2016-11-11T09:46:04-06:00 2015-12-31 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2015-01-01 210634535 Saint Mary's Catholic Home SAIN 8563424100 1845 Haddon Avenue Camden NJ 08103 Robert Waite controller 8563424100 2016-11-08 1 Julius C Green CPA P00350393 2159720701 2015 2017-02-10 21:41:12Z Robert Waite 1845 Haddon Avenue Camden NJ 08103 46564541 0 0928 X www.camdendiocese.org X 1952 NJ A SKILLED NURSING FACILITY LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. X 6 4 414 65 0 0 19276 6577 22792098 20931695 10917 23098052 70950 76713 22893241 44113037 0 0 0 0 14276836 14022212 0 0 0 7692848 6967114 21969684 20989326 923557 23123711 12007653 35314926 6672389 6712771 5335264 28602155 X OUR MISSION IS TO OPERATE A NOT-FOR-PROFIT CATHOLIC BASED SKILLED NURSING FACILITY PROVIDING OUR RESIDENTS WITH THE BEST NURSING CARE AND REHABILITATION SERVICES, WHILE ENHANCING THE QUALITY OF LIFE IN A DIGNIFIED, SAFE ATMOSPHERE. WE SEEK TO PROVIDE APPROPRIATE SERVICE TO ALL WHO ASK FOR OUR ASSISTANCE. 0 1 19013338 20931695 St. Mary's has two divisions : St. Mary's Catholic Home and The Manor at Saint Mary's. St. Mary's Catholic Home operates a 215 bed Skilled Nursing Facility and 98 bed residential healthcare facility in Cherry Hill, New Jersey. It is licensed by the New Jersey Department of Health and Human Services. St. Mary's Catholic Home annual census count was 66,447 and the occupancy percentage was 89.07%. The Manor at Saint Mary's annual census count was 25,374 and the occupancy percentage was 74.62%. The home's sole member is Catholic Charities of the Diocese of Camden. Resident programs include restorative nursing care by licensed and certified nursing staff, comprehensive plan of care, social service, pharmacy, congregated dining, activities, special diets, spiritual counseling by a Catholic chaplain, housekeeping and laundry.Rehabilitation services and physical, occupational, and speech therapies are available for those recovering from fractures, strokes and other short-term, post hospital stays. In addition to core therapies and treatment modalities, we provide a wide range of complex clinical care and specialized services, including: Gait and balance training, dysphasia therapy, IV Antibiotic therapy, enteral nutrition, wound care and pain management. 19013338 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 67 0 1 414 1 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 1 1 1 1 1 0 0 0 1 0 0 1 1 1 0 0 NJ X Robert Waite CONTROLLER 8563424186 1845 Haddon Avenue CAMDEN NJ 08103 Joseph Gilson trustee 5.00 0.00 X 0 0 0 Dr Philip LoPresti Vice President 5.00 0.00 X X 0 0 0 MARTIN B IDLER Executive Director/SecretaRY 13.30 26.70 X X 0 197943 36014 Lawrence Reader Treasurer 0.50 39.50 X X 0 121588 15487 Joseph P Schooley president 5.00 0.00 X X 0 0 0 john Finley trustee 5.00 0.00 X 0 0 0 Maureen G Kogleman Administrator 40.00 0.00 X 158104 0 19639 158104 319531 71140 1 0 1 0 Select Rehabilitation PO Box 809056 Chicago IL 606809056 PT, OT & ST Therapy 1071800 Sodexo Inc Box 360170 Pittsburgh PA 152516170 Food Service 505313 Hawks & Company 1000 delsea dr deptford township NJ 08093 hvac/boiler-maintenance, repair, install 146990 Marketing Dynamics Inc 294 Union Street Hackensack NJ 07601 Marketing Services 134897 Little Sister Servants of the IC 260 Saint Marys Drive Cherry Hill NJ 08003 faith services 133641 5 6577 6577 Net Resident Service Rev 623000 20931695 20931695 20931695 13018 13018 25536538 2451504 23085034 23085034 23085034 Television Revenue 900099 16773 16773 Trial Room and Board 900099 15859 15859 RESIDENT PHONE & VENDING REV 900099 14742 14742 29339 29339 76713 44113037 20931695 0 23174765 9907715 8852582 1055133 736223 657818 78405 2674907 2390040 284867 703367 669618 33749 105323 105323 1713936 1683666 30270 143608 6922 136686 388213 302352 85861 183133 183133 660021 633392 26629 27464 15331 12133 5049 5049 62311 62311 90556 90556 FOOD 917919 917919 Nursing Home Assessment 705974 705974 BAD DEBT RECOVERY 586693 586693 medical supplies 332840 332840 1044074 1007698 36376 20989326 19013338 1975988 0 1500 0 2869689 1061930 2188045 2306685 4736 288867 562807 495206 341823 5930851 153383 723965 31230121 12007653 35314926 1619331 363358 618770 4434288 6349413 6672389 6712771 X 5295341 28562232 39923 39923 5335264 28602155 12007653 35314926 23123711 143180 0 X 0 0 0 X 51032 408173 40106 19276 6577 525164 20962325 21408416 21545497 22792098 20931695 107640031 21013357 21816589 21585603 22811374 20938272 108165195 0 0 0 108165195 26984 12351 9298 10917 13018 72568 26984 12351 9298 10917 13018 72568 130665 464374 71394 70951 76713 814097 21171006 22293314 21666295 22893242 21028003 109051860 0.99190 0.99170 0.00070 0.00090 X Schedule A, Part III, Line 12, Explanation of Other Income: MISCELLANEOUS REVENUE - 2011 Amount: $ 74,007. 2012 Amount: $ 40,089. 2013 Amount: $ 23,208. 2014 Amount: $ 26,284. 2015 Amount: $ 11,311. RESIDENT PHONE VENDING REV - 2011 Amount: $ 21,615. 2012 Amount: $ 19,145. 2013 Amount: $ 19,224. 2014 Amount: $ 16,916. 2015 Amount: $ 14,742. MEALS REVENUE - 2011 Amount: $ 17,292. 