2017-09-21T14:30:09-05:00 2016-12-31 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-01-01 221589209 The Francis E Parker Memorial Home FRAN 7325458330 1421 River Road Piscataway NJ 08854 EDWARD MATTHEWS CFO 7325458330 2017-09-21 1 Julius C Green CPA P00350393 2159720701 X 174.59.42.130 2017-09-21 10:08:05 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 41D52B76DFE0CA0C5E5ED141E25DBC48D8427C36 2016 2021-01-29 14:40:06Z ROBERTO MUNIZ 1421 River Road Piscataway NJ 08854 957981812 0 X www.franciseparker.com X 1907 NJ PROVIDES TRANSFORMATIVE AND CHARITABLE LONG-TERM CARE SERVICES. 14 13 309 132 0 0 750 6400 6764129 6928189 48195675 102154441 71783 45014 55032337 109134044 0 0 0 0 15217635 15040968 0 0 0 9313604 9817416 24531239 24858384 30501098 84275660 1291315765 1346557071 15272310 12472530 1276043455 1334084541 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 18336215 0 6928189 THE FRANCIS E. PARKER MEMORIAL HOME ProvidES high-quality nursing home care at the lowest feasible cost. Care is provided in the least restrictive and most home-like environment possible. The home presently has two nursing home facilities: Parker at Landing Lane, located in New Brunswick, New Jersey, which serves 52 residents, and Parker at River Road, located in Piscataway, New Jersey, which serves 79 residents. THE AVERAGE DAILY CENSUS WAS 130 FOR 2016. 18336215 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 125 0 1 309 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X Edward Matthews CFO 7324188614 1421 River Road Piscataway NJ 08854 CLIFFORD E HOLLAND CHAIRMAN 3.00 11.00 X X 0 0 0 penelope lattimer phd TRUSTEE 0.70 3.30 X 0 0 0 Steven Landers mD TRUSTEE 0.70 3.30 X 0 0 0 WILLIAM R HAGAMAN JR TRUSTEE 0.70 3.30 X 0 0 0 ROBERT S FALCONE TRUSTEE 0.70 3.30 X 0 0 0 MARGUERITE K SCHLAG EDD RN TRUSTEE 0.70 3.30 X 0 0 0 James Ferrare TRUSTEE 0.70 3.30 X 0 0 0 ALFRED F TALLIA MD MPH TRUSTEE 0.70 3.30 X 0 0 0 WILLIAM P TIBBITT TRUSTEE 0.70 3.30 X 0 0 0 Joseph Ferro MD TRUSTEE 0.70 3.30 X 0 0 0 LORI GORDON TRUSTEE (Resigned Nov '16) 0.70 3.30 X 0 0 0 LOUISE MEHROTRA TRUSTEE (Resigned Oct '16) 0.70 3.30 X 0 0 0 ROBERTO MUNIZ MPA FLNHA PRESIDENT/CEO 27.00 13.00 X X 378120 0 66285 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 ROBIN E MOCKENHAUPT PHD VICE-CHAIR 3.00 11.00 X X 0 0 0 John Cerminaro Chief Financial Officer 27.00 13.00 X 253430 0 49313 Donna Lazartic COO (DEPARTED Nov '16) 40.00 X 187125 0 19764 CHARLES ROSS CHIEF TALENT OFFICER 40.00 X 175343 0 25280 Carol Burt REs. planning administrator 40.00 X 157906 0 24110 Donna Silbert Sr. Director Strategy & SeRVICES 40.00 X 192339 0 28263 Gloria Zayanskosky Chief Quality Off. (DEP. Sept '16) 40.00 X 146266 0 22287 Angelo Giordano director of Finance OperatIONS 40.00 X 159380 0 22458 Rick Mallia Director of IT 40.00 X 134227 0 14090 LINDA S PATRON DIRECTOR OF NURSING 40.00 X 128370 0 23066 Augustina Annius RN Manager 40.00 X 120401 0 28189 2032907 0 323105 11 0 1 0 Dancker 291 Evans Way Somerville NJ 08876 Interior Design Services 590010 Spiezle Architectural Group Inc 1395 yardville-hamilton square