2019-08-13T13:40:23-05:00 2019-03-31 310800053 CLARK SCHAEFER HACKETT & CO 1 EAST 4TH STREET CINCINNATI OH 45202 990 2018-04-01 610587819 ST CHARLES CARE CENTER INC STCH 8593313224 600 FARRELL DRIVE COVINGTON KY 41011 KAREN NICHOLE SMITH ADMINISTRATOR 8593313224 2019-08-09 1 JANE E PFEIFER P00014949 5132413111 2019-08-09 74.121.64.228 2019-08-09 10:00:13 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 43193D7E285FBB46672E0D2F2EDCC06EAB8A5FE8 2018 2019-02-21 02:37:17Z KAREN NICHOLE SMITH 600 FARRELL DRIVE COVINGTON KY 41011 14274742 0 0928 X WWW.STCHARLESCOMMUNITY.ORG X 1961 KY IT IS THE MISSION OF ST. CHARLES CARE CENTER, INC. TO SERVE THE SENIOR POPULATION AND THEIR FAMILIES AND TO ENRICH ONE ANOTHER IN AN ATMOSPHERE OF MUTUAL TRUST, WILLING COOPERATION, AND SINCERE UNDERSTANDING. THE SENIOR POPULATION IS SERVED BY PROVIDING HOUSING, HEALTH CARE AND OTHER RELATED SERVICES. 10 9 139 78 0 0 147103 115044 5992504 6272532 1869661 1415081 17659 3491 8026927 7806148 47025 34317 0 0 2947004 3093362 0 0 37535 2428575 2446226 5422604 5573905 2604323 2232243 42320163 45243431 3516212 3591288 38803951 41652143 X IT IS THE MISSION OF ST. CHARLES CARE CENTER, INC. TO SERVE THE SENIOR POPULATION AND THEIR FAMILIES AND TO ENRICH ONE ANOTHER IN AN ATMOSPHERE OF MUTUAL TRUST, WILLING COOPERATION, AND SINCERE UNDERSTANDING. THE SENIOR POPULATION IS SERVED BY PROVIDING HOUSING, HEALTH CARE AND OTHER RELATED SERVICES. 0 0 1769092 2119556 ST. CHARLES CARE CENTER PROVIDED CARE AND SERVICES TO RESIDENTS OF NORTHERN KENTUCKY IN OUR 32 BED PERSONAL CARE FACILITY. THE SERVICES INCLUDED BUT WERE NOT LIMITED TO ROOM AND BOARD, MEALS, MEDICAL SUPPLIES, MEDICAL TREATMENTS AND REHABILITATION SERVICES. 2843673 3879435 ST. CHARLES CARE CENTER PROVIDED INDEPENDENT LIVING SERVICES TO RESIDENTS LIVING IN OUR VILLAGE AND LODGE. THE SERVICES INCLUDED IN OUR LODGE PROGRAM ARE ROOM AND BOARD, MEALS, HOUSEKEEPING AND LAUNDRY. THE VILLAGE PROGRAM INCLUDES ROOM AND BOARD, LAWN CARE AND GENERAL MAINTENANCE. RESIDENTS OF BOTH THE LODGE AND THE VILLAGE HAVE ACCESS TO CAMPUS SOCIAL AND HEALTHCARE SERVICES. 201051 24696 202146 ST. CHARLES ADULT DAY HEALTH PROGRAM KNOWN AS "CHARLIE'S CLUB" PROVIDES DAY CARE SERVICES TO ELDERLY MEMBERS OF NORTHERN KENTUCKY. THE PROGRAM INCLUDES MEALS AND SNACKS, HEALTH MONITORING, AS NEEDED, AND RECREATIONAL AND SOCIAL ACTIVITIES THROUGHOUT THE DAY. 72405 9621 71395 ST. CHARLES AT HOME PROGRAM PROVIDES PERSONAL CARE SERVICES TO THE ELDERLY MEMBERS OF NORTHERN KENTUCKY. THE PROGRAM INCLUDES COOKING MEALS, DOING HOUSEHOLD CHORES AND MONITORING IF NEEDED. 