs, including Healthy Eating for Successful Living in Older Adults, A Matter of Balance, Chronic Disease Self-Management, Diabetes Self-Management, Fit For Your Life Exercise, and The Arthritis Foundation Exercise Program. All programs are evidence-based. In FY17, approximately 120 free wellness programs (each from 6-8 weeks in duration) offered across Massachusetts communities helped 1500 seniors (more than 12,000 to date) take a more active role in promoting their own good health. In addition, another 20 health information sessions were offered throughout Massachusetts, reaching another 800 participants. 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. 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. HRC's medical staff, comprised of over 40 employed physicians and nurse practitioners, participate in community activities such as health and wellness lectures to senior groups living in the community in addition to their patient care and teaching activities. Seniors and the professional community are served through sponsored events such as senior resource fairs and healthy aging programs, and professional sponsorships (122 programs reached approximately 562,000 consumers in FY17). HRCs IFAR (Institute for Aging Research), described in general in FORM 990, Schedule O, Part III, Line 4b, had several important findings that will directly improve the health of seniors, these include 1. Up to three years of whole body vibration failed to improve bone, muscle or balance in seniors results from the VIBES trial; 2. Low density muscle in the spine is associated with worse standing balance; 3. The treatment of hypertension can improve blood flow to the brain and prevent falls; 4. Tai Chi exercises twice a week can improve physical function and walking speed in elderly people; 5. Better infection management in advanced dementia reduces patient burden and resistant bacteria; 6. Mental inhibition and inattention predict physical function six months later in a sample of older adults with diabetes; 7. Executive function predicts exercise adherence, via self-efficacy, in non-active older adults with diabetes; 8. A twelve-week, titrated social cognitive intervention increases short-term self-efficacy and physical activity in diabetic older adults (presented at Society of Behavioral Medicine, manuscript in review); 9. Optimism influences longitudinal trajectory of well-being in older women; 10. A social cognitive framework, with true true false true true true true true false JAMES D HART CFO & SECRETARY 0 301998 0 15458 0 258 0 5100 0 55449 0 378263 0 0 LOUIS J WOOLF President & CEO 0 653694 0 25000 0 396 0 55100 0 72061 0 806251 0 0 LEN FISHMAN President & CEO (FORMER) 0 228790 0 0 0 0 0 0 0 0 0 228790 0 0 PETER INGRAM CIO (FORMER) 0 140261 0 0 0 137 0 0 0 14144 0 154542 0 0 RACHEL LERNER Compl. Officer & Gen Counsel 0 198120 0 9162 0 54 0 4255 0 27036 0 238627 0 0 RACHEL WHITEHOUE CHIEF COM. & PLAN. OFFICER 0 208638 0 19583 0 138 0 4744 0 54104 0 287207 0 0 DEBORAH L LEMMERMAN CHIEF PEOPLE OFFICER 0 222660 0 0 0 258 0 4457 0 57348 0 284723 0 0 KATELYN QUYNN Chief Dev Off & VP