2022-11-14T13:02:46-06:00 2022-06-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990 2021-07-01 470490837 ST JOSEPH'S VILLA INC STJO 4023673045 927 N 7TH ST DAVID CITY NE 686321398 TRISH STEAGER ADMINISTRATOR 4023673045 2022-11-07 1 TRISH STEAGER 999009999 STEVEN K PLACKE P00078534 3083827850 2022-11-07 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z TRISH STEAGER 972 7TH STREET DAVID CITY NE 68632 7633593 0 X WWW.SAINTJOSEPHSVILLA.ORG X 1964 NE NURSING HOME/ASSISTED LIVING CARE FOR THE ELDERLY. 9 9 138 1 0 0 1370773 128919 5478538 4953210 1328309 25289 0 0 8177620 5107418 1500 1500 0 0 3202783 2992619 0 0 0 2839504 3131360 6043787 6125479 2133833 -1018061 10837904 9338511 1890800 1835146 8947104 7503365 NURSING HOME/ASSISTED LIVING CARE FOR THE ELDERLY. 0 0 5474691 1500 4910458 NURSING HOME/ASSISTED LIVING CARE FOR THE ELDERLY. 5474691 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 138 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 X X TRISH STEAGER 4023673045 927 NORTH 7TH ST DAVID CITY NE 68632 X SISTER FRANCES PYTLIK CHAIRMAN 0.00 X X 0 0 0 WILLIAM PONEC VICE CHAIRMAN 0.00 X X 0 0 0 MICHAEL R ADAMY TREASURER 0.00 X X 0 0 0 KATHY ENGEL SECRETARY 0.00 X X 0 0 0 LAURA KOBZA DIRECTOR 0.00 X 0 0 0 KEN POLACEK DIRECTOR 0.00 X 0 0 0 ALLEN MORAVEC DIRECTOR 0.00 X 0 0 0 SUE BIRKEL DIRECTOR 0.00 X 0 0 0 JEANNE JAKUB DIRECTOR 0.00 X 0 0 0 0 0 0 0 0 0 0 MEDICAL SOLUTIONS PO BOX 310737 DES MOINES IA 50331 NURSING LABOR 334839 FUSION MEDICAL STAFFING PO BOX 30131 OMAHA NE 68103 NURSING LABOR 291135 24HOURNURSE 318 DAINGERFIELD PITTSBURG TX 75686 NURSING LABOR 248910 AUREUS NURSING LLC PO BOX 850854 MINNEAPOLIS MN 55485 NURSING LABOR 248161 ONESTAFF MEDICAL LLC PO BOX 3544 OMAHA NE 68103 NURSING LABOR 128881 7 106196 22723 128919 MEDICAID RESIDENTS 623000 1925022 1925022 PRIVATE PAY RESIDENTS 623000 1908248 1908248 ASSISTED LIVING-PRIVATE 623000 871973 871973 MEDICARE RESIDENTS 623000 172049 172049 ASSISTED LIVING-MEDICAID 623000 75127 75127 791 791 4953210 67250 67250 2484214 2526175 -41961 -41961 -41961 5107418 4910458 0 68041 X 1500 1500 2479970 2187105 292865 332719 291886 40833 179930 158606 21324 175673 86626 89047 16453 16453 1727629 1695710 31919 18266 18266 252671 186040 66631 5979 5979 4321 4321 15779 14792 987 62465 62465 301105 301105 80072 50927 29145 FOOD 209581 209581 UTILITIES 120060 120060 REPAIRS AND MAINTENANCE 70623 70623 DUES AND SUBSCRIPTIONS 32168 12595 19573 38515 25070 13445 6125479 5474691 650788 0 1361832 411746 591308 595163 294247 377346 26789 26739 10047314 6665910 3604233 3381404 4898035 4492518 31460 23595 30000 30000 10837904 9338511 500800 700146 1390000 1135000 1890800 1835146 X 8849104 7384450 98000 118915 8947104 7503365 10837904 9338511 -1018061 -425678 0 X 0 1 X 1 0 X 16085 16663 6435 10445 22723 72351 4866250 5446301 5365229 7487490 452419 23617689 4790 7034 6069 1951 791 20635 4887125 5469998 5377733 7499886 475933 23710675 0 0 0 23710675 93361 70684 83904 24506 67250 339705 93361 70684 83904 24506 67250 339705 4980486 5540682 5461637 7524392 543183 24050380 0.98590 0.98720 0.01410 0.01280 X 5396113 5396113 5396113 5396113 5344604 51509 5396113 5216292 128312 5344604 4925972 306444 16124 5216292 0 0 127263 127263 7647309 4631262 3016047 2200973 1967882 233091 71769 66766 5003 3381404 4681740 -425678 -425678 5107418 0 5107418 6125479 0 6125479 0 6125479 PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS THE ENDOWMENT FUND IS MAINTAINED TO PRODUCE INCOME TO SUPPLEMENT THE ORGANIZATION'S OPERATIONS THROUGH SPECIFIC EXPENDITURES, SUCH AS CAPITAL EXPENDITURES, EXCLUDING GENERAL OPERATIONAL EXPENDITURES. A CITY OF DAVID CITY 476006162 23855TAL8 2014-01-13 3000000 TO REFINANCE PREVIOUS BOND 0 0 0 A 1865000 3000000 90449 1454551 1455000 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES ARE PERFORMED BY RURAL HEALTH DEVELOPMENT, INC.,MANAGEMENT AGENT FOR THE VILLA. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FORM 990 IS PRESENTED AT A BOARD MEETING AND REVIEWED ALONG WITH THE YEAR-END FINANCIAL STATEMENTS. FOLLOWING VARIOUS QUESTIONS AND THE OVERALL REVIEW PROCESS, THE FORM 990 IS SIGNED IN PREPARATION FOR FILING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON INDIVIDUAL REQUEST. FORM 990, PART IX, LINE 11G MEDICARE BILLING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,951. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,951. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,968. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,968. CONTRACTED SERVICES - MEDICARE: PROGRAM SERVICE EXPENSES 76,964. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,964. POOL AGENCY LABOR: PROGRAM SERVICE EXPENSES 1,618,746. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,618,746.