2013-11-14T13:10:53-07:00 2012-12-31 990 2012-01-01 341040692 ST AUGUSTINE MANOR STAU 2166347400 7801 Detroit Avenue Cleveland OH 44102 Francis Huba 2166347555 2013-11-14 2012 2016-02-24 21:20:13Z James Taylor 7801 Detroit Avenue Cleveland OH 44102 34814962 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. 21 20 701 320 0 0 3172056 3853594 27767563 30555547 4187 19823 365616 366434 31309422 34795398 0 0 0 0 21036123 20642359 0 0 96715 10162508 11214713 31198631 31857072 110791 2938326 15020291 18289858 4494799 4531887 10525492 13757971 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 18262026 0 18781916 Nursing Home Care: 248 bed skilled nursing facility in the inner-city with a high percentage of Medicaid residents, including a 19 bed Aids unit and a 36 bed traumatic brain injury unit. The organization's specialties are rehabilitation and wound care. St. Augustine Manor provided skilled nursing, rehabilitation and long term care to 364 chronically ill and aging individuals from ages 19-102, with a 95% occupancy rate. 7869638 0 8442497 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 we converted it to a medicare-certified Hopice. 670 terminally ill individuals received end of life care through our in-patient and community based hospice services. 2104350 0 2230791 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 133 seniors served, 45 were able to live in assited living as a result of the Medicaid AL Waiver Program, The facility had a 98% occupancy rate. 712192 1100343 Home Health care Agency and other programs. 712192 0 1100343 28948206 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 1 119 0 1 701 1 0 0 0 0 0 1 1 0 0 0 0 X 21 20 1 0 0 0 1 1 1 1 1 0 0 0 1 0 1 1 1 1 1 0 X Francis S Huba 2166347400 7801 Detroit Avenue Cleveland OH 44102 Patick Gareau 1 39 X 0 183647 22398 Margaret Lynch 1 0 X 0 0 0 Joseph Dailey 1 0 X 0 0 0 Robert Dawson 1 0 X 0 0 0 Theresa Dawson 1 0 X 0 0 0 Edward G Hack 1 0 X 0 0 0 Tania Harrison 1 0 X 0 0 0 J Thomas Hannon 1 0 X 0 0 0 Thomas Lynch 1 0 X 0 0 0 Karen McCarthy 1 0 X 0 0 0 David Mortenson 1 0 X 0 0 0 Robert Pumphrey 1 0 X 0 0 0 Carol Rini 1 0 X 0 0 0 Joseph Sciarrillo 1 0 X 0 0 0 Linda Sheehan 1 0 X 0 0 0 Charles Sloan 1 0 X 0 0 0 Patricia Snowbrick 1 0 X 0 0 0 David Streeter 1 0 X 0 0 0 Marilyn Streeter 1 0 X 0 0 0 Catherine Corrigan Tompkins 1 0 X 0 0 0 Francis S Huba 38 2 X 138649 0 11098 Colleen Wilson 40 0 X 106326 0 12603 Kristin Graham 40 0 X 105303 0 16427 Marc Schaffer 40 0 X 92303 0 15535 Samuel Manley 40 0 X 91727 0 10742 Andrew Koha 39 1 X 162826 0 11879 697134 183647 100682 6 1 1 0 0 0 0 96548 1348489 0 2408557 0 3853594 Nursing Home Care 623110 18781916 18781916 0 0 Hospice Care 623110 8442496 8442496 0 0 Assisted Living Care 623000 2230791 2230791 0 0 Home Health Care 621610 835002 835002 0 0 265342 265342 0 0 30555547 20547 0 0 20547 0 0 0 0 0 0 0 0 0 0 0 0 0 724 0 -724 -724 0 0 -724 69752 96548 18840 50912 0 50912 Service Fees 623990 235995 235995 0 0 Miscellaneous 623990 79527 79527 0 0 0 0 0 0 315522 34795398 30871069 0 70735 0 0 0 0 0 0 0 0 304330 0 304330 0 0 0 0 0 16356611 14927019 1367362 62230 520911 467835 51748 1328 2230222 1995992 228567 5663 1230285 1105385 121742 3158 340364 246764 93600 0 14993 0 14993 0 42075 0 42075 0 0 0 0 0 0 0 0 0 0 0 2611990 2575001 36989 0 48568 17045 14106 17417 421921 58626 357378 5917 135327 0 134325 1002 0 0 0 0 2255967 2255967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11842 10245 1597 0 0 0 0 0 676564 676564 0 0 291465 291465 0 0 Medical Supplies 1524221 1524221 0 0 Raw Food and Supplies 1442014 1398675 43339 0 Bad Debt 378276 378276 0 0 Bed Tax 1019126 1019126 0 0 31857072 28948206 2812151 96715 1616054 580345 37497 3695068 94100 0 3723089 3681500 0 0 0 0 0 0 59522 79926 45188 34904 19405929 16045630 3785338 3360299 0 0 590553 350192 0 0 345000 345000 4723950 6162624 15020291 18289858 4301864 4322074 0 0 0 0 0 0 0 0 0 0 109820 109820 0 0 83115 99993 4494799 4531887 X 