Community Benefit Insight - Tax-exempt hospital

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Hebrew Home & Hospital

Hebrew Home & Hospital

One Abrahams Blvd
West Hartford, CT 06117

Bed count	45	Medicare provider number	070040	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 060646672

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

0.61%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 0 0 %
Medicaid as % of operating expenses	$ 59,030 0.57 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 3,100 0.03 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 5,204 0.05 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 5,204 0.05 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 5,204 100 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 525,596 5.12 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 5,000 0.95 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of 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 (Expenses $ 8393262 including grants of $ 0) (Revenue $ 11050936)
BEHAVIORAL HEALTH UNIT (BHU). ON OUR 38-BED HOSPITAL BHU, WE TREAT CHRONIC MENTAL HEALTH ISSUES THAT ARE EXACERBATED BY AGE, NEW BEHAVIORAL SYMPTOMS AND/OR THE ONSET OF DEMENTIA. WE MANAGE CHALLENGING BEHAVIORS WITH THE GOAL OF BRINGING PATIENTS BACK TO A STABLE BASELINE SO THAT THEY CAN RETURN TO THEIR PRIOR LIVING SETTINGS, WHETHER THAT IS IN THE COMMUNITY, IN AN ASSISTED LIVING FACILITY, OR A LONG TERM CARE NURSING HOME. IN THE CASE OF THE LATTER TWO SETTINGS, WE WORK COLLABORATIVELY WITH STAFF TO HELP THEM UNDERSTAND HOW THEY CAN HELP AVOID ENVIRONMENTAL TRIGGERS TO FUTURE EXACERBATIONS AND BEHAVIORAL DISTURBANCES. OUR PSYCHIATRISTS SEE EVERY PATIENT EVERY DAY. A GERIATRICIAN IS ASSIGNED TO EVERY PATIENT TO EVALUATE AND TREAT MEDICAL ISSUES. INDIVIDUAL AND GROUP THERAPIES ARE PROVIDED DAILY; AND SUPPORT GROUPS FOR FAMILIES ARE ALSO AN INTEGRAL PART OF THE CARE PLAN. CONDITIONS WE TREAT INCLUDE CHRONIC PSYCHIATRIC ISSUES, BIPOLAR DISORDER, DELUSIONAL DISORDER, ALZHEIMER'S DISEASE WITH BEHAVIORAL DISTURBANCES, DEPRESSION, SCHIZOPHRENIA AND PARANOID DISORDER. OUR HOSPITAL SERVICES ARE MEDICARE AND MEDICAID CERTIFIED.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

THE HOSPITAL AT HEBREW HEALTH CARE
PART V, SECTION B, LINE 3J: EXPAND RESIDENT MEMBER FUND TO ASSIST IN FINANCIAL AID FOR RESIDENTS IN NEED. TRIAL A DRIVING SERVICE TO ASSIST SENIORS WITH HEALTHCARE RELATED APPOINTMENTS. THESE IMPLEMENTATION ITEMS WERE TEMPORARILY SUSPENDED DUE TO THE OUTBREAK OF COVID 19 WHICH CAUSED DISRUPTION TO ALL HOSPITAL ACTIVITIES.

THE HOSPITAL AT HEBREW HEALTH CARE
PART V, SECTION B, LINE 5: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS DISTRIBUTED TO COMMUNITY MEMBERS, ADULT CARE COORDINATORS AND FAMILY SERVICES INCLUDING: SENIOR ADULT AND FAMILY SERVICES FOR THE TOWN OF MANCHESTER, NCAAA, CENTER FOR HEALTHY AGING, VARIOUS SENIOR CENTERS IN CENTRAL CONNECTICUT AND THE MANCHESTER COMMUNITY SERVICES COUNCIL.

