2024-09-19T18:13:48-05:00 2023-12-31 WithumSmithBrown PC 331 NEWMAN SPRINGS RD STE 125 RED BANK NJ 077076765 990 2023-01-01 760847915 MARGARET ANNA CUSACK CARE CENTER INC % KYLE HREBEN MARG 2016538300 537 PAVONIA AVENUE JERSEY CITY NJ 07306 KYLE HREBEN CEO 2016538300 2024-08-30 true true MICHAEL A SERLUCO CPA P00960315 7328423113 2024-08-30 2023 2024-08-08 14:25:15Z PEACE CARE ST JOSEPH'S KYLE HREBEN 537 PAVONIA AVENUE JERSEY CITY NJ 07306 17498961 false 0928 X WWW.PEACECARENJ.ORG X 2006 NJ PROVIDING SKILLED NURSING CARE ROOTED IN CATHOLIC TRADITION FOR THE ELDERLY. 5 3 213 3 0 0 599120 474629 13416240 14173196 -31804 370307 2027 0 13985583 15018132 11194 0 0 0 9561322 11522055 0 0 91871 5879800 6470396 15452316 17992451 -1466733 -2974319 20747629 20421975 6247256 8245784 14500373 12176191 X MARGARET ANNA CUSACK CARE CENTER, INC. (THE CENTER) IS A COMMUNITY OF SKILLED, COMPASSIONATE CAREGIVERS, ROOTED IN CATHOLIC TRADITION AND THE VALUES OF THE SISTERS OF ST. JOSEPH OF PEACE. THE CENTER PROVIDES CARE WITH DIGNITY FOR THE HEALING OF THE WHOLE PERSON. false false 623110 15749960 14173196 MARGARET ANNA CUSACK CARE CENTER INC. DBA PEACE CARE ST. JOSEPH'S (THE "CENTER") IS A NONPROFIT ORGANIZATION WHICH OPERATES A 139-BED NURSING HOME IN JERSEY CITY, NEW JERSEY. THE CENTER PROVIDES LONG-TERM, POST-ACUTE AND RESPITE CARE SERVICES. POST-ACUTE CARE IS A SHORT-TERM REHABILITATION SERVICE PROVIDED TO A PATIENT FOLLOWING SURGERY, HOSPITALIZATIONS, INJURY, OR A DISABILITY. THE SHORT-TERM REHABILITATION SERVICES INCLUDE SKILLED NURSING, SOCIAL SERVICES FOR THE OVERALL WELL-BEING OF THE PATIENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND/OR SPEECH THERAPY PROVIDED BY HIGHLY TRAINED STAFF. RESPITE CARE IS A SHORT-TERM STAY AVAILABLE FOR A VARIETY OF CARE LEVELS FOR PATIENTS WHO NEED EXTRA ASSISTANCE BEFORE RETURNING HOME AFTER A HOSPITAL STAY OR SIMPLY FOR CARETAKERS WHO NEED A BREAK FROM TAKING CARE OF THEIR FAMILY MEMBER. 15749960 true true false true false false false false true false true false true false true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 28 0 true 213 true false false false false false true true false false false false false false X 5 3 false true false false true true true true true false false true true true true true true true false false NJ X X KYLE HREBEN 2016538300 537 PAVONIA AVENUE JERSEY CITY NJ 07306 KYLE HREBEN MBA LNHA TRUSTEE - CEO 19.5 20.5 X X 0 272698 13117 JANE SUPUKO NURSING SUPERVISOR 37.5 0.0 X 222278 0 13644 SUSSIE MENSAH-NARH ASSISTANT DIRECTOR OF NURSING 40.0 0.0 X 203485 0 13464 EVERYLYNE G OMBIRO NURSING SUPERVISOR 37.5 0.0 X 184367 0 23305 DONALD LYNCH TRUSTEE - PCSJ ADMN 40.0 0.0 X X 173159 0 0 RACQUEL PALMER NURSING SUPERVISOR 37.5 0.0 X 144204 0 20260 ELIZA AGUILAR RN STAFF NURSE 37.5 0.0 X 121534 0 51 CATHERINE YAXLEY MBACPARN SECRETARY - TRUSTEE 2.0 4.0 X X 0 0 0 SILVANA BUCCIANTI TREASURER - TRUSTEE 2.0 3.0 X X 0 0 0 CHRISTINE BACKIEL CSJP CHAIRPERSON 2.0 3.0 X X 0 0 0 1049027 272698 83841 11 false true false ST BERNADINE HOME CARE SERVICES 591 SUMMIT AVE SUITE 411 JERSEY CITY NJ 07306 TEMPORARY STAFFING 195059 2 474629 474629 NET PATIENT SERVICE REVENUE 623110 14160698 14160698 OTHER HEALTHCARE RELATED REVENUE 623110 12498 12498 14173196 91711 0 91711 0 0 0 0 0 2759425 2480829 278596 278596 278596 0 0 0 0 0 0 0 0 0 0 15018132 14173196 0 370307 0 0 0 0 173159 103895 69264 0 9356089 8407743 879757 68589 62500 56036 6020 444 1922607 1723775 185185 13647 7700 6904 742 54 83778 63724 19901 153 46920 35689 11146 85 61531 46803 14616 112 0 0 2489 2489 342326 260385 81318 623 52086 39618 12373 95 346767 263763 82373 631 89529 68099 21267 163 0 485620 369379 115357 884 11877 9034 2821 22 0 5205 3959 1236 10 0 0 802802 625213 175153 2436 230677 175460 54796 421 MEDICAL SUPPLIES 1906350 1555241 348118 2991 PATIENT FOOD & NOURISHMENTS 515273 515273 NJ STATE ASSESSMENT 412946 412946 REPAIRS & MAINTENANCE 280736 213537 66688 511 793484 793484 17992451 15749960 2150620 91871 X 730080 1036140 172090 36264 0 0 1748713 2613750 0 0 0 0 0 0 31898 31898 128421 151108 33866639 20542816 14016904 13323823 0 0 0 0 3447033 2818803 0 0 472490 410189 20747629 20421975 1485309 2978978 0 0 13889 13889 0 0 139611 242 0 0 0 0 0 0 4608447 5252675 6247256 8245784 X 14312564 11969780 187809 206411 14500373 12176191 20747629 20421975 X -2974319 20255 629882 X X false true X true false X 785395 3250820 409352 599120 474629 5519316 14760950 13164527 13180141 13416240 14173196 68695054 0 0 0 15546345 16415347 13589493 14015360 