Annual Report for Year 2014 Moments that matter The mission of Charles E. Smith Life Communities is to fulfill Jewish values by providing a continuum of quality services for seniors and their families, and to affirm ourcommitment to the dignity of each individual. To support our mission, make a gift at www.smithlifecommunities.org Moments that matter The milestones of 2014 show how moments from our past, our present, and our future converge to define who we are and what we do. In 2014, we remembered the past as we transformed our boardroom and created Building the Community, an exhibit honoring Charles E. Smith. Smith’s keen eye for development, hands-on community leadership, and extraordinary philanthropy brought us to Rockville in 1969 and became the catalyst for our subsequent growth. In 2014, we made a positive impact on the present with the launch of the ElderSAFE Center, the first program of its kind in the area providing advocacy, education, and temporary shelter to safeguard seniors from abuse. Marc F. Solomon In November, we acquired the Federation building adjacent to our campus, soon to be renamed the Elsie and Marvin Dekelboum Building. The generous gift from the Elsie and Marvin Dekelboum Family Foundation that allowed us to make this purchase enables us to focus on the immediate future, as we plan to refresh the building and move administrative staff into new quarters, freeing up space within our existing residences to expand and enrich resident services. This report also marks a personal milestone for each of us: As chair, this is the conclusion of my two-year term, and I turn the reins over to my capable successor, Joseph Hoffman. I look with pride at our achievements, including awards for quality care throughout our organization, architectural honors for Cohen-Rosen House, and a transformed Post-Acute Care Center. For me, every moment has mattered. Warren R. Slavin As President/CEO, 2014 marked my 20th anniversary with this amazing organization. This is an opportunity beyond the scope of this annual report to see how we have grown and thrived, strengthened our financial position, expanded our scope of services, become a center of expertise in aging, and solidified our structure into a respected healthcare system. Most significantly, we have improved the quality of care and enhanced the quality of life for seniors and their families, and become a better place to work for all of our staff. All of these moments have created a vital and vibrant organization, and reflect the contributions of everyone associated with it. We invite you to continue with us on this journey under the leadership of Chair Joseph Hoffman, and to participate with us in moments that matter. Marc F. Solomon Warren R. Slavin Chair President/CEO Annual Report for 2014 | 1 | Charles E. Smith Life Communities Moments that mattered in2014 “Life can be viewed as three concentric circles. At the core is family, then friends, then community. Our lives should be dedicated to building and strengthening these circles in mutual support of one another.” — Charles E. Smith Dedicating Building a Community, an exhibit honoring Charles E. Smith Celebrating President/CEO Warren Slavin’s 20 years of leadership Elder SAFE Charles E. Smith Life Communities Launching the ElderSAFE Center, safeguarding seniors from abuse Toasting Ring House’s 25th anniversary Returning home from the Post-Acute Care Center at the Hebrew Home Annual Report for 2014 | 2 | Charles E. Smith Life Communities HEBREW HOME OF GREATER WASHINGTON • COHEN-ROSEN HOUSE • HIRSH HEALTH CENTER Your Home. Your Life. Your CommunityLANDOW HOUSE • REVITZ HOUSE • RING HOUSE . HEBREW HOME OF GREATER WASHINGTON • COHEN-ROSEN HOUSE • HIRSH HEALTH CENTER LANDOW HOUSE • REVITZ HOUSE • RING HOUSE 4th Annual Educational Symposium A free seminar addressing a crucial topic in dementia Displaying glass menorahs created Remember This: and memoryPalliative care Care: by seniors at Landow House and Yesterday’s Promises, Physicians, Thank you to our co-sponsor Today’sMonday, Challenges December and 1 Solutionsat 5:30 p.m. administrators, care managersCohen-Rosen and House Diagnosing and Treating Dementia in caregivers are invited Friday,Parkinson’s May disease 2, 2014 and Lewy Body disease: A Review and Update to join us for an important discussion: Dr. Zoltan Mari, Johns Hopkins University Supported by • What is the difference Not all progressive dementia is caused by Alzheimer’s disease. This between palliative care informative seminar examines the second most prevalent cause of and hospice care? progressive memory loss -- Parkinson’s and Lewy Body disease. Partnering with Learn from an outstanding expert in this field about the challenges • What are the clinical, of diagnosing, evaluating, and