THE HOSPITAL AT HEBREW HEALTH CARE
PART V, SECTION B, LINE 11: THE HOSPITAL HAS INDENTIFIED 4 SIGNIFICANT NEEDS IT PLANS TO ADDRESS:1. DEVELOP EDUCATIONAL OPPORTUNITIES ABOUT COGNITIVE IMPAIRMENT;2. OFFER SEMINARS ABOUT HOW TO DOWNSIZE IN ORDER TO MOVE INTO INDEPENDENT/ASSISTED LIVING FACILITIES;3. DEVELOP PROGRAMS TO EDUCATE PEOPLE ABOUT MEDICARE, PROBATE AND ESTATE PLANNING; AND, 4. HELP PEOPLE DEVELOP AND UNDERSTAND APPROPRIATE ACTIVITIES FOR PEOPLE WITH COGNITIVE IMPAIRMENT.THE HOSPITAL PLANS TO ADDRESS THESE NEEDS THROUGH THE CREATION OF PROGRAMS AND COLLABORATING WITH PARTNERS.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
THE ORGANIZATION USED THE RATIO OF PATIENT CARE COST TO CHARGES.

PART I, LINE 7, COLUMN (F):
THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 520,596.

PART II, COMMUNITY BUILDING ACTIVITIES:
HEBREW SENIOR CARE PROVIDES COMMUNITY BENEFITS TO THE GREATER HARTFORD REGION. OUR ORGANIZATION PROVIDES INFORMATION TO THE COMMUNITY IN SEVERAL WAYS:- OUR VP OF MARKETING HAS A CABLE ACCESS SHOW THAT AIRS ON A MONTHLY BASIS. THE CABLE ACCESS SHOW FEATURES HEALTH PROFESSIONALS WHO CAN PROVIDE ADVICE REGARDING SENIOR HEALTH AND WELLNESS. - OUR ORGANIZATION RUNS DRIVES FOR A VARIETY OF NEEDS: FOOD, COATS AND SCHOOL SUPPLIES FOR LOCAL SCHOOLS IN HARTFORD. -WE OFFER SUPPORT GROUPS FOR FAMILIES STRUGGLING WITH AGING PARENTS OR SPOUSES WHO MAY HAVE DEMENTIA.

PART III, LINE 2:
THE ORGANIZATION ESTIMATES BAD DEBT BASED ON HISTORICAL EXPERIENCE AS WELL AS ACTUAL ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE.

PART III, LINE 3:
THE HOSPITAL SERVES THE ELDERLY POPULATION OF THE GREATER HARTFORD CONNECTICUT AREA WHICH IS A VULNERABLE POPULATION WHO OFTEN LIVE ON A FIXED INCOME. IN ORDER TO ENSURE QUALITY CARE TO THIS DEMOGRAPHIC, THE HOSPITAL INCURS BAD DEBT EXPENSE WHEN THE INDIVDIUALS CAN NOT PAY. SINCE THERE IS AN IDENTIFIED NEED TO PROVIDE SERVCIES TO THE ELDERLY, THE HOSPITAL BELIEVES THE AMOUNT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. THE HOSPITAL WAS NOT ABLE TO ESTIMATE THE PERCENTAGE OF THE BAD DEBT RELATED TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE; HOWEVER, SOME PORTION OF THE BAD DEBT RELATES TO THESE INDIVIDUALS.

PART III, LINE 4:
THERE IS NO BAD DEBT FOOTNOTE IN THE FINANCIAL STATEMENTS BUT THE METHOD FOR EVALUATING ACCOUNTS RECEIVABLE IS INCLUDED IN NOTE 2 ON PAGE 15 OF THE ATTACHED FINANCIAL STATEMENTS.

PART III, LINE 8:
THE HOSPITAL SERVES THE ELDERLY POPULATION OF THE GREATER HARTFORD CONNECTICUT AREA WHICH IS A VULNERABLE POPULATION WHO OFTEN LIVE ON A FIXED INCOME. IN ORDER TO ENSURE QUALITY CARE TO THIS DEMOGRAPHIC. THE HOSPITAL WAS NOT ABLE TO ESTIMATE THE MEDICARE ALLOWABLE COSTS BUT BELIEVES THE SERVICES RESULTED IN A LOSS. SINCE MEDICARE DOES NOT FULLY COVER THE COST OF THE SERVICES PROVICED AND THERE IS AN IDENTIFIED NEED TO PROVIDE SERVCIES TO THE ELDERLY, THE HOSPITAL BELIEVES THE SHORTFALL AMOUNT SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.

