2020-06-15T13:44:57-07:00 2019-12-31 990 2019-01-01 141539594 TERESIAN HOUSE NURSING HOME CO INC TERE 5184562000 200 Washington Avenue Extension Albany NY 12203 Sister Robert Mullen Administrator 5184562000 2020-06-01 66.152.104.197 2019 2020-04-17 16:48:07Z Sister Robert Mullen 200 Washington Avenue Extension Albany NY 12203 31363738 0 0928 X teresianhouse.com X 1970 NY The mission of Teresian House Nursing Home is to provide care and services to the community in conformance with the theology, philosophy, teachings, and doctrines of the Roman Catholic Church, respecting and building on the mission, philosophy, and values of the Carmelite Sisters For the Aged and Infirm. 21 21 685 110 0 0 148243 377885 28563999 30503478 0 0 -60097 482375 28652145 31363738 0 0 0 0 18576185 21206974 0 0 0 11085296 10930268 29661481 32137242 -1009336 -773504 21346932 19805636 6312435 5544643 15034497 14260993 The mission of Teresian House Nursing Home is to provide care and services to the community in conformance with the theology, philosophy, teachings, and doctrines of the Roman Catholic Church, respecting and building on the mission, philosophy, and values of the Carmelite Sisters For the Aged and Infirm. 0 0 29412218 0 30985853 Teresian House Nursing Home is a 300 bed skilled nursing facility sponsored by the Roman Catholic Diocese of Albany and served by the Carmelite Sisters for the Aged and Infirm. Teresian House is nationally recognized as a leader in innovative ideas and quality care for the elderly; specifically in the area of Resident Centered Care. Resident Centered Care emphasizes resident preferences and features small neighborhoods of residents to help in contributing to a feeling of hominess, comfort and safety. Teresian House offers each resident a private room and bath, and the opportunity to pursue individual interests in a warm nurturing environment overseen by a caring and dedicated staff. Skilled nursing is provided 24 hours a day. 0 0 0 29412218 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 56 0 1 685 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X Michael A DelBrocco 5184562000 200 Washington Avenue Extension Albany NY 12203 X Bishop Edward Scharfenberger Chairman 1 39 X X 0 0 0 Sister M Cyril Methodius Kasper President 8 32 X X 0 0 0 Sister Mary Rose Heery First Vice President 8 32 X X 0 0 0 Sister Maureen McDonough Board Member 1 39 X 0 0 0 Sister Maureen Murray Board Member 1 39 X 0 0 0 Sister Lois Wetzel Board Member 1 39 X 0 0 0 Mr Neil Benjamin Board Member 1 0 X 0 0 0 Mr Harvey Bowks Board Member 1 0 X 0 0 0 Ms Karen Butler Board Member 1 0 X 0 0 0 Mr Daniel Cahill Board Member 1 0 X 0 0 0 Mr John Chiaramonte Board Member 1 0 X 0 0 0 Hon Gerald Jennings Board Member 1 0 X 0 0 0 Mr Robert Lazar Board Member 1 0 X 0 0 0 Mr Angelo Mazzone Board Member 1 0 X 0 0 0 Ms Lissa McNaughton Board Member 1 0 X 0 0 0 Mr James Morrell Board Member 1 0 X 0 0 0 Mr Eugene Napierski Sr Board Member 1 0 X 0 0 0 Dr Harry Odabashian Jr Board Member 1 0 X 0 0 0 Mr Joseph Reilly Board Member 1 0 X 0 0 0 Mr Jeffrey Rivenburg Board Member 1 0 X 0 0 0 Mr Bart Trudeau Board Member 1 0 X 0 0 0 Sister Robert Mullen Treasurer 37.5 0 X X 0 0 0 Sister M Sean Damien Flynn Secretary 33.5 4 X 0 0 0 Mr James Cameron Chief Executive Officer 37.5 0 X X 220491 0 11460 Michael A DelBrocco Chief Financial Officer 37.5 2.5 X X 193449 0 32950 Cathleen Hans Director of Development 22.5 15.0 X 127982 0 24466 Eric Baumes Director of Information Technology 37.5 X 109791 0 28909 Sandra Levack Licensed Practical Nurse 40 0 X 106290 0 10917 758003 0 108702 8 0 1 0 Preferred Therapy Solutions 850 Silas Deane Hwy 2nd Floor Wethersfield CT 06109 Therapy Services 1358167 Favorite Healthcare Staffing PO Box 803356 Kansas City MO 64180 Nurse Staffing Agency 301762 The Nurse Connection Staffing 1 Computer Drive South Albany NY 12205 Nurse Staffing Agency 219494 Yusuf Dincer MD 319 South Manning Blvd Albany NY 12208 Medical Director, Staff Physician 218173 Medical Staffing Network PO Box 840292 Dallas TX 75284 Nurse Staffing Agency 210149 7 0 0 0 377885 0 0 0 377885 Resident Service Revenue 623000 30098377 30098377 0 0 Other Operating Revenue 623000 405101 405101 0 0 0 0 0 0 30503478 0 0 0 0 0 Change in interest in TH Foundation 900099 482375 482375 0 0 0 0 0 0 482375 31363738 30985853 0 0 X 678877 678877 16115558 15194974 920584 288240 284369 3871 2364371 2174930 189441 1759928 1606010 153918 19050 19050 21760 21760 3879355 3573543 305812 480498 480498 6443 4782 1661 1176 1176 1228566 1228566 244201 244201 Supplies 2372133 2352764 19369 0 NY State Cash Receipt Assessment Tax 1860461 1860461 0 0 Equipment Rental and Maintenance 520821 372501 148320 0 Dues 231508 417 231091 0 64296 33026 31270 32137242 29412218 2725024 0 6375758 4855139 2200972 2332359 61679 57937 294302 130416 47028151 37043505 10508037 9984646 1906184 2445139 21346932 19805636 2041009 2108746 2403331 2139780 18402 12890 1849693 1283227 6312435 5544643 X 13557091 12301212 1477406 1959781 15034497 14260993 21346932 19805636 -773504 0 0 0 0 0 X 0 1 X 1 0 X 418086 426736 389790 148243 377885 1760740 26984477 28859307 29177818 28563999 30503478 144089079 27402563 29286043 29567608 28712242 30881363 145849819 145849819 0 0 0 0 0 0 0 0 0 0 0 104626 40713 0 0 0 145339 27507189 29326756 29567608 28712242 30881363 145995158 0.99900 0.99780 0 0.00000 X Schedule A, Part III, Line 12 No balance in 2019. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 113000 0 113000 37379297 0 28781444 8597853 583898 0 573168 10730 8813805 0 7688893 1124912 138151 0 0 138151 9984646 Investments held at Teresian House Foundation 1959781 Resident Funds 485358 2445139 Estimated settlements due to third-party payors 797870 Due to residents 485357 1283227 30881363 0 0 0 0 0 30881363 0 482375 482375 31363738 32137242 0 0 0 0 0 32137242 0 0 0 32137242 Schedule D, Part XI, Line 4b Change in interest in Teresian House Foundation X X 0 0 0 0 0 0 0 0 0 Mr James Cameron Chief Executive Officer 220491 0 0 0 0 0 10625 0 835 0 231951 0 0 Michael A DelBrocco Chief Financial Officer 193449 0 0 0 0 0 9165 0 23785 0 226399 0 0 0 Cathleen Hans Director of Development 127982 0 0 0 0 0 6050 0 18416 0 152448 0 0 0 Eric Baumes Director of Information Technology 109791 0 0 0 0 0 5200 0 23709 0 138700 0 0 0 Sandra Levack Licensed Practical Nurse 106290 0 0 0 0 0 2750 0 8167 0 117207 0 0 0 Mr Harvey Bowks Board Member 0 Sales agent for retirement plan 0 Form 990, Part VI, Section B, Line 11b Teresian House Nursing Home provides a copy of IRS Form 990 and all related attachments to the members of the Board of Directors prior to submission. Form 990, Part VI, Section B, Line 12c Teresian House Nursing Home has a written conflict of interest policy which is reviewed on an annual basis with all Board of Director and Committee members. Members are required to complete a disclosure statement on an annual basis regarding the existence of any conflicts of interest. Additionally, on a regular basis, business relationships are reviewed to assure that potential conflicts are avoided. Form 990, Part VI, Section B, Line 15 Teresian House Nursing Home utilizes a Compensation Committee to review and determine compensation for key management personnel. Performance, experience, and comparable salaries for similar staff in other facilities are included in the decision making process. Form 990, Part VI, Section C, Line 19 Teresian House does not make these documents available to the general public. Form 990, Part IX, Line 11g Temporary agency staffing $883,599 (Program Services), Other Purchased Services (Program Services: $2,689,944; Management and General: $305,812). Teresian House Foundation 200 Washington Avenue Extension Albany NY 12203 141731102 Promotional and fund raising activities on behalf of Teresian House Nursing Home NY 501(c)(3) 11 N/A Order of the Carmelite Sisters for the Aged and Infirm 600 Woods Road Germantown NY 12526 141369151 Care of the Aged and Infirm NY 501(c)(3) 1 N/A Roman Catholic Diocese of Albany 40 North Main Avenue Albany NY 12203 141347456 Roman Catholic Church NY 501(c)(3) 1 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 Teresian House Foundation c 377886 Order of the Carmelite Sisters for the Aged and Infirm m 462240 Teresian House Foundation q 163351