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ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC (EIN 59-1945163)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-12
IRS object ID
202442259349301304
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)
Return2024-08-12T13:13:05-04:00ReturnTs
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)
EIN591945163EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOHN'S REHABILITATION HOSPITALBusinessNameLine1Txt
Business Name Line2AND NURSING CENTER INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone9547396233PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 NW 35TH AVENUEAddressLine1Txt
CityLAUDERDALE LAKESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33311ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURA WILSONPersonNm
Person TitleDIRECTOR OF FINANCEPersonTitleTxt
Phone9547396233PhoneNum
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$27,109,196GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionST. JOHN'S REHABILITATION HOSPITAL PROVIDES NURSING AND REHABILITATION SERVICES TO INDIVIDUALS OF ALL FAITHS, REGARDLESS OF ANY INDIVIDUALS' ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHIOCESE OF MIAMI HEALTH CARE MISSION.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee330TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$746,121PYContributionsGrantsAmt
CY Contributions Grants$71,021CYContributionsGrantsAmt
PY Program Service Revenue$24,421,001PYProgramServiceRevenueAmt
CY Program Service Revenue$27,014,288CYProgramServiceRevenueAmt
PY Investment Income$15,144PYInvestmentIncomeAmt
CY Investment Income$20,216CYInvestmentIncomeAmt
PY Other Revenue$5,402PYOtherRevenueAmt
CY Other Revenue$3,671CYOtherRevenueAmt
PY Total Revenue$25,187,668PYTotalRevenueAmt
CY Total Revenue$27,109,196CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,459,012PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,918,402CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,587,387PYOtherExpensesAmt
CY Other Expenses$17,217,512CYOtherExpensesAmt
PY Total Expenses$29,046,399PYTotalExpensesAmt
CY Total Expenses$29,135,914CYTotalExpensesAmt
PY Revenues Less Expenses-$3,858,731PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,026,718CYRevenuesLessExpensesAmt
Total Assets BOY$11,485,739TotalAssetsBOYAmt
Total Assets EOY$13,598,477TotalAssetsEOYAmt
Total Liabilities BOY$20,100,372TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,239,829TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$8,614,633NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$10,641,352NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionST. JOHN'S REHABILITATION HOSPITAL PROVIDES NURSING AND REHABILITATION SERVICES TO INDIVIDUALS OF ALL FAITHS, REGARDLESS OF ANY INDIVIDUALS' ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHIOCESE OF MIAMI HEALTH CARE MISSION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$26,971,473ExpenseAmt
DescST. JOHN'S REHABILITATION HOSPITAL IS UNDER THE SPONSORSHIP OF THE ARCHDIOCESE OF MIAMI. IT'S SOLE PROGRAM SERVICE IS TO PROVIDE NURSING REHABILITATION SERVICES TO INDIVIDUALS OF ALL FAITHS,REGARDLESS OF ABILITY TO PAY IN SUPPORT OF THE ARCHDIOCESE OF MIAMI HEALTH CARE MISSION.Desc
Total Program Service Expenses$26,971,473TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
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 HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee330EmployeeCnt
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)
PersonROSEMARIE BAILEYPersonNm
Phone9547396233PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 NW 35 AVENUEAddressLine1Txt
CityLAUDERDALE LAKESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33311ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndIndividual 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
FELISSIA BEAUBRUN
REGISTERED N40.00$236,226$0$21,602Yes (X)
ROSEMARIE BAILEY
EXEC. DIR.32.008.00$188,700$0$12,471Yes (X)
YVONNE DEVEAUX
NURSE, LIC P40.00$132,922$0$12,603Yes (X)
MIRIAM CARNERO
REGISTERED N40.00$130,381$0$11,759Yes (X)
ROSE JEAN-BAPTISTE
NURSE, LIC P40.00$128,299$0$12,264Yes (X)
JEMIMA ALEXIS
REGISTERED N40.00$130,372$0$7,990Yes (X)
LESLIE KENNETH BARNETT
DIRECTOR1.00$0$0$0Yes (X)
CHRISTOPHER CATALLO
DIRECTOR1.00$0$0$0Yes (X)
BUD FARRAY
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 E 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)
SR ELIZABETH A WORLEY SSJ
VICE CHAIR/S1.00Yes (X)$0$0$0Yes (X)
JULIE S STAUB
DIRECTOR1.00$0$0$0Yes (X)
DR PATRICK TAYLOR
DIRECTOR1.00$0$0$0Yes (X)
J PATRICK FITZGERALD
ASSISTANT SE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$946,900TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,260,306TotReportableCompRltdOrgAmt
Total Other Compensation$201,988TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
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$2,825,940
MEDICAL STAFFING NETWORK
5201 CONGRESS AVEBOCA RATONFL33487RECRUITING$446,885
AFFILIATED HEALTHCARE MGT GROUP
1373 BROAD STREET NO 200CLIFTONNJ07003COLLEC. AGENCY$248,549
NEW START DIALYSIS CENTER INC
900 NE 125 STREET SUITE 210NORTH MIAMIFL33161DIALYSIS$125,000
SHIFTMED LLC
7925 JONES BRANCH DRIVE SUITE 1100MCLEANVA22102STAFFING$116,094
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$71,021AllOtherContributionsAmt
Total Contributions$71,021TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICES REVENUE$26,646,359$26,646,359
DDP/LPPF$323,522$323,522
RENTAL INCOME - OFFICE$34,012$34,012
BARBER AND BEAUTY SHOP$10,148$10,148
MISCELLANEOUS$247$247
FieldValueIRS element (for citing)
Total Program Service Revenue$27,014,288TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,216TotalRevenueColumnAmt
Exclusion$20,216ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total Revenue Column$3,671TotalRevenueColumnAmt
Exclusion$3,671ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,671OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,109,196TotalRevenueColumnAmt
Related Or Exempt Func Income$27,003,893RelatedOrExemptFuncIncomeAmt
Exclusion$34,282ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,646,933TotalAmt
Program Services$8,668,542ProgramServicesAmt
Management And General$978,391ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,566,948TotalAmt
Program Services$1,408,028ProgramServicesAmt
Management And General$158,920ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$704,521TotalAmt
Program Services$631,358ProgramServicesAmt
Management And General$73,163ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$24,445TotalAmt
Program Services$22,148ProgramServicesAmt
Management And General$2,297ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$95,351TotalAmt
Management And General$95,351ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$149,364TotalAmt
Management And General$149,364ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,577TotalAmt
Program Services$6,381ProgramServicesAmt
Management And General$196ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$210,174TotalAmt
Program Services$188,858ProgramServicesAmt
Management And General$21,316ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$982,005TotalAmt
Program Services$882,410ProgramServicesAmt
Management And General$99,595ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$257,353TotalAmt
Program Services$231,252ProgramServicesAmt
Management And General$26,101ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MANAGEMENT FEES$2,825,940$2,539,334$286,606
DIETARY CONTRACT SVC$1,951,023$1,951,023
LICENSES AND OTHER TAXES$1,473,687$1,464,214$9,473
REGISTRY NURSES$1,264,312$1,264,312

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,977,281TotalAmt
Program Services$7,713,613ProgramServicesAmt
Management And General$263,668ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,135,914TotalAmt
Program Services$26,971,473ProgramServicesAmt
Management And General$2,164,441ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,155,402BOYAmt
EOY$1,859,943EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,841,391BOYAmt
EOY$4,356,445EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$42,737BOYAmt
EOY$43,300EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$495,391BOYAmt
EOY$535,373EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,009,812LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,173,572LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,919,144BOYAmt
EOY$5,836,240EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$31,674BOYAmt
EOY$967,176EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,485,739BOYAmt
EOY$13,598,477EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,217,576BOYAmt
EOY$4,795,556EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,052,762BOYAmt
EOY$3,807,877EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,830,034BOYAmt
EOY$15,636,396EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,100,372BOYAmt
EOY$24,239,829EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$8,614,633BOYAmt
EOY-$10,641,352EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$8,614,633BOYAmt
EOY-$10,641,352EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,485,739BOYAmt
EOY$13,598,477EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,026,718ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1OtherChangesInNetAssetsAmt
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$432,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,844,054CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$434,119CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$746,121CurrentTaxYearMinus1YearAmt
Current Tax Year$71,021CurrentTaxYearAmt
Total$5,527,505TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,281,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,914,362CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,640,222CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,419,406CurrentTaxYearMinus1YearAmt
Current Tax Year$27,003,893CurrentTaxYearAmt
Total$124,259,248TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,904CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,212CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,549CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,997CurrentTaxYearMinus1YearAmt
