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ST ANNES NURSING CENTER ST ANNES RESIDENCE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ST ANNES NURSING CENTER ST ANNES RESIDENCE INC (EIN 59-2522488)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-12
IRS object ID
202442259349300634
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-12T12:45:18-04:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN650809907PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHARLES A NICHOLS CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12900 E OAKLAND PARK BLVD 3RD FLAddressLine1Txt
CityFORT LAUDERDALECityNm
State AbbreviationFLStateAbbreviationCd
ZIP33306ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592522488EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ANNE'S NURSING CENTERBusinessNameLine1Txt
Business Name Line2ST ANNE'S RESIDENCE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSTANBusinessNameControlTxt
Phone3052524000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111855 QUAIL ROOST DRIVEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33177ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURA WILSONPersonNm
Person TitleDIRECTOR OF FINANCEPersonTitleTxt
Phone3052524000PhoneNum
Signature2024-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES A NICHOLSPreparerPersonNm
PTINP01403613PTIN
Phone9545644333PhoneNum
Preparation2024-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARY JO FRICKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14790 N STATE ROAD 7AddressLine1Txt
CityLAUDERDALE LAKESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33319ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,247,016GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES NURSING AND ASSISTED CARE TO INDIVIDUALS OF ALL FAITHS REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee243TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$586,604PYContributionsGrantsAmt
CY Contributions Grants$93,891CYContributionsGrantsAmt
PY Program Service Revenue$20,945,162PYProgramServiceRevenueAmt
CY Program Service Revenue$24,131,836CYProgramServiceRevenueAmt
PY Investment Income$5,900PYInvestmentIncomeAmt
CY Investment Income$10,424CYInvestmentIncomeAmt
PY Other Revenue$4,945PYOtherRevenueAmt
CY Other Revenue$10,865CYOtherRevenueAmt
PY Total Revenue$21,542,611PYTotalRevenueAmt
CY Total Revenue$24,247,016CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,004,688PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,190,602CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,082,241PYOtherExpensesAmt
CY Other Expenses$15,299,421CYOtherExpensesAmt
PY Total Expenses$23,086,929PYTotalExpensesAmt
CY Total Expenses$25,490,023CYTotalExpensesAmt
PY Revenues Less Expenses-$1,544,318PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,243,007CYRevenuesLessExpensesAmt
Total Assets BOY$10,903,796TotalAssetsBOYAmt
Total Assets EOY$11,594,693TotalAssetsEOYAmt
Total Liabilities BOY$16,040,874TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,974,778TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,137,078NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$6,380,085NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION PROVIDES NURSING AND ASSISTED CARE TO INDIVIDUALS OF ALL FAITHS REGARDLESS OF ABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$23,078,602ExpenseAmt
DescST. ANNE'S NURSING CENTER'S, UNDER THE SPONSPORSHIP OF THE ARCHDIOCESE OF MIAMI,PRIMARY PROGRAM SERVICE IS TO PROVIDE NURSING AND ASSISTED CARE TO INDIVIDUALS OF ALL FAITHS REGARDLESS OF ABILITY TO PAY. EXPENSES ARE INCURRED IN THE CONDUCT OF ACTIVITIES CONSTITUTING THE EXEMPT PURPOSE OF THE NURSING CENTER.Desc
Total Program Service Expenses$23,078,602TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee243EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSANDRA CABEZASPersonNm
Phone3052524000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111855 QUAIL ROOST DRAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33177ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ARISTIDES PALLIN
CEO3.9046.10Yes (X)$0$496,204$43,314
BRIAN KIEDROWSKI
CMO5.9044.10Yes (X)$0$415,205$38,356
DAVID D'AMICO
CFO3.2046.80Yes (X)$0$348,897$41,629
SANDRA CABEZAS
EXEC DIRECTO40.00$168,301$0$14,236Yes (X)
JULIA SHILLINGFORD
DIRECTOR OF40.00$143,525$0$11,789Yes (X)
LAKESHIA MCGILL
NURSE MANAGE40.00$113,782$0$8,060Yes (X)
ATENAS MIESES
REGISTERED N40.00$107,388$0$1,611Yes (X)
LESLIE KENNETH BARNETT
DIRECTOR1.00$0$0$0Yes (X)
CHRISTOPHER CATALLO
DIRECTOR1.00$0$0$0Yes (X)
BUD FARREY
DIRECTOR1.00$0$0$0Yes (X)
AURELIO FERNANDEZ
DIRECTOR1.00$0$0$0Yes (X)
DR MANUEL P ANTON III
DIRECTOR1.00$0$0$0Yes (X)
RALPH LAWSON
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