14647825 74214370 0 6917 6917 6917 6917 74207453 137451 110725 76718 104099 96206 525199 0 137451 110725 76718 104099 96206 525199 0 137192 10358 27614 11000 30 186194 15820988 16536430 13693825 14130459 14744061 74925763 0.99041 0.98951 0.00701 0.00733 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false false false false false SCHEDULE C, PART ll-B; LINE 1l This organization is a member of Leading Age New Jersey & Delaware and Leading Age National, both of which engage in lobbying efforts on behalf of member organizations. A portion of the dues paid to these organizations may relate to lobbying activities on behalf of Peace Care St. Joseph's. false true X 2281004 2281004 30619109 19919911 10699198 343266 92557 250709 623260 530348 92912 13323823 UNSOLD DONATED STOCK 116625 F PROVIDENT INVESTMENTS 16610 F CBIS INVESTMENTS 2685568 F 2818803 0 DUE TO AFFILIATES 1361692 ACCRUED PENSION PAYABLE 2898747 DUE TO THIRD PARTIES 936872 OTHER LIABILITIES 36022 LEASE LIABILITIES 19342 5252675 15083052 20255 42629 62884 15020168 -2036 -2036 15018132 18037116 42629 42629 17994487 -2036 -2036 17992451 SCHEDULE D, PART IV; LINE 2B The organization maintains separate bank accounts for resident security deposits and personal funds received on behalf of numerous residents. The organization has fiduciary responsibility for the administration of the bank accounts and the distribution of the funds to residents. X X X false false false false false false false true false JANE SUPUKO NURSING SUPERVISOR 222278 0 0 0 0 0 893 0 12751 0 235922 0 0 0 EVERYLYNE G OMBIRO NURSING SUPERVISOR 184367 0 0 0 0 0 893 0 22412 0 207672 0 0 0 SUSSIE MENSAH-NARH ASSISTANT DIRECTOR OF NURSING 194532 0 5000 0 3953 0 393 0 13071 0 216949 0 0 0 RACQUEL PALMER NURSING SUPERVISOR 144204 0 0 0 0 0 393 0 19867 0 164464 0 0 0 KYLE HREBEN MBA LNHA TRUSTEE - CEO 0 225586 0 35000 0 12112 0 0 0 13117 0 285815 0 0 DONALD LYNCH TRUSTEE - PCSJ ADMN 171635 0 0 0 1524 0 0 0 0 0 173159 0 0 0 CORE FORM, PART VII AND SCHEDULE J TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2023 FORMS W-2. SCHEDULE J, PART I, QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2023 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. CORE FORM, PART VI, SECTION A; QUESTION 3 The organization is an affiliate within Peace Care, Inc. and affiliates. This organization has a financial management services agreement with Holy Name Medical Center, Inc.; an internal revenue code section 501(c)(3) tax-exempt hospital organization. Through this agreement, Holy Name provides this organization with certain back office financial support services and financial management services. Peace Care, Inc. is a related 501(C)(3) tax-exempt organization that serves as the parent entity of this organization. Peace Care, Inc. provides this organization with certain centralized administrative services, including management, finance, human resources, marketing, public relations and development. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 Peace Care, Inc. is the sole member of this organization. Peace Care, Inc. has the ultimate authority and right to elect the members of this organization's board of trustees and has certain reserved powers as defined in this organization's bylaws. CORE FORM, PART VI, SECTION B; QUESTION 11B The organization is an affiliate within Peace Care, Inc. and affiliates ("system"). The organization's federal form 990 was provided to each voting member of the organization's governing body prior to filing of the form 990 with the internal revenue service ("irs"). As part of the tax return preparation process the organization hired a professional certified public accounting ("CPA") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The CPA firm's tax professionals worked closely with the system's finance personnel and various other system individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The CPA firm prepared a draft federal form 990 and furnished it to the system's internal working group for their review. The internal working group reviewed the draft federal form 990 and discussed questions and comments with the CPA firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the CPA firm to the internal working group for final review. Following this review, the form 990 was then presented to Peace Care, Inc.'s audit and compliance committee and provided to the organization's governing body prior to filing with the irs. CORE FORM, PART VI, SECTION B, LINE 12C The organization is an affiliate within