2019-11-14T11:07:14-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE STE 400 PLYMOUTH MEETING PA 19462 990 2018-01-01 362527011 ST PATRICK'S RESIDENCE STPA 6304166565 1400 BROOKDALE ROAD NAPERVILLE IL 605632126 SR MARY ROSE HEERY PRESIDENT 6304166565 2019-11-12 1 BERNADETTE O'TOOLE CPA P00229258 2156433900 67.137.57.251 2019-11-12 18:23:14 ES P E28AEFA4ECDB649C1FDF3372510CB31FB712F442 EF3A95D8828653F7575E562EBE88CEDFA08B144E 2018 2020-03-31 21:24:44Z SR MARY ROSE HEERY 1400 BROOKDALE ROAD NAPERVILLE IL 605632126 19050963 0 0928 X WWW.STPATRICKSRESIDENCE.ORG X 1964 IL THE MISSION OF ST. PATRICK'S RESIDENCE IS TO PROVIDE LIVING AND HEALTH SERVICES FOR THE AGED AND INFIRM IN CONFORMANCE WITH THE THEOLOGY, PHILOSOPHY, TEACHINGS, AND DOCTRINES OF THE ROMAN CATHOLIC CHURCH. 15 15 347 200 0 0 1396132 1352049 14726262 15891776 720759 411131 544855 243304 17388008 17898260 0 0 0 0 10855602 10411328 0 0 159221 6360058 7265740 17215660 17677068 172348 221192 21738402 21031365 3970778 3770765 17767624 17260600 X THE MISSION OF ST. PATRICK'S RESIDENCE IS TO PROVIDE LIVING AND HEALTH SERVICES FOR THE AGED AND INFIRM IN CONFORMANCE WITH THE THEOLOGY, PHILOSOPHY, TEACHINGS, AND DOCTRINES OF THE ROMAN CATHOLIC CHURCH, RESPECTING AND BUILDING ON THE MISSIONS; PHILOSOPHY AND VALUES OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. 0 0 15886116 0 16165177 ST. PATRICK'S RESIDENCE OPERATES A 210-BED LICENSED NURSING HOME IN NAPERVILLE, ILLINOIS. ST. PATRICK'S RESIDENCE PROVIDES PROFESSIONAL AND PERSONAL SERVICES IN A COMPASSIONATE AND CARING MANNER TO MEMBERS OF NAPERVILLE AND SURROUNDING COMMUNITIES. ST. PATRICK'S RESIDENCE SERVES NUMEROUS NEIGHBORS AND THEIR FAMILIES WITHOUT REGARD TO THEIR ETHNIC BACKGROUND, RELIGION OR FINANCIAL CIRCUMSTANCES. 15886116 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 347 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X JUDITH NADERHOFF 5185377500 646 WOODS ROAD GERMANTOWN NY 12526 CHARLES MILLINGTON CHAIRPERSON 1.00 0.00 X X 0 0 0 SR MARY ROSE HEERY PRESIDENT 1.00 10.00 X X 0 0 0 SR PATRICIA MARGARET RAWDON VICE PRESIDENT 1.00 6.00 X X 0 0 0 JOHN DURSO ESQ SECRETARY 1.00 0.00 X X 0 0 0 SR LOIS JOSEPH BANIEWICZ DIRECTOR 1.00 3.00 X 0 0 0 SR ALICE WEBSTER DIRECTOR 1.00 2.00 X 0 0 0 SR ANN ELIZABETH BROWN DIRECTOR 1.00 3.00 X 0 0 0 SR LEDA VERONICA DOMINO DIRECTOR 1.00 1.00 X 0 0 0 SR MARCIAN DEISENROTH RSM DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM HAYES DIRECTOR 1.00 0.00 X 0 0 0 RAYMOND E JONES DIRECTOR 1.00 0.00 X 0 0 0 REV JAMES LENNON DIRECTOR 1.00 0.00 X 0 0 0 KATHLEEN MCGOWAN DIRECTOR 1.00 0.00 X 0 0 0 SR TERESA KATHLEEN DOMINICK DIRECTOR 1.00 1.00 X 0 0 0 DR DANIEL SHORT MD DIRECTOR 1.00 0.00 X 0 0 0 MARILYN DALEY TREASURER/ADMINISTRATOR 40.00 0.00 X 114261 0 1457 PAULINE VENECIA REGISTERED NURSE 40.00 0.00 X 121127 0 0 ANNA LIZA JOSEPH REGISTERED NURSE 40.00 0.00 X 101441 0 5936 CORA LOPEZ REGISTERED NURSE 40.00 0.00 X 100186 0 0 437015 0 7393 4 0 0 0 REHABCARE PO BOX 503534 ST LOUIS MO 631503534 THERAPY 854600 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 PURCHASED HOUSEKEEPING 801614 NURSES ON CALL INC 1475 BASSWOOD DR BOLINGBROOK IL 60490 CONTRACT LABOR 498403 PRN STAFFING SOLUTIONS INC 308 ROMA JEAN PARKWAY SUITE B STREAMWOOD IL 60107 CONTRACT LABOR 234805 TOTAL NURSES NETWORK 