2012-11-15T07:25:15-06:00 2011-12-31 420714325 MCGLADREY LLP 1001 LAKESIDE AVE SUITE 1400 CLEVELAND OH 441141152 990 2011-01-01 341040692 ST AUGUSTINE MANOR STAU 2166347400 7801 DETROIT AVENUE CLEVELAND OH 44102 FRANCIS HUBA 2166347400 2012-11-13 1 ZACHARY FORTSCH P00052725 2165231900 2011 2016-02-24 21:20:13Z PATRICK GAREAU 7801 DETROIT AVENUE CLEVELAND OH 44102 31329038 0 0928 X WWW.STAUGUSTINEMANOR.ORG X 1969 OH TO CONTINUE 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. 22 21 761 320 0 0 3558329 3172056 25356755 27767563 8256 4187 304421 365616 29227761 31309422 0 0 0 0 20948273 21036123 0 0 60276 9403282 10162508 30351555 31198631 -1123794 110791 15709516 15020291 4878288 4494799 10831228 10525492 X TO CONTINUE 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. 0 0 18706194 18056618 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. 7097842 6203531 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 HOSPICE. 1967524 2125204 ASSISTED LIVING FACILITY: 99 UNIT ASSISTED LIVING FACILITY THAT PROVIDES LOW-INCOME HOUSING AT BELOW MARKET RATES FOR SENIORS AND OTHER MEDICAID-ASSISTED LIVING WAIVER PROGRAM PARTICIPANTS IN THE INNER CITY. 690006 1653534 HOME HEALTH AGENCY AND OTHER PROGRAMS 690006 1653534 28461566 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 0 1 100 0 1 761 1 0 0 0 0 0 1 1 0 0 0 0 X 22 21 1 0 0 0 1 1 1 1 1 0 0 0 1 0 1 1 1 1 1 0 X FRANCIS HUBA CFO 2166347400 7801 DETROIT AVENUE CLEVELAND OH 44102 X NANCY BOUHALL 1.00 X 0 0 0 JOSEPH DAILEY 1.00 X 0 0 0 THERESA DAWSON 1.00 X 0 0 0 MARY DOYLE 1.00 X 0 0 0 J THOMAS HANNON 1.00 X 0 0 0 THOMAS LYNCH 1.00 X 0 0 0 DAVID MORTENSON 1.00 X 0 0 0 CAROL RINI 1.00 X 0 0 0 GEORGE J SAMSON 1.00 X 0 0 0 TODD SCHRADER 1.00 X 0 0 0 JOSEPH SCIARRILLO 1.00 X 0 0 0 CHARLES SLONE 1.00 X 0 0 0 PATRICIA SNOWBRICK 1.00 X 0 0 0 DAVID STREETER 1.00 X 0 0 0 MARILYN STREETER 1.00 X 0 0 0 CATHERINE CORRIGAN TOMPKINS 1.00 X 0 0 0 EDWARD G HACK 1.00 X X 0 0 0 MARGARET LYNCH 1.00 X 0 0 0 PATRICK GAREAU 6.00 X X 53131 156343 24770 LINDA SHEEHAN 1.00 X X 0 0 0 WILLIAM BEARGIE CFP 1.00 X X 0 0 0 KAREN MCCARTHY 1.00 X X 0 0 0 FRANCIS S HUBA 40.00 X 145908 0 11383 COLLEEN WILSON 40.00 X 101772 0 9866 300811 156343 46019 2 0 1 0 UNITED SECURITY MANAGEMENT 1440 SNOW ROAD CLEVELAND OH 44102 SECURITY 242327 1 130509 1485045 1556502 3172056 NURSING HOME CARE 623110 18056618 18056618 HOSPICE CARE 623110 6203531 6203531 ASSISTED LIVING FACILI 623310 2125204 2125204 HOME HEALTH 623110 658148 658148 CHILD ENRICHMENT CENTE 624410 554033 554033 170029 170029 27767563 4187 4187 113908 130509 19616 94292 94292 SERVICE FEES 623990 224361 224361 MISCELLANEOUS 623990 46963 46963 271324 31309422 28038887 0 98479 369291 126094 237116 6081 16445545 15409476 1003178 32891 491153 434670 56483 2516432 2218664 297768 1213702 1071021 142681 135585 135585 6079 6079 41325 41325 2210245 1971800 238445 101337 70275 12310 18752 331670 85582 243536 2552 70183 70183 2186834 2049063 137771 37970 32791 5179 766287 679261 87026 288988 271823 17165 MEDICAL SUPPLIES 1404470 1404470 RAW FOOD & SUPPLIES 1271869 1191325 80544 BED TAX 971314 971314 BAD DEBT 338352 338352 31198631 28461566 2676789 60276 992711 1616054 37427 37497 94100 3309513 3723089 65998 59522 23796 45188 19157825 15372487 4394363 3785338 602667 590553 345000 345000 5938041 4723950 15709516 15020291 4383021 4301864 409376 109820 85891 83115 4878288 4494799 X 4627084 4639138 585820 678815 5618324 5207539 10831228 10525492 15709516 15020291 X 110791 -416527 X X 0 1 1 X 0 X 3816316 5511991 3422289 3685959 3172056 19608611 22774988 24452179 23622037 24692184 28038887 123580275 26591304 