2022-05-16T18:33:08-05:00 2021-06-30 135381590 BDO USA LLP 800 RED BROOK BLVD SUITE 300 OWINGS MILLS MD 21117 990 2020-07-01 521071433 CHARLES COUNTY NURSING AND REHABILITATION CENTER INC CHAR 3019341900 10200 LA PLATA ROAD LA PLATA MD 20646 ANDREA DWYER CEO 3019341900 2022-05-16 1 ANDREA DWYER 999009999 BRIAN J RAY P01278507 4103633200 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANDREA DWYER 10200 LA PLATA MD 20646 19078576 0 X WWW.SAGEPOINTCARE.ORG X 1976 MD LONG-TERM CARE, REHABILITATION, ASSISTED LIVING, AND ADULT DAY SERVICES 11 10 409 12 0 0 498132 0 23971435 18998887 20026 8869 41640 70820 24531233 19078576 0 0 0 0 13056752 10523198 0 0 0 11437424 10671065 24494176 21194263 37057 -2115687 13734748 15672185 9801862 13854986 3932886 1817199 X TO PROVIDE EXCELLENCE IN REHABILITATION AND AGING SERVICES DELIVERED BY EMPLOYEES THAT REFLECT OUR VALUES 0 0 13224419 14375364 CHARLES COUNTY NURSING & REHABILITATION CENTER PROVIDES LONG-TERM CARE AND REHABILITATIVE SERVICES TO THE RESIDENTS OF THE SOUTHERN MARYLAND REGION. MOST OF THESE RESIDENTS WERE ADMITTED FOR REHABILITATIVE SERVICES AFTER DISCHARGE FROM AN ACUTE-CARE SETTING. THE REMAINDER WERE ADMITTED FOR LONG-TERM CARE ON A MEDICALLY NECESSARY BASIS. THE MAJORITY OF THE LONG-TERM CARE RESIDENTS WERE INDIGENT AND QUALIFY FINANCIALLY FOR THE MEDICAL ASSITANCE PROGRAM. DURING THE FYE 2021, THE NURSING & REHABILITATION CENTER ACCOUNTED FOR APPROMIXATELY 41,600 PATIENT DAYS AND AVERAGE DAILY PATIENT CARE OF 114 INDIVIDUALS. 2222369 2500886 THE ASSISTED LIVING FACILITY, SAGEPOINT GARDENS, PROVIDES CARE & SUPPORT TO THE AGED WHO HAVE MEDICAL DIAGNOSES & REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. DURING FYE 2021, SAGEPOINT GARDENS ACCOUNTED FOR APPROXIMATELY 13,400 PATIENT DAYS AND AVERAGE DAILY PATIENT CARE OF 37 INDIVIDUALS. 984900 1108332 THE ORGANIZATION PROVIDES IN-HOME CARE TO RESIDENTS THROUGHOUT THE TRI-COUNTY AREA OF SOUTHERN MARYLAND. THESE RESIDENTS ARE ABLE TO CONTINUE TO LIVE AT HOME, BUT REQUIRED ASSISTANCE WITH VARIOUS ACTIVITIES OF DAILY LIVING. FOR FISCAL YEAR 2021, AN AVERAGE OF OVER 49,000 HOURS OF CARE WAS PROVIDED TO AN AVERAGE OF 54 CLIENTS. 901345 1014305 THE ORGANIZATIONS ADULT DAY SERVICES OFFERS WELCOME SUPPORT FOR FAMILIES WITH A LOVED ONE WHO NEEDS SUPERVISION AND MEDICAL SERVICES DURING THE DAY. SERVICES INCLUDE SUPERVISION WITH DAILY ACTIVITIES, PHYSICAL AND OCCUPATIONAL THERAPIES AVAILABLE ON SITE, MONITORING OF MEDICAL DIAGNOSES AND MEDICATION ADMINISTRATION, HEALTH CHECKS SUCH AS BLOOD PRESSURE, BLOOD SUGAR, LAB WORK AND NUTRITION CONSULTATION AND WEIGHT MONITORING.ADULT SERVICES ALSO INCLUDES MEANINGFUL ACTIVITIES SUCH AS PHYSICAL ACTIVITIES, MENTALLY STIMULATING ACTIVITIES AND RELIGIOUS SERVICES. 901345 1014305 17333033 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 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 33 0 1 409 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MD X TERRY L WEAVER 3019341900 10200 LA PLATA ROAD LA PLATA MD 20646 CAROLYN W CORE DIRECTOR 2.00 7.00 X 0 0 0 GRANT A MCCLURE SEC/TREASURER 2.00 X X 0 0 0 LINDA FITZGERALD DIRECTOR 2.00 X 0 0 0 LOUIS KAUFMAN MD MEDICAL DIRECTOR 2.00 2.00 X 0 0 0 BARBARA STEPURA CHAIR-ELECT 2.00 3.00 X X 0 0 0 ANN PAGE DIRECTOR 2.00 X 0 0 0 JON JOHNSON DIRECTOR 2.00 2.00 X 0 0 0 ANDREA DWYER PRESIDENT/CEO 10.00 41.00 X X 0 214698 0 ANNA WHITE DIRECTOR 2.00 X 0 0 0 SCOTT STEVENSON DIRECTOR 2.00 X 0 0 0 KATHY PARSONS CHAIR 2.00 X X 0 0 0 TERRY WEAVER CFO 30.00 16.00 X 0 162206 22138 MICHELE J BUSCHER SENIOR DIRECTOR/CNO 40.00 X 142348 0 22529 DENISE MCCANN SENIOR DIRECTOR/CNO 40.00 X 142495 0 24267 GRACE N NGUHMBI NURSE SUPERVISOR 40.00 X 146524 0 10643 MAUREEN N NDOLO LPN 40.00 X 147871 0 16378 ROSEMOND D BARTELS SHIFT SUPERVISOR 40.00 X 135542 0 1300 714780 376904 97255 9 0 1 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 REHABILITATION SERVICES 922968 PHARMERICA PO BOX 409251 ATLANTA GA 30384 PHARMACY SERVICES 387657 DIAMOND MEDICAL LABORATORIES LLC 66 PAINTERS MILL RD STE 200 OWINGS MILL MD 21117 COVID TESTING 175527 3 NURSING CARE 623000 14375364 14375364 ASSISTED LIVING 623000 2500886 2500886 HOME CARE 623000 1108332 1108332 ADULT DAY CARE 623000 1014305 1014305 18998887 8869 8869 MISCELLANEOUS 623000 60425 60425 TELEPHONE & TV REHAB 623000 10395 10395 70820 19078576 18998887 0 79689 8891719 8353553 538166 79675 39692 39983 665846 374658 291188 885958 823534 62424 1605756 24000 1581756 291024 1714 289310 61709 61709 1522137 1256558 265579 24841 24841 565433 417943 147490 89332 15675 73657 3476920 3349676 127244 8651 8477 174 641 250 391 142 142 392193 392193 408119 90435 317684 MEDICAL SUPPLIES 661753 661753 EMPLOYEE COVID-19 TESTI 562314 562314 FOOD 489862 489862 BAD DEBT EXPENSE 450000 450000 60238 20604 39634 21194263 17333033 3861230 0 2105 6369 7726843 9466342 3286907 3961806 141413 130497 212911 81293 6091252 4964600 1385937 1126652 891221 899226 87411 0 13734748 15672185 2671092 2170454 450350 485988 2953850 6650157 3726570 4548387 9801862 13854986 X 3932886 1817199 3932886 1817199 13734748 15672185 -2115687 0 X X 0 0 0 X 19419 19522 1151 498132 538224 19062601 20287859 23244549 23971435 18998887 105565331 19082020 20307381 23245700 24469567 18998887 106103555 11300 15484 26784 0 11300 15484 26784 106076771 9202 12267 16577 20026 8869 66941 9202 12267 16577 20026 8869 66941 83112 62354 87659 41640 70820 345585 19174334 20382002 23349936 24531233 19078576 106516081 0.99590 0.99560 0.00060 0.00060 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 83,112. 2017 AMOUNT: $ 62,354. 2018 AMOUNT: $ 87,659. 2019 AMOUNT: $ 41,640. 2020 AMOUNT: $ 70,820. 