Current Tax Year$14,066CurrentTaxYearAmt
Total$78,728TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,739,459CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,775,628CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,088,890CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,172,524CurrentTaxYearMinus1YearAmt
Current Tax Year$27,088,980CurrentTaxYearAmt
Total$129,865,481TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$129,865,481PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,986CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,158CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,898CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,144CurrentTaxYearMinus1YearAmt
Current Tax Year$20,216CurrentTaxYearAmt
Total$104,402TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,986CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,158CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,898CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,144CurrentTaxYearMinus1YearAmt
Current Tax Year$20,216CurrentTaxYearAmt
Total$104,402TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,769,445CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,803,786CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,099,788CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,187,668CurrentTaxYearMinus1YearAmt
Current Tax Year$27,109,196CurrentTaxYearAmt
Total$129,969,883TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99920PublicSupportCY509Pct
Public Support PY5090.99920PublicSupportPY509Pct
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$1,306,312OtherCostOrOtherBasisAmt
Book Value$1,306,312BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,057,906OtherCostOrOtherBasisAmt
Depreciation$9,031,732DepreciationAmt
Book Value$2,026,174BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,599,143OtherCostOrOtherBasisAmt
Depreciation$4,389,128DepreciationAmt
Book Value$1,210,015BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,928,968OtherCostOrOtherBasisAmt
Depreciation$5,752,712DepreciationAmt
Book Value$1,176,256BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,483OtherCostOrOtherBasisAmt
Book Value$117,483BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,836,240TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
LEASE RIGHT OF USE ASSETS$928,049
ASSETS WHOSE USE IS LIMITED$39,127
FieldValueIRS element (for citing)
Total Book Value Other Assets$967,176TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO AFFILIATES$14,523,118
RESERVE FOR 3RD PARTY PAY SETTLEMENT$842,754
LEASE LIABILITIES$162,482
PATIENT & RESIDENT FUNDS HELD$108,042
FieldValueIRS element (for citing)
Total Liability$15,636,396TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$707,887TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$707,887NetCommunityBenefitExpnsAmt
Total Expense0.02430TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,373,715TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,373,715NetCommunityBenefitExpnsAmt
Total Expense0.15010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,081,602TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,081,602NetCommunityBenefitExpnsAmt
Total Expense0.17440TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$231,222TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$231,222NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$817,710TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$817,710NetCommunityBenefitExpnsAmt
Total Expense0.02810TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,048,932TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,048,932NetCommunityBenefitExpnsAmt
Total Expense0.03600TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,130,534TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,130,534NetCommunityBenefitExpnsAmt
Total Expense0.21040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$136,679BadDebtExpenseAmt
Reimbursed By Medicare$4,257,107ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,179,393CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$77,714MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOHN'S REHABILITATION HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 NW 35TH AVENUEAddressLine1Txt
CityLAUDERDALE LAKESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33311ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
OtherINPATIENT REHABILATATION FAC.OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JOHN'S REHABILITATION HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLCATHOLICHEALTHSERVICES.ORGOtherWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLCATHOLICHEALTHSERVICES.ORGStrategyWebsiteURLTxt
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLCATHOLICHEALTHSERVICES.ORGFAPAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLCATHOLICHEALTHSERVICES.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Other ActionsYes (X)PermitOtherActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
Other ActionsYes (X)OtherActionsInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 3ESEE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN.
FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 5SEE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN.
FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 13HST. JOHN'S OFFERS A FINANCIAL ASSISTANCE PROGRAM, DESIGNED TO WORK DIRECTLY WITH PATIENTS/RESIDENTS TO FIND PAYMENT SOLUTIONS WHEN NECESSARY. BASED ON FEDERAL POVERTY GUIDELINES, FINANCIAL ASSISTANCE DISCOUNTS ARE DETERMINED BY A SLIDING SCALE OF TOTAL HOUSEHOLD INCOME. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS DETERMINED BY THE PATIENT'S/RESIDENT'S OR HIS/HER GUARANTOR'S ABILITY TO PAY AFTER ALL AVAILABLE RESOURCES HAVE BEEN UTILIZED AND ALL AVAILABLE ASSISTANCE PROGRAMS HAVE BEEN ACCESSED. THE PROGRAM COVERS PAYMENT FOR MEDICALLY NECESSARY CARE, RENTS AND TUITIONS, BUT DOES NOT COVER ROUTINE CO-PAYS AND DEDUCTIBLES FOR PATIENTS/RESIDENTS HAVING MEDICAL COVERAGE UNLESS A HARDSHIP/NEED CAN BE DOCUMENTED. SUBMISSION OF ALL INCOME AND EXPENSES, INCLUDING MEDICAL EXPENSES, PLUS ASSETS AND LIABILITIES OF THE PATIENT AND OR GUARANTOR IS REQUIRED WHEN REQUESTING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS AND MEDICAL ASSISTANCE REPRESENTATIVES CAN ASSIST IN IDENTIFYING ASSISTANCE PROGRAMS WHICH MAY AID PATIENTS AND THEIR FAMILIES WITH PAYMENT OF THEIR HEALTHCARE CHARGES, RENT AND TUITION CHARGES. FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE FOR THE MEDICALLY INDIGENT, UNINSURED, UNDERINSURED, OR FINANCIALLY NEEDY INDIVIDUALS OR FAMILIES OF U.S. CITIZENS AND LEGAL U.S. RESIDENTS. FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 15E THE APPLICANT SHOULD COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE FORM IN ENGLISH OR SPANISH AND FAX, MAIL OR DELIVER TO THE FACILITY'S BUSINESS OFFICE ALONG WITH ALL SUPPORTING DOCUMENTATION REQUESTED. A FINANCIAL COUNSELOR WILL CONTACT THE APPLICANT ONCE THE INFORMATION HAS BEEN RECEIVED.
FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 18ETHE ORGANIZATION HAS A SEPARATE BILLING AND COLLECTION POLICY. THE HSOPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT BEFORE THE HOSPITAL FACILITY HAS MADE REASONABLE EFFORT TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE FOR THE CARE UNDER THE FINANCIAL ASSISTANCE PROGRAM.
FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 19ETHE ORGANIZATION HAS A SEPARATE BILLING AND COLLECTION POLICY. THE HSOPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT BEFORE THE HOSPITAL FACILITY HAS MADE REASONABLE EFFORT TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE FOR THE CARE UNDER THE FINANCIAL ASSISTANCE PROGRAM.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JOHN'S NURSINGBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 NW 35TH AVENUEAddressLine1Txt
CityLAUDERDALE LAKESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33311ZIPCd
FieldValueIRS element (for citing)
FacilitySKILLED NURSING FACILITYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART IITHE ORGANIZATION HAS AN OPEN MEDICAL STAFF AND ENCOURAGE COMMUNITY PHYSICIANS TO ATTEND TO THEIR PATIENTS WHILE AT THE FACILITY. VARIOUS EMPLOYEES SERVE ON A VARIETY OF COMMUNITY ORGANIZATIONS' BOARD OF DIRECTORS, SUCH AS, HOLY CROSS HOSPITAL, SOUTH FLORIDA HOSPITAL AND HEALTHCARE ASSOCIATION. IN ADDITION, MANY EMPLOYEES ACTIVELY PARTICIPATE IN LOCAL PROFESSIONAL AND TRADE ASSOCIATIONS. THE ORGANIZATION FREQUENTLY PROVIDES CHARITABLE INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO INDIGENT PATIENTS TO FACIITATE THEIR RECOVERY FROM VARIOUS DISEASES AND INJURY AND TO THEIR RETURN TO HOME.
SCHEDULE H, PART VI, LINE 2SEE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN.
SCHEDULE H, PART VI, LINE 3THE ORGANIZATION'S CHARITY CARE POLICY IS POSTED ON THE ORGANIZATION'S WEBSITE. THE COMMUNITY LIAISONS SHARE THE POLICY WITH THE ACUTE CARE HOSPITAL'S DISCHARGE CASE MANAGERS. ALL PATIENTS WHO ARE ADMITTED TO THE FACILITY RECEIVE EXTENSIVE INFORMATION REGARDING THE PATIENT/RESIDENT RIGHTS, VARIOUS REGULATIONS AND THE CHARITY CARE POLICY.
SCHEDULE H, PART VI, LINE 4THE ORGANIZATION PRIMARILY SERVES RESIDENTS IN BROWARD AND DADE COUNTIES, AS WELL AS, THOSE INDIVIDUALS WHO ARE DISCHARGED FROM LOCAL ACUTE CARE HOSPITALS AND REQUIRE POST-ACUTE CARE SERVICES. THE DEMOGRAPHIC CONSTITUENTS CONSIST PRIMARILY OF ADULTS, 65 YEARS AND OLDER, THE MAJORITY OF WHO ARE ON MEDICAID.
SCHEDULE H, PART VI, LINE 5THE ORGANIZTION PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A COMREHENSIVE POST ACUTE HEALTHCARE SYSTEM, CONSISTING OF INPATIENT REHABILITATION FACILITIES, SKILLED NURSING FACILITIES, LONG TERM CARE, HOSPICE, HOME HEALTH AND ASSISTED LIVING FACILITIES WITH A FOCUS ON THE TRANSITION OF ACUTE CARE HOSPITAL PATIENTS' TRANSITION THROUGH THE POST-ACUTE CARE SYSTEM AND FINALLY TO HOME.
SCHEDULE H, PART VI, LINE 6THE ORGANIZATION IS PART OF THE CATHOLIC HEALTH SERVICES INTEGRATED HEALTH CARE SYSTEM. THE SYSTEM CONSISTS OF INPATIENT REHAB HOSPITALS, SKILLED NURSING FACILITIES, HOME HEALTH AGENCIES AND A HOSPICE PROGRAM, PROVIDING AND PROMOTING HEALTH CARE SERVICES IN THE SOUTH FLORIDA MARKET.
SCHEDULE H, PART VI, LINE 7FLORIDA

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
FELISSIA BEAUBRUN
REGISTERED NURSE$236,226$14,174$7,428$257,828
ROSEMARIE BAILEY
EXEC. DIR.$188,700$5,661$6,810$201,171

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$4,948,896IssuePriceAmt
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$4,604,357BondDefeasedAmt
Total Proceeds$4,948,896TotalProceedsAmt
Issuance Costs From Proceeds$47,153IssuanceCostsFromProceedsAmt
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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONST. JOHN'S REHABILITATION HOSPITAL PROVIDES NURSING AND REHABILITATION SERVICES TO INDIVIDUALS OF ALL FAITHS, REGARDLESS OF ANY INDIVIDUALS' ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHIOCESE OF MIAMI HEALTH CARE MISSION.
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 IDENTIFIED 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
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 24EEQUIPMENT RENTAL & MAINT. 1,053,730 29,129 0 PHYSICAL THERAPY 858,376 0 0 OCCUPATIONAL THERAPY 794,334 0 0 HOUSEKEEPING 617,733 69,722 0 SUPPLIES 672,644 5,204 0 DRUGS 664,561 0 0 LEASES AND CONTRACTS 592,208 66,840 0 UTILITIES 384,688 43,419 0 SPEECH THERAPY 261,099 0 0 LAUNDRY AND LINEN 228,220 25,758 0 BAD DEBTS 217,095 24,503 0 MEDICAL DIRECTOR 156,634 17,679 0 MEDICAL RECORDS 155,315 17,530 0 DIALYSIS 171,660 0 0 TRANSPORTATION SERVICES 162,109 0 0 RADIOLOGY 130,376 0 0 DUES AND SUBSCRIPTIONS 92,252 418 0 LAB 80,278 0 0 HELP WANTED 69,757 7,259 0 SOCIAL SERVICES CONSULT 58,604 0 0 MISCELLANEOUS 38,682 1,826 0 TELEPHONE 35,980 3,539 0 LAWN SERVICES 33,969 3,834 0 PHYSICIAN SERVICES 36,023 0 0 FOOD 35,318 0 0 SPECIAL EVENTS 28,202 0 0 MARKETING 18,186 2,053 0 PHARMACY CONSULTANT 14,742 1,664 0 BARBER & BEAUTY SHOP 13,200 0 0 FIXED ASSET DISPOSAL 0 12,149 0 PSYCHOLOGIST 11,987 0 0 POSTAGE AND SHIPPING 9,623 226 0 PASTORAL CONSULTANT 9,791 0 0 LINEN REPLACEMENT 5,437 0 0 REHAB SUPPORT 800 0 0 SECURITY REIMBURSEMENT 0 -69,084 0 TOTAL 7,713,613 263,668 0
FORM 990, PART XI, LINE 9TRANSFERS FORM AFFILIATES 0 ROUNDING -1 TOTAL -1

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 JOSEPH RESIDENCE INC
3485 NW 30TH STREETLAUDERDALE LAKESFL33311650032474ALFFL501C10NAfalse
CATHOLIC HOME HEALTH OF BROW INC
3075 NW 35TH AVENUELAUDERDALE LAKESFL33311650062205HME HEALTHFL501C10NAfalse
CATHOLIC HEALTH SERVICESINC
4790 N STATE ROAD 7LAUDERDALE LAKESFL33319592645139MGT COMPFL501C10NAfalse
ST ANNE'S NURSING CENTER
11855 QUAIL ROOST DRIVEMIAMIFL33177592522488NRSG CENTFL501C10NAfalse
ARCHDIOCESE OF MIAMI
9401 BISCAYNE BLVDMIAMI SHORESFL33138590865839SPONSORFL501C1NAfalse
CATHOLIC ELDERLY SERVICES INC
4790 N STATE ROAD 7LAUDERDALE LAKESFL33319650312041FDRAISINGFL501C12ANAfalse
CATHOLIC HOSPICE INC
14875 NW 77TH AVENUE SUITE 100MIAMI LAKESFL33014650062530HOSPICEFL501C10NAfalse
CENTRO MATER CHILD CARE SERVICES
8298 NW 103RD STREETHIALEAH GARDENSFL330162202208083301CHILD CAREFL501C10NAfalse
CATHOLIC CEMETERIES
11411 NW 25TH STREETMIAMIFL33172590862834CEMETERIESFL501C10NAfalse
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 OrgYes (true)RentalOfFcltsFromOthOrgInd
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