2018-11-06T12:01:11-06:00 2017-12-31 990 2017-01-01 232057177 St Mary's Villa Nursing Home Inc STMA 5708427621 516 StMarys Villa Road Elmhurst Twp PA 18444 Nancy Newcomb Chief Executive Officer 5708427621 2018-11-06 155.212.6.161 2018-11-06 13:00:55 US P A744FCA080835C7073C58A40247746B207170AF7 A744FCA080835C7073C58A40247746B207170AF7 2017 2019-02-21 02:37:17Z Nancy Newcomb 516 St Marys Villa Road Elmhurst Twp PA 18444 14113422 0 X stmarysvilla.com X 1967 PA We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. 14 13 277 27 0 0 48133 36650 13562673 13796916 143945 169192 47241 50442 13801992 14053200 0 0 0 0 8042585 8533290 0 0 0 4665773 4535785 12708358 13069075 1093634 984125 24043260 25856995 7626767 7303351 16416493 18553644 X Our Judeo-Christian tradition compels us to promote Gospel values in all of our endeavors. We commit to honor these core values:Compassion,We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.Integrity - We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.Collaboration - We work in partnership, dialogue and shared purpose to create healthy communities. Excellence - We deliver all services with the highest level of quality, while seeking creative innovation. 0 0 9661741 10899308 St Mary's Villa provides care to the elderly with the operation of a 112 bed skilled nursing facility. 38,532 resident days of service were provided in 2017. St Mary's admits a number of residents who lack the resources to pay the full cost of services and also residents whose care is funded under the the state Medicaid program. In 2017 both benevolent care and contractual allowances were provided to residents in the skilled nursing facility. 1969979 2930857 St Mary's Villa also provides care to the elderly with the operation of a 64 bed personal care facility. 20,494 resident days of service were provided in 2017.This operation provides a cost based alternative to skilled nursing services. 15319 In the spirit of the Covenant Health and the Poor Sisters of Jesus Crucified and keeping with our mission St. Mary's Villa continues to respond to the needs of the poor and underserved in our community. Under the guidance of the the mission committee St. Mary's Villa Campus donated a total of $15,319.48 in dollars, goods and services and 584.25 service hours to the community. 11647039 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 31 0 1 277 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 X 14 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X X Lisa Zamber 5708427621 516 St Marys Villa Road Elmhurst Twp PA 18444 Blumer James Vice Chair 1.00 X 0 0 0 Burkey Ellen Director 1.00 X 0 0 0 Castellano Frank P Esquire Director 1.00 X 0 0 0 Cisowski Antoinette Secretary 1.00 X X 0 0 0 Gianuzzi Dominick Director 1.00 X 0 0 0 Kanton Peter Treasurer 1.00 X X 0 0 0 Loftus James F IV Director 1.00 X 0 0 0 Loftus Renee Director 1.00 X 0 0 0 Lovecchio Catherine Chairperson 1.00 X X 0 0 0 Musheno Jerome RPhEsq Director 1.00 X 0 0 0 Sanderson John P III Esquire Director 1.00 X 0 0 0 Sister Mary Valliere CJC President 5.00 X 0 0 0 Sister Mary Ruth Dauginikas CJC Director 1.00 X 0 0 0 Newcomb Nancy CEO 50.00 X X 130426 0 18454 Zamber Lisa CFO 50.00 X 127373 0 21866 257799 0 40320 2 0 0 0 GEISINGER HEALTH PLAN PO BOX 822434 PHILADELPHIA PA 19182 EMPLOYEE HEALTH INSURANCE 970734 REHAB CARE GROUP PO BOX 50534 ST LOUIS MO 63150 THERAPY FOR RESIDENTS 543148 DUNMORE ROOFING & SUPPLY 158 TIGUE ST DUNMORE PA 18512 ROOF ON NURSING HOME 322810 US FOODSERVICE PO BOX 7780 PHILADELPHIA PA 19182 RESIDENTS FOOD 271834 LACKAWANNA NATIONAL INSURANCE 9 NORTH MAIN STREET PITTSTON PA 18640 WORKMENS COMP INSURANCE 203215 9 36650 36650 Patient services 623000 13796916 13796916 13796916 169374 169374 42891 43073 -182 -182 -182 34160 17149 17011 17011 Guest & Employee Meal 623000 20639 20639 Tv Other ancillary 623000 12792 12792 33431 14053200 13830165 0 186385 257798 127373 130425 6651290 6110770 540520 50406 47798 2608 1076999 992189 84810 496797 447647 49150 393525 393525 41647 41647 18485 18485 78828 78828 88392 88392 132622 132622 18316 18316 8010 8010 246668 246668 844710 844710 141642 141642 Supplies 996174 990687 5487 Purchase Services 995512 866459 129053 Provider Taxes 271531 271531 Utilities 259723 259723 13069075 11647039 1422036 0 1295775 1407012 1167033 1342473 337618 223321 20090240 9665829 10592670 10424411 10265695 12070268 384469 389510 24043260 25856995 542956 780615 3902057 3434968 3181754 3087768 7626767 7303351 X 16093396 18223732 323097 329912 