2015-10-09T10:28:11-05:00 2014-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2014-01-01 210634535 SAINT MARY'S CATHOLIC HOME SAIN 8563424100 1845 HADDON AVENUE CAMDEN NJ 08103 MARTIN IDLER EXECUTIVE DIRECTOR 8563424100 2015-10-07 1 JULIUS GREEN CPA P00350393 2159720701 2014 2016-02-25 16:41:14Z MARTIN B IDLER 1845 HADDON AVENUE CAMDEN NJ 08103 22893241 0 0928 X WWW.CAMDENDIOCESE.ORG X 1952 NJ A SKILLED NURSING FACILITY LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. 6 3 416 80 0 0 40106 19276 21545497 22792098 9298 10917 71394 70950 21666295 22893241 75 0 0 0 14132032 14276836 0 0 0 7056920 7692848 21189027 21969684 477268 923557 11810515 12007653 7398919 6672389 4411596 5335264 X OUR MISSION IS TO OPERATE A NOT-FOR-PROFIT CATHOLIC BASED SKILLED NURSING FACILITY PROVIDING OUR RESIDENTS WITH THE BEST NURSING CARE AND REHABILITATION SERVICES, WHILE ENHANCING THE QUALITY OF LIFE IN A DIGNIFIED, SAFE ATMOSPHERE. WE SEEK TO PROVIDE APPROPRIATE SERVICE TO ALL WHO ASK FOR OUR ASSISTANCE. 0 0 19780192 22792098 ST. MARY'S CATHOLIC HOME OPERATES A 215 BED SKILLED NURSING FACILITY AND 98 BED RESIDENTIAL HEALTHCARE FACILITY IN CHERRY HILL, NEW JERSEY. IT IS LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. ST. MARY'S CATHOLIC HOME YEARLY CENSUS COUNT WAS 74,068 AND THE OCCUPANCY PERCENTAGE WAS 94.38%. THE HOME'S SOLE MEMBER IS CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN. RESIDENT PROGRAMS INCLUDE RESTORATIVE NURSING CARE BY LICENSED AND CERTIFIED NURSING STAFF, COMPREHENSIVE PLAN OF CARE, SOCIAL SERVICE, PHARMACY, CONGREGATED DINING, ACTIVITIES, SPECIAL DIETS, SPIRITUAL COUNSELING BY A CATHOLIC CHAPLAIN, HOUSEKEEPING AND LAUNDRY.REHABILITATION SERVICES AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES ARE AVAILABLE FOR THOSE RECOVERING FROM FRACTURES, STROKES AND OTHER SHORT-TERM, POST HOSPITAL STAYS. IN ADDITION TO CORE THERAPIES AND TREATMENT MODALITIES, WE PROVIDE A WIDE RANGE OF COMPLEX CLINICAL CARE AND SPECIALIZED SERVICES, INCLUDING: GAIT AND BALANCE TRAINING, DYSPHASIA THERAPY, IV ANTIBIOTIC THERAPY, ENTERAL NUTRITION, WOUND CARE AND PAIN MANAGEMENT. 19780192 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 69 0 1 416 1 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 1 1 1 1 1 0 0 0 1 0 0 1 1 0 0 0 NJ X ROBERT WAITE CONTROLLER 8563424186 1845 HADDON AVENUE CAMDEN NJ 08103 JOSEPH GILSON TRUSTEE 5.00 0.00 X 0 0 0 DR PHILIP LOPRESTI VICE PRESIDENT 5.00 0.00 X X 0 0 0 MARTIN B IDLER EXECUTIVE DIRECTOR/SECRETARY 13.30 26.70 X X 0 193498 25667 LAWRENCE READER TREASURER 0.50 39.50 X X 0 139029 24200 JOSEPH P SCHOOLEY PRESIDENT 5.00 0.00 X X 0 0 0 JOHN FINLEY TRUSTEE 5.00 0.00 X 0 0 0 MAUREEN G KOGLEMAN ADMINISTRATOR 40.00 0.00 X 135816 0 15425 135816 332527 65292 1 0 1 0 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 PT, OT & ST THERAPY 1068568 SODEXO INC BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE 468842 MARKETING DYNAMICS INC 294 UNION STREET HACKENSACK NJ 07601 MARKETING SERVICES 158485 FOX LONG TERM CARE 7 CARNEGIE PLAZA CHERRY HILL NJ 08003 PT, OT & ST THERAPY 119758 LITTLE SISTER SERVANTS OF THE IC 260 SAINT MARYS DRIVE CHERRY HILL NJ 08003 FAITH SERVICES 112022 5 5986 13290 19276 NET RESIDENT SERVICE REV 623000 22792098 22792098 22792098 10917 10917 ANCILLARY REVENUE 900099 17046 17046 RESIDENT PHONE & VENDING