4639138 7645373 678815 620408 5207539 5492190 10525492 13757971 15020291 18289858 X 2938326 7657 0 0 0 286496 X 0 1 X 1 0 X 5511991 3422289 3685959 3172056 3853594 19645889 24452179 23622037 24692184 28038887 30871068 131676355 29964170 27044326 28378143 31210943 34724662 151322244 1126060 1175575 1121143 1485045 1348489 6256312 1126060 1175575 1121143 1485045 1348489 6256312 145065932 99589 32786 8256 4187 20547 165365 99589 32786 8256 4187 20547 165365 30063759 27077112 28386399 31215130 34745209 151487609 0.95761 0.9563 0.00109 0.0025 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 590553 895 10117 0 1353 20 600192 956287 9190 3532 0 378456 0 590553 904463 2880 67179 0 18235 0 956287 669911 204425 30127 0 0 0 904463 801564 5335 -136988 0 0 0 669911 0.0 1 0 0 0 0 0 0 0 9444411 7208998 2235413 0 0 0 0 0 9888811 8836632 1052179 0 72707 0 72707 3360299 Board Designated Funded Depreciation 1004030 Investments Held in Perpetual Trust 5155785 Deposits 2809 6162624 0 Security Deposits 69993 Advance on pending sale of licensed beds 30000 99993 X SchD_P05_S00_L04 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. Permanetly 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 bt the Board of Directors. SchD_P10_S00_L02 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 liklely 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, 2012, there were no unrecognized tax benefits identified or recorded as liabilities. Top of Tower 166300 96548 69752 1500 0 13395 0 0 3945 0 0 166300 96548 69752 1500 0 13395 0 0 3945 18840 50912 X 0 0 0 0 0 0 0 0 0 Patick Gareau 0 183647 0 0 0 0 0 11358 0 11040 0 206045 0 0 Andrew Koha 162826 0 0 0 0 0 6045 0 5834 0 174705 0 0 0 Francis S Huba 138649 0 0 0 0 0 5323 0 5775 0 149747 0 0 0 F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Board members; Tom and Margaret Lynch are married, Richard and Theresa Dawson are married, David and Marilyn Streeter are married, and Patricia Snowbrick and Joe Sciarrillo are mother and son. F990_P06_S0A_L06 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 the Catholic Charities Health & Human Services 3.) The Roman Catholic Bishop of The Diocese of Cleveland. F990_P06_S0A_L07a 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. F990_P06_S0A_L07b 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. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The 2012 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. F990_P06_S0B_L12c 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. No conflicts have been identified initially or subsequently. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 The President/CEO's salary is set by the Secretariat of Catholic Charities Health and Human Services 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. F990_P06_S0C_L19 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. F990_P11_S00_L09 Form 990, Part XI, Line 9 Change in fair market value for irrevocable funds held in trust St Augustine Service Corporation 7801 Detroit Avenue Cleveland OH 44102 341609330 Medical Services OH 501(c)(3) Line 9 N/A 0 Catholic Charities Health & Human Services 7911 Detroit Avenue Cleveland OH 44102 341908590 Social Services OH 501(c)(3) Line 7 N/A 0 Catholic Charities Services Corp 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 Catholic Charities Corp 7911 Detroit Avenue Cleveland OH 44102 340718368 Charity Fundraising OH 501(c)(3) Line 7 N/A 0 Catholic Charities Community Services 7911 Detroit Avenue Cleveland OH 44102 261323950 Social Services OH 501(c)(3) Line 11A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 St Augustine Service Corporation l 51000 St Augustine Service Corporation m 508458 Catholic Charities Health & Human Services c 1348489 This return is not late in filing. Form 8868 was received and approved extending the due date to file our return to August 15, 2013. Another Form 8868 was received and approved extending our filing deadline to November 15, 2013.