16416493 18553644 24043260 25856995 X 984125 1146211 6815 X 0 1 X 0 0 X 18802 16647 22259 48133 36650 142491 133579416 133970929 13885766 13562673 13796916 308795700 133598218 133987576 13908025 13610806 13833566 308938191 0 0 0 308938191 80827 121397 87481 146312 169192 605209 80827 121397 87481 146312 169192 605209 40999 39706 48346 44874 50442 224367 133720044 134148679 14043852 13801992 14053200 309767767 0.99730 0.99760 0.00200 0.00170 X 0 323097 69214 6574 68973 329912 350917 24750 7325 59895 323097 340649 25828 1314 16874 350917 323497 26846 1372 11066 340649 353259 28425 947 59134 323497 0.00000 0.00000 1.00000 0 0 170398 170398 15828864 6547333 9281531 4090978 3118496 972482 10424411 Resident Trust Funds 15524 Due to Affiliate 2694725 Refundabale Fees 25369 Retirement Obligation 313300 Professional Liability Reserve 38850 3087768 X Part X, Line 2: The facility is a non-profit corporation as described in section 501(C)(3) of the Internal Revenue Code and is exempt from federal income taxes. In accordance with the financial accounting standards board guidance on accounting for uncertainty in income taxes; management evaluated the facilities tax position and concluded that the facility had taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. With few exceptions, the facility is no longer subject to income tax examinations by the U.S. Federal, State or local tax authorities for years before 2014. Golf Tournament 34160 34160 2493 5100 6889 2668 34160 34160 2493 5100 6889 2668 17150 17010 X X X X X 0 0 0 0 0 0 0 0 0 Part I, Line 3 Every two to three years the compensation committee of Covenant Health Board of Director's engages an external consultant to provide competitive market data from various survey sources, which is used to develop recommendations for changes to the compensation program. The compensation committee currently engages an external consultant to conduct this analysis. The specific objectives of this analysis are to assess the compositeness of the current cash compensation levels for the senior leadership team, develop market based competitive salary ranges for all executive positions and ensure that the annual incentive opportunities, if any are competitive and reasonable. Domnick Gianuzzi Director Officer with Peoples Security Bank and Trust Company 0 Form 990, Part VI, Section A, line 2 FAMILY RELATIONSHIP Form 990, Part VI, Section A, line 6 COVENANT HEALTH, INC. IS THE SOLE MEMBER OF THE BOARD. COVENANT HEALTH, INC. HAS EXCLUSIVE VOTING POWER OVER CERTAIN CORPORATE MATTERS, INCLUDING THE ELECTION OF DIRECTORS,THE APPOINTMENT OF THE CEO AND AUDITORS, AND APPROVAL OF STRATEGIC PLANS AND BUDGETS. Form 990, Part VI, Section A, line 7a COVENANT HEALTH, INC. IS THE SOLE MEMBER OF THE BOARD. COVENANT HEALTH. INC. HAS EXCLUSIVE VOTING POWER OVER THE ELECTION OF TRUSTEES AND THE APPOINTMENT OF THE CEO. Form 990, Part VI, Section A, line 7b COVENANT HEALTH, INC. IS THE SOLE MEMBER OF THE BOARD. COVENANT HEALTH. INC. APPROVES LONG-RANGE STRATEGIC PLANS,ANNUAL BUDGETS AND AUDITOR SELECTION. Form 990, Part VI, Section B, line 11b A COPY OF THE FORM 990 IS SENT TO EACH BOARD MEMBER. THE FORM 990 IS THEN PRESENTED AND REVIEWED BY MANAGEMENT DURING A BOARD MEETING. Form 990, Part VI, Section B, line 12c THE BOARD IS EDUCATED ON THE COMPLIANCE ANNUALLY AND ARE ASKED TO COMPLETE A DISCLOSURE STATEMENT ANNUALLY. Form 990, Part VI, Section B, line 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF COVENANT HEALTH, INC. BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS TO BE USED TO DEVELOP RECOMMENDATIONS FOR CAHNGE TO THE COMPENSATION PROGRAM. THE COMPENSATION COMMITTEE HAS ENGAGED SULLIVAN COTTER CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THIS ANALYSIS ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM,DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS, AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. Form 990, Part VI, Section C, line 19 THE ORGANIZATION HAS ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON COVENANT HEALTH, INC.'S WEBSITE. Form 990, Part XI, line 9: Change in temporarily restricted assets 6815. Covenant Health Inc 100 Ames Pond Suite 102 Tewksbury MA 01876 222484505 Catholic Health and Elder Care System MA 501(c)(3) Line 11 0 St Joseph's Hospital 172 Kinsley St Nashua NH 03061 020222215 Hospital NH 501(c)(3) Line 11 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 St Joseph's Hospital E 2372180 Accrual Covenant Health Inc E 322545 Accrual Covenant Health Inc M 659922 Accrual