2019-11-14T23:12:19-06:00 2018-12-31 BKD LLP 655 Third Avenue 1200 New York NY 10017 990 2018-01-01 760847915 Margaret Anna Cusack Care Center Inc % ERNEST CHESTER JR MARG 2016538300 537 Pavonia Avenue Jersey City NJ 07306 THOMAS P SHEEHY JR ADMINISTRATOR/SECRET 2016538300 2019-04-29 true Aaron Shapiro P01333816 2128674000 167.68.126.162 26511920193185000012 2019-11-14 P 89205EC730D9E2CDB33E7921E4EB252967AD29DB 319FC87BD1330F796E4035663441B3D0185919B5 2018 2020-03-31 21:24:44Z PEACE CARE ST JOSEPH'S THOMAS P SHEEHY JR 537 PAVONIA AVENUE JERSEY CITY NJ 07306 20712899 false 9281 X WWW.PEACECARENJ.ORG X 2006 NJ PROVIDING SKILLED NURSING CARE FOR THE ELDERLY. 5 3 232 20 0 17881 726057 631347 14304577 13928270 339634 773459 67951 73257 15438219 15406333 0 0 0 0 8357322 8003642 0 0 109787 7655218 7092086 16012540 15095728 -574321 310605 29051105 26772820 14900793 12990899 14150312 13781921 X MARGARET ANNA CUSACK CARE CENTER INC. (the CENTER) IS A community of skilled, compassionate caregivers, rooted in Catholic tradition and the values of the Sisters of St. Joseph of Peace. THE CENTER provides care with dignity for the healing of the whole person. false false 12660103 13928270 THE MARGARET ANNA CUSACK CARE CENTER INC. D/B/A PEACE CARE ST. JOSEPH'S (THE CENTER) AT THE HISTORIC ST. JOSEPH'S HOME FOR THE BLIND WAS ESTABLISHED IN 1891 BY THE SISTERS OF ST. JOSEPH OF PEACE AS A HOME FOR BLIND CHILDREN AND ADULTS. TODAY THE CENTER PROVIDES SUB-ACUTE AND LONG-TERM SKILLED NURSING CARE TO 139 BLIND AND SIGHTED OLDER ADULTS AT ITS STATE-OF-THE-ART FACILITY IN JERSEY CITY, NEW JERSEY. THE CENTER OFFERS A COMPLETE RANGE OF MEDICAL AND NURSING SERVICES, SUPPORTED BY REHABILITATION THERAPISTS, REGISTERED DIETITIANS AND OTHER CLINICAL SPECIALISTS. OUR PASTORAL CARE SERVICE PROVIDES SPIRITUAL PROGRAMS AS WELL AS COMFORT AND SUPPORT TO RESIDENTS, FAMILY MEMBERS AND STAFF. OUR RECREATIONAL PROFESSIONALS PROVIDE A FULL RANGE OF ACTIVITIES FOR RESIDENTS OF ALL LEVELS AND INTERESTS INCLUDING SOCIAL, PHYSICAL, CREATIVE, EDUCATIONAL, CULTURAL, COGNITIVE/SENSORY AWARENESS AND COMMUNITY INTEGRATING PROGRAMS. DURING FY 2018, THE CENTER PROVIDED CARE AND SERVICES TO 477 RESIDENTS. 12660103 true true false true false false false true false true false false false true false true true false false false false false false true true false false false true false false false false false false false false false false false false false true false false false true 12 5 true 232 true true true false false false false true true false false false false false false X 5 3 true false true false true true true true true false false true true true true true true true false false NJ X ERNEST CHESTER JR 2016538300 537 PAVONIA AVENUE JERSEY CITY NJ 07306 THOMAS P SHEEHY JR Admin./Secretary through 10/18 40.0 0.0 X X 170586 0 24419 MAUREEN C DONOHUE CEO (APPOINTED 7/18) 12.0 48.0 X X 0 146000 6995 JOHN J PROUT CHAIRPERSON through 10/18 1.0 0.0 X X 0 0 0 TERESA M DONOHUE CSJP CHAIRPERSON 0.5 3.0 X X 0 0 0 LIZ DOREN TREASURER through 10/18 0.5 1.0 X X 0 0 0 JOHN LAPILUSA TREASURER 0.5 1.0 X X 0 0 0 CATHERINE YAXLEY SECRETARY 1.0 6.0 X X 0 0 0 SUSAN M WALSH - MDS FACP Trustee through 10/18 0.5 0.0 X 0 0 0 PHYLLIS LIGUORI Trustee through 10/18 1.0 1.0 X 0 0 0 SILVANA BUCCIANTI Trustee through 10/18 0.5 1.0 X 0 0 0 Rev James V Pagnotta Trustee THROUGH 10/18 0.5 1.0 X 0 0 0 BERNADETTE HOEHL Trustee (THROUGH 10/18) 1.0 1.0 X 0 0 0 ERNEST