2024-08-15T10:54:38-05:00 2023-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2022-10-01 061310204 HEBREW HEALTH CARE FOUNDATION INC HEBR 8602182300 1 ABRAHMS BLVD WEST HARTFORD CT 06117 DENISE PETERSON PRESIDENT & CEO 8602182300 2024-08-14 1 1 MARY ANTONETTI P00431862 2037819600 2024-08-14 2022 2024-08-08 14:25:15Z DENISE PETERSON 1 ABRAHMS BLVD WEST HARTFORD CT 06117 861413 0 X HEBREWSENIORCARE.ORG X 1984 CT MANAGING ENDOWMENT FUNDS FOR HEBREW HEALTH CARE AND AFFILIATES. 8 8 0 8 0 0 3327868 627626 0 0 227318 133787 0 0 3555186 761413 1343225 0 0 0 0 0 0 0 12167 49448 40517 1392673 40517 2162513 720896 5528612 6498364 1198640 1172169 4329972 5326195 MANAGING ENDOWMENT FUNDS FOR HEBREW HEALTH CARE AND AFFILIATES. 0 0 THE CORPORATION INVESTS AND MAINTAINS PERMANENT ENDOWMENT FUNDS ON BEHALF OF HEBREW HEALTH CARE, INC. AND ITS AFFILIATES, AND ANNUALLY PROVIDES DESIGNATED SUMS TO THE OPERATIONAL INCOME OF SAID FACILITIES. 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X FRED DALICANDRO 8602128558 1 ABRAHMS BLVD WEST HARTFORD CT 06117 PAMELA ATWOOD BOARD MEMBER 0.05 0.20 X 0 0 0 ILENE KOHLUN BOARD MEMBER 0.05 0.20 X 0 0 0 JEFFREY BLAU BOARD MEMBER 0.05 0.20 X 0 0 0 CARLOS SALMON BOARD MEMBER 0.05 0.20 X 0 0 0 RICHARD RUBENSTEIN BOARD MEMBER 0.05 3.05 X 0 0 0 JEFFREY S HOFFMAN BOARD MEMBER 0.05 0.20 X 0 0 0 RICHARD ROBINSON BOARD MEMBER 0.05 3.05 X 0 0 0 GARY S GREENBERG CHAIRMAN 0.05 3.10 X X 0 0 0 DENISE PETERSON PRESIDENT & CEO 1.00 39.00 X 0 304862 20293 ROBERT LEAKE CFO (UNTIL 12/2022) 1.00 40.00 X 0 146080 0 0 450942 20293 0 0 1 0 0 358563 269063 627626 49095 49095 184692 100000 84692 84692 84692 761413 0 0 133787 3952 3952 30498 24398 6100 FUNDRAISING EXPENSES 6067 6067 40517 0 28350 12167 371627 115988 499 946 3182231 2975165 1974255 3406265 5528612 6498364 6618 6618 100000 1092022 1165551 1198640 1172169 X 1702525 3013204 2627447 2312991 4329972 5326195 5528612 6498364 X 720896 303797 -28470 X X 0 1 X 1 0 X X 3 HEBREW HEALTH CARE INC 043750515 7 1 0 0 HEBREW HOME & HOSPITAL 060646672 10 1 0 0 HEBREW COMMUNITY SERVICES INC 223182447 10 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART IV, SECTION C, LINE 1 THE ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS ARE COMMONLY CONTROLLED. ALL ORGANIZATIONS HAVE THE SAME OFFICERS AND TOP MANAGEMENT OFFICIALS. HEBREW HEALTH CARE INC ("HHC") AND HEBREW HOME AND HOSPITAL ("HHH") HAVE 10 MEMBERS ON THEIR BOARD. ALL OF THE DIRECTORS OF THE FOUNDATION ARE ALSO DIRECTORS OF HHH. ALL OF THE DIRECTORS OF FOUNDATION ARE ALSO DIRECTORS OF HHC. HEBREW COMMUNITY SERVICES ("HCS") AND THE FOUNDATION HAVE A MAJORITY OVERLAP ON THEIR BOARD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3128703 8329 425942 587809 2975165 998311 4226503 -762411 935000 398700 3128703 470217 686852 5382 153376 998311 801658 39973 363500 7914 470217 930179 23042 151563 801658 0.83000 0.15000 0.02000 1 0 0 CSV OF LIFE INSURANCE 188378 DUE FROM AFFILIATES 2553387 