2015-08-14T15:12:19-07:00 2014-12-31 990 2014-01-01 341040692 ST AUGUSTINE MANOR STAU 2166347400 7801 Detroit Avenue Cleveland OH 44102 Francis Huba CFO 2166347555 2015-08-15 2014 2016-04-25 22:37:26Z Francis huba 7801 Detroit Ave Cleveland OH 44102 30221601 0 X X 1969 OH St. Augustine Manor dba St. Augustine Health Ministries provides skilled nursing and community based services including; an early education and child day care, assisted living, rehabilitation, long-term care, home delivered and congregate meals, home care and hospice care. 20 19 690 518 0 0 3018482 3345214 27357606 26111507 545569 71366 581899 671475 31503556 30199562 0 0 0 0 20982619 21219649 0 0 131366 9002707 9271010 29985326 30490659 1518230 -291097 20262952 20051690 4320762 4386333 15942190 15665357 St. Augustine Health Ministries continues the healing ministry of Christ by promoting the quality of life and independence of each person entrusted to our care through a continuum of health care and related services to the chronically ill and aging of our community with special concern for the poor. We promote the sacredness of life in a community that celebrates purpose, individuality, companionship and well-being. 0 0 18841455 0 18518460 Nursing Home Care: 248 bed skilled nursing facility in the inner-city with a high percentage of Medicaid residents, including a 14 bed Aids unit and a 36 bed Rehabilitation unit. The organization's specialties are rehabilitation and wound care. St. Augustine Manor provided skilled nursing, rehabilitation and long term care to 630 chronically ill and aging individuals from ages 19-102, with a 86% occupancy rate. 5571611 0 4850833 Hospice Care: Medicare-Certified Hospice including a 37 bed inpatient facility that used to be licensed as a nursing home but functioned as a free cancer home before it was converted it to a Medicare-certified Hospice. 534 terminally ill individuals received end of life care through our in-patient and community based hospice services. 1954521 0 2436534 Assisted Living Facility: 99 unit assisted living facility that provides low-income housing at below market all inclusive rates for seniors 55 years and up and other Medicaid-Assisted Living Waiver Progam participants in the inner-city. Out of 134 seniors served, 53 were able to live in assited living as a result of the Medicaid AL Waiver Program, The facility was over 96.3% occupied. 688072 0 939149 Home Health care Agency and other programs. 688072 0 939149 27055659 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 124 0 1 690 1 0 0 0 0 0 1 1 0 0 0 0 X 20 19 1 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X X Francis S Huba 2166347400 7801 Detroit Avenue Cleveland OH 44102 Patick Gareau Ex-Officio of Board of Directors/Secretariat of Catholic Charities Corporation 1 39 X 0 183545 23154 Margaret Lynch Honorary Board Member 1 0 X 0 0 0 Thomas Lynch Honorary Board Member 1 0 X 0 0 0 Rober Pumphrey Board Member-Chairperson 1 0 X 0 0 0 Karen McCarthy Board Member - Vice Chairperson 1 0 X 0 0 0 Janet Gosche Board Member-Secretary 1 0 X 0 0 0 Damon Taseff Board Member-Treasurer 1 0 X 0 0 0 Robert Dawson Board Member 1 0 X 0 0 0 Theresa Dawson Board Member 1 0 X 0 0 0 Rosemary Eyerman Board Member 1 0 X 0 0 0 Cullen Hanlon Board Member 1 0 X 0 0 0 Tania Harrison Board Member 1 0 X 0 0 0 Michelle Hocevar Board Member 1 0 X 0 0 0 Carol Rini Board Member 1 0 X 0 0 0 Joseph Sciarrillo Board Member 1 0 X 0 0 0 Mark Seryak Board Member 1 0 X 0 0 0 Marilyn Streeter Board Member 1 0 X 0 0 0 Linda Sheehan Board Member 1 0 X 0 0 0 Patricia Snowbrick Board Member 1 0 X 0 0 0 Rick Meserini President/CEO 39 1 X 26675 0 3281 Francis Huba CFO 39 1 X 158192 0 13512 Anita Gerrasch Administrator 40 0 X 99224 0 11841 Colleen Wilson Director of Nursing 40 0 X 116959 0 11510 Kristin Graham Director of Hospice and Home Health Care 40 0 X 103778 0 21207 Barbara Barnette Assistant Director of Nursing 40 0 X 93002 0 19660 Robert Sullivan Physical Therapist 40 0 X 88088 