ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- ST JOHNS REHABILITATION HOSPITAL AND NURSING CENTER INC (EIN 59-1945163)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-14
- IRS object ID
- 202632269349302293
- Schema version
- 2024v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-14T16:58:05-04:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 650809907 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES A NICHOLS CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 E OAKLAND PARK BLVD 3RD FL | AddressLine1Txt |
| City | FORT LAUDERDALE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33306 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591945163 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHN'S REHABILITATION HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | AND NURSING CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 9547396233 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3075 NW 35TH AVENUE | AddressLine1Txt |
| City | LAUDERDALE LAKES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33311 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA WILSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9547396233 | PhoneNum |
| Signature | 2026-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHARLES A NICHOLS | PreparerPersonNm |
| PTIN | P01403613 | PTIN |
| Phone | 9545644333 | PhoneNum |
| Preparation | 2026-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY JO FRICK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4790 N STATE ROAD 7 | AddressLine1Txt |
| City | LAUDERDALE LAKES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33319 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,244,100 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | ST. JOHN'S REHABILITATION HOSPITAL PROVIDES NURSING AND REHABILITATION SERVICES TO INDIVIDUALS OF ALL FAITHS, REGARDLESS OF ANY INDIVIDUALS' ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHIOCESE OF MIAMI HEALTH CARE MISSION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 331 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $50,971 | PYContributionsGrantsAmt |
| CY Contributions Grants | $461,736 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $27,266,550 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $27,752,373 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,905 | PYInvestmentIncomeAmt |
| CY Investment Income | $27,183 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,317 | PYOtherRevenueAmt |
| CY Other Revenue | $2,808 | CYOtherRevenueAmt |
| PY Total Revenue | $27,349,743 | PYTotalRevenueAmt |
| CY Total Revenue | $28,244,100 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,065,279 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,636,395 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,291,922 | PYOtherExpensesAmt |
| CY Other Expenses | $14,456,225 | CYOtherExpensesAmt |
| PY Total Expenses | $29,357,201 | PYTotalExpensesAmt |
| CY Total Expenses | $29,092,620 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,007,458 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$848,520 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,562,172 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,216,111 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,210,981 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,713,440 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,648,809 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$13,497,329 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ST. JOHN'S REHABILITATION HOSPITAL PROVIDES NURSING AND REHABILITATION SERVICES TO INDIVIDUALS OF ALL FAITHS, REGARDLESS OF ANY INDIVIDUALS' ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHIOCESE OF MIAMI HEALTH CARE MISSION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $28,064,109 | ExpenseAmt |
| Desc | ST. JOHN'S REHABILITATION HOSPITAL IS UNDER THE SPONSORSHIP OF THE ARCHDIOCESE OF MIAMI. IT'S SOLE PROGRAM SERVICE IS TO PROVIDE NURSING REHABILITATION SERVICES TO INDIVIDUALS OF ALL FAITHS,REGARDLESS OF ABILITY TO PAY IN SUPPORT OF THE ARCHDIOCESE OF MIAMI HEALTH CARE MISSION. | Desc |
| Total Program Service Expenses | $28,064,109 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 36 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 331 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROSEMARIE BAILEY | PersonNm |
| Phone | 9547396233 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3075 NW 35 AVENUE | AddressLine1Txt |
| City | LAUDERDALE LAKES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33311 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARY JO FRICK | ||||||||||
| CEO | 3.90 | 46.10 | Yes (X) | $0 | $468,355 | $42,623 | ||||
| BRIAN KIEDROWSKI | ||||||||||
| CMO | 5.90 | 44.10 | Yes (X) | $0 | $416,849 | $40,110 | ||||
