2023-11-14T16:08:56-07:00 2022-12-31 990 2022-01-01 341040692 ST AUGUSTINE MANOR STAU 2166347400 7801 Detroit Avenue Cleveland OH 44102 Francis Huba CFO 2166347555 2023-10-30 1 1 11 0 AAL2 X 2022 2023-04-26 12:10:37Z Rick Meserini 7801 Detroit Avenue Cleveland OH 44102 49214056 0 X www.staugustinehealthministries.org X 1969 OH St. Augustine Manor dba St. Augustine Health Ministries provides skilled nursing and community based services including; early education and child day care, assisted living, rehabilitation, long-term care, home care and hospice care. 22 21 689 258 0 0 3309963 3020362 35965250 35550548 60709 74304 672647 10551848 40008569 49197062 0 0 0 0 25391067 28953013 0 0 118480 12740611 14727375 38131678 43680388 1876891 5516674 33180606 38860408 6402107 8450016 26778499 30410392 St. Augustine Health Ministries continues the healing ministry of Christ by promoting the quality of life and independence of each person entrusted to our care through a continuum of health care and related services to the chronically ill and aging of our community with special concern for the poor. We promote the sacredness of life in a community that celebrates purpose, individuality, companionship and well-being. 0 0 28127332 177704 35117369 Skilled Nursing Home Care: 234 bed skilled nursing facility with an in-house Pharmacy and on-site dialysis. The facility was surveyed by the Ohio Department of Health in May 2023 and fared well receiving only 6 low level, low in scope and severity, citations. The facility was deficiency-free in its most recent infection control survey. Additionally, in the last 12 months only 2 complaint surveys were conducted and both were unsubstantiated. All patient floors were remodeled/renovated in 2015, including our 67 bed skilled care unit. A Respiratory Wing was added in 2018 and renovations to the rest of the building continue into 2020. We are a 4 star facility according to CMS ratings. We placed 41st on the Plain Dealer's top 50 work places for mid-sized companies, and were the only Skilled Nursing Facility to make the list. We specialize in Pulmonary Care, Rehabilitation, Cardio Vascular Diseases, Infectious Diseases, Wound Care, HIV Care, Respiratory and Clinically-Complex Nursing Care. We partnered with all major hospital systems in greater Cleveland ensuring seamless transitions to a sub-acute setting for patients who are followed by the system's attending physician. We had 461 new admissions in 2022 and provided almost $9.5 million of uncompensated care. 7342695 0 7130661 Medicare-Certified Hospice: Community hospice services extending beyond Cuyahoga County into Summit, Medina and Lorain Counties, as well as a recently remodeled 30 bed inpatient facility with mostly private rooms. With an average daily census of over 92 patients, Holy Family Home/Hospice served over 555 patients in 2022 and provided nearly $1.62 million of free charity care. Holy Family Home has expanded its services to provide palliative care to the community through Holy Family Home Health Care. Holy Family Hospice systematically scores well on patient and family satisfaction surveys, as 91% of families who have used our services would recommend Holy Family Hospice to their friends and relatives. 2872097 0 3198728 Assisted Living Facility: St. Augustine Towers is a licensed residential care facility with 99 apartments, daily Mass in our chapel on site, and a capacity to serve 110 residents. The Towers focuses on their mission to serve the underserved and downtrodden populations in our communities. The Towers was well below average for the number of citations during a survey conducted by the Ohio Department of Health. The Towers had a perfect survey in 2022 conducted by Western Reserve Area on Aging. The Towers has been a part of the Medicaid waiver program through WRAAA since 2007 serving an average of 16 residents a month under