2020-11-16T07:07:24-06:00 2019-12-31 340677006 MALONEY NOVOTNY LLC 1111 SUPERIOR AVE SUITE 700 CLEVELAND OH 441142540 990 2019-01-01 340714765 SISTERS OF ST JOSEPH OF ST MARK SIST 2165317426 21800 CHARDON ROAD EUCLID OH 44117 MOTHER M RAPHAEL GREGG PRESIDENT 2165317426 2020-11-11 1 CHRISTOPHER B ANDERSON P00226559 2163630100 209.116.109.2 2020-11-11 07:56:55 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 34F15A1E57D14FDCA2271EC8547C559A386063E6 2019 2021-01-29 14:40:06Z MOTHER M RAPHAEL GREGG 21800 CHARDON ROAD EUCLID OH 44117 8400802 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 1 300 8 0 0 58929 712511 7946503 7688086 30 72 345118 133 8350580 8400802 0 0 0 0 4714488 4825524 0 0 0 4275771 4079140 8990259 8904664 -639679 -503862 3416657 3039128 1167186 1293519 2249471 1745609 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 8472862 7688219 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. 8472862 1 1 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 300 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 ABSOLUTE REHABILITATION & CONSULTING 339 EAST MAPLE ST NORTH CANTON OH 44720 PHYSICAL THERAPY 507614 GENERATIONS HEALTHCARE MGMT 2 BEREA COMMONS BEREA OH 44017 MANAGEMENT SVCS 298516 GORDON FOOD SERVICE DEPT CH 10490 PALATINE IL 43271 FOOD AND SUPPLIES 271831 MEDLINE INDUSTRIES INC 1730 W 25TH STREET CLEVELAND OH 44113 MEDICAL SUPPLIES 186993 TODD ASSOCIATES INC 23825 COMMERCE PARK SUITE A BEACHWOOD OH 44122 INSURANCE 120112 9 712511 712511 MEDICAID 623000 3970524 3970524 SELF PAY 623000 1796616 1796616 MEDICARE 623000 1333564 1333564 HOSPICE 623000 449245 449245 MANAGED CARE 623000 138137 138137 7688086 72 72 MISCELLANEOUS 900099 133 133 133 8400802 7688219 0 72 4000517 3785214 215303 487505 458255 29250 337502 317252 20250 322065 302741 19324 24043 22600 1443 38431 36125 2306 7934 7458 476 78432 73726 4706 61005 57345 3660 1080182 1019072 61110 5897 5543 354 24014 19691 4323 119994 112794 7200 SUPPLIES 643709 626375 17334 CONTRACTED SERVICES 642543 604482 38061 FRANCHISE PERMIT FEE 468548 468548 0 ANCILLARY SERVICES 148473 145654 2819 413870 409987 3883 8904664 8472862 431802 0 1538767 1167177 1793461 1783670 9477 10751 235052 157522 74952 77530 3416657 3039128 1167186 1293519 1167186 1293519 X 2249471 1745609 2249471 1745609 3416657 3039128 -503862 0 X 0 1 X 0 0 X 1000197 1000000 2000100 58929 712511 4771737 7653138 8396225 8228806 7946503 7688086 39912758 8653335 9396225 10228906 8005432 8400597 44684495 0 0 0 44684495 5 14 25 30 72 146 5 14 25 30 72 146 345118 133 345251 8653340 9396239 10228931 8350580 8400802 45029892 0.99230 0.99220 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME - 2018 AMOUNT: $ 345,118. 2019 AMOUNT: $ 133. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 70210 26315 43895 164842 131207 33635 77530 8400802 0 8400802 0 8400802 8904664 0 8904664 0 8904664 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