Board Rel. 0 348104 0 0 0 258 0 5100 0 47204 0 400666 0 0 MARY MOSCATO President, HSL Health Care Srv 354864 0 33242 0 396 0 5100 0 51917 0 445519 0 0 0 HASSAN ARIF HOSPITALIST 255066 0 0 0 90 0 4028 0 52563 0 311747 0 0 0 HELEN CHEN CHIEF MEDICAL OFFICER 326038 0 0 0 138 0 5100 0 38568 0 369844 0 0 0 LEWIS LIPSITZ Director, IFAR 330983 0 0 0 762 0 5100 0 59713 0 396558 0 0 0 ROBERT J SCHREIBER MEDICAL DIRECTOR 289666 0 0 0 258 0 5100 0 56021 0 351045 0 0 0 SHARON K INOUYE sr. scientist/director 311581 0 17531 0 258 0 5100 0 27539 0 362009 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 3 Hebrew Seniorlife, Inc. (HSL), the parent organization, establishes compensation of the organization's 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 4a Peter Ingram received severance in the amount of $56,250, which is equivalent to three months of Mr. Ingrams base salary. This amount is included in Peter Ingrams compensation on Schedule J, Part II. FORM 990, SCHEDULE J, PART I, LINE 4B Louis Woolf, President and CEO, participated in a 457(f) supplemental retirement plan that included $50,000 of employer contribution during the year. This amount is included in the deferred compensation section showing in Part VII. SCHEDULE J, PART I, LINES 5, 6, & 7 EACH YEAR, Hebrew SeniorLife, Inc. 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 Hebrew Seniorlife, Inc.'S BONUS ARRANGEMENT IN 2016: MARY MOSCATO $33,242 SHARON K INOUYE $17,531 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 2013-04-01 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 0.00394 0.00394 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. MISSION STATEMENT FORM 990, PART 1, LINE 1 OUTPATIENT SERVICES AND ADULT DAY HEALTH CARE. DESCRIPTION OF NEGATIVE NET ASSETS FORM 990, PART I, LINE 22 THE CHANGE IN UNRESTRICTED NET ASSETS AND UNRESTRICTED NET DEFICIT AT HEBREW REHABILITATION CENTER ("HRC") FOR FISCAL YEAR 2017 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 $84 MILLION IN UNRESTRICTED NET ASSETS AT 9/30/17. FORM 990, PART III, LINE 1 THESE SERVICES ARE PROVIDED TO A POPULATION RECEIVING MEDICARE AND/OR MEDICAID. MEDICARE AND MEDICAID ACCOUNT FOR 59% AND 18% OF REVENUES RECEIVED BY THE ORGANIZATION, RESPECTIVELY. FORM 990, PART III, LINE 4A LONG TERM CARE: HRC PROVIDES 505 BEDS OF LONG-TERM chronic CARE IN roslindale AND 220 LONG-TERM CARE BEDS AT THE GLORIA ADELSON FIELD HEALTH CENTER AT NEWBRIDGE ON THE CHARLES IN DEDHAM FOR A TOTAL OF 625 LONG-TERM CARE BEDS. PAYMENTS FROM MEDICAID COMPRISED 76% OF NET REVENUE, MEDICARE PAYMENTS WERE 1%, SELF PAY AND OTHER WAS 23%. POST-ACUTE CARE: THE MEDICAL ACUTE CARE UNIT AT HEBREW REHABILITATION CENTER IN BOSTON OFFERS 42 BEDS FOR EXTENDED MEDICAL AND REHABILITATIVE CARE FOR SENIORS WITH COMPLEX MEDICAL CONDITIONS. THE RECUPERATIVE SERVICES UNIT IN BOSTON PROVIDES 50 BEDS FOR SHORT-TERM, POST-ACUTE CARE IN A SKILLED NURSING SETTING. PAYMENTS FROM MEDICARE COMPRISED 63%, MEDICAID 14%, COMMERCIAL AND OTHER 23%. OUTPATIENT CLINICS: HEBREW REHABILITATION CENTER, INC.'S OUTPATIENT SERVICES IS A BOSTON HEALTH CLINIC THAT OFFERS A WIDE RANGE OF MEDICAL