2014-10-28T13:48:46-05:00 2013-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-01-01 221807020 OUR LADY'S RESIDENCE OURL 8563424100 1845 HADDON AVENUE CAMDEN NJ 08103 MARTIN IDLER EXECUTIVE DIRECTOR 8563424100 2014-10-28 1 JULIUS GREEN CPA P00350393 2159720701 2013 2015-11-30 17:44:51Z MARTIN B IDLER 1845 HADDON AVENUE CAMDEN NJ 08103 15711634 0 0928 X WWW.CAMDENDIOCESE.ORG X 1966 NJ A SKILLED NURSING FACILITY LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. 8 6 314 115 0 0 45093 23826 15399193 15602122 6773 2766 50016 82920 15501075 15711634 0 0 0 0 10783365 10566900 0 0 0 5796121 6094675 16579486 16661575 -1078411 -949941 4599330 5157167 3795089 5301902 804241 -144735 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 0 14852384 15602121 OUR LADY'S RESIDENCE OPERATES A 214 BED SKILLED NURSING FACILITY IN PLEASANTVILLE, NEW JERSEY THAT IS LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. THE HOME'S SOLE MEMBER IS THE DIOCESAN HEALTH SERVICES CORPORATION 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, 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. 14852384 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 38 0 1 314 1 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 0 0 1 1 1 1 1 0 0 0 1 0 0 1 1 0 0 0 NJ X LAURA J MONTGOMERY CONTROLLER 8563424181 1845 HADDON AVENUE CAMDEN NJ 08103 DOROTHY POWELL PRESIDENT 5.00 X X 0 0 0 RICHARD MAXWELL VICE PRESIDENT 5.00 X X 0 0 0 MARTIN B IDLER SECRETARY 13.30 26.70 X X 0 165390 29925 LAWRENCE READER TREASURER 5.00 40.00 X X 0 112606 24200 MARY ANN MARCHETTI TRUSTEE 5.00 X 0 0 0 SISTER ELETA FELLI TRUSTEE 5.00 X 0 0 0 REV JOSEF A WAGENHOFFER TRUSTEE 5.00 X 0 0 0 REV JOHN VIGNONE TRUSTEE 5.00 X 0 0 0 ANNA TOSTI ADMINISTRATOR 80.00 X 101362 0 25614 101362 277996 79739 1 0 1 0 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 606809056 PT, OT & ST THERAPY 531914 FOX LONG TERM CARE 7 CARNEGIE PLAZA CHERRY HILL NJ 08003 PT, OT & ST THERAPY 473947 CROTHALL HEALTHCARE 13028 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MAINTENANCE SERVICE 350063 SODEXO INC BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE 317226 HOSPITALER SISTERS OF MERCY 1100 CLEMATIS AVENUE PLEASANTVILLE NJ 08232 NURSING SERVICES 160988 6 23826 23826 NET RESIDENT SERVICE REV 623000 15602122 15602122 15602122 2766 2766 FEMA HURRICANE REIMBURSEMENT 900099 54501 54501 MEALS REVENUE 900099 14335 14335 RESIDENT TV REVENUE 900099 6430 6430 7654 7654 82920 15711634 15602122 0 85686 X 7560067 6723829 836238 541563 484595 56968 1937395 1613021 324374 527875 501502 26373 26772 26772 30770 30770 2411121 2346785 64336 171364 3452 167912 314773 251794 62979 175251 175251 408273 408273 17735 9352 8383 8028 8028 88618 88618 193768 193768 45253 45253 NURSING HOME ASSESSMENT 620829 620829 FOOD 523451 523451 PHARMACY/DRUGS 356661 356661 BAD DEBT EXPENSE 322801 322801 379207 350372 28835 16661575 14852384 1809191 0 1000 1000 121712 428145 2331510 2519344 88 88 25146 237539 3401261 1649743 1900515 1751518 219359 219533 4599330 5157167 1262723 1634247 76690 97476 2455676 3570179 3795089 5301902 X 765392 -184549 38849 39814 804241 -144735 4599330 5157167 X -949941 965 X 0 1 X 1 0 X 192285 178419 66120 45093 23826 505743 16645135 15589048 16121322 15399193 15602121 79356819 16837420 15767467 16187442 15444286 15625947 79862562 0 0 