2021-11-15T13:39:24-06:00 2020-12-31 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-01-01 210663921 BAPTIST HOME OF SOUTH JERSEY INC BAPT 8568292274 303 BANK AVENUE RIVERTON NJ 08077 JOHN SAVO CONTROLLER 8568292274 2021-11-15 1 JOHN SAVO 999009999 CHARLES N CICCONE P00734640 6177610600 2021-11-15 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN SAVO 303 BANK AVENUE RIVERTON NJ 08077 7505909 0 X WWW.RIVERVIEWESTATES.ORG X 1952 NJ THE HOME IS A RETIREMENT FACILITY DEDICATED TO THE SPIRITUAL AND PHYSICAL NEEDS OF ITS RESIDENTS AND PATIENTS. 9 9 194 9 0 0 78386 529483 8187877 6832623 72580 84391 272 59412 8339115 7505909 0 0 0 0 5389292 5507165 0 0 0 2872678 3020644 8261970 8527809 77145 -1021900 5354173 5498911 2542021 3496099 2812152 2002812 THE HOME IS A RETIREMENT FACILITY DEDICATED TO THE SPIRITUAL AND PHYSICAL NEEDS OF ITS RESIDENTS AND PATIENTS. 0 0 7683839 6892035 THE HOME PROVIDES CARE TO ITS RESIDENTS THROUGH THE OPERATION OF A FACILITY THAT PROVIDES ASSISTED LIVING WITH 62 COMPREHENSIVE PERSONAL CARE BEDS AND LONG-TERM CARE WITH 60 NURSING BEDS. THE HOME IS DEDICATED TO THE SPIRITUAL AND PHYSICAL NEEDS OF THE AGED MEMBERS OF THE COOPERATING CHURCHES OF THE CAPITAL, GREATER DELAWARE VALLEY, NORTH SHORE AND WEST NEW JERSEY BAPTIST ASSOCIATIONS OF THE AMERICAN BAPTIST CHURCHES OF NEW JERSEY AND OTHERS WHO MEET THE ENTRANCE REQUIREMENTS AND ARE APPROVED BY THE BOARD OF TRUSTEES. 7683839 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 12 0 1 194 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X THE ORGANIZATION 8568292274 303 BANK AVENUE RIVERTON NJ 08077 DAVID WOODHEAD CHAIR OF BOARD 1.00 1.00 X X 0 0 0 GORDON G HUDSON TREASURER 1.00 1.00 X X 0 0 0 GARY DOSSANTOS SECRETARY 1.00 1.00 X X 0 0 0 REV PETER ELY VICE CHAIR OF BOARD 1.00 1.00 X X 0 0 0 BONNIE DOSSANTOS TRUSTEE 1.00 1.00 X 0 0 0 ROBERT NORCROSS TRUSTEE 1.00 1.00 X 0 0 0 GERRI GINETT TRUSTEE 1.00 1.00 X 0 0 0 FAITH ENDICOTT TRUSTEE 1.00 1.00 X 0 0 0 TAYLOR PARRY TRUSTEE 1.00 1.00 X 0 0 0 LEONARD SCHAFER TRUSTEES (UNTIL MARCH 2020) 1.00 1.00 X 0 0 0 JOANNA PASTORE ADMINISTRATOR/EXECUTIVE DIRECTOR 39.00 1.00 X 115125 0 7834 JOHN SAVO CONTROLLER 39.00 1.00 X 92896 0 18418 208021 0 26252 1 0 0 0 SELECT REHABILITATION INC PO BOX 80956 CHICAGO IL 60680 MEDICAL SERVICES 755246 1 465255 64228 529483 RESIDENT SERVICES 623000 6832623 6832623 6832623 84391 84391 MISCELLANEOUS 900099 59412 59412 59412 7505909 6892035 0 84391 X 234273 122959 111314 4001921 3595353 406568 840054 755755 84299 430917 379793 51124 38641 38641 25825 25825 14 14 1023841 1017004 6837 2630 2630 164059 145274 18785 27539 27539 14064 14064 81629 71846 9783 292472 255925 36547 138610 126036 12574 DINING 281591 281591 UTILITES 238554 209965 28589 BAD DEBT EXPENSE 191887 191887 ENVIRONMENTAL SERVICES 115753 115753 383535 370451 13084 8527809 7683839 843970 0 229168 665206 11523 11855 864465 642172 39030 42429 31796 70785 9477661 6944979 2783996 2532682 1389095 1528682 5100 5100 5354173 5498911 1090595 2365120 1380585 270044 850000 70841 10935 2542021 3496099 X 1423057 474335 1389095 1528477 2812152 2002812 5354173 5498911 X -1021900 73178 139382 X 0 1 X 1 0 X 104810 272710 234170 78386 529483 1219559 7917562 8035794 8056091 8187877 6832623 39029947 8022372 8308504 8290261 8266263 7362106 40249506 0 0 0 40249506 80773 82183 86138 72580 84391 406065 80773 82183 86138 72580 84391 406065 636 589 1514 272 59412 62423 8103781 8391276 8377913 8339115 7505909 40717994 0.98850 0.98890 0.01000 0.00990 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2016 AMOUNT: $ 636. 