2017-02-15T11:41:28-06:00 2016-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1869 CHARTER LANE STE 202 LANCASTER PA 17601 990 2015-07-01 521071433 CHARLES COUNTY NURSING & REHABILITATION CENTER INC CHAR 3019341900 10200 LA PLATA ROAD LA PLATA MD 20646 WILLIAM M HOLMAN CEO 3019341900 2017-02-14 1 KERRI N BOGDA P00760402 7178467000 2015 2021-01-29 14:40:06Z WILLIAM M HOLMAN 10200 LA PLATA ROAD LA PLATA MD 20646 19060343 0 X WWW.SAGEPOINTCARE.ORG X 1976 MD LONG-TERM CARE, REHABILITATION, ASSISTED LIVING, AND ADULT DAY SERVICES. 8 8 431 165 0 0 84039 19487 18358987 18942470 32957 10683 92810 87703 18568793 19060343 0 0 0 0 10115134 10801640 0 0 0 7833438 8734683 17948572 19536323 620221 -475980 8461438 7833895 2808771 2658314 5652667 5175581 X TO PROVIDE EXCELLENCE IN REHABILITATION AND AGING SERVICES DELIVERED BY EMPLOYEES THAT REFLECT OUR VALUES. 1 0 12497001 0 14404286 CHARLES COUNTY NURSING & REHABILITATION CENTER PROVIDES LONG-TERM CARE AND REHABILITATIVE SERVICES TO THE RESIDENTS OF SOUTHERN MARYLAND. TOTAL RESIDENT DAYS OF 55,023 EQUATE TO AN AVERAGE OF OVER 150 RESIDENTS ON ANY GIVEN DAY OUT OF A CAPACITY OF 158 WITH A TOTAL OF ALMOST 200 RESIDENTS BEING ADMITTED ANNUALLY. 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. 1471842 0 1696474 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 29 RESIDENTS PER DAY. 1016804 0 1171988 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 ALMOST 50 OF THE ENROLLED PARTICIPANTS ON A DAILY BASIS. 610767 0 703981 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. 837866 965741 DURING THE YEAR, 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, ALMOST 52,000 HOURS OF CARE WERE PROVIDED TO THOSE ABLE TO CONTINUE TO LIVE AT HOME, BUT WHO REQUIRED ASSISTANCE WITH VARIOUS ACTIVITIES OF DAILY LIVING. 1448633 0 1669722 16434280 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 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 20 0 1 431 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MD X DENNIS O'NEILL CFO 3015397310 10200 LA PLATA ROAD LA PLATA MD 20646 CAROLYN W CORE CHAIR 1.00 5.00 X X 0 0 0 SUE GREEN TRUSTEE 1.00 2.00 X 0 0 0 MOHAMMED HAZIQ MD TRUSTEE (DEPARTED 4/16) 2.00 1.00 X 0 0 0 JON JOHNSON SECRETARY/TREASURER 1.00 3.00 X X 0 0 0 GRANT A MCCLURE TRUSTEE 1.00 3.00 X 0 0 0 DANA LEVY TRUSTEE 1.00 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 WILLIAM M HOLMAN PRESIDENT/CEO 10.00 40.00 X 0 227363 17234 DENNIS O'NEILL VP FINANCE/CFO 25.00 20.00 X 0 129600 12537 MICHELE BUSCHER SENIOR DIRECTOR 40.00 X 110687 0 15614 MICHAEL MUDD VP FACILITIES 30.00 10.00 X 0 116451 2367 DENISE MCCANN SENIOR DIRECTOR 40.00 X 109568 0 15612 BEVERLY AUTH VP, HR/HR GENERALIST 37.00 3.00 X 0 116677 12404 TERESA ROBINSON VP, CLINICAL SVC. 45.00 X 0 164154 13417 220255 754245 89185 6 0 1 0 REHAB CARE GROUP INC PO BOX 277365 ATLANTA GA 30384 THERAPY 799524 ADP PO BOX 842875 BOSTON MA 02284 PAYROLL SERVICES 121337 CROSBY MARKETING 705 MELVIN AVENUE ANNAPOLIS MD 21401 MARKETING 101682 3 19487 19487 NURSING CARE 623000 14404286 14404286 ASSISTED LIVING 623000 1696474 1696474 ADULT DAY CARE 623000 1171988 1171988 HOME CARE 623000 965741 965741 MEMORY CARE 623000 703981 703981 18942470 10683 10683 BEAUTY/BARBERSHOP INCOME 623000 