Peace Care, Inc. and affiliates ("system"). The organization and system regularly monitor and enforce compliance with its conflict of interest policy. The primary purpose of the policy is to ensure that the board and executive staff can make decisions in an objective manner without undue influence by interested persons and to ensure that the organization fulfills its charitable purposes. Each board member and principal officer with board delegated power shall annually sign a statement which affirms that such persons have complied with the following: 1) received a copy of this policy, 2) read and understand this policy, 3) agreed to comply with this policy, 4) understand that the organization is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes and, 5) disclosed activities and financial interests which may result in a conflict of interest. Potential conflicts are discussed at the appropriate audit committee meeting and a decision on how to handle is voted on in the absence of the individual who has a conflict. CORE FORM, PART VI, SECTION B, LINE 15A THE ORGANIZATION IS AN AFFILIATE WITHIN PEACE CARE, INC. AND AFFILIATES ("SYSTEM"). THE ORGANIZATION HAS A COMPENSATION COMMITTEE ("COMMITTEE") OF THE BOARD OF TRUSTEES. THE COMPENSATION AND BENEFITS OF THIS ORGANIZATION'S OFFICER(S) ARE REVIEWED BY THE COMMITTEE ON AN ANNUAL BASIS TO ENSURE FAIR MARKET VALUE COMPENSATION IS PAID. WHERE APPROPRIATE, THE COMMITTEE ALSO REVIEWS EXTERNAL COMPARABLE DATA AND SEEKS ADVICE FROM EXTERNAL INDUSTRY CONSULTANTS. CORE FORM, PART VI, SECTION C; QUESTION 18 Pursuant to State of New Jersey P.L. 2021, Chapter 457, (which was effective on November 1, 2022), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS. CORE FORM, PART VI, SECTION C; QUESTION 19 The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the State of New Jersey Department of the Treasury. In addition, the organization's conflict of interest policy and audited financial statements are available upon request. CORE FORM, PART VII AND SCHEDULE J Core form, part vii and schedule j reflect certain board members and officers receiving compensation and benefits from this organization or a related organization. Please note that this remuneration was for services rendered as full-time employees of the organization or a related organization and not for services rendered as a voting member or officer of this organization's board of trustees. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - CHANGE IN DEFINED BENEFIT PENSION PLAN - $629,882. CORE FORM, PART XII; QUESTION 2 The organization is an affiliate within Peace Care, Inc. and affiliates ("system"). An independent CPA firm audited the consolidated financial statements of Peace Care, Inc. and affiliates, for the years ended December 31, 2023 and December 31, 2022; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent CPA firm issued an unmodified opinion with respect to the audited consolidated financial statements each year. In addition, an independent CPA firm audited the separate financial statements of Peace Care St. Joseph's, for the years ended December 31, 2023 and December 31, 2022; respectively. The independent CPA firm issued an unmodified opinion with respect to the audited separate financial statements each year. Peace Care, Inc.'s audit and compliance committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes this organization and the selection of an independent auditor. PEACE CARE INC 198 OLD BERGEN ROAD JERSEY CITY NJ 07305 812589807 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) PEACE MINIST false ST ANN'S HOME FOR THE AGED CORP 198 OLD BERGEN ROAD JERSEY CITY NJ 07305 222823794 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) PEACE CARE false PEACE MINISTRIES INC 399 HUDSON TERRACE ENGLEWOOD CLIFFS NJ 07632 465202238 RELIGIOUS NJ 501(C)(3) 509(A)(1) NA false false false true true false false false false false false false false false true true true true false false SCHEDULE R, PART V This organization is a member of Peace Care, Inc. and affiliates ("system"). Funds are routinely transferred between affiliates and business activities are common on behalf of the system's affiliates, including this organization. These transactions may be recorded on the revenue/expense and balance sheet statements of this organization and other affiliates. These entities work together to deliver high quality cost effective healthcare and wellness services to their communities and in furtherance of charitable tax-exempt purposes.