VILLAGE AT MARYMOUNT: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VILLAGE AT MARYMOUNT (EIN 20-5652595)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201143159349300224
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-11T10:00:40-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMAS C HALBERT CPA LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line135104 EUCLID AVE STE 106AddressLine1
CityWilloughbyCity
StateOHState
ZIP Code44094ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN205652595EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VILLAGE AT MARYMOUNTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVILLNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line15200 MARYMOUNT VILLAGE DRAddressLine1
CityGARFIELD HTSCity
StateOHState
ZIP Code44125ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFRY MYERSName
TitleCOOTitle
Phone2165878627Phone
Date Signed2011-11-10DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS C HALBERT CPAName
Phone4409425633Phone
Date Prepared2011-11-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEFFRY A MYERSNameOfPrincipalOfficerPerson
Gross Receipts17693264GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MARYMOUNT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDE COMPREHENSIVE HEALTH CARE SERVICES IN RESPONSE TO THE NEEDS OF THE LOCAL COMMUNITY BY ESTABLISHING LEASING & OPERATING HEALTH CARE FACILITIES CONSISTENT WITH THE PHILOSOPHY OF THE ROMAN CATHOLIC RELIGIOUS CONGREGATION KNOWN AS THE SISTERS OF ST JOSEPHActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees426TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year27672ContributionsGrantsPriorYear
Contributions Grants Current Year138980ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17660315ProgramServiceRevenuePriorYear
Program Service Revenue CY17274172ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year19186OtherRevenuePriorYear
Other Revenue Current Year224326OtherRevenueCurrentYear
Total Revenue Prior Year17707173TotalRevenuePriorYear
Total Revenue Current Year17637478TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8279074SalariesEtcPriorYear
Salaries Etc Current Year8298878SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9503145OtherExpensePriorYear
Other Expenses Current Year9281969OtherExpensesCurrentYear
Total Expenses Prior Year17782219TotalExpensesPriorYear
Total Expenses Current Year17580847TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-75046RevenuesLessExpensesPriorYear
Revenues Less Expenses CY56631RevenuesLessExpensesCY
Total Assets BOY5295792TotalAssetsBOY
Total Assets EOY4527859TotalAssetsEOY
Total Liabilities BOY8893017TotalLiabilitiesBOY
Total Liabilities EOY8068453TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-3597225NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3540594NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE COMPREHENSIVE HEALTH CARE SERVICES IN RESPONSE TO THE NEEDS OF THE LOCAL COMMUNITY BYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16819798Expense
Revenue17493018Revenue
Description1PROVIDED 66202 DAYS OF PATIENT CARE - 8354 DAYS SKILLED NURSING CARE TO MEMBERS OF A RELIGIOUS ORDER 30856 DAYS CARE IN RETIREMENT CARE CTR 26992 DAYS IN SKILLED CARE FACILITY MAJORITY OF ADMITS FROM MARYMOUNT HOSP 2REDUCES GOVT BURDEN BY A CCEPTING MEDICAID PATIENTS WHILE ABSORBING THE LOSS FOR THEIR CARE 10 LOSS 1538672 ON 14218 MEDICAID DAYS 3PARTICIPATES IN LOCAL COMM FLU SHOT DRIVE FOR THE ELDERLY 4PARTICIPATES IN PERIODIC COMM HEALTH CARE FAIRS TO EDUCATE THE PUBLIC IN TY PES OF ELDER CARE FACILITIES 5HOLDS MONTHLY SENIOR SUPPERS WHERE DINNEREDUCATIONENTERTAINMENT ARE PROVIDED FOR COMM RESIDENTS AVE ATTENDANCE 90 6HOLDS MONTHLY LUNCH & SPEAKER ON TOPICS FACING THE ELDERLY AVE ATTENDANCE 24 7SUPPORTS TRINITY HIGH SCHOOL STUDENT WORK & STUDY PROG - ASSIST IN TRAININGEDUCATING 2 STUDENTS DAILY - 10 TOTAL IN 2010 8OFFERS WELLNESS PROGRAMS TO RESIDENTSCOMMUNITYSTAFF 9HOSTED 4 RED CROSS BLOOD DRIVES & MANY COMMUNITY BOARD MEETINGSDescription