| ARISTIDES PALLIN | ||||||||||
| CEO | 3.90 | 46.10 | $0 | $336,176 | $32,547 | Yes (X) | ||||
| LAURA WILSON | ||||||||||
| CFO | 3.20 | 46.80 | Yes (X) | $0 | $304,008 | $28,622 | ||||
| ROSEMARIE BAILEY | ||||||||||
| EXEC. DIR. | 32.00 | 8.00 | $189,269 | $0 | $19,381 | Yes (X) | ||||
| KRISTINA KRAVITZ | ||||||||||
| PPS COORDINA | 40.00 | $131,635 | $0 | $23,439 | Yes (X) | |||||
| CLARISSA JOAQUIN | ||||||||||
| REGISTERED N | 40.00 | $134,656 | $0 | $18,626 | Yes (X) | |||||
| FELISSIA BEAUBRUN | ||||||||||
| REGISTERED N | 40.00 | $102,283 | $0 | $20,037 | Yes (X) | |||||
| DAVID D'AMICO | ||||||||||
| CFO | 3.20 | 46.80 | $0 | $100,147 | $20,414 | Yes (X) | ||||
| CHAUNTAY BARNES | ||||||||||
| NURSE, LIC P | 40.00 | $102,397 | $0 | $17,850 | Yes (X) | |||||
| CHRISTOPHER CATALLO | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| BUD FARRAY | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| DR MANUEL P ANTON III | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| RALPH E LAWSON | ||||||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| PATRICIA PALAMARA | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| DR VICTOR ROMANO | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| SR ELIZABETH A WORLEY SSJ | ||||||||||
| VICE CHAIR/S | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| JULIE S STAUB | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| DR PATRICK TAYLOR | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| J PATRICK FITZGERALD | ||||||||||
| ASSISTANT SE | 1.00 | Yes (X) | $0 | $0 | $0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $660,240 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,625,535 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $263,649 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CATHOLIC HEALTH SERVICES INC | |||||
| 4790 N STATE ROAD 7 | LAUDERDALE LAKES | FL | 33319 | MANAGEMENT SERV | $3,173,661 |
| QUALITY CARE REHAB INC | |||||
| 2685 EXEC PARK DR NO 4 | WESTIN | FL | 33331 | THERAPY STAFF | $1,824,742 |
| SODEXO INC & AFFILIATES | |||||
| 9801 WASHINGTONIAN BLVD | GAITHERBURG | MD | 20878 | DIETARY & EVS | $1,771,447 |
| NEW START DIALYSIS CENTER INC | |||||
| 900 NE 125 STREET SUITE 210 | NORTH MIAMI | FL | 33161 | DIALYSIS | $171,780 |
| SHIFTKEY LLC | |||||
| 7925 JONES BRANCH DRIVE SUITE 1100 | MCLEAN | VA | 22102 | STAFFING | $144,571 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $461,736 | AllOtherContributionsAmt |
| Total Contributions | $461,736 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|
| NET PATIENT SERVICES REVENUE | $27,593,577 | $27,593,577 | |
| SECURITY SERV INCOME | $70,939 | $70,939 | |
| DDP/LPPF | $50,169 | $50,169 | |
| RENTAL INCOME - OFFICE | $36,843 | $36,843 | |
| MISCELLANEOUS | $845 | $845 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $27,752,373 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,183 | TotalRevenueColumnAmt |
| Exclusion | $27,183 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Total Revenue Column | $2,808 | TotalRevenueColumnAmt |
| Exclusion | $2,808 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,808 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,244,100 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,751,528 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $30,836 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,199,622 | TotalAmt |
| Program Services | $12,005,411 | ProgramServicesAmt |
| Management And General | $194,211 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,619 | TotalAmt |
| Program Services | $529,317 | ProgramServicesAmt |
| Management And General | $9,302 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,048,184 | TotalAmt |
| Program Services | $1,020,691 | ProgramServicesAmt |
| Management And General | $27,493 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,970 | TotalAmt |
| Program Services | $835,694 | ProgramServicesAmt |
| Management And General | $14,276 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,756,448 | TotalAmt |
| Program Services | $2,712,567 | ProgramServicesAmt |
| Management And General | $43,881 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,003 | TotalAmt |
| Management And General | $7,003 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,841 | TotalAmt |
| Management And General | $125,841 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $854,746 | TotalAmt |
| Program Services | $648,043 | ProgramServicesAmt |
| Management And General | $206,703 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,192 | TotalAmt |
| Program Services | $20,192 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,839 | TotalAmt |
| Program Services | $365,546 | ProgramServicesAmt |
| Management And General | $6,293 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,779 | TotalAmt |
