2023-09-21T09:37:21-05:00 2022-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2022-01-01 340714765 SISTERS OF ST JOSEPH OF ST MARK SIST 2165317426 21800 CHARDON ROAD EUCLID OH 44117 MOTHER M RAPHAEL GREGG PRESIDENT 2165317426 2023-08-02 1 MOTHER RAPHAEL GREGG 999009999 1 CHRISTOPHER B ANDERSON P00226559 2163630100 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MOTHER M RAPHAEL GREGG 21800 CHARDON ROAD EUCLID OH 44117 8317694 0 X N/A X 1971 OH 99 BED NURSING HOME LICENSED BY THE STATE OF OHIO. THE NURSING HOME IS A SKILLED NURSING FACILITY OPERATED BY THE SISTERS OF ST. JOSEPH OF ST. MARK FOR THE CARE OF THE ELDERLY. 1 1 190 2 0 0 2323476 1908299 6468503 6392688 0 184 6071 16523 8798050 8317694 0 0 0 0 4360940 4768938 0 0 0 4191748 3981289 8552688 8750227 245362 -432533 2788757 11143947 1102832 9890555 1685925 1253392 99 BED NURSING HOME LICENSED BY THE STATE OF OHIO. THE NURSING HOME IS A SKILLED NURSING FACILITY OPERATED BY THE SISTERS OF ST JOSEPH OF ST MARK FOR THE CARE OF THE ELDERLY. THE SISTERS ARE OF A RELIGIOUS ORDER. 0 0 8346560 6409211 LICENSED NURSING HOME THAT CARES FOR THE ELDERLY, FRAIL AND SICKRESIDENTS. IT IS A 24-HOUR, 365-DAY OPERATION THAT IS OPERATED BYTHE SISTERS OF ST. JOSEPH OF ST. MARK, WHICH IS A RELIGIOUS ORDEROF SISTERS. THE SERVICES THEY PROVIDE INCLUDE BUT ARE NOT LIMITEDTO PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, SKILLEDNURSING CARE, DIETARY MEALS, ACTIVITIES, HOUSEKEEPING AND LAUNDRY. 8346560 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 190 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 1 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X MOTHER M RAPHAEL GREGG 2165317426 21800 CHARDON ROAD EUCLID OH 44117 X MOTHER M RAPHAEL GREGG PRESIDENT 60.00 X X 0 0 0 E TIMOTHY HOLZHEIMER ASST. TREASURER 2.00 X 0 0 0 0 0 0 0 0 0 0 STATE OF OHIO ODJFS 30 E BROAD STREET COLUMBUS OH 43215 OTHER SERVICES 486277 DIOCESE OF CLEVELAND 1404 E 9TH ST CLEVELAND OH 44114 BENEFIT PLAN SERVICES 478046 ABSOLUTE REHABILITATION & CONSULTING 339 EAST MAPLE ST NORTH CANTON OH 44720 PHYSICAL THERAPY 410548 GENERATIONS HEALTHCARE MGMT 2 BEREA COMMONS BEREA OH 44017 MANAGEMENT SVCS 248038 GORDON FOOD SERVICE DEPT CH 10490 PALATINE IL 43271 FOOD AND SUPPLIES 247619 9 1740400 167899 1908299 MEDICAID 623000 3037459 3037459 SELF PAY 623000 1699727 1699727 MEDICARE 623000 1384526 1384526 MANAGED CARE 623000 216581 216581 HOSPICE 623000 54395 54395 6392688 184 184 OTHER INCOME 900099 16523 16523 16523 8317694 6409211 0 184 4054608 3838343 216265 385447 362320 23127 328883 309150 19733 41269 38793 2476 53485 50276 3209 21131 19863 1268 76024 71463 4561 63069 59285 3784 979316 932845 46471 1447 1360 87 13424 11008 2416 201457 189370 12087 SUPPLIES 689921 673793 16128 CONTRACTED SERVICES 557818 525128 32690 FRANCHISE PERMIT FEE 485093 485093 ANCILLARY SERVICES 398288 395791 2497 399547 382679 16868 8750227 8346560 403667 0 788074 594804 1941727 1677249 11521 10730 263938 209941 47435 53997 8807167 2788757 11143947 1102832 1083388 0 8807167 1102832 9890555 X 1685925 1253392 1685925 1253392 2788757 11143947 -432533 0 X 0 1 X 0 0 X 58929 712511 1467312 2118807 1908299 6265858 7946503 7688086 7378891 6468503 6392688 35874671 8005432 8400597 8846203 8587310 8300987 42140529 0 0 0 42140529 30 72 184 286 30 72 184 286 345118 133 6071 16523 367845 8350580 8400802 8846203 8593381 8317694 42508660 0.99130 0.99210 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2018 AMOUNT: $ 345,118. 2019 AMOUNT: $ 133. 2021 AMOUNT: $ 6,071. 2022 AMOUNT: $ 16,523. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 79110 46212 32898 184828 163729 21099 53997 OPERATING LEASE LIABILITY 8807167 8807167 8317694 0 8317694 0 8317694 8750227 0 8750227 0 8750227 FORM 990, PART VI, SECTION A, LINE 3 DELEGATION OF MANAGEMENT DUTIES: THE ORGANIZATION HAS DELEGATED CERTAIN OPERATIONAL AND MANAGEMENT DUTIES AND DECISIONS TO GENERATIONS, A COMPANY THAT IS UNRELATED TO THE OFFICERS AND DIRECTORS OF THE ORGANIZATION. THE FEES PAID FOR THESE MANAGEMENT SERVICES ARE AT OR BELOW FAIR MARKET VALUE. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE ORGANIZATION: THE MEMBER OF THE CORPORATION IS THE RELIGIOUS ORDER OF THE SISTERS OF ST. JOSEPH OF ST. MARK. FORM 990, PART VI, SECTION A, LINE 7A POWERS OF APPOINTMENT: THE MOTHER SUPERIOR OF THE SISTERS OF ST. JOSEPH OF ST. MARK SELECTS THE VOTING MEMBERS OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: FORM 990 IS REVIEWED BY THE OFFICERS AND OUTSIDE COUNSEL BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF CONFLICT POLICY: THE OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM. WHEN A CONFLICT ARISES, THE PERSON IS NOT PERMITTED TO PARTICIPATE IN THE DISCUSSION OF THE PROPOSED TRANSACTION. THOSE THAT ARE INDEPENDENT OF THE PERSON WITH THE CONFLICT MAKE THE DECISION ABOUT THE TRANSACTION IN THE BEST INTERESTS OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS: THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS OR GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. SRS OF ST JOSEPH OF ST MARK-GENERALATE 21800 CHARDON ROAD EUCLID OH 44117 237160781 CONVENT OH 501 (C) (3) LINE 1 N/A 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1