Total Program Service Expense16819798TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees426NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFRY A MYERSNamePerson
Telephone Number2165878627TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15200 MARYMOUNT VILLAGE DRAddressLine1
CityGARFIELD HTSCity
StateOHState
ZIP Code44125ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ANTHONY M COURY
DIRECTOR OF OPERATIONS30.00X000
CAROL KENNEY
EXOFFICIO TRUSTEE2.00X000
CHRISTINE SHIBLEY
TRUSTEE2.00X000
DAVID KILARSKI
EXOFFICIO TRUSTEE2.00X000
JOSEPH FORNAL
V CHAIRPERSON2.00X000
MARILYN DELIBERATO
TREASURER2.00X000
MICHAEL MCMILLAN
TRUSTEE2.00X000
PATRICIA LOPRESTI
TRUSTEE2.00X000
SISTER ANNE MARIE LUBERDA
SECRETARY2.00X000
SISTER ANNE MASLANKA
TRUSTEE2.00X000
SISTER JANE BLABOLIL
EXOFFICIO TRUSTEE2.00X000
SISTER JEAN EHASZ
TRUSTEE2.00X000
SUZANNE NALL
EXECUTIVE DIRECTOR40.00X000
TALLY HOHMAN
CHAIRPERSON2.00X000
THOMAS MAYER
EXOFFICO TRUSTEE2.00X000
WILLIAM KECKAN
TRUSTEE2.00X000
JEFFRY A MYERS
PRESIDENT AND COO40.00130294010853X
FieldValueIRS element (for citing)
Total Reportable Comp From Org130294TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10853TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THERAPY PARTNERS
16600 SPRAGUE RDCLEVELANDOH44105THERAPY SERVICES2138160
PHARMACY MANAGEMENT
24165 DETROIT RDWESTLAKEOH44145PHARMACY SERVICES1143097
CREATIVE HLTHCARE CONS
24165 DETROITWESTLAKEOH44145MGMT SERVICES425501
MASTER TEXTILES
9615 MEECH AVECLEVELANDOH44105LAUNDRY SERVICES104609
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Fundraising Events113412FundraisingEvents
All Other Contributions25568AllOtherContributions
Noncash Contributions6312NoncashContributions
Total Contributions138980TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RETIREMENT CENTER62399035532433553243
NURSING HOME PRIV PAY623000235637235637
SKILLED CARE FACILI -
COMMERCIAL AND PRIV P62300034608483460848
MEDICARE MEDICAID PMTS6230001002444410024444
FieldValueIRS element (for citing)
Total Program Service Revenue17274172TotalProgramServiceRevenue
Gross Income Fundraising Events55000GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events113412CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses55186FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-186TotalRevenueColumn
Exclusion-$186ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming6266GrossIncomeGaming
Gaming Direct Expenses600GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column5666TotalRevenueColumn
Exclusion$5,666ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICE REVENUE9000994148341483
GAIN ON INVOL CONVERSIO623990177363177363
FieldValueIRS element (for citing)
Total Other Revenue218846TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17637478TotalRevenueColumn
Related Or Exempt Function Income17493018RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,480ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total130294Total
Management And General130294ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6769120Total
Program Services6524962ProgramServices
Management And General244158ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total95755Total
Program Services94426ProgramServices
Management And General1329ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total489573Total
Program Services454850ProgramServices
Management And General34723ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total814136Total
Program Services769951ProgramServices
Management And General44185ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total58024Total
Management And General58024ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total69010Total