this program which allows a qualified AL waiver recipient to receive rent subsidies affording them an apartment and all offered amenities. The Towers also serves persons with a VA benefit earned during armed conflict for which the veteran or the spouse receives a monthly stipend that is used for rent. The Towers is contracted with the PACE program, a Medicaid waiver program that also subsidizes qualified AL waiver recipients to afford monthly rent and provides physician services and medical care allowing residents to age in place. Throughout 2022 we averaged 50 residents on the PACE program. Throughout the pandemic, the Towers were able to continue all life enrichment activities whilst mitigating the risk and spread of COVID-19 by strictly following CDC and ODH guidelines. Our 2022 occupancy of 95% is well above both national and state averages demonstrating our consistently high resident/family satisfaction despite the pandemic. 551677 0 648954 Home Health Care Agency and other programs. 551677 0 648954 38893801 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 113 0 1 689 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 22 21 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X X Francis S Huba 2166347400 7801 Detroit Avenue Cleveland OH 44102 Rick Meserini President/CEO Ex-Officio Board of Trustees 39 1 X 235052 0 40649 Patrick Gareau Ex-Officio of Board of Directors/Secretariat of Catholic Charities 1 39 X 0 233656 40790 Jorge Palma Licensed Practical Nurse 69 0 X 162013 0 33999 Francis Huba CFO 39 1 X 173515 0 20664 Jennifer Thomas Licensed Practical Nurse 75 0 X 170135 0 15724 Tiieya Bowe Licensed Practical Nurse 54 0 X 148018 0 196 The Most Reverend Edward C Malesic Board Member - Bishop of Diocese of Cleveland 1 0 X 0 0 0 Mark McGrievy Board of Directors - Vice Chairperson 1 0 X 0 0 0 J Thomas Hannon Honorary Trustee of Board of Directors 1 0 X 0 0 0 Janet Gosche Board of Directors Trustee Officer-Vice Chairperson 1 0 X 0 0 0 Mark Seryak Board of Directors - Secretary 1 0 X 0 0 0 Robert Pumphrey Board of Directors - Treasurer 1 0 X 0 0 0 Edward Hack Board of Directors Trustee 1 0 X 0 0 0 John Faulstich Board of Directors Trustee 1 0 X 0 0 0 Deborah Enty Board of Directors Trustee 1 0 X 0 0 0 Erik D Huss Board of Directors Trustee 1 0 X 0 0 0 Joseph Dailey Board of Directors Trustee 1 0 X 0 0 0 John Griffiths Board of Directors Trustee 1 0 X 0 0 0 Cullen Hanlon Board of Directors Trustee 1 0 X 0 0 0 Peter P Jancar Board of Directors Trustee 1 0 X 0 0 0 Damon Taseff Board of Directors Ex-officio Trustee 1 0 X 0 0 0 Patricia Snowbrick Board of Directors Trustee 1 0 X 0 0 0 Marilyn Streeter Board of Directors Trustee 1 0 X 0 0 0 Amelia V Llerena MD Board of Directors Trustee 1 0 X 0 0 0 Charles Sloan Board of Directors Trustees 1 0 X 0 0 0 Jonathan C Wolnik Board of Directors Trustee 1 0 X 0 0 0 888733 233656 152022 12 0 1 1 Gordon Food Service PO Box 88029 Chicago IL 606801029 Food Service 1454378 Intely Care Inc PO Box 200413 Pittsburgh PA 152510413 Staffing Nurses 580107 McKesson Medical-Surgical Supply Inc PO Box 630693 Cincinnati OH 45263 Medical Supplies 615919 Connect RN Inc PO Box 208685 Dallas TX 753208685 Staffing Nurses 622151 Stealth Care LLC PO Box 122 Niles OH 44446 Staffing Respratory Therapist 549025 16 4073 0 27716 1239696 177704 1571173 0 3020362 Nursing Home Care 623110 23902446 23902446 0 0 Hospice Care 623110 7110656 7110656 0 0 Assisted Living Care 623110 3154045 3154045 0 0 Home Health Care 623000 648954 648954 0 0 Child Enrichment Care 624410 384417 384417 0 0 350030 350030 0 0 35550548 78782 0 0 78782 0 0 0 0 0 0 0 0 0 0 0 -4478 0 0 0 -4478 -4478 -4478 0 0 23678 27716 16994 6684 0 6684 Coronavirus/Provider Relief Funds 623110 10353876 10353876 0 0 Gain on Insurance Settlement 623110 11458 11458 0 0 Dietary 722212 111656 111656 0 0 68174 68174 0 0 10545164 49197062 46091234 0 85466 0 0 