2023-05-12T07:56:15-05:00 2022-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-07-01 231700999 SAINT JOSEPH VILLA STJO 2158364179 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 S EILEEN MARNIER VICE PRESIDENT 2158364179 2023-05-03 1 S EILEEN MARNIER 999009999 KERRI N BOGDA CPA P00760402 7177404863 2023-05-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z KATRINA WISE 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 32838419 0 X WWW.STJOSEPHVILLA.ORG X 1968 PA SKILLED NURSING SERVICES PRIMARILY TO SISTERS OF ST. JOSEPH OF CHESTNUT HILL AND OTHERS. 5 5 449 123 0 0 17416191 1232651 14822179 31459220 1282 681 3224 123886 32242876 32816438 0 0 0 0 18508281 19447188 0 0 0 12679979 13369451 31188260 32816639 1054616 -201 35079497 35648653 3218846 3788203 31860651 31860450 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 28725441 31459220 THE ORGANIZATION'S MISSION IS 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 99,151 RESIDENT DAYS. THE COMPOSITION OF THE DAYS INCLUDE 22,017 MEDICAID DAYS, 70,211 SELF PAY DAYS, 5,609 MEDICARE DAYS, AND 1,314 OF OTHER PAYOR RESIDENT DAYS IN FISCAL YEAR 2022. 28725441 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 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 1 0 0 0 1 80 0 449 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 NANCY MANDES CONTROLLER 2158363525 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 X SISTER MAUREEN ERDLEN PRESIDENT 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 DIETRICH 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 1.00 39.00 X 0 0 0 CATHERINE WISE EXECUTIVE DIRECTOR 40.00 X 213594 0 0 MICHAEL J RYBCZYNSKI OPERATIONS ADMINISTRATOR (TIL 8/31) 40.00 X 170021 0 9716 DIANE PATECKIS DIRECTOR OF NURSING 40.00 X 126415 0 9716 LYNNE WATKINS-TRICE NURSING HOME ADMINISTRATOR 40.00 X 120319 0 0 SOPHIA CONWAY LPN 53.00 X 140526 0 0 ERIKA YOST POOL RN 37.00 X 121336 0 0 892211 0 19432 15 0 1 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 REHABILITATION SERVICES 4059605 CULINART GROUP INC PO BOX 417632 BOSTON MA 022417632 DIETARY SERVICES 510867 ELLIOTT-LEWIS CORP 2900 BLACK LAKE PLACE PHILADELPHIA PA 19154 HVAC SERVICES 411222 ALLIED UNIVERSAL SECURITY SERVICES PO BOX 828854 PHILADELPHIA PA 191828854 SECURITY SERVICES 156714 MAXIM HEALTHCARE STAFFING SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 STAFFING SERVICES 137559 5 1189936 42715 1232651 NET RESIDENT SVC REV 623000 16843226 16843226 MOTHERHOUSE SUPPORT 623000 14615994 14615994 31459220 681 681 41169 21981 19188 19188 MEALS/INTERNAL CATERING 900099 26324 26324 REBATES/REFUNDS 900099 17227 17227 TELEPHONE CHARGES 900099 16979 16979 44168 44168 104698 32816438 31459220 0 124567 15898467 14118555 1779912 460212 405211 55001 1986851 1749397 237454 1101658 969996 131662 510868 510868 33402 33402 1141779 577651 564128 258145 171623 86522 737960 706936 31024 82974 82974 35265 13879 21386 1449338 956563 492775 255093 255093 THERAPY SERVICES 4024216 4024216 RESIDENT CARE EXPENSES 1135943 1135943 DIETARY EXPENSE 916292 893854 22438 VILLA ASSESSMENT 883513 883513 1904663 1490860 413803 32816639 28725441 4091198 0 1488 1488 1443126 1303426 2206962 3052477 492101 111457 48671 59628 44161420 13041243 30887149 31120177 35079497 35648653 3022864 3422287 166758 318497 29224 47419 3218846 3788203 X 31847555 31814832 13096 45618 31860651 31860450 35079497 35648653 -201 0 X 0 1 X 1 0 X 12801401 9109877 9326925 17416191 15848645 64503039 14816286 15984817 16121117 14822179 16843226 78587625 27617687 25094694 25448042 32238370 32691871 143090664 12325493 9065419 8908700 13955088 14615994 58870694 0 12325493 9065419 8908700 13955088 14615994 58870694 84219970 1968 1121 1020 1282 681 6072 1968 1121 1020 1282 681 6072 40786 51349 46471 26240 145867 310713 27660441 25147164 25495533 32265892 32838419 143407449 0.58730 0.55960 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: SALE OF INVENTORY - 2017 AMOUNT: $ 39,338. 2018 AMOUNT: $ 49,432. 2019 AMOUNT: $ 43,747. 2020 AMOUNT: $ 26,240. 2021 AMOUNT: $ 41,169. VENDING MACHINE INCOME - 2017 AMOUNT: $ 1,448. 2018 AMOUNT: $ 1,917. 2019 AMOUNT: $ 2,724. HAIRDRESSER SERVICES - 2021 AMOUNT: $ 5,967. NEWSPAPER SUB - 2021 AMOUNT: $ 7,624. LAUNDRY SERVICES - 2021 AMOUNT: $ 9,598. TELEPHONE CHARGES - 2021 AMOUNT: $ 16,979. MISC INCOME - 2021 AMOUNT: $ 6,620. DISCOUNTS - 2021 AMOUNT: $ -224. MEALS/INTERNAL CATERING - 2021 AMOUNT: $ 26,324. REBATES/REFUNDS - 2021 AMOUNT: $ 17,227. INSURANCE CLAIMS - 2021 AMOUNT: $ 14,583. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 27290599 6177242 21113357 14135527 5790923 8344604 2735294 1073078 1662216 31120177 33128945 290526 290526 32838419 -21981 -21981 32816438 33129146 290526 21981 312507 32816639 0 32816639 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 XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOODS SOLD -21,981. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 21,981. 1 0 0 0 0 0 0 0 0 CATHERINE WISE EXECUTIVE DIRECTOR 213594 0 0 0 0 0 0 0 0 0 213594 0 0 0 MICHAEL J RYBCZYNSKI OPERATIONS ADMINISTRATOR (TIL 8/31) 0 0 0 0 170021 0 0 0 9716 0 179737 0 0 0 PART I, LINE 4A MICHAEL J. RYBCZYNSKI RECEIVED A SEVERANCE PAYMENT UPON HIS SEPARATION FROM THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND CONTROLLER REVIEW THE PREPARED FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE CONGREGATION'S GOVERNING COUNCIL 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, AND NURSING SUPERVISORS. 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 EXECUTIVE DIRECTOR'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 WHO RECEIVE A STIPEND AND HEALTH BENEFITS AND THOSE WHO 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