Management And General69010ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total96831Total
Program Services96831ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total130683Total
Program Services93916ProgramServices
Management And General36767ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2358129Total
Program Services2358129ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total6713Total
Program Services6713ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total393639Total
Program Services393639ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total117081Total
Program Services117081ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PURCHASED SERVICES30614672926358135109
FOOD AND SUPPLIES199470119873447357
BAD DEBT EXPENSE174587174587
BED TAXES571932571932
REPAIRS AND MAINTENANCE16414116404893

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total85031Total
Program Services85031ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17580847Total
Program Services16819798ProgramServices
Management And General761049ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY774960BOY
EOY312255EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2601716BOY
EOY2360041EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY95168BOY
EOY126529EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3620393LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1891430LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1823877BOY
EOY1728963EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY71BOY
EOY71EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5295792BOY
EOY4527859EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1797440BOY
EOY1415031EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7095577BOY
EOY6653422EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8893017BOY
EOY8068453EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3597225BOY
EOY-3540594EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-3597225BOY
EOY-3540594EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5295792BOY
EOY4527859EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses56631ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years6405CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6304CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27672CurrentTaxYearMinus1Year
Current Tax Year138980CurrentTaxYear
Total179361Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years12188968CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16384373CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17660315CurrentTaxYearMinus1Year
Current Tax Year17274172CurrentTaxYear
Total63507828Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years113767CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years233CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19186CurrentTaxYearMinus1Year
Current Tax Year102749CurrentTaxYear
Total235935Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years12309140CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16390910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17707173CurrentTaxYearMinus1Year
Current Tax Year17515901CurrentTaxYear
Total63923124Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2938CurrentTaxYearMinus1Year
Current Tax Year19330CurrentTaxYear
Total31188Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2938CurrentTaxYearMinus1Year
Current Tax Year19330CurrentTaxYear
Total31188Total
FieldValueIRS element (for citing)
Public Support Total50963891936PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12309140CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16390910CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17707173CurrentTaxYearMinus1Year
Current Tax Year17515901CurrentTaxYear
Total63923124Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3620393OtherCostOrOtherBasis
Depreciation1891430Depreciation