| Program Services | $447,460 | ProgramServicesAmt |
| Management And General | $2,319 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,855,809 | TotalAmt |
| Program Services | $1,841,322 | ProgramServicesAmt |
| Management And General | $14,487 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,305 | TotalAmt |
| Program Services | $5,285 | ProgramServicesAmt |
| Management And General | $20 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,773 | TotalAmt |
| Program Services | $2,729 | ProgramServicesAmt |
| Management And General | $44 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,087,559 | TotalAmt |
| Program Services | $1,070,246 | ProgramServicesAmt |
| Management And General | $17,313 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,775 | TotalAmt |
| Program Services | $357,000 | ProgramServicesAmt |
| Management And General | $5,775 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT CARE SUPPLIES | $1,993,291 | $1,993,285 | $6 |
| OUTSRCD THER, DIET, EVS | $1,967,887 | $1,942,005 | $25,882 |
| ASSESSMENT FEES | $1,377,917 | $1,377,917 | |
| NURSING PURCHASED SERVICE | $507,320 | $507,320 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $709,741 | TotalAmt |
| Program Services | $382,079 | ProgramServicesAmt |
| Management And General | $327,662 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,092,620 | TotalAmt |
| Program Services | $28,064,109 | ProgramServicesAmt |
| Management And General | $1,028,511 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,370,565 | BOYAmt |
| EOY | $3,579,212 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,358,379 | BOYAmt |
| EOY | $2,734,898 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,444 | BOYAmt |
| EOY | $44,107 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $580,890 | BOYAmt |
| EOY | $904,151 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,426,641 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,001,171 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,244,764 | BOYAmt |
| EOY | $4,425,470 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $65,993 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $979,130 | BOYAmt |
| EOY | $1,462,280 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,562,172 | BOYAmt |
| EOY | $13,216,111 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,812,636 | BOYAmt |
| EOY | $3,196,547 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,559,698 | BOYAmt |
| EOY | $3,308,226 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,838,647 | BOYAmt |
| EOY | $20,208,667 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,210,981 | BOYAmt |
| EOY | $26,713,440 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,648,809 | BOYAmt |
| EOY | -$13,497,329 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,648,809 | BOYAmt |
| EOY | -$13,497,329 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,562,172 | BOYAmt |
| EOY | $13,216,111 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$848,520 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $434,119 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $746,121 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,021 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,971 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $461,736 | CurrentTaxYearAmt |
| Total | $1,763,968 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,640,222 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,419,406 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,003,893 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,263,238 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,751,528 | CurrentTaxYearAmt |
| Total | $130,078,287 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,549 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,997 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,066 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,629 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,653 | CurrentTaxYearAmt |
| Total | $47,894 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,088,890 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,172,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,088,980 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,322,838 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,216,917 | CurrentTaxYearAmt |
| Total | $131,890,149 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $131,890,149 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,898 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,216 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,905 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,183 | CurrentTaxYearAmt |