PATRICIA PALAMARA
DIRECTOR1.00$0$0$0Yes (X)
MARK PANCIERA
DIRECTOR1.00$0$0$0Yes (X)
DR VICTOR ROMANO
DIRECTOR1.00$0$0$0Yes (X)
JULIE S STAUB
DIRECTOR1.00$0$0$0Yes (X)
DR PATRICK TAYLOR
DIRECTOR1.00$0$0$0Yes (X)
SR ELIZABETH A WORLEY
VICE CHAIR/S1.00Yes (X)$0$0$0Yes (X)
J PATRICK FITZGERALD
ASSISTANT SE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$532,996TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,260,306TotReportableCompRltdOrgAmt
Total Other Compensation$158,995TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CATHOLIC HEALTH SERVICES INC
4790 N STATE ROAD 7LAUDERDALE LAKESFL33319MANAGEMENT SERV$2,405,988
SHIFT MED LLC
625 E TWIGGS STREETTAMPAFL33602MED. STAFFING$260,249
MEDICAL STAFFING NETWORK
5201 CONGRESS AVE STE 100BBOCA RATONFL33487MED. STAFFING$224,572
QUALITY CARE REHAB
2685 EXECUTIVE PARK DR NO 4WESTINFL33331THER. STAFFINGF$211,480
CAREERSTAFF FUNLIMITED
2699 LEE ROAD SUITE 330WINTER PARKFL32789NURSE STAFFING$111,845
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$93,891AllOtherContributionsAmt
Total Contributions$93,891TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICES REVENUE$23,585,708$23,585,708
RENTAL INCOME - HOSPICE$521,760$521,760
BARBER AND BEAUTY SHOP$13,455$13,455
RENTAL INCOME- OFFICE$10,688$10,688
OTHER$225$225
FieldValueIRS element (for citing)
Total Program Service Revenue$24,131,836TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,424TotalRevenueColumnAmt
Exclusion$10,424ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Total Revenue Column$10,865TotalRevenueColumnAmt
Related Or Exempt Func Income$10,865RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,865OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,247,016TotalRevenueColumnAmt
Related Or Exempt Func Income$24,129,246RelatedOrExemptFuncIncomeAmt
Exclusion$23,879ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,369,583TotalAmt
Program Services$7,417,942ProgramServicesAmt
Management And General$951,641ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,203,099TotalAmt
Program Services$1,066,304ProgramServicesAmt
Management And General$136,795ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$617,920TotalAmt
Program Services$548,900ProgramServicesAmt
Management And General$69,020ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,852TotalAmt
Management And General$13,852ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$79,767TotalAmt
Management And General$79,767ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,753TotalAmt
Program Services$4,559ProgramServicesAmt
Management And General$194ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,831TotalAmt
Program Services$29,098ProgramServicesAmt
Management And General$3,733ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$976,157TotalAmt
Program Services$865,166ProgramServicesAmt
Management And General$110,991ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$552,601TotalAmt
Management And General$552,601ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MANAGEMENT FEE$2,405,988$2,132,422$273,566
DIETARY CONSULT$2,386,932$2,386,932
REGISTRY NURSES$1,941,025$1,941,025
LICENSES & OTHER TAXES$1,597,158$1,588,010$9,148

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,308,357TotalAmt
Program Services$5,098,244ProgramServicesAmt
Management And General$210,113ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$25,490,023TotalAmt
Program Services$23,078,602ProgramServicesAmt
Management And General$2,411,421ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$932,937BOYAmt
EOY$1,285,400EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,728,087BOYAmt
EOY$3,467,828EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$83,379BOYAmt
EOY$62,255EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$38,462BOYAmt
EOY$79,495EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$22,772,770LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,205,950LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,115,960BOYAmt
EOY$6,566,820EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,971BOYAmt
EOY$132,895EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,903,796BOYAmt
EOY$11,594,693EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,314,580BOYAmt
EOY$2,891,290EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$636,019BOYAmt
EOY$597,589EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,090,275BOYAmt
EOY$14,485,899EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,040,874BOYAmt
EOY$17,974,778EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$5,137,078BOYAmt
EOY-$6,380,085EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$5,137,078BOYAmt
EOY-$6,380,085EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,903,796BOYAmt
