2018-05-14T09:35:04-05:00 2017-06-30 390859910 baker tilly virchow krause llp 221 West Philadelphia St Suite 200 York PA 17401 990 2016-07-01 521071433 Charles County Nursing & Rehabilitation Center Inc CHAR 3019341900 10200 LA PLATA ROAD LA PLATA MD 20646 Andrea Dwyer interim ceo 3019341900 2018-05-14 1 Kerri N Bogda P00760402 7178467000 96.89.178.186 2018-05-14 08:46:55 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 41D52B76DFE0CA0C5E5ED141E25DBC48D8427C36 2016 2021-01-29 14:40:06Z Andrea Dwyer 10200 LA PLATA ROAD LA PLATA MD 20646 19174334 0 X WWW.sagepointcare.ORG X 1976 MD Long-term care, rehabilitation, assisted living, and adult day services. 10 10 448 171 0 0 19487 19419 18942470 19062601 10683 9202 87703 83112 19060343 19174334 0 0 0 0 10801640 11416265 0 0 0 8734683 8001928 19536323 19418193 -475980 -243859 7833895 7618893 2658314 2687171 5175581 4931722 X TO PROVIDE EXCELLENCE IN REHABILITATION AND AGING SERVICES DELIVERED BY EMPLOYEES THAT REFLECT OUR VALUES. 0 0 11993036 0 14206866 Charles County Nursing & Rehabilitation Center provides long-term care and rehabilitative services to the residents of Southern Maryland. Total resident days of 53,390 equate to an average of over 146 residents on any given day out of a capacity of 153 with a total of 236 residents being admitted in fiscal year 2016. most of these residents are admitted for rehabilitative services after discharge from an acute-care setting. The remainder are admitted for long-term care on a medically-necessary basis. The majority of long-term care residents are indigent and qualify financially for the Medical Assistance program. The Center also provides charity care in the form of dentistry and other medical services that are not covered by the Medical Assistance program. 1470393 0 1741817 The Assisted Living facility, Sagepoint Gardens, provides care and support to the aged who have medical diagnoses and who require assistance with activities of daily living. In a facility that has a capacity to care for 32 residents, care was provided to an average of over 30 residents per day. 1049446 0 1243166 The Adult Day Center is a 63-slot program providing day care for disabled and severely disabled adults of all ages throughout Charles County, Maryland. The Center provides transportation for all participants requiring it. The Center further supports the needs of its participants and their family members operating on a 6-day week, rather than a 5-day week. Ability to pay is not a criterion for participation, as the Center participates in the Maryland Medical Assistance program. The Center typically averages about 42 of the enrolled participants on a daily basis. 573265 0 613044 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. IN A FACILITY THAT HAS A CAPACITY TO CARE FOR 12 RESIDENTS, CARE WAS PROVIDED TO AN AVERAGE OF OVER 10 RESIDENTS PER DAY. 1344608 0 1257708 DURING 2015, CHARLES COUNTY NURSING AND REHABILITATION CENTER BEGAN PROVIDING IN-HOME CARE TO RESIDENTS THROUGHOUT THE TRI-COUNTY AREA OF SOUTHERN MARYLAND. WITH AN AVERAGE OF OVER 50 CLIENTS, OVER 68,000 HOURS OF CARE WERE PROVIDED TO THOSE ABLE TO CONTINUE TO LIVE AT HOME, BUT WHO REQUIRED ASSISTANCE WITH VARIOUS ACTIVITIES OF DAILY LIVING. 1917873 0 1870752 16430748 1 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 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 27 0 1 448 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X Anthony Quander 3015391000 10200 La Plata Road La Plata MD 20646 CAROLYN W CORE Chair 2.00 6.00 X X 0 0 0 Sue Green TRUSTEE 2.00 2.00 X 0 0 0 JON JOHNSON SECRETARY/TREASURER 1.00 3.00 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-Elect 2.00 X X 0 0 0 Linda Fitzgerald Trustee 2.00 X 0 0 0 Wayne Barnes Trustee 2.00 X 0 0 0 Louis Kaufman MD TruSTEE 2.00 2.00 X 0 0 0 Barbara Stepura TruSTEE 2.00 X 0 0 0 WILLIAM M HOLMAN PReSIDENT/CEO (until 1/18) 10.00 40.00 X 0 232415 20682 Dennis O'Neill VP Finance/CFO 30.00 15.00 X 0 128972 15188 Andrea Dwyer Interim CEO (as of 12/17) 10.00 40.00 X 0 0 0 Michele Buscher Senior Director 40.00 X 108209 0 19023 Michael Mudd VP facilities 30.00 10.00 X 0 119619 2446 Denise McCann Senior Director 40.00 X 106853 0 19023 TERESA ROBINSON VP, CLINICAL SVC. 45.00 1.00 X 0 164951 