REV 900099 16916 16916 MEALS REVENUE 900099 13470 13470 23518 23518 70950 22893241 22792098 0 81867 10046458 9044367 1002091 697106 627573 69533 2812517 2531980 280537 720755 685982 34773 50183 50183 39170 39170 2066082 2021398 44684 196355 7485 188870 514032 402398 111634 211332 211332 622329 596441 25888 30471 10801 19670 7462 5567 1895 74342 74342 409258 409258 79882 79882 FOOD 881682 881682 NURSING HOME ASSESSMENT 796542 796542 BAD DEBT RECOVERY 591471 591471 MEDICAL SUPPLIES 321658 321658 800597 771247 29350 21969684 19780192 2189492 0 1500 1500 2277809 2869689 2270391 2188045 4502 4736 293014 288867 15425205 9494354 6139369 5930851 823930 723965 11810515 12007653 1722065 1619331 706560 618770 4970294 4434288 7398919 6672389 X 4371781 5295341 39815 39923 4411596 5335264 11810515 12007653 X 923557 109 X 0 1 X 1 0 X 818652 51032 408173 40106 19276 1337239 20146248 20962325 21408416 21545497 22792098 106854584 20964900 21013357 21816589 21585603 22811374 108191823 0 0 0 108191823 36427 26984 12351 9298 10917 95977 36427 26984 12351 9298 10917 95977 69279 130665 464374 71394 70951 806663 21070606 21171006 22293314 21666295 22893242 109094463 0.99170 0.99140 0.00090 0.00090 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2010 AMOUNT: $ 17,989. 2011 AMOUNT: $ 74,007. 2012 AMOUNT: $ 40,089. 2013 AMOUNT: $ 23,208. 2014 AMOUNT: $ 26,284. RESIDENT PHONE VENDING REV - 2010 AMOUNT: $ 19,249. 2011 AMOUNT: $ 21,615. 2012 AMOUNT: $ 19,145. 2013 AMOUNT: $ 19,224. 2014 AMOUNT: $ 16,916. MEALS REVENUE - 2010 AMOUNT: $ 17,644. 2011 AMOUNT: $ 17,292. 2012 AMOUNT: $ 13,827. 2013 AMOUNT: $ 12,792. 2014 AMOUNT: $ 13,470. TRIAL STAY ROOM BOARD - 2010 AMOUNT: $ 3,417. 2011 AMOUNT: $ 5,851. 2012 AMOUNT: $ 11,412. 2013 AMOUNT: $ 16,170. 2014 AMOUNT: $ 11,321. ANCILLARY SERVICES - 2010 AMOUNT: $ 10,980. 2011 AMOUNT: $ 11,900. 2012 AMOUNT: $ 10,145. GAIN ON SALE OF ASSETS - 2012 AMOUNT: $ 369,756. TELEVISION REVENUE - 2014 AMOUNT: $ 2,960. 0 1 X 130666 130666 12622597 7746047 4876550 2671942 1748307 923635 5930851 RESIDENT ESCROW FUNDS 618770 RESIDENT PNA FUNDS 63326 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 39923 DUE FROM OTHER PARTY 1946 723965 DUE TO AFFILIATES 2152809 DUE TO DIOCESE OF CAMDEN 1979473 DUE TO THIRD PARTY PAYORS 6388 DUE TO OTHER PARTY 232292 RESIDENT PNA FUNDS 63326 4434288 X 23055460 162110 109 162219 22893241 0 22893241 22131794 162110 162110 21969684 0 21969684 PART IV, LINE 2B: PRIVATE PAY RESIDENTS HAVE ONE MONTH'S RENT DEPOSITED IN AN INTEREST-BEARING ACCOUNT AT PNC BANK. UPON DEATH, LEAVING THE FACILITY, OR APPLYING FOR MEDICAID, THE ESCROW BALANCE IS APPLIED TO THE RESIDENT'S OUTSTANDING ACCOUNT BALANCE AND ANY REMAINING MONIES ARE REFUNDED TO THE RESIDENT. PART X, LINE 2: THE HOME 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 2014 AND 2013. THE HOME'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS PRIOR TO 2011 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 109. 