PART III, LINE 9B:
SPECIAL CONSIDERATION IS MADE ON CASE BY CASE BASIS IF PATIENT MEETS THE CHARITY CARE POLICY GUIDELINES AS WELL AS ALL TROUBLED ACCOUNTS.

PART VI, LINE 2:
THE COMMUNITY NEEDS ASSESSMENT SURVEY SENT TO ORGANIZATIONS THAT SERVICE GERIATRIC POPULATION OF WEST HARTFORD SURROUNDING COMMUNITIES. THE SURVEY IDENTIFIES THE RESPONDENTS, THE MOST SIGNIFICANT HEALTH NEEDS/ISSUES, GROUPS/INDIVIDUALS THAT COULD BE EFFECTIVE IN HELPING THOSE NEEDS AND ROLE HEBREW HEALTH CARE CAN PROVIDE.

PART VI, LINE 3:
FINANCIAL AID APPLICATIONS CAN BE CONSIDERED ANYTIME FROM THE POINT OF SERVICE TO THE BILL BEING RECEIVED. THE FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO PATIENTS WHOSE FAMILY INCOME IS 200 PERCENT OR LESS OF THE FEDERAL POVERTY GUIDELINES AND INDIVIDUAL FINANCIAL CIRCUMSTANCES WILL BE USED IN CONJUNCTION WITH FEDERAL POVERTY GUIDELINES FOR DETERMINATION OF INDIVIDUAL FINANCIAL ASSISTANCE PROGRAM WRITE-OFFS. WHEN AN APPLICATION FOR FINANCIAL ASSISTANCE AND CHARITY CARE IS DENIED, THE RESPONSIBILITY PARTY SHALL RECEIVE A WRITTEN NOTICE OF DENIAL WHICH INCLUDES THE REASON OR REASONS FOR THE DENIAL; THE DATE OF THE DECISION; AND THE INSTRUCTIONS FOR APPEAL OR RECONSIDERATION. THE LETTER ALSO INCLUDES A DESCRIPTION OF THE INFORMATION THAT WAS REQUESTED AND NOT PROVIDED IF THIS IS THE CASE. THE CFO AND/OR ADMINISTRATOR WILL REVIEW ALL APPEALS. IF THIS REVIEW REAFFIRMS THE PREVIOUS DENIAL OF FINANCIAL ASSISTANCE AND CHARITY CARE, WRITTEN NOTIFICATION WILL BE SENT TO THE RESPONSIBLE PARTY AND ALL OTHER STATE LAWS REGARDING NOTIFICATION WILL BE FOLLOWED.

PART VI, LINE 4:
OUR BEHAVIORAL HEALTH UNIT WAS OPENED IN 2005, WE HAVE SPECIALIZED IN THE CARE AND TREATMENT OF OLDER ADULTS AGE 50+ WHO ARE EXPERIENCING BEHAVIORAL HEALTH DISORDERS. THE COMMUNITY SERVED BY HEBREW SENIOR CARE'S GERIATRIC BEHAVIORAL HEALTH HOSPITAL IS THE SENIOR POPULATION (AGE 50 AND OLDER) IN THE GREATER HARTFORD CONNECTICUT AREA. THIS IS THE GEOGRAPHIC AREA MOST COMMONLY SERVED BY HEBREW SENIOR CARE'S BEHAVIORAL HEALTH HOSPITAL. HOWEVER, MANY INDIVIDUALS SERVED BY THE GERIATRIC BEHAVIORAL HEALTH HOSPITAL COME FROM THROUGHOUT THE STATE OF CONNECTICUT DUE TO THE LACK OF BEHAVIORAL HEALTH BEDS DEDICATED TO SENIORS.