| Total | $100,346 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,898 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,216 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,905 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,183 | CurrentTaxYearAmt |
| Total | $100,346 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,099,788 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,187,668 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,109,196 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,349,743 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,244,100 | CurrentTaxYearAmt |
| Total | $131,990,495 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99920 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99920 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,306,311 | OtherCostOrOtherBasisAmt |
| Book Value | $1,306,311 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,296,603 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,813,023 | DepreciationAmt |
| Book Value | $1,483,580 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,630,754 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,975,530 | DepreciationAmt |
| Book Value | $655,224 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,076,124 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,212,618 | DepreciationAmt |
| Book Value | $863,506 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,849 | OtherCostOrOtherBasisAmt |
| Book Value | $116,849 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,425,470 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LEASE RIGHT OF USE ASSETS | $1,425,800 |
| ASSETS WHOSE USE IS LIMITED | $36,480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,462,280 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $17,828,957 |
| LEASE LIABILITIES | $1,431,825 |
| RESERVE FOR 3RD PARTY PAY SETTLEMENT | $812,343 |
| PATIENT & RESIDENT FUNDS HELD | $135,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $20,208,667 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $139,230 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $139,230 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,777,060 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,777,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09550 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,916,290 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,916,290 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10020 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,005 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,005 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,016,295 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,016,295 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10370 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | -$18,824 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $4,414,066 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,781,917 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $632,149 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHN'S REHABILITATION HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3075 NW 35TH AVENUE | AddressLine1Txt |
| City | LAUDERDALE LAKES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33311 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | INPATIENT REHABILATATION FAC. | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHN'S REHABILITATION HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | CATHOLICHEALTHSERVICES.ORG | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | CATHOLICHEALTHSERVICES.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | CATHOLICHEALTHSERVICES.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | CATHOLICHEALTHSERVICES.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit Other Actions | Yes (X) | PermitOtherActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Other Actions | Yes (X) | OtherActionsInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 3E | SEE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. |
| FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 5 | SEE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. |
| FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 13H | ST. JOHN'S OFFERS A FINANCIAL ASSISTANCE PROGRAM, DESIGNED TO WORK DIRECTLY WITH PATIENTS/RESIDENTS TO FIND PAYMENT SOLUTIONS WHEN NECESSARY. BASED ON FEDERAL POVERTY GUIDELINES, FINANCIAL ASSISTANCE DISCOUNTS ARE DETERMINED BY A SLIDING SCALE OF TOTAL HOUSEHOLD INCOME. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS DETERMINED BY THE PATIENT'S/RESIDENT'S OR HIS/HER GUARANTOR'S ABILITY TO PAY AFTER ALL AVAILABLE RESOURCES HAVE BEEN UTILIZED AND ALL AVAILABLE ASSISTANCE PROGRAMS HAVE BEEN ACCESSED. THE PROGRAM COVERS PAYMENT FOR MEDICALLY NECESSARY CARE, RENTS AND TUITIONS, BUT DOES NOT COVER ROUTINE CO-PAYS AND DEDUCTIBLES FOR PATIENTS/RESIDENTS HAVING MEDICAL COVERAGE UNLESS A HARDSHIP/NEED CAN BE DOCUMENTED. SUBMISSION OF ALL INCOME AND EXPENSES, INCLUDING MEDICAL EXPENSES, PLUS ASSETS AND LIABILITIES OF THE PATIENT AND OR GUARANTOR IS REQUIRED WHEN REQUESTING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS AND MEDICAL ASSISTANCE REPRESENTATIVES CAN ASSIST IN IDENTIFYING ASSISTANCE PROGRAMS WHICH MAY AID PATIENTS AND THEIR FAMILIES WITH PAYMENT OF THEIR HEALTHCARE CHARGES, RENT AND TUITION CHARGES. FINANCIAL ASSISTANCE PROGRAMS ARE AVAILABLE FOR THE MEDICALLY INDIGENT, UNINSURED, UNDERINSURED, OR FINANCIALLY NEEDY INDIVIDUALS OR FAMILIES OF U.S. CITIZENS AND LEGAL U.S. RESIDENTS. FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 15E THE APPLICANT SHOULD COMPLETE THE APPLICATION FOR FINANCIAL ASSISTANCE FORM IN ENGLISH OR SPANISH AND FAX, MAIL OR DELIVER TO THE FACILITY'S BUSINESS OFFICE ALONG WITH ALL SUPPORTING DOCUMENTATION REQUESTED. A FINANCIAL COUNSELOR WILL CONTACT THE APPLICANT ONCE THE INFORMATION HAS BEEN RECEIVED. |
| FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 18E | THE HOSPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT BEFORE THE HOSPITAL FOACILITY HAS MADE REASONABLE EFFORT TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE FOR THE CARE UNDER THE FINANCIAL ASSISTANCE PROGRAM. |
| FACILITY 1, ST. JOHN'S REHABILITATION HOSPITAL - PART V, LINE 19E | THE HOSPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT BEFORE THE HOSPITAL FOACILITY HAS MADE REASONABLE EFFORT TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE FOR THE CARE UNDER THE FINANCIAL ASSISTANCE PROGRAM. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOHN'S NURSING | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3075 NW 35TH AVENUE | AddressLine1Txt |
| City | LAUDERDALE LAKES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33311 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | SKILLED NURSING FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART II | THE ORGANIZATION HAS AN OPEN MEDICAL STAFF AND ENCOURAGE COMMUNITY PHYSICIANS TO ATTEND TO THEIR PATIENTS WHILE AT THE FACILITY. VARIOUS EMPLOYEES SERVE ON A VARIETY OF COMMUNITY ORGANIZATIONS' BOARD OF DIRECTORS SUCH AS FLORIDA MEDICAL DIRECTORS. IN ADDITION, MANY EMPLOYEES ACTIVELY PARTICIPATE IN LOCAL PROFESSIONAL AND TRADE ASSOCIATIONS. THE ORGANIZATION FREQUENTLY PROVIDES CHARITABLE INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO INDIGENT PATIENTS TO FACIITATE THEIR RECOVERY FROM VARIOUS DISEASES AND INJURY AND TO THEIR RETURN TO HOME. |
| SCHEDULE H, PART VI, LINE 2 | SEE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. |
| SCHEDULE H, PART VI, LINE 3 | THE ORGANIZATION'S CHARITY CARE POLICY IS POSTED ON THE ORGANIZATION'S WEBSITE. THE COMMUNITY LIAISONS SHARE THE POLICY WITH THE ACUTE CARE HOSPITAL'S DISCHARGE CASE MANAGERS. ALL PATIENTS WHO ARE ADMITTED TO THE FACILITY RECEIVE EXTENSIVE INFORMATION REGARDING THE PATIENT/RESIDENT RIGHTS, VARIOUS REGULATIONS AND THE CHARITY CARE POLICY. |
| SCHEDULE H, PART VI, LINE 4 | THE ORGANIZATION PRIMARILY SERVES RESIDENTS IN BROWARD AND DADE COUNTIES, AS WELL AS, THOSE INDIVIDUALS WHO ARE DISCHARGED FROM LOCAL ACUTE CARE HOSPITALS AND REQUIRE POST-ACUTE CARE SERVICES. THE DEMOGRAPHIC CONSTITUENTS CONSIST PRIMARILY OF ADULTS, 65 YEARS AND OLDER, THE MAJORITY OF WHO ARE ON MEDICAID. |
| SCHEDULE H, PART VI, LINE 5 | THE ORGANIZTION PROMOTES THE HEALTH OF THE COMMUNITY BY PROVIDING A COMREHENSIVE POST ACUTE HEALTHCARE SYSTEM, CONSISTING OF INPATIENT REHABILITATION FACILITIES, SKILLED NURSING FACILITIES, LONG TERM CARE, HOSPICE, HOME HEALTH AND ASSISTED LIVING FACILITIES WITH A FOCUS ON THE TRANSITION OF ACUTE CARE HOSPITAL PATIENTS' TRANSITION THROUGH THE POST-ACUTE CARE SYSTEM AND FINALLY TO HOME. |
| SCHEDULE H, PART VI, LINE 6 | THE ORGANIZATION IS PART OF THE CATHOLIC HEALTH SERVICES INTEGRATED HEALTH CARE SYSTEM. THE SYSTEM CONSISTS OF INPATIENT REHAB HOSPITALS, SKILLED NURSING FACILITIES, HOME HEALTH AGENCIES AND A HOSPICE PROGRAM, PROVIDING AND PROMOTING HEALTH CARE SERVICES IN THE SOUTH FLORIDA MARKET. |
| SCHEDULE H, PART VI, LINE 7 | FLORIDA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|
| MARY JO FRICK | ||||||||
| CEO | $468,355 | $24,890 | $17,733 | $510,978 | ||||
| BRIAN KIEDROWSKI | ||||||||
| CMO | $416,849 | $29,151 | $10,959 | $456,959 | ||||
| ARISTIDES PALLIN | ||||||||
| CEO | $336,176 | $25,376 | $7,171 | $368,723 | ||||
| LAURA WILSON | ||||||||
| CFO | $304,008 | $18,824 | $9,798 | $332,630 | ||||
| ROSEMARIE BAILEY | ||||||||
| EXEC. DIR. | $189,269 | $11,419 | $7,962 | $208,650 | ||||
| KRISTINA KRAVITZ | ||||||||
| PPS COORDINATOR | $131,635 | $9,105 | $14,334 | $155,074 | ||||
| CLARISSA JOAQUIN | ||||||||
| REGISTERED NURSE | $134,656 | $5,156 | $13,470 | $153,282 | ||||