BENEFICIAL INTEREST IN TRUST 664500 3406265 X 1025685 303797 -34537 269260 756425 4988 4988 761413 29462 -4988 -4988 34450 6067 6067 40517 PART V, LINE 4: THE ENDOWMENT FUNDS FOLLOW THE MISSION OF HEBREW HEALTH CARE AND AFFILIATES TO PROVIDE QUALITY PROGRAMS AND SERVICES TO THE GERIATRIC POPULATION OF THE COMMUNITY. PART X, LINE 2: THE FOLLOWING FOOTNOTE IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR HEBREW HEALTH CARE, INCORPORATED AND AFFILIATES. EACH ENTITY, WITH THE EXCEPTION OF CGSG, IS QUALIFIED UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. CGSG ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES. FASB ASC 740 IS AN ASSET AND LIABILITY METHOD, WHICH REQUIRES THE RECOGNITION OF DEFERRED TAX ASSETS AND LIABILITIES FOR THE EXPECTED FUTURE TAX CONSEQUENCES OF TEMPORARY DIFFERENCES BETWEEN THE TAX AND FINANCIAL REPORTING BASIS OF CERTAIN ASSETS AND LIABILITIES. AS OF SEPTEMBER 30, 2023 AND 2022, CGSG HAD A NET FEDERAL OPERATING LOSS CARRYFORWARD AVAILABLE TO REDUCE ITS FUTURE TAXABLE INCOME OF APPROXIMATELY $4 MILLION AND $3.75 MILLION, RESPECTIVELY, AND STATE OF CONNECTICUT NET OPERATING LOSS CARRYFORWARD OF $4 MILLION AND $3.76 MILLION, RESPECTIVELY. THE CARRYFORWARD PERIODS EXPIRE AT VARIOUS DATES THROUGH 2036. THE DEFERRED TAX ASSET OF APPROXIMATELY $1.2 MILLION AND $1 MILLION, AS OF SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY, ASSOCIATED WITH CGSG'S LOSS CARRYFORWARD AND ACCRUED EXPENSES WAS OFFSET BY A CORRESPONDING VALUATION ALLOWANCE OF $1.2 MILLION AND $1 MILLION AS OF SEPTEMBER 30, 2023 AND 2022, AS REALIZATION OF SUCH LOSS CARRYFORWARDS IS NOT ASSURED. THE VALUATION ALLOWANCE FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022 INCREASED BY APPROXIMATELY $88,652 AND $72,000, RESPECTIVELY. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS WITH PROVISIONS OF FASB ASC 740 WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS WITHIN ADMINISTRATION EXPENSES. AS OF SEPTEMBER 30, 2023 AND 2022, THE ORGANIZATION DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. DURING OCTOBER 2021, THE ORGANIZATION RECEIVED NOTICE FROM THE IRS REGARDING A COMPLIANCE CHECK RELATED TO ADHERENCE WITH IRS FINANCIAL ASSISTANCE POLICIES. ALL REQUIRED DOCUMENTATION HAS BEEN UPDATED AND AT THE DATE OF THIS REPORT, THE IRS COMPLIANCE CHECK IS STILL IN PROCESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -6,067. CHANGE IN VALUE OF CSV LIFE INSURANCE -28,470. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME RECLASS 4,988. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTEREST INCOME RECLASS -4,988. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 6,067. 