managing treatment of dementia when these conditions exist. financial and psychosocial aspects of providing The program takes place at Landow House, palliative versus hospice 1799 E. Jefferson Street, Rockville, MD 20852. care across all settings? A light supper is available at 5:30; the presentation begins at 6:00 p.m. Two free semi- • What are the implications This program is sponsored by the Charles E. Smith Life Communities of dementia as a leading Interested in sponsorship Hurwitz Lecture Fund and offers 1 CEU for social workers. cause of death – on policy, opportunities? - Each program offers 1 CEU for social workers. care choices and delivery? Contact For information and to register, contact Jill Berkman at [email protected] • Participate in a case study. 301.816.5052, e-mail [email protected] or or 301.770.8351 SAVEregister online at www.cohen-rosen.orgTHE DATE. Beginning important conversations at our educational symposium and Remember This lectures Screening of I’ll Be Me, a poignant and personal look at Alzheimer’s disease Inaugurating home visits to care for Hirsh Health Center patients Earning a 99% family approval rating from the most recent Maryland Nursing Facility Family Survey administered by the Maryland Healthcare Commission, and “This is a real community because we live by a Top Vote Getter commendation from a certain set of values. It is about kindness. Bethesda Magazine It is about respect. It is about love.” — Eseme Akwo, nurse manager Annual Report for 2014 | 3 | Charles E. Smith Life Communities Moments that matter rely on sound financial stewardship 2014 AT A GLANCE 152 new families 18 people received 876 found the extra help they required from found compassionate 24-hour long- specialized memory care term care for their loved ones in at Cohen-Rosen House Home Care Solutions, a joint our Wasserman and Smith-Kogod effort with Augustine Home Residences Health Care 111 new residents were welcomed to gracious 1,075 individuals retirement living at Ring House 187 healthcare chose our Post-Acute Care professionals improved Center for recovery and their understanding of palliative post-hospital care; 8o% 26,537 Meals-on- care at our fourth educational returned home Wheels were prepared on symposium our campus in support of the Jewish Social Service Agency 500+ seniors 52 full-time therapists enjoyed independent and provided 48,709 hours of enriched lives at Ring House 276 patients relied on therapy to post-acute patients and Revitz House; our occupancy Hirsh Health Center for their rate is 96% medical care 7 physicians on our medical staff, plus a podiatrist and nurse practitioner, make our campus seniors found assisted 60 miles living services adapted to their 11,016 unique travelled by our buses needs in Landow House SENIOR HOUSING & 181,527 ASSISTED DAYS OF CARE 72% Medicaid Days LIVING Provided in the 11% Private Pay Days Apartments 229 Market Rate Apartments Nursing Home 15% Medicare Days 349 Subsidized Apartments 2% Insurance Annual Report for 2014 | 4 | Charles E. Smith Life Communities 2014 FINANCIAL HIGHLIGHTS REVENUE Gross revenue for nursing home care and services ................................................................................................................................................................. $ 90,570,000 Gross revenue from senior living services .................................................................................................................................................................................................... 22,908,000 Shortfall from government and commercial insurance reimbursements that do not cover ........................................... (28,051,000) the actual cost of nursing home care Charity and uncompensated care provided to individuals unable to afford services in the ................................................ (2,977,000) nursing home and provided through subsidized housing in senior living Net revenue derived from resident care and services ......................................................................................................................................................... $ 82,450,000 EXPENSES Direct care and related expenses .......................................................................................................................................................................................................................... $ 73,157,000 Principal and interest for capital purchases for building maintenence, improvements and equipment ........................... 8,485,000 Regulatorily required operating, capital, and building maintenance reserves for senior services ........................................... 348,000 Total expenses required to meet the needs