2013-11-12T16:32:08-06:00 2013-06-30 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2012-07-01 231700999 SAINT JOSEPH VILLA STJO 2158364179 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 SISTER DOROTHY APPRICH 2158364179 2013-11-11 1 JULIUS GREEN CPA P00350393 2159720701 2012 2016-03-07 17:11:31Z SISTER DOROTHY APPRICH 110 WEST WISSAHICKON AVENUE FLOURTOWN PA 19031 22646990 0 0928 X WWW.STJOSEPHVILLA.ORG X 1968 PA SKILLED NURSING SERVICES PRIMARILY TO SISTERS OF ST JOSEPH OF CHESTNUT HILL AND OTHERS. 5 5 425 0 0 0 8410343 10127743 10727095 12452625 779 1061 65032 45457 19203249 22626886 0 4477 0 0 13175912 15045575 0 0 0 6082488 5843398 19258400 20893450 -55151 1733436 6878426 9058243 1002669 2069921 5875757 6988322 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 19407816 4477 12466003 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 97,034 RESIDENT DAYS. THE COMPOSITION OF THE DAYS INCLUDE 20,271 MEDICAID DAYS, 67,904 SELF PAY DAYS, 6,896 MEDICARE DAYS, AND 1,963 OF OTHER PAYOR RESIDENT DAYS IN 2013. 19407816 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 42 0 1 425 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 1.00 39.00 X X 0 6000 9614 SISTER MARY DACEY 1.00 39.00 X X 0 6000 9614 SISTER REGINA BELL 1.00 39.00 X 0 6000 9614 SISTER CONSTANCE GILDER 1.00 39.00 X 0 6000 9614 SISTER CAROL ZINN 1.00 39.00 X 0 6000 9614 SISTER DOROTHY APPRICH 40.00 X 0 6000 9645 SISTER MARIE O'BRIEN 4.00 26.00 X 0 6000 9614 0 42000 67329 0 0 0 0 SELECT REHABILITATION PO BOX 809056 CHICAGO IL 60680 REHAB SERVICES 1237432 WILLIAMSON'S HOSPITALITY SERVICES 97 GREAT VALLEY PARKWAY MALVERN PA 19355 FOOD SERVICE MANAGEMENT 291874 2 10127743 10127743 NET RESIDENT SVC REV 623000 12452625 12452625 12452625 1061 1061 52183 20104 32079 32079 DISCOUNTS/REFUNDS 900099 4337 4337 VENDING MACHINE INCOME 900099 2057 2057 FINANCE CHARGES 900099 1520 1520 5464 5464 13378 22626886 12466003 0 33140 4477 4477 12263386 11367186 896200 414818 384503 30315 1647523 1527123 120400 719848 667242 52606 42295 42295 55828 55828 1760766 1699866 60900 1045393 965240 80153 2575 2575 544118 544118 79377 59509 19868 18807 10083 8724 505244 505244 159204 159204 MEDICAL SUPPLIES 445162 445162 RESIDENT CARE EXPENSE 411071 411071 OTHER DIRECT EXPENSE 254388 236330 18058 DATA PROCESSING 148712 73715 74997 370458 305448 65010 20893450 19407816 1485634 0 1300 1300 647903 1210414 1428121 2279787 78366 84019 101340 69142 20466747 15053166 4621396 5413581 6878426 9058243 919949 2007442 82720 62479 1002669 2069921 X 5875757 6988322 5875757 6988322 6878426 9058243 1733436 190553 -811425 0 X 1 X 0 1 0 X 9179349 9125944 8533559 8410343 10127743 45376938 9133494 9249088 9764482 10727095 12452625 51326784 18312843 18375032 18298041 19137438 22580368 96703722 0 0 0 96703722 2859 1106 972 779 1061 6777 2859 1106 972 779 1061 6777 39563 57244 50910 65032 65561 278310 18355265 18433382 18349923 19203249 22646990 96988809 0.99710 0.99690 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 6375917 3558872 2817045 12925274 10720310 2204964 1165556 773984 391572 5413581 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2013 AND 2012. THE CONVENT'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR THE YEARS PRIOR TO 2010 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 11 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 (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. 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