0 0 0 0 0 0 409777 0 409777 0 0 0 0 0 23702398 21306622 2302791 92985 566476 505379 59775 1322 2529264 2248968 274467 5829 1745098 1557031 184034 4033 1631512 874917 756595 0 460 0 460 0 51270 0 51270 0 0 0 0 0 0 0 0 0 0 0 2378664 2348302 30362 0 97623 82890 10558 4175 474958 111679 354487 8792 309619 266766 41509 1344 0 0 0 0 2378395 2371802 6593 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1300761 1300761 0 0 375679 370250 5429 0 Medical Supplies 2444166 2444166 0 0 Raw Food and Supplies 1994350 1994350 0 0 Bad Debt 187800 7800 180000 0 Bed Tax 1087748 1087748 0 0 14370 14370 0 0 43680388 38893801 4668107 118480 1575382 1047837 4647116 2160162 0 9088342 6827264 6490668 0 0 0 0 0 0 166118 158339 84371 106162 36850514 25569576 10769379 11280938 0 0 501862 453620 0 0 345000 1246975 8264114 6827365 33180606 38860408 5949322 7177268 0 0 386207 309964 0 0 0 0 0 0 0 901975 0 0 66578 60809 6402107 8450016 X 18921541 23682122 7856958 6728270 26778499 30410392 33180606 38860408 X 5516674 -1500829 0 0 0 -383952 X 0 1 X 1 0 X 4251598 3334482 3346532 3309963 3020362 17262937 31924239 33515944 34875267 35965250 35550548 171831248 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36175837 36850426 38221799 39275213 38570910 189094185 1776647 1623525 1476652 1414704 1239696 7531224 0 0 0 0 0 0 1776647 1623525 1476652 1414704 1239696 7531224 181562961 56466 68194 43796 64136 78782 311374 0 0 0 0 0 0 56466 68194 43796 64136 78782 311374 0 0 0 0 0 0 0 0 2271100 273000 10353876 12897976 36232303 36918620 40536695 39612349 49003568 202303535 0.89748 0.94367 0.00154 0.00157 X Schedule A, Part III, Line 12 St Augustine received 10,353,876 in CARES Provider Relief Funds, Employee Retention Credits and/or ARPA relief funds to provide support for coronavirus related expenses and lost revenue attributed to the Covid-19 pandemic. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 751862 9419 -57661 0 0 0 703620 715182 7095 29585 0 0 0 751862 688532 2110 24540 0 0 0 715182 648039 3813 36680 0 0 0 688532 657383 13366 -22418 0 285 7 648039 0 1 0 0 1 1 0 0 0 0 21156251 12959200 8197051 0 4168 4168 0 0 14236843 11976453 2260390 0 1453252 629755 823497 11280938 Board Designated Funded Depreciation 986351 Deposits for Workers' Compensation 2809 Deferred Contribution 457B Plan 102615 Investments held in perpetual trust 5485590 Endowment Funds 250000 6827365 0 Security Deposits 60809 60809 X Schedule D, Part V, Line 4 Board Designated net assets consist of Board controlled investments that have been raised for the support of the Manor. Permanently restricted endowment funds represent funds which are restricted as to use in perpetuity. Endowment Funds are appropriated based on an approval process through the Board of Directors. Specific committees recommend amounts to be disbursed from the accumulated earnings of the endowment funds, which are then approved for appropriation by the Board of Directors. Schedule D, Part X, Line 2 St Augustine Manor adopted the accounting standard on accounting for uncertainty in income taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Manor may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of St Augustine Manor and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. The guidance on accounting for uncertainty in income taxes also addresses de-recognition, classification, interest and penalties in income taxes, and accounting in interim periods. At December 31, 2022, there were no unrecognized tax benefits identified or recorded as liabilitites. Charity Golf Outing 51394 27716 23678 0 400 9572 5300 0 1722 0 0 51394 27716 23678 0 400 9572 5300 0 1722 16994 6684 0 1 0 0 0 0 0 0 0 Patrick Gareau Ex-Officio of Board of Directors/Secretariat of Catholic Charities 0 233656 0 0 0 0 0 14224 0 26566 0 274446 0 0 Rick Meserini President/CEO Ex-Officio Board of Trustees 235052 0 0 0 0 0 9498 0 31152 0 275702 0 0 0 Francis Huba CFO 173515 0 0 0 0 0 7051 0 13613 0 194179 0 0 0 Schedule J, Part I, Line 4 Highly paid individuals may participate in the section 457 plan established, but not funded by the employer, to allow participants in the 401(k) retirement plan to substitute salary deferrals under the 401(k) that are retroactively denied upon completion of ERISA compliance testing when low participation rates by lower paid employees are revealed. Rick Meserini contributed $2,156 and Frank Huba contributed $18,990 in 2022 to the Section 457 plan. Form 990, Part VI, Section A, Line 6 The Organization has 3 members: 1.) The Board of Directors jointly and collectively, 2.) The Secretariat of Catholic Charities Corporation and 3.) The Roman Catholic Bishop of the Diocese of Cleveland. Form 990, Part VI, Section A, Line 7a The members can be elected by the Secretariat and the Bishop, or deferred to the nominating committee of the Board of Directors to make recommendations for new Board members. Form 990, Part VI, Section A, Line 7b The Bishop and the Secretariat must approve appointment of new members to the Board of Directors as well as annual operating and capital budgets. The entity cannot sell or acquire real property without the approval of the Bishop and the Secretariat, nor may it take on long-term debt without approval. Form 990, Part VI, Section B, Line 11b The 2022 Form 990 was prepared in-house on the same basis, and using the guidance provided by an independent accounting firm. Prior to filling, Form 990 is reviewed by the Chief Financial Officer and The Chief Executive Officer. Form 990, Part VI, Section B, Line 12c All employees, including Officers, Directors, Trustees and Key employees are required to disclose interests that could give rise to conflict at the time of hire or appointment. They are then further instructed to notify the organization of any changes during their tenure that could be considered a conflict of interest. The disclosure must be signed by the employee and their supervisor. This is a required part of the annual employee evaluation process. Starting in 2014, annual disclosures of potential conflict of interest are required of Board members. No conflicts have been identified initially or subsequently. Form 990, Part VI, Section B, Line 15 The President/CEO's salary is set by the Secretariat of Catholic Charities Corporation within prescribed guidelines and is approved by the Bishop of the Diocese of Cleveland. All positions within the organization are scaled based on duties and responsibilities. Those scales are rated and evaluated by the Human Resources department using comparative salary and wage surveys from the not-for-profit Nursing Home Trade Association. Individual salaries are determined within the established pay range for each position. Form 990, Part VI, Section C, Line 19 The Organization makes its governing documents, conflict of interest policy and audited financial statements available to the public upon written request. Annual Form 990 is available through Guide Star. Form 990, Part XI, Line 9 Intercompany Elimination with related organization St. Augustine Services. St Augustine Services Corporation 7801 Detroit Avenue Cleveland OH 44102 341609330 Medical Services OH 501(c)(3) Line 9 N/A 0 Catholic Charities Corporation 7911 Detroit Avenue Cleveland OH 44102 341318541 Social Services OH 501(c)(3) Line 11A, I N/A 0 Rose-Mary Center 19350 Euclid Avenue Euclid OH 44117 341267579 Disability Care OH 501(c)(3) Line 1 N/A 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 Catholic Charities Corporation k 1065461 ASU No. 2016-2 Accounting pronouncement. Right of Use Asset and Operating Lease Liability. This return is not late in filing. On April 28, 2023, Form 8868, Application for Automatic Extension of Time To File an Exempt Organization Return, was filed electronically with the IRS and accepted.