Liabilities / Assets
99th percentile
Higher debt load relative to assets than 99% of similar nonprofits.
EIN 04-2104298 • 501(c)3 • Boston, MA
Profile
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
99th percentile
Higher debt load relative to assets than 99% of similar nonprofits.
Liabilities / Revenue
72nd percentile
Higher debt load relative to revenue than 72% of similar nonprofits.
Net Margin
36th percentile
Higher net margin than 36% of similar nonprofits.
Top Officer Pay
81st percentile
Higher top officer pay than 81% of similar nonprofits.
Top officer pay equals 0.7% of source-year revenue.
Asset Growth
92nd percentile
Faster asset growth than 92% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Assets
Up$64,132,589
Up $16,402,447 (+34%) from 2023
Liabilities
Up$164,969,989
Up $15,243,294 (+10%) from 2023
Net Assets
Up-$100,837,400
Up $1,159,153 (+1.1%) from 2023
Revenue
Up$168,861,505
Up $12,808,574 (+8.2%) from 2023
Expenses
Up$168,204,362
Up $9,226,516 (+5.8%) from 2023
Net Income
Up$657,143
Up $3,582,058 (+122%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To operate its harvard medical school affiliated chronic care hospital that provides seniors with compassionate long-term care, post-acute care, outpatient services and adult day health care.
See Schedule O.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $28,272,511 | $27,261,450 | ▼ $1,011,061 |
| Accounts Receivable | $12,563,704 | $22,986,599 | ▲ $10,422,895 |
| Pledges and Grants Receivable | $-2,752,464 | $4,047,239 | ▲ $6,799,703 |
| Investments Other Securities | $3,216,458 | $3,859,164 | ▲ $642,706 |
| Prepaid Expenses and Deferred Charges | $2,392,951 | $2,750,927 | ▲ $357,976 |
| Inventories for Sale or Use | $1,340,735 | $1,421,356 | ▲ $80,621 |
| Cash and Non-Interest-Bearing Accounts | $2,127,150 | $1,347,109 | ▼ $780,041 |
| Savings and Temporary Cash Investments | $451,212 | $442,324 | ▼ $8,888 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $47,730,142 | $64,132,589 | ▲ $16,402,447 |
| Other Assets Total | $117,885 | $16,421 | ▼ $101,464 |
| Liabilities | |||
| Other Liabilities | $131,190,777 | $149,525,525 | ▲ $18,334,748 |
| Accounts Payable and Accrued Expenses | $15,885,065 | $12,723,845 | ▼ $3,161,220 |
| Deferred Revenue | $2,278,233 | $2,366,240 | ▲ $88,007 |
| Escrow Account Liability | $332,820 | $332,820 | → $0 |
| Tax Exempt Bond Liabilities | $39,800 | $21,559 | ▼ $18,241 |
| Total Liabilities | $149,726,695 | $164,969,989 | ▲ $15,243,294 |
| Net Assets / Fund Balance | |||
| Net Assets With Donor Restrictions | $27,324,012 | $30,008,155 | ▲ $2,684,143 |
| Net Assets Without Donor Restrictions | $-129,320,565 | $-130,845,555 | ▼ $1,524,990 |
| Total Net Assets Fund Balance | $-101,996,553 | $-100,837,400 | ▲ $1,159,153 |
| Total Liabilities and Net Assets / Fund Balance | $47,730,142 | $64,132,589 | ▲ $16,402,447 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $16,636,790 | $63,691,604 | $80,328,394 |
| Equipment | $9,800,804 | $68,002,277 | $77,803,081 |
| Other Land Buildings | $621,492 | - | $621,492 |
| Land | $202,364 | - | $202,364 |
| Other Securities | $3,859,164 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mary Moscato Fache | President, Hsl Hc Svcs. & Hrc | PT | $491,930 | $273,326 | $765,256 |
