2019-05-07T08:02:51-07:00 2018-12-31 990 2018-01-01 141539594 TERESIAN HOUSE NURSING HOME CO INC TERE 5184562000 200 Washington Avenue Extension Albany NY 12203 Sister Robert Mullen Administrator 5184562000 2019-05-07 66.152.104.195 2018 2019-02-21 02:37:17Z Sister Robert Mullen 200 Washington Avenue Extension Albany NY 12203 28652145 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. 22 22 646 79 0 0 139790 148243 29177818 28563999 0 0 213716 -60097 29531324 28652145 0 0 0 0 18530064 18576185 0 0 0 10196466 11085296 28726530 29661481 804794 -1009336 22779064 21346932 6735231 6312435 16043833 15034497 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 27423376 0 28503902 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 27423376 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 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 51 0 1 646 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X Michael A DelBrocco 5184562000 200 Washington Avenue Extension Albany NY 12203 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 Dr Nancy Barhydt Board Member 1 0 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 Ms Mary Ann Cody 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 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 Mr John Chiaramonte Board Member 1 0 X 0 0 0 Ms Lissa McNaughton 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 Michael A DelBrocco Chief Financial Officer 37.5 2.5 X 167256 0 29823 Eric Baumes Director of Information Technology 37.5 0 X 116155 0 27669 Cathleen Hans Director of Development 22.5 15.00 X 102588 0 22441 Jerold Palma Director of Plant Operations 37.5 0 X 100376 0 22181 486375 0 102114 4 0 1 0 Preferred Therapy Solutions 850 Silas Deane Hwy 2nd Floor Wethersfield CT 06109 Therapy Services 649991 NurseCorse Albany Staffing PO Box 650823 Dallas TX 75265 Nurse Staffing Agency 410872 Favorite Healthcare Staffing PO Box 803356 Kansas City MO 64180 Nurse Staffing Agency 379541 The Nurse Connection Staffing 1 Computer Drive South Albany NY 12205 Nurse Staffing Agency 258100 Medical Staffing Network PO Box 840292 Dallas TX 75284 Nurse Staffing Agency 377884 7 0 0 0 148243 0 0 0 148243 Resident Service Revenue 623000 28193509 28193509 0 0 Other Operating Revenue 623000 370490 370490 0 0 0 0 0 0 28563999 0 0 0 0 0 Change In Interest In TH Foundation 900099 -60097 -60097 0 0 0 0 0 0 -60097 28652145 28503902 0 0 X 361495 361495 14126420 13192794 933626 281519 267087 14432 2201717 2037371 164346 1605034 1471835 133199 22469 22469 20130 20130 3742424 3542821 199603 472368 472368 7888 6456 1432 1487 1487 1305350 1305350 251767 251767 Supplies 2363078 2344415 18663 NY State Cash Receipt Assessment Tax 1875444 1875444 0 Equipment Rental and Maintenance 577243 396845 180398 0 Dues 224823 224823 0 220825 32513 188312 29661481 27423376 2238105 0 6784371 6375758 2462747 2200972 57792 61679 264174 294302 46322976 35814939 11198044 10508037 2011936 1906184 22779064 21346932 1855137 2041009 2833860 2403331 16917 18402 2029317 1849693 6735231 6312435 X 14506330 13557091 1537503 1477406 0 0 16043833 15034497 22779064 21346932 -1009336 0 0 0 0 0 X 0 1 X 1 0 X 313118 418086 426736 389790 148243 1695973 26253228 26984477 28859307 29177818 28563999 139838829 26566346 27402563 29286043 29567608 28712242 141534802 141534802 63 0 0 0 0 63 63 0 0 0 0 63 166214 104626 40713 0 0 311553 26732623 27507189 29326756 29567608 28712242 141846418 0.99780 0.99614 0.00000 0.00000 X Schedule A, Part III, Line 12 No balance in 2018. 113000 0 113000 36977714 0 27739507 9238207 583897 0 567636 16261 8583693 0 7507796 1075897 64672 0 0 64672 10508037 Interest In Net Assets of Teresian House Foundation 1477405 Resident Funds 428779 1906184 Est Settlements Due To Third Party Payors 1420914 Due To Residents 428779 1849693 28712242 0 0 0 0 0 28712242 0 -60097 -60097 28652145 29661481 0 0 0 0 0 29661481 0 0 0 29661481 Schedule D, Part XI, Line 4b Change in interest in Teresian House Foundation 0 0 0 0 0 0 0 0 0 Michael A DelBrocco Chief Financial Officer 167256 0 0 0 0 0 7121 0 22703 0 197080 0 Eric Baumes Director of Information Technology 116155 0 0 0 0 0 5050 0 22619 0 143824 0 0 0 Cathleen Hans Director of Development 102588 0 0 0 0 0 4912 0 17528 0 125028 0 0 Jerold Palma Director of Plant Operations 100376 0 0 0 0 0 4662 0 17519 0 122557 0 0 Mr Harvey Bowks Board Member 0 Sales agent for pension plan funds 0 Form 990, Part VI, Section B, Line 11b Teresian House Nursing Home makes available 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 conflict of interest. Additionally, on a regular basis, business relationships are reviewed to assure that potential conflicts are avoided. 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: $1,491,590 (Program Services); Other Purchased Services (Program Services: $2,051,231; Management and General: $199,603). 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 1 0 0 0 0 1 0 0 Teresian House Foundation c 148243 Order of the Carmelite Sisters for the Aged and Infirm m 399996 Teresian House Foundation q 147580