2021-11-15T11:14:35-06:00 2020-12-31 BKD LLP 1155 Avenue of the Americas 1200 New York NY 10036 990 2020-01-01 222823794 St Ann's Home for the Aged Corp % JASMIN GOMEZ STAN 2014330950 198 Old Bergen Road Jersey City NJ 07305 JANET MERLY-LIRANZO ADMINISTRATOR 2014330950 2020-12-31 true JASMIN GOMEZ 999009999 Aaron Shapiro P01333816 2128674000 3 2020 2022-09-23 18:48:47Z Peace Care St Ann's JANET MERLY-LIRANZO 198 OLD BERGEN ROAD JERSEY CITY NJ 07305 16293400 false X PEACECARENJ.ORG X 1987 NJ THE HOME PROVIDES LONG TERM NURSING CARE AS WELL AS ADULT DAYCARE TO THE COMMUNITY. 5 3 293 8 0 515901 2999701 14797882 12505020 793860 631629 103205 13202 16210848 16149552 0 0 0 0 10015548 9750080 0 0 86827 5673354 5708396 15688902 15458476 521946 691076 31002275 33915769 11795651 13064334 19206624 20851435 X ST. ANN'S IS A COMMUNITY OF SKILLED, COMPASSIONATE, CAREGIVERS, ROOTED IN CATHOLIC TRADITION AND THE VALUES OF THE SISTERS OF ST. JOSEPH OF PEACE. ST. ANN'S PROVIDES CARE WITH DIGNITY FOR THE HEALING OF THE WHOLE PERSON. false true 13013544 12505020 ST. ANN'S HOME FOR THE AGED CORP D/B/A PEACE CARE ST. ANN'S (THE HOME) IS A NONPROFIT ORGANIZATION WHICH OPERATES A 120-BED NURSING HOME IN JERSEY CITY, NEW JERSEY. THE HOME PROVIDES LONG-TERM, POST-ACUTE AND RESPITE CARE SERVICES AS WELL AS AN OUTPATIENT REHABILITATION PROGRAM. POST-ACUTE CARE IS A SHORT TERM REHABILITATION SERVICE PROVIDED TO A PATIENT FOLLOWING SURGERY, HOSPITALIZATIONS, INJURY, OR A DISABILITY. THE SHORT-TERM REHABILITATION SERVICES INCLUDE SKILLED NURSING, SOCIAL SERVICES FOR THE OVERALL WELL-BEING OF THE PATIENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND/OR SPEECH THERAPY PROVIDED BY HIGHLY TRAINED STAFF. THE PHYSICAL THERAPY SERVICES ARE ALSO OFFERED AS PART OF OUR OUTPATIENT REHABILITATION PROGRAM WHICH INCLUDES TRANSPORTATION FROM AND TO THE PATIENT'S HOME. RESPITE CARE IS A SHORT TERM STAY AVAILABLE FOR A VARIETY OF CARE LEVELS SERVICE FOR PATIENTS WHO NEED EXTRA ASSISTANCE BEFORE RETURNING HOME AFTER A HOSPITAL STAY OR SIMPLY FOR CARETAKERS WHO NEED A BREAK FROM TAKING CARE OF THEIR FAMILY MEMBER. IN ADDITION TO PROVIDING LONG-TERM, POST-ACUTE AND RESPITE CARE SERVICES, THE HOME ALSO OPERATES A 50-SLOT ADULT MEDICAL DAYCARE UNIT. During Fiscal Year 2020, the center provided care and services to 207 residents and patients. 13013544 true true false true false false false false true false true false false false true false true true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false true 95 0 293 true false false false false false false false false false false false false X 5 3 false false false false true true true true true false false true true true true true true true false false NJ X JASMIN GOMEZ 2014330950 198 OLD BERGEN ROAD JERSEY CITY NJ 07305 CHERYL DORN CHIEF OPERATING OFFICER 19.5 20.5 X X 0 264583 7500 JANET MERLY-LIRANZO ADMINISTRATOR 40.0 0.0 X X 148005 0 41281 MAUREEN C DONOHUE CEO (through 8/20) 4.0 46.0 X X 0 178875 5869 ELIZABETH BAMBALAN-RATA DIRECTOR OF NURSING 40.0 0.0 X 136925 0 7110 MARIETTA LEGASPI RN SUPERVISOR 40.0 0.0 X 101548 0 4954 CHRISTINE BACKIEL CSJP CHAIRPERSON 0.5 2.0 X X 0 0 0 Catherine YAXLEY SECRETARY 0.5 4.5 X X 0 0 0 CHARLES DEDERDING TREASURER 0.5 1.0 X X 0 0 0 386478 443458 66714 3 false true false UNIDINE 1000 WASHINGTON STREET BOSTON MA 02118 FOOD AND DINING 817732 1 12179 2768874 218648 2999701 MEDICAID 623000 5244485 5244485 MEDICARE 623000 3229583 3229583 PRIVATE 623000 3053379 3053379 MEDICAL DAYCARE 623000 723712 723712 ANCILLARIES 623000 253861 253861 12505020 265469 265469 0 0 0 0 0 510008 143848 366160 366160 366160 0 0 0 8080 0 8080 8080 0 0 0 MISCELLANEOUS 900099 5122 5122 5122 16149552 12505020 644831 0 0 0 0 189286 71929 117357 0 7479106 6786575 620761 71770 153733 130346 22511 876 1413593 1196632 208956 8005 514362 434335 77154 2873 