Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
A For the 2023 calendar year, or tax year beginning 10-01-2023 , and ending 09-30-2024
BCheck if applicable:
CName of organization
Hebrew Rehabilitation Center
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1200 Centre Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Boston, MA02131
D Employer identification number

04-2104298
E Telephone number

G Gross receipts $ 168,861,505
F Name and address of principal officer:
Louis J Woolf President & CEO
1200 Centre Street
Boston,MA02131
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.HEBREWSENIORLIFE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1903
M State of legal domicile: MA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: See Schedule O.
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 4
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 2
5 Total number of individuals employed in calendar year 2023 (Part V, line 2a) ...... 5 1,533
6 Total number of volunteers (estimate if necessary) ............. 6 380
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 30,693
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 20,676,200 21,918,066
9 Program service revenue (Part VIII, line 2g) ......... 133,911,964 145,009,636
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,107,812 1,903,110
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 356,955 30,693
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 156,052,931 168,861,505
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 98,776,790 104,464,205
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 60,201,056 63,740,157
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 158,977,846 168,204,362
19 Revenue less expenses. Subtract line 18 from line 12....... -2,924,915 657,143
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 47,730,142 64,132,589
21 Total liabilities (Part X, line 26)............. 149,726,695 164,969,989
22 Net assets or fund balances. Subtract line 21 from line 20..... -101,996,553 -100,837,400
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2023)
Form 990 (2023)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: To operate its Harvard Medical Schools affiliated chronic care hospital that provides seniors with compassionate long-term care, post-acute care, outpatient services and adult day health care.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 154,595,439 including grants of $   ) (Revenue $ 142,582,220 )
See Schedule O.
4b (Code:   ) (Expenses $ 2,631,937 including grants of $   ) (Revenue $ 2,427,416 )
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.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses157,227,376
Form 990 (2023)
Form 990 (2023)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2023)
Form 990 (2023)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
0
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
Form 990 (2023)
Form 990 (2023)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,533
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2023)
Form 990 (2023)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
4
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
2
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
MA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
Jonathan Allia1200 CENTRE STREET   BOSTON,MA02131 (617) 363-8000
Form 990 (2023)
Form 990 (2023)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JAMES D HART......................................................................
SECRETARY & CHIEF FIN. OFFICER
5.0
.................
45.0
X   X       0 497,767 82,599
(2) LOUIS J WOOLF......................................................................
PRESIDENT AND CEO (THRU 7/2023, RETURNED 5/2024 TO CURRENT)
1.0
.................
49.0
X   X       0 1,026,499 84,903
(3) MARSHA COHEN......................................................................
TREASURER
0.1
.................
3.1
X   X       0 0 0
(4) MELISSA BAYER TEARNEY......................................................................
BOARD CHAIR (THRU 9/30/23)
0.1
.................
3.1
X   X       0 0 0
(5) RICHARD J HENKEN......................................................................
CHAIR ELECT (EFFECTIVE 10/1/23)
0.1
.................
3.1
X   X       0 0 0
(6) STEVEN LANDERS......................................................................
PRESIDENT AND CEO (7/2023 - 5/2024)
1.0
.................
49.0
X   X       0 838,172 39,841
(7) ERIC ROGERS......................................................................
CHIEF INFORMATION OFFICER
1.0
.................
49.0
      X     0 351,134 87,189
(8) KATELYN QUYNN......................................................................
CHIEF DEV OFF & VP BOARD REL
1.0
.................
49.0
      X     0 380,581 59,137
(9) KATHYRN W TASKER......................................................................
CHIEF SPONSORED AWARDS OFFICER
30.0
.................
20.0
      X     277,830 0 84,279
(10) KIMBERLY J BROOKS......................................................................
CHIEF OP. OFFICER, SEN LIVING
1.0
.................
49.0
      X     0 375,200 71,184
(11) LEWIS LIPSITZ MD......................................................................
DIR, HMIFAR & CHIEF ACAD. OFF
30.0
.................
20.0
      X     415,592 0 93,718
(12) LINDA THOMPSON......................................................................
CHIEF PEOPLE OFFICER
1.0
.................
49.0
      X     0 355,082 77,367
(13) MANDEL I ERNEST MD......................................................................
CHIEF MEDICAL OFFICER
1.0
.................
49.0
      X     373,832 0 63,347
(14) RACHEL LERNER ESQUIRE......................................................................
GEN. CNSL. & CHIEF COMP. OFF
1.0
.................
49.0
      X     0 391,081 74,001
(15) SARAH L SYKORA......................................................................
CHIEF COMM. & PLAN OFFICER
1.0
.................
49.0
      X     0 309,804 71,659
(16) TAMMY B RETALIC MS RN......................................................................
CHIEF NURSING OFF. & VP PCS
30.0
.................
21.0
      X     296,335 0 80,270
(17) ALVARO PASCUAL-LEONE......................................................................
SENIOR SCIENTIST
45.0
.................
0
        X   319,350 0 64,689
Form 990 (2023)
Form 990 (2023)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ERAN D METZGER........................................................................
MEDICAL DIRECTOR OF HSL PSYCHIATRY
45.0
.......................0
        X   307,052 0 53,542
(19) INNOKENTIY BAKAEV........................................................................
MEDICAL DIRECTOR, RSU AND LTCH
45.0
.......................0
        X   295,222 0 60,269
(20) RASHMI KAURA........................................................................
CLINICAL DIRECTOR, PALLIATIVE CARE
45.0
.......................0
        X   295,534 0 36,347
(21) SHARON K INOUYE........................................................................
SR. SCIENTIST/DIRECTOR
45.0
.......................0
        X   364,700 0 39,761
(22) MARY MOSCATO FACHE........................................................................
PRESIDENT, HSL HC SVCS. & HRC
30.0
.......................20.0
          X 717,746 0 47,510
