| DAVID D'AMICO | ||||||||
| CFO | $100,147 | $20,096 | $318 | $120,561 | ||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | ARISTIDES PALLIN 117,308 0 0 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF HIALEAH GARDENS SER 2015 | BusinessNameLine1Txt |
| Business Name Line2 | FACILITIES AUTHORITY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 811189388 | BondIssuerEIN |
| Bond Issued | 2016-01-28 | BondIssuedDt |
| Issue Price | $4,948,896 | IssuePriceAmt |
| Purpose | REFI 2007 SERIES BONDS | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | Yes (true) | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Bond Defeased | $4,604,357 | BondDefeasedAmt |
| Total Proceeds | $4,948,896 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $47,153 | IssuanceCostsFromProceedsAmt |
| Refunding Tax Exempt Bonds | false | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (true) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | Yes (true) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PURPOSE OF ISSUE DESCRIPTION | CITY OF HIALEAH GARDENS SER. 2015 REFI 2007 SERIES BONDS |
| DATE REBATE COMPUTATION PERFORMED | CITY OF HIALEAH GARDENS SER. 2015 08/15/25 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | ST. JOHN'S REHABILITATION HOSPITAL PROVIDES NURSING AND REHABILITATION SERVICES TO INDIVIDUALS OF ALL FAITHS, REGARDLESS OF ANY INDIVIDUALS' ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHIOCESE OF MIAMI HEALTH CARE MISSION. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE SOLE MEMBER, IS THE ARCHBISHOP OF THE ARCHDIOCESE OF MIAMI AND HIS SUCCESSORS IN OFFICE, HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE SOLE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS AND TO DETERMINE ANY MATTER WHICH MAY BE PROPERLY BROUGHT BEFORE THE MEMBERS FOR ACTION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE DIRECTOR OF BUDGET AND FINANCIAL PLANNING AND CFO CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. FORM 990 IS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE THE RETURN IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL EMPLOYEES AND DIRECTORS ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ARE PROVIDED WITH THE POLICY UPON HIRE. THE POLICY IS REVIEWED ANNUALLY BY THE CORPORATE COMPLIANCE OFFICER, WHO ALSO DETERMINES WHETHER A CONFLICT MAY EXIST. PER POLICY, EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. IF A CONFLICT OF INTEREST OCCURS, IT IS INVESTIGATED AND THE RESULTS ARE REPORTED TO THE GOVERNING BODY. LEGAL AND DISCIPLINARY ACTION AND RESTRICTIONS ARE IDENTIFIED ON AN INDIVIDUAL BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE TOP OFFICIAL. THE BOARD OF DIRECTORS IS INDEPENDENT WITH RESPECT TO COMPENSATION AND BENEFITS. TOTAL COMPENSATION ANALYSIS IS CONDUCTED BY AN INDEPENDENT CONSULTANT WHO PROVIDES DATA TO COMPARE COMPENSATION AND BENEFITS FOR SIMILAR POSITIONS WITHIN THE INDUSTRY. COMPENSATION AND BENEFIT CHANGES FOR THE TOP OFFICIAL IS DISCUSSED IN BOARD MEETINGS AND IS PROPERLY DOCUMENTED IN THE MINUTES. FORM 990, PART VII, LINE 1A: AVERAGE HOURS PER WEEK FOR CERTAIN OFFICERS ARE PAID BY CATHOLIC HEALTH SERVICES, A RELATED ORGANIZATION, FOR HOURS WORKED FOR RELATED ORGANIZATIONS AS FOLLOWS: LAURA WILSON - 46.8 HOURS MARY JO FRICK - 46.1 HOURS BRIAN KIEDROWSKI - 44.1 |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | TRANSFERS FORM AFFILIATES 0 ROUNDING 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| VILLA MARIA HEALTH CARE SERV INC | ||||||||||
| 1050 NE 125TH STREET | NORTH MIAMI | FL | 33161 | 592850676 | HME HEALTH | FL | 501C | 10 | NA | false |
| VILLA MARIA NURSING & REHAB CENTER | ||||||||||
| 1050 NE 125TH STREET | NORTH MIAMI | FL | 33161 | 591284678 | REHAB FAC | FL | 501C | 10 | NA | false |
| ST JOSEPH RESIDENCE INC | ||||||||||
| 3485 NW 30TH STREET | LAUDERDALE LAKES | FL | 33311 | 650032474 | ALF | FL | 501C | 10 | NA | false |
| CATHOLIC HOME HEALTH OF BROW INC | ||||||||||
| 3075 NW 35TH AVENUE | LAUDERDALE LAKES | FL | 33311 | 650062205 | HME HEALTH | FL | 501C | 10 | NA | false |
| CATHOLIC HEALTH SERVICESINC | ||||||||||
| 4790 N STATE ROAD 7 | LAUDERDALE LAKES | FL | 33319 | 592645139 | MGT COMP | FL | 501C | 10 | NA | false |
| ST ANNE'S NURSING CENTER | ||||||||||
| 11855 QUAIL ROOST DRIVE | MIAMI | FL | 33177 | 592522488 | NRSG CENT | FL | 501C | 10 | NA | false |
| ARCHDIOCESE OF MIAMI | ||||||||||
| 9401 BISCAYNE BLVD | MIAMI SHORES | FL | 33138 | 590865839 | SPONSOR | FL | 501C | 1 | NA | false |
| CATHOLIC ELDERLY SERVICES INC | ||||||||||
| 4790 N STATE ROAD 7 | LAUDERDALE LAKES | FL | 33319 | 650312041 | FDRAISING | FL | 501C | 12A | NA | false |
| CATHOLIC HOSPICE INC | ||||||||||
| 14875 NW 77TH AVENUE SUITE 100 | MIAMI LAKES | FL | 33014 | 650062530 | HOSPICE | FL | 501C | 10 | NA | false