CHESTER JR DIRECTOR OF FINANCE 40.0 0.0 X 117048 0 34885 Jerzy Popko CEO (through 3/18) 5.0 45.0 X 0 67421 3743 DOMINIC D'AMBROSIOMS LNHA CEO (THROUGH 7/18) 5.0 45.0 X 0 96096 0 MONA DAUPHIN DIRECTOR OF NURSING 40.0 0.0 X 105962 0 12844 JANE SUPUKO NURSING SUPERVISOR 37.5 0.0 X 122658 0 11629 516254 309517 94515 4 false true false UNIDINE CORPORATION 1000 WASHINGTON STREET BOSTON MA 02118 DIETARY 2501365 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 60680 REHABILITATION 1182763 LOUIS GARGIULO COMP INC 44-46 STATE STREET JERSEY CITY NJ 07304 CONTRACTOR 166385 3 53405 136000 441942 631347 MEDICAID 623000 6838814 6838814 MEDICARE 623000 3153656 3153656 ANCILLARIES 623000 2473737 2473737 PRIVATE 623000 1462063 1462063 13928270 119968 119968 0 0 0 0 0 5921180 5267689 653491 653491 653491 25640 53405 17047 8593 8593 43660 21830 21830 21830 0 0 0 MISCELLANEOUS 900099 42834 42834 42834 15406333 13928270 846716 0 0 0 0 346938 194285 152653 0 5798423 4743881 989335 65207 245458 194458 48415 2585 1103292 896649 194281 12362 509531 403664 100501 5366 0 32218 32218 45706 45706 738 738 0 6162 6162 2779627 2586039 193311 277 57519 57519 1853483 1738403 96768 18312 0 0 842022 725079 114116 2827 0 0 0 0 0 938971 731153 204967 2851 89148 89148 N.J. STATE ASSESSMENT 446492 446492 15095728 12660103 2325838 109787 176792 752595 1258751 471477 0 10000 1859443 2139100 0 0 0 0 0 0 0 0 221730 210500 37540502 20606453 17620796 16934049 7756748 6197607 0 0 0 0 0 0 156845 57492 29051105 26772820 8912848 7483503 0 0 4323 170467 0 0 289300 296701 0 0 5580701 4928490 0 0 113621 111738 14900793 12990899 X 14150312 13765921 0 16000 0 0 14150312 13781921 29051105 26772820 X 310605 -1094197 415201 X false true X true false X 508867 547003 598662 726057 579657 2960246 14566401 14445268 14073259 14304577 13928270 71317775 0 0 0 15075268 14992271 14671921 15030634 14507927 74278021 0 0 0 74278021 103995 102869 105910 111631 119968 544373 0 103995 102869 105910 111631 119968 544373 7352 12075 38537 18867 82113 158944 33076 41909 53723 49630 42834 221172 15219691 15149124 14870091 15210762 14752842 75202510 0.98771 0.98940 0.00724 0.00680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 738 738 false PART II-B, LINE 1 The organization paid $12,291.69 to LeadingAge(formally NJASHA) in membership dues of which $738 is used for Lobbying Activities. false true X 2221004 2221004 31046606 16670104 14376502 4180336 3843793 336543 92558 92558 16934049 0 ESTIMATED LIABILITIES DUE TO THIRD PARTIES 111738 111738 14461584 -1094197 116733 38877 -938587 15400171 6162 6162 15406333 15245176 116733 38877 155610 15089566 6162 6162 15095728 PART IV, LINE 2B RESIDENT SECURITY DEPOSITS AND PERSONAL FUNDS HELD ON BEHALF OF THE RESIDENTS ARE MAINTAINED IN BANK ACCOUNTS SEPARATE FROM THE CENTERS ACCOUNTS. INTEREST EARNED IS CREDITED TO THE RESIDENTS ACCOUNTS. PART XI, LINE 2D direct cost of special events and gaming: 38,877 PART XII, LINE 2D direct cost of special events and gaming: 38,877 GOLF OUTING 17978 17978 7494 GENERATIONS LUN 61067 53405 7662 9553 0 79045 53405 25640 17047 17047 8593 false false 43660 21830 false 43660 21830 21830 21830 NJ true false true false 0.05000 PAUL KAPLAN - DIRECTOR OF DEVELOPME C/O MACCC 537 PAVONIA AVE JERSEY CITY NJ 07306 false PAUL KAPLAN 4318 HE IS THE FUNDRAISER, GRANT WRITER, MANAGES 50/50 X false X X X false false false false false false false true false THOMAS P SHEEHY JR