2011-11-15T12:45:11-06:00 2010-12-31 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2010-01-01 222051685 BISHOP MCCARTHY RESIDENCE BISH 8563424100 1845 HADDON AVENUE CAMDEN NJ 08103 LAURA J MONTGOMERY 8563424100 2011-11-14 1 JULIUS GREEN CPA 2159720701 2010 2016-02-24 21:20:13Z MARTIN B IDLER 1845 HADDON AVENUE CAMDEN NJ 08103 14131548 0 0928 X WWW.CAMDENDIOCESE.ORG X 1975 NJ A SKILLED NURSING FACILITY LICENSED BY THE NJ DEPARTMENT OF HEALTH AND HUMAN SERVICES. 8 6 411 50 0 0 132163 153366 14786377 13847083 66425 76727 58647 54372 15043612 14131548 0 0 0 0 8976336 9127591 0 0 0 4948289 5131567 13924625 14259158 1118987 -127610 12480342 14304484 4502656 6454408 7977686 7850076 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 12745716 13847083 BISHOP MCCARTHY RESIDENCE OPERATES A 182 BED SKILLED NURSING HOME IN VINELAND, 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, DYPHAGIA THERAPY, IV ANTIBIOTIC THERAPY, ENTERAL NUTRITION, WOUND CARE AND PAIN MANAGEMENT. 12745716 1 1 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 27 0 1 411 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 1 1 1 1 0 0 0 NJ X LAURA J MONTGOMERY CONTROLLER 8563424100 1845 HADDON AVENUE CAMDEN NJ 08103 ALLAN BERNARDINI 5.00 X 0 0 0 WILLIAM J DELIBERIS DPM 5.00 X X 0 0 0 THOMAS P FARNOLY 5.00 X 0 0 0 MARTIN B IDLER 40.00 X X 40355 119666 25443 AMINA MAZZOCHI 5.00 X X 0 0 0 LAWRENCE J READER 40.00 X X 26676 79098 8075 ROBERT G RONE 5.00 X 0 0 0 WALTER WOLFE 5.00 X 0 0 0 LAURA J MONTGOMERY 40.00 X 4092 93070 28772 71123 291834 62290 0 0 1 0 TENDER TOUCH HEALTH CARE SERVICE INC 985 RIVER AVENUE LAKEWOOD NJ 08701 PT, OT & SPEECH 998294 SODEXO INC 9801 WASHINGTONIAN BOULEVARD GAITHERSBURG MD 20878 FOOD MANAGEMENT 299314 2 100000 53366 153366 NET RESIDENT SERVICE R 623000 13847083 13847083 13847083 76727 76727 MEALS REVENUE 900099 34410 34410 RESIDENT PHONE & VENDI 900099 10899 10899 RESIDENT TELEVISION RE 900099 4890 4890 4173 4173 54372 14131548 13847083 0 131099 80789 80789 6573044 5885676 687368 221748 200529 21219 1775375 1572750 202625 476635 454494 22141 16129 16129 28800 28800 1638703 1609748 28955 95013 95013 520097 449156 70941 166450 166450 302336 299343 2993 11710 429 11281 5008 3904 1104 139098 139098 313805 313805 32744 32744 NURSING HOME ASSESSMENT 617253 617253 FOOD 569964 569964 PHARMACY/DRUGS 286244 286244 BAD DEBT EXPENSE 155061 155061 PATIENT ACTIVITIES 104767 104767 128385 83495 44890 14259158 12745716 1513442 0 1000 995 3725185 3250703 1744475 1833761 43358 54912 143869 9088913 3977733 3673182 5111180 3238230 3963976 12480342 14304484 1266639 1263093 171913 155297 32156 3064104 5003862 4502656 6454408 X 7977686 7850076 7977686 7850076 12480342 14304484 -127610 0 X 0 1 1 X 0 X 29379 126066 144353 132163 153366 585327 13241664 13805105 14422586 14786377 13847083 70102815 13271043 13931171 14566939 14918540 14000449 70688142 0 0 0 70688142 35271 28502 33433 66425 76727 240358 35271 28502 33433 66425 76727 240358 50077 14453 2394 58647 54372 179943 13356391 13974126 14602766 15043612 14131548 71108443 0.99410 0.99500 0.00340 0.00290 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: 1. MISCELLANEOUS REVENUE 2. RESIDENT TELEPHONE REV 3. VENDING COMMISSIONS 4. MEALS ON WHEELS 5. RESIDENT TELEVISION REV 6. MEALS REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 75000 75000 8348917 3682850 4666067 664996 294883 370113 5111180 RESIDENT PNA FUNDS 67231 RESIDENT ESCROW FUNDS 155297 DUE FROM AFFILIATES 3741448 3963976 RESIDENT PNA FUNDS 67231 DUE TO THIRD PARTY PAYORS 365192 DUE TO DIOCESE OF CAMDEN 4419088 DUE TO OTHERS 152351 5003862 14131548 14259158 -127610 0 -127610 14349716 218168 218168 14131548 0 14131548 14477326 218168 218168 14259158 0 14259158 PART IV, LINE 2B: PRIVATE PAY RESIDENTS HAVE ONE MONTH'S RENT IN AN INTEREST BEARING ACCOUNT AT WACHOVIA 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 2010. 0 0 0 0 0 0 0 0 0 MARTIN B IDLER 40355 119666 0 0 0 0 2623 7778 3794 11248 46772 138692 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 FORM 990, PART VI, SECTION A, LINE 7B: 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 AND 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, SECTION B, LINE 12C BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND ARE REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. MANAGEMENT HAS A PROCESS IN PLACE TO REVIEW THE CONFLICTS OF INTEREST. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST TO THE DIRECTORS AND MEMBERS OF BOARD-DELEGATED POWERS. THE BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE BOARD WILL THEN DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND DECIDED WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. 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 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. MATER DEI NURSING HOME 1845 HADDON AVENUE CAMDEN NJ 08103 221840494 HEALTH CARE NJ 501(C)(3) LINE 9 N/A 0 SAINT MARY'S CATHOLIC HOME 1845 HADDON AVENUE CAMDEN NJ 08103 210634535 HEALTH CARE NJ 501(C)(3) LINE 9 N/A 0 OUR LADY'S RESIDENCE 1845 HADDON AVENUE CAMDEN NJ 08103 221807020 HEALTH CARE NJ 501(C)(3) LINE 9 N/A 0 DIOCESE OF CAMDEN 1845 HADDON AVENUE CAMDEN NJ 08103 HEALTH CARE NJ 501(C)(3) LINE 1 N/A 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 1 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0