29964170 27044326 28378143 31210943 143188886 1010959 1126060 1175575 1121143 1485045 5918782 0 1010959 1126060 1175575 1121143 1485045 5918782 137270104 209765 99589 32786 8256 4187 354583 209765 99589 32786 8256 4187 354583 26801069 30063759 27077112 28386399 31215130 143543469 0.95630 0.95630 0.00250 0.00420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 956287 9190 3532 378456 590553 904463 2880 67179 18235 956287 669911 204425 30127 904463 801564 5335 -136988 669911 0.00000 0.99610 0.00390 0 0 9211113 6745506 2465607 9633344 8333936 1299408 313368 293045 20323 3785338 BOARD DESIGNATED FUND - DEPRECIATION 101854 INVESTMENTS HELD IN PERPETUAL TRUST 4619289 DEPOSITS 2807 4723950 SECURITY DEPOSITS 83115 83115 31309422 31198631 110791 9961 -426488 -416527 -305736 31410362 9961 90979 100940 31309422 0 31309422 31218247 19616 19616 31198631 0 31198631 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGES IN TEMPORARILY RESTRICTED NET ASSETS -6,513. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS -419,975. TOTAL TO SCHEDULE D, PART XI, LINE 8: -426,488. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES RELATED TO SPECIAL EVENTS 19,616. NET ASSETS RELEASED FROM RESTRICTIONS 71,363. PART XIII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES RELATED TO SPECIAL EVENTS 19,616. TOP OF TOWER 244417 130509 113908 1000 13215 271 5130 6 244417 130509 113908 1000 13215 271 5130 19616 94292 OH 1 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 PATRICK GAREAU 53131 156343 0 0 0 0 275 9554 4621 10320 58027 176217 0 0 FRANCIS S HUBA 145908 0 0 0 0 0 5609 0 5774 0 157291 0 0 0 SUPPLEMENTAL INFORMATION PART III MR. PATRICK GAREAU PREVIOUSLY SERVED AS THE PRESIDENT/CEO OF ST. AUGUSTINE MANOR, A RELATED ENTITY. HIS 2011 COMPENSATION FROM THAT ENTITY INCLUDES THE DISTRIBUTION OF ACCUMULATED PAID-TIME-OFF BENEFITS. FORM 990, PART VI, SECTION A, LINE 2 DAVID AND MARILYN STREETER 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 THE CATHOLIC CHARITIES HEALTH & HUMAN SERVICES 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 11 PRIOR TO FILING, FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THE INDEPENDENT ACCOUNTING FIRM THAT PREPARES IT. 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. 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 RANGES FOR EACH POSITION. 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. HOURS WORKED FOR RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, COLUMN B PATRICK GAREAU 34 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 9,961. CHANGES IN TEMPORARILY RESTRICTED NET ASSETS -6,513. CHANGES IN PERMANENTLY RESTRICTED NET ASSETS -419,975. TOTAL TO FORM 990, PART XI, LINE 5: -416,527. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED DURING THE YEAR. ST AUGUSTINE SERVICE CORPORATION 7801 DETROIT AVE CLEVELAND OH 44102 341609330 MEDICAL SERVICES OH 501(C)(3) LINE 9 N/A 0 CATHOLIC CHARITIES HEALTH & HUMAN SERVICES 7911 DETROIT AVE CLEVELAND OH 44102 341908590 SOCIAL SERVICES OH 501(C)(3) LINE 7 N/A 0 CATHOLIC CHARITIES SERVICES CORP 7911 DETROIT AVE CLEVELAND OH 44102 341318541 SOCIAL SERVICES OH 501(C)(3) LINE 11A, I N/A 0 ROSE-MARY CENTER 19350 EUCLID AVE EUCLID OH 44117 341267579 DISABILITY CARE OH 501(C)(3) LINE 1 N/A 0 CATHOLIC CHARITIES CORP 7911 DETROIT AVE CLEVELAND OH 44102 340718368 CHARITY FUNDRAISING OH 501(C)(3) LINE 7 N/A 0 CATHOLIC CHARITIES COMMUNITY SERVICES 7911 DETROIT AVE 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 1 1 0 0 0 0 0 0 ST AUGUSTINE SERVICES CORPORATION K 51000 ST AUGUSTINE SERVICES CORPORATION L 536862 CATHOLIC CHARITIES HEALTH & HUMAN SERVICES C 1485045