1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 3,663,193 4,525,320 1,271,612
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0
Form 990 (2023)
Form 990 (2023)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 18,126,586
f All other contributions, gifts, grants, and similar amounts not included above1f 3,791,480
g Noncash contributions included in lines 1a - 1f:$ 1g 1,076,751
h Total. Add lines 1a-1f....... 21,918,066
 Program Service RevenueAmt Business Code
2a Patient Service Revenue 623000 142,582,220 142,582,220    
b All Oher Program Services 623000 2,427,416 2,427,416    
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f ..... 145,009,636
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 1,107,102     1,107,102
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a    
b Less: rental expenses 6b    
c Rental income or (loss) 6c 0 0
d Net rental income or (loss).......        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 796,008  
b Less: cost or other basis and sales expenses 7b    
c Gain or (loss) 7c 796,008 0
d Net gain or (loss)......... 796,008     796,008
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
 OtherRevenueMiscAmt
Business Code
11a Cell Tower Rental 540000 30,693   30,693  
b            
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... 30,693
12 Total revenue. See instructions..... 168,861,505 145,009,636 30,693 1,903,110
Form 990 (2023)
Form 990 (2023)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 1,363,589   1,363,589  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 83,311,078 82,339,015 972,063  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,260,252 1,134,226 126,026  
9 Other employee benefits ....... 11,842,725 10,658,452 1,184,273  
10 Payroll taxes ........... 6,686,561 6,017,905 668,656  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 100,268 10,553 89,715  
c Accounting ........... 51,954 33,029 18,925  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 3,640   3,640  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 5,332,701 4,737,023 595,678 0
12 Advertising and promotion .... 315,085 283,577 31,508  
13 Office expenses ....... 546,357 273,105 273,252  
14 Information technology ...... 2,098,510 1,888,658 209,852  
15 Royalties ..        
16 Occupancy ........... 9,843,450 9,405,605 437,845  
17 Travel ............ 55,871 53,167 2,704  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 39,436 33,628 5,808  
20 Interest ........... 14,806 13,326 1,480  
21 Payments to affiliates ....... 3,863,391   3,863,391  
22 Depreciation, depletion, and amortization .. 3,265,507 2,938,956 326,551  
23 Insurance ... 1,286,733 953,088 333,645  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Research 16,943,653 16,943,653    
b Medial Supplies and PPE 3,618,014 3,510,121 107,893  
c Culinary and Food Services 4,051,975 4,051,975    
d Pharmacy 3,640,779 3,640,779    
e All other expenses 8,668,027 8,307,535 360,492 0
25 Total functional expenses. Add lines 1 through 24e 168,204,362 157,227,376 10,976,986 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2023)
Form 990 (2023)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 2,127,150 1 1,347,109
2 Savings and temporary cash investments ......... 451,212 2 442,324
3 Pledges and grants receivable, net ...... -2,752,464 3 4,047,239
4 Accounts receivable, net ............. 12,563,704 4 22,986,599
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............ 1,340,735 8 1,421,356
9 Prepaid expenses and deferred charges ...... 2,392,951 9 2,750,927
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 158,955,331
b Less: accumulated depreciation 10b 131,693,881 28,272,511 10c 27,261,450
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 3,216,458 12 3,859,164
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 117,885 15 16,421
16 Total assets. Add lines 1 through 15 (must equal line 33)... 47,730,142 16 64,132,589
Liabilities 17 Accounts payable and accrued expenses ..... 15,885,065 17 12,723,845
18 Grants payable ...   18  
19 Deferred revenue ......... 2,278,233 19 2,366,240
20 Tax-exempt bond liabilities ......... 39,800 20 21,559
21 Escrow or custodial account liability. Complete Part IV of Schedule D 332,820 21 332,820
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 131,190,777 25 149,525,525
26 Total liabilities. Add lines 17 through 25.. 149,726,695 26 164,969,989
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... -129,320,565 27 -130,845,555
28 Net assets with donor restrictions ........... 27,324,012 28 30,008,155
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... -101,996,553 32 -100,837,400
33 Total liabilities and net assets/fund balances ........ 47,730,142 33 64,132,589
Form 990 (2023)
Form 990 (2023)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
168,861,505
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
168,204,362
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
657,143
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
-101,996,553
5
Net unrealized gains (losses) on investments ...............
5
365,332
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
136,678
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
-100,837,400
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2023)
Form 990 (2023)
Additional Data


Software ID: 23017437
Software Version: 2023v6.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2
A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)
3
A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4
A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

5
An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)
6
A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7
An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)
8
A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
9
An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:
10
An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
11
12
An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.
a
Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.
b
Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.
c
Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.
d
Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.
e
Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 22,500,979 24,607,736 23,626,733 20,676,200 21,918,066 113,329,714
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 22,500,979 24,607,736 23,626,733 20,676,200 21,918,066 113,329,714
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. 0
6 Public support. Subtract line 5 from line 4. 113,329,714
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
7 Amounts from line 4.. 22,500,979 24,607,736 23,626,733 20,676,200 21,918,066 113,329,714
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 2,625,298 1,235,004 1,012,197 1,079,630 1,107,102 7,059,231
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. 261,554 367,507 401,489 356,955 30,693 1,418,198
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 0 0 0 0 0 0
11 Total support. Add lines 7 through 10 121,807,143
12
12
654,379,660
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
93.04 %
15
15
91.78 %
16a
33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) 2023 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990) 2023

Schedule A (Form 990) 2023
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2023 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2023
(iii)
Distributable
Amount for 2023
1 Distributable amount for 2023 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2023:
a From 2018.......  
b From 2019.......  
c From 2020.......  
d From 2021.......  
e From 2022.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2023 distributable amount  
i Carryover from 2018 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2023 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2023 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2023, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2023. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2024. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2019.....  
b Excess from 2020.....  
c Excess from 2021.....  
d Excess from 2022.....  
e Excess from 2023.....  
Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 


Return Reference Explanation
Schedule A (Form 990) 2023


Additional Data


Software ID: 23017437
Software Version: 2023v6.0
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2023)
Schedule B (Form 990) (2023) Page 2
Name of organization
Hebrew Rehabilitation Center
 
Employer identification number
04-2104298
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 3
Name of organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (2023)
Schedule B (Form 990) (2023)
Page 4
Name of organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2023)
Additional Data


Software ID: 23017437
Software Version: 2023v6.0
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........right arrow

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2022

Schedule C (Form 990) 2022
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2019 (b) 2020 (c) 2021 (d) 2022 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2022


Schedule C (Form 990) 2022
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
2,306
j
Total. Add lines 1c through 1i ....................................................................................................
2,306
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY HEBREW REHABILITATION CENTER MAINTAINS MEMBERSHIPS WITH CERTAIN ASSOCIATIONS, OF THE TOTAL DUES PAID, $2,306 WAS USED FOR LOBBYING FOR ELDER CARE.
Schedule C (Form 990) 2022


Additional Data


Software ID: 23017437
Software Version: 2023v6.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow  
b
Permanent endowment right arrow  
c
Term endowment right arrow  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   202,364 202,364
b Buildings ....   80,328,394 63,691,604 16,636,790
c Leasehold improvements        
d Equipment ....   77,803,081 68,002,277 9,800,804
e Other .....   621,492   621,492
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 27,261,450
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) Parent Investment Pool
3,859,164 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow 3,859,164
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
Due to Affiliates 149,525,525








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 149,525,525
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2022

Schedule D (Form 990) 2022
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part IV, Line 2b Explanation of escrow agreement 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.
Schedule D (Form 990) 2022


