2019-11-14T23:12:19-06:00 2018-12-31 BKD LLP 655 Third Avenue 1200 New York NY 10017 990 2018-01-01 222823794 St Ann's Home for The Aged Corp % JASMIN GOMEZ STAN 2014330950 198 Old Bergen Road Jersey City NJ 07305 JANET MERLY-LIRANZO ADMINISTRATOR 2019-05-15 true Aaron Shapiro P01333816 2128674000 167.68.126.162 26511920193185000019 2019-11-14 P 8BAB167CC20738F3D1E6B133BEB8A02CA90C437F 319FC87BD1330F796E4035663441B3D0185919B5 2018 2020-04-17 16:48:07Z PEACE CARE ST ANN'S JANET MERLY-LIRANZO 198 OLD BERGEN ROAD JERSEY CITY NJ 07305 16484228 false X WWW.PEACECARENJ.ORG X 1987 NJ THE HOME PROVIDES LONG TERM NURSING CARE AS WELL AS ADULT DAYCARE TO THE COMMUNITY 5 3 348 8 0 14842 198839 539289 14230793 14274743 251822 391331 54828 36539 14736282 15241902 0 0 0 0 9186732 9753638 0 0 114591 5611189 5310644 14797921 15064282 -61639 177620 30386108 29474560 12654600 12292319 17731508 17182241 X St. Anns is a community of skilled, compassionate caregivers, rooted in Catholic tradition and the values of the Sisters of St. Joseph of Peace. St. Anns provides care with dignity for the healing of the whole person. false false 13219497 14274743 ST. ANN'S HOME FOR THE AGED CORP D/B/A PEACE CARE ST. ANN'S (THE HOME) IS A NONPROFIT ORGANIZATION WHICH OPERATES A 120-BED NURSING HOME IN JERSEY CITY, NEW JERSEY. THE HOME PROVIDES LONG-TERM, POST-ACUTE AND RESPITE CARE SERVICES AS WELL AS AN OUTPATIENT REHABILITATION PROGRAM. POST-ACUTE CARE IS A SHORT TERM REHABILITATION SERVICE PROVIDED TO A PATIENT FOLLOWING SURGERY, HOSPITALIZATIONS, INJURY, OR A DISABILITY. THE SHORT-TERM REHABILITATION SERVICES INCLUDE SKILLED NURSING, SOCIAL SERVICES FOR THE OVERALL WELL-BEING OF THE PATIENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND/OR SPEECH THERAPY PROVIDED BY HIGHLY TRAINED STAFF. THE PHYSICAL THERAPY SERVICES ARE ALSO OFFERED AS PART OF OUR OUTPATIENT REHABILITATION PROGRAM WHICH INCLUDES TRANSPORTATION FROM AND TO THE PATIENT'S HOME. RESPITE CARE IS A SHORT TERM STAY AVAILABLE FOR A VARIETY OF CARE LEVELS SERVICE FOR PATIENTS WHO NEED EXTRA ASSISTANCE BEFORE RETURNING HOME AFTER A HOSPITAL STAY OR SIMPLY FOR CARETAKERS WHO NEED A BREAK FROM TAKING CARE OF THEIR FAMILY MEMBER. IN ADDITION TO PROVIDING LONG-TERM, POST-ACUTE AND RESPITE CARE SERVICES, THE HOME ALSO OPERATES A 50-SLOT ADULT MEDICAL DAYCARE UNIT. 13219497 true true false true false false false false true false true false false false true false true true false false false false false false true false false false false true true false false false false false false false false false false false false false false false true false false false true 48 0 348 true true true false false false false true true false false false false false false X 5 3 false false true false true true true true true false false true true true true true true true false false NJ X JASMIN GOMEZ 2014330950 198 OLD BERGEN ROAD JERSEY CITY NJ 07305 JANET MERLY-LIRANZO PRESIDENT/ADMIN/TRUSTEE 40.0 0.0 X X 147597 0 19129 MAUREEN C DONOHUE CEO (APPOINTED 7/18) 12.0 48.0 X X 0 146000 6955 CHRISTINE BACKIEL CSJP Chairperson 0.5 3.0 X X 0 0 0 CHARLES DEDERDING Treasurer 0.5 1.0 X X 0 0 0 CATHERINE YAXLEY SECRETARY 1.0 6.0 X X 0 0 0 DR HAMMAD CHOUDHRY MD Trustee (through 10/18) 0.5 0.0 X 0 0 0 H REGGIE NEAL LMSW CCLS Trustee (through 10/18) 0.5 1.0 X 0 0 0 RYAN KENNEDY TRUSTEE (through 10/18) 0.5 2.0 X 0 0 0 JERZY POPKO CEO (THROUGH 3/18) 5.0 45.0 X 0 67421 3743 DOMINIC D'AMBROSIOMS LNHA CEO (THROUGH 7/18) 5.0 45.0 X 0 96096 0 ELIZABETH BAMBALAN RATA DIRECTOR OF NURSING 40.0 0.0 X 120664 0 3437 268261 309517 33264 2 false true false UNIDINE CORPORATION 1000 WASHINGTON STREET BOSTON MA 02118 