0 0 0 0 0 0 0 0 0 MARTIN B IDLER EXECUTIVE DIRECTOR/SECRETARY 0 167830 0 0 0 25668 0 13426 0 12241 0 219165 0 0 LAWRENCE READER TREASURER 0 114829 0 0 0 24200 0 23000 0 1200 0 163229 0 0 MAUREEN G KOGLEMAN ADMINISTRATOR 120391 0 0 0 15425 0 9631 0 5794 0 151241 0 0 0 PART I, LINE 3 SALARY OF THE EXECUTIVE DIRECTOR IS PAID BY A RELATED ORGANIZATION AND IS REVIEWED ANNUALLY BY THE DIOCESE OF CAMDEN (RELATED PARTY) - RECEIVING THE SAME ANNUAL INCREASE PERCENTAGE AS ALL OTHER DIOCESAN EMPLOYEES. THIS PAST JULY 1, THERE WAS A 2% DIOCESAN INCREASE. APPROVAL IS DETERMINED BY THE BOARD. THERE IS NO PERFORMANCE BASED COMPENSATION. JOSEPH SCHOOLEY JR AND NATE SCHOOL SONS OF BOARD MEMBER 24915 JOSEPH SCHOOLEY JR. AND NATE SCHOOLEY, SONS OF JOSEPH SCHOOLEY, RETIRED FROM SCHOOLEY ELECTRIC AND SONS, NOW RUN THE BUSINESS. ST. MARY'S USES SCHOOLEY ELECTRIC FOR WORK IN THE FACILITY. 0 FORM 990, PART VI, SECTION A, LINE 6 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN, INC. IS THE SOLE MEMBER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER OF THE CORPORATION, CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN, INC. HAS THE POWER TO APPOINT THE TRUSTEES OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B IN ADDITION TO THE POWER TO APPOINT THE TRUSTEES AS INDICATED ABOVE, CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN, INC HAS OTHER POWERS SET FORTH IN THE CORPORATION'S BY-LAWS WHICH INCLUDE ADOPT OR AMEND THE CERTIFICATE OF INCORPORATION OR BY-LAWS OF THE CORPORATION, ADOPT OR PERMIT ADOPTION OF ANY ANNUAL OR LONG-TERM CAPITAL OR OPERATIONAL BUDGET OF THE CORPORATION AS WELL AS SIGNIFICANT CHANGES TO THE ORIGINAL BUDGET (5%); AUTHORIZE OR PERMIT THE CORPORATION TO ENGAGE IN SIGNIFICANT TRANSACTIONS (AS FURTHER DEFINED IN THE BY-LAWS) IN EXCESS OF $100,000 AS WELL AS SUCH TRANSACTIONS RELATED TO THE ACQUISITION OR DISPOSITION OF LAND AND BUILDINGS OWNED BY THE CORPORATION; APPROVE OR PERMIT THE APPROVAL OF ANY SECURED OR UNSECURED BORROWING OF MONEY BY THE CORPORATION; APPROVE OR PERMIT THE APPROVAL OF ANY LONG-TERM STRATEGIC PLAN OF THE CORPORATION; APPROVE A PLAN OF MERGER, CONSOLIDATION, AFFILIATION, OR DISSOLUTION OF THE CORPORATION; ORGANIZE, ACQUIRE, AUTHORIZE OR PERMIT THE ORGANIZATION OR ACQUISITION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND, APPROVE OR PERMIT THE APPROVAL OF CONTRIBUTIONS, GRANTS, OR LOANS IN EXCESS OF AN AGGREGATE OF $100,000. FORM 990, PART VI, SECTION B, LINE 11 THE CONTROLLER WILL REVIEW FORM 990 BEFORE IT IS SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, LINE 15: SALARY OF THE EXECUTIVE DIRECTOR IS REVIEWED ANNUALLY BY THE DIOCESE OF CAMDEN (RELATED PARTY) - RECEIVING THE SAME ANNUAL INCREASE PERCENTAGE AS ALL OTHER DIOCESAN EMPLOYEES. THIS PAST JULY 1, THERE WAS A 2% DIOCESAN INCREASE. THERE IS NO PERFORMANCE BASED COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 109. DIOCESE OF CAMDEN 1845 HADDON AVENUE CAMDEN NJ 08103 RELIGIOUS SERVICES NJ 501(C)(3) LINE 1 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 0 OUR LADY'S RESIDENCE 1845 HADDON AVENUE CAMDEN NJ 08103 221807020 HEALTH CARE NJ 501(C)(3) LINE 9 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 0 MATER DEI NURSING HOME 1845 HADDON AVENUE CAMDEN NJ 08103 221840494 HEALTH CARE NJ 501(C)(3) LINE 9 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 0 BISHOP MCCARTHY RESIDENCE 1845 HADDON AVENUE CAMDEN NJ 08103 222051685 HEALTH CARE NJ 501(C)(3) LINE 9 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 0 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 1845 HADDON AVENUE CAMDEN NJ 08103 233759994 SOCIAL SERVICES NJ 501(C)(3) LINE 7 DIOCESE OF CAMDEN 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0