2020-11-03T12:10:28-06:00 2020-06-30 470625816 LUTZ AND COMPANY PC 3320 JAMES ROAD SUITE 100 GRAND ISLAND NE 68803 990 2019-07-01 470490837 ST JOSEPH'S VILLA INC STJO 4023673045 927 NORTH 7TH ST DAVID CITY NE 686321398 TRISH STEAGER ADMINISTRATOR 4023673045 2020-10-23 1 STEVEN K PLACKE P00078534 3083827850 2020-10-23 74.51.217.130 2020-10-23 10:01:34 CD P 8E77C8174B07C3C385FB22B2A0DA4C751C44ABF2 4234F2B261740BFC3141C475C431891D18F9DEFF 2019 2021-01-29 14:40:06Z TRISH STEAGER 972 7TH STREET DAVID CITY NE 68632 5565319 0 X WWW.SAINTJOSEPHSVILLA.ORG X 1964 NE NURSING HOME/ASSISTED LIVING CARE FOR THE ELDERLY. 11 11 141 28 0 0 16663 110114 5058255 5327967 465764 127223 0 15 5540682 5565319 1500 1000 0 0 3191199 3600870 0 0 0 2058994 1980048 5251693 5581918 288989 -16599 12227355 12847373 2261354 2943372 9966001 9904001 NURSING HOME/ASSISTED LIVING CARE FOR THE ELDERLY. 0 0 4964822 1000 5365229 NURSING HOME/ASSISTED LIVING CARE FOR THE ELDERLY. 4964822 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 1 0 0 0 1 8 0 1 141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 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 SISTER FRAN SCHUMER DIRECTOR 0.00 X 0 0 0 SISTER JANET MCCANN DIRECTOR 0.00 X 0 0 0 MONICA POLIVKA DIRECTOR 0.00 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 RON VACA DIRECTOR 0.00 X 0 0 0 GINA L THOMPSON DIRECTOR 0.00 X 0 0 0 0 0 0 0 0 0 0 FUSION MEDICAL PO BOX 82674 LINCOLN NE 68501 NURSING LABOR 157887 AUREUS NURSING PO BOX 3037 OMAHA NE 68103 NURSING LABOR 153568 BUTLER COUNTY HEALTH CARE CENTER 372 S 9TH STREET DAVID CITY NE 68632 HEALTH SUPPORT 102133 3 103679 6435 110114 PRIVATE PAY RESIDENTS 623000 2249108 2249108 MEDICAID RESIDENTS 623000 1726405 1726405 ASSISTED LIVING-PRIVAT 623000 854405 854405 MEDICARE RESIDENTS 623000 388534 388534 ASSISTED LIVING-MEDICA 623000 102130 102130 7385 1316 6069 5327967 83907 83907 42831 485 0 0 42831 485 43316 43316 MISCELLANEOUS 15 15 15 5565319 5365229 0 89976 X 1000 1000 2957529 2681326 276203 431500 393251 38249 211841 192064 19777 132424 38921 93503 15186 15186 645549 598924 46625 14898 14898 196702 164906 31796 5862 5862 4897 4897 9872 7980 1892 82240 82240 322424 322424 72537 45135 27402 FOOD 221229 221229 UTILITIES 129331 129331 REPAIRS AND MAINTENANCE 54198 54198 DUES AND SUBSCRIPTIONS 28228 11732 16496 44471 20161 24310 5581918 4964822 617096 0 416965 1404240 586604 586818 258135 284580 34716 29726 9867065 6061168 4008402 3805897 6845343 6666787 47190 39325 30000 30000 12227355 12847373 386354 411650 189622 1875000 2342100 2261354 2943372 X 4542636 4438136 5423365 5465865 9966001 9904001 12227355 12847373 -16599 -45401 0 X 0 1 X 1 0 X 3639 95093 16085 16663 6435 137915 4744030 4892319 4866250 5446301 5365229 25314129 5657 5633 4790 7034 6069 29183 4753326 4993045 4887125 5469998 5377733 25481227 0 0 0 25481227 119249 93208 93361 70684 83904 460406 119249 93208 93361 70684 83904 460406 4872575 5086253 4980486 5540682 5461637 25941633 0.98230 0.98120 0.01770 0.01880 X 5344604 51509 5396113 5216292 128312 5344604 4925972 306444 16124 5216292 4380349 561481 15858 4925972 4489426 66631 15594 4540463 0 0 127263 127263 7583639 4134309 3449330 2084393 1861202 223191 71770 65657 6113 3805897 5519918 -45401 -45401 5565319 0 5565319 5581918 0 5581918 0 5581918 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 AND DEBT PAYMENTS, EXCLUDING GENERAL OPERATIONAL EXPENDITURES. A CITY OF DAVID CITY 476006162 23855TAL8 2014-01-13 3000000 TO REFINANCE PREVIOUS BOND 0 0 0 A 1365000 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 2,699. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,699. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,903. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,903. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,023. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,023. CONTRACTED SERVICES - MEDICARE: PROGRAM SERVICE EXPENSES 139,602. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 139,602. POOL AGENCY LABOR: PROGRAM SERVICE EXPENSES 459,322. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 459,322. SISTERS ADORERS OF BLOOD OF CHRIST UNITED STATES REGION 4233 SULPHUR AVE ST LOUIS MO 63109 371402562 MANAGEMENT MO 501(C)(3) LINE 10 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 SISTERS ADORERS OF THE BLOOD OF CHR C