EOY$11,594,693EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,243,007ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$450CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,325,309CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$700,526CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$586,604CurrentTaxYearMinus1YearAmt
Current Tax Year$93,891CurrentTaxYearAmt
Total$4,706,780TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,422,395CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,915,708CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,557,780CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,945,610CurrentTaxYearMinus1YearAmt
Current Tax Year$24,129,246CurrentTaxYearAmt
Total$107,970,739TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$522,553CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,006CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,907CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,497CurrentTaxYearMinus1YearAmt
Current Tax Year$13,455CurrentTaxYearAmt
Total$559,418TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,945,398CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,255,023CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,263,213CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,536,711CurrentTaxYearMinus1YearAmt
Current Tax Year$24,236,592CurrentTaxYearAmt
Total$113,236,937TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$113,236,937PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,807CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,821CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,900CurrentTaxYearMinus1YearAmt
Current Tax Year$10,424CurrentTaxYearAmt
Total$54,996TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,807CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,821CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,900CurrentTaxYearMinus1YearAmt
Current Tax Year$10,424CurrentTaxYearAmt
Total$54,996TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,959,205CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,270,067CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,273,034CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,542,611CurrentTaxYearMinus1YearAmt
Current Tax Year$24,247,016CurrentTaxYearAmt
Total$113,291,933TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$919,946OtherCostOrOtherBasisAmt
Book Value$919,946BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,840,282OtherCostOrOtherBasisAmt
Depreciation$12,275,124DepreciationAmt
Book Value$4,565,158BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,794,867OtherCostOrOtherBasisAmt
Depreciation$3,930,826DepreciationAmt
Book Value$864,041BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$217,675OtherCostOrOtherBasisAmt
Book Value$217,675BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,566,820TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AFFILIATES$13,964,150
THIRD PARTY PAYOR SETTLEMENTS$342,753
PATIENT/RES. FUNDS HELD$90,285
LEASE LIABILITIES$88,711
FieldValueIRS element (for citing)
Total Liability$14,485,899TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
ARISTIDES PALLIN
CEO$496,204$24,290$19,024$539,518
BRIAN KIEDROWSKI
CMO$415,205$28,951$9,405$453,561
DAVID D'AMICO
CFO$348,897$24,115$17,514$390,526
SANDRA CABEZAS
EXEC DIRECTOR$168,301$13,101$1,135$182,537
JULIA SHILLINGFORD
DIRECTOR OF NURSING$143,525$10,551$1,238$155,314

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF HIALEAH GARDENS SER 2015BusinessNameLine1Txt
Business Name Line2FACILITIES AUTHORITYBusinessNameLine2Txt
FieldValueIRS element (for citing)
Bond Issuer EIN811189388BondIssuerEIN
Bond Issued2016-01-28BondIssuedDt
Issue Price$776,654IssuePriceAmt
PurposeREFI 2007 SERIES BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingYes (true)PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Bond Defeased$722,522BondDefeasedAmt
Total Proceeds$776,654TotalProceedsAmt
Issuance Costs From Proceeds$7,400IssuanceCostsFromProceedsAmt
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsYes (true)RefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdfalseProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PURPOSE OF ISSUE DESCRIPTIONCITY OF HIALEAH GARDENS SER. 2015 REFI 2007 SERIES BONDS
DATE REBATE COMPUTATION PERFORMEDCITY OF HIALEAH GARDENS SER. 2015 08/15/23

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 7ATHE SOLE MEMBER, IS THE ARCHBISHOP OF THE ARCHDIOCESE OF MIAMI AND HIS SUCCESSORS IN OFFICE, HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS.
FORM 990, PAGE 6, PART VI, LINE 7BTHE SOLE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS AND TO DETERMINE ANY MATTER WHICH MAY BE PROPERLY BROUGHT BEFORE THE MEMBERS FOR ACTION.