FOOD AND DINING MGMT 1093973 RS CONTRACTING CO 5 CRAIG ROAD SPRINGFIELD NJ 07081 CONSTRUCTION 158250 2 32571 506718 539289 Medicaid 623000 5363773 5363773 medicare 623000 4893186 4893186 PRIVATE 623000 3132530 3132530 MEDICAL DAYCARE 623000 588846 588846 ANCILLARIES 623000 296408 296408 14274743 262794 262794 0 0 0 0 0 1356108 1227571 128537 128537 128537 16759 32571 14077 2682 2682 2103 678 1425 1425 0 0 0 MISCELLANEOUS 900099 32432 32432 32432 15241902 14274743 427870 0 0 0 0 166726 63356 103370 0 7252912 6612706 554782 85424 147952 133516 12706 1730 1611853 1449662 143548 18643 574195 510163 57497 6535 0 27843 27843 52585 52585 80 80 0 9435 9435 751106 684543 66563 14358 12615 1743 1504441 1317274 184908 2259 0 0 1221169 972028 249141 37433 37433 0 0 285779 227475 58304 0 1017992 810303 207689 0 NJ State Assessment 388423 388423 15064282 13219497 1730194 114591 451448 115405 103222 108216 0 400000 1725654 2423771 0 0 0 0 0 0 0 0 240214 249149 30263152 16131809 14801419 14131343 12579349 11441547 0 0 0 0 0 0 484802 605129 30386108 29474560 1539254 1223910 0 0 0 0 10528115 10123162 445661 543241 0 0 0 0 0 0 141570 402006 12654600 12292319 X 17731508 17152889 0 29352 0 0 17731508 17182241 30386108 29474560 177620 -726887 X X false true X true false X 103004 38050 39120 198839 539289 918302 12792478 13269131 14425995 14230793 14274743 68993140 0 0 0 12895482 13307181 14465115 14429632 14814032 69911442 0 0 0 69911442 192689 221687 243914 251822 262794 1172906 0 192689 221687 243914 251822 262794 1172906 1517 28287 16870 2289 4107 53070 7324 29988 14232 52539 32432 136515 13097012 13587143 14740131 14736282 15113365 71273933 0.98088 0.97380 0.01646 0.02390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 80 80 false PART II-B, LINE 1 The organization paid to Catholic Health and NJ Hospital Association membership dues of $2,273, of which $80 is used for Lobbying Activities. false true X 2997795 2997795 24568135 15076178 9491957 2340925 867069 1473856 356297 188562 167735 14131343 0 DUE TO MARGARET ANNA CUSACK CARE CENTER 56898 ESTIMATED LIABILITY DUE TO THIRD PARTY 345108 402006 14637068 -726887 116733 14755 -595399 15232467 9435 9435 15241902 15186335 116733 14755 131488 15054847 9435 9435 15064282 PART IV, LINE 2B RESIDENT SECURITY DEPOSITS AND PERSONAL FUNDS HELD ON BEHALF OF THE RESIDENTS ARE MAINTAINED IN BANK ACCOUNTS SEPARATE FROM THE HOME'S ACCOUNTS, INTEREST EARNED IS CREDITED TO THE RESIDENTS' ACCOUNTS. PART XI, LINE 2D Direct cost for special event and gaming: 14,755 PART XII, LINE 2D Direct cost for special event and gaming: 14,755 GALA 49330 32571 16759 12932 760 385 0 49330 32571 16759 12932 760 385 14077 2682 X X X false false false false false false false false false JANET MERLY-LIRANZO PRESIDENT/ADMIN/TRUSTEE 147597 4057 15072 166726 MAUREEN C DONOHUE CEO (APPOINTED 7/18) 146000 1840 5115 152955 A NEW JERSEY HEALTH CARE FACILITIES FINANCING AUT 64579FVF7 2010-05-01 11625000 BUILDING EXPANSION AND REN. true true true A 0 0 11625000 59332 0 0 235439 11556893 0 0 2040 0 A false false false 0 false false false false A false false false false false false 0 0 A true FORM 990, PART VI, SECTION A, LINE 4 The organization's Bylaws were amended and restated in 2018. The change is that quorums are now three trustees, two of whom must be officers. This was changed from two thirds of trustees. FORM 990, PART VI, SECTION A, LINE 6 PEACE CARE, INC. IS THE SOLE CORPORATE MEMBER OF ST. ANN'S HOME FOR THE AGED AND ALSO IS THE SOLE CORPORATE MEMBER OF MARGARET ANNA CUSACK CARE CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER APPOINTS THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE POWER TO AMEND, CHANGE OR ALTER THE CERTIFICATE OF INCORPORATION AND BYLAWS OF THE HOME IS RESERVED EXCLUSIVELY TO THE BOARD OF TRUSTEES OF THE MEMBER, PEACE CARE, INC., AND REQUIRES THE FURTHER APPROVAL OF ITS SOLE MEMBER, PEACE MINISTRIES, INC. SIMILARLY, THE FOLLOWING POWERS ARE RESERVED TO THE MEMBER, SOME OF WHICH REQUIRE THE ADDITIONAL APPROVAL OF ITS MEMBER. A) THE CREATION BY THE HOME OF ANY CORPORATION OR OTHER LEGAL ENTITY. B) THE HOME'S AFFILIATION WITH OR PARTICIPATION IN, ANY JOINT VENTURE OR JOINT ENTERPRISE WITH ONE OR MORE OTHER ENTITIES. C) THE MANAGEMENT, ACQUISITION OR SPONSORSHIP BY THE HOME OF ANY OTHER INSTITUTION, CORPORATION, ORGANIZATION, FACILITY OR ENTITY. D) THE SALE, ACQUISITION, EXCHANGE, TRANSFER, CONVEYANCE OR OTHER DISPOSITION BY THE HOME OF ANY REAL PROPERTY OF INTEREST THEREIN OWNED BY THE HOME. E) THE LEASING, MORTGAGING OR OTHER ENCUMBERING OF ANY REAL PROPERTY OWNED BY THE HOME. F) THE PARTICIPATION IN ANY TRANSACTION PROVIDING FOR THE SALE, MORTGAGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOME. G) THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE HOME. H) THE APPOINTMENT AND REMOVAL OF TRUSTEES. I) THE APPOINTMENT AND REMOVAL OF THE ADMINISTRATOR. J) THE APPOINTMENT AND REMOVAL OF THE OFFICERS. K) THE ESTABLISHMENT OR CHANGE OF THE MISSION OF THE HOME. L) TO ENTER INTO NEW BORROWINGS AND TO RENEGOTIATE, MODIFY OR OTHERWISE CHANGE EXISTING DEBT OBLIGATIONS IN EXCESS OF 15% OF THE NET ASSETS. FORM 990, PART VI, SECTION B, LINE 11B DRAFTS OF THE FORM 990 WERE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE AND CHANGES were MADE AS NEEDED. A COPY OF THE FINAL 990 WAS THEN CIRCULATED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE PRIMARY PURPOSE OF THE POLICY IS TO ENSURE THAT THE BOARD AND EXECUTIVE STAFF CAN MAKE DECISIONS IN AN OBJECTIVE MANNER WITHOUT UNDUE INFLUENCE BY INTERESTED PERSONS AND TO ENSURE THAT THE CENTER FULFILLS ITS CHARITABLE PURPOSES. EACH BOARD MEMBER AND PRINCIPAL OFFICER WITH BOARD DELEGATED POWER SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSONS HAVE COMPLIED WITH THE FOLLOWING: 1)RECEIVED A COPY OF THIS POLICY,2)READ AND UNDERSTAND THIS POLICY,3)AGREED TO COMPLY WITH THIS POLICY,4)UNDERSTAND THAT THE CENTER IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES AND, 5) DISCLOSED ACTIVITIES AND FINANCIALS INTEREST WHICH MAY RESULT IN A CONFLICT OF INTEREST. POTENTIAL CONFLICTS ARE DISCUSSED AT THE APPROPRIATE AUDIT COMMITTEE MEETING AND A DECISION ON HOW TO HANDLE IS VOTED ON IN THE ABSENCE OF THE INDIVIDUAL WHO HAS A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF TRUSTEES REVIEWS COMPARABLE DATA FROM OTHER ORGANIZATIONS WHICH ARE OF SIMILAR NATURE AND SIZE TO DETERMINE COMPENSATION FOR OFFICERS. The salaries were based on determinations that took place in the second half of 2017. FORM 990, PART VI, SECTION C, LINE 19 EVERY REQUEST IS EVALUATED AGAINST LEGAL OBLIGATION AND IF DETERMINED TO BE NECESSARY A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIALS STATEMENTS ARE PROVIDED. FORM 990, PART VII, LINE 1A AS OF OCTOBER 2018, JANET MERLY-LIRANZO ONLY SERVES AS TRUSTEE. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. Peace Care Inc 198 Old Bergen Rd Jersey City NJ 07305 812589807 Provide Admin NJ 501(C)(3) lINE 12C Peace Minist false MARGARET ANNA CUSACK CARE CENTER INC 537 PAVONIA AVENUE JERSEY CITY NJ 07306 760847915 NURSING CARE NJ 501(C)(3) LINE 10 PEACE CARE false Peace Ministries 399 HUDSON TERRACE englewood cliffs NJ 07632 465202238 support NJ 501(c)(3) line 7 csjp false false false true false false false false false false false false false false true true true true false false