2023-09-15T14:00:43-05:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 202937952 THE FRANCIS E PARKER ASSISTED LIVING CENTER INC FRAN 7325458330 1421 RIVER ROAD PISCATAWAY NJ 08854 EDWARD MATTHEWS CFO 7325458330 2023-09-14 1 EDWARD MATTHEWS XXX-XX-XXXX 0 KERRI N BOGDA CPA P00760402 7177404863 2023-09-14 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERTO MUNIZ 1421 RIVER ROAD PISCATAWAY NJ 08854 4222516 0 X WWW.PARKERLIFE.ORG X 2005 NJ PROVIDES TRANSFORMATIVE AND CHARITABLE ASSISTED LIVING SERVICES. 16 15 66 29 0 0 251694 0 3734630 4045989 -14881 -2159 135644 151671 4107087 4195501 0 0 0 0 4498591 4729885 0 0 0 3536397 3537903 8034988 8267788 -3927901 -4072287 20969420 19740650 210655 231541 20758765 19509109 X FRANCIS E. PARKER ASSISTED LIVING CENTER INC. PROVIDES TRANSFORMATIVE AND CHARITABLE LONG TERM CARE SERVICES IN HOME-LIKE SETTINGS WHILE ADVANCING LEARNING OPPORTUNITIES FOR NURSES, HEALTH CARE PROFESSIONALS AND CAREGIVERS. 0 0 7205838 0 4045989 THE FRANCIS E PARKER ASSISTED LIVING CENTER PROVIDES HIGH-QUALITY ASSISTED LIVING CARE AT THE LOWEST FEASIBLE COST. CARE IS PROVIDED IN THE LEAST RESTRICTIVE AND HOME-LIKE ENVIRONMENT POSSIBLE. ALSO KNOWN AS PARKER AT STONEGATE, IT IS AN ASSISTED LIVING RESIDENCE AND HEALTH AND WELLNESS CENTER LOCATED IN HIGHLAND PARK, NEW JERSEY, SERVING THE NEEDS OF APPROXIMATELY 70 RESIDENTS. THE AVERAGE DAILY CENSUS FOR 2022 WAS 58.RESIDENTS ENJOY INDEPENDENCE AND LIFESTYLE CHOICES. SERVICES ARE DESIGNED TO ALLOW RESIDENTS TO LIVE AND THRIVE IN AN INDEPENDENT YET SECURE ENVIRONMENT THAT EMBRACES PERSONAL GROWTH AND ENRICHMENT. PARKER AT STONEGATE PROVIDES NURSING AND PERSONAL CARE 24 HOURS A DAY, SEVEN DAYS A WEEK. 7205838 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 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 X 0 0 66 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X EDWARD MATTHEWS CFO 7324188614 1421 RIVER ROAD PISCATAWAY NJ 08854 ROBERTO MUNIZ MPA FLNHA PRESIDENT/CEO 3.00 37.00 X X 0 554286 54958 MARGUERITE K SCHLAG EDD RN CHAIR 2.00 12.00 X X 0 0 0 SCOTT E TOWNSLEY ESQ VICE-CHAIR 0.60 3.40 X X 0 0 0 JOHN A PAPA TREASURER 2.00 12.00 X X 0 0 0 JOSEPH G BRAUNREUTHER ESQ SECRETARY 2.00 12.00 X X 0 0 0 WILLIAM R HAGAMAN JR TRUSTEE 0.60 3.40 X 0 0 0 WILLIAM P TIBBITT TRUSTEE 0.60 3.40 X 0 0 0 ALFRED F TALLIA MD MPH TRUSTEE 0.60 3.40 X 0 0 0 JOSEPH FERRO MD TRUSTEE 0.60 3.40 X 0 0 0 CLIFFORD E HOLLAND TRUSTEE 0.60 3.40 X 0 0 0 PENELOPE LATTIMER PHD TRUSTEE 0.60 3.40 X 0 0 0 STEPHEN LANDERS MD TRUSTEE 0.60 3.40 X 0 0 0 JAMES FERRARE TRUSTEE 0.60 3.40 X 0 0 0 MAJD ALWAN PHD TRUSTEE 0.60 3.40 X 0 0 0 JOSEPH DOYLE TRUSTEE 0.60 3.40 X 0 0 0 LARRY JONES TRUSTEE 0.60 3.40 X 0 0 0 EDWARD MATTHEWS CFO 3.00 37.00 X 0 282523 29158 FREDA A ACQUAYE CHARGE NURSE 40.00 0.00 X 130489 0 13728 CATHERINE MARTINO CERTIFIED ASST LIVING ADMINISTRATOR 40.00 0.00 X 130104 0 23391 JACQUELINE OUEDRAOGO DIRECTOR OF NURSING 40.00 0.00 X 123516 0 15207 384109 836809 136442 3 0 1 0 HAWKS & COMPANY 1000 DELSEA DRIVE WESTVILLE NJ 08093 HVAC SERVICES 153377 1 NET RESIDENT SRVC REV 623000 4045989 4045989 4045989 88000 24856 63144 63144 63144 2159 -2159 -2159 -2159 