2012-11-13T15:16:53-06:00 2011-12-31 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2011-01-01 221807020 OUR LADY'S RESIDENCE OURL 8563424100 1845 HADDON AVENUE CAMDEN NJ 08103 MARTIN IDLER 8563424100 2012-11-13 1 JULIUS GREEN CPA P00350393 2159720701 2011 2016-02-24 21:20:13Z MARTIN B IDLER 1845 HADDON AVENUE CAMDEN NJ 08103 16223998 0 0928 X WWW.CAMDENDIOCESE.ORG X 1966 NJ A SKILLED NURSING FACILITY LICENSED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES. 7 6 314 50 0 0 178419 66120 15589048 16121322 31901 8744 26358 27812 15825726 16223998 0 1683 0 0 10804377 11115063 0 0 0 6409755 6331822 17214132 17448568 -1388406 -1224570 7109153 5550118 4085457 3752770 3023696 1797348 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 15747469 16121322 OUR LADY'S RESIDENCE OPERATES A 214 BED SKILLED NURSING HOME 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. 15747469 1 1 0 0 0 0 0 0 1 0 1 0 0 1 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 0 1 29 0 1 314 1 0 0 0 0 0 0 0 0 0 0 X 7 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 X DOROTHY POWELL 5.00 X X 0 0 0 RICHARD MAXWELL 5.00 X X 0 0 0 MARTIN B IDLER 10.00 X X 0 160690 32517 LAWRENCE READER 5.00 X X 0 108284 14055 MARY ANN MARCHETTI 5.00 X 0 0 0 SISTER ELETA FELLI 5.00 X 0 0 0 REV JOSEF A WAGENHOFFER 5.00 X 0 0 0 0 268974 46572 0 0 1 0 TENDER TOUCH HEALTH CARE SERVICE INC 985 RIVER AVENUE LAKEWOOD NJ 08701 PT, OT & SPEECH THPY 1405748 PROPOCO INCCROTHALL HEALTHCARE 955 CHESTERBROOK BLVD 300 WAYNE PA 19087 HOUSEKEEPING/MAINTENANCE 323355 SODEXO INC 9801 WASHINGTONIAN BOULEVARD GAITHERSBURG MD 20878 FOOD MANAGEMENT 314398 3 66120 66120 NET RESIDENT SERVICE R 623000 16121322 16121322 16121322 8744 8744 MEALS REVENUE 900099 12774 12774 RESIDENT TV REVENUE 900099 7335 7335 RESIDENT PHONE & VENDI 900099 4865 4865 2838 2838 27812 16223998 16121322 0 36556 1683 1683 7823908 7059263 764645 476244 429700 46544 2245047 2025635 219412 569864 542990 26874 8316 8316 34000 34000 2516496 2422012 94484 187589 4651 182938 510775 454275 56500 171863 171863 392438 392438 20735 4254 16481 8680 5616 3064 68930 68930 189035 189035 49001 49001 NURSING HOME ASSESSMENT 675614 675614 FOOD 488527 488527 PHARMACY/DRUGS 385122 385122 BAD DEBT EXPENSE 343164 343164 281537 254560 26977 17448568 15747469 1701099 0 993 1000 909336 859795 2110228 1944409 130487 34401 3333324 1253936 1968397 2079388 1989712 631125 7109153 5550118 1610111 1552735 103460 97904 2371886 2102131 4085457 3752770 X 2983837 1759267 39859 38081 3023696 1797348 7109153 5550118 X -1224570 -1778 X 0 1 1 X 0 X 156180 171118 192285 178419 66120 764122 16503099 16816857 16645135 15589048 16121322 81675461 16659279 16987975 16837420 15767467 16187442 82439583 0 0 0 82439583 32793 22434 44289 31901 8744 140161 32793 22434 44289 31901 8744 140161 28164 16696 37927 26358 27812 136957 16720236 17027105 16919636 15825726 16223998 82716701 0.99660 0.99640 0.00170 0.00210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 90380 90380 2330854 732630 1598224 912090 521306 390784 2079388 FUNDS WHOSE USE IS LIMITED 30772 RESIDENT PNA FUNDS 67598 RESIDENT ESCROW FUNDS 97905 DUE FROM AFFILIATES 396769 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 38081 631125 RESIDENT PNA FUNDS 67598 DUE TO THIRD PARTY PAYORS 151588 DUE TO OTHER PARTIES 170288 DUE TO DIOCESE OF CAMDEN 1712657 2102131 16223998 17448568 -1224570 -1778 -1778 -1226348 16329656 107436 -1778 105658 16223998 0 16223998 17556004 107436 107436 17448568 0 17448568 PART IV, LINE 2B: PRIVATE PAY RESIDENTS HAVE ONE MONTH'S RENT 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2011 AND 2010. THE HOME'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR THE YEARS ENDED DECEMBER 31, 2010, 2009 AND 2008 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -1,778. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -1,778. 0 0 0 0 0 0 0 0 0 MARTIN B IDLER 0 160690 0 0 0 0 0 12855 0 19662 0 193207 0 0 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 ORGANIZATION'S CONTROLLER REVIEWED THE FORM 990 IN DETAIL BEFORE IT WAS FILED. A COPY OF THE ORGANIZATION'S FORM 990 WAS NOT PROVIDED TO OR REVIEWED BY THE BOARD BEFORE FILING. 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 WERE NO DIOCESAN INCREASES. 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. AVERAGE HOURS PER WEEK FORM 990, PART VII AVERAGE HOURS PER WEEK LISTED IN PART VII ARE FOR THIS LEGAL ENTITY ONLY. TRUSTEES AND OFFICERS ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS LISTED ON SCHEDULE R. TOTAL AVERAGE HOURS PER WEEK FOR ALL RELATED ORGANIZATIONS ARE AS FOLLOWS: TRUSTEES - 20 HOURS PER WEEK MARTIN B. IDLER, EXECUTIVE DIRECTOR/SECRETARY - 40 HOURS PER WEEK LAWRENCE J. READER, TREASURER - 20 HOURS PER WEEK CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST -1,778. TOTAL TO FORM 990, PART XI, LINE 5: -1,778. 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 1 1 0 0 0