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ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC (EIN 59-1945163)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202312279349302451
Schema version
2021v4.0
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)
Return2023-08-15T12:30:39-04:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

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 Begin2021-10-01TaxPeriodBeginDt

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)
PersonDAVID D'AMICOPersonNm
Person TitleCFOPersonTitleTxt
Phone9547396233PhoneNum
Signature2023-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastDAMICOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES A NICHOLSPreparerPersonNm
PTINP01403613PTIN
Phone9545644333PhoneNum
Preparation2023-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerARISTIDES PALLINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14790 N STATE ROAD 7AddressLine1Txt
CityLAUDERDALE LAKESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33319ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,187,668GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee375TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$434,119PYContributionsGrantsAmt
CY Contributions Grants$746,121CYContributionsGrantsAmt
PY Program Service Revenue$23,641,940PYProgramServiceRevenueAmt
CY Program Service Revenue$24,421,001CYProgramServiceRevenueAmt
PY Investment Income$10,898PYInvestmentIncomeAmt
CY Investment Income$15,144CYInvestmentIncomeAmt
PY Other Revenue$12,831PYOtherRevenueAmt
CY Other Revenue$5,402CYOtherRevenueAmt
PY Total Revenue$24,099,788PYTotalRevenueAmt
CY Total Revenue$25,187,668CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,032,630PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,459,012CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,055,011PYOtherExpensesAmt
CY Other Expenses$15,587,387CYOtherExpensesAmt
PY Total Expenses$28,087,641PYTotalExpensesAmt
CY Total Expenses$29,046,399CYTotalExpensesAmt
PY Revenues Less Expenses-$3,987,853PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,858,731CYRevenuesLessExpensesAmt
Total Assets BOY$12,416,490TotalAssetsBOYAmt
Total Assets EOY$11,485,739TotalAssetsEOYAmt
Total Liabilities BOY$17,672,392TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,100,372TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,255,902NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$8,614,633NetAssetsOrFundBalancesEOYAmt
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$27,076,629ExpenseAmt
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$27,076,629TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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 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 Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee375EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JOSEPH CATANIA
CEO3.5046.50Yes (X)$0$554,083$42,196
ARISTIDES PALLIN
CEO3.9046.10Yes (X)$0$476,615$43,521
BRIAN KIEDROWSKI
CMO5.9044.10Yes (X)$0$439,806$27,869
DAVID D'AMICO
CFO3.2046.80Yes (X)$0$329,694$40,206
ROSEMARIE BAILEY
EXEC. DIR.32.008.00$210,206$0$13,233Yes (X)
FELISSIA BEAUBRUN
REGISTERED N40.00$164,880$0$20,969Yes (X)
JORGE T CASAUAY
REHAB SERV D40.00$149,600$0$33,611Yes (X)
VALERE GUERDA
DIR-NURSING40.00$129,023$0$12,763Yes (X)
SUNDAY ALAO
SUPERVISOR N40.00$117,679$0$18,557Yes (X)
ELUSNOR DESRONVIL
NURSING SUPE40.00$110,865$0$12,700Yes (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)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$882,253TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,800,198TotReportableCompRltdOrgAmt
Total Other Compensation$265,625TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
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$2,344,643
MEDICAL STAFFING NETWORK
5201 CONGRESS AVEBOCA RATONFL33487RECRUITING$301,612
AFFILIATED HEALTHCARE MGT GROUP
1373 BROAD STREET NO 200CLIFTONNJ07003COLLEC. AGENCY$199,094
INTERATED REGIONAL LABORATORIES
5361 NW 33 AVENUEFORT LAUDERDALEFL33309MEDICAL LAB$189,376
NEW START DIALYSIS CENTER INC
900 NE 125 STREET SUITE 210NORTH MIAMIFL33161$173,520
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$712,222GovernmentGrantsAmt
All Other Contributions$33,899AllOtherContributionsAmt
Total Contributions$746,121TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NET PATIENT SERVICES REVENUE$24,322,085$24,322,085
RENTAL INCOME - OFFICE$57,760$57,760
DISCOUNTS TAKEN$39,561$39,561
BARBER AND BEAUTY SHOP$1,504$1,504
MISCELLANEOUS$91$91
FieldValueIRS element (for citing)
Total Program Service Revenue$24,421,001TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,144TotalRevenueColumnAmt
Exclusion$15,144ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total Revenue Column$5,402TotalRevenueColumnAmt
Exclusion$5,402ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,402OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,187,668TotalRevenueColumnAmt
Related Or Exempt Func Income$24,419,406RelatedOrExemptFuncIncomeAmt
Exclusion$22,141ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,943,695TotalAmt
Program Services$10,019,296ProgramServicesAmt
Management And General$924,399ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,706,933TotalAmt
Program Services$1,562,751ProgramServicesAmt
Management And General$144,182ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$808,384TotalAmt
Program Services$738,842ProgramServicesAmt
Management And General$69,542ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$67,982TotalAmt
Program Services$62,541ProgramServicesAmt
Management And General$5,441ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$92,890TotalAmt
Management And General$92,890ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$141,136TotalAmt
Management And General$141,136ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,498TotalAmt
Program Services$9,473ProgramServicesAmt
Management And General$25ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$84,101TotalAmt
Program Services$76,997ProgramServicesAmt
Management And General$7,104ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$996,078TotalAmt
Program Services$911,943ProgramServicesAmt
Management And General$84,135ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$612,888TotalAmt
Program Services$561,118ProgramServicesAmt
Management And General$51,770ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MANAGEMENT FEES$2,344,643$2,146,594$198,049
LEASES AND CONTRACTS$1,768,866$1,619,452$149,414
DIETARY CONTRACT SVC$1,564,021$1,564,021
LICENSES AND OTHER TAXES$1,387,542$1,379,115$8,427

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,517,742TotalAmt
Program Services$6,424,486ProgramServicesAmt
Management And General$93,256ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,046,399TotalAmt
Program Services$27,076,629ProgramServicesAmt
Management And General$1,969,770ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,899,056BOYAmt
EOY$2,155,402EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,767,322BOYAmt
EOY$2,841,391EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$54,732BOYAmt
EOY$42,737EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,005,878BOYAmt
EOY$495,391EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,785,903LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,866,759LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,664,078BOYAmt
EOY$5,919,144EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$25,424BOYAmt
EOY$31,674EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,416,490BOYAmt
EOY$11,485,739EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,602,800BOYAmt
EOY$3,217,576EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,294,353BOYAmt
EOY$4,052,762EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,775,239BOYAmt
EOY$12,830,034EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,672,392BOYAmt
EOY$20,100,372EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$5,255,902BOYAmt
EOY-$8,614,633EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$5,255,902BOYAmt
EOY-$8,614,633EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,416,490BOYAmt
EOY$11,485,739EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,858,731ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$500,000OtherChangesInNetAssetsAmt
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$415,268CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$432,190CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,844,054CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$434,119CurrentTaxYearMinus1YearAmt
Current Tax Year$746,121CurrentTaxYearAmt
Total$5,871,752TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,855,727CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,281,365CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,914,362CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,640,222CurrentTaxYearMinus1YearAmt
Current Tax Year$24,419,406CurrentTaxYearAmt
Total$125,111,082TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,062CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,904CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,212CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,549CurrentTaxYearMinus1YearAmt
Current Tax Year$6,997CurrentTaxYearAmt
Total$88,724TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,295,057CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,739,459CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,775,628CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,088,890CurrentTaxYearMinus1YearAmt
Current Tax Year$25,172,524CurrentTaxYearAmt
Total$131,071,558TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$131,071,558PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,049CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,986CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,158CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,898CurrentTaxYearMinus1YearAmt
Current Tax Year$15,144CurrentTaxYearAmt
Total$102,235TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,049CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,986CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,158CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,898CurrentTaxYearMinus1YearAmt
Current Tax Year$15,144CurrentTaxYearAmt
Total$102,235TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,313,106CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,769,445CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,803,786CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,099,788CurrentTaxYearMinus1YearAmt
Current Tax Year$25,187,668CurrentTaxYearAmt
Total$131,173,793TotalAmt
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,303,061OtherCostOrOtherBasisAmt
Book Value$1,303,061BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,830,861OtherCostOrOtherBasisAmt
Depreciation$8,853,417DepreciationAmt
Book Value$1,977,444BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,576,331OtherCostOrOtherBasisAmt
Depreciation$4,142,595DepreciationAmt
Book Value$1,433,736BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,038,618OtherCostOrOtherBasisAmt
Depreciation$5,870,747DepreciationAmt
Book Value$1,167,871BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,032OtherCostOrOtherBasisAmt
Book Value$37,032BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,919,144TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$12,042,455
RESERVE FOR 3RD PARTY PAY SETTLEMENT$668,161
PATIENT & RESIDENT FUNDS HELD$119,418
FieldValueIRS element (for citing)
Total Liability$12,830,034TotalLiabilityAmt