Additional Data


Software ID: 23017437
Software Version: 2023v6.0




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    0 0 0 0 %
b Medicaid (from Worksheet 3, column a) . . . . .     109,048,739 98,180,621 10,868,118 6.53 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . . 0 0 109,048,739 98,180,621 10,868,118 6.53 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     2,122,230 1,055,640 1,066,590 0.64 %
f Health professions education (from Worksheet 5) . . .     1,775,864 1,500 1,774,364 1.07 %
g Subsidized health services (from Worksheet 6) . . . .     2,584,916 2,228,999 355,917 0.21 %
h Research (from Worksheet 7) .     24,682,375 17,618,462 7,063,913 4.24 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     0 0 0 0 %
j Total. Other Benefits . . 0 0 31,165,385 20,904,601 10,260,784 6.16 %
k Total. Add lines 7d and 7j . 0 0 140,214,124 119,085,222 21,128,902 12.69 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing         0 0 %
2 Economic development         0 0 %
3 Community support         0 0 %
4 Environmental improvements         0 0 %
5 Leadership development and
training for community members
        0 0 %
6 Coalition building         0 0 %
7 Community health improvement advocacy     2,122,230 1,055,640 1,066,590 0.64 %
8 Workforce development         0 0 %
9 Other         0 0 %
10 Total 0 0 2,122,230 1,055,640 1,066,590 0.64 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
1,759,809
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
16,173,430
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
11,758,786
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
4,414,644
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 HEBREW REHABILITATION CENTER
1200 CENTRE STREET
Boston,MA02131
WWW.HEBREWSENIORLIFE.ORG
2290
X X   X   X        
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
HEBREW REHABILITATION CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://www.hebrewseniorlife.org/sites/default/files/2019-11/Community_Health_Needs_Assessment_2019.
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HEBREW REHABILITATION CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART VI - SUPPLEMENTAL INFORMATION
b
SEE PART VI - SUPPLEMENTAL INFORMATION
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 6
Part VFacility Information (continued)