COMMUNITY FEE 623000 40500 40500 CATERING/CAFE/STORE 623000 22240 22240 SALON 623000 20487 20487 5300 5300 88527 4195501 4045989 0 149512 3379243 3032615 346628 350307 314374 35933 682144 612173 69971 318191 285552 32639 168649 131301 37348 4350 4350 97020 84337 12683 306265 306265 421870 421870 7604 7604 4824 4824 1550400 1550400 205294 205294 FOOD 447813 447813 REPAIRS & MAINTENANCE 200759 200759 MEDICAL SUPPLIES 54395 54395 RESIDENT ACTIVITIES 39254 39254 29406 23391 6015 8267788 7205838 1061950 0 300 150 759489 524212 37340 28703 31224 19396 40231073 21062884 20141067 19168189 20969420 19740650 60423 71924 150232 159617 210655 231541 X 20758765 19509109 20758765 19509109 20969420 19740650 X -4072287 2822631 X 0 1 X 1 0 X X 1 THE FRANCIS E PARKER MEMORIAL HOME 221589209 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3300 3300 34309721 17602438 16707283 5822441 3460446 2361995 95611 95611 19168189 DEPOSIT 159617 159617 7042988 2822631 2822631 4220357 -24856 -24856 4195501 8292644 24856 24856 8267788 0 8267788 PART XI, LINE 2D - OTHER ADJUSTMENTS: EQUITY TRANSFER FROM RELATED ENTITY 2,822,631. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSE -24,856. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 24,856. 0 0 0 0 0 0 0 1 0 ROBERTO MUNIZ MPA FLNHA PRESIDENT/CEO 0 482719 0 70048 0 1519 0 0 0 54958 0 609244 0 0 EDWARD MATTHEWS CFO 0 250028 0 31721 0 774 0 0 0 29158 0 311681 0 0 CATHERINE MARTINO CERTIFIED ASST LIVING ADMINISTRATOR 119523 0 10225 0 356 0 0 0 23391 0 153495 0 0 0 PART I, LINE 3 A RELATED ORGANIZATION, PARKER HEALTH GROUP, INC., USES AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE CEO. PART I, LINE 7 EXECUTIVES AND MANAGEMENT PERSONNEL RECEIVED BONUSES AS PART OF THEIR COMPENSATION FOR THE YEAR 2022. THE BONUSES ARE BASED UPON PERFORMANCE EVALUATONS THAT REFLECT PREVIOUSLY AGREED UPON GOALS AND OBJECTIVES WHICH HAVE BOTH FINANCIAL AND NON-FINANCIAL ELEMENTS. FORM 990, PART V, LINES 2A & 2B THE FILING ENTITY IS AN AFFILIATE IN A GROUP OF WHICH PARKER HEALTH GROUP, INC.(EIN 81-5241497) IS CONSIDERED A COMMON PAY AGENT FOR W-2 REPORTING. PARKER HEALTH GROUP REPORTS ALL EMPLOYEES ON ITS FORM W-3, HOWEVER, EACH AFFILIATE HAS EMPLOYEES ALLOCATED TO THAT ENTITY. PER IRS INSTRUCTIONS, EMPLOYEES LISTED ON PART V, LINE 2A ARE THOSE WHO HAVE BEEN DEEMED TO BE EMPLOYEES OF THIS ORGANIZATION. THE FRANCIS E PARKER ASSISTED LIVING CENTER DOES NOT, HOWEVER, REPORT THESE EMPLOYEES ON A SEPARATE W-3 UNDER ITS OWN EIN. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS PARKER HEALTH GROUP, INC., A RELATED TAX-EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER, PARKER HEALTH GROUP, INC. HAS THE POWER TO ELECT MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, PARKER HEALTH GROUP, INC. HAS THE POWER TO ALTER, AMEND OR REPEAL THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT PERFORMS AN INITIAL REVIEW OF THE FORM 990. ONCE MANAGEMENT IS SATISFIED, THE FINANCE COMMITTEE SUBSEQUENTLY REVIEWS THE RETURN IN DETAIL. BOARD MEMBERS ARE THEN PROVIDED WITH COPIES OF THE RETURN PRIOR TO THE RETURN BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. ANY TRUSTEE, OFFICER, OR