2020-07-14T14:02:07-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 521071433 CHARLES COUNTY NURSING & REHABILITATION CENTER INC CHAR 3019341900 10200 LA PLATA ROAD LA PLATA MD 20646 ANDREA DWYER CEO 3019341900 2020-07-10 1 KERRI N BOGDA CPA P00760402 7177404863 73.187.220.225 2020-07-10 13:05:38 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 BF90B4BE16E9AE312C0D8383967EBAED4A365E8B 2018 2021-01-29 14:40:06Z ANDREA DWYER 10200 LA PLATA ROAD LA PLATA MD 20646 23349936 0 X WWW.SAGEPOINTCARE.ORG X 1976 MD LONG-TERM CARE, REHABILITATION, ASSISTED LIVING, AND ADULT DAY SERVICES. 13 13 444 170 0 0 19522 1151 20287859 23244549 12267 16577 62354 87659 20382002 23349936 0 0 0 0 12232166 13240892 0 0 0 9270703 10024070 21502869 23264962 -1120867 84974 7010891 10278219 3200036 6382390 3810855 3895829 X TO PROVIDE EXCELLENCE IN REHABILITATION AND AGING SERVICES DELIVERED BY EMPLOYEES THAT REFLECT OUR VALUES. 0 0 15392041 0 18243630 CHARLES COUNTY NURSING & REHABILITATION CENTER PROVIDES LONG-TERM CARE AND REHABILITATIVE SERVICES TO THE RESIDENTS OF THE SOUTHERN MARYLAND REGION. FOR FISCAL YEAR 2019, THE TOTAL IN-HOUSE RESIDENT DAYS WERE 58,619. THIS EQUATES TO AN AVERAGE OF APPROXIMATELY 161 RESIDENTS PER DAY OUT OF A TOTAL CAPACITY OF 165. A TOTAL OF 426 RESIDENTS WERE ADMITTED IN FISCAL YEAR 2019. 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 ASSISTANCE PROGRAM. 1530414 0 1813945 THE ASSISTED LIVING FACILITY, SAGEPOINT GARDENS, PROVIDES CARE AND SUPPORT TO THE AGED WHO HAVE MEDICAL DIAGNOSES AND REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. THE FACILITIES HAVE THE CAPACITY TO CARE FOR 32 RESIDENTS. FOR FISCAL YEAR 2019, CARE WAS PROVIDED TO AN AVERAGE OF 31 RESIDENTS EACH DAY. 984494 0 1166885 THE ADULT DAY SERVICES PROGRAM PROVIDES DAY CARE FOR DISABLED AND SEVERELY DISABLED ADULTS OF ALL AGES THROUGHOUT CHARLES COUNTY, MARYLAND. THE PROGRAM PROVIDES TRANSPORTATION FOR ALL CLIENTS AS NEEDED. THE ADULT DAY SERVICES PROGRAM FURTHER SUPPORTS THE NEEDS OF ITS CLIENTS AND THEIR FAMILY MEMBERS BY OPERATING ON A 6-DAY WEEK, RATHER THAN A 5-DAY WEEK SCHEDULE. THE ABILITY TO PAY IS NOT A CRITERION FOR ENROLLMENT, AS THE ADULT DAY SERVICES PROGRAM PARTICIPATES IN THE MARYLAND MEDICAL ASSISTANCE PROGRAM. FOR FISCAL YEAR 2019, THE ADULT DAY SERVICES PROGRAM AVERAGED 67 ENROLLED CLIENTS PER MONTH. 608185 0 720860 THE MEMORY CARE FACILITY PROVIDES CARE AND SUPPORT TO THE AGED WHO HAVE MEDICAL DIAGNOSES INCLUDING FORMS OF DEMENTIA, AND WHO REQUIRE ASSISTANCE WITH ACTIVITIES OF DAILY LIVING. THE FACILITY HAS THE CAPACITY TO CARE FOR 12 RESIDENTS. FOR FISCAL YEAR 2019, CARE WAS PROVIDED TO AN AVERAGE OF 11 RESIDENTS EACH DAY. 1096152 0 1299229 CHARLES COUNTY NURSING AND REHABILITATION CENTER 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 REQUIRE ASSISTANCE WITH VARIOUS ACTIVITIES OF DAILY LIVING. FOR FISCAL YEAR 2019, AN AVERAGE OF OVER 62,000 HOURS OF CARE WAS PROVIDED TO AN AVERAGE OF 60 CLIENTS. 1704337 0 2020089 19611286 1 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 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 49 0 444 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 PAST CHAIR 2.00 7.00 X 0 0 0 SUE GREEN SECRETARY/TREASURER 2.00 2.00 X X 0 0 0 GRANT A MCCLURE TRUSTEE 2.00 1.00 X 0 0 0 DANA LEVY TRUSTEE 2.00 2.00 X 0 0 0 KATHY PARSONS CHAIR 2.00 0.00 X X 0 0 0 LINDA FITZGERALD TRUSTEE 2.00 0.00 X 0 0 0 LOUIS KAUFMAN MD TRUSTEE 2.00 2.00 X 0 0 0 BARBARA STEPURA CHAIR-ELECT 2.00 0.00 X 0 0 0 CHRISTOPHER NORTON TRUSTEE 2.00 1.00 X 0 0 0 FREDDIE L CURRY TRUSTEE 2.00 0.00 X 0 0 0 ADRIENNE M DAVIS TRUSTEE 2.00 0.00 X 0 0 0 ANN PAGE TRUSTEE 2.00 0.00 X 0 0 0 JON JOHNSON TRUSTEE 2.00 0.00 X 0 0 0 ANDREA DWYER PRESIDENT/CEO 10.00 41.00 X 0 95952 0 TERRY WEAVER CFO (AS OF NOV. 2018) 30.00 16.00 X 0 10385 0 MICHELE BUSCHER SENIOR DIRECTOR/CNO (AS OF 