2019-11-12T10:00:49-06:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-01-01 202937952 THE FRANCIS E PARKER ASSISTED LIVING CENTER INC FRAN 7325458330 1421 RIVER ROAD PISCATAWAY NJ 08854 EDWARD MATTHEWS CFO 7325458330 2019-11-08 1 KERRI N BOGDA CPA P00760402 7177404863 50.211.1.210 2019-11-08 08:42:30 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AF78FC311707138AE8A35EE5AF434BBB9CACA7EB 2018 2020-03-31 21:24:44Z ROBERTO MUNIZ 1421 RIVER ROAD PISCATAWAY NJ 08854 4047425 0 X WWW.PARKERLIFE.ORG X 2005 NJ PROVIDES TRANSFORMATIVE AND CHARITABLE ASSISTED LIVING SERVICES. 15 14 86 23 0 0 0 0 3804031 3847531 0 0 103878 133020 3907909 3980551 0 0 0 0 4332345 4748151 0 0 0 2876892 3183405 7209237 7931556 -3301328 -3951005 23689139 22922929 355205 323492 23333934 22599437 X FRANCIS E. PARKER PROVIDES TRANSFORMATIVE AND CHARITABLE LONG TERM CARE SERVICES IN HOME-LIKE SETTINGS WHILE ADVANCING LEARNING OPPORTUNITIES FOR NURSES, HEALTH CARE PROFESSIONALS AND CAREGIVERS. 0 0 5731480 0 3847531 THE FRANCIS E PARKER ASSISTED LIVING CENTER PROVIDES HIGH-QUALITY ASSISTED LIVING CARE AT THE LOWEST FEASIBLE COST. CARE IS PROVIDED IN THE LEAST RESTRICTIVE AND HOME-LIKE ENVIRONMENT POSSIBLE. ALSO KNOWN AS PARKER AT STONEGATE, IT IS AN ASSISTED LIVING RESIDENCE AND HEALTH AND WELLNESS CENTER LOCATED IN HIGHLAND PARK, NEW JERSEY, SERVING THE NEEDS OF APPROXIMATELY 70 RESIDENTS. THE AVERAGE DAILY CENSUS FOR 2018 WAS 63.RESIDENTS ENJOY INDEPENDENCE AND LIFESTYLE CHOICES. SERVICES ARE DESIGNED TO ALLOW RESIDENTS TO LIVE AND THRIVE IN AN INDEPENDENT YET SECURE ENVIRONMENT THAT EMBRACES PERSONAL GROWTH AND ENRICHMENT. PARKER AT STONEGATE PROVIDES NURSING AND PERSONAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. 5731480 1 0 0 0 0 0 0 0 0 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 X 0 0 86 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X EDWARD MATTHEWS CFO 7324188614 1421 RIVER ROAD PISCATAWAY NJ 08854 ROBERT S FALCONE MD TRUSTEE (RESIGNED NOV 18) 0.70 3.30 X 0 0 0 WILLIAM P TIBBITT TRUSTEE 0.70 3.30 X 0 0 0 BARBARA HUNT TRUSTEE 0.70 3.30 X 0 0 0 SCOTT E TOWNSLEY TRUSTEE 0.70 3.30 X 0 0 0 CLIFFORD E HOLLAND TRUSTEE 0.70 3.30 X 0 0 0 ALFRED F TALLIA MD MPH TRUSTEE 0.70 3.30 X 0 0 0 MARGUERITE K SCHLAG EDD RN VICE-CHAIR 0.70 3.30 X X 0 0 0 JOSEPH FERRO MD TRUSTEE 0.70 3.30 X 0 0 0 PENELOPE LATTIMER PHD TRUSTEE 0.70 3.30 X 0 0 0 JAMES FERRARE TRUSTEE 0.70 3.30 X 0 0 0 STEPHEN LANDERS MD TRUSTEE 0.70 3.30 X 0 0 0 LARRY JONES TRUSTEE 0.70 3.30 X 0 0 0 WILLIAM R HAGAMAN JR CHAIRMAN 3.00 11.00 X X 0 0 0 JOSEPH G BRAUNREUTHER ESQ SECRETARY 3.00 11.00 X X 0 0 0 JOHN A PAPA TREASURER 3.00 11.00 X X 0 0 0 ROBERTO MUNIZ MPA FLNHA PRESIDENT/CEO 3.00 37.00 X X 0 407126 65973 EDWARD MATTHEWS CFO 3.00 37.00 X 0 215426 32255 LINDA S PATRON DIRECTOR OF NURSING 40.00 0.00 X 138104 0 23675 FREDA A ACQUAYE CHARGE NURSE 40.00 0.00 X 105839 0 32303 CATHERINE MARTINO CERTIFIED ASST LIVING ADMINISTRATOR 40.00 0.00 X 100571 0 37234 344514 622552 191440 3 0 1 0 SCHAIBLE'S PLUMBING & HEATING INC 241 VAN SYCKELS RD HAMPTON NJ 08827 MAINTENANCE 108841 LIMBACH COMPANY LLC 175 TITUS AVE SUITE 100 WARRINGTON PA 18976 MAINTENANCE 102293 2 NET RESIDENT SRVC REV 623000 3847531 3847531 3847531 88000 66874 21126 21126 21126 CATERING/CAFE/STORE 623000 71594 71594 COMMUNITY FEE 623000 38500 38500 REHAB SVC LVL AGRMNT 623000 1800 1800 