2020-07-15T10:48:15-05:00 2019-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-07-01 231700999 SAINT JOSEPH VILLA STJO 2158364179 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 S IRENE DUNN PRESIDENT 2158364179 2020-07-14 1 KERRI N BOGDA CPA P00760402 7177404863 23.130.16.102 2020-07-14 21:18:41 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AE0C272A69DD34E2EDF3B6A185DE1CF90EACE8A4 2018 2021-01-29 14:40:06Z S IRENE DUNN 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 25147164 0 X WWW.STJOSEPHVILLA.ORG X 1968 PA SKILLED NURSING SERVICES PRIMARILY TO SISTERS OF ST. JOSEPH OF CHESTNUT HILL AND OTHERS. 5 5 451 182 0 0 12801401 9109877 14816286 15984817 1968 1121 18167 28349 27637822 25124164 7308 0 0 0 13447821 15070644 0 0 0 11223978 11592332 24679107 26662976 2958715 -1538812 37726706 36710146 1751696 2003984 35975010 34706162 X THE MISSION OF SAINT JOSEPH VILLA IS ROOTED IN THE MISSION OF THE SISTERS OF ST. JOSEPH WHO FOUNDED AND SPONSOR THE VILLA. THE SISTERS' MISSION OF UNITING PEOPLE WITH GOD AND WITH ONE ANOTHER IS THE PRIMARY FOCUS OF THE STAFF AT THE VILLA. "CONTINUED ON SCHEDULE O".THEY REFLECT THE HEALING PRESENCE OF JESUS IN REVERENCING THE DIGNITY, UNIQUENESS AND BEAUTY OF EACH OF ITS RESIDENTS. THEY STRIVE TO MAKE GOD'S LOVE REAL FOR THE RESIDENTS, FOR ONE ANOTHER AND FOR ALL WHO VISIT THE VILLA. BY EMBRACING THE VALUES OF TEAMWORK, RESPECT, HOSPITALITY, COMPASSION, COMMUNICATION AND RESPONSIBILITY, THE VILLA COMMUNITY OFFERS CARE THAT IS PERSON-CENTERED AND RELATIONSHIP-BASED TO THE RESIDENTS. 0 0 23694719 0 15984817 TO OPERATE A SKILLED NURSING HOME PRIMARILY FOR THE SISTERS OF SAINT JOSEPH OF CHESTNUT HILL AS WELL AS FOR LAY RESIDENTS AS ROOM IS AVAILABLE. INFIRMARY/CONVENT FACILITIES ARE AVAILABLE FOR THE RETIRED MEMBERS OF THE SISTERS OF SAINT JOSEPH OF CHESTNUT HILL ONLY. SAINT JOSEPH VILLA HAD A TOTAL OF 101,406 RESIDENT DAYS. THE COMPOSITION OF THE DAYS INCLUDE 22,706 MEDICAID DAYS, 72,821 SELF PAY DAYS, 4,954 MEDICARE DAYS, AND 925 OF OTHER PAYOR RESIDENT DAYS IN FISCAL YEAR 2019. 23694719 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 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 55 0 451 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X MICHAEL J RYBCZYNSKI OPERATIONS ADMINISTRATOR 2158363525 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 X X SISTER IRENE DUNN PRESIDENT 1.00 39.00 X X 0 0 0 SISTER MAUREEN ERDLIEN PRESIDENT (UNTIL 05/25/19) 1.00 39.00 X X 0 0 0 SISTER EILEEN MARNIEN VICE PRESIDENT 1.00 39.00 X X 0 0 0 SISTER KAREN DELRICH GENERAL COUNCIL 1.00 39.00 X 0 0 0 SISTER OWEN BONNER GENERAL COUNCIL 1.00 39.00 X 0 0 0 SISTER TERESA SHAW GENERAL COUNCIL 1.00 39.00 X 0 0 0 SISTER MARIE O'BRIEN TREASURER 4.00 26.00 X 0 0 0 CATHERINE WISE EXECUTIVE DIRECTOR 40.00 X 0 0 0 SISTER DOROTHY APPRICH EXECUTIVE DIRECTOR (UNTIL 5/19) 40.00 X 0 0 0 MICHAEL J RYBCZYNSKI