Billing and Collections
HEBREW REHABILITATION CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HEBREW REHABILITATION CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3E Hebrew Rehabilitation Center's (HRC) 2022 Community Health Needs Assessment (CHNA) provides a prioritized description of the significant health needs of the community identified in the CHNA. The CHNA can be found at https://www.hebrewseniorlife.org/sites/default/files/2019-11/Community_Health_Needs_Assessment_2019.pdf.
Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - HEBREW REHABILITATION CENTER. IN SUPPORT OF OUR MISSION TO HONOR OUR ELDERS, 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 THE BOSTON CHNA-CHIP COLLABORATIVE SURVEY. OVER 100 GROUPS AND ORGANIZATIONS WERE INVOLVED IN DATA GATHERING ACROSS SECTORS, INCLUDING REPRESENTATIVES FROM HOUSING, TRANSPORTATION, FAITH COMMUNITY, EDUCATION, PUBLIC HEALTH, AND HEALTH CARE; ORGANIZATIONS THAT WORK WITH SPECIFIC POPULATIONS; FOCUS GROUPS WITH COMMUNITY MEMBERS NOT TYPICALLY REPRESENTED IN THESE PROCESSES (E.G., LGBTQ YOUTH, LOW-WAGE WORKERS, FAMILY MEMBERS AFFECTED BY VIOLENCE, SPECIFIC IMMIGRANT POPULATIONS, ETC.). WE LEVERAGED SEVERAL COMMUNITY PARTNERSHIPS TO COMPLETE THE SURVEY, E.G., FORMER MEMBERS OF THE MULTICULTURAL COALITION ON AGING, WHICH REPRESENTED BOSTON AND ITS IMMEDIATE SUBURBS, 2LIFE COMMUNITIES, LOCAL CHURCHES, SENIOR CENTERS, AND THE LIKE. 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 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. THE SURVEYS WERE IN THE FIELD FOR ONE MONTH. IN ADDITION TO THE SURVEY, HRC TOOK INTO ACCOUNT PUBLICLY AVAILABLE DATA SETS IN CONDUCTING ITS 2019 CHNA, INCLUDING: *2019 BOSTON CHNA - CHIP *BOSTON PUBLIC HEALTH COMMISSION "HEALTH OF BOSTON 2016-2017" *2018 MASSACHUSETTS HEALTHY AGING COMMUNITY PROFILE *THE MASSACHUSETTS DPH WEST SUBURBAN COMMUNITY NETWORK AREA (CHNA 18) THAT CONSISTS OF BROOKLINE, DEDHAM, DOVER, NEEDHAM, NEWTON, WALTHAM, WELLESLEY, AND WESTON.
Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - HEBREW REHABILITATION CENTER. OTHER ORGANIZATIONS WITH WHOM THE ORGANIZATION CONDUCTED ITS CHNA AS PART OF THE PROCESS FOR ITS MOST RECENT CHNA, HRC PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE, WHICH GATHERED COMMUNITY INPUT BASED ON THE COLLABORATIVE'S SURVEY. HRC'S SURVEY RESULTS, ALONG WITH THE OTHER MEMBERS OF THE COLLABORITVE WHO SERVE THE SAME COMMUNITY, WERE USED BY HRC AS THE BASIS FOR THE CHNA AND IMPLEMENTATION STRATEGY.
Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - HEBREW REHABILITATION CENTER. THE HRC 2022 CHNA IDENTIFIES THE FOLLOWING SIGNIFICANT HEALTH NEEDS OF SENIORS IN OUR COMMUNITY: *GERIATRIC SPECIALISTS AND SERVICES *BEHAVIORAL/MENTAL HEALTH HEALTH *IN-HOME HEALTH *SOCIAL DETERMINANTS OF HEALTH DETAILS ON HOW HRC IS WORKING TO INCREASE THE AVAILABILITY, ACCESSIBILITY, AND VISIBILITY OF SPECIALIZED GERIATRIC CARE ARE DETAILED EXTENSIVELY IN THE HRC 2022 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 THE NEED THROUGH ITS EXPERIENCE, EXPERTISE AND PROGRAMMING, AND THE CAPABILITY OF OTHER ORGANIZATIONS TO MEET THAT SAME NEED.
Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - HEBREW REHABILITATION CENTER. HEBREW REHABILITATION CENTER ALSO USES MEDICAID ELIGIBILITY TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE.
Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - HEBREW REHABILITATION CENTER. 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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address Type of Facility (describe)
1 HSL MEDICAL GROUP HRC (DEDHAM)
7000 GREAT MEADOW ROAD
Dedham,MA02026
Outpatient Clinic
2 HEBREW SENIORLIFE MEDICAL GROUP AT OC
ONE DEL POND DRIVE
Canton,MA02021
Outpatient Clinic
3 HEBREW SENIORLIFE MEDICAL GROUP AT CCB
100 CENTRE STREET
Brookline,MA02446
Outpatient Clinic
4 GREAT DAYS FOR SENIORS (BRIGHTON)
30 WALLINGFORD ROAD
Brighton,MA02135
ADULT DAY HEALTH
5
6
7
8
9
10
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM HRC is part of a group of not-for-profit affiliated entities whose sole member is Hebrew SeniorLife, Inc. HSL's 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. HRC's 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. HSL's Department of Volunteer, Youth and Community Engagement involved 200 consistent volunteers through in person and remote engagement, and an additional 300 student volunteers through our multigenerational programs. These volunteers support the Hebrew SeniorLife staff and enrich the lives of our residents and patients with program facilitation, one-on-one support and specialized initiatives. HRC's Roslindale campus makes Kosher meals, an important service to many in the Jewish community, and its kitchen provides Kosher meals for Combined Jewish Philanthropies, Ethos, and Springwell as part of their Home-Delivered Meals program. The Deanna and Sidney Wolk Center for Memory Health at Hebrew SeniorLife provides comprehensive outpatient care related to brain health, cognitive and behavioral concerns, and memory loss. We are committed to providing families and patients with answers, hope, and personalized interventions designed to preserve brain health, minimize disability, slow the progression of symptoms, and maximize quality of life. The Center for the Prevention of Elder Abuse and Neglect at Hebrew SeniorLife (CPEAN) provides safe shelter and services for older people suffering from abuse, neglect, or financial exploitation. CPEAN's work focuses in four areas: (1) physical shelter for older adults who are in an unsafe situation due to abuse; (2) supportive services to seniors experiencing abuse; (3) training and education; and (4) community awareness-building. CPEAN utilizes multiple Hebrew SeniorLife sites to provide direct client services, including the Roslindale campus. Seniors and the professional community are served through sponsored events such as various support groups and healthy aging programs, and professional sponsorships. There were 55 programs reaching 16,038 people in FY23. Through its blogs, HSL provides a wealth of free information on healthy aging to the general public, covering topics such as fighting seasonal depression and anxiety; the hazards of hoarding among seniors; what vaccines do seniors need; and tips to protect seniors from being scammed. 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. HRC's 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. Through the HSL website, 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. 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. 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. 5. 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. 6. 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. 7. 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. 8. Promising new imaging method aids fracture prediction: Deterioration in bone microstructure is an independent risk factor for fracture in older women and men. 9. We have demonstrated that noninvasive transcranial electrical brain stimulation (tES) may improve gait and mobility in patients with Parkinson's disease, and separately, enhance both memory and balance outcomes in older adults with cognitive impairment. 10. We have developed a telemedicine platform and a formal training program to enable remotely-supervised, caregiver-led administration of transcranial electrical stimulation (tES) interventions. 11. 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 contributes 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. 12. 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 Parkinson's 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. 13. 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. 14. Men with higher intakes of milk, milk+yogurt, and milk+yogurt+cheese have higher trabecular and integral volumetric bone mineral density and vertebral compressive strength. Dairy intake seems to be most beneficial for older men irrespective of serum vitamin D levels. 15. Higher dietary fiber may modestly reduce bone loss in men at the hip. 16. Among Puerto Rican adults residing in Boston, dairy food intakes were associated with higher bone mineral density, particularly those with sufficient vitamin D status. 17. Frailty is associated with major respiratory complications, particularly respiratory failure after tracheobronchoplasty. Preoperative identification of frailty may help guide decision making for patients. 18. Deficit-accumulation frailty index provides better prediction of death or poor recovery than frailty phenotype in older patients undergoing aortic valve replacement.
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM 19. Considering both multimorbidity patterns and frailty is important for identifying older adults at greater risk of mortality. Of the five patterns identified, the neuropsychiatric class was associated with lower survival across all frailty levels. 20. Older individuals treated with pravastatin could live free of coronary heart disease, on average, for an additional 18.7 days in 6 years, yet their overall survival was 33.7 days shorter than those who received usual care. 21. A 24-week multicomponent program had sustained beneficial effects up to 1 year on physical function, frailty, sarcopenia, depressive symptoms, and nutritional status in socioeconomically vulnerable older adults in rural communities. 22. In hospitalized individuals who underwent cardiac surgery, there are highly variable prescribing cultures of antipsychotics across hospitals, and a short-term use of typical antipsychotics was associated with risks of adverse events similar to those with atypical antipsychotics. 23. One in 3 older adults undergoing aortic valve replacement had depressive symptoms at baseline and a higher risk of short-term and midterm mortality. 24. A randomized trial found an advance care planning education video promotes care that is more aligned with the personal preferences of people living with advanced dementia. 25. Over the last decade, the rate of tube-feeding in advanced dementia has declined by 50% in the US. 26. Black nursing home residents with advanced dementia receive more aggressive care at the end-of-life compared to white residents 27. Development of new tools for measurement of delirium-which have helped to improve identification and management of delirium: 1. Delirium severity (CAM-S, DEL-S) 2. Burden of delirium (DEL-B) 3. Ultrabrief screening tools (UB-CAM) 28. We have found Identification of biomarkers for delirium, including inflammatory, neurodegenerative, imaging-based, and EEG-based. Specifically, abnormalities in resting-state EEG spectral power or TMS-plasticity may indicate a sub-clinical risk for post-surgery delirium. (Ross, et al. Neurophysiologic predictors...) 29. Provision of new resources to advance the field of delirium research through the NIDUS (Network for Investigation of Delirium: Unifying Scientists)-including a Research Hub of 1,751 indexed human and animal studies, 46 measurement information cards, harmonization tools, delirium bibliography (>5500 articles), NIDUS University, pilot grants, and mentorship resources. 30. High resolution peripheral quantitative computed tomography scans predict the risk for fracture even after accounting for more commonly used ways to predict fractures. 