0 79862562 44289 31901 8744 6773 2766 94473 44289 31901 8744 6773 2766 94473 37927 26358 27812 50016 82920 225033 16919636 15825726 16223998 15501075 15711633 80182068 0.99600 0.99670 0.00120 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 90380 90380 2316613 963437 1353176 994268 686306 307962 1751518 RESIDENT PNA FUNDS 71842 DUE TO THIRD PARTY PAYORS 68355 DUE TO OTHER PARTIES 159998 DUE TO DIOCESE OF CAMDEN 3269984 3570179 X 15834997 122398 965 123363 15711634 0 15711634 16783973 122398 122398 16661575 0 16661575 PART IV, LINE 2B: PRIVATE PAY RESIDENTS HAVE ONE MONTH'S RENT DEPOSITED IN AN INTEREST-BEARING ACCOUNT AT WELLS FARGO 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. PART X, LINE 2: THE HOME ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 AND 2012. THE HOME'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS PRIOR TO 2010 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 965. 0 0 0 0 0 0 0 0 0 MARTIN B IDLER SECRETARY 0 165390 0 0 0 0 0 13231 0 16694 0 195315 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. THIS PAST JULY 1, THERE WAS A 2% DIOCESAN INCREASE. THERE IS NO PERFORMANCE BASED COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 THE 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, THE 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, THE 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 15 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. THIS PAST JULY 1, 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 POLICIES AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G TEMPORARY PERSONNEL: PROGRAM SERVICE EXPENSES 228,299. TOTAL EXPENSES 228,299. FOOD AND DIETICIAN COSTS: PROGRAM SERVICE EXPENSES 314,887. TOTAL EXPENSES 314,887. HOUSEKEEPING FEES: PROGRAM SERVICE EXPENSES 209,542. TOTAL EXPENSES 209,542. DIAPERS AND LINENS: PROGRAM SERVICE EXPENSES 92,282. TOTAL EXPENSES 92,282. GARBAGE DISPOSAL SERVICES: PROGRAM SERVICE EXPENSES 37,994. TOTAL EXPENSES 37,994. EXTERMINATION FEES: PROGRAM SERVICE EXPENSES 10,488. TOTAL EXPENSES 10,488. SECURITY: PROGRAM SERVICE EXPENSES 68,941. TOTAL EXPENSES 68,941. MAINTENANCE ADMIN FEES: PROGRAM SERVICE EXPENSES 113,594. TOTAL EXPENSES 113,594. MEDICAL DIRECTOR FEES: PROGRAM SERVICE EXPENSES 50,000. TOTAL EXPENSES 50,000. PHARMACEUTICAL CONSULTANT: PROGRAM SERVICE EXPENSES 30,201. TOTAL EXPENSES 30,201. LAB FEES: PROGRAM SERVICE EXPENSES 50,027. TOTAL EXPENSES 50,027. PT, OT, AND SPEECH THERAPY: PROGRAM SERVICE EXPENSES 1,140,530. TOTAL EXPENSES 1,140,530. PAYROLL PROCESSING EXPENSE: MANAGEMENT AND GENERAL EXPENSES 19,816. TOTAL EXPENSES 19,816. CONSULTING EXPENSE: MANAGEMENT AND GENERAL EXPENSES 40,913. TOTAL EXPENSES 40,913. REGULATORY FEES: MANAGEMENT AND GENERAL EXPENSES 3,607. TOTAL EXPENSES 3,607. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 965. 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 SAINT MARY'S CATHOLIC HOME 1845 HADDON AVENUE CAMDEN NJ 08103 210634535 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 DIOCESE OF CAMDEN 1845 HADDON AVENUE CAMDEN NJ 08103 HEALTH CARE NJ 501(C)(3) LINE 1 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 0 CATHOLIC CHARITIES OF THE DIOCESE OF CAMDEN INC 1845 HADDON AVENUE CAMDEN NJ 08103 223759994 SOCIAL SERVICES NJ 501(C)(3) LINE 7 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0