sui Hamilton NJ 08691 ConSTRUCTION 462987 Buist INc 860 George Road Monmout NJ 08852 bldg Maint. & Rep. 356040 SHI International Corp po box 952121 Dallas TX 75395 IT Services 286379 STEVENS & LEE 620 FREEDOM BUSINESS CTR STE 200 KING OF PRUSSIA PA 19406 LEGAL SERVICES 245567 39 6400 6400 RESIDENT FEES 623000 6928189 6928189 6928189 27275352 27275352 923726857 848847768 74879089 74879089 74879089 GUEST MEALS 623000 32266 32266 CABLE REVENUE 623000 8105 8105 Dry Cleaning & Res. Activities 623000 3543 3543 1100 1100 45014 109134044 6928189 0 102199455 1557277 182016 1375261 9397766 8468201 929565 838721 734986 103735 1228223 1108751 119472 2018981 1769270 249711 87203 87203 295496 295496 539 539 2576645 2576645 179143 179143 339264 339264 285886 223397 62489 77677 77677 501094 501094 90215 16027 74188 71334 71334 1459489 1459489 553051 156267 396784 MEDICAL SUPPLIES 837601 837601 Dietary 696616 464542 232074 NJ Provider Tax 567169 567169 TALENT DEVELOPMENT 335067 335067 863927 801485 62442 24858384 18336215 6522169 0 1200 1200 1197938 5174999 130855 142427 442642 377801 41885183 17961115 23513484 23924068 1032418814 1205293696 232046308 110079103 1501073 1501073 63451 62704 1291315765 1346557071 3994435 4861320 11277875 7611210 15272310 12472530 X 1276043455 1334084541 1276043455 1334084541 1291315765 1346557071 X 84275660 6416433 -32651007 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 539 539 0 Part II-B, Line 1: THE FRANCIS PARKER MEMORIAL HOME pays dues to LeadingAge New Jersey which ADVOCATEs FOR NURSING HOMES AND OTHER CARE FACILITIES FOR THE AGED. SMALL PORTIONS OF THE DUES TO leadingage new jersey ARE USED FOR LOBBYING EXPENSES. 2522366 2522366 20745274 15551852 5193422 10590832 2222229 8368603 8026711 187034 7839677 23924068 Alternative Investments 110079103 F 110079103 Accrued Pension Cost 7611210 7611210 X 82893070 6416433 -32651007 -26234574 109127644 6400 6400 109134044 24851984 -6400 -6400 24858384 0 24858384 Part X, Line 2: The Company accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2016 or 2015. The Company's policy is to recognize interest related to unrecognized tax benefits and penalties in supplies and other expenses. Part XI, Line 2d - Other Adjustments: Pension Liability adjustment 463,141. TRANSFER OF ASSETS -34,201,479. Inherent contribution of fixed assets from McCarrick purchase 1,087,331. Part XI, Line 4b - Other Adjustments: EDUCATIONAL GRANT NET WITH EXPENSES 6,400. Part XII, Line 2d - Other Adjustments: EDUCATIONAL GRANT NETTED WITH EXPENSES -6,400. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 INVESTMENTS 42471768 0 0 0 0 0 0 42471768 0 42471768 0 0 1 0 1 0 X 0 0 X X X X 0 0 0 0 0 0 0 1 0 ROBERTO MUNIZ MPA FLNHA PRESIDENT/CEO 320048 0 57000 0 1072 0 0 0 66285 0 444405 0 0 0 John Cerminaro Chief Financial Officer 247782 0 5000 0 648 0 0 0 49313 0 302743 0 0 0 Donna Lazartic COO (DEPARTED Nov '16) 185541 0 0 0 1584 0 0 0 19764 0 206889 0 0 0 CHARLES ROSS CHIEF TALENT OFFICER 170327 0 5000 0 16 0 0 0 25280 0 200623 0 0 0 Carol Burt REs. planning administrator 147805 0 8842 0 1259 0 0 0 24110 0 182016 