31. The number of mitochondria in older adults' muscle is associated with walking speed. 32. Drugs used to treat osteoporosis, when given to NH residents, also prevent fractures. 33. Genetic risk scores can identify which older adults do not need to undergo bone density testing for fracture risk. 34. The largest genome wide association study for bone status in 426,824 individuals, identified 518 genome-wide significant loci of which 301 were never before described. 35. A deficit accumulation frailty index captures both improvements and worsening frailty over 1 year, with measurable changes in mortality. 36. Frailty index is associated with functional decline, and predicts mortality as well as standard mortality prognostic indices. 37. COVID-19 risk factors among nursing home patients included need for high levels of care such as bowel incontinence. 38. Older adults admitted to a SNF for post-acute care with COVID-19 returned to the community and had functional improvement comparable to a COVID-19 negative group. However, those who are frailer at admission tended to have lower function at discharge. 39. Establishing and leading a National Institute of Aging-funded national infrastructure to enable pragmatic trials evaluation interventions in health care systems will improve care of persons living with dementia and their care partners. 40. A multicomponent intervention can improve appropriate prescribing of antibiotics to nursing home residents with advanced dementia and reduce the spread of antibiotic resistant bacteria 41. Disparities in care for nursing home residents with dementia can be achieved by improving the cultural competence of nursing home staff, enhancing support for low-resource facilities, standardizing advance care planning, and educating staff about evidenced-based care and shared decision-making. 42. Little population data exist for foot osteoarthritis (OA), unlike readily available information on hand, knee or hip OA. By examining the UK population for patterns of foot OA, knee OA, hand OA and hip OA and it was found that incidence of foot OA exceeded that of even knee OA, particularly so in people 75 years and older. Hip OA had a significant increased occurrence in younger adults, which is concerning for occupational demands and surgical burden. The levels of OA represent significant socioeconomic burden in the UK that may be modifiable, especially in older age groups. 43. The largest genome-wide association study (GWAS) of hallux valgus, a common structural foot disorder known as bunions that we previously showed to be highly heritable. This study identified a new GWAS locus for hallux valgus shown to be related to collagen genes. 44. The occurrence of hip fractures in the US has decreased over the past 40 years, even after taking age changes across that timeframe into account. Some have postulated that treatment for osteoporosis is the reason for this reduction in hip fractures. However, this study showed that the cause of the decline in fractures is more closely related to reductions in smoking and heavy drinking across the past 40 years. Thus, in addition to treatment of osteoporosis, these data emphasize the need to encourage public health interventions for smoking cessation and heavy drinking. 45. Foot arthritis and foot pain were common in this community sample but not as often simultaneously. Metabolic and biomechanical factors (eg, obesity, load, previous foot injury) were linked to symptomatic foot arthritis. Radiographic foot arthritis (but not symptomatic) was more common in Black than White participants. This study has prompted further work on the effects of occupation as well as gait adaptations for foot arthritis. 46. We evaluated whether increasing serum vitamin D and dietary calcium intake in older women with low vitamin D levels had a positive effect on muscle, strength, balance and function. This pilot study showed positive effects for muscle and physical function after 6-months, as well as with balance. Strength was not affected. Larger studies are planned to examine specific muscle groups and more aspects of physical function. 47. We addressed whether social networks size affected the link between a person's fear of falling and safety modifications to bathrooms to prevent falls. While it was known that fear of falling encouraged safety modifications, this work showed that social isolation reduced the likelihood of having safety modifications done, even among those older adults with fear of falling. This publication was received the graduation student award from Harvard TH Chan School of Public Health for expanding the focus on safety modifications in older adults. 48. The current medical evidence for foot and ankle osteoarthritis for the diagnosis, patterns of disease, societal burden, outcome assessment and treatments was summarized. We proposed an agenda to guide future research not only in U.S. but also to guide global work, especially among older adults. 49. Improving end of life symptom assessment and management among critically ill older adults. NIH funded studies from the Marcus Institute have provided further evidence to guide symptom palliation at end of life. A publication from this work is now required reading for maintenance of board certification in Neurocritical Care by the United Council for Neurological Subspecialties. 50. Prior falls, fractures, low grip strength, and elevated HbA1c are risk factors for fractures in older adults with type 2 diabetes; evaluation of these factors may improve opportunities for early intervention and reduce fractures in this high-risk group. 51. Vascular dysfunction with aging contributes to the deficits specifically in cortical bone density and microarchitecture. 52. 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.
Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM 53. More than 50% of the variation in thoracic spine curvature in older adults is under genetic control and shares genetic factors with other age-related spine traits including trunk muscle size, vertebral fracture, and bone mineral density. 54. Consumption of an anti-inflammatory diet (e.g., a diet consisting of nutrients like fiber, vitamin A, and vitamin C) is associated with reduced odds of frailty onset. 55. The home air temperature influences sleep, mood, cognitive function, and subjective wellbeing of older adults. The specific relationships between temperature and these health outcomes can be used to optimize the home environment based on older adults' unique and ever-changing physiology. 56. We developed a fracture prediction model to predict fracture in nursing home residents, and made it publically available on a website. The model is being used to identify nursing home residents at greatest risk for injury and target interventions to reduce the risk of injury. 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 more broadly to prevent fracture in high risk residents. 57. We conducted a series of studies including a pragmatic randomized control trial and sampling survey to identify effective strategies to increase COVID-19 vaccination rates in nursing home staff. Results have been disseminated through peer reviewed journals and also through the American Health Care Association. 58. We developed a novel remote injury prevention service that could provide recommendations to deprescribe medications associated with falls and consideration of osteoporosis medications for high risk nursing home residents. This model could be readily adopted by a nursing home chain. 59. A multifaceted state-wide COVID-19 prevention program in Massachusetts Nursing Homes reduced the incidence of COVID-19 infection, and was equally effective in Black residents or residents with dementia, who were at the highest risk of infection and its complications. 60. The Marcus Institute's data coordinating center currently supports 15 randomized clinical trials testing novel interventions for the promotion of functional independence, amelioration of lethargy and fatigue, management of chronic pain, prevention of cognitive decline, and other outcomes relevant to the health of older adults. 61. In a study of forty older adults living in nursing homes, delirium was identified in 10% of residents the day after COVID-19 vaccination. Delirium after COVID-19 vaccination all resolved without complications, which contrasts with complications of COVID-19 itself. Therefore, the risk-benefit ratio strongly supports vaccination in this population. (Mak, et al. Delirium after COVID-19 vaccination) 62. We collected and compiled a database of various measurements from 560 older adults aged 70 and older undergoing major non-cardiac surgery. With this as our source, we found that the administration of benzodiazepines to older adults hospitalized after major surgery is associated with increased post-operative delirium. Additionally, a novel and important independent risk factor for delirium was uncovered: lack of private insurance, a social determinant of health reflecting socioeconomic status. Delirium is associated with an acceleration in cognitive decline out to six years following elective surgery. (Duprey, et al. Association between perioperative medication...; Arias, et al. Social determinants of health...; Kunicki, et al. Six-Year Trajectory...) 63. Through interviews done with older adults between July - December 2020, we found that resilience factors may mitigate adverse health outcomes associated with loneliness. Larger social network size moderates the effect of loneliness on physical function, and activity engagement moderates the effect of loneliness on mental health. (Liu, et al. Association of loneliness...) 64. The Marcus Institute Health Care Services Area continues to participate in the project, Individualized Care for Older Persons with Complex Chronic Conditions (I-CARE4OLD), funded by the European Union's Horizon 2020 research and innovation program under grant agreement No. 965341. Activities include a secondary analysis of existing data from the interRAI Home Care and MDS tools to create prediction/risk models for the following outcomes: functional decline, cognitive decline, increase frailty, death, hospitalization, and decreased health-related quality of life. The profiles are examined, evaluated and validated through a longitudinal analysis of cross-national cohorts of home care and nursing home admissions from across the globe. 65. Among 59 genomic loci for skull bone mineral density, four novel loci were also implicated in a condition called craniosynostosis, which is a birth defect where sutures between bones in a child's skull close too soon
Schedule H, Part VI, Line 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.
Schedule H, Part I, Line 7g Subsidized Health Services The reported subsidized health services include costs of Great Days for Seniors Adult Day Health programs based at Hebrew Rehabilitation Center in Roslindale and at 2Life on Wallingford Road in 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.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1759809