FORM 990, PAGE 6, PART VI, LINE 11BTHE DIRECTOR OF FINANCE AND CFO CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. FORM 990 IS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE THE RETURN IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12CALL EMPLOYEES AND DIRECTORS ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ARE PROVIDED WITH THE POLICY UPON HIRE. THE POLICY IS REVIEWED ANNUALLY BY THE CORPORATE COMPLIANCE OFFICER, WHO ALSO DETERMINES WHETHER A CONFLICT MAY EXIST. PER POLICY, EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. IF A CONFLICT OF INTEREST OCCURS, IT IS INVESTIGATED AND THE RESULTS ARE REPORTED TO THE GOVERNING BODY. LEGAL AND DISCIPLINARY ACTION AND RESTRICTIONS ARE IDENFIFIED ON AN INDIVIDUAL BASIS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE TOP OFFICIAL. THE BOARD OF DIRECTORS IS INDEPENDENT WITH RESPECT TO COMPENSATION AND BENEFITS. TOTAL COMPENSATION ANALYSIS IS CONDUCTED BY AN INDEPENDENT CONSULTANT WHO PROVIDES DATA TO COMPARE COMPENSATION AND BENEFITS FOR SIMILAR POSITIONS WITHIN THE INDUSTRY. COMPENSATION AND BENEFIT CHANGES FOR THE TOP OFFICIAL IS DISCUSSED IN BOARD MEETINGS AND IS PROPERLY DOCUMENTED IN THE MINUTES. FORM 990, PART VII, LINE 1A: AVERAGE HOURS PER WEEK FOR CERTAIN OFFICERS ARE PAID BY CATHOLIC HEALTH SERVICES, A RELATED ORGANIZATION, FOR HOURS WORKED FOR RELATED ORGANIZATIONS AS FOLLOWS: DAVID D'AMICO 46.8 HOURS ARISTIDES PALLIN 46.1 HOURS BRIAN KIEDROWSKI 44.1 HOURS
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART IX, LINE 24EUTILITIES 645,553 82,817 0 HOUSEKEEPING 696,868 0 0 SUPPLIES 632,096 9,105 0 PHYSICAL THERAPY 440,875 0 0 OCCUPATIONAL THERAPY 369,735 0 0 DRUGS 341,830 0 0 LEASES AND CONTRACTS 274,634 35,233 0 LAUNDRY AND LINEN 293,716 0 0 EQUIPMENT RENTAL & MAINT. 202,213 17,162 0 HELP WANTED 152,207 18,552 0 SNF CONSULTANT 123,628 0 0 SPEECH THERAPY 114,071 0 0 MEDICAL DIRECTOR 85,085 10,915 0 BAD DEBTS 83,111 10,662 0 TRANSPORTATION SERV 80,523 0 0 RADIOLOGY 75,510 0 0 LAWN SERVICES 65,645 8,421 0 DIALYSIS 71,440 0 0 MEDICAL RECORDS/TRANSCRIP 49,763 6,384 0 SOCIAL SERV CONSULT 54,633 0 0 DUES AND SUBSCRIPTIONS 53,729 356 0 TELEPHONE 45,732 4,743 0 LAB 34,357 0 0 LINEN REPLACEMENT 22,875 0 0 SPECIAL EVENTS 20,798 0 0 MARKETING 17,074 2,190 0 PHARMACY CONSULTANT 16,218 2,081 0 BARBER & BEAUTY SHOP 12,600 0 0 MISC 10,070 1,292 0 ACLF CONSULTANT 5,173 0 0 FOOD 4,069 0 0 POSTAGE AND SHIPPING 1,563 200 0 PASTORAL CONSULTANTS 850 0 0 TOTAL 5,098,244 210,113 0
FORM 990, PART XI, LINE 9ROUNDING 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
VILLA MARIA HEALTH CARE SERV INC
1050 NE 125TH STREETNORTH MIAMIFL33161592850676HME HEALTHFL501C10NAfalse
VILLA MARIA NURSING & REHAB CENTER
1050 NE 125TH STREETNORTH MIAMIFL33161591284678REHAB FACFL501C10NAfalse
ST JOHN'S REHAB HOSP & NRS CENT
3075 NW 35TH AVENUELAUDERDALE LAKESFL33311591945163REHAB FACFL501C10NAfalse
ST JOSEPH RESIDENCE INC
3485 NW 30TH STREETLAUDERDALE LAKESFL33311650032474ACLFFL501C10NAfalse
CATHOLIC HOME HEALTH OF BROW INC
3075 NW 35TH AVENUELAUDERDALE LAKESFL33311650062205HME HEALTHFL501C10NAfalse
CATHOLIC HEALTH SERVICESINC
4790 N STATE ROAD 7LAUDERDALE LAKESFL33319592645139MGT COMPFL501C10NAfalse
CATHOLIC HEALTH SERVICES FOUNDATION
4790 N STATE ROAD 7LAUDERDALE LAKESFL33319650312041FDRAISINGFL501C12ANAfalse
ARCHDIOCESE OF MIAMI
9401 BISCAYNE BLVDMIAMI SHORESFL33138590865839SPONSORFL501C1NAfalse
CATHOLIC HOSPICE INC
14875 NW 77TH AVENUE SUITE 100MIAMI LAKESFL33014650062530HOSPICEFL501C10NAfalse
CATHOLIC CEMETERIES
11411 NW 25TH STREETMIAMIFL33172590862834CEMETERIESFL501C10NAfalse
CENTRO MATER CHILD CARE SERVICES
8298 NW 103RD STREETHIALEAH GARDENSFL330162202208083301CHILD CAREFL501C10NAfalse
CATHOLIC HEALTH CARE TRANSITIONS
3075 NW 35TH AVENUELAUDERDALE LAKESFL33311453717633MED SERVFL501C10NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd