2025-05-15T11:08:12-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 475 REGENCY PARK SUITE 175 OFALLON IL 62269 990 2023-07-01 760139802 ST DOMINIC VILLAGE STDO 7137418701 2401 HOLCOMBE BOULEVARD HOUSTON TX 77021 JOHN CONNOLLY CEO 7137418701 2025-05-14 1 0 ERIKA MARTINEZ P02297196 6182331200 2025-05-14 2023 2025-03-06 01:10:19Z JOHN CONNOLLY 2401 HOLCOMBE BOULEVARD HOUSTON TX 77021 19273606 0 0928 X WWW.STDOMINICVILLAGE.ORG X 1998 TX CARING FOR OUR ELDERS WITH THE COMPASSION OF CHRIST BY HONORING OUR BELIEF IN THE DIGNITY OF LIFE AND SERVING A COMPASSIONATE COMMUNITY. 20 19 173 116 0 0 3990311 1350346 13933295 17408683 61538 0 418374 462295 18403518 19221324 0 0 0 0 6862754 7991669 0 9000 741377 10570305 11317436 17433059 19318105 970459 -96781 15232463 17681406 6073708 8603740 9158755 9077666 X CARING FOR OUR ELDERS WITH THE COMPASSION OF CHRIST. 0 0 11511432 0 13524115 SKILLED NURSING FACILITY (SNF) - OUR REHABILITATION AND NURSING CENTER OFFERS BOTH SHORT TERM (SNF) AND LONG TERM SERVICES. WE HAVE MEDICARE AND MEDICAID CERTIFIED BEDS IN ADDITION TO ACCEPTING PRIVATE PAY AND HOSPICE RESIDENTS. 2334627 0 2097856 INDEPENDENT LIVING - OUR INDEPENDENT LIVING FACILITY HAS 120 ROOMS AVAILABLE ON A PRIVATE PAY BASIS ONLY. WE HAVE THREE LOCATIONS TO CHOOSE FROM FOR OUR INDEPENDENT ROOMS - CHARLOTTE HALL, DOROTHY HALL AND THE TOWER. 1708555 0 1627667 ASSISTED LIVING - OUR ASSISTED LIVING FACILITY HAS 48 ROOMS AVAILABLE ON A PRIVATE PAY BASIS ONLY. THE ROOMS ARE LOCATED IN THE TOP THREE FLOORS OF THE TOWER. THERE IS A FULL TIME NURSING STAFF THERE TO ASSIST THE RESIDENTS IN THIS FACILITY. 430650 0 136939 PRIEST RETIREMENT HOME - OUR PRIEST RETIREMENT FACILITY HAS 24 ROOMS AVAILABLE FOR RETIRED PRIESTS. WE HAVE A COOK THAT PREPARES ALL OF THEIR MEALS AND A DEACON THAT ASSISTS WITH OVERSIGHT OF THE PRIEST RETIREMENT HOME. 122020 0 22106 WARREN CHAPEL - THE WARREN CHAPEL IS LOCATED ON OUR CAMPUS AND OFFERS A PLACE OF WORSHIP FOR BOTH CATHOLICS AND OTHER DENOMINATIONS THAT LIVE HERE AT ST. DOMINIC VILLAGE. THE DAILY AND WEEKEND MASSES ARE OPEN TO THE PUBLIC. 552670 0 159045 16107284 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 74 0 173 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X JOHN CONNOLLEY 7137418700 2401 HOLCOMBE BOULEVARD HOUSTON TX 77021 HUGH IDSTEIN CHAIR 0.50 0.00 X X 0 0 0 VICTOR NARCISSE III BOARD MEMBER 0.50 0.00 X 0 0 0 ROSE MICHALEC CFO ARCHDIOCESE OF HOUSTON 0.50 40.00 X 0 167113 0 KATHERINE CABANISS PARSLEY BOARD MEMBER 0.50 0.00 X 0 0 0 RICHARD BROOKS BOARD MEMBER 0.50 0.00 X 0 0 0 LYNN SCHRIBER BOARD MEMBER 0.50 0.00 X 0 0 0 LOUIS PELZ BOARD MEMBER 0.50 0.00 X 0 0 0 BISHOP ITALA DELLORO BOARD MEMBER 0.50 0.00 X 0 0 0 JORGE GUZMAN BOARD MEMBER 0.50 0.00 X 0 0 0 BEN MAZARRA BOARD MEMBER 0.50 0.00 X 0 0 0 MARTY MAKULSKI BOARD MEMBER 0.50 0.00 X 0 0 0 BRUCE HOTZE BOARD MEMBER 0.50 0.00 X 0 0 0 PAUL LAYNE BOARD MEMBER 0.50 0.00 X 0 0 0 SR LINDA GIBLER BOARD MEMBER 0.50 0.00 X 0 0 0 DR HECTOR GARCIA BOARD MEMBER 0.50 0.00 X 0 0 0 DR REED YOUNG BOARD MEMBER 0.50 0.00 X 0 0 0 AAD DE LANGE BOARD MEMBER (TERM END) 0.50 40.00 X 0 210565 0 JAMES BADUM BOARD MEMBER 0.50 0.00 X 0 0 0 DR POLDI TSCHIRCH SECRETARY 0.50 0.00 X X 0 0 0 MARGARET MCCONN VICE-CHAIR 0.50 0.00 X X 0 0 0 DR SANDI LEMMING BOARD MEMBER 0.50 0.00 X 0 0 0 JUDITH RAINES BOARD MEMBER (TERM END) 0.50 0.00 X 0 0 0 FAITH SEPE BOARD MEMBER (TERM END) 0.50 