1 151767 151767 0 10000 10000 2181650 1679401 502249 3319078 2733462 585616 580524 551737 28787 1126652 DUE TO RELATED PARTY 4542021 DUE TO THIRD PARTY 6366 4548387 PART IV, LINE 1B: THE ORGANIZATION SERVES AS CUSTODIAN FOR RESIDENTS WHO ARE UNABLE TO MANAGE THEIR OWN FINANCES. RESIDENTS CONTACT THE INDIVIDUAL CUSTODIAN OF THEIR ACCOUNT WHEN FUNDS ARE NEEDED TO REQUEST DISBURSEMENTS. X X X 0 0 0 0 0 0 0 0 0 ANDREA DWYER PRESIDENT/CEO 0 167003 0 47695 0 0 0 0 0 0 0 214698 0 0 TERRY WEAVER CFO 0 135206 0 27000 0 0 0 3240 0 18898 0 184344 0 0 DENISE MCCANN SENIOR DIRECTOR/CNO 129795 0 12700 0 0 0 2850 0 21417 0 166762 0 0 0 MICHELE J BUSCHER SENIOR DIRECTOR/CNO 129648 0 12700 0 0 0 2850 0 19679 0 164877 0 0 0 MAUREEN N NDOLO LPN 147871 0 0 0 0 0 0 0 16378 0 164249 0 0 0 GRACE N NGUHMBI NURSE SUPERVISOR 146524 0 0 0 0 0 2930 0 7713 0 157167 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 CONTROL OVER MANAGEMENT DUTIES IS DELAGATED TO FAMILY OF CARE ALLIANCE, INC. (90-0860390), A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 FAMILY OF CARE ALLIANCE INC. (90-0860390), A MARYLAND NONSTOCK CORPORATION, IS THE SOLE MEMBER OF CHARLES COUNTY NURSING & REHABILITATION CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, FAMILY OF CARE ALLIANCE, ELECTS ALL BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS RESERVED THE FOLLOWING POWERS AND SHALL REQUIRE THE AFFIRMATIVE VOTE OR WRITTEN CONSENT OF THE SOLE MEMBER: 1. APPROVAL OF ANY AMENDMENT, ALTERATION, REPEAL OR ADOPTION OF CHANGES TO THE BY-LAWS OR THE CHARTER. 2. ADOPTION, APPROVAL OR REPEAL OF ANY PLAN OF DISSOLUTION, OR MERGER. 3. ADOPTION, APPROVAL, OR REPEAL OF ANY MATERIAL CHANGES IN OPERATIONS INCLUDING WITHOUT LIMITATION, ANY CHANGE OR OMISSION THAT WOULD RESULT IN THE LOSS OF OR NEGATIVE IMPACT ON ANY OF THE CORPORATION'S LICENSES, PERMITS, CERTIFICATES OF NEED OR THE LIKE. FORM 990, PART VI, SECTION B, LINE 11B THE CFO WILL COMPARE THE DRAFT FORM 990 TO THE PREVIOUS YEAR'S RETURN IN DETAIL, LOOKING FOR ANY SIGNIFICANT DIFFERENCES OR OMISSIONS. THE CFO ALSO TRACES AMOUNTS TO THE FINANCIAL STATEMENTS AND TRIAL BALANCE. THE CFO THEN REVIEWS THE 990 WITH THE CEO BEFORE IT IS PRESENTED TO THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES FOR APPROVAL BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE BOARD AS A WHOLE MONITORS THE POLICY. ANY BOARD MEMBER, OFFICER, OR KEY EMPLOYEE WHO IS INVOLVED IN A CONFLICT SITUATION WILL REMOVE HIMSELF OR HERSELF FROM ANY DECISION-MAKING REGARDING THE CONFLICT. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2: THE ORGANIZATION HAS ENGAGED AN AUDITOR TO AUDIT FY2021 FINANCIAL STATEMENTS BUT THE AUDIT IS NOT COMPLETE AT THE TIME OF FILING. THE 990 WAS PREPARED BASED ON THE BEST INFORMATION AVAILABLE AT THE TIME OF FILING. AN AMENDED INFORMATION RETURN WILL BE FILED, IF NECESSARY, UPON COMPLETION OF THE FINANCIAL STATEMENT AUDIT. CHARLES CO NURSING & REHAB CENTER FOUNDATION 10200 LA PLATA ROAD LA PLATA MD 20626 201666771 FUNDRAISING FOR RELATED ENTITY MD 501 (C) (3) LINE 7 FAMILY OF CARE ALLIANCE INC 0 FAMILY OF CARE ALLIANCE INC 10200 LA PLATA ROAD LA PLATA MD 20626 900860390 FUNDRAISING AND SUPPORT FOR AFFILIATED ORGANIZATIONS MD 501 (C) (3) LINE 12B, II N/A 0 FAMILY OF CARE REAL ESTATE HOLDING COMPANY INC 10200 LA PLATA ROAD LA PLATA MD 20646 800827126 REAL ESTATE HOLDINGS FOR AFFILIATED ORGANIZATIONS MD 501 (C) (3) LINE 12B, II FAMILY OF CARE ALLIANCE INC 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0