0 0 0 Donna Silbert Sr. Director Strategy & SeRVICES 173101 0 18216 0 1022 0 0 0 28263 0 220602 0 0 0 Gloria Zayanskosky Chief Quality Off. (DEP. Sept '16) 145194 0 0 0 1072 0 0 0 22287 0 168553 0 0 0 Angelo Giordano director of Finance OperatIONS 147175 0 11915 0 290 0 0 0 22458 0 181838 0 0 0 LINDA S PATRON DIRECTOR OF NURSING 126281 0 0 0 2089 0 0 0 23066 0 151436 0 0 0 Part I, Line 1a As Part of the Wellness Membership Reimbursement Policy: All fulltime employees can be reimbursed up to $100 per quarter for a membership. In 2016, 20 employees received the benefit. Part I, Line 7 Roberto MUNIZ, charles ross, john cerminaro, donna silbert, carol burt, and angelo giordano RECEIVED BONUSES AS a PART OF their COMPENSATION FOR THE YEAR 2016. BONUSES ARE BASED UPON AN EVALUATION OF PERFORMANCE RELATIVE TO PREVIOUSLY AGREED UPON GOALS AND OBJECTIVES WHICH HAVE BOTH FINANCIAL AND NON-FINANCIAL ELEMENTS. THE BOARD OF TRUSTEES PERFORMS THE REVIEW AND SETS THE BONUSes ON AN ANNUAL BASIS. 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: Pension Liability Adjustment 463,141. TRANSFER IN EQUITY TO RELATED ENTITY -34,201,479. Inherent contribution of fixed assets from McCarrick purchase 1,087,331. FORM 990, PART V, LINES 2A &2Bf THE ORGANIZATION SERVES AS A COMMON PAY AGENT FOR ITSELF AND ITS AFFILIATES. AS A COMMON PAY AGENT, THE FRANCIS PARKER MEMORIAL HOME REPORTS ALL ENTITIES' EMPLOYEES ON ITS W-3, HOWEVER, ON THE RETURNS EMPLOYEES ARE REPORTED ON THE ENTITIES FOR WHICH THEY PRIMARILY WORK. FORM 990, SCHEDULE A, LINE 3 THE ORGANIZATION PROVIDES MEDICAL CARE TO RESIDENTS WHICH RISES TO THE LEVEL OF BEING DISTINGUISHED AS A HOSPITAL FOR PURPOSES OF ESTABLISHING A PUBLIC CHARITY STATUS. THE ORGANIZATION IS NOT, HOWEVER, LICENSED AS A HOSPITAL WITH THE STATE AND AS SUCH IS NOT REQUIRED TO COMPLETE A SCHEDULE H IN ITS FILING. FORM 990, SCHEDULE J, PART II: THE ORGANIZATION HAS A PENSION WHICH 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 Assisted Living Center Inc 1421 River Road Piscataway NJ 08854 202937952 Assisted Living NJ 501(c)(3) LINE 11A, TYPE 1 THE FRAMCIS E PARKER MEMORIAL HOME 1 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 11A, TYPE 1 THE FRAMCIS E PARKER MEMORIAL HOME 1 PARKER AT MONROE INC 1422 River Road Piscataway NJ 08854 471335159 nursing home care NJ 501(c)(3) 3 THE FRAMCIS E PARKER MEMORIAL HOME 1 Parker Rehabilitation Services 1421 River Road piscataway NJ 08854 471958020 Rehabilitation Services NJ 501(c)(3) 3 tHE FRAMCIS E PARKER MEMORIAL HOME 1 parker at mccarrick inc 1421 River Road piscataway NJ 08854 471944928 nursing home care NJ 501(c)(3) 3 tHE FRAMCIS E PARKER MEMORIAL HOME 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 PARKER AT MONROE INC R 7683152 COST THE FRANcis E Parker Assisted Living Center Inc R 2865642 COST PARKER AT THe Pavilion Adult Day Health Services Center Inc R 1526563 COST Parker REhabilitation services R 2184026 Cost Parker at Mccarrick inc R 19942096 cOST parkER AT MONROE INC O 56036 cOST THE FRANcis E Parker Assisted Living Center Inc O 56036 cOST parker at Mccarrick inc O 56036 cOST