2021-11-12T10:45:57-07:00 2020-12-31 990 2020-01-01 341040692 St Augustine Manor Corporation STAU 2166347400 7801 Detroit Avenue Cleveland OH 44102 Francis Huba CFO 2166347555 2021-11-12 1 11 0 AAL2 2020 2022-09-23 18:48:47Z Rick Meserini 7801 Detroit Avenue Cleveland OH 44102 40536695 0 X www.staugustinehealthministries.org X 1969 OH St. Augustine Manor dba St. Augustine Health Ministries provides skilled nursing and community based services including; an early education and child day care, assisted living, rehabilitation, long-term care, home delivered and congregate meals, home care and hospice care. 19 18 489 144 0 0 3334482 3346533 32794345 34603153 66544 43367 723249 2543642 36918620 40536695 0 0 0 0 25445776 26376117 0 0 91005 11182412 11689576 36628188 38065693 290432 2471002 26946773 31210513 5401519 6724271 21545254 24486242 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 23744314 0 25472983 Skilled Nursing Home Care: 234 bed skilled nursing facility with an in-house Pharmacy and on-site dialysis. The facility was last surveyed by the Ohio Department of Health in December 2019 and fared well receiving only 3 low level, low in scope and severity, citations. 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 366 new admissions in 2020. 6833270 0 7711469 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 all private rooms. With an average daily census of over 88 patients, Holy Family Home/Hospice served over 649 patients in 2020 and provided nearly $1.18 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 94% of families who have used our services would recommend Holy Family Hospice to their friends and relatives. 2566821 0 2982026 Assisted Living Facility: St. Augustine Towers is a licensed residential care facility with 99 apartments, daily Mass in our chapel and a capacity to serve 110 residents. The Towers had perfect surveys in 2019 by both the Ohio Department of Health and the Western Reserve Area Agency on Aging. The Towers has been a part of the Medicaid waiver program through WRAAA since 2007 serving approximately 22 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 2020 we averaged 35 residents on the PACE program. Our 2020 occupancy of 96% is well above national and state averages demonstrating our consistently high resident/family satisfaction despite the pandemic. 786366 0 980316 Home Health Care Agency and other programs. 786366 0 980316 33930771 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 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 94 0 1 489 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 18 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 Patrick Gareau Ex-Officio of Board of Directors/Secretariat of Catholic Charities 1 39 X 0 230603 65407 Rick Meserini President/CEO Ex-Officio Board of Trustees 39 1 X 207979 0 36803 Francis Huba CFO 39 1 X 179123 0 15474 Anita Gerrasch Sr Administrator 40 0 X X 138286 0 15805 Jorge Palma Licensed Practical Nurse 59 0 X 123699 0 29740 Colleen Wilson Director of Nursing 40 0 X 130221 0 15070 Jennifer Thomas Licensed Practical Nurse 70 0 X 127245 0 11768 Kristin Graham Executive Director of Hospice and Home Health Care 40 0 X X 120766 0 6020 The Most Reverend Edward C Malesic Board Member - Bishop of Diocese of Cleveland 1 0 X 0 0 0 Mark Seryak Board of Directors - Ex-Officio 1 0 X 0 0 0 Charles Slone Board of Directors Trustee 1 0 X 0 0 0 J Thomas Hannon Honorary Trustee of Board of Directors 1 0 X 0 0 0 Mark McGrievy Board of Directors Trustee Officer-Vice Chairperson 1 0 X 0 0 0 Linda Sheehan Board of Dircetors Trustee 1 0 X 0 0 0 Cullen Hanlon Board of Directors Trustee 1 0 X 0 0 0 Theresa Dawson Board of Directors Trustee 1 0 X 0 0 0 Joseph Dailey Board of Directors Trustee 1 0 X 0 0 0 Edward Hack Board of Directors Trustee 1 0 X 0 0 0 John Faulstich Board of Directors Trustee Officer-Treasurer 1 0 X 0 0 0 Amelia V Llerena MD Board of Directors Trustee 1 0 X 0 0 0 JDeborah Enty Board of Directors Trustee 1 0 X 0 0 0 Erik Huss Board of Directors Trustee 1 0 X 0 0 0 Karen McCarthy Board of Directors Trustee 1 0 X 0 0 0 Joseph Sciarrillo Board of Directors Trustee 1 0 X 0 0 0 Robert Pumphrey Board of Directors Trustee Officer-Secretary 1 0 X 0 0 0 Peter P Jancar Board of Directors Trustee 1 0 X 0 0 0 Margaret Lynch Honorary Trustee of Board of Dircetors 1 0 X 0 0 0 Damon Taseff Board of Directors