2013-10-10T13:02:42-05:00 2012-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2012-01-01 510393781 SENIORCARE OF MONTCHANIN INC SENI 6095880091 211 SOUTH POND ROAD HOCKESSIN DE 197072325 STEVE MCGILVERY 6095880091 2013-10-10 1 JULIUS GREEN CPA P00350393 2159720701 2012 2016-02-25 16:41:14Z HAMILTON CONTINUING CARE CTR STEVE MCGILVERY PO BOX 2113 CHERRY HILL NJ 08034 17649704 0 X WWW.HAMILTONCONTINUINGCARE.COM X 2000 DE TO PROVIDE A COMFORTING AND SECURE ENVIRONMENT TO RESIDENTS OF THE CENTER. 3 2 224 6 0 0 0 0 18568681 17455759 48610 46965 7348 146980 18624639 17649704 15060 9797 0 0 8667781 8330403 0 0 0 9801351 9259646 18484192 17599846 140447 49858 14790542 14547490 21296240 21033064 -6505698 -6485574 HAMILTON CONTINUING CARE CENTER IS COMMITTED TO PROVIDING AN ENVIRONMENT THAT IS WARM, COMFORTING AND SECURE. IN ALL WE DO, OUR FOCUS IS TO CONTINUOUSLY ENHANCE THE QUALITY OF LIFE AND DIGNITY OF EACH OF OUR RESIDENTS. WE DELIVER EXCELLENCE THROUGH SERVICE. 0 0 14394769 9797 17455759 THE FACILITY INCLUDES 180 LONG-TERM CARE BEDS PROVIDING SKILLED AND INTERMEDIATE NURSING CARE SERVICES INCLUDING A DEMENTIA UNIT INCORPORATED INTO A SPECIFIC 60 BED WING. THE FACILITY PROVIDES ROUND-THE-CLOCK SKILLED AND INTERMEDIATE NURSING CARE SERVICES, DINING, AND RECREATIONAL ACTIVITIES.AT DECEMBER 31, 2012 THE ORGANIZATION WAS AT 96.1% OCCUPANCY WITH A TOTAL OF 63,158 DAYS. 11,398 OF THESE DAYS WERE PRIVATE, 38,995 WERE MEDICAID, 9,070 WERE MEDICARE, AND THE REMAINDER REPRESENTED MANAGED CARE AND OTHER PAYOR SOURCES. 14394769 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 24 0 1 224 1 0 0 0 0 0 0 0 0 0 0 X 3 2 0 1 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 DE X FRANK FULLAM CFO 2159255158 41 N 3RD STREET PHILADELPHIA PA 19106 STEVE MCGILVERY 7.50 X X 22064 0 0 MITCHELL RUSSELL 5.00 X X 10000 0 0 IRA STUDIN 5.00 X X 10000 0 0 JOE BOGDEN 40.00 X 144862 0 12500 SUZANNE MANTEL 40.00 X 103485 0 8800 MARIANNA RESNICK 40.00 X 116506 0 9900 NEHA MERCHANT 40.00 X 151446 0 13070 558363 0 44270 4 0 1 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE BENSALEM PA 19020 HOUSEKEEPING, LAUNDRY & FOODSERVICE 1816633 TENDER TOUCH 685 RIVER AVE LAKEWOOD NJ 08701 THERAPY SERVICES 1716021 HOSPICOMM 41 N 3RD ST SUITE 200 PHILADELPHIA PA 19106 MANAGEMENT SERVICES 991438 NJ HOME PROVIDER ASSESS NJ DIVISION OF TAXATION TRENTON NJ 08695 PHARMACY SERVICES 781206 AMERIHEALTH 1901 MARKET ST PHILADELPHIA PA 19103 EMPLOYEE HEALTH 675069 14 NURSING CARE 623000 13397556 13397556 THERAPY 621990 3252176 3252176 PHARMACY 621990 732835 732835 LABORATORY/X RAY 621500 73192 73192 17455759 46965 46965 BED LICENSE SALE 900099 142510 142510 OTHER RESIDENT SERVICES 900099 2800 2800 VENDING 900099 1670 1670 146980 17649704 17455759 0 193945 X 9797 9797 438117 438117 6335211 5598077 737134 90822 75063 15759 896218 740714 155504 570035 471127 98908 976440 976440 128913 128913 48028 48028 3775360 3666721 108639 25287 25287 1282660 1074859 207801 30096 30096 2103723 2103723 20958 6968 13990 11082 11082 24003 24003 540872 540872 139793 139793 X-RAY AND LAB EXPENSES 51026 51026 BAD DEBT 42000 42000 PATIENT PERSONAL SVC 24212 24212 SUBSCRIPTIONS & DUES 18364 18364 16829 7607 9222 17599846 14394769 3205077 0 58735 0 2230220 2615242 2457498 1962041 57411 259311 12027495 4206148 8108924 7821347 963065 935472 607916 598844 306773 355233 14790542 14547490 2603003 2354777 18010000 17720000 306773 355233 330706 242213 45758 360841 21296240 21033064 X -6505698 -6485574 -6505698 -6485574 14790542 14547490 49858 -29734 0 X X 0 1 X 1 0 X 17074110 17947314 18771101 18568681 17455759 89816965 17074110 17947314 18771101 18568681 17455759 89816965 0 0 0 89816965 66035 115809 47332 48610 46965 324751 66035 115809 47332 48610 46965 324751 4577 7290 6880 7348 146980 173075 17144722 18070413 18825313 18624639 17649704 90314791 0.99450 0.99520 0.00360 0.00430 X 0 1 X 1200000 1200000 8067230 2513326 5553904 1364331 642291 722040 1395934 1050531 345403 7821347 OBLIGATIONS UNDER CAPITAL LEASES 35841 LINE OF CREDIT 325000 360841 X 17619970 -29734 -29734 17649704 0 17649704 17599846 0 17599846 0 17599846 PART IV, LINE 2B: THE ORGANIZATION PROVIDES SERVICES FOR RESIDENTS' PERSONAL FUNDS, WHICH ARE KEPT IN A SEPARATE BANK ACCOUNT AND THE DETAIL IS TRACKED ON SUPPORTING SCHEDULES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE CORPORATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON ITS EXEMPT INCOME UNDER SECTION 501(A) OF THE CODE. THE CORPORATION 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 HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2012 AND 2011. THE CORPORATION'S FEDERAL INCOME TAX RETURNS FOR THE YEARS PRIOR TO 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. 0 THE ROBERT WOOD JOHNSON FOUNDATION PO BOX 2316 PRINCETON NJ 085432316 226029397 501(C)(3) 9797 COMMUNITY SERVICES AND EVENTS SCHEDULE I, PART I: NO FORMAL PROCESS IS IN PLACE TO MONITOR THE USE OF GRANT FUNDS AS THE ORGANIZATION TYPICALLY ONLY GIVES A DONATION TO EVENTS THAT ARE SPONSORED BY OR BENEFIT THE ROBERT WOOD JOHNSON FOUNDATION OR OTHER 501(C)(3) ORGANIZATIONS. X 0 0 0 0 0 0 0 0 0 JOE BOGDEN 144862 0 0 0 0 0 0 0 12500 0 157362 0 0 0 NEHA MERCHANT 151446 0 0 0 0 0 0 0 13070 0 164516 0 0 0 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, LINE 3: CURRENTLY, COMPENSATION FOR THE ADMINISTRATOR AND OTHER EXECUTIVE EMPLOYEES IS DETERMINED THROUGH INFORMAL POLLING. THE ORGANIZATION IS CONSIDERING USING OTHER METHODS, SUCH AS COMPARING THE COMPENSATION PAID TO EMPLOYEES OF SIMILAR-SIZED FACILITIES. A NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY 222045817 645918JR5 2007-11-13 18860000 REFINANCE 2000 BONDS, FINANCE CAPITAL IMPROVEMENTS 0 0 0 A 990000 19000000 530000 377200 18092800 2007 0 1 1 1 A 0 0 1 0 0 0 0 1 A 1 1 0 0 0 0 A 1 SCHEDULE K, PART IV, LINE 7 THE ORGANIZATION HAS AN OUTSIDE THIRD PARTY WHO SPECIALIZES IN BOND ISSUES, REVIEW ALL CALCULATIONS AND MONITORS WHAT THE ORGANIZATION IS REQUIRED TO DO AND WHEN IN ORDER TO STAY COMPLIANT WITH ALL REQUIREMENTS OF THE BOND ISSUE. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION USES A MANAGEMENT COMPANY TO PROVIDE FINANCIAL STATEMENT PREPARATION, ALONG WITH ADMINISTRATIVE SUPPORT AND BILLING SERVICES. FORM 990, PART VI, SECTION A, LINE 6 SENIORCARE OF HAMILTON, LLC IS A DELAWARE LIMITED LIABILITY COMPANY, WHOSE SOLE MEMBER IS SENIORCARE MONTCHANIN, INC. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS SENT TO BOARD MEMBERS VIA EMAIL BEFORE FILING AND REVIEWED BY EACH MEMBER SEPARATELY. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS INTERESTED PERSONS WHICH ARE DEFINED AS ANY DIRECTOR, OFFICER, EMPLOYEE, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED OR OTHER POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST THROUGH A BUSINESS, INVESTMENT OR FAMILY RELATIONSHIP. DUTY TO DISCLOSE - IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT OR TO AN APPROPRIATE SUPERVISOR. THE CHAIR OF THE BOARD MONITORS COMPLIANCE WITH THIS POLICY. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE INTERESTED PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INTERESTED PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS USED TO ESTABLISH COMPENSATION FOR KEY EMPLOYEES INCLUDES A REVIEW OF THE EMPLOYEES PERFORMANCE BY THEIR DIRECT SUPERVISOR. BASED ON THE EMPLOYEE PERFORMANCE AND A REVIEW OF SIMILAR POSITIONS AND/OR RESPONSIBILITIES IN THE REGION, COMPENSATION AMOUNTS ARE ESTABLISHED. THESE AMOUNTS ARE REVIEWED BY THE BOARD, WHERE APPROPRIATE, AND IF ACCEPTABLE ARE APPROVED. THE PROCESS IS DOCUMENTED IN THE EMPLOYEES PERSONNEL FILE AND BOARD MINUTES, IF BOARD APPROVAL IS APPLICABLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G PATIENT CARE SERVICES: PROGRAM SERVICE EXPENSES 1,828,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,828,754. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,745,795. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,745,795. GENERAL SERVICES: PROGRAM SERVICE EXPENSES 83,852. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,852. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 8,320. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,320. COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,651. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,651. ENTERTAINMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 26,189. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,189. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 76,799. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,799. AUDIT OVERSIGHT FORM 990, PART XI, LINE 2C: THE PRESIDENT OF THE BOARD ASSUMES THE RESPONSIBILITY OF THE "AUDIT COMMITTEE". ANY ISSUES, FINDINGS, RESULTS, AND/OR THE AUDIT REPORT ARE REPORTED TO AND REVIEWED BY THE PRESIDENT OF THE BOARD. ONCE THE AUDIT REPORT IS REVIEWED THE PRESIDENT OF THE BOARD WILL PRESENT THE ISSUES, FINDINGS, RESULTS, AND/OR REPORT TO THE FULL BOARD FOR ACTION/APPROVAL. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. SENIORCARE OF HAMILTON LLC 211 SOUTH POND ROAD HOCKESSIN DE 197072325 510393781 NURSING HOME OPERATIONS DE 17619970 14547488 N/A SCHEDULE R PART I: SENIORCARE OF HAMILTON, LLC (THE "ORGANIZATION") IS A DELAWARE LIMITED LIABILITY COMPANY, WHOSE SOLE MEMBER IS SENIORCARE MONTCHANIN, INC. (THE "CORPORATION"), A DELAWARE NONPROFIT CORPORATION. THE ORGANIZATION WAS FORMED FOR THE PURPOSE OF ACQUIRING AND OPERATING A 180-BED NURSING FACILITY LOCATED IN HAMILTON TOWNSHIP, MERCER COUNTY, NEW JERSEY.