Admin./Secretary through 10/18 158136 5000 7450 24419 195005 MAUREEN C DONOHUE CEO (APPOINTED 7/18) 146000 1840 5155 152995 ERNEST CHESTER JR DIRECTOR OF FINANCE 109605 7443 34885 151933 PART I, LINE 7 BONUS WAS BASED ON PERFORMANCE AS DETERMINED BY COMPENSATION COMMITTEE AND BOARD OF TRUSTEES. FORM 990, PART VI, LINE 2 Teresa M. Donohue, CSJP and Maureen C. Donohue have a family relationship. FORM 990, PART VI, SECTION A, LINE 4 The organization's bylaws were amended and restated in 2018. MAJOR CHANGES INCLUDED REMOVING THE MAXIMUM number of trustees of 9 and Quorums changed from being a majority of trustee to 3 trustees, 2 of whom must be officers. FORM 990, PART VI, SECTION A, LINE 6 PEACE CARE, INC. IS THE SOLE CORPORATE MEMBER OF THE CENTER AND ALSO IS THE SOLE CORPORATE MEMBER OF ST. ANN'S HOME FOR THE AGED D/B/A PEACE CARE ST. ANN'S. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER APPOINTS THE BOARD MEMBERS OF THE CENTER. FORM 990, PART VI, SECTION A, LINE 7B THE POWER TO AMEND, CHANGE OR ALTER THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE CENTER 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 CENTER OF ANY CORPORATION OR OTHER LEGAL ENTITY. B) THE CENTER'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 CENTER OF ANY OTHER INSTITUTION, CORPORATION, ORGANIZATION, FACILITY OR ENTITY. D) THE SALE, ACQUISITION, EXCHANGE, TRANSFER, CONVEYANCE OR OTHER DISPOSITION BY THE CENTER OF ANY REAL PROPERTY OF INTEREST THEREIN OWNED BY THE CENTER. E) THE LEASING, MORTGAGING OR OTHER ENCUMBERING OF ANY REAL PROPERTY OWNED BY THE CENTER. F) THE PARTICIPATION IN ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CENTER. G) THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE CENTER. 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 CENTER. 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 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 FINANCIALS INTEREST 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 TRUSTEES REVIEWS COMPARABLE DATA FROM OTHER ORGANIZATIONS WHICH ARE OF SIMILAR NATURE AND SIZE TO DETERMINE COMPENSATION FOR OFFICERS. THE SALARIES WERE BASED ON SALARY DETERMINATION THAT TOOK PLACE IN DECEMBER 2017. FORM 990, PART VI, SECTION C, LINE 19 EVERY REQUEST IS EVALUATED AGAINST LEGAL OBLIGATION AND IF DETERMINED TO BE NECESSARY A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIALS STATEMENTS ARE PROVIDED. FORM 990, PART XI, LINE 9 CHANGE IN DEFINED BENEFIT PENSION PLAN: 415,201 FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:DIETARY SERVICES TOTAL FEES:2017817 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACEUTICAL EXPENSES TOTAL FEES:339653 FORM 990 PART IX LINE 11G DESCRIPTION:DATA PROCESSING TOTAL FEES:139604 FORM 990 PART IX LINE 11G DESCRIPTION:SECURITY EXPENSES TOTAL FEES:91248 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY NURSING TOTAL FEES:75381 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED MEDICAL DIRECTOR TOTAL FEES:53510 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTANTS TOTAL FEES:46294 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES TOTAL FEES:16120 PEACE CARE INC 198 OLD BERGEN ROAD JERSEY CITY NJ 07305 812589807 ADMIN. SERV. NJ 501(C)(3) 12C, III-FI PEACE MINIS false ST ANN'S HOME FOR THE AGED 198 OLD BERGEN ROAD JERSEY CITY NJ 07305 222823794 NURSING CARE NJ 501(C)(3) LINE 10 PEACE CARE false PEACE MINISTRIES 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