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The costing methodology used is based primarily on the standard cost accounting methods of the Massachusetts State Center for Health Information and Analysis (CHIA) Cost Report, which follows the standard Medicare cost accounting principles of the Medicare Cost Report. To cost some specific programs, a cost to charges ratio specific to each program was developed.
Schedule H, Part II Community Building Activities 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 are low-income. As a chronic care hospital that primarily serves a community of older adult, it is our priority to keep people healthy, safe, and independent in their homes for as long as possible. HRC places great emphasis on educating older people and their loved ones on the necessary steps and care needed to remain independent. HRC does this through outpatient care at its satellite clinics in supportive senior housing, adult day health programs that help at-risk seniors stay at home, outpatient rehabilitative care designed to prevent re-hospitalizations, and many supportive programs and services that improve the physical and mental health and lives of older people. As such, HRC community activities are designed to improve the health of our inpatients and ambulatory patients, as well as older residents in the communities in which we operate. HRC's community activities are also designed to teach the next generation of caregivers, which includes our own staff and external learners across Boston. HRC contributed $160,000 to Workforce Development through career development programs, including a Certified Nurse Assistants (CNAs) Training program and dietetic internship, enabling employees to move into higher wage positions in healthcare support positions. The Nurse Assistant Training Program at Hebrew Rehabilitation Center prepares learners for continued employment as entry-level certified nurse assistants (CNA) through a combination of classroom and clinical education. This program is approved by the Massachusetts Department of Public Health (MA DPH) and emphasizes basic nursing assistant skills and related knowledge. The program includes costs of software and remedial support for English as a Second Language (ESOL), pays the candidates to attend class, and covers the certification exam, scrubs, and transportation. Upon successful completion of the MA State Competency Exam, administered through HDMaster, the CNA will be recognized on the Massachusetts Health and Human Services Licensed Professionals Registry. Twenty-one students have successfully completed the program in 2023. The Hebrew Rehabilitation Center (HRC) Dietetic Internship is a 9-month, full-time program running from September to May. We provide training in a long-term chronic care hospital with a focus on the aging population and clinical rehabilitation through a supervised practice experience designed to provide a strong theoretical knowledge base with practical experiences in sub-acute clinical nutrition, outpatient nutrition services, community nutrition, food service management, skilled nursing, and long-term medical care. Graduates of the program are eligible to sit for the Commission of Dietetic Registration credentialing examination for Registered Dietitians (RD). Upon completion of the program, dietetic interns receive a signed Verification Statement. Once dietetic interns have both a graduate degree and the DI verification statement, they are eligible to take the registration examination for dietitians as administered by the Commission on Dietetic Registration (www.cdrnet.org). HRC offers several opportunities for employees to receive scholarships to pursue their educational goals: * The Hebrew SeniorLife Scholarship Program provides employees and their families the opportunity to increase their education and skills at area programs towards any type of education advancement. In 2023, 26 scholarships for a total of $112,350. * Career Development offers scholarships to employees who are pursuing an LPN, RN, NP, or DNP pathway. In 2023, there were 8 scholarships in progress (those are recurrent annually) and 5 new scholarships awarded for a grand total of 103,043. * The NewBridge Scholarship Fund offers scholarships to support educational opportunities for qualifying employees. In 2023 $158,584.00 was disbursed to 28 NewBridge Scholars. * Orchard Cove maintains a scholarship program designed to provide qualifying employees with financial assistance to further their education, improve work performance and increase staff retention. In 2023 Orchard Cove granted 13 scholarships totaling $40,500. * The Jamie and Harold Kotler HELP Fund provides employees tangible and meaningful support through some of life's most challenging and emotional transitions. HELP (HSL's Employee Lifeline Program) was designed by a group of employees and is funded through employee and Development efforts. In 2023, The Kotler HELP Fund made grants to 17 HSL employees for a total of $11,928.32 disbursed. HRC serves as a primary training facility for 48 affiliate academic institutions in the Greater Boston area, including: Harvard Medical School, Northeastern University, Simmons University, among others. In 2023 HRC trained more than 400 students in a wide variety of health professions including: medicine, nursing; pharmacy; dentistry; physical, occupational, speech, and expressive therapies; clinical pastoral and social work. HRC seniors actively participate in the education of 164 Harvard Medical School students annually through 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. In 2023 HRC served as the nurse aide training facility for several long-term care facilities in the Boston area including; Sherrill House, The Boston Home, CareOne Brookline, and the Neville Center to help their sites overcome the nurse aide workforce challenges. In 2023, HRC's Department of Medicine's 29 physicians, 1 PhD, and 21 NPs devote 2,582 hours, the equivalent of $352,656 to teaching geriatric medicine . An additional 91 researchers and allied clinical and specialty support educators provide 26,055 hours of instruction, the equivalent of $1,129,306 annually . HRC reestablished their partnership with Edward M. Kennedy Academy for Health Careers, which opened the door for 28 high school students to gain clinical experience and hours needed to be eligible for the state certified nursing exam. HRC is currently in the process of onboarding an additional 30 students from EMK to complete their clinical rotation. The partnership has also expanded to include a summer internship to help students explore careers in healthcare. HRC also trained three dental residents from Boston University School of Dental Medicine on geriatric dental medicine. HSL's Chaplaincy Institute is a nationally respected leader in chaplaincy education with expertise in Jewish spiritual care, geriatrics, dementia, trauma-informed care, the nonreligious, and LGBTQ aging. The Institute trains 20 graduate level students in spiritual care (Clinical Pastoral Education, accredited by The Association for Clinical Pastoral Education) over the course of a year. Other economic development, physical improvements, and environmental benefits were identified but not specifically costed in Part II.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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 HRC'S OVERALL COST TO CHARGE RATIO.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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. PLEASE SEE FOOTNOTE ON PAGE 17 OF THE AUDITED FINANCIALSTATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE HOSPITAL ACHIEVED A SLIGHT MARGIN ON MEDICARE THAT HELPS DEFRAY THE LOSS ON MEDICAIDLONG TERM CHRONIC CARE. THE GAIN IS DUE IN PART TO THE SITE NEUTRAL PAYMENT PROVISION THAT WERE TEMPORARILY WAIVED DURING THE PHE. ALSO, THE LTAC VENT PROGRAM WAS ENDED, AND VENTWEANED PATIENTS WERE MOVED TO LONG TERM CHRONIC FLOORS. HRC CONTINUES TO TREAT ACUTE CASES, BUT THE LENGTH OF STAY IS NOW IN LINE WITH THE DRG GEOMETRIC MEAN LENGTH OF STAY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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.
Schedule H, Part V, Section B, Line 16a FAP website - HEBREW REHABILITATION CENTER: Line 16a URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
Schedule H, Part V, Section B, Line 16b FAP Application website - HEBREW REHABILITATION CENTER: Line 16b URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website - HEBREW REHABILITATION CENTER: Line 16c URL: SEE PART VI - SUPPLEMENTAL INFORMATION;
Schedule H, Part VI, Line 2 Needs assessment In 2022, HRC updated its 2019 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 Geriatric Specialists and Services, Behavioral/Mental Health, In-Home Health, and Social Determinants of Health. In response to these findings, HRC developed an implementation plan documenting goals, our current services, and our action plan and timeline. HRC completed its 2022 Community Health Needs Assessment (CHNA) in September 2022, which may be found at https://www.hebrewseniorlife.org/about-us/community-partnerships
Schedule H, Part VI, Line 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.
Schedule H, Part VI, Line 4 Community information HRC honors diversity and provides health care services to all without regard to religion, culture, race, 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 and Canton. 95% of the patients of Hebrew Rehabilitation Center and its satellite medical clinics are on Medicare and are older than 65. In summary, our primary community is comprised of seniors and low-income 65+, in certain neighborhoods of Boston and the towns of Brookline, Chestnut Hill, Dedham, Needham, Newton, Wellesley, Weston, and Westwood.
Schedule H, Part VI, Line 5 Promotion of community health Hebrew Rehabilitation Center (HRC) operates a 675-bed licensed chronic care hospital consisting of a 455-bed facility in the Roslindale section of Boston, MA and a 220-bed satellite facility in Dedham, MA (also known as the HRC-NewBridge, on the campus of the continuing care retirement community operated by NewBridge on the Charles, Inc.). HRC-NewBridge leases space from NewBridge on the Charles, Inc., an affiliated entity, to operate the 220-bed satellite. HRC also operates two outpatient clinic satellites on Hebrew SeniorLife campuses: NewBridge on the Charles, Dedham, MA, and Orchard Cove, Canton, MA. HRC is accredited by CARF (Commission on Accreditation of Rehabilitation Facilities) and is the only geriatric specialist affiliated with Harvard Medical School. Services provided by HRC include long-term chronic care, medically complex care, post-acute rehabilitative care, primary and specialty care, outpatient clinics, outpatient therapy services, and adult day care. HRC is part of the Hebrew SeniorLife health care continuum, which includes home health care and private care, hospice care, and community palliative care. Hebrew SeniorLife, Inc., is HRC's sole member and also provides management services to HRC. Hebrew SeniorLife is a Harvard Medical School affiliate and a national thought leader in aging, 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 HSL's 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.
Schedule H, Part VI, Line 7 State filing of community benefit report MA
Schedule H (Form 990) 2023
Additional Data