OPERATIONS ADMINISTRATOR 40.00 X 113246 0 12364 DIANE PATECKIS DIRECTOR OF NURSING 40.00 X 108258 0 12189 221504 0 24553 2 0 0 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 REHABILITATION SERVICES 3480893 WILLIAMSON HOSPITALITY SERVICES 6198 BUTLER PIKE BLUE BELL PA 19422 DINING MANAGEMENT 478872 GENERAL HEALTH CARE RESOURCES INC 2250 HICKORY ROAD PLYMOUTH MEETING PA 19462 STAFFING SERVICES 351139 WOHLSEN CONSTRUCTION COMPANY 993 OLD EAGLE SCHOOL RD 415 WAYNE PA 19087 CONSTRUCTION 265213 WIDENER INC 225 LINCOLN HIGHWAY FAIRLESS HILLS PA 19030 CONSTRUCTION 201200 6 9065419 44458 9109877 NET RESIDENT SVC REV 623000 15984817 15984817 15984817 1121 1121 49432 23000 26432 26432 VENDING MACHINE INCOME 900099 1917 1917 1917 25124164 15984817 0 29470 12594775 11328718 1266057 108440 97539 10901 1530021 1376220 153801 837408 753230 84178 442750 442750 27238 27238 931613 695156 236457 247326 126806 120520 754597 754597 72179 72179 28487 9826 18661 1475994 974156 501838 185516 185516 THERAPY SERVICES 3816230 3816230 VILLA ASSESSMENT 793072 793072 DIETARY EXPENSE 760487 753415 7072 RESIDENT CARE EXPENSES 600717 600717 1456126 1100108 356018 26662976 23694719 2968257 0 1488 1488 899920 640014 3166435 3051997 71063 91359 57853 57990 41433159 8565861 33529947 32867298 37726706 36710146 1729834 1974760 21862 29224 1751696 2003984 X 35800304 34676766 174706 29396 35975010 34706162 37726706 36710146 -1538812 269964 0 X 0 1 X 1 0 X 10721814 18766732 18128280 12801401 9109877 69528104 13091336 13642810 13395775 14816286 15984817 70931024 23813150 32409542 31524055 27617687 25094694 140459128 0 0 0 140459128 1259 1786 1512 1968 1121 7646 1259 1786 1512 1968 1121 7646 50059 34860 62969 40786 51349 240023 23864468 32446188 31588536 27660441 25147164 140706797 0.99820 0.99730 0.00010 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: SALE OF INVENTORY - 2014 AMOUNT: $ 30,761. 2015 AMOUNT: $ 28,247. 2016 AMOUNT: $ 30,860. 2017 AMOUNT: $ 39,338. 2018 AMOUNT: $ 49,432. DISCOUNTS/REFUND - 2014 AMOUNT: $ 9,852. 2015 AMOUNT: $ 4,337. OTHER MISC INCOME - 2014 AMOUNT: $ 9,446. VENDING MACHINE INCOME - 2015 AMOUNT: $ 1,685. 2016 AMOUNT: $ 1,434. 2017 AMOUNT: $ 1,448. 2018 AMOUNT: $ 1,917. FINANCE CHARGES - 2015 AMOUNT: $ 591. PARKING REVENUE - 2016 AMOUNT: $ 14,457. FLEA MARKET REVENUE - 2016 AMOUNT: $ 16,218. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 26964143 3452887 23511256 12764126 4496910 8267216 1704890 616064 1088826 32867298 X 25417128 269964 269964 25147164 -23000 -23000 25124164 26685976 23000 23000 26662976 0 26662976 PART IV, LINE 2B: THE ORGANIZATION PROVIDES SERVICES FOR RESIDENTS' PERSONAL FUNDS, WHICH ARE KEPT IN A BANK ACCOUNT AND THE DETAIL IS TRACKED ON SUPPORTING SCHEDULES. PART X, LINE 2: THE CONVENT ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -23,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 23,000. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE CONGREGATION'S GOVERNING COUNCIL. THE EXECUTIVE DIRECTOR AND OPERATIONS ADMINISTRATOR REVIEW THE PREPARED FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. THE MEMBERS OF THE BOARD OF DIRECTORS ARE NOT REQUIRED TO SIGN AN ANNUAL STATEMENT, HOWEVER, THEY VERBALLY REVIEW AND DETERMINE ANY CONFLICTS ANNUALLY AT A BOARD MEETING. AT THE ANNUAL REVIEW OF THIS POLICY, THE PRESIDENT OF THE BOARD SIGNS THE POLICY TO INDICATE THAT ALL BOARD MEMBERS AND KEY EMPLOYEES ARE IN COMPLIANCE. IF THERE IS A CONFLICT OF INTEREST TO REPORT, THE INFORMATION IS PROVIDED TO THE BOARD PRESIDENT, WHO THEN PRESENTS THE CONFLICT INFORMATION TO THE BOARD OF DIRECTORS FOR DISCUSSION AND RESOLUTION. THE ORGANIZATION'S PRESIDENT AND TREASURER WILL MONITOR PROPOSED OR ONGOING TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION PARTICIPATES IN AN ANNUAL SALARY AND BENEFITS SURVEY WITH THE LEADING AGE PA ORGANIZATION (FORMERLY PENNSYLVANIA ASSOCIATION OF NON PROFIT HOMES FOR THE AGING). THE SURVEY IS INTENDED TO MAKE SURE THE ORGANIZATION DOES NOT EXCEED FAIR MARKET VALUE FOR SALARIES AND BENEFITS. THE SURVEY PROVIDES THE FAIR MARKET VALUE OF SALARY AND BENEFIT INFORMATION GATHERED FROM ORGANIZATIONS IN THE SAME INDUSTRY AND WITHIN THE SAME GEOGRAPHICAL AREA AS SAINT JOSEPH VILLA. THE INFORMATION GATHERED IN THE SURVEY INCLUDES MOST OF THE POSITIONS IN THE FACILITY, INCLUDING BUT NOT LIMITED TO EXECUTIVE DIRECTOR, ADMINISTRATORS, DEPARTMENT DIRECTORS, ASSISTANTS, RN'S, LPN'S, CNA'S, NURSING SUPERVISORS, AND THERAPISTS. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE ANNUAL BUDGET, WHICH INCLUDES SALARY INFORMATION AND INCREASES FOR ALL EMPLOYEES. THE APPROVAL IS DOCUMENTED IN THE BOARD MINUTES. IN ADDITION, THE SALARY INFORMATION IS ALSO DOCUMENTED IN THE EMPLOYEE PERSONNEL FILES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE IN THE ADMINISTRATOR'S OFFICE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1: THE SISTERS ON THE BOARD ARE STILL CONSIDERED INDEPENDENT BECAUSE THEY HAVE UNIQUE COMPENSATION ARRANGEMENTS. THERE ARE TWO TYPES OF COMPENSATION ARRANGEMENTS PAID TO THE SISTERS WHO MINISTER AT ST. JOSEPH VILLA. THOSE THAT RECEIVE A STIPEND AND HEALTH BENEFITS AND THOSE THAT ONLY RECEIVE HEALTH BENEFITS. THE STIPEND AND/OR BENEFITS ARE PAID TO THE SISTERS OF ST. JOSEPH AND NOT TO AN INDIVIDUAL MEMBER OF THE CONGREGATION. SISTERS WHO RESIDE IN A NON-CONGREGATIONAL RESIDENCE, RECEIVE A STIPEND, HEALTH BENEFITS, AND HOUSING. SISTERS WHO RESIDE IN CONGREGATIONAL OWNED HOUSING, RECEIVE HEALTH BENEFITS ONLY. THE STIPEND OF THOSE SISTERS LIVING IN CONGREGATIONAL HOUSING IS CONSIDERED CONTRIBUTED SERVICES. CONVENT OF THE SISTERS OF SAINT JOSEPH OF CHESTNUT HILL 9701 GERMANTOWN AVENUE PHILADELPHIA PA 19118 231352546 CONVENT PA 501(C)(3) LINE 1 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0