2015-02-10T10:05:18-06:00 2014-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-07-01 231700999 SAINT JOSEPH VILLA STJO 2158364179 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 SISTER DOROTHY APPRICH EXECUTIVE DIRECTOR 2158364179 2015-01-21 1 JULIUS GREEN CPA P00350393 2159720701 2013 2016-02-25 16:41:14Z SISTER DOROTHY APPRICH 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 22161952 0 X WWW.STJOSEPHVILLA.ORG X 1968 PA SKILLED NURSING SERVICES PRIMARILY TO SISTERS OF ST JOSEPH OF CHESTNUT HILL AND OTHERS. 5 5 427 0 0 0 10127743 8427086 12452625 13558984 1061 2415 45457 153165 22626886 22141650 4477 2033 0 0 15045575 15721370 0 0 0 5843398 5762276 20893450 21485679 1733436 655971 9058243 9993141 2069921 2043716 6988322 7949425 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 18441886 2033 13686140 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 98,680 RESIDENT DAYS. THE COMPOSITION OF THE DAYS INCLUDE 19,461 MEDICAID DAYS, 69,423 SELF PAY DAYS, 7,071 MEDICARE DAYS, AND 2,725 OF OTHER PAYOR RESIDENT DAYS IN 2014. 18441886 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 48 0 1 427 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 SISTER ANNE MYERS PRESIDENT 1.00 39.00 X X 6000 0 9648 SISTER MARY DACEY VICE PRESIDENT 1.00 39.00 X X 6000 0 3456 SISTER REGINA BELL GENERAL COUNCIL 1.00 39.00 X 6000 0 9648 SISTER CONSTANCE GILDER GENERAL COUNCIL 1.00 39.00 X 6000 0 4008 SISTER CAROL ZINN GENERAL COUNCIL 1.00 39.00 X 6000 0 10824 SISTER DOROTHY APPRICH EXECUTIVE DIRECTOR 40.00 X 6000 0 9648 SISTER MARIE O'BRIEN TREASURER 4.00 26.00 X 6000 0 10824 42000 0 58056 0 0 0 0 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 60680 REHAB SERVICES 2206291 WILLIAMSON'S HOSPITALITY SERVICES 97 GREAT VALLEY PARKWAY MALVERN PA 19355 FOOD SERVICE MANAGEMENT 334730 GULF SOUTH MEDICAL SUPPLY PO BOX 841968 DALLAS TX 75284 MEDICAL SUPPLY 293866 3 8377493 49593 8427086 NET RESIDENT SVC REV 623000 13558984 13558984 13558984 2415 2415 46311 20302 26009 26009 DISCOUNTS/REFUNDS 900099 13904 13904 FINANCE CHARGES 900099 6125 6125 VENDING MACHINE INCOME 900099 2198 2198 104929 104929 127156 22141650 13686140 0 28424 2033 2033 57576 52568 5008 13106358 11966460 1139898 405168 369930 35238 1446179 1320401 125778 706089 644678 61411 42000 42000 53271 4660 48611 1451123 476099 975024 1051545 953447 98098 603960 603960 83524 64388 19136 27178 16385 10793 548238 548238 158718 158718 RESIDENT CARE EXPENSE 450020 450020 MEDICAL SUPPLIES 418546 418546 OTHER DIRECT EXPENSE 299486 288427 11059 BAD DEBT EXPENSE 237941 237941 336726 219646 117080 21485679 18441886 3043793 0 1300 1188 1210414 1431026 2279787 2797720 84019 65144 69142 57683 21241784 15601404 5413581 5640380 9058243 9993141 2007442 1987048 62479 56668 2069921 2043716 X 6988322 7949425 6988322 7949425 9058243 9993141 655971 305132 0 X 1 X 0 1 0 X 9125944 8533559 8410343 10127743 8427086 44624675 9249088 9764482 10727095 12452625 13558984 55752274 18375032 18298041 19137438 22580368 21986070 100376949 0 0 0 100376949 1106 972 779 1061 2415 6333 1106 972 779 1061 2415 6333 57244 50910 65032 65561 173467 412214 18433382 18349923 19203249 22646990 22161952 100795496 0.99580 0.99710 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 6407030 3710078 2696952 13233273 11084105 2149168 1601481 807221 794260 5640380 X 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. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 AND 2013. THE CONVENT'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS PRIOR TO 2011 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO THE CONGREGATION'S GOVERNING COUNCIL AND THE EXECUTIVE DIRECTOR AND OPERATIONS ADMINISTRATOR REVIEWS 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 BOARD OF DIRECTORS ARE NOT REQUIRED TO SIGN AN ANNUAL STATEMENT. HOWEVER THE BOARD OF DIRECTORS VERBALLY REVIEWS AND DETERMINES 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 (FORMALLY 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 FOR 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 AND 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. CONVENT OF THE SISTERS OF SAINT JOSEPH OF CHESTNUT HILL 9701 GERMANTOWN AVENUE PHILADELPHIA PA 19118 231352546 CONVENT PA 501(C)(3) 1 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0