SERVICES FOR SENIORS INCLUDING TREATMENT FOR CONDITIONS SUCH AS HEARING LOSS, MEMORY DISORDERS, OSTEOPOROSIS, REHABILITATION AND WOUND CARE. PATIENTS ARE TREATED BY EXPERTS WHO UNDERSTAND THE UNIQUE HEALTH NEEDS OF OLDER ADULTS. ALL OF THE HEALTH CLINICS WITHIN OUTPATIENT SERVICES OFFER THE HIGH-QUALITY SPECIALIZED CARE FOR BOSTON SENIORS. OUTPATIENT CLINICS ARE OPERATED BY HRC AT THE ORCHARD COVE, DEDHAM AND BROOKLINE LOCATIONS. PAYMENTS FROM MEDICARE COMPRISED 72%, MEDICAID WAS 1% AND OTHER PAYERS WERE 27%. ADULT DAY HEALTH: HRC HAS OVER 20 YEARS OF EXPERIENCE CARING FOR SENIORS IN AN ADULT DAYCARE CENTER SETTING. WE PROVIDE A GREAT DAY FOR SENIORS AT TWO SITES - HRC IN ROSLINDALE AND JEWISH COMMUNITY HOUSING FOR THE ELDERLY (JCHE) IN BRIGHTON. WE SERVE ELDERS OF ALL BACKGROUNDS AND FAITHS AND PROVIDE BILINGUAL SERVICES FOR RUSSIAN-SPEAKING INDIVIDUALS AT BOTH SITES. ADULT DAY HEALTH PAYMENTS WERE 72% MEDICAID AND 27% SELF PAY. NURSING, SOCIAL WORK, AND THERAPEUTIC RECREATION PROFESSIONALS STAFF HRC'S ADULT DAY HEALTH PROGRAMS. PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS PROVIDE TREATMENT AS NEEDED WHEN PRESCRIBED BY A PHYSICIAN. PROGRAM ASSISTANTS PROVIDE PERSONAL CARE AND HELP WITH ALL ASPECTS OF THE DAILY ROUTINE. THERE IS A MINIMUM OF ONE STAFF MEMBER TO SIX PARTICIPANTS. THE STAFF WORK AS AN INTERDISCIPLINARY TEAM TO MAKE SURE THAT THE PARTICIPANTS RECEIVE ATTENTION TO ALL ASPECTS OF THEIR LIVES. DURING THE YEAR ENDED SEPTEMBER 30, 2017, HEBREW REHABILITATION CENTER, INC. SERVED AN AVERAGE OF 42 DAY PROGRAM PARTICIPANTS. FORM 990, PART III, LINE 4B WITH NEARLY 60 YEARS OF HISTORY, IFAR IS THE LARGEST GERONTOLOGICAL RESEARCH FACILITY IN THE U.S. IN A CLINICAL SETTING, AND IS A RESEARCH AFFILIATE OF HARVARD MEDICAL SCHOOL. IT IS HOME TO FOUR PROFESSORS OF MEDICINE AT HARVARD MEDICAL SCHOOL, AND 16 OF ITS FACULTY HAVE ACADEMIC APPOINTMENTS THERE. IFAR CURRENTLY HAS A $43 MILLION GRANT PORTFOLIO, WITH MORE THAN 60 RESEARCH GRANTS AND 19 INVESTIGATORS. ITS RESEARCH FOCUSES ON FALLS, OSTEOPOROSIS AND FRACTURES, NUTRITION AND MUSCULOSKELETAL HEALTH, FOOT DISORDERS AND FOOT PAIN, GENETIC EPIDEMIOLOGY, DEMENTIA, DELIRIUM, PALLIATIVE CARE, HEALTH CARE QUALITY IMPROVEMENT, AND DEPRESSION AND MENTAL HEALTH. IFAR RESEARCHERS HAVE ACCESS TO SOME OF THE WORLD'S LARGEST DATABASES, AND TO THE MORE THAN 5,000 SENIORS ANNUALLY AFFILIATED WITH HEBREW SENIORLIFE ENTITIES. IN TURN, ITS RESEARCH INFORMS HSL'S HEALTH CARE SERVICES AND PROGRAMS, SO PATIENTS AND patientS BENEFIT FROM BEST PRACTICES IN THE TREATMENT OF COMMON CONDITIONS OF AGING. IN ADDITION TO GRANT FUNDING IFAR RECEIVES SUPPORT FROM PRIVATE PHILANTHROPY TO ADVANCE ITS MISSION, BY PROVIDING SEED MONEY FOR YOUNG AND ESTABLISHED RESEARCHERS TO TEST NEW IDEAS, AND IN HELPING TO DISSEMINATE RESEARCH FINDINGS SO THEY CAN IMPACT SENIORS AROUND THE WORLD. FORM 990, PART III, LINE 4C OTHER PROGRAM SERVICE REVENUE IS MADE UP OF MISCELLANEOUS NON-PATIENT SERVICE REVENUE AND EXPENSES, INCLUDE 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 ANY OF 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. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINE 15B THE COMPENSATION COMMITTEE OF THE HEBREW SENIORLIFE, INC. BOARD, WITH THE ASSISTANCE OF data provided by an INDEPENDENT, EXPERT CONSULTANTS, HAS REVIEWED THE PRESIDENT/CEO'S TOTAL COMPENSATION AND THE COMPENSATION OF ALL OFFICERS AND KEY EMPLOYEES AS WELL AS HIGHLY COMPENSATED EMPLOYEES (>$150,000) OF HSL AND ITS AFFILIATES. THE FULL HSL BOARD FURTHER REVIEWED AND APPROVED THE COMPENSATION OF THE HIGHLY COMPENSATED EMPLOYEES OF HSL 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 ON 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 HSL AT 1200 CENTRE ST. BOSTON, MA 02131 OR BY TELEPHONE AND E-MAIL. FORM 990, PART VIII, LINE 1C & 1F 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 EXPENSIS IS PREPARED BELOW. ADDITIONALLY THIS INCLUDES APPROXIMATELY $500,000 IN PLEDGES THAT HAVE BEEN FULLY RESERVED BASED ON DONOR-IMPOSED CONTINGENCIES. MANAGEMENT BELIEVES THAT THESE CONTINGENCIES WILL BE MET AND HAVE ADDED THE VALUE OF THE CONTINGENT PLEDGES BACK IN THE SCHEDULE BELOW. FUNDRAISING EXPENSES (PART IX, LINE 25) 3,210,306 CONTRIBUTION REVENUE: HSL CONTRIBUTIONS (PART VII, LINE 1H) 5,639,635 CONTINGENT PLEDGE REVENUE 500,000 HEBREW REHABILITATION CENTER 2,040,546 HEBREW SENIORLIFE HOSPICE CARE, inc. 106,425 ORCHARD COVE, INC. 585,986 HRCA Senior Housing, Inc. 88,100 hrca housing for elderly, inc. 73,117 HRCA BROOKLINE HOUSING 1550 BEACON PLAZA, INC. 5,755 HRCA BROOKLINE HOUSING 112-120 CENTRE COURT, INC. 91,341 CENTER COMMUNITIES OF BROOKLINE, inc. 45,593 --------- 9,176,498 TOTAL COST PER DOLLAR RAISED .35 OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 NET ASSETS RELEASE FROM PARENT ($ 811,170) ADJUSTMENT OF MINIMUM PENSION LIABILITY $10,704,186 ------------ TOTAL $ 9,893,016 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 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 CCB C-CORP 0 0 0.00000 false HEBREW SENIORLIFE REAGE SOLUTIONS INC 1200 CENTRE STREET BOSTON MA 02131 814906048 MGMT & Cons. SVCS DE HSL C-CORP 0 0 0.00000 false false false false false false false false false false true true true true false false true true true true Hebrew SeniorLife Inc S 17254000 actual Hebrew SeniorLife Hospice Care Inc S 10982000 actual Hebrew SeniorLife Inc M 2040546 actual Hebrew SeniorLife Inc P 513828 actual Hebrew SeniorLife Inc M 5024136 Contract NewBridge on the Charles Inc R 10145919 actual NewBridge on the Charles Inc K 7178883 Contract Hebrew SeniorLife Inc J 300000 Contract Center Communities of Brookline Inc K 68348 Contract Hebrew SeniorLife Inc P 348986 actual NewBridge on the Charles Inc P 6115347 actual Orchard Cove Inc P 540706 actual Center Communities of Brookline Inc Q 170729 actual HRCA Brookline Housing 1550 Beacon Plaza Inc Q 131024 actual HRCA Brookline Housing 112-120 Centre Inc Q 95290 actual Hebrew SeniorLife Inc Q 815540 actual hrca housing for elderly Inc Q 474635 actual NewBridge on the Charles Inc Q 2451438 actual Orchard Cove Inc Q 1763844 actual hrca senior housing inc Q 144852 actual Hebrew SeniorLife Hospice Care Inc Q 392933 actual NewBridge on the Charles Inc L 731021 Contract