0 7965 7965 38530 38530 68 68 0 0 980194 816906 163288 16253 12411 3706 136 1335676 1246364 86145 3167 0 0 1321422 1062466 258956 14513 14513 0 0 0 0 1031020 824816 206204 12000 9672 2328 BAD DEBT 544176 544176 NJ ASSESSMENT 406579 406579 15458476 13013544 2358105 86827 642537 688556 77928 2855537 0 0 2252066 1699555 0 0 0 0 0 0 0 50745 276763 236876 30882923 18194525 13481435 12688398 13413813 14922379 0 0 0 0 0 0 857733 773723 31002275 33915769 970273 1263862 0 0 0 1089545 9832811 9450214 535669 409503 0 0 0 0 0 0 456898 851210 11795651 13064334 X 19143459 20836690 63165 14745 19206624 20851435 31002275 33915769 X 691076 878835 74900 X false true X true false X 39120 198839 539289 515901 2999701 4292850 14425995 14230793 14274743 14797882 12505020 70234433 0 0 0 14465115 14429632 14814032 15313783 15504721 74527283 0 66323 13308 79631 66323 13308 79631 74447652 243914 251822 262794 365137 265469 1389136 0 243914 251822 262794 365137 265469 1389136 0 14232 52539 32432 88722 5122 193047 14723261 14733993 15109258 15767642 15775312 76109466 0.97816 0.97795 0.01825 0.01821 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 68 68 false PART II-B, LINE 1 The organization paid to Catholic Health and NJ Hospital Association membership dues of $3,222, of which $68 is used for Lobbying Activities. false true X 2997898 2997898 25075457 17089968 7985489 2453271 867070 1586201 356297 237487 118810 12688398 0 DUE TO RELATED ORGANIZATION 167743 THIRD PARTIES 683467 851210 X 17277166 878835 173879 74900 1127614 16149552 16149552 15632355 173879 173879 15458476 15458476 SCHEDULE D, PART IV, LINE 2B RESIDENT SECURITY DEPOSITS AND PERSONAL FUNDS HELD ON BEHALF OF THE RESIDENTS ARE MAINTAINED IN BANK ACCOUNTS SEPARATE FROM THE HOME'S ACCOUNTS, INTEREST EARNED IS CREDITED TO THE RESIDENTS' ACCOUNTS. PART XI, LINE 2D Change In Value Interest Rate Swap Agreement: $74,900 Schedule D, Part X, Line 2: Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements. X X X false false false false false false false true false JANET MERLY-LIRANZO ADMINISTRATOR 147478 0 0 0 527 0 5673 0 35608 0 189286 0 MAUREEN C DONOHUE CEO (through 8/20) 0 178875 0 0 0 0 0 2147 0 3722 0 184744 CHERYL DORN CHIEF OPERATING OFFICER 0 250003 0 0 0 14580 0 7500 0 0 0 272083 SCHEDULE J, PART I, LINE 7 THE DIRECTOR OF NURSING, ELIZABETH BAMBALAN-RATA, RECEIVED A ONE TIME BONUS DUE TO THE PANDEMIC. THE BONUS WAS APPROVED BY THE CHIEF OPERATING OFFICER. A NEW JERSEY HEALTH CARE FACILITIES FINANCING AUT 64579FVF7 2010-05-01 11625000 BUILDING EXPANSION AND RETIREMENT false false false A 2174786 0 11625000 59332 0 0 248623 0 0 11317045 0 0 2011 false false true true A false false false false 0 false false false false A false false false false false false 0 false 0 false false A false FORM 990, PART VI, SECTION A, LINE 6 PEACE CARE, INC. IS THE SOLE CORPORATE MEMBER OF ST. ANN'S HOME FOR THE AGED AND ALSO IS THE SOLE CORPORATE MEMBER OF MARGARET ANNA CUSACK CARE CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER APPOINTS THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE POWER TO AMEND, CHANGE OR ALTER THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE HOME IS RESERVED EXCLUSIVELY TO THE BOARD OF TRUSTEES OF THE MEMBER, PEACE CARE, INC., AND REQUIRES THE FURTHER APPROVAL OF ITS SOLE MEMBER, PEACE MINISTRIES, INC. SIMILARLY, THE FOLLOWING POWERS ARE RESERVED TO THE MEMBER, SOME OF WHICH REQUIRE THE ADDITIONAL APPROVAL OF ITS MEMBER. A) THE CREATION BY THE HOME OF ANY CORPORATION OR OTHER LEGAL ENTITY. B) THE HOME'S AFFILIATION WITH OR PARTICIPATION IN, ANY JOINT VENTURE OR JOINT ENTERPRISE WITH ONE OR MORE OTHER ENTITIES. C) THE MANAGEMENT, ACQUISITION OR SPONSORSHIP BY THE HOME OF ANY OTHER INSTITUTION, CORPORATION, ORGANIZATION, FACILITY OR ENTITY. D) THE SALE, ACQUISITION, EXCHANGE, TRANSFER, CONVEYANCE