| Lewis Lipsitz Md | Dir, Hmifar & Chief Acad. Off | PT | $378,077 | $131,233 | $509,310 |
| Mandel I Ernest Md | Chief Medical Officer | - | $373,832 | $63,347 | $437,179 |
| Sharon K Inouye | Sr. Scientist/director | FT | $353,353 | $51,108 | $404,461 |
| Alvaro Pascual-leone | Senior Scientist | FT | $318,954 | $65,085 | $384,039 |
| Tammy B Retalic Ms Rn | Chief Nursing Off. & VP Pcs | PT | $296,067 | $80,538 | $376,605 |
| Kathyrn W Tasker | Chief Sponsored Awards Officer | PT | $235,771 | $126,338 | $362,109 |
| Eran D Metzger | Medical Director of Hsl Psychiatry | FT | $296,641 | $63,953 | $360,594 |
| Innokentiy Bakaev | Medical Director, Rsu and Ltch | FT | $295,160 | $60,331 | $355,491 |
| Rashmi Kaura | Clinical Director, Palliative Care | FT | $295,391 | $36,490 | $331,881 |
| Name | Title |
|---|---|
| Melissa Bayer Tearney | Board Chair (thru 9/30/23) |
| Richard J Henken | Chair Elect (effective 10/1/23) |
| Steven Landers | President and CEO (7/2023 - 5/2024) |
| Louis J Woolf | President and CEO (thru 7/2023, Returned 5/2024 to Current) |
| Katelyn Quynn | Chief Dev Off & VP Board Rel |
| Sarah L Sykora | Chief Comm. & Plan Officer |
| Eric Rogers | Chief Information Officer |
| Kimberly J Brooks | Chief Op. Officer, Sen Living |
| Linda Thompson | Chief People Officer |
| Rachel Lerner Esquire | Gen. Cnsl. & Chief Comp. Off |
| James D Hart | Secretary & Chief Fin. Officer |
| Marsha Cohen | Treasurer |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Securities Publicly Traded | 7 | $1,076,751 | Market value |
| Total Noncash Contributions | 7 | $1,076,751 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $104,464,205 |
| Other Expenses | $63,740,157 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $82,339,015 | $972,063 | - | $83,311,078 |
| Other Employee Benefits | $10,658,452 | $1,184,273 | - | $11,842,725 |
| Occupancy | $9,405,605 | $437,845 | - | $9,843,450 |
| All Other Expenses | $8,307,535 | $360,492 | $0 | $8,668,027 |
| Payroll Taxes | $6,017,905 | $668,656 | - | $6,686,561 |
| Fees for Services Other | $4,737,023 | $595,678 | $0 | $5,332,701 |
| Payments to Affiliates | - | $3,863,391 | - | $3,863,391 |
| Other Expenses | $3,640,779 | $107,893 | - | $3,640,779 |
| Depreciation Depletion | $2,938,956 | $326,551 | - | $3,265,507 |
| Information Technology | $1,888,658 | $209,852 | - | $2,098,510 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,363,589 | - | $1,363,589 |
| Insurance | $953,088 | $333,645 | - | $1,286,733 |
| Pension Plan Contributions | $1,134,226 | $126,026 | - | $1,260,252 |
| Office Expenses | $273,105 | $273,252 | - | $546,357 |
| Advertising | $283,577 | $31,508 | - | $315,085 |
| Fees for Services Legal | $10,553 | $89,715 | - | $100,268 |
| Travel | $53,167 | $2,704 | - | $55,871 |
| Fees for Services Accounting | $33,029 | $18,925 | - | $51,954 |
| Conferences and Meetings | $33,628 | $5,808 | - | $39,436 |
| Interest | $13,326 | $1,480 | - | $14,806 |
| Fees for Service Investment Mgmnt Fees | - | $3,640 | - | $3,640 |
| Total Functional Expenses | $157,227,376 | $10,976,986 | $0 | $168,204,362 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $149,525,525 |
“HSL is the sole member of the organization.”
“The HSL board chair appoints the members of the HRC board of directors with the advice and consent of the HSL board members.”