Book Value1728963BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1728963TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED
PARTY
MHCS REAL ESTATE HOL71
FieldValueIRS element (for citing)
Total Book Value Other Assets71TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATE PARTY
MARYMOUNT HLTH CARE SYSTEMS$5,980,089
DEPOSITS$126,951
REAL ESTATE TAXES PAYABLE$546,382
FieldValueIRS element (for citing)
Total Of Amounts6653422TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFootnote for uncertain tax position under FIN 48 Part XIdentifier
ExplanationTHE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE REGARDING FIN 48 THE SYSTEM IS NO LONGER SUBJECT TO FEDERAL STATE OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2007 WITH FEW EXCEPTIONSExplanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1168412GrossReceiptsEvent1
Charitable Contributions Event1113412CharitableContributionsEvent1
Gross Revenue Event155000GrossRevenueEvent1
Other Direct Expenses Event155186OtherDirectExpensesEvent1
Name Of Event2NONENameOfEvent2
Gross Receipts Total168412GrossReceiptsTotal
Charitable Contributions Total113412CharitableContributionsTotal
Gross Revenue Total Events55000GrossRevenueTotalEvents
Other Direct Expenses Total Events55186OtherDirectExpensesTotalEvents
Direct Expense Summary Events55186DirectExpenseSummaryEvents
Net Income Summary-186NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANTHONY M COURY
00000000000000
SUZANNE NALL
00000000000000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Identifier01 Unrelated organization compensation Part II - officer infoIdentifier
ExplanationCREATIVE HEALTHCARE CONSUTLING INC PROVIDED A BASE COMPENSATION OF 75000 TO ANTHONY M COURY FOR SERVICES RENDERED TO VILLAGE OF MARYMOUNT IN HIS CAPACITY AS DIRECTOR OF OPERATIONS IN 2010 & 2009 CREATIVE HEALTHCARE CONSULTING INC PROVIDED A BASE COMPENSATION OF 80000 TO SUZANNE NALL FOR SERVICES RENDERED TO VILLAGE AT MARYMOUNT IN HER CAPACITY AS EXECUTIVE DIRECTOR IN 2010 & 2009 CREATIVE HEALTHCARE CONSUTLING INC PROVIDED A BASE COMPENSATION OF 100000 TO ANTHONY M COURY FOR SERVICES RENDERED TO VILLAGE OF MARYMOUNT IN HIS CAPACITY AS DIRECTOR OF OPERATIONS IN 2008Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ANTHONY M COURY
ENTITY 35 OWNED BY1568598SEE SCHEDULE Ofalse
DAVID COURY
FAM MEM OF A M COURYSEE SCHEDULE Ofalse
MARY COOPER
FAM MEM OF A M COURYSEE SCHEDULE Ofalse
DEBBIE MCDONALD
FAM MEM OF A M COURYSEE SCHEDULE Ofalse
JANE ABOU-CHEDID
SEE SCHEDULE Ofalse
BERNIE FADDOULL
FAM MEM OF A M COURYSEE SCHEDULE Ofalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
01. Officer, directors, etc. family relationship (Part VI, line 2)BUSINESS RELATIONSHIP
02. Management duties delegation (Part VI, line 3)VILLAGE OF MARYMOUNT HAS DELEGATED THE MANAGEMENT OF PATIENT CARE OPERATIONS TO CREATIVE HEALTHCARE CONSULTING INC CREATIVE HEALTHCARE CONSULTING INC PROVIDES AND SEPARATELY COMPENSATES THE DIRECTOR OF OPERATIONS AND THE EXECUTIVE DIRECTOR OF VILLAGE OF MARYMOUNT
03. Form 990 governing body review (Part VI, line 11)THE CHIEF OPERATING OFFICER COO RECEIVES A COPY OF THE FORM 990 FROM THE RETURN PREPARER AND CONDUCTS A REVIEW OF THE RETURN FOR COMPLETENESS AND ACCURACY ONCE HE IS SATISFIED THAT THE RETURN IS READY TO BE FILED HE FORWARDS AN ELECTRONIC COPY TO EACH BOARD MEMBER WITH HIS RECOMMENDATION TO FILE THE RETURN AS DELIVERED HOWEVER NO BOARD MEMBER UNDERTAKES ANY REVIEW OF THE FORM EITHER BEFORE OR AFTER FILING
