2011-11-15T12:51:48-06:00 2010-12-31 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-01-01 510393781 SENIORCARE MONTCHANIN INC SENI 6095880091 211 SOUTH POND ROAD HOCKESSIN DE 197072325 STEVE MCGILVERY 6095880091 2011-11-14 1 JULIUS GREEN CPA 2159720701 2010 2016-02-24 21:20:13Z HAMILTON CONTINUING CARE CTR STEVE MCGILVERY PO BOX 2113 CHERRY HILL NJ 08034 18825313 0 X WWW.HAMILTONCONTINUINGCARE.COM X 2000 DE TO PROVIDE A COMFORTING AND SECURE ENVIRONMENT TO RESIDENTS OF THE CENTER. 3 3 201 6 0 0 0 0 17947314 18771101 50205 47332 7290 6880 18004809 18825313 12190 19131 0 0 8126499 8507552 0 0 0 9244163 9412743 17382852 17939426 621957 885887 14668002 15300779 22201515 21926491 -7533513 -6625712 HAMILTON CONTINUING CARE CENTER IS COMMITTED TO PROVIDING AN ENVIRONMENT THAT IS WARM, COMFORTING AND SECURE. IN ALL WE DO, OUR FOCUS IS TO CONTINUOUSLY ENHANCE THE QUALITY OF LIFE AND DIGNITY OF EACH OF OUR RESIDENTS. WE DELIVER EXCELLENCE THROUGH SERVICE. 0 0 14668751 19131 18771101 THE FACILITY INCLUDES 180 LONG-TERM CARE BEDS PROVIDING SKILLED AND INTERMEDIATE NURSING CARE SERVICES INCLUDING A DEMENTIA UNIT INCORPORATED INTO A SPECIFIC 60 BED WING. THE FACILITY PROVIDES ROUND-THE-CLOCK SKILLED AND INTERMEDIATE NURSING CARE SERVICES, DINING, AND RECREATIONAL ACTIVITIES.AT DECEMBER 31, 2010 THE ORGANIZATION WAS AT 97.4% OCCUPANCY WITH A TOTAL OF 63,961 DAYS. 12,739 OF THESE DAYS WERE PRIVATE, 36,581 WERE MEDICAID, 11,079 WERE MEDICARE, AND THE REMAINDER REPRESENTED MANAGED CARE AND OTHER PAYOR SOURCES. 14668751 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 27 0 201 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 DE X JOSEF BOGDAN ADMINISTRATOR 6095880091 1059 EDINBURG ROAD HAMILTON SQUARE NJ 086901297 STEVE MCGILVERY 5.00 X X 22000 0 0 MITCHELL RUSSELL 5.00 X X 16000 0 0 IRA STUDIN 5.00 X X 16000 0 0 JOSEF BOGDAN 40.00 X 137476 0 24746 SUZANNE MANTEL 40.00 X 100753 0 18136 MARIANNA RESNICK 40.00 X 110516 0 19893 NEHA MERCHANT 40.00 X 147246 0 26054 DENISE DIMAIO 40.00 X 105306 0 18955 655297 0 107784 5 0 1 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE BENSALEM PA 19020 HOUSEKEEPING, LAUNDRY & FOODSERVICE 1950791 TENDER TOUCH 685 RIVER AVE LAKEWOOD NJ 08701 THERAPY SERVICES 1751706 HOSPICOMM 41 N 3RD ST SUITE 200 PHILADELPHIA PA 19106 MANAGEMENT SERVICES 932381 AETNA PO BOX 88874 CHICAGO IL 60606 EMPLOYEE HEALTH 362799 CHEMRX 4041 HADLEY ROAD SOUTH PLAINFIELD NJ 07080 PHARMACY SERVICES 319272 5 NURSING CARE 623000 14846191 14846191 THERAPY 621990 3027969 3027969 PHARMACY 621990 797740 797740 LABORATORY/X RAY 621500 99201 99201 18771101 47332 47332 GUEST MEALS 900099 5061 5061 VENDING 900099 1819 1819 6880 18825313 18771101 0 54212 19131 19131 465519 465519 6622452 5792010 830442 83050 68472 14578 693936 623879 70057 642595 529795 112800 951180 951180 81500 81500 51725 51725 3969701 3844184 125517 57740 57740 1155466 982456 173010 2299683 2299683 23798 5740 18058 15652 15652 49415 49415 326587 326587 195473 195473 X-RAY AND LAB EXPENSES 70498 70498 PATIENT PERSONAL SVC 48495 48495 BAD DEBT 42000 42000 DATA PROCESSING 28604 28604 SUBSCRIPTIONS & DUES 14638 14638 30588 8406 22182 17939426 14668751 3270675 0 8681 137101 66317 1901966 2330984 3036221 45052 71341 11318950 3084087 8247350 8234863 2860197 983563 626060 616988 483361 318736 14668002 15300779 2504109 2923222 18530000 18280000 627493 355507 539913 367762 22201515 21926491 X -7533513 -6625712 -7533513 -6625712 14668002 15300779 X 885887 21914 X X 0 1 1 X 0 X 1902 2995 4897 16003129 16242415 17074110 17947314 18771101 86038069 16005031 16245410 17074110 17947314 18771101 86042966 0 0 0 86042966 106464 107487 66035 115809 47332 443127 106464 107487 66035 115809 47332 443127 109161 11627 4577 7290 6880 139535 16220656 16364524 17144722 18070413 18825313 86625628 0.99330 0.99280 0.00510 0.00550 X 1200000 1200000 7675330 1949283 5726047 2443620 1134804 1308816 8234863 OBLIGATIONS UNDER CAPITAL LEASES 49026 SECURITY DEPOSITS 318736 367762 18825313 17939426 885887 21914 21914 907801 18847127 21914 21914 18825213 100 100 18825313 17939326 -100 -100 17939426 0 17939426 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: PART X, LINE 2: THE ORGANIZATION 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 HAS DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2010. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTION RECLASS 100. PART XIII, LINE 2D - OTHER ADJUSTMENTS: CONTRIBUTION RECLASS -100. 0 THE ROBERT WOOD JOHNSON FOUNDATION PO BOX 2316 PRINCETON NJ 085432316 226029397 501(C)(3) 19131 CHARITABLE ACTIVITIES OTHER INFORMATION: PART IV: SCHEDULE I, PART I: NO FORMAL PROCESS IS IN PLACE TO MONITOR THE USE OF GRANT FUNDS AS THE ORGANIZATION TYPICALLY ONLY GIVES A DONATION TO EVENTS THAT ARE SPONSORED BY OR BENEFIT THE ROBERT WOOD JOHNSON FOUNDATION OR OTHER 501(C)(3) ORGANIZATIONS. X 0 0 0 0 0 0 0 0 0 JOSEF BOGDAN 137476 0 0 0 0 0 0 0 24746 0 162222 0 0 0 NEHA MERCHANT 147246 0 0 0 0 0 0 0 26054 0 173300 0 0 0 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, LINE 3: CURRENTLY, COMPENSATION FOR THE ADMINISTRATOR AND OTHER EXECUTIVE EMPLOYEES IS DETERMINED THROUGH INFORMAL POLLING. THE ORGANIZATION IS CONSIDERING USING OTHER METHODS, SUCH AS COMPARING THE COMPENSATION PAID TO EMPLOYEES OF SIMILAR-SIZED FACILITIES. NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY 222045817 645918JR5 2007-11-13 18860000 REFINANCE 2000 BONDS, FINANCE CAPITAL IMPROVEMENTS 0 0 0 18860000 18860000 377200 0 1 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 1 1 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION USES A MANAGEMENT COMPANY TO PROVIDE FINANCIAL STATEMENT PREPARATION, ALONG WITH ADMINISTRATIVE SUPPORT AND BILLING SERVICES. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WILL BE REVIEWED AND APPROVED SEPARATELY BY EACH MEMBER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS INTERESTED PERSONS WHICH ARE DEFINED AS ANY DIRECTOR, OFFICER, EMPLOYEE, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED OR OTHER POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST THROUGH A BUSINESS, INVESTMENT OR FAMILY RELATIONSHIP. DUTY TO DISCLOSE - IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE AND NATURE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT OR TO AN APPROPRIATE SUPERVISOR. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE INTERESTED PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INTERESTED PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 CURRENTLY, COMPENSATION FOR THE ADMINISTRATOR AND OTHER EXECUTIVE EMPLOYEES IS DETERMINED THROUGH INFORMAL POLLING. THE ORGANIZATION IS CONSIDERING USING OTHER METHODS, SUCH AS COMPARING THE COMPENSATION PAID TO EMPLOYEES OF SIMILAR-SIZED FACILITIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 21,914. AUDIT OVERSIGHT FORM 990, PART XI, LINE 2C: THE PRESIDENT OF THE BOARD ASSUMES THE RESPONSIBILITY OF THE "AUDIT COMMITTEE". ANY ISSUES, FINDINGS, RESULTS, AND/OR THE AUDIT REPORT ARE REPORTED TO AND REVIEWED BY THE PRESIDENT OF THE BOARD. ONCE THE AUDIT REPORT IS REVIEWED THE PRESIDENT OF THE BOARD WILL PRESENT THE ISSUES, FINDINGS, RESULTS, AND/OR REPORT TO THE FULL BOARD FOR ACTION/APPROVAL. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. SENIORCARE OF HAMILTON LLC 211 SOUTH POND ROAD HOCKESSIN DE 197072325 510393781 NURSING HOME OPERATIONS DE 18825313 15300779 N/A SCHEDULE R PART I: SENIORCARE OF HAMILTON, LLC (THE "ORGANIZATION") IS A DELAWARE LIMITED LIABILITY COMPANY, WHOSE SOLE MEMBER IS SENIORCARE MONTCHANIN, INC. (THE "CORPORATION"), A DELAWARE NONPROFIT CORPORATION. THE ORGANIZATION WAS FORMED FOR THE PURPOSE OF ACQUIRING AND OPERATING A 180-BED NURSING FACILITY LOCATED IN HAMILTON TOWNSHIP, MERCER COUNTY, NEW JERSEY.