111894 3980551 3847531 0 133020 3494396 2018360 1476036 289912 167453 122459 274888 158775 116113 688955 397940 291015 268050 207123 60927 158135 148927 9208 398611 398611 10901 215 10686 3166 3166 1395218 1395218 106792 106792 FOOD 460144 460144 REPAIRS & MAINTENANCE 296137 296137 RESIDENT ACTIVITIES 41344 41344 LICENSES & DUES 19185 19185 25722 18882 6840 7931556 5731480 2200076 0 300 300 342830 433188 91310 100565 29150 29781 38010839 15651744 23225549 22359095 23689139 22922929 229728 182965 125477 140527 355205 323492 X 23333934 22599437 23333934 22599437 23689139 22922929 X -3951005 3216508 X 0 1 X 1 0 X X 1 THE FRANCIS E PARKER MEMORIAL HOME 221589209 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 33700739 12911337 20789402 4310100 2740407 1569693 22359095 DEPOSIT 140527 140527 7263933 3216508 3216508 4047425 -66874 -66874 3980551 7998430 66874 66874 7931556 0 7931556 PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER FROM RELATED ENTITY 3,216,508. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -66,874. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 66,874. 0 0 0 0 0 0 0 1 0 ROBERTO MUNIZ MPA FLNHA PRESIDENT/CEO 0 344520 0 61336 0 1270 0 0 0 65973 0 473099 0 0 EDWARD MATTHEWS CFO 0 199215 0 15000 0 1211 0 0 0 32255 0 247681 0 0 LINDA S PATRON DIRECTOR OF NURSING 129353 0 4970 0 3781 0 0 0 23675 0 161779 0 0 0 PART I, LINE 3 A RELATED ORGANIZATION, PARKER HEALTH GROUP, INC., USES AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE CEO. PART I, LINE 7 EXECUTIVES AND MANAGEMENT PERSONNEL RECEIVED BONUSES AS PART OF THEIR COMPENSATION FOR THE YEAR 2018. THE BONUSES ARE BASED UPON PERFORMANCE EVALUATONS THAT REFLECT PREVIOUSLY AGREED UPON GOALS AND OBJECTIVES WHICH HAVE BOTH FINANCIAL AND NON-FINANCIAL ELEMENTS. FORM 990, PART V, LINES 2A & 2B THE FILING ENTITY IS AN AFFILIATE IN A GROUP OF WHICH PARKER HEALTH GROUP, INC.(EIN 81-5241497) IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. PARKER HEALTH GROUP REPORTS ALL EMPLOYEES ON ITS FORM W-3, HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THIS ORGANIZATION. THE FRANCIS E PARKER ASSISTED LIVING CENTER DOES NOT, HOWEVER, REPORT THESE EMPLOYEES ON A SEPARATE W-3 UNDER ITS OWN EIN. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS OF THE FILING ORGANIZATION WERE AMENDED TO REFLECT THE NEW ORGANIZATIONAL STRUCTURE OF THE GROUP. AS MENTIONED OTHERWISE IN THIS FILING, PARKER HEALTH GROUP, INC. IS NOW THE PARENT AND SOLE MEMBER OF EACH OF ITS AFFILIATES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS PARKER HEALTH GROUP, INC., A RELATED TAX-EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER, PARKER HEALTH GROUP, INC. HAS THE POWER TO ELECT MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, PARKER HEALTH GROUP, INC. HAS THE POWER TO ALTER, AMEND OR REPEAL THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PERFORMS AN INITIAL REVIEW OF THE FORM 990. ONCE MANAGEMENT IS SATISFIED, THE FINANCE COMMITTEE SUBSEQUENTLY REVIEWS THE RETURN IN DETAIL. BOARD MEMBERS ARE THEN PROVIDED WITH COPIES OF THE RETURN PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. ANY TRUSTEE, OFFICER, OR KEY EMPLOYEE WHO HAS AN INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF TRUSTEES OR A COMMITTEE THEREOF SHALL MAKE A PROMPT AND FULL DISCLOSURE OF THE INTEREST TO THE BOARD OF TRUSTEES OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. THE BOARD OF TRUSTEES OR COMMITTEE TO WHICH DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST IS MADE SHALL DETERMINE, BY A MAJORITY VOTE, WHETHER A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, THE INTERESTED PERSON SHALL NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION OR TO RESPOND TO QUESTIONS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTION. SUCH PERSON MAY BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT BUT MAY NOT BE COUNTED WHEN THE BOARD OF TRUSTEES OR A COMMITTEE OF THE BOARD OF TRUSTEES TAKES ACTION ON THE TRANSACTION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. THE FULL BOARD MONITORS THE CONFLICT OF INTEREST POLICY AND WORKS WITH ORGANIZATION PERSONNEL TO ENSURE THAT ALL BOARD MEMBERS COMPLETE THE ANNUAL STATEMENTS. FOLLOW-UP IS PROVIDED BY LEGAL COUNSEL, IF NECESSARY. WHILE THE CONFLICT OF INTEREST POLICY DOES NOT EXPLICITLY STATE FAMILY AND BUSINESS RELATIONSHIPS, IT IS UNDERSTOOD THAT THESE RELATIONSHIPS MAY BE A SOURCE OF POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT COMPENSATION CONSULTANT, SULLIVAN, COTTER, AND ASSOCIATES, PROVIDES ANNUAL COMPENSATION SURVEY RESULTS TO THE ORGANIZATION. THE EXECUTIVE COMMITTEE (BOARD CHAIR, VICE-CHAIR, AND TREASURER) AND THE CHAIR OF THE PEOPLE COMMITTEE COMPOSE THE "AUTHORIZED BODY" WHICH HAS OVERSIGHT OF EXECUTIVE COMPENSATION ISSUES. THEY EVALUATE AND DETERMINE CEO COMPENSATION. THE SURVEY RESULTS ENSURE THAT COMPENSATION WILL BE WITHIN FAIR MARKET VALUE RANGE FOR THE INDUSTRY. USING THE SAME SURVEY, THE CEO DETERMINES COMPENSATION FOR THE REMAINING MANAGEMENT EXECUTIVES. ALL BOARD LEVEL DISCUSSIONS ARE DOCUMENTED IN BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM RELATED ENTITY 3,216,508. FORM 990, SCHEDULE J, PART II: THE ORGANIZATION HAS A PENSION WHICH IS AVAILABLE TO ALL EMPLOYEES. THE PENSION CONTRIBUTIONS ARE DERIVED FROM ACTUARIAL FORMULAS WHICH TAKE INTO CONSIDERATION ALL EMPLOYEES; THE CALCULATIONS ARE NOT BASED ON INDIVIDUALS NOR ARE THE ORGANIZATION'S CONTRIBUTIONS SET ASIDE FOR SPECIFIC EMPLOYEES. SUBSEQUENTLY, NO PENSION OR DEFERRED INCOME IS REFLECTED IN SCHEDULE J, PART VII, COLUMN C. THE FRANCIS E PARKER MEMORIAL HOME 1421 RIVER ROAD PISCATAWAY NJ 08854 221589209 NURSING HOME CARE NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER AT THE PAVILION ADULT DAY HEALTH SERVICES CENTER INC 1421 RIVER ROAD PISCATAWAY NJ 08854 261887505 ADULT DAY HEALTH SERVICES NJ 501(C)(3) LINE 12A, I PARKER HEALTH GROUP INC 0 PARKER AT MONROE INC 1422 RIVER ROAD PISCATAWAY NJ 08854 471335159 NURSING HOME CARE NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER REHABILITATION SERVICES 1421 RIVER ROAD PISCATAWAY NJ 08854 471958020 REHABILITATION SERVICES NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER AT SOMERSET INC 1421 RIVER ROAD PISCATAWAY NJ 08854 471944928 NURSING HOME CARE NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER HEALTH GROUP INC 1421 RIVER ROAD PISCATAWAY NJ 08854 815241497 NURSING HOME CARE NJ 501(C)(3) LINE 12B, II N/A 0 PARKER FOUNDATION INC 1421 RIVER ROAD PISCATAWAY NJ 08854 364858938 NURSING HOME CARE NJ 501(C)(3) LINE 12B, II PARKER HEALTH GROUP INC 0 PARKER AT EAST WINDSOR INC 1421 RIVER ROAD PISCATAWAY NJ 08854 471890220 NURSING HOME CARE NJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1