29553 29553 COMMUNITY FEE 623000 27000 27000 TELEPHONE & TV REHAB 623000 26565 26565 4585 4585 87703 19060343 18942470 0 98386 9205929 8959435 246494 36760 23797 12963 611296 313468 297828 947655 915748 31907 1561728 1561728 19824 1710 18114 95855 95855 1121 1121 1691119 1522599 168520 69734 18786 50948 533555 464794 68761 57640 1397 56243 1850954 1642098 208856 4685 2999 1686 16049 6014 10035 19599 19599 816351 816351 201159 38646 162513 MEDICAL SUPPLIES 729366 729366 FOOD 650443 650443 SOCIAL EVENTS 158529 140913 17616 BAD DEBT EXPENSE 86592 86592 170380 79525 90855 19536323 16434280 3102043 0 3350 3897 2235461 2101990 1917601 2152091 118807 130734 182574 65889 4834673 3183447 1766846 1651226 1286362 795654 950437 932414 8461438 7833895 1431447 1387238 551610 509043 703341 679341 122373 82692 2808771 2658314 X 5652667 5175581 5652667 5175581 8461438 7833895 -475980 -1106 0 X 0 1 X 1 0 X 25928 4713 13866 84039 19487 148033 16998313 17201483 17915201 18358987 18942470 89416454 17024241 17206196 17929067 18443026 18961957 89564487 6000 6000 0 6000 6000 89558487 20755 147567 140048 32957 10683 352010 20755 147567 140048 32957 10683 352010 135450 167478 211336 93076 87703 695043 17180446 17521241 18280451 18569059 19060343 90611540 0.98840 0.98820 0.00390 0.00410 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2011 AMOUNT: $ 446. 2012 AMOUNT: $ 196. 2013 AMOUNT: $ 1,345. 2014 AMOUNT: $ 868. 2015 AMOUNT: $ 85. TELEPHONE TV REHAB - 2011 AMOUNT: $ 5,420. 2012 AMOUNT: $ 4,397. 2013 AMOUNT: $ 5,520. 2014 AMOUNT: $ 26,992. 2015 AMOUNT: $ 26,565. MANAGEMENT FEES - 2011 AMOUNT: $ 43,560. 2012 AMOUNT: $ 77,856. 2013 AMOUNT: $ 123,046. APPLICATION FEE - 2011 AMOUNT: $ 7,000. 2012 AMOUNT: $ 7,500. 2013 AMOUNT: $ 7,500. 2014 AMOUNT: $ 5,500. 2015 AMOUNT: $ 4,500. BEAUTY BARBERSHOP INCOME - 2011 AMOUNT: $ 35,524. 2012 AMOUNT: $ 33,429. 2013 AMOUNT: $ 28,925. 2014 AMOUNT: $ 27,616. 2015 AMOUNT: $ 29,553. COMMUNITY FEE - 2011 AMOUNT: $ 43,500. 2012 AMOUNT: $ 44,100. 2013 AMOUNT: $ 45,000. 2014 AMOUNT: $ 32,100. 2015 AMOUNT: $ 27,000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1121 1121 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 49838 974380 977074 47144 0 10000 10000 4824673 3183447 1641226 1651226 DUE FROM RELATED PARTY 932414 932414 DUE TO THIRD PARTY PAYORS 82692 82692 X 19059237 -1106 -1106 19060343 0 19060343 19536323 0 19536323 0 19536323 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 2016 AND 2015. X X X 0 0 0 0 0 0 0 1 0 WILLIAM M HOLMAN PRESIDENT/CEO 0 187302 0 40061 0 0 0 3817 0 13417 0 244597 0 0 TERESA ROBINSON VP, CLINICAL SVC. 0 147510 0 16644 0 0 0 0 0 13417 0 177571 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 $40,061 FOR THE YEAR REPORTED. TERESA ROBINSON RECEIVED $16,644 IN ADDITIONAL COMPENSATION FOR THE YEAR. FORM 990, PART III, LINE 2 CHARLES COUNTY INSTITUTED A NEW HOME CARE PROGRAM TO ASSIST CLIENTS WHO ARE ABLE TO LIVE AT HOME BUT WHO REQUIRE ASSISTANCE WITH DAILY LIVING ACTIVITIES. 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 11 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 11B, 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 11B, II FAMILY OF CARE ALLIANCE INC 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0