תוכנית הטיפול כוללת תרגול ביתי.

Because the subject, תוכנית, is feminine singular, and in the present tense Hebrew verbs agree with the subject in gender and number.

• כולל = masculine singular
• כוללת = feminine singular
• כוללים = masculine plural
• כוללות = feminine plural

Since תוכנית is feminine singular, the sentence uses כוללת.

Yes. תוכנית הטיפול is a construct chain (סמיכות), meaning something like the plan of the treatment or more naturally the treatment plan.

In Hebrew, construct chains often work like this:

• first noun = the thing being possessed or defined
• second noun = what it belongs to or is associated with

So:

• תוכנית = plan
• הטיפול = the treatment

Together: תוכנית הטיפול = the treatment plan

A useful point: even though תוכנית itself does not have ה־, the whole phrase is definite because the second word, הטיפול, is definite.

That is normal in a construct chain.

In Hebrew, when two nouns are linked in this way, definiteness is usually marked only on the second noun, but it applies to the whole phrase.

So:

• תוכנית טיפול = a treatment plan
• תוכנית הטיפול = the treatment plan

You do not normally say התוכנית הטיפול in this structure.

Because את is used before a definite direct object, and תרגול ביתי here is indefinite.

Compare:

• תוכנית הטיפול כוללת תרגול ביתי. = the object is indefinite, so no את
• תוכנית הטיפול כוללת את התרגול הביתי. = the home practice/exercise, now definite, so את is required

So the rule is:

• definite direct object → usually את
• indefinite direct object → no את

ביתי is an adjective meaning home, domestic, or at-home/home-based, depending on context.

Here תרגול ביתי means home practice or at-home practice.

This is not the noun בית by itself, and it is not the phrase בבית (at home). It is an adjective built from בית.

Compare:

• תרגול ביתי = home practice / home-based practice
• תרגול בבית = practice at home

Those are related, but not exactly the same structure.

Because ביתי has to agree with תרגול, and תרגול is masculine singular.

Hebrew adjectives agree with the noun in:

• gender
• number
• definiteness

So:

• תרגול ביתי = masculine singular
• תוכנית ביתית = feminine singular

If the noun changed, the adjective would change too.

Yes, but technically Hebrew present-tense forms are historically participles. In modern Hebrew, though, learners usually treat them as the normal present tense.

So כוללת functions as includes / is including, depending on context.

You can think of it simply as the present-tense form of לכלול (to include).

In the present tense, Hebrew normally does not use a separate word for is / am / are.

So English:

• The treatment plan includes home practice

Hebrew:

• תוכנית הטיפול כוללת תרגול ביתי

There is no separate present-tense copula like English is in ordinary sentences. The verb itself carries the meaning needed.

The basic order here is:

subject + verb + object

• תוכנית הטיפול = subject
• כוללת = verb
• תרגול ביתי = object

This is a very natural and common word order in modern Hebrew prose.

Hebrew can sometimes change word order for emphasis or style, but this version is neutral and standard.

Then both the noun and the adjective would become definite, and you would usually add את because it would be a definite direct object.

So:

• תרגול ביתי = home practice / a home exercise component
• את התרגול הביתי = the home practice

Full sentence:

• תוכנית הטיפול כוללת את התרגול הביתי.

Notice that both parts of the adjective phrase get ה־:

• התרגול
• הביתי

That is how definite adjectives work in Hebrew.

Both spellings are seen.

• תכנית is the more traditional spelling
• תוכנית is a very common full spelling in everyday modern Hebrew

For learners, it is useful to recognize both as the same word. In many modern texts, signs, and websites, תוכנית is extremely common.

A simple pronunciation guide is:

tokhnit ha-tipul kolelet tirgul beyti

A few notes:

• תוכנית = tokh-NIT
• הטיפול = ha-ti-PUL
• כוללת = ko-LE-let
• תרגול = tir-GUL
• ביתי = BEY-ti

The stress is usually on the last syllable in most of these words.

Yes, depending on context.

Literally, תרגול ביתי is home practice or at-home practice, but in medical, educational, or therapy contexts it can refer to:

• home practice
• exercises to do at home
• a home exercise component

So even if the Hebrew uses a singular noun phrase, English may sometimes translate it more naturally with a plural expression like home exercises, depending on the broader context.