2022-05-13T14:46:51-05:00 2021-06-30 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2020-07-01 231700999 SAINT JOSEPH VILLA STJO 2158364179 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 S EILEEN MARNIER VICE PRESIDENT 2158364179 2022-05-13 1 S EILEEN MARNIER 999009999 KERRI N BOGDA CPA P00760402 7177404863 X 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z S IRENE DUNN 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 32265892 0 X WWW.STJOSEPHVILLA.ORG X 1968 PA SKILLED NURSING SERVICES PRIMARILY TO SISTERS OF ST. JOSEPH OF CHESTNUT HILL AND OTHERS. 5 5 483 94 0 0 8939073 17416191 16121117 14822179 1020 1282 406503 3224 25467713 32242876 0 0 0 0 17398188 18508281 0 0 0 12319741 12679979 29717929 31188260 -4250216 1054616 36830383 35079497 6024348 3218846 30806035 31860651 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 27104542 0 14822179 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 95,242 RESIDENT DAYS. THE COMPOSITION OF THE DAYS INCLUDE 23,064 MEDICAID DAYS, 67,145 SELF PAY DAYS, 4,404 MEDICARE DAYS, AND 629 OF OTHER PAYOR RESIDENT DAYS IN FISCAL YEAR 2021. 27104542 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 73 0 483 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 LYNNETTE PEREZ PIZARRO CONTROLLER 2158363525 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 X 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 4.00 26.00 X 0 0 0 MICHAEL J RYBCZYNSKI OPERATIONS ADMINISTRATOR (TIL 8/31) 40.00 X 160000 0 11892 CATHERINE WISE EXECUTIVE DIRECTOR 40.00 X 232519 0 0 DIANE PATECKIS DIRECTOR OF NURSING 40.00 X 128467 0 11834 LYNNE WATKINS-TRICE NURSING HOME ADMINISTRATOR 40.00 X 134040 0 637 ANNE WELSH LEAD RN 40.00 X 111528 0 0 766554 0 24363 5 0 1 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 REHABILITATION SERVICES 3823780 MBD BIOMED LLC 116 LEVEL ROAD COLLEGEVILLE PA 19426 MEDICAL WASTE SERVICES 216180 RN PLUS INC 515 PENNSYLVANIA AVE STE 103 FORT WASHINGTON PA 19034 STAFFING SERVICES 155858 GENERAL HEALTH CARE RESOURCES INC 2250 HICKORY ROAD PLYMOUTH MEETING PA 19462 STAFFING SERVICES 128445 4 13955088 3407014 54089 17416191 NET RESIDENT SVC REV 623000 14822179 14822179 14822179 1282 1282 26240 23016 3224 3224 32242876 14822179 0 4506 15062413 13291686 1770727 442598 388682 53916 1971702 1731517 240185 1031568 905907 125661 502841 502841 33290 33290 992889 587324 405565 296234 187313 108921 772713 739374 33339 75247 75247 15208 4046 11162 1509791 996462 513329 220017 220017 THERAPY SERVICES 3871506 3871506 RESIDENT CARE EXPENSES 853343 853343 DIETARY EXPENSE 850243 798630 51613 VILLA ASSESSMENT 844383 844383 1842274 1292991 549283 31188260 27104542 4083718 0 1874 1488 1827501 1443126 2833447 2206962 245157 492101 61858 48671 42479054 11591905 31860546 30887149 36830383 35079497 2684007 3022864 715517 166758 29224 29224 2595600 6024348 3218846 X 30792939 31847555 13096 13096 30806035 31860651 36830383 35079497 1054616 0 X 0 1 X 1 0 X 18128280 12801401 9109877 9326925 17416191 66782674 13395775 14816286 15984817 16121117 14822179 75140174 31524055 27617687 25094694 25448042 32238370 141922848 18120722 12325493 9065419 8908700 13955088 62375422 0 18120722 12325493 9065419 8908700 13955088 62375422 79547426 1512 1968 1121 1020 1282 6903 1512 1968 1121 1020 1282 6903 62969 40786 51349 46471 26240 227815 31588536 27660441 25147164 25495533 32265892 142157566 0.55960 0.52360 0.00000 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: SALE OF INVENTORY - 2016 AMOUNT: $ 30,860. 2017 AMOUNT: $ 39,338. 2018 AMOUNT: $ 49,432. 2019 AMOUNT: $ 43,747. 2020 AMOUNT: $ 26,240. VENDING MACHINE INCOME - 2016 AMOUNT: $ 1,434. 2017 AMOUNT: $ 1,448. 2018 AMOUNT: $ 1,917. 2019 AMOUNT: $ 2,724. PARKING REVENUE - 2016 AMOUNT: $ 14,457. FLEA MARKET REVENUE - 2016 AMOUNT: $ 16,218. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 27228733 5344707 21884026 13367878 5327050 8040828 1882443 920148 962295 30887149 32609538 343646 343646 32265892 -23016 -23016 32242876 31554922 343646 23016 366662 31188260 0 31188260 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 -23,016. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOODS SOLD 23,016. 0 0 0 0 0 0 0 0 0 CATHERINE WISE EXECUTIVE DIRECTOR 232519 0 0 0 0 0 0 0 0 0 232519 0 0 0 MICHAEL J RYBCZYNSKI OPERATIONS ADMINISTRATOR (TIL 8/31) 160000 0 0 0 0 0 0 0 11892 0 171892 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND OPERATIONS ADMINISTRATOR 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, 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 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