2024-09-23T09:30:05-05:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2023-01-01 471335159 PARKER AT MONROE INC PARK 7325458330 1421 RIVER ROAD PISCATAWAY NJ 08854 NICHOLAS CARR CFO 7325458330 2024-09-20 1 0 KERRI N BOGDA CPA P00760402 7177404863 2024-09-20 2023 2024-08-08 14:25:15Z ROBERTO MUNIZ 1421 RIVER ROAD PISCATAWAY NJ 08854 10166811 0 X WWW.PARKERLIFE.ORG X 2014 NJ PROVIDES HIGH QUALITY NURSING HOME CARE SERVICES. 17 16 188 26 0 0 0 0 9332206 10121867 -15463 -1000 3763 44944 9320506 10165811 0 0 0 0 13026395 14157967 0 0 0 6051120 6079737 19077515 20237704 -9757009 -10071893 34191002 33160819 360577 286729 33830425 32874090 PARKER AT MONROE PROVIDES TRANSFORMATIVE AND CHARITABLE LONG TERM CARE SERVICES IN HOME-LIKE SETTINGS WHILE ADVANCING LEARNING OPPORTUNITIES FOR NURSES, HEALTH CARE PROFESSIONALS AND CAREGIVERS. 0 0 18126784 0 10121867 PARKER AT MONROE PROVIDES HIGH-QUALITY, PERSON-CENTERED NURSING HOME CARE AT THE LOWEST FEASIBLE COST. CARE IS PROVIDED IN THE LEAST RESTRICTIVE AND MOST HOME-LIKE ENVIRONMENT POSSIBLE. THE HOME IS LOCATED IN MONROE TOWNSHIP, NEW JERSEY. THE HOME ADMITTED ITS FIRST ELDER ON DECEMBER 15, 2014 AND CAN SERVE UP TO 96 RESIDENTS AT CAPACITY. THE AVERAGE DAILY CENSUS FOR 2023 WAS 93. 18126784 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 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 X 0 0 188 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X NICHOLAS CARR CFO 7325652418 1421 RIVER ROAD PISCATAWAY NJ 08854 ROBERTO MUNIZ MPA FLNHA PRESIDENT/CEO 3.00 37.00 X X 0 587591 55808 MARGUERITE K SCHLAG EDD RN CHAIR 2.00 12.00 X X 0 0 0 SCOTT E TOWNSLEY ESQ VICE-CHAIR (UNTIL MAY 2023) 0.60 3.40 X X 0 0 0 JOHN A PAPA TREASURER 2.00 12.00 X X 0 0 0 JOSEPH G BRAUNREUTHER ESQ SECRETARY 2.00 12.00 X X 0 0 0 WILLIAM R HAGAMAN JR TRUSTEE 0.60 3.40 X 0 0 0 WILLIAM P TIBBITT TRUSTEE 0.60 3.40 X 0 0 0 ALFRED F TALLIA MD MPH TRUSTEE 0.60 3.40 X 0 0 0 JOSEPH FERRO MD TRUSTEE 0.60 3.40 X 0 0 0 CLIFFORD E HOLLAND TRUSTEE 0.60 3.40 X 0 0 0 PENELOPE LATTIMER PHD TRUSTEE 0.60 3.40 X 0 0 0 STEPHEN LANDERS MD TRUSTEE 0.60 3.40 X 0 0 0 MAJD ALWAN PHD TRUSTEE 0.60 3.40 X 0 0 0 JOSEPH DOYLE TRUSTEE 0.60 3.40 X 0 0 0 LARRY JONES TRUSTEE (UNTIL JAN. 2023) 0.60 3.40 X 0 0 0 DENISE BOUDREAU TRUSTEE 0.60 3.40 X 0 0 0 DIANE HILL PHD TRUSTEE 0.60 3.40 X 0 0 0 JOSEPH VELDERMAN TRUSTEE 0.60 3.40 X 0 0 0 LINDA SCHWIMMER JD VICE-CHAIR 0.60 3.40 X X 0 0 0 EDWARD MATTHEWS CFO 3.00 37.00 X 0 297994 29697 DOMINIC D'AMBROSIO LICENSED NURSING HOME ADMINISTRATOR 40.00 0.00 X 192185 0 14699 LISA VALENTINO DIRECTOR OF NURSING 40.00 0.00 X 152481 0 17538 MARIA TABACZYNSKI REGISTERED NURSE 40.00 0.00 X 150208 0 13666 STEPHANIA B CINEAS REGISTERED NURSE 40.00 0.00 X 145898 0 20384 NANCY AGNELLO RN NEIGHBORHOOD GUIDE 40.00 0.00 X 140754 0 11018 RACHEL DUBINSKY ASST. DIRECTOR OF NURSING 40.00 0.00 X 140403 0 11375 MIRIAM MUIR REGISTERED NURSE 40.00 0.00 X 136943 0 16356 1058872 885585 190541 20 0 1 0 INTELYCARE INC 1515 HANCOCK STREET SUITE 203 QUINCY MA 02169 HEALTHCARE STAFFING 173288 SAFELYYOU INC 36 CLYDE STREET SAN FRANCISCO CA 94107 IT SERVICES 126750 HAWKS & COMPANY 1000 DELSEA DRIVE WESTVILLE NJ 08093 HVAC SERVICES 111412 3 NET RESIDENT SRVC REV 623000 10121867 