2012 Amount: $ 13,827. 2013 Amount: $ 12,792. 2014 Amount: $ 13,470. 2015 Amount: $ 10,777. TRIAL STAY ROOM BOARD - 2011 Amount: $ 5,851. 2012 Amount: $ 11,412. 2013 Amount: $ 16,170. 2014 Amount: $ 11,321. 2015 Amount: $ 15,859. ANCILLARY SERVICES - 2011 Amount: $ 11,900. 2012 Amount: $ 10,145. 2015 Amount: $ 7,251. gain on sale of assets - 2012 Amount: $ 369,756. Television Revenue - 2014 Amount: $ 2,960. 2015 Amount: $ 16,773. 1 618770 147560 766330 0 1 475707 323650 152057 19499 18173 1326 153383 Beneficial Interest in Charitable Remainder Trust 39923 Due from Other Party 1596 DUE FROM AFFILIATE 31188602 31230121 DUE TO AFFILIATES 6329190 DUE TO THIRD PARTY PAYORS 1860 Due to OTHER PARTY 18363 6349413 Part IV, Line 1b: Private Pay residents have one month's rent deposited in an interest-bearing account at PNC Bank. Upon death, leaving the facility, or applying for Medicaid, the escrow balance is applied to the resident's outstanding account balance and any remaining monies are refunded to the resident. As of year-end they were all closed. 1 0 0 0 0 0 0 0 0 MARTIN B IDLER Executive Director/SecretaRY 0 197943 0 0 0 0 0 15836 0 20178 0 233957 0 0 Maureen G Kogleman Administrator 158104 0 0 0 0 0 12648 0 6991 0 177743 0 0 0 Part I, Line 3 Salary of the Executive Director is paid by a related organization and is reviewed annually by the Diocese of Camden (related party) - receiving the same annual increase percentage as all other Diocesan employees. In July 2015, there was a 2% Diocesan increase. Approval is determined by the board. There is no performance based compensation. Part I, Line 4a Maureen Kogelman - $4,622 Furniture, Fixtures & Equipment, Land & Bldg, Other Assets 2015-12-14 17100100 appraisal 474339244 220 cherry hill 137-42 71st st flushing NY 11367 partnership 0 1 0 0 Part II, Line 2e: Person(s) Involved: Maureen Kogleman Part II, Line 2e: Explanation of Involvement: Nursing homes sold on 12/14/2015. Maureen Kogleman, Saint Mary's Catholic Home, continues to be the administrator under the new owners. Form 990, Part III, line 3 On December 14, 2015, the nursing home was sold to a for-profit company. At present, we are in the process of winding down the corporate entity. Form 990, Part VI, Section A, line 6 Catholic Charities of the Diocese of Camden, Inc. is the sole member of the corporation. Form 990, Part VI, Section A, line 7a As sole member of the corporation, Catholic Charities of the Diocese of Camden, Inc. has the power to appoint the Trustees of the corporation. Form 990, Part VI, Section A, line 7b In addition to the power to appoint the trustees as indicated above, Catholic Charities of the Diocese of Camden, Inc has other powers set forth in the corporation's by-laws which include adopt or amend the Certificate of Incorporation or By-Laws of the Corporation, adopt or permit adoption of any annual or long-term capital or operational budget of the Corporation as well as significant changes to the original budget (5%); Authorize or permit the Corporation to engage in significant transactions (as further defined in the by-laws) in excess of $100,000 as well as such transactions related to the acquisition or disposition of land and buildings owned by the Corporation; approve or permit the approval of any secured or unsecured borrowing of money by the Corporation; Approve or permit the approval of any long-term strategic plan of the Corporation; Approve a plan of merger, consolidation, affiliation, or dissolution of the Corporation; Organize, acquire, authorize or permit the organization or acquisition of any new subsidiary of the Corporation; and, Approve or permit the approval of contributions, grants, or loans in excess of an aggregate of $100,000. Form 990, Part VI, Section B, line 11 The Controller will review Form 990 before it is signed and filed. Form 990, Part VI, Section B, line 15a Form 990, Part VI, Line 15: Salary of the Executive Director is reviewed annually by the Diocese of Camden (related party) - receiving the same annual increase percentage as all other Diocesan employees. In July 2015, there was a 2% Diocesan increase. There is no performance based compensation. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements will be made available to the public upon request. Diocese of Camden 1845 Haddon Avenue Camden NJ 08103 210634498 religious services NJ 501(c)(3) Line 1 Catholic Charities OF THE DIOCESE OF CAMDEN INC 0 Our Lady's Residence 1845 Haddon Avenue camden NJ 08103 221807020 HEALTH CARE NJ 501(c)(3) Line 9 Catholic Charities OF THE DIOCESE OF CAMDEN INC 0 Mater Dei Nursing Home 1845 Haddon Avenue camden NJ 08103 221840494 HEALTH CARE NJ 501(c)(3) Line 9 Catholic Charities OF THE DIOCESE OF CAMDEN INC 0 Bishop McCarthy Residence 1845 Haddon Avenue camden NJ 08103 222051685 HEALTH CARE NJ 501(c)(3) Line 9 Catholic Charities OF THE DIOCESE OF CAMDEN INC 0 Catholic Charities OF THE DIOCESE OF CAMDEN INC 1845 Haddon Avenue camden NJ 08103 233759994 SOCIAL SERVICES NJ 501(c)(3) Line 7 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 0