04. Conflict of interest policy compliance (Part VI, line 12c)ALL OFFICERS DIRECTORS TRUSTEES & KEY EMPLOYEES AT LEAST ANNUALLY ARE REQUIRED TO DISCLOSE OR UPDATE THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST ONCE ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS IS PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND IS REQUIRED TO REVIEW THE DOCUMENT TO DETERMINE IF A CONFLICT OF INTEREST EXISTS FOR ALL OTHER TIMES DURING THE YEAR ALL OFFICERS DIRECTORS TRUSTEES & KEY EMPLOYEES ARE EXPECTED TO NOTIFY THE BOARD IF THEY DETERMINE THAT A CONFLICT HAS ARISEN ALL CONFLICTS OF INTEREST ARE DETERMINED AND REVIEWED AT THE BOARD OF DIRECTORS LEVEL RESTRICTIONS IMPOSED ON ANYONE WITH A CONFLICT INCLUDE PROHIBITING THEM FROM PARTICIPATING IN THE GOVERNING BODYS DELIBERATIONS AND DECISIONS IN THE TRANSACTION
05. CEO, executive director, top management comp (Part VI, line 15a)A COMPENSATION COMMITTEE CONDUCTS A REVIEW OF THE COMPENSATION OF THE TOP MANAGEMENTFINANCIAL OFFICIAL THERE IS NO CEO & THERE IS NO EXECUTIVE DIRECTOR COMPENSATED BY VAMIN DETERMINING THE FAIR COMPENSATION FOR THAT POSITION THE COMMITTEE IDENTIFIES COMPENSATION GUIDELINES THROUGH PROFESSIONAL INDUSTRY AND TRADE ORGANIZATIONS AND OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS
06. Other officer or key employee compensation (Part VI, line 15bA COMPENSATION COMMITTEE CONDUCTS A REVIEW OF THE COMPENSATION OF OTHER OFFICERS WHERE APPLICABLE AND KEY MANAGEMENT POSITIONS IN DETERMINING THE FAIR COMPENSATION FOR THOSE PARTICULAR POSITIONS THE COMMITTEE IDENTIFIES COMPENSATION GUIDELINES THROUGH PROFESSIONAL INDUSTRY AND TRADE ORGANIZATIONS AND OTHER NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS
07. Governing documents, etc, available to public (Part VI, line 19)ALL ORGANIZATION GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY CONSOLIDATED FINANCIAL STATEMENTS AND THE ANNUAL FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST THE ANNUAL FORM 990 ALSO IS POSTED TO THE GUIDESTAR WEBSITE FOR PUBLIC ACCESS
08. Audited by an independent accountant (Part XII, line 2b)THE ORGANIZATIONS FINANCIAL STATEMENTS WERE AUDITED ON A CONSOLIDATED BASIS BY AN INDEPENDENT ACCOUNTANT
09. General explanation attachmentFORM 990 PART IV LINE 12 - THE ORGANIZATION IS INCLUDED IN A CONSOLIDATED AUDITED FINANCIAL STATEMENT ALONG WITH MARYMOUNT HEALTH CARE SYSTEMS AND MHCS REAL ESTATE HOLDING COMPANY & DOES NOT RECEIVE SEPARATELY AUDITED FINANCIAL STATEMENTS FORM 990 PART V QUESTIONS 7G AND 7H - THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS OF INTELLECTUAL PROPERTY OR ANY VEHICLES WHICH WOULD REQUIRE FILING FORM 8899 OR FORM 1098-C FORM 990 PART VII COLUMN B - ESTIMATE OF AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS BY SECRETARY 42 TRUSTEE EHASZ 42 TRUSTEE KECKAN 41 TRUSTEE KILARSKI 42 TRUSTEE KENNEY 1 TRUSTEE BLABOLIL 41 TRUSTEE MAHER 2 TRUSTEE MASLANKA 41 & COO 4 SCH L PT IV - ADDITIONAL INFO ANTHONY M COURY DIR OF OPERATIONS A DIRECTOR OF VILLAGE OF MARYMOUNT VAM HAS AN INDIRECT BUS RELATIONSHIP WITH VAM THROUGH OWNERSHIP OF MORE THAN 35 OF CREATIVE HEALTHCARE CONSULTING INC CHC & OWNERSHIP OF MORE THAN 35 OF PHARMACY MANAGEMENT GROUP INC PMG WITH FAMILY MEMBERS HE IS ALSO AN OFFICER OF EACH CORP THE AMT & DESCRIPTION OF THE TRANSACTION WITH EACH CORP FOLLOWS CHC - ENTITY MORE THAN 35 OWNED BY A M COURY - AMT OF TRANSACTION 425501 - DESC OF TRANSACTION PROVIDES OPERATIONS MGMT SERVICES TO VAM PMG - ENTITY MORE THAN 35 OWNED BY A M COURY WITH FAMILY MEMBERS AS LISTED ON SCH L PT IV - AMT OF TRANSACTION 1143097 - DESC OF TRANSACTION PHARMACY MGMT SERVICES & PHARMACY INVENTORY SALES TO VAM

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SISTERS OF ST JOSEPH
PO BOX 305STEVENS POINTWI54481350873343RELIGIOUS ORDERWI501C31NAfalse
MARYMOUNT HOSPITAL INC
12300 MCCRACKEN RDGARFIELD HTSOH44125340714458HOSPITALOH501C33NAfalse
MARYMOUNT HEALTH CARE SYSTEMS
5200 MARYMOUNT VILLAGE RDGARFILED HTSOH44125341408846HEALTH CAREOH501C39NAfalse
MHCS REAL ESTATE HOLDING CO
5200 MARYMOUNT VILLAGE DRGARFIELD HTSOH44125341817079SUPPORTING ORGANIZATIONOH501C311 IINAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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