KEY EMPLOYEE WHO HAS AN INTEREST IN A CONTRACT OR OTHER TRANSACTION PRESENTED TO THE BOARD OF TRUSTEES OR A COMMITTEE THEREOF SHALL MAKE A PROMPT AND FULL DISCLOSURE OF THE INTEREST TO THE BOARD OF TRUSTEES OR COMMITTEE PRIOR TO ITS ACTING ON SUCH CONTRACT OR TRANSACTION. THE BOARD OF TRUSTEES OR COMMITTEE TO WHICH DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST IS MADE SHALL DETERMINE, BY A MAJORITY VOTE, WHETHER A CONFLICT OF INTEREST EXISTS OR CAN REASONABLY BE CONSTRUED TO EXIST. IF A CONFLICT IS DEEMED TO EXIST, THE INTERESTED PERSON SHALL NOT VOTE ON, NOR USE PERSONAL INFLUENCE ON, NOR PARTICIPATE (OTHER THAN TO PRESENT FACTUAL INFORMATION OR TO RESPOND TO QUESTIONS) IN THE DISCUSSIONS OR DELIBERATIONS WITH RESPECT TO SUCH CONTRACT OR TRANSACTION. SUCH PERSON MAY BE COUNTED IN DETERMINING WHETHER A QUORUM IS PRESENT BUT MAY NOT BE COUNTED WHEN THE BOARD OF TRUSTEES OR A COMMITTEE OF THE BOARD OF TRUSTEES TAKES ACTION ON THE TRANSACTION. THE MINUTES OF THE MEETING SHALL REFLECT THE DISCLOSURE MADE, THE VOTE THEREON AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION, AND WHETHER A QUORUM WAS PRESENT. THE FULL BOARD MONITORS THE CONFLICT OF INTEREST POLICY AND WORKS WITH ORGANIZATION PERSONNEL TO ENSURE THAT ALL BOARD MEMBERS COMPLETE THE ANNUAL STATEMENTS. FOLLOW-UP IS PROVIDED BY LEGAL COUNSEL, IF NECESSARY. WHILE THE CONFLICT OF INTEREST POLICY DOES NOT EXPLICITLY STATE FAMILY AND BUSINESS RELATIONSHIPS, IT IS UNDERSTOOD THAT THESE RELATIONSHIPS MAY BE A SOURCE OF POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER FROM RELATED ENTITY 2,822,631. FORM 990, SCHEDULE J, PART II: THE ORGANIZATION HAS A PENSION WHICH IS AVAILABLE TO ALL EMPLOYEES. THE PENSION CONTRIBUTIONS ARE DERIVED FROM ACTUARIAL FORMULAS WHICH TAKE INTO CONSIDERATION ALL EMPLOYEES; THE CALCULATIONS ARE NOT BASED ON INDIVIDUALS NOR ARE THE ORGANIZATION'S CONTRIBUTIONS SET ASIDE FOR SPECIFIC EMPLOYEES. SUBSEQUENTLY, NO PENSION OR DEFERRED INCOME IS REFLECTED IN SCHEDULE J, PART VII, COLUMN C. THE FRANCIS E PARKER MEMORIAL HOME 1421 RIVER ROAD PISCATAWAY NJ 08854 221589209 NURSING HOME CARE NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER HOME AND COMMUNITY BASED SERVICES INC 1421 RIVER ROAD PISCATAWAY NJ 08854 261887505 ADULT DAY HEALTH SERVICES NJ 501(C)(3) LINE 12A, I PARKER HEALTH GROUP INC 0 PARKER AT MONROE INC 1422 RIVER ROAD PISCATAWAY NJ 08854 471335159 NURSING HOME CARE NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER REHABILITATION SERVICES 1421 RIVER ROAD PISCATAWAY NJ 08854 471958020 REHABILITATION SERVICES NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER AT SOMERSET INC 1421 RIVER ROAD PISCATAWAY NJ 08854 471944928 NURSING HOME CARE NJ 501(C)(3) LINE 3 PARKER HEALTH GROUP INC 0 PARKER HEALTH GROUP INC 1421 RIVER ROAD PISCATAWAY NJ 08854 815241497 NURSING HOME CARE NJ 501(C)(3) LINE 12B, II N/A 0 PARKER FOUNDATION INC 1421 RIVER ROAD PISCATAWAY NJ 08854 364858938 NURSING HOME CARE NJ 501(C)(3) LINE 12B, II PARKER HEALTH GROUP INC 0 PARKER AT EAST WINDSOR INC 1421 RIVER ROAD PISCATAWAY NJ 08854 471890220 NURSING HOME CARE NJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1