2018-05-11T09:30:55-05:00 2017-06-30 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-07-01 231700999 Saint Joseph Villa STJO 2158364179 110 West Wissahickon Avenue Flourtown PA 19031 Sister Dorothy Apprich Executive Director 2158364179 2018-05-10 1 Julius C Green CPA P00350393 2159720701 2016 2022-09-23 18:48:47Z Sister Dorothy Apprich 110 West Wissahickon Avenue Flourtown PA 19031 31588536 0 X www.stjosephvilla.org X 1968 PA SKILLED NURSING SERVICES PRIMARILY TO SISTERS OF ST. JOSEPH OF CHESTNUT HILL AND OTHERS. 5 5 447 0 0 0 18766732 18128280 13642810 13395775 1786 1512 15046 40894 32426374 31566461 2369 2523 0 0 12559215 11991555 0 0 0 8805184 9367484 21366768 21361562 11059606 10204899 26757357 37410441 4376125 4508335 22381232 32902106 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. 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 18540049 2523 13395775 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 87,863 resident days. The composition of the days include 19,533 Medicaid days, 61,251 Self pay days, 5,968 Medicare days, and 1,111 of other payor resident days in fiscal year 2017. 18540049 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 35 0 1 447 1 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 Anne Myers 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 Regina Bell General Council 1.00 39.00 X 0 0 0 Sister MAUREEN ERDLIEN General Council 1.00 39.00 X 0 0 0 Sister TERESA SHAW General Council 1.00 39.00 X 0 0 0 Sister Dorothy Apprich Executive Director 40.00 X 0 0 0 sister marie o'brien treasurer 4.00 26.00 X 0 0 0 MICHAEL J RYBCZYNSKI OPERATIONS ADMINISTRATOR 40.00 X 143485 0 13794 Patricia Hunter Registered Nurse 40.00 X 103416 0 19870 246901 0 33664 2 0 1 0 Select Rehabilitation PO Box 71985 Chicago IL 60694 REHABILITATION SERVICES 2663841 General Health Care Resources Inc 2250 Hickory Road Plymouth Meeting PA 19462 Staffing Services 212847 2 18120722 7558 18128280 Net Resident Svc Rev 623000 13395775 13395775 13395775 1512 1512 30860 22075 8785 8785 FLEA MARKET REVENUE 900099 16218 16218 PARKING REVENUE 900099 14457 14457 Vending Machine Income 900099 1434 1434 32109 31566461 13395775 0 42406 2523 2523 10365905 9293046 1072859 -503100 -451030 -52070 1418775 1271934 146841 709975 636493 73482 647063 647063 82946 82946 579801 414341 165460 172622 143446 29176 11958 11958 689753 689753 64724 48291 16433 27842 7768 20074 570812 570812 163381 163381 med. supplies & drugs 3514783 3514783 MA ASSESSMENT 859221 859221 DINING SERVICES 646221 646221 Resident Care Expense 517714 517714 818643 503945 314698 21361562 18540049 2821513 0 1488 1488 508778 370418 3461794 4426030 60595 105270 60624 125290 38022746 5640801 22664078 32381945 26757357 37410441 4295755 4458639 80370 49696 4376125 4508335 X 22381232 32902106 22381232 32902106 26757357 37410441 10204899 315975 0 X 0 1 X 1 0 X 10127743 8427086 10721814 18766732 18128280 66171655 12452625 13558984 13091336 13642810 13395775 66141530 22580368 21986070 23813150 32409542 31524055 132313185 0 0 0 132313185 1061 2415 1259 1786 1512 8033 1061 2415 1259 1786 1512 8033 65561 173467 50059 34860 62969 386916 22646990 22161952 23864468 32446188 31588536 132708134 0.99700 0.99670 0.00010 0.00010 X Schedule A, Part III, Line 12, Explanation of Other Income: Sale of Inventory - 2012 Amount: $ 52,183. 2013 Amount: $ 46,311. 2014 Amount: $ 30,761. 2015 Amount: $ 28,247. 2016 Amount: $ 30,860. Discounts/Refund - 2012 Amount: $ 4,337. 2013 Amount: $ 13,904. 2014 Amount: $ 9,852. 2015 Amount: $ 4,337. Other Misc Income - 2012 Amount: $ 9,041. 2013 Amount: $ 113,252. 2014 Amount: $ 9,446. VENDING MACHINE INCOME - 2015 Amount: $ 1,685. 2016 Amount: $ 1,434. 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 4245145 1630245 2614900 7028245 3628346 3399899 26749356 382210 26367146 32381945 X 31904511 315975 315975 31588536 -22075 -22075 31566461 21383637 22075 22075 21361562 0 21361562 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 -22,075. Part XII, Line 2d - Other Adjustments: COST OF GOODS SOLD 22,075. 0 0 0 0 0 0 0 0 0 MICHAEL J RYBCZYNSKI OPERATIONS ADMINISTRATOR 143485 0 0 0 0 0 5022 0 8772 0 157279 0 0 0 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