“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.”
“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.”
“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.”
“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.”
“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.”
“Transfers to Affiliates - 136678;”
“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”
“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.”
“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.”
“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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 45.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 30.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 82599 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 84903 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 39841 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 87189 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 59137 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 84279 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 71184 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 93718 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 77367 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 63347 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 74001 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 71659 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 80270 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 64689 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 53542 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 60269 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 36347 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 39761 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 47510 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JAMES D HART |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LOUIS J WOOLF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MARSHA COHEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MELISSA BAYER TEARNEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | RICHARD J HENKEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | STEVEN LANDERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ERIC ROGERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KATELYN QUYNN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KATHYRN W TASKER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KIMBERLY J BROOKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | LEWIS LIPSITZ MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | LINDA THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MANDEL I ERNEST MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | RACHEL LERNER ESQUIRE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SARAH L SYKORA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | TAMMY B RETALIC MS RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ALVARO PASCUAL-LEONE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | ERAN D METZGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | INNOKENTIY BAKAEV |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | RASHMI KAURA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | SHARON K INOUYE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | MARY MOSCATO FACHE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 277830 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 415592 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 373832 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 296335 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 319350 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 307052 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 295222 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 295534 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 364700 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 717746 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 497767 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1026499 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 838172 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 351134 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 380581 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 375200 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 355082 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 391081 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 309804 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | SECRETARY & CHIEF FIN. OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT AND CEO (THRU 7/2023, RETURNED 5/2024 TO CURRENT) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD CHAIR (THRU 9/30/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHAIR ELECT (EFFECTIVE 10/1/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PRESIDENT AND CEO (7/2023 - 5/2024) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHIEF DEV OFF & VP BOARD REL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHIEF SPONSORED AWARDS OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | CHIEF OP. OFFICER, SEN LIVING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIR, HMIFAR & CHIEF ACAD. OFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF PEOPLE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | GEN. CNSL. & CHIEF COMP. OFF |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CHIEF COMM. & PLAN OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF NURSING OFF. & VP PCS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | SENIOR SCIENTIST |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | MEDICAL DIRECTOR OF HSL PSYCHIATRY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | MEDICAL DIRECTOR, RSU AND LTCH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | CLINICAL DIRECTOR, PALLIATIVE CARE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | SR. SCIENTIST/DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PRESIDENT, HSL HC SVCS. & HRC |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1903 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 796008 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GovernmentGrantsAmt | 0 | 18126586 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 796008 |
| IRS990/GrossReceiptsAmt | 0 | 168861505 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 209852 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1888658 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2098510 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 333645 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 953088 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1286733 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 1480 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 13326 |
| IRS990/InterestGrp/TotalAmt | 0 | 14806 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1340735 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1421356 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1107102 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1107102 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 3216458 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 3859164 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 131693881 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 28272511 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 27261450 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 158955331 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -101996553 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -100837400 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 796008 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 796008 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 365332 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -129320565 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -130845555 |
| IRS990/NoncashContributionsAmt | 0 | 1076751 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 437845 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 9405605 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 9843450 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 273252 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 273105 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 546357 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 117885 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 16421 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 136678 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 1184273 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 10658452 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 11842725 |
| IRS990/OtherExpensesGrp/Desc | 0 | Research |
| IRS990/OtherExpensesGrp/Desc | 1 | Medial Supplies and PPE |
| IRS990/OtherExpensesGrp/Desc | 2 | Culinary and Food Services |
| IRS990/OtherExpensesGrp/Desc | 3 | Pharmacy |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 107893 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 16943653 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 3510121 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 4051975 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 3640779 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 16943653 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 3618014 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 4051975 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 3640779 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 131190777 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 149525525 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 540000 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Cell Tower Rental |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 30693 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 30693 |
| IRS990/OtherRevenueTotalAmt | 0 | 30693 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 972063 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 82339015 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 83311078 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/ManagementAndGeneralAmt | 0 | 3863391 |
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