10121867 10121867 1000 -1000 -1000 -1000 BAD DEBT RECOVERY 900099 41616 41616 REHAB SVC LVL AGRMNT 900099 1800 1800 GUEST MEALS 900099 1528 1528 44944 10165811 10121867 0 43944 376902 376902 10157568 9709773 447795 798780 763634 35146 1827881 1749657 78224 996836 954333 42503 1400628 558555 842073 82 82 158409 132007 26402 33 33 498789 468556 30233 5426 4356 1070 26255 3872 22383 1509077 1509077 575665 575665 FOOD 762315 762315 NJ PROVIDER TAX 498839 498839 MEDICAL SUPPLIES 308951 308951 REPAIR AND MAINTENANCE 271352 271352 63916 54490 9426 20237704 18126784 2110920 0 0 762541 876814 78589 163792 20861 17887 45556561 13454235 33329011 32102326 34191002 33160819 360577 286729 360577 286729 X 33830425 32874090 33830425 32874090 34191002 33160819 X -10071893 9115558 X 0 1 X 1 0 X 2511919 2511919 38302795 10074754 28228041 4608019 3379481 1228538 133828 133828 32102326 19239753 9115558 9115558 10124195 41616 41616 10165811 20196088 -41616 -41616 20237704 0 20237704 PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER FROM RELATED ENTITY 9,115,558. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT RECOVERY 41,616. PART XII, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT RECOVERY -41,616. 0 0 0 0 0 0 0 1 0 ROBERTO MUNIZ MPA FLNHA PRESIDENT/CEO 0 500622 0 85359 0 1610 0 0 0 55808 0 643399 0 0 EDWARD MATTHEWS CFO 0 269952 0 27225 0 817 0 0 0 29697 0 327691 0 0 DOMINIC D'AMBROSIO LICENSED NURSING HOME ADMINISTRATOR 176698 0 14960 0 527 0 0 0 14699 0 206884 0 0 0 LISA VALENTINO DIRECTOR OF NURSING 146263 0 5800 0 418 0 0 0 17538 0 170019 0 0 0 STEPHANIA B CINEAS REGISTERED NURSE 145498 0 0 0 400 0 0 0 20384 0 166282 0 0 0 MARIA TABACZYNSKI REGISTERED NURSE 147715 0 2081 0 412 0 0 0 13666 0 163874 0 0 0 MIRIAM MUIR REGISTERED NURSE 134563 0 2005 0 375 0 0 0 16356 0 153299 0 0 0 RACHEL DUBINSKY ASST. DIRECTOR OF NURSING 137418 0 2600 0 385 0 0 0 11375 0 151778 0 0 0 NANCY AGNELLO RN NEIGHBORHOOD GUIDE 136468 0 3900 0 386 0 0 0 11018 0 151772 0 0 0 PART I, LINE 3 A RELATED ORGANIZATION, PARKER HEALTH GROUP, USES AN INDEPENDENT CONSULTANT, COMPENSATION SURVEYS AND STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE THE CEO'S COMPENSATION. PART I, LINE 7 EXECUTIVES AND MANAGEMENT PERSONNEL RECEIVED BONUSES AS PART OF THEIR COMPENSATION FOR THE YEAR 2023. THE BONUSES ARE BASED UPON PERFORMANCE EVALUATIONS THAT REFLECT PREVIOUSLY AGREED UPON GOALS AND OBJECTIVES WHICH HAVE BOTH FINANCIAL AND NON-FINANCIAL ELEMENTS. FORM 990, PART V, LINE 2A & 2B THE FILING ENTITY IS AN AFFILIATE IN A GROUP OF WHICH PARKER HEALTH GROUP, INC. (EIN 81-5241497) IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. PARKER HEALTH GROUP, INC. REPORTS ALL EMPLOYEES ON ITS FORM W-3, HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THIS ORGANIZATION. PARKER AT MONROE DOES NOT, HOWEVER, REPORT THESE EMPLOYEES ON A SEPARATE W-3 UNDER ITS OWN EIN. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE PARKER HEALTH GROUP, INC., A RELATED TAX-EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER, THE PARKER HEALTH GROUP, INC. HAS THE POWER TO ELECT MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, THE PARKER HEALTH GROUP, INC. HAS THE POWER TO ALTER, AMEND OR REPEAL THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PERFORMS AN INITIAL REVIEW OF THE FORM 990. ONCE MANAGEMENT IS SATISFIED, THE FINANCE COMMITTEE SUBSEQUENTLY REVIEWS THE RETURN IN DETAIL. BOARD MEMBERS ARE THEN PROVIDED WITH COPIES OF THE RETURN PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. ANY TRUSTEE, OFFICER, OR KEY EMPLOYEE WHO HAS AN INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF TRUSTEES OR A COMMITTEE THEREOF SHALL MAKE A PROMPT AND FULL DISCLOSURE OF THE INTEREST TO THE BOARD OF TRUSTEES OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. THE BOARD OF TRUSTEES OR COMMITTEE TO WHICH DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST IS MADE SHALL DETERMINE, BY A MAJORITY VOTE, WHETHER A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, THE INTERESTED PERSON SHALL NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION OR TO RESPOND TO QUESTIONS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTION. SUCH PERSON MAY BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT BUT MAY NOT BE COUNTED WHEN THE BOARD OF TRUSTEES OR A COMMITTEE OF THE BOARD OF TRUSTEES TAKES ACTION ON THE TRANSACTION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. THE FULL BOARD MONITORS THE CONFLICT OF INTEREST POLICY AND WORKS WITH ORGANIZATION PERSONNEL TO ENSURE THAT ALL BOARD MEMBERS COMPLETE THE ANNUAL STATEMENTS. FOLLOW-UP IS PROVIDED BY LEGAL COUNSEL, IF NECESSARY. WHILE THE CONFLICT OF INTEREST POLICY DOES NOT EXPLICITLY STATE FAMILY AND BUSINESS RELATIONSHIPS, IT IS UNDERSTOOD THAT THESE RELATIONSHIPS MAY BE A SOURCE OF POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM RELATED ENTITY 9,115,558. FORM 990, SCHEDULE J, PART II: THE ORGANIZATION HAS A PENSION WHICH IS AVAILABLE TO ALL EMPLOYEES. THE PENSION CONTRIBUTIONS ARE DERIVED FROM ACTUARIAL FORMULAS WHICH TAKE INTO CONSIDERATION ALL EMPLOYEES; THE CALCULATIONS ARE NOT BASED ON INDIVIDUALS NOR ARE THE ORGANIZATION'S CONTRIBUTIONS SET ASIDE FOR SPECIFIC EMPLOYEES. SUBSEQUENTLY, NO PENSION OR DEFERRED INCOME IS REFLECTED IN SCHEDULE J, PART VII, COLUMN C. THE FRANCIS E PARKER MEMORIAL HOME 1421 RIVER ROAD PISCATAWAY NJ 08854 221589209 NURSING HOME CARE NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 THE FRANCIS E PARKER ASSISTED LIVING CENTER INC 1421 RIVER ROAD PISCATAWAY NJ 08854 202937952 ASSISTED LIVING NJ 501(C)(3) LINE 12A, I PARKER HEALTH GROUP INC 0 PARKER HOME AND COMMUNITY BASED SERVICES INC 1421 RIVER ROAD PISCATAWAY NJ 08854 261887505 ADULT DAY HEALTH SERVICES NJ 501(C)(3) LINE 12A, I PARKER HEALTH GROUP INC 0 PARKER REHABILITATION SERVICES 1421 RIVER ROAD PISCATAWAY NJ 08854 471958020 REHABILITATION SERVICES NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER AT SOMERSET INC 1421 RIVER ROAD PISCATAWAY NJ 08854 471944928 NURSING HOME CARE NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER FOUNDATION INC 1421 RIVER ROAD PISCATAWAY NJ 08854 364858938 NURSING HOME CARE NJ 501(C)(3) LINE 12B, II PARKER HEALTH GROUP INC 0 PARKER HEALTH GROUP INC 1421 RIVER ROAD PISCATAWAY NJ 08854 815241497 NURSING HOME CARE NJ 501(C)(3) LINE 12B, II N/A 0 PARKER AT EAST WINDSOR INC 1421 RIVER ROAD PISCATAWAY NJ 08854 471890220 NURSING HOME CARE NJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1