Software ID: 23017437
Software Version: 2023v6.0
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2023

Schedule J (Form 990) 2023
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1JAMES D HART
SECRETARY & CHIEF FIN. OFFICER
(i)

(ii)
0
-------------
373,170
0
-------------
123,806
0
-------------
791
0
-------------
5,800
0
-------------
76,799
0
-------------
580,366
0
-------------
0
2STEVEN LANDERS
PRESIDENT AND CEO (7/2023 - 5/2024)
(i)

(ii)
0
-------------
432,801
0
-------------
405,333
0
-------------
38
0
-------------
0
0
-------------
39,841
0
-------------
878,013
0
-------------
0
3LOUIS J WOOLF
PRESIDENT AND CEO (THRU 7/2023, RETURNED 5/2024 TO CURRENT)
(i)

(ii)
0
-------------
515,106
0
-------------
511,393
0
-------------
0
0
-------------
5,800
0
-------------
79,103
0
-------------
1,111,402
0
-------------
0
4MARY MOSCATO FACHE
PRESIDENT, HSL HC SVCS. & HRC
(i)

(ii)
491,930
-------------
0
225,816
-------------
0
0
-------------
0
5,800
-------------
0
41,710
-------------
0
765,256
-------------
0
0
-------------
0
5KIMBERLY J BROOKS
CHIEF OP. OFFICER, SEN LIVING
(i)

(ii)
0
-------------
325,057
0
-------------
50,000
0
-------------
143
0
-------------
5,800
0
-------------
65,384
0
-------------
446,384
0
-------------
0
6MANDEL I ERNEST MD
CHIEF MEDICAL OFFICER
(i)

(ii)
373,832
-------------
0
0
-------------
0
0
-------------
0
5,800
-------------
0
57,547
-------------
0
437,179
-------------
0
0
-------------
0
7RACHEL LERNER ESQUIRE
GEN. CNSL. & CHIEF COMP. OFF
(i)

(ii)
0
-------------
273,984
0
-------------
117,032
0
-------------
65
0
-------------
5,800
0
-------------
68,201
0
-------------
465,082
0
-------------
0
8LEWIS LIPSITZ MD
DIR, HMIFAR & CHIEF ACAD. OFF
(i)

(ii)
378,077
-------------
0
37,515
-------------
0
0
-------------
0
5,800
-------------
0
87,918
-------------
0
509,310
-------------
0
0
-------------
0
9KATELYN QUYNN
CHIEF DEV OFF & VP BOARD REL
(i)

(ii)
0
-------------
380,170
0
-------------
0
0
-------------
411
0
-------------
5,800
0
-------------
53,337
0
-------------
439,718
0
-------------
0
10TAMMY B RETALIC MS RN
CHIEF NURSING OFF. & VP PCS
(i)

(ii)
296,067
-------------
0
0
-------------
0
268
-------------
0
5,095
-------------
0
75,175
-------------
0
376,605
-------------
0
0
-------------
0
11ERIC ROGERS
CHIEF INFORMATION OFFICER
(i)

(ii)
0
-------------
284,248
0
-------------
66,737
0
-------------
149
0
-------------
5,800
0
-------------
81,389
0
-------------
438,323
0
-------------
0
12SARAH L SYKORA
CHIEF COMM. & PLAN OFFICER
(i)

(ii)
0
-------------
251,220
0
-------------
58,494
0
-------------
90
0
-------------
4,128
0
-------------
67,531
0
-------------
381,463
0
-------------
0
13KATHYRN W TASKER
CHIEF SPONSORED AWARDS OFFICER
(i)

(ii)
235,771
-------------
0
41,916
-------------
0
143
-------------
0
5,767
-------------
0
78,512
-------------
0
362,109
-------------
0
0
-------------
0
14LINDA THOMPSON
CHIEF PEOPLE OFFICER
(i)

(ii)
0
-------------
287,555
0
-------------
67,100
0
-------------
427
0
-------------
5,800
0
-------------
71,567
0
-------------
432,449
0
-------------
0
15INNOKENTIY BAKAEV
MEDICAL DIRECTOR, RSU AND LTCH
(i)

(ii)
295,160
-------------
0
0
-------------
0
62
-------------
0
3,905
-------------
0
56,364
-------------
0
355,491
-------------
0
0
-------------
0
16SHARON K INOUYE
SR. SCIENTIST/DIRECTOR
(i)

(ii)
353,353
-------------
0
10,556
-------------
0
791
-------------
0
5,800
-------------
0
33,961
-------------
0
404,461
-------------
0
0
-------------
0
17RASHMI KAURA
CLINICAL DIRECTOR, PALLIATIVE CARE
(i)

(ii)
295,391
-------------
0
0
-------------
0
143
-------------
0
5,800
-------------
0
30,547
-------------
0
331,881
-------------
0
0
-------------
0
18ERAN D METZGER
MEDICAL DIRECTOR OF HSL PSYCHIATRY
(i)

(ii)
296,641
-------------
0
10,000
-------------
0
411
-------------
0
5,460
-------------
0
48,082
-------------
0
360,594
-------------
0
0
-------------
0
19ALVARO PASCUAL-LEONE
SENIOR SCIENTIST
(i)