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$761,740TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$761,740NetCommunityBenefitExpnsAmt
Total Expense0.02620TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,519,605TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,519,605NetCommunityBenefitExpnsAmt
Total Expense0.12120TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,281,345TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,281,345NetCommunityBenefitExpnsAmt
Total Expense0.14740TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,284DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,478NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$997,604TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$997,604NetCommunityBenefitExpnsAmt
Total Expense0.03430TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,073,366TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,284DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,070,082NetCommunityBenefitExpnsAmt
Total Expense0.03680TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,354,711TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,284DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,351,427NetCommunityBenefitExpnsAmt
Total Expense0.18420TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$90,038BadDebtExpenseAmt
Reimbursed By Medicare$4,495,922ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$4,461,396CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$34,526MedicareSurplusOrShortfallAmt

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 HOSPITAL 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 HOSPITAL 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 (7 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
JOSEPH CATANIA
CEO$554,083$32,395$9,801$596,279
ARISTIDES PALLIN
CEO$476,615$25,283$18,238$520,136
BRIAN KIEDROWSKI
CMO$439,806$18,828$9,041$467,675
DAVID D'AMICO
CFO$329,694$23,196$17,010$369,900
ROSEMARIE BAILEY
EXEC. DIR.$210,206$6,315$6,918$223,439
FELISSIA BEAUBRUN
REGISTERED NURSE$164,880$10,025$10,944$185,849
JORGE T CASAUAY
REHAB SERV DIRECTOR$149,600$17,154$16,457$183,211

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 08/15/22

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: JOSEPH M. CATANIA - 46.5 HOURS 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. 1,257,377 21,968 0 REGISTRY NURSES 1,250,787 0 0 SUPPLIES 939,833 21,872 0 DRUGS 790,651 0 0 UTILITIES 404,058 37,279 0 BAD DEBTS 223,290 20,601 0 MEDICAL DIRECTOR 172,552 15,920 0 DIALYSIS 152,130 0 0 MEDICAL RECORDS 116,035 10,706 0 LAB 117,524 0 0 TELEPHONE 104,864 8,591 0 TRANSPORTATION SERVICES 113,253 0 0 PHYSICAL THERAPY 103,618 0 0 OCCUPATIONAL THERAPY 99,191 0 0 DUES AND SUBSCRIPTIONS 87,151 118 0 RADIOLOGY 79,276 0 0 HELP WANTED 65,834 5,556 0 MARKETING 61,182 5,064 0 SOCIAL SERVICES CONSULT 54,912 0 0 PHYSICIAN SERVICES 38,278 0 0 LAWN SERVICES 31,384 2,896 0 FOOD 31,804 0 0 SPEECH THERAPY 27,351 0 0 MISCELLANEOUS 24,703 1,404 0 LINEN REPLACEMENT 20,569 0 0 HOUSEKEEPING 14,207 15 0 PHARMACY CONSULTANT 11,325 1,045 0 PASTORAL CONSULTANT 9,842 0 0 PSYCHOLOGIST 7,629 0 0 POSTAGE AND SHIPPING 7,078 191 0 SPECIAL EVENTS 5,205 0 0 FIXED ASSET DISPOSAL 0 1,209 0 LAUNDRY AND LINEN 1,126 0 0 BARBER & BEAUTY SHOP 467 0 0 SECURITY REIMBURSEMENT 0 -61,179 0 TOTAL 6,424,486 93,256 0
FORM 990, PART XI, LINE 9TRANSFERS FORM AFFILIATES 500,000 ROUNDING 0 TOTAL 500,000

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