0 0 0 0 0 0 0 0 0 DENISE PETERSON PRESIDENT & CEO 0 304862 0 0 0 0 0 0 0 20293 0 325155 0 0 PART I, LINE 3 THE COMPENSATION FOR THE CEO/EXECUTIVE DIRECTOR IS PAID BY HEBREW HEALTH CARE, INC. WHICH USES THE FOLLOWING METHODS WHEN DETERMINING COMPENSATION: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY COMPENSATION - APPROVAL BY THE BOARD OR COMPESNATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 HEBREW HEALTH CARE FOUNDATION ("THE FOUNDATION") SHALL HAVE ONLY ONE MEMBER. THE SOLE MEMBER OF THE FOUNDATION SHALL BE HEBREW HEALTH CARE, INC., A CONNECTICUT NONSTOCK CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PURSUANT TO THE BYLAWS, THE BOARD SHALL HAVE THREE (3) EX-OFFICIO TRUSTEES. THE PERSONS WHO HOLD THE FOLLOWING OFFICES OR POSITIONS SHALL BE THE EX-OFFICIO TRUSTEES OF THE FOUNDATION AT ALL TIMES WHILE SERVING IN SUCH OFFICES OR POSITIONS, AUTOMATICALLY AND WITHOUT THE NEED FOR ANY ACTION BY THE MEMBER OR THE OTHER TRUSTEES: (I) THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF HEBREW HEALTH CARE, INC., A CONNECTICUT NONSTOCK CORPORATION; (II) THE PRESIDENT OF HEBREW HEALTH CARE, INC., A CONNECTICUT NONSTOCK CORPORATION; (III) THE SENIOR VICE PRESIDENT OF HEBREW HEALTH CARE, INC., A CONNECTICUT NONSTOCK CORPORATION; A PERSON SHALL CEASE TO BE AN EX-OFFICIO TRUSTEE IMMEDIATELY UPON CEASING TO HOLD THE OFFICE OR POSITION FROM WHICH HIS OR HER EX-OFFICIO TRUSTEE STATUS DERIVED, AND HIS OR HER SUCCESSOR IN SUCH OFFICE OR POSITION SHALL AUTOMATICALLY BE AN EX-OFFICIO TRUSTEE WITHOUT THE NEED FOR ANY ACTION BY THE MEMBER OR THE OTHER TRUSTEES. THE EX-OFFICIO TRUSTEES SHALL BE COUNTED FOR PURPOSES OF DETERMINING THE PRESENCE OF A QUORUM AT MEETINGS OF THE BOARD OF TRUSTEES AND EACH EX-OFFICIO TRUSTEE SHALL HAVE A VOTE ON ALL MATTERS THAT COME BEFORE THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE BYLAWS, THE MEMBER SHALL HAVE THE RIGHT TO VOTE ON ALL MATTERS UPON WHICH MEMBERS OF A CONNECTICUT NONSTOCK CORPORATION ARE AFFORDED THE RIGHT TO VOTE UNDER THE ACT. WITHOUT LIMITING THE FOREGOING, EACH OF THE FOLLOWING MATTERS SHALL REQUIRE THE APPROVAL OF THE MEMBER: (A) THE MORTGAGE, PLEDGE OR OTHER ENCUMBRANCE OF ANY OF THE FOUNDATION'S PROPERTY OR ASSETS OF ANY NATURE THAT IS NOT IN CONNECTION WITH A PLANNED GIVING OR OTHER CHARITABLE ARRANGEMENT, INCLUDING BUT NOT LIMITED TO THE FOUNDATION'S ISSUANCE OF CHARITABLE GIFT ANNUITIES; (B) THE INCURRENCE BY THE FOUNDATION OF INDEBTEDNESS FOR BORROWED MONEY, OR THE ISSUANCE BY THE FOUNDATION OF A GUARANTY OR OTHER UNDERTAKING TO BECOME OBLIGATED FOR ANY DEBT OR OBLIGATION OF ANY PARTY (IN EACH CASE, OTHER THAN IN CONNECTION WITH A PLANNED GIVING OR OTHER CHARITABLE ARRANGEMENT, INCLUDING BUT NOT LIMITED TO THE FOUNDATION'S ISSUANCE OF CHARITABLE GIFT ANNUITIES); (C) THE EXPENDITURE OF, OR COMMITMENT TO MAKE ANY EXPENDITURE OF, FUNDS OF THE FOUNDATION, WHETHER OPERATING OR CAPITAL, OTHER THAN EXPENDITURES INCURRED IN PROPERLY MANAGING AND INVESTING THE FOUNDATION'S ENDOWMENT ASSETS; (D) THE MAKING OF ANY LOAN BY THE FOUNDATION TO ANY PARTY IN EXCESS OF $500; (E) ANY AMENDMENT OR REPEAL OF ANY PROVISION OF THE BYLAWS OF THE FOUNDATION; (F) ANY CHANGE IN THE PURPOSES OR MISSION OF THE FOUNDATION; (G) ANY MERGER INVOLVING THE FOUNDATION; (H) THE