0.00 X 0 0 0 JAMES DAVIS BOARD MEMBER (TERM END) 0.50 0.00 X 0 0 0 JOHN CONNOLLY CEO 40.00 0.00 X 0 110225 0 GRADY MULLINS FORMER CFO 40.00 0.00 X 145661 0 7399 AMY SHIELDS FORMER CEO 40.00 0.00 X 193755 0 2327 BEATRICE NSOWAH CHARGE NURSE 40.00 0.00 X 119587 0 14561 BRYANT SAM RNC ADMINISTRATOR 40.00 0.00 X 120450 0 15750 KIMBERLY ELLIOT DIRECTOR OF DEVELOPMENT 40.00 0.00 X 117035 0 6228 DAVIS SAYADETH UNIT 2 NURSE MANAGER 40.00 0.00 X 119307 0 5010 VINCENT TODOM-KUATE DIRECTOR OF NURSING 40.00 0.00 X 105694 0 8754 921489 487903 60029 15 0 1 0 HEALTHCARE SERVICES GROUP INC PO BOX 829677 PHILADELPHIA PA 191829677 DIETARY AND JANITORIAL 1320692 SELECT REHABILITATION LLC 2600 COMPASS ROAD GLENVIEW IL 60026 THERAPY 784413 KARE TECHNOLOGIES LLC 1123 YALE ST HOUSTON TX 77008 STAFFING AGENCY 362834 DE HARVEY BUILDERS 3663 BRIARPARK SUITE 101 HOUSTON TX 77042 CONSTRUCTION 152237 4 469397 361860 519089 1350346 PROGRAM SERVICE FEES 623000 17408683 17408683 17408683 30750 469397 52282 -21532 -21532 MANAGEMENT SERVICES REVENUE 623990 449416 449416 OTHER REVENUE 623990 34411 34411 483827 19221324 17408683 0 462295 X 279267 279267 6859811 5787142 607011 465658 104048 63729 38042 2277 234576 190208 31641 12727 513967 420686 74918 18363 11255 11255 9000 9000 5510557 4869919 638820 1818 174256 14306 12691 147259 1475346 1369727 98682 6937 1062977 900684 142686 19607 30764 709 20753 9302 66393 248 66145 179181 67892 111289 768252 726195 42057 304459 263179 41280 BAD DEBT 800000 800000 REPAIRS AND MAINTENANCE 594912 558988 35924 RECOGNITION EVENTS 193470 62678 82363 48429 OTHER EXPENSES 145614 10994 134620 19318105 16107284 2469444 741377 1809862 472947 1230625 5512120 31252309 19997607 11786334 11254702 405642 433020 0 8617 15232463 17681406 1526963 4152627 11686 15598 4496395 4435515 38664 0 6073708 8603740 X 8753113 8644646 405642 433020 9158755 9077666 15232463 17681406 -96781 15692 0 X 0 0 0 X 2268145 3215285 1378454 3990311 1350346 12202541 14712148 12472037 12618023 13933295 17408683 71144186 23501 246411 259711 36536 30750 596909 17003794 15933733 14256188 17960142 18789779 83943636 114266 84500 198766 0 114266 84500 198766 83744870 15019 32748 29604 61538 0 138909 15019 32748 29604 61538 138909 498613 509606 496064 470056 483827 2458166 17517426 16476087 14781856 18491736 19273606 86540711 0.96770 0.96710 0.00160 0.00190 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2019 AMOUNT: $ 86,340. 2020 AMOUNT: $ 66,771. 2021 AMOUNT: $ 42,335. 2022 AMOUNT: $ 34,215. 2023 AMOUNT: $ 34,411. MANAGEMENT SERVICE FEE - 2019 AMOUNT: $ 412,273. 2020 AMOUNT: $ 442,835. 2021 AMOUNT: $ 453,729. 2022 AMOUNT: $ 435,841. 2023 AMOUNT: $ 449,416. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 405642 27378 433020 385288 20354 405642 446128 -46465 14375 385288 372606 86589 13067 446128 347927 7500 26629 9450 372606 0.61789 0.23961 0.14250 0 1 1 1362314 1362314 19049924 13176552 5873372 6989729 3295363 3694366 3850342 3525692 324650 11254702 PART IV, LINE 2B: THE ORGANIZATION HOLDS RESIDENT FUNDS IN A CUSTODIAL / TRUST ACCOUNT RECORDED ON ITS BALANCE SHEET. THOSE FUNDS ARE USED FOR THE BENEFIT OF EACH RESPECTIVE RESIDENT AS NEEDED. PART V, LINE 4: FUTURE USE FOR ST. DOMINIC VILLAGE PARSLEY GOLF CLASSIC 162568 151768 10800 5833 10800 3109 EVENING WITH THE BISHOPS 246755 230285 16470 12616 1 90824 87344 3480 3480 16444 500147 469397 30750 5833 26896 19553 52282 -21532 X X 0 0 0 0 0 0 0 0 0 AAD DE LANGE BOARD MEMBER (TERM END) 0 210565 0 0 0 0 0 0 0 0 0 210565 0 0 AMY SHIELDS FORMER CEO 193755 0 0 0 0 0 0 0 2327 0 196082 0 0 0 ROSE MICHALEC CFO ARCHDIOCESE OF HOUSTON 0 167113 0 0 0 0 0 0 0 0 0 167113 0 0 GRADY MULLINS FORMER CFO 145661 0 0 0 0 0 0 0 7399 0 153060 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE CEO, THE OFFICERS OF THE BOARD OF DIRECTORS, AND THE CHAIR OF EACH COMMITTEE OF THE BOARD OF DIRECTORS. THE SPECIFIC DUTIES OF THE EXECUTIVE COMMITTEE INCLUDE, BUT ARE NOT LIMITED TO (I) RECOMMEND THE AGENDA FOR MEETINGS OF THE BOARD OF DIRECTORS; (II) COORDINATE THE WORK OF OTHER COMMITTEES, STAYING INFORMED ON PROPOSALS BEING PREPARED BY COMMITTEES AND WORKING WITH COMMITTEE CHAIRS TO SCHEDULE AND REVIEW PROPOSALS PRIOR TO PRESENTATION TO THE FULL BOARD OF DIRECTORS; (III) APPOINT CHAIRS OF STANDING AND AD HOC COMMITTEES; (IV) APPROVE POLICIES FOR OVERSIGHT AND GOVERNANCE OF THE ORGANIZATION; (V) OVERSEE MANAGEMENT OF COMMITTEES; (VI) REVIEW THE PERFORMANCE OF THE EXECUTIVE DIRECTOR ANNUALLY AND REPORT THE PERFORMANCE SUMMARY TO THE SOLE MEMBER; AND (VII) RECOMMEND TO THE BOARD OF DIRECTORS THE ANNUAL OPERATING BUDGET, STRATEGIC PLANS AND MAJOR FUNDRAISING ACTIVITIES. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF ST. DOMINIC VILLAGE IS THE BISHOP OF THE ARCHDIOCESE OF GALVESTON-HOUSTON. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS ARE APPOINTED BY THE ARCHDIOCESE OF GALVESTON-HOUSTON'S SELECTION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER HAS THE FOLLOWING RIGHTS AND RESPONSIBILITIES. (I) REMOVE ANY DIRECTOR, WITH OR WITHOUT CAUSE, AT ANY TIME; (II) APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS; (III) APPROVE THE INCURRENCE OF INDEBTEDNESS IN EXCESS OF $10,000 IN ANY ONE TRANSACTION, THE GRANTING OF ANY MORTGAGE OR SECURITY INTEREST IN PROPERTY TO SECURE INDEBTEDNESS, OR THE SALE, LEASE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE ORGANIZATION'S ASSETS; AND (IV) THE POWER TO HIRE AND DISMISS THE EXECUTIVE DIRECTOR, IN CONNECTION WITH WHICH THE MEMBER MAY APPOINT A COMMITTEE TO ASSIST IN THE SEARCH FOR AN EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 11B THE CHAIRMAN OF THE BOARD, CEO AND CFO OF ST. DOMINIC VILLAGE WILL REVIEW AND APPROVE THE 990 PRIOR TO FILING. THE ENTIRE BOARD WILL RECEIVE A COPY OF THE 990 AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. EACH BOARD MEMBER IS REQUIRED TO DISCLOSE ANY CONFLICTS. IF A CONFLICT IS BROUGHT TO THE BOARD'S ATTENTION OR IT BECOMES AWARE OF A POTENTIAL CONFLICT, THE BOARD MEMBER MUST REMOVE HIMSELF/HERSELF FROM THE MEETING WHILE INDEPENDENT BOARD MEMBERS VOTE ON THE TRANSACTION OR ARRANGEMENT. THE DISINTERESTED BOARD MEMBERS DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15 ST. DOMINIC VILLAGE'S BOARD OF DIRECTORS REVIEWS AND APPROVES THE CEO'S COMPENSATION. MANAGEMENT UTILIZES THE HOSPITAL AND HEALTHCARE COMPENSATION SURVEY TO ASSIST IN REVIEWING THE SALARIES OF OTHER MANAGEMENT. FORM 990, PART VI, SECTION C, LINE 19 ST. DOMINIC VILLAGE MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 4,869,919. MANAGEMENT AND GENERAL EXPENSES 638,820. FUNDRAISING EXPENSES 1,818. TOTAL EXPENSES 5,510,557. ARCHDIOCESE OF GALVESTON-HOUSTON 1700 SAN JACINTO HOUSTON TX 77002 746018777 RELIGIOUS TX 501(C)(3) LINE 1 N/A 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 0 0 1 0 0