Trustee Officer-Chair 1 0 X 0 0 0 1027319 230603 196087 13 0 1 0 0 0 0 0 1476652 0 1869881 0 3346533 Nursing Home Care 623110 22611274 22611274 0 0 Hospice Care 623110 7367081 7367081 0 0 Assisted Living Care 623311 2807865 2807865 0 0 Home Health Care 621610 950533 950533 0 0 Child Enrichment Care 624410 524415 524415 0 0 341985 341985 0 0 34603153 43796 0 0 43796 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 -429 0 0 0 -429 -429 -429 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Coronavirus/Provider Relief Funds 623110 2271100 2271100 0 0 Miscellaneous 623110 18980 18980 0 0 Dietary 722212 192455 192455 0 0 61107 61107 0 0 2543642 40536695 37146366 0 43796 0 0 0 0 0 0 0 0 396923 0 396923 0 0 0 0 0 20936212 18961265 1886111 88836 670178 657867 12311 0 2813119 2760832 52287 0 1559685 1530916 28769 0 281286 122830 158456 0 146 0 146 0 53176 0 53176 0 0 0 0 0 0 0 0 0 0 0 838574 753076 85498 0 172160 63377 108783 0 558271 103426 454845 0 255223 121024 132030 2169 0 0 0 0 2296246 2291014 5232 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1241546 1241546 0 0 317063 315513 1550 0 Medical Supplies 2343353 2343353 0 0 Raw Food & Supplies 1590845 1590845 0 0 Bad Debt 667800 0 667800 0 Bed Tax 1072652 1072652 0 0 1235 1235 0 0 38065693 33930771 4043917 91005 905005 2121182 2044191 4267886 0 0 5555432 5780492 0 0 0 0 0 0 99795 207076 42679 52437 33283671 23111298 10208646 10172373 0 0 438532 465182 0 0 345000 345000 7307493 7798885 26946773 31210513 5055864 6142796 0 0 271122 506529 0 0 0 0 0 0 0 0 0 0 74533 74946 5401519 6724271 X 14293501 16869050 7251753 7617192 21545254 24486242 26946773 31210513 2471002 469986 0 0 0 0 X X 0 1 X 1 0 X 4100588 3313131 4251598 3334482 3346532 18346331 29942646 30773616 31924239 33515944 34875267 161031712 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34043234 34086747 36175837 36850426 38221799 179378043 1691195 1428869 1776647 1623525 1476652 7996888 0 0 0 0 0 0 1691195 1428869 1776647 1623525 1476652 7996888 171381155 65579 61845 56466 68194 43796 295880 0 0 0 0 0 0 65579 61845 56466 68194 43796 295880 0 0 0 0 0 0 0 0 0 0 2271100 2271100 34108813 34148592 36232303 36918620 40536695 181945023 0.94194 0.94455 0.00163 0.00158 X Schedule A, Part III, Line 12 St. Augustine received $1,704,787 from the Provider Relief Fund administered by the Department of Health and Human Services to provide support for lost revenue attributed to the COVID-19 pandemic. St. Augustine also received $566,313 from the Coronavirus Relief Fund administered by the U.S. Department of Treasury to support expenditures incurred due to the public health emergency. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 688532 2110 24540 0 0 0 715182 648039 3813 36680 0 0 0 688532 657383 13366 -22418 0 285 7 648039 630149 2835 24412 0 0 13 657383 624485 675 5022 0 0 33 630149 0 1 0 0 1 1 0 0 0 0 19144800 11399466 7745334 0 4168 3821 347 0 13069738 11256293 1813445 0 1064965 451718 613247 10172373 Board Designated Funded Depreciation 1146373 Deposits Workers' Compensation 2809 Deffered Contributions 457B Plan 64392 Investments held in Perpetual Trust 6335311 Endowment Funds 250000 7798885 0 Security Deposits 74946 74946 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, 2020, there were no unrecognized tax benefits identified or recorded as liabilities. X X 0 0 0 0 0 0 0 0 0 Patrick Gareau Ex-Officio of Board of Directors/Secretariat of Catholic Charities 0 230602 0 0 0 0 0 14102 0 51305 0 296009 0 0 Rick Meserini President/CEO Ex-Officio Board of Trustees 207979 0 0 0 0 0 8419 0 28384 0 244782 0 0 0 Francis Huba CFO 179123 0 0 0 0 0 7022 0 8452 0 194597 0 0 0 Form 990, Part VI, Section A, Line 6 The Organization has 3 governing 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 Board 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 their approval. Form 990, Part VI, Section B, Line 11b The 2020 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 XII, Line 2c The Organization has a committee that assumes responsibility for the oversight of the audit and selection of an Independent Accountant. This process has not changed during the year. 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 0 1 1 1 1 0 0 0 0 St Augustine Manor filed for an automatic 6 month extension for the 2020 990 on May 1, 2021. The new filing deadline is November 15, 2021, hence the return is timely filed.