14664 215062 645957 91026 2 0 1 0 Rehab Care Group inc PO BOX 277365 ATLANTA GA 30384 THERAPY 835875 Millennium Pharmacy Systems Inc pobox 409251 atLANTA GA 30384 Pharmacy Service 362933 2 19419 19419 Nursing Care 623000 14206866 14206866 Assisted Living 623000 1741817 1741817 Home Care 623000 1257708 1257708 Adult Day Care 623000 1243166 1243166 memory care 623000 613044 613044 19062601 9202 9202 Telephone & TV Rehab 623000 28390 28390 Beauty/Barbershop Income 623000 25645 25645 Community Fee 623000 21000 21000 8077 8077 83112 19174334 19062601 0 92314 9692758 9435927 256831 42355 24205 18150 692050 379780 312270 989102 946887 42215 1573122 1573122 17308 17308 91780 91780 1562 1562 1578485 1450785 127700 43584 2147 41437 589523 500454 89069 73735 1281 72454 1775848 1678604 97244 12562 11992 570 25030 11828 13202 20508 20508 303690 303690 197019 42701 154318 Medical Supplies 677428 677428 Food 659505 659505 Social Events 150758 134717 16041 Bad Debt Expense 73504 73504 136977 74805 62172 19418193 16430748 2987445 0 3897 3650 2101990 1458441 2152091 2335895 130734 111407 65889 252295 5173828 3487138 1651226 1686690 795654 833637 932414 936878 7833895 7618893 1387238 1494398 509043 537667 679341 655106 82692 0 2658314 2687171 X 5175581 4931722 5175581 4931722 7833895 7618893 -243859 0 X 0 1 X 1 0 X 4713 13866 84039 19487 19419 141524 17201483 17915201 18358987 18942470 19062601 91480742 17206196 17929067 18443026 18961957 19082020 91622266 6000 11300 17300 0 6000 11300 17300 91604966 147567 140048 32957 10683 9202 340457 147567 140048 32957 10683 9202 340457 167478 211336 93076 87703 83112 642705 17521241 18280451 18569059 19060343 19174334 92605428 0.98920 0.98840 0.00370 0.00390 X Schedule A, Part III, Line 12, Explanation of Other Income: Miscellaneous Income - 2012 Amount: $ 196. 2013 Amount: $ 1,345. 2014 Amount: $ 868. 2015 Amount: $ 85. 2016 Amount: $ 1,577. Telephone TV Rehab - 2012 Amount: $ 4,397. 2013 Amount: $ 5,520. 2014 Amount: $ 26,992. 2015 Amount: $ 26,565. 2016 Amount: $ 28,390. Management Fees - 2012 Amount: $ 77,856. 2013 Amount: $ 123,046. Application Fee - 2012 Amount: $ 7,500. 2013 Amount: $ 7,500. 2014 Amount: $ 5,500. 2015 Amount: $ 4,500. 2016 Amount: $ 6,500. beauty barbershop income - 2012 Amount: $ 33,429. 2013 Amount: $ 28,925. 2014 Amount: $ 27,616. 2015 Amount: $ 29,553. 2016 Amount: $ 25,645. Community Fee - 2012 Amount: $ 44,100. 2013 Amount: $ 45,000. 2014 Amount: $ 32,100. 2015 Amount: $ 27,000. 2016 Amount: $ 21,000. 1 1562 1562 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 47144 893472 894664 45952 0 10000 10000 5163828 3487138 1676690 1686690 Due from Related Party 920721 MEDICAID REIMBURSEMENT 16157 936878 X 19174334 0 19174334 0 19174334 19418193 0 19418193 0 19418193 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. Part X, Line 2: The Organization accounts for uncertainty in income taxes by prescribing a recognition threshold of more-likely-than-not to be sustained by examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management determined that there were no tax uncertainties that met the recognition threshold in 2017 and 2016. X X X 0 0 0 0 0 0 0 1 0 WILLIAM M HOLMAN PReSIDENT/CEO (until 1/18) 0 181327 0 51088 0 0 0 3688 0 16994 0 253097 0 0 TERESA ROBINSON VP, CLINICAL SVC. 0 143966 0 20985 0 0 0 0 0 14664 0 179615 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. WILLIAM HOLMAN RECEIVED VARIABLE COMPENSATION OF $51,088 FOR THE YEAR REPORTED. teresa robinson received $20,985 in additional compensation for the year. 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 B, line 15 COMPENSATION FOR THE OFFICERS AND KEY EMPLOYEES OF THE CENTER IS DETERMINED BASED ON A REVIEW OF INDIVIDUAL PERFORMANCE UTILIZING COMPARABLE COMPENSATION DATA FROM VARIOUS SOURCES, SUCH AS FROM OTHER ENTITIES' FORM 990S AND SALARY SURVEY REPORTS. USING THESE RESOURCES SERVES TO ENSURE THAT EXECUTIVE SALARIES ARE WITHIN FAIR MARKET VALUE RANGE FOR THE INDUSTRY. THE BOARD OF TRUSTEES APPROVES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES THROUGH THE PERFORMANCE REVIEW PROCESS. 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 N/A 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 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0