11/18) 40.00 0.00 X 121257 0 18495 MICHAEL MUDD VP FACILITIES 30.00 10.00 X 0 110215 488 DENISE MCCANN SENIOR DIRECTOR/CNO (AS OF 11/18) 40.00 0.00 X 122227 0 19749 MARY ROBINSON VP CLINICAL SERVIES 45.00 1.00 X 0 168937 10280 243484 385489 49012 2 0 1 0 REHABCARE GROUP INC 680 SOUTH 4TH STREET LOUISVILLE KY 40202 REHABILITATION SVCS 1375959 PHARMERICIA POBOX 409251 ATLANTA GA 30384 PHARMACY SERVICE 561507 2 1151 1151 NURSING CARE 623000 18243630 18243630 ASSISTED LIVING 623000 1813945 1813945 HOME CARE 623000 1299229 1299229 ADULT DAY CARE 623000 1166885 1166885 MEMORY CARE 623000 720860 720860 23244549 16577 16577 TELEPHONE & TV REHAB 623000 31134 31134 BEAUTY/BARBERSHOP INCOME 623000 26406 26406 COMMUNITY FEE 623000 21000 21000 9119 9119 87659 23349936 23244549 0 104236 11253496 10747313 506183 49846 28821 21025 872002 533252 338750 1065548 1015443 50105 1605756 1605756 63389 63389 146848 146848 1521 1521 2237667 2065950 171717 33349 318 33031 668646 546639 122007 125722 9655 116067 2456135 2273895 182240 14754 11907 2847 14723 8907 5816 28526 28526 373042 373042 269008 60294 208714 MEDICAL SUPPLIES 933803 933803 FOOD 663426 663426 BAD DEBT EXPENSE 135227 135227 SOCIAL EVENTS 115621 102252 13369 136907 72616 64291 23264962 19611286 3653676 0 3650 3650 923606 4157532 3065393 3342485 125412 137635 180253 112981 5846956 4199504 1850072 1647452 862505 876484 7010891 10278219 1879920 1872104 594490 636953 638998 634152 86628 3239181 3200036 6382390 X 3810855 3895829 3810855 3895829 7010891 10278219 84974 0 X 0 1 X 1 0 X 84039 19487 19419 19522 1151 143618 18358987 18942470 19062601 20287859 23244549 99896466 18443026 18961957 19082020 20307381 23245700 100040084 6000 11300 15484 32784 0 6000 11300 15484 32784 100007300 32957 10683 9202 12267 16577 81686 32957 10683 9202 12267 16577 81686 93076 87703 83112 62354 87659 413904 18569059 19060343 19174334 20382002 23349936 100535674 0.99470 0.99190 0.00080 0.00210 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2014 AMOUNT: $ 868. 2015 AMOUNT: $ 85. 2016 AMOUNT: $ 1,577. 2017 AMOUNT: $ 481. 2018 AMOUNT: $ 619. TELEPHONE TV REHAB - 2014 AMOUNT: $ 26,992. 2015 AMOUNT: $ 26,565. 2016 AMOUNT: $ 28,390. 2017 AMOUNT: $ 30,265. 2018 AMOUNT: $ 31,134. MANAGEMENT FEES - APPLICATION FEE - 2014 AMOUNT: $ 5,500. 2015 AMOUNT: $ 4,500. 2016 AMOUNT: $ 6,500. 2018 AMOUNT: $ 8,500. BEAUTY BARBERSHOP INCOME - 2014 AMOUNT: $ 27,616. 2015 AMOUNT: $ 29,553. 2016 AMOUNT: $ 25,645. 2017 AMOUNT: $ 25,608. 2018 AMOUNT: $ 26,406. COMMUNITY FEE - 2014 AMOUNT: $ 32,100. 2015 AMOUNT: $ 27,000. 2016 AMOUNT: $ 21,000. 2017 AMOUNT: $ 6,000. 2018 AMOUNT: $ 21,000. 0 0 0 0 0 0 0 0 1 1521 1521 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO ORGANIZATIONS THAT ADVOCATE FOR SENIOR CITIZENS. A PORTION OF THE DUES IS ALLOCATED TO LOBBYING EXPENSES. 1 46199 976824 837347 185676 0 10000 10000 5823139 4196284 1626855 13817 3220 10597 1647452 DUE TO RELATED PARTY 3239181 3239181 23349936 0 23349936 0 23349936 23264962 0 23264962 0 23264962 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 1 0 MARY ROBINSON VP CLINICAL SERVIES 0 152944 0 15993 0 0 0 0 0 10280 0 179217 0 0 PART I, LINE 7 THE CEO AND VICE PRESIDENTS MAY RECEIVE INCENTIVE COMPENSATION AT THE DISCRETION OF THE BOARD BASED ON A NUMBER OF FACTORS SURROUNDING THE ORGANIZATION'S FINANCIAL HEALTH AS WELL AS QUALITY AND STRATEGIC INDICATORS. FORM 990, PART VI, SECTION A, LINE 3 CONTROL OVER MANAGEMENT DUTIES IS DELEGATED 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 AUDITED 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, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. CHARLES CO NURSING & REHAB CTR FOUND 10200 LA PLATA ROAD LA PLATA MD 20646 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 20646 900860390 FUNDING 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 0 0 1 0 1 0 1 0 0