2013-09-11T10:03:02-05:00 2012-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2012-01-01 221807020 OUR LADY'S RESIDENCE OURL 8563424100 1845 HADDON AVENUE CAMDEN NJ 08103 MARTIN IDLER 8563424100 2013-09-09 1 JULIUS GREEN CPA P00350393 2159720701 2012 2016-02-24 21:20:13Z MARTIN B IDLER 1845 HADDON AVENUE CAMDEN NJ 08103 15501075 0 0928 X WWW.CAMDENDIOCESE.ORG X 1966 NJ A SKILLED NURSING FACILITY LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. 8 6 334 41 0 0 66120 45093 16121322 15399193 8744 6773 27812 50016 16223998 15501075 1683 0 0 0 11115063 10783365 0 0 0 6331822 5796121 17448568 16579486 -1224570 -1078411 5550118 4599330 3752770 3795089 1797348 804241 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 14792888 15399193 OUR LADY'S RESIDENCE OPERATES A 214 BED SKILLED NURSING FACILITY IN PLEASANTVILLE, NEW JERSEY THAT IS LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE HOME'S SOLE MEMBER IS THE DIOCESAN HEALTH SERVICES CORPORATION 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, 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. 14792888 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 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 35 0 1 334 1 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 1 1 1 1 1 0 0 0 1 0 0 1 1 0 0 0 NJ X LAURA J MONTGOMERY CONTROLLER 8563424181 1845 HADDON AVENUE CAMDEN NJ 08103 DOROTHY POWELL 5.00 X X 0 0 0 RICHARD MAXWELL 5.00 X X 0 0 0 MARTIN B IDLER 10.00 30.00 X X 0 162857 28716 LAWRENCE READER 5.00 40.00 X X 0 110421 11594 MARY ANN MARCHETTI 5.00 X 0 0 0 SISTER ELETA FELLI 5.00 X 0 0 0 REV JOSEF A WAGENHOFFER 5.00 X 0 0 0 REV JOHN VIGNONE 5.00 X 0 0 0 0 273278 40310 0 0 1 0 TENDER TOUCH HEALTH CARE SERVICE INC 685 RIVER AVENUE LAKEWOOD NJ 08701 PT, OT & SPEECH THPY 885883 SODEXO INC PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE 314310 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 MAINTENANCE SERVICE 297106 HOSPITALERS SISTERS OF MERCY 1100 CLEMATIS BLVD PLEASANTVILLE NJ 08232 NURSING SERVICE 130108 4 45093 45093 NET RESIDENT SERVICE R 623000 15399193 15399193 15399193 6773 6773 FEMA HURRICANE REIMBURSEMENT 900099 19735 19735 MEALS REVENUE 900099 11860 11860 RESIDENT PHONE & VENDING REV 900099 10151 10151 8270 8270 50016 15501075 15399193 0 56789 X 7795621 6971460 824161 510525 455960 54565 1921958 1636591 285367 555261 529036 26225 6337 6337 35520 35520 2224134 2128076 96058 184438 3771 180667 462744 405723 57021 179625 179625 367681 367681 23461 11426 12035 5165 3535 1630 64724 64724 202039 202039 50041 50041 NURSING HOME ASSESSMENT 675161 675161 FOOD 526222 526222 PHARMACY/DRUGS 292924 292924 BAD DEBT EXPENSE 227208 227208 268697 241310 27387 16579486 14792888 1786598 0 1000 1000 859795 121712 1944409 2331510 88 34401 25146 3356490 1455975 2079388 1900515 631125 219359 5550118 4599330 1552735 1262723 97904 76690 2102131 2455676 3752770 3795089 X 1759267 765392 38081 38849 1797348 804241 5550118 4599330 X -1078411 84536 768 X 0 1 X 1 0 X 171118 192285 178419 66120 45093 653035 16816857 16645135 15589048 16121322 15399193 80571555 16987975 16837420 15767467 16187442 15444286 81224590 0 0 0 81224590 22434 44289 31901 8744 6773 114141 22434 44289 31901 8744 6773 114141 16696 37927 26358 27812 50016 158809 17027105 16919636 15825726 16223998 15501075 81497540 0.99670 0.99660 0.00140 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 90380 90380 2330854 858410 1472444 935256 597565 337691 1900515 RESIDENT PNA FUNDS 71593 DUE TO THIRD PARTY PAYORS 67100 DUE TO OTHER PARTIES 176957 DUE TO DIOCESE OF CAMDEN 2140026 2455676 X 15586379 84536 768 85304 15501075 0 15501075 16579486 0 16579486 0 16579486 PART IV, LINE 2B: PRIVATE PAY RESIDENTS HAVE ONE MONTH'S RENT DEPOSITED IN AN INTEREST-BEARING ACCOUNT AT WELLS FARGO 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2012 AND 2011. THE HOME'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS PRIOR TO 2009 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 768. 0 0 0 0 0 0 0 0 0 MARTIN B IDLER 0 162857 0 0 0 0 0 13029 0 15687 0 191573 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. THERE IS NO PERFORMANCE BASED COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 THE 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, THE 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, THE 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, 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 POLICIES AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G TEMPORARY PERSONNEL: PROGRAM SERVICE EXPENSES 153,149. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,149. FOOD AND DIETICIAN COSTS: PROGRAM SERVICE EXPENSES 314,903. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 314,903. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 210,124. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 210,124. DIAPERS AND LINENS: PROGRAM SERVICE EXPENSES 94,274. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,274. GARBAGE DISPOSAL SERVICES: PROGRAM SERVICE EXPENSES 39,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,364. EXTERMINATION FEES: PROGRAM SERVICE EXPENSES 10,068. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,068. SECURITY: PROGRAM SERVICE EXPENSES 64,053. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,053. MAINTENANCE ADMIN FEES: PROGRAM SERVICE EXPENSES 113,910. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,910. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 43,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,230. PHARMACEUTICAL CONSULTANT: PROGRAM SERVICE EXPENSES 25,520. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,520. LAB FEES: PROGRAM SERVICE EXPENSES 41,423. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,423. PT, OT, AND SPEECH THERAPY: PROGRAM SERVICE EXPENSES 1,018,058. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,018,058. PAYROLL PROCESSING EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,795. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,795. CONSULTING EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 70,563. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,563. REGULATORY FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,700. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 768. 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 SAINT MARY'S CATHOLIC HOME 1845 HADDON AVENUE CAMDEN NJ 08103 210634535 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 DIOCESE OF CAMDEN 1845 HADDON AVENUE CAMDEN NJ 08103 HEALTH CARE NJ 501(C)(3) LINE 1 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 0 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 1845 HADDON AVENUE CAMDEN NJ 08103 223759994 SOCIAL SERVICES NJ 501(C)(3) LINE 7 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0