72405 9621 71395 4886221 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 7 0 1 139 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KY X NANCY CAMPBELL 8593313224 600 FARRELL DRIVE COVINGTON KY 41011 SR MARLA MONAHAN SND CHAIRPERSON OF THE BOARD 1.00 X X 0 0 0 K NICHOLE SMITH CEO/PRESIDENT/ ADMINISTRAT 40.00 X X 137233 0 3585 EDWARD BUECHEL BOARD MEMBER 1.00 X 0 0 0 SR MARY LUANN BENDER SND BOARD MEMBER 20.00 X 0 0 0 MARK J NEFF EX-OFFICIO 1.00 X 0 0 0 RICHARD H TAPKE JR VICE CHAIRPERSON OF THE BO 1.00 X X 0 0 0 RITA WATKINS MD BOARD MEMBER 1.00 X 0 0 0 JOHN S DOMASCHKO BOARD MEMBER 1.00 X 0 0 0 S GREGOR LAMPING III CPA BOARD MEMBER 1.00 X 0 0 0 KELLY HOLDEN BOARD MEMBER 1.00 X 0 0 0 NANCY CAMPBELL CFO & TREASURER 40.00 X 118556 0 10543 255789 0 14128 2 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 REHAB SERVICES 144543 1 12740 102304 6200 115044 INDEPENDENT LIVING 623000 3879435 3879435 NURSING CARE 623000 2119556 2119556 ADULT DAYCARE 623000 202146 202146 AT HOME PROGRAM 623000 71395 71395 6272532 679701 679701 7189764 6454384 735380 735380 735380 12319 12740 14210 -1891 -1891 OTHER INCOME 900099 5382 5382 5382 7806148 6272532 0 1418572 34317 34317 269917 232945 33278 3694 2153154 1858064 264838 30252 128905 105822 21259 1824 314942 285852 29090 226444 189675 35004 1765 59616 59616 202195 173723 28472 51910 14378 37532 849326 773809 75517 139529 116139 23390 DIETARY SUPPLIES 496781 496781 BUILDING EXPENSES 444937 444937 OTHER SUPPLIES 109940 96494 13446 OTHER EXPENSES 87417 58710 28707 4575 4575 5573905 4886221 650149 37535 615612 1530106 65221 51717 26939 29411 114677 106622 25997801 11391494 15370409 14606307 26127305 28919268 42320163 45243431 237768 262574 3278444 3328714 3516212 3591288 X 36267979 39050495 260400 27214 2275572 2574434 38803951 41652143 42320163 45243431 X 2232243 832744 -216795 X X 0 1 X 1 0 X 2874387 153937 194797 147103 115044 3485268 5567586 5521359 5812065 5992504 6272532 29166046 12620 11895 19719 11901 12319 68454 8454593 5687191 6026581 6151508 6399895 32719768 9418 3460 1880 1130 4190 20078 0 9418 3460 1880 1130 4190 20078 32699690 589540 594587 488637 762561 679701 3115026 589540 594587 488637 762561 679701 3115026 271868 233828 216298 14496 5382 741872 9316001 6515606 6731516 6928565 7084978 36576666 0.89400 0.89750 0.08520 0.07610 X 2511216 157272 94054 2574434 2257917 425276 171977 2511216 250027 2118422 89252 199784 2257917 262829 -6350 6452 250027 253590 13531 4292 262829 0.89320 0.10680 0 0 274780 274780 22278128 9058837 13219291 3444893 2332657 1112236 14606307 PENSION LIABILITY 1890138 RESIDENTS' OCCUPANCY FEES 1394776 RENTAL DEPOSITS 43800 3328714 8376691 832744 -202585 630159 7746532 59616 59616 7806148 5528499 14210 14210 5514289 59616 59616 5573905 PART V, LINE 4: THE ENDOWMENT IS USED TO SUPPORT THE ORGANIZATION'S TAX EXEMPT PURPOSE. THE CORPORATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION A PERCENTAGE OF INVESTMENT INCOME AS APPROVED ANNUALLY BY THE GOVERNING BOARD USING A ROLLING THREE-YEAR AVERAGE FOR THE CURRENT YEAR AND PREVIOUS TWO YEARS. INVESTMENT RISK IS MEASURED IN TERMS OF THE TOTAL ENDOWMENT FUND. INVESTMENT ASSETS AND ALLOCATION BETWEEN ASSET CLASSES AND STRATEGIES ARE MANAGED TO NOT EXPOSE THE FUND TO UNACCEPTABLE LEVELS OF RISK. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS CHANGE IN BENEFIT PLAN -218,647. DIRECT FUNDRAISING EXPENSES 14,210. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT 1,852. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 14,210. GOLF OUTING 25059 12740 12319 497 692 13021 25059 12740 12319 497 692 13021 14210 -1891 1 SUSIDY FOR THE ADULT DAY HEALTH PROGRAM 9 24696 FMV REDUCED/FREE SERVICE SUBSIDY FOR HOMESTEAD PROGRAM 2 9621 FMV REDUCED/FREE SERVICE PART I, LINE 2: IF A PERSON IS UNABLE TO AFFORD SERVICES, THEY CAN COMPLETE A FINANCIAL ASSISTANCE FORM WHICH ASKS FOR BASIC FINANCIAL INFORMATION AND THEIR PRIOR YEAR'S TAX FORMS. THE SUSBSIDY COMMITTEE THEN REVIEWS THE INFORMATION AND MAKES THE DETERMINATION. K NICHOLE SMITH CEO AND PRESIDENT OF ST. CHARLES CARE CENTER 56310 THE CEO'S FAMILY MEMBER IS AN EMPLOYEE OF ST. CHARLES CARE CENTER. 0 FORM 990, PART VI, SECTION A, LINE 6 THE SISTERS OF NOTRE DAME OF COVINGTON, KY IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SISTERS OF NOTRE DAME OF COVINGTON, KY IS THE SOLE MEMBER OF THE ORGANIZATION AND HAS THE AUTHORITY TO APPOINT MEMBERS TO THE GOVERNING BODY AND HAS THE FINAL APPROVAL OF CERTAIN DECISIONS MADE BY THE BOARD AS OUTLINED IN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B PURSUANT TO THE BYLAWS OF THE ORGANIZATION, THE SISTERS OF NOTRE DAME HAVE RESPONSIBILITY FOR APPROVAL OR VETO OF CERTAIN DECISIONS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE FORM 990 IS SENT TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL BEFORE THE 990 IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ST CHARLES ADMINISTRATION HAS BOARD MEMBERS AND MANAGEMENT STAFF SIGN A CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF KEY EMPLOYEES - PRIOR TO EACH FISCAL YEAR, THE BOARD OF DIRECTORS APPROVES THE PERCENTAGE INCREASE FOR SALARIES WHILE APPROVING THE OVERALL OPERATING BUDGET. THE ACTUAL PERCENTAGE INCREASE FOR KEY EMPLOYEES IS APPROVED BY THE ADMINISTRATOR, FOLLOWING PERCENTAGE GUIDELINES APPROVED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE OF THE BOARD EVALUATES AND RECOMMENDS THE COMPENSATION OF THE PRESIDENT/ADMINISTRATOR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST TO THE ADMINISTRATOR THE FORM 990 IS AVAILABLE UPON REQUEST TO THE CFO. FORM 990, PART XI, LINE 9: SPLIT INTEREST 1,852. CHANGE IN NET ASSETS FOR BENEFIT PLANS -218,647. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM LAST YEAR. SISTERS OF NOTRE DAME 1601 DIXIE HIGHWAY COVINGTON KY 41011 610485643 CATHOLIC MINISTRY KY 501(C)(3) LINE 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0