DISSOLUTION OF THE FOUNDATION; (I) PARTICIPATION BY THE FOUNDATION IN ANY JOINT VENTURE, PARTNERSHIP OR SIMILAR ACTIVITY; (J) ENGAGING IN ANY TRANSACTION IN WHICH THE FOUNDATION BECOMES A SHAREHOLDER, MEMBER OR EQUITY OWNER OF A CORPORATION, LIMITED LIABILITY COMPANY OR OTHER ENTITY; (K) THE ANNUAL APPOINTMENT OF A FIRM OF PUBLIC ACCOUNTANTS TO CONDUCT AN INDEPENDENT AUDIT OF THE FOUNDATION'S FINANCIAL AFFAIRS; OR (L) ANY AMENDMENT OR REPEAL OF ANY PROVISION OF THE AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF THE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH THE ASSISTANCE OF MANAGEMENT. A DRAFT FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR THE SOLE MEMBER HEBREW HEALTH CARE, INC. FOR REVIEW AND OVERSIGHT. FORM 990, PART VI, SECTION B, LINE 12C THIS ORGANIZATION HAS ADOPTED THE POLICY OF ITS SOLE MEMBER HEBREW HEALTH CARE, INC. REGARDING CONFLICT OF INTEREST. PER THE CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL ORGANIZATIONS IN THE HEBREW SENIOR CARE SYSTEM, OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES HAVE A DUTY TO DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST. FOLLOWING DISCLOSURE OF AN ACTUAL OR POSSIBLE CONFLICT, THE OTHER MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHAT FURTHER STEPS MAY BE REQUIRED TO INVESTIGATE THE SITUATION. THE INDIVIDUAL WITH THE POTENTIAL CONFLICT WILL RECUSE THEMSELF FROM THE DISCUSSION OF THE MATTER. THE POLICY INCLUDES PROVISIONS FOR VIOLATION AND FAILURE TO DISCLOSE WHICH COULD LEAD TO DISCIPLINARY AND CORRECTIVE ACTION, INCLUDING, BUT NOT LIMITED TO REMOVAL FROM THE BOARD OR COMMITTEE IN ACCORDANCE WITH THE BYLAWS OF THE ENTITY. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE ADMINISTRATIVE SECRETARY OF HEBREW HOME & HOSPITAL, A MEMBER OF THE HEBREW SENIOR CARE SYSTEM. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION FOR THE PRESIDENT AND OFFICERS ARE PAID BY THE SOLE MEMBER, HEBREW HEALTH CARE, INC. THIS ORGANIZATION HAS ADOPTED THE POLICY OF ITS SOLE MEMBER HEBREW HEALTH CARE, INC. REGARDING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CSV LIFE INSURANCE -28,470. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HEBREW HEALTH CARE INC 1 ABRAHMS BLVD WEST HARTFORD CT 06117 043750515 ADMIN OVERSIGHT & FUNDRAISING CT 501(C)(3) LINE 7 N/A 0 HEBREW HOME & HOSPITAL 1 ABRAHMS BLVD WEST HARTFORD CT 06117 060646672 HOSPITAL UNITS CT 501(C)(3) LINE 10 HEBREW HEALTH CARE INC 0 HEBREW COMMUNITY SERVICES INC 1 ABRAHMS BLVD WEST HARTFORD CT 06117 223182447 SENIOR DAY CTR & ALSA CT 501(C)(3) LINE 10 HEBREW HEALTH CARE INC 0 HEBREW LIFE CHOICES INC 1 ABRAHMS BLVD WEST HARTFORD CT 06117 061557313 SENIOR ASSISTED LIVING CT 501(C)(3) LINE 10 HEBREW HEALTH CARE INC 0 CONNECTICUT GERIATRIC SPECIALTY GROUP PC 1 ABRAHMS BLVD WEST HARTFORD CT 06117 593840584 PHYSICIAN GROUP CT N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 HEBREW COMMUNITY SERVICES INC R 65328 ACTUAL CASH TRANSFERRED