PART VI, LINE 5:
HEBREW SENIOR CARE PROVIDES COMMUNITY BENEFITS TO THE GREATER HARTFORD REGION. DEEPLY DEVOTED LAY LEADERSHIP, A RESPONSIBILITY PROUDLY HANDED DOWN FROM GENERATION TO GENERATION, BEST DEFINES THE COMMITMENT OF HEBREW SENIOR CARE'S BOARD OF TRUSTEES. THE BOARD OF TRUSTEES PROVIDES FISCAL OVERSIGHT WHILE HONORING THE TENETS OF JUDAISM PROVIDING CARE TO THOSE WHO CAME BEFORE US REGARDLESS OF ONE'S ABILITY TO PAY AND ONE'S RELIGIOUS AFFILIATION. HEBREW SENIOR CARE'S LAY LEADERSHIP WORKS IN PARTNERSHIP WITH THE TALENTED STAFF TO ENSURE SERVICE LINES REMAIN RELEVANT IN THIS FAST-CHANGING HEALTH CARE ENVIRONMENT, AND THAT STANDARDS FOR CARE REMAIN AT THE HIGHEST LEVELS. THE BOARD OF DIRECTORS IS A VOLUNTEER BOARD COMPRISED OF PROMINENT MEMBERS OF THE COMMUNITY. THE HOSPITAL ALSO HAS AN OPEN MEDICAL STAFF ALLOWING COMMUNITY PHYSICIANS TO SERVE THEIR PATIENTS.

PART VI, LINE 6:
THE STORY OF HEBREW SENIOR CARE CONTINUES TO BE ONE OF COMMITMENT TO SENIOR HEALTH AND WELLNESS, FAITHFULNESS TO OUR JEWISH HERITAGE, AND RESPONSIVENESS TO THE COMMUNITY'S NEEDS. SINCE 1901, HEBREW SENIOR CARE HAS DEVOTED ITSELF TO THE CARE OF OLDER ADULTS AND HAS PROVIDED SENIOR SERVICES THROUGH THE JEWISH TRADITION OF CARING FOR THE ELDERLY WITH COMPASSION AND NOT FORSAKING THE ELDERLY WHEN THEIR STRENGTH FAILS. HEBREW SENIOR CARE SERVICES ARE OPEN TO BOTH THE JEWISH COMMUNITY AND THE COMMUNITY AT LARGE.HEBREW SENIOR CARE HAS SIX AFFILIATES: HEBREW HOME & HOSPITAL - THE ORGANIZATION OPERATES A 38-BED BEHAVIORAL HEALTH HOSPITAL TYPICALLY FOR INDIVIDUALS EXPERIENCING ACUTE PSYCHIATRIC SYMPTOMS OR BEHAVIORS THAT INTERFER WITH THEIR CARE. WHETHER AN OLDER ADULT IS EXPERIENCING DEPRESSION, DEMENTIA ACCOMPANIED BY BEHAVIORAL DISTURBANCES OR SCHIZOPHRENIA, ANXIETY, BIPOLAR DISORDER OR ALCOHOL WITHDRAWAL THE BEHAVIORAL HEALTH HOSPITAL AT HEBREW SENIOR CARE ARE EXPERTS IN SERVING THIS VULNERABLE POPULATION. THE BEHAVIORAL HEALTH HOSPITAL AT HEBREW SENIOR CARE SPECIALIZES IN SERVING OLDER ADULTS (50 YEARS AND OLDER)HEBREW COMMUNITY SERVICES, INC. - THIS ORGANIZATION PROVIDES A SENIOR DAY CARE CENTER AND AN ASSISTED LIVING SERVICES AGENCY. HEBREW LIFE CHOICES, INC. - THIS ORGANIZATION PROVIDES INDEPENDENT AND ASSISTED SENIOR LIVING.HEBREW HEALTH CARE FOUNDATION, INC. - THIS ORGANIZATION PROVIDES FUNDRAISING SERVICES FOR OTHER ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM.HEBREW HEALTH CARE, INC. - THIS ORGANIZATION PROVIDES ADMINISTRATIVE, OVERSIGHT AND FUNDRAISING SERVICES FOR OTHER ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM.CONNECTICUT GERIATRIC SPECIALTY GROUP, PC - THIS ORGANIZATION OPERATES A PHYSICIAN PRACTICE.PART VI, LINE 7 THE HOSPITAL OPERATES IN THE STATE OF CONNECTICUT WHICH DOES NOT REQUIRE REPORTING.

Operating expenses	$ 10,269,181
Total amount spent on community benefits as % of operating expenses	$ 62,130 0.61 %