OR OTHER DISPOSITION BY THE HOME OF ANY REAL PROPERTY OF INTEREST THEREIN OWNED BY THE HOME. E) THE LEASING, MORTGAGING OR OTHER ENCUMBERING OF ANY REAL PROPERTY OWNED BY THE HOME. F) THE PARTICIPATION IN ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOME. G) THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE HOME. H) THE APPOINTMENT AND REMOVAL OF TRUSTEES. I) THE APPOINTMENT AND REMOVAL OF THE ADMINISTRATOR. J) THE APPOINTMENT AND REMOVAL OF THE OFFICERS. K) THE ESTABLISHMENT OR CHANGE OF THE MISSION OF THE HOME. L) TO ENTER INTO NEW BORROWINGS AND TO RENEGOTIATE, MODIFY OR OTHERWISE CHANGE EXISTING DEBT OBLIGATIONS IN EXCESS OF 15% OF THE NET ASSETS. FORM 990, PART VI, SECTION B, LINE 11B DRAFTS OF THE FORM 990 WERE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE AND CHANGES WERE MADE AS NEEDED. A COPY OF THE FINAL 990 WAS THEN CIRCULATED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE PRIMARY PURPOSE OF THE POLICY IS TO ENSURE THAT THE BOARD AND EXECUTIVE STAFF CAN MAKE DECISIONS IN AN OBJECTIVE MANNER WITHOUT UNDUE INFLUENCE BY INTERESTED PERSONS AND TO ENSURE THAT THE CENTER FULFILLS ITS CHARITABLE PURPOSES. EACH BOARD MEMBER AND PRINCIPAL OFFICER WITH BOARD DELEGATED POWER SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSONS HAVE COMPLIED WITH THE FOLLOWING: 1) RECEIVED A COPY OF THIS POLICY, 2) READ AND UNDERSTAND THIS POLICY, 3) AGREED TO COMPLY WITH THIS POLICY, 4) UNDERSTAND THAT THE CENTER IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES AND, 5) DISCLOSED ACTIVITIES AND FINANCIAL INTERESTS WHICH MAY RESULT IN A CONFLICT OF INTEREST. POTENTIAL CONFLICTS ARE DISCUSSED AT THE APPROPRIATE AUDIT COMMITTEE MEETING AND A DECISION ON HOW TO HANDLE IS VOTED ON IN THE ABSENCE OF THE INDIVIDUAL WHO HAS A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF THE ORGANIZATION REVIEWS COMPARABLE DATA FROM OTHER ORGANIZATIONS WHICH ARE OF SIMILAR NATURE AND SIZE TO DETERMINE THE COMPENSATION OF THE ADMINISTRATOR ON AN ANNUAL BASIS. THE REVIEW WAS LAST DONE IN January 2020. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WERE NOT MADE AVAILABLE TO THE PUBLIC DURING THE REPORTING PERIOD. FORM 990, PART III, Line 3 DUE TO THE CORONOVIRUS PANDEMIC, HEALTH REGULATIONS REQUIRED SIGNIFICANT CHANGES WITH ADMISSIONS AND STRATEGICALLY UTILIZING ROOM AVAILABILITY TO SEPARATE OUR LONG-TERM CARE RESIDENTS BY LOCALIZING AND COHORT OF PATIENTS. The biggest change deals with admissions and strategically utilizing room availability to separate our long-term care residents by localizing and cohort of patients. Observation beds/rooms have been created for new admissions who require monitoring. In case there is a positive case in the facility, isolation rooms have been created enabling us to care for the resident at the facility instead of transferring them out. The facility also reimagined daily operations post pandemic to maintain the highest level of care for our residents. These re-imagination strategies include, enhanced virtual communication with providers, partners, families, and prospective residents. We also have telehealth consults with our physicians, virtual meetings with local hospitals, and referral sources. To better serve our residents we started a Robotic Pet and Virtual hug program. FORM 990, PART XI, LINE 9 CHANGE IN VALUE INTEREST RATE SWAP AGREEMENT: $74,900 PEACE CARE INC 198 OLD BERGEN RD JERSEY CITY NJ 07305 812589807 PROVIDE ADMIN NJ 501(C)(3) LINE 12C PEACE MINIST false MARGARET ANNA CUSACK CARE CENTER INC 537 PAVONIA AVENUE JERSEY CITY NJ 07306 760847915 NURSING CARE NJ 501(C)(3) LINE 10 PEACE CARE false PEACE MINISTRIES INC 399 HUDSON TERRACE ENGLEWOOD CLIFFS NJ 07632 465202238 SUPPORT NJ 501(C)(3) LINE 7 CSJP false false false true false false false false false false false false false false true true true true false false