(ii)
318,954
-------------
0
0
-------------
0
396
-------------
0
5,800
-------------
0
58,889
-------------
0
384,039
-------------
0
0
-------------
0
Schedule J (Form 990) 2023

Schedule J (Form 990) 2023
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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.
Schedule J, Part I, Line 4a Severance or change-of-control payment Mary Moscato received a severance payment of $96,566. This payment was treated as taxable wages and included in her calendar year 2023 form W-2.
Schedule J (Form 990) 2023

Additional Data


Software ID: 23017437
Software Version: 2023v6.0
SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 7 1,076,751 Market value
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
0
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2023)
Schedule M (Form 990) (2023)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - Number of Contributions
Schedule M (Form 990) (2023)

Additional Data


Software ID: 23017437
Software Version: 2023v6.0
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Return Reference Explanation
Form 990, Part VI, Line 6 Classes of members or stockholders HSL is the sole member of the organization.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The HSL board chair appoints the members of the HRC board of directors with the advice and consent of the HSL board members.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Classes of persons, decisions requiring approval and type of voting rights decisions involving major changes in organization, debt placement, sale of assets, etc. are also subject to approval by HSL's board. Ultimately, governance of the corporation rests with the board of directors of the company's sole corporate member, HSL.
Form 990, Part VI, Line 11b Review of form 990 by governing body Preparation of the Form 990 begins internally with HSL staff and Forvis Mazars preparing the form with information from HSL staff and the HSL audit. All forms 990 and 990-T of the affiliates of HSL (HSL is the sole corporate member of each affiliate) will be reviewed prior to filing by the audit & compliance committee of HSL. 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 five days time in which to view the full returns prior to their filing.
Form 990, Part VI, Line 12c Conflict of interest policy The board of HRC voted to adopt the HSL 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 HSL 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 HRC is a charitable organization and that in order to maintain its tax-exempt status, HRC 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 HSL conflicts committee is responsible or 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 HSL 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.
Form 990, Part VI, Line 15b Process to establish compensation of other employees The compensation committee of the HSL 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 HSL and its affiliates. The full HSL board further reviewed and approved the compensation of the officers, key employees and highly compensated employees of HSL and its affiliates. The review and approval procedures outlined above were last completed in 2018. Additionally, the organization completed a walk through of senior leadership compensation with an independent, expert consultant, during 2019. 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.
Form 990, Part VI, Line 19 Required documents available to the public The organization's tax returns are available at www.guidestar.org. 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 Street, Boston MA, 02131 or by telephone and e-mail.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers to Affiliates - 136678;
Form 990, Part I, Line 1 Organization's Mission As an affiliate of Hebrew Seniorlife, Inc. (HSL), the mission of the Hebrew Rehabilitation Center (HRC) is to honor our elders, by respecting and promoting their independence, 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 or 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
Form 990, Part III, Line 4a Three Largest Program Services 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. 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 do, rather than on what they can't, thereby 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. Patients also 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 of counselors, doctors, nurses, health aides, and therapists, accomplish this by providing medical information, asking questions, and supporting the patient and family's decisions. The palliative care team also takes measures to provide medical help, massage, music therapy, and other interventions to make the patient's journey as comfortable as possible.
Form 990, Part I, Line 22 Description of Negative Net Assets THE DECREASE IN UNRESTRICTED NET ASSETS AND UNRESTRICTED NET DEFICIT AT HRC FOR FISCAL YEAR 2024 REFLECTS THE INCLUSION OF EXPENSES THAT ARE SUPPORTED BY HRC'S PARENT, 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 AND HRC'S COMBINED BALANCE SHEET, WITH $130 MILLION IN UNRESTRICTED NET ASSETS AT 9/30/24.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


Additional Data


Software ID: 23017437
Software Version: 2023v6.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
Hebrew Rehabilitation Center
 
Employer identification number

04-2104298
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Hebrew Seniorlife Hospice Care Inc
1200 Centre Street

Boston,MA02131
46-1309228
Elder Housing MA 501(c)(3) 10 HSL
 
Yes
 
(2)Newbridge on The Charles Inc
1200 Centre Street

Boston,MA02131
38-3707573
Elder Housing MA 501(c)(3) 10 HSL
 
Yes
 
(3)Orchard Cove Inc
One Del Pond Drive

Canton,MA02021
22-3080006
Cont. Car MA 501(c)(3) 10 HSL
 
Yes
 
(4)HRCA Senior Housing Inc
1200 Centre Street

Boston,MA02131
04-2765428
Elder Housing MA 501(c)(3) 10 HSL
 
Yes
 
(5)CTR Communities of Brookline Inc
1200 Centre Street

Boston,MA02131
01-0569404
Elder Housing MA 501(c)(3) 10 HSL
 
Yes
 
(6)HRCA Brookline Housing 112-120 Centre Court Inc
1200 Centre Street

Boston,MA02131
03-0372998
Elder Housing MA 501(c)(3) 10 HSL
 
Yes
 
(7)HRCA Housing for Elderly Inc
1200 Centre Street

Boston,MA02131
04-2543731
Elder Housing MA 501(c)(3) 10 HSL
 
Yes
 
(8)HRCA Brookline Housing 108 Centre Street Inc
1200 Centre Street

Boston,MA02131
81-0612222
Elder Housing MA 501(c)(3) Type II HSL
 
Yes
 
(9)Hebrew Seniorlife Inc
1200 Centre Street

Boston,MA02131
90-0183119
Mgmt Services MA 501(c)(3) 7 NA
 
 
No
(10)Hebrew Seniorlife Affiliated Medical Group Inc
1200 Centre Street

Boston,MA02131
82-3654673
Physician Svc MA 501(c)(3) 10 HSL
 
Yes
 
(11)HRCA Brookline Housing 1550 Beacon Plaza Inc
1201 Centre Street

Boston,MA02131
01-0569403
Elder Housing MA 501(c)(3) 10 HSL
 
Yes
 
(12)HEBREW SENIORLIFE SOLUTIONS INC
1200 Centre St

Roslindale,MA02131
93-4963180
Elder Housing MA 501(c)(3) 10 HSL
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) CCB Cohen 112 Centre MM LLC

1200 Centre St
Boston,MA02131
82-1763395
Elder Housing MA NA
 
N/A 0 0   No 0   No 0 %
(2) HSL Fireman Operating LP

640 N Main St
Randolph,MA02368
84-4212813
Elder Housing MA NA
 
N/A 0 0   No 0   No 0 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) HSL Payroll Services Inc

100 Centre Street
Brookline,MA02446
04-2684823
Payroll Services MA NA
 
C Corporation 0 0 0 %   No
(2) Hebrew Seniorlife Reage Solutions Inc

1200 Centre Street
Boston,MA02131
81-4906048
Mgmt & Cons. Svcs DE NA
 
C Corporation 0 0 0 %   No










Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2023
Schedule R (Form 990) 2023
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2023

Additional Data


Software ID: 23017437
Software Version: 2023v6.0