7026 W NORTH AVENUE CHICAGO IL 60707 CONTRACT LABOR 152011 6 341431 1010618 22605 1352049 NET RESIDENT SERVICES REVENUE 623000 15891776 15891776 15891776 247539 247539 1235120 1071528 163592 163592 163592 51078 341431 81175 -30097 -30097 OTHER OPERATING INCOME 623000 273401 273401 273401 17898260 16165177 0 381034 X 115718 115718 8209549 7694674 398612 116263 90253 83419 5575 1259 1153772 932743 193987 27042 842036 765231 64483 12322 177156 177156 18341 18341 21246 21246 68854 68854 3358876 2971045 387831 44934 44934 36095 4085 31489 521 50730 2295 46621 1814 10805 833 9972 5187 5187 44256 39830 4426 737783 664005 73778 199193 193687 5506 SUPPLIES 913326 913326 BED TAX FEE 479180 479180 ANCILLARY SERVICES 435342 435342 UTILITIES 375211 375211 289225 281089 8136 17677068 15886116 1631731 159221 1896562 1749531 556857 1963168 1548628 62622 52439 47903 23350475 15086643 8204728 8263832 8315913 7338631 1305592 1463361 21738402 21031365 3047340 3342885 10465 800000 400000 123438 17415 3970778 3770765 X 17358010 16594192 409614 666408 17767624 17260600 21738402 21031365 X 221192 -679042 -49174 X X 0 1 X 1 0 X 633141 444414 628097 1396132 1352049 4453833 16801365 16899838 16390112 15039113 16165177 81295605 17434506 17344252 17018209 16435245 17517226 85749438 2425 7690 20178 19266 48900 98459 0 2425 7690 20178 19266 48900 98459 85650979 197037 183300 184594 189627 247539 1002097 197037 183300 184594 189627 247539 1002097 0 4808 0 232004 0 236812 17631543 17532360 17202803 16856876 17764765 86988347 0.98460 0.98050 0.01150 0.01390 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 638590 638590 16096683 10328532 5768151 236091 163100 72991 6040422 4595011 1445411 338689 338689 8263832 OTHER CURRENT ASSETS 1039698 DUE FROM RELATED PARTY 2365 ASSETS LIMITED AS TO USE 421298 1463361 DUE TO RELATED PARTY 3104 OTHER LONG-TERM LIABILITIES 14311 17415 PART IV, LINE 2B: MEDICAID RESIDENTS CAN REQUEST, AND IN CERTAIN CASES, ST. PATRICK'S RESIDENCE IS REQUIRED TO MAINTAIN THEIR PERSONAL FUNDS IN A CUSTODIAN ACCOUNT. THESE CUSTODIAL ACCOUNTS ARE ACCOUNTED FOR SEPARATELY AND ARE MAINTAINED BY THE NURSING FACILITY ON THE RESIDENTS BEHALF. THE CUSTODIAL ACCOUNTS ARE LISTED ON THE BALANCE SHEET OF FORM 990, PART X, LINE 21 AS CUSTODIAL ACCOUNT LIABILITIES. GALA 277720 258027 19693 500 11132 17559 6071 GOLF 114789 83404 31385 250 13400 0 6065 26198 392509 341431 51078 750 24532 23624 32269 81175 -30097 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIRPERSON OF THE BOARD, THE PRESIDENT, THE VICE-PRESIDENT, THE SECRETARY, THE TREASURER, AND SUCH OFFICERS OF THE CORPORATION AS MAY BE APPOINTED BY THE MEMBERS. THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED AND SHALL HAVE AUTHORITY TO TRANSACT REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD. HOWEVER, THE EXECUTIVE COMMITTEE IS NOT EMPOWERED TO ACT WITH RESPECT TO ANY RESERVE POWERS DESCRIBED IN THESE BY-LAWS, AND SHALL NOT TAKE ANY ACTION BEYOND THE AUTHORITY OF THE BOARD OR IN CONFLICT WITH THE EXPRESSED POLICIES OF THE BOARD. A MAJORITY OF THE COMMITTEE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS FOR ANY MEETING. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD AT THE NEXT MEETING OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS THE CARMELITE SYSTEM, INC. THE MEMBERS OF THE CARMELITE SYSTEM, INC.'S INCLUDE FIVE MEMBERS CONSISTING OF THE PRIORESS GENERAL AND FOUR MEMBERS OF THE GENERAL COUNCIL OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER, THE CARMELITE SYSTEM, INC., RETAINS THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE ORGANIZATION RESERVE THE FOLLOWING MANAGEMENT POWERS: A) TO APPROVE AND INTERPRET THE CORPORATION'S PURPOSES, MISSION, PHILOSOPHY AND VALUES AND TO REQUIRE THAT THE CORPORATION OPERATES IN CONFORMANCE WITH SAME; B) TO APPROVE AND AMEND THE CERTIFICATE OF INCORPORATION AND BY-LAWS OF THE CORPORATION C) TO APPROVE ANY PLAN OF MERGER, CONSOLIDATION, OR REORGANIZATION OF THE CORPORATION; D) TO APPROVE ANY PLAN OF DISSOLUTION OF THE CORPORATION AND THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION UPON DISSOLUTION; E) TO APPROVE THE ESTABLISHMENT, MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF ANY ORGANIZATIONAL RELATIONSHIP OF THE CORPORATION, INCLUDING SUBSIDIARY CORPORATIONS, PARTNERSHIPS, JOIN VENTURES, AND LIKE RELATIONSHIPS; F) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; G) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION; H) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE VICE-PRESIDENT OF MISSION OF THE CORPORATION; I) TO RATIFY ANY DEBT OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE MEMBERS, EXCEPT FOR ANY DEBT NECESSARY TO FINANCE THE COST OF COMPLIANCE WITH OPERATIONAL OR PHYSICAL PLANT STANDARDS REQUIRED BY APPLICABLE LAW; J) TO RATIFY THE SALE, ACQUISITION, LEASE, TRANSFER, MORTGAGE, PLEDGE OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THE CORPORATION IN EXCESS OF AN AMOUNT TO BE FIXED FROM TIME TO TIME BY THE MEMBERS; K) TO RATIFY SETTLEMENTS OF CLAIMS AND LITIGATION WHEN SUCH CLAIMS OR SETTLEMENTS EXCEEDS APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND; L) TO APPOINT FISCAL AUDITORS, UPON THE RECOMMENDATION OF THE AUDIT COMMITTEE; AND M) TO APPOINT LEGAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REPORTS TO THE BOARD OF DIRECTORS REGARDING THE REVIEW OF THE FORM 990. A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST DISCLOSURE POLICY REQUIRES ALL OFFICERS AND BOARD MEMBERS TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT. IN ADDITION, SHOULD AN OFFICER OR BOARD MEMBER ASSUME NEW EXTERNAL INTERESTS THAT POTENTIALLY CONFLICT WITH HIS/HER ROLE WITH THE ORGANIZATION SUCH INDIVIDUALS IS REQUIRED TO DISCLOSE IN WRITING THE NATURE OF SUCH EXTERNAL INTERESTS. THE DISCLOSURE STATEMENT IS PROVIDED TO THE CHAIR OF THE BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION POLICY WAS DEVELOPED BY THE BOARD TO GOVERN COMPENSATION ARRANGEMENTS BETWEEN THE ORGANIZATION AND COVERED INDIVIDUALS, DEFINED AS THOSE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE CONSISTS OF AT LEAST THREE INDEPENDENT INDIVIDUALS APPOINTED BY THE BOARD, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION FOR A COVERED INDIVIDUAL BASED ON RELEVANT DATA INCLUDING COMPARABILITY OF COMPENSATION FOR SIMILARLY SITUATE ENTITIES AND COMPENSATION SURVEYS COMPLIED BY INDEPENDENT FIRMS AS REQUIRED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE TO THE PUBLIC ON GUIDESTAR'S WEBSITE. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,848,544. MANAGEMENT AND GENERAL EXPENSES 387,831. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,236,375. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,122,501. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,122,501. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF ASSETS WITH DONOR RESTRICTIONS -49,174. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS HAS DESIGNATED A COMMITTEE TO MANAGE THE PROCESSES OF SELECTION AND OVERSIGHT OF THE AUDIT AND INDEPENDENT ACCOUNTANT. THE COMMITTEE MEETS WITH MANAGEMENT AND THE INDEPENDENT AUDITORS TO REVIEW THE ENGAGEMENT PROPOSAL, RESULTS OF THE AUDIT, DRAFT AUDIT REPORT, AND MANAGEMENT LETTER. THE COMMITTEE MAY MEET WITH THE INDEPENDENT AUDITORS IN EXECUTIVE SESSION BEFORE CONCLUDING ITS REVIEW AND ACCEPTANCE OF THE ANNUAL AUDIT REPORT. THE COMMITTEE REPORTS ITS FINDINGS AND MAKES ITS RECOMMENDATION TO THE BOARD OF DIRECTORS. CARMELITE SISTERS FOR THE AGED AND INFIRM INC 600 WOODS ROAD GERMANTOWN NY 12526 141369151 LONG TERM HEALTHCARE MINISTRY NY 501(C)(3) LINE 10 N/A 0 CARMEL MANOR INC 100 CARMEL MANOR ROAD FT THOMAS KY 41075 610523290 SKILLED NURSING FACILITY KY 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 CARMEL TERRACE INC 933 CENTRAL STREET FRAMINGHAM MA 01701 043210051 ASSISTED LIVING FACILITY MA 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 KAHL HOME FOR THE AGED AND INFIRM 6701 JERSEY RIDGE ROAD DAVENPORT IA 52807 420760833 SKILLED NURSING FACILITY IA 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 LOURDES FOUNDATION INC 315 SOUTH FLAGLER DRIVE WEST PALM BEACH FL 33401 592632080 FUNDRAISING FL 501(C)(3) LINE 12A, I CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 LOURDES-NOREEN MCKEEN RESIDENCE FOR GERIATRIC CARE INC 315 SOUTH FLAGLER DRIVE WEST PALM BEACH FL 33401 590879342 SKILLED, ASSISTED AND INDEPENDENT LIVING FACILITY FL 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 MARIAN MANOR FOR THE AGED AND INFIRM INC 130 DORCHESTER STREET BOSTON MA 02127 042173054 SKILLED NURSING FACILITY MA 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 MOTHER ANGELINE MCCRORY MANOR INC 5199 EAST BROAD STREET COLUMBUS OH 43213 912134683 SKILLED NURSING FACILITY OH 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 MOUNT CARMEL CARE CENTER INC 320 PITTSFIELD ROAD LENOX MA 01240 383902709 SKILLED NURSING FACILITY MA 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 OZANAM HALL OF QUEENS NURSING HOME INC 42-41 201ST STREET BAYSIDE NY 11361 112167809 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 ST MARGARET HALL INC 1960 MADISON ROAD CINCINNATI OH 45206 310655031 SKILLED AND ASSISTED LIVING FACILITY OH 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 ST PATRICK'S HOME FOR THE AGED AND INFIRM INC 66 VAN CORTLAND PARK SOUTH BRONX NY 10463 131740033 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 ST PATRICK'S MANOR INC 863 CENTRAL STREET FRAMINGHAM MA 01701 042157057 SKILLED NURSING FACILITY MA 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 THE CARMELITE SYSTEM INC 646 WOODS ROAD GERMANTOWN NY 12526 141810368 MANAGEMENT NY 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 VILLAS AT ST THERESE INC 5253 EAST BROAD STREET COLUMBUS OH 43213 472021696 INDEPENDENT LIVING & ASSISTED LIVING FACILITY OH 501(C)(3) LINE 10 CARMELITE SISTERS FOR THE AGED AND INFIRM INC 0 0 0 0 1 1 0 0 0 0 1 0 0 1 0 0 1 0 0 0