2017 AMOUNT: $ 589. 2018 AMOUNT: $ 1,514. 2019 AMOUNT: $ 272. 2020 AMOUNT: $ 59,412. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 49413 18306 67719 0 43925 43925 7021556 4915633 2105923 2285059 1920889 364170 127121 108457 18664 2532682 INVESTMENT IN PERPETUAL TRUST 1528682 F 1528682 CAPITAL LEASE 10935 10935 X 7455275 139382 139382 7315893 14 190002 190016 7505909 8337793 0 8337793 14 190002 190016 8527809 PART IV, LINE 1B: AS A CONVENIENCE TO ITS RESIDENTS, BAPTIST HOME OF SOUTH JERSEY, INC. WILL HOLD THE PERSONAL FUNDS OF RESIDENTS ALLOWING THEM TO MAKE PURCHASES FOR GOODS AND SERVICES WITHIN AND OUTSIDE OF THE BAPTIST HOME OF SOUTH JERSEY'S COMMUNITY. PART X, LINE 2: THE ORGANIZATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD APPLIED TO THE RECOGNITION OF THE TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX BENEFIT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR ALL UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES ASSESSED, IF ANY, ARE ACCRUED AS INCOME TAX EXPENSE. THE ORGANIZATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY AS A TAX POSITION; HOWEVER, THE HOME HAS DETERMINED THAT SUCH TAX POSITION DOES NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 139,382. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 191,887. GUEST MEAL INCOME NETTED WITH MISCELLANEOUS INCOME -1,885. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 191,887. GUEST MEAL INCOME NETTED WITH MISCELLANEOUS INCOME -1,885. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS REVIEWED WITH THE FINANCE COMMITTEE, AND A COPY OF THE FORM 990 IS THEN SHARED WITH THE FULL GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES THAT MEMBERS OF THE BOARD OF DIRECTORS (INCLUDING ALL OFFICERS AND KEY EMPLOYEES) TO DISCLOSE ANY INTEREST THAT COULD GIVE RISE TO CONFLICT. THIS PROCESS IS REPEATED ANNUALLY. THE INTERESTED PERSON WHO HAS A CONFLICT MAY NOT VOTE ON MATTERS FOR WHICH THERE IS A CONFLICT OF INTEREST AND THEY MUST BE EXCLUDED FROM DISCUSSIONS OF MATTERS FOR WHICH THERE IS A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF EXECUTIVES AND OTHER HIGHLY COMPENSATED EMPLOYEES IS REVIEWED AND AUTHORIZED BY THE BOARD OF DIRECTORS. NO PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO COMPENSATION ARRANGEMENTS MAY BE INVOLVED WITH THE DECISION MAKING. THE BOARD OF DIRECTORS REVIEWS COMPARABLE COMPENSATION FOR QUALIFIED PERSONS IN COMPARABLE POSITIONS AT SIMILAR INSTITUTIONS. MINUTES, DECISIONS, AND COMPENSATION ARRANGEMENTS ARE ALL CONTEMPORANEOUSLY DOCUMENTED. FINAL DETERMINATIONS ARE COMMUNITED DIRECTLY TO HR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICARE SERVICE COSTS: PROGRAM SERVICE EXPENSES 904,159. MANAGEMENT AND GENERAL EXPENSES 6,837. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 910,996. PHARMACY CONSULTANT: PROGRAM SERVICE EXPENSES 8,948. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,948. CONTRACT LABOR - RN/LPN/CNA: PROGRAM SERVICE EXPENSES 103,897. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,897. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 139,382. BAPTIST HOMES OF NEW JERSEY INC 303 BANK AVENUE RIVERTON NJ 08077 200017803 PROMOTE RESIDENT CARE NJ 501(C)(3) PF BAPTIST HOME OF SOUTH JERSEY 1 BAPTIST HOMES OF NEW JERSEY FOUNDATION INC 303 BANK AVENUE RIVERTON NJ 08077 223424130 SUPPORT RESIDENT CARE NJ 501(C)(3) PF BAPTIST HOME OF SOUTH JERSEY 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0