0 23025 James Taylor Former President/CEO 39 1 X 114060 0 15600 799978 183545 142790 9 1 1 0 0 0 0 115565 1278775 0 1950874 0 3345214 Nursing Home Care 623110 17409528 17409528 0 0 Hospice Care 623110 4826392 4826392 0 0 Assisted Living Care 623000 2351453 2351453 0 0 Home Health Care 621610 938796 938796 0 0 Child Enrichment Care 624410 485968 485968 0 0 99370 99370 0 0 26111507 66382 0 0 66382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4984 0 0 0 4984 4984 0 0 4984 60046 115565 22039 38007 0 38007 0 0 0 0 0 0 0 0 0 0 0 0 Service Fees 561000 261139 261139 0 0 Dietary 722212 264405 264405 0 0 Miscellaneous 623110 54813 54813 0 0 53111 53111 0 0 633468 30199562 26744975 0 109373 0 0 0 0 0 0 0 0 302149 0 302149 0 0 0 0 0 16881163 15094291 1715563 71309 453813 399353 53012 1448 2304636 2021515 276173 6948 1277888 1123283 150982 3623 269810 155514 114296 0 12533 0 12533 0 35105 0 35105 0 0 0 0 0 0 0 0 0 0 0 775546 699098 76448 0 45474 0 33287 12187 468990 71923 363528 33539 165519 0 163207 2312 0 0 0 0 2340606 2335172 5434 0 0 0 0 0 0 0 0 0 0 0 0 0 1353 1224 129 0 0 0 0 0 625983 625983 0 0 305897 305593 304 0 Medical Supplies 1522123 1522123 0 0 Raw Food & Supplies 1514106 1512622 1484 0 Bad Debt 183222 183222 0 0 Bed Tax 1004743 1004743 0 0 30490659 27055659 3303634 131366 897857 1109654 4301831 2083750 0 0 2931091 3455892 0 0 0 0 0 0 70452 62525 45652 36011 22065430 17197478 3642239 4867952 0 0 378411 384648 0 0 345000 345000 7650419 7706258 20262952 20051690 4188919 4314870 0 0 0 0 0 0 0 0 0 0 58245 4570 0 0 73598 66893 4320762 4386333 X 8920331 8222913 831550 1202745 6190309 6239699 15942190 15665357 20262952 20051690 X -291097 -33592 0 0 0 47856 X X 0 1 X 1 0 X 3685959 3172056 3853594 3018482 3345214 17075305 24692184 28038887 30871068 27893848 26744975 138240962 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28378143 31210943 34724662 30912330 30090189 155316267 1121143 1485045 1348489 1336624 1278775 6570076 0 0 0 0 0 0 1121143 1485045 1348489 1336624 1278775 6570076 148746191 8256 4187 20547 80088 66382 179460 0 0 0 0 0 0 8256 4187 20547 80088 66382 179460 0 0 0 0 0 0 0 0 0 0 0 0 28386399 31215130 34745209 30992418 30156571 155495727 0.95659 0.95661 0.00115 0.00096 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 628412 2309 3927 0 0 0 634648 600192 1115 28348 0 1230 13 628412 590553 895 10117 0 1353 20 600192 956287 9190 3532 0 378456 0 590553 904463 2880 67179 0 18235 0 956287 0 1 0 0 0 0 0 0 0 10927878 7517871 3410007 0 0 0 0 0 10738652 9469706 1268946 0 398900 209901 188999 4867952 Board Designated Funded Depreciation 1805544 Investments Held in Perpetual Trust 5897905 Deposits 2809 7706258 0 Security Deposits 66893 66893 X Schedule D, Part V, Line 4 Board Designated net assets consist of Board controlled investments that have been raised for the support of the Manor. Permanently restricted endowment funds represent funds which are restricted as to use in perpetuity. Endowment Funds are appropriated based on an approval process through the Board of Directors. Specific committees recommend amounts to be disbursed from the accumulated earnings of the endowment funds, which are then approved for appropriation by the Board of Directors. Schedule D, Part X, Line 2 The Manor adopted the accounting standard on accounting for uncertainty in income taxes, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Manor may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Manor and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50 percent likelihood of being realized upon ultimate settlement. The guidance on accounting for uncertainty in income taxes also addresses de-recognition, classification, interest and penalties on income taxes, and accounting in interim periods. At December 31, 2014, there were no unrecognized tax benefits identified or recorded as liabilities. Top O' the Towers 175611 115565 60046 1000 0 17390 0 0 3649 0 0 175611 115565 60046 1000 0 17390 0 0 3649 22039 38007 X 0 0 0 0 0 0 0 0 0 Patick Gareau Ex-Officio of Board of Directors/Secretariat of Catholic Charities Corporation 0 183545 0 0 0 0 0 12066 0 11088 0 206699 0 212835 Francis Huba CFO 158192 0 0 0 0 0 5937 0 7575 0 171704 0 161261 0 Form 990, Part VI, Section A, Line 2 Board members; Thomas Lynch and Margaret Lynch are married, and Robert Dawson and Theresa Dawson are married. Form 990, Part VI, Section A, Line 6 The Organization has 3 members 1>) The Board of Directors jointly and collectively 2.) The Secretariat of Catholic Charities Corporation 3.) The Roman Catholic Bishop of the Diocese of Cleveland. Form 990, Part VI, Section A, Line 7a The members can be elected by the Secretariat and the Bishop or deferred to the nominating committee of the Board of Directors to make recommendations for new Board members. Form 990, Part VI, Section A, Line 7b The Secretariat and the Bishop must approve appointment of new members to the Board of Directors as well as annual operating and capital budgets. Form 990, Part VI, Section B, Line 11b The 2014 Form 990 was prepared in-house on the same basis, and using the guidance provided by the independent accounting firm that prepared the 2011 Form 990. Prior to filing, Form 990 is reviewed by the Chief Financial Officer and The Chief Executive Officer. Form 990, Part VI, Section B, Line 12c All employees, including Officers, Directors, Trustees and Key employees are required to disclose interests that could give rise to conflict at the time of hire or appointment. They are then further instructed to notify the organization of any changes during their tenure that could be considered a conflict of interest. The disclosure must be signed by the employee and their supervisor. This is a required part of the annual employee evaluation process. Starting in 2014, annual disclosures of potential conflicts of interest are required of Board Members. No conflicts have been identified initially or subsequently. Form 990, Part VI, Section B, Line 15 The President/CEO's salary is set by the Secretariat of Catholic Charities Corporation within prescribed guidelines and is approved by the Bishop of the Diocese of Cleveland. All positions within the organization are scaled based on duties and responsibilities. Those scales are rated and evaluated by the Human Resources department using comparative salary and wage surveys from the not-for-profit Nursing Home Trade Association. Individual salaries are determined within the established pay range for each position. Form 990, Part VI, Section C, Line 18 The governing documents are available through Guide Star. Form 990, Part VI, Section C, Line 19 The organization makes its governing documents, conflict of interest policy and audited financial statements available to the public upon written request. Form 990, Part XI, Line 9 Changes in fair market value for irrevocable funds held in trust. Form 990, Part XII, Line 2c The Organization has a committee that assumes responsibility for the oversight of the audit and selection of an Independent Accountant. This process has not changed during the year. St Augustine Service Corporation 7801 Detroit Avenue Cleveland OH 44102 341609330 Medical Services OH 501(c)(3) Line 9 N/A 0 Catholic Charities Corporation 7911 Detroit Avenue Cleveland OH 44102 341318541 Social Services OH 501(c)(3) Line 11A, I N/A 0 Rose-Mary Center 19350 Euclid Avenue Euclid OH 44117 341267579 Disability Care OH 501(c)(3) Line 1 N/A 0 CYO Community Services 812 Biruta Street Akron OH 44307 340714562 Social Services OH 501 (c) (3) Line 9 N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 St Augustine Service Corporation l 63000 Allocation St Augustine Service Corporation n 0 Sharing of mail machine St Augustine Service Corporation o 0 CFO and CEO. Catholic Charities Corporation c 1278775 Appropriations St Augustine Service Corporation m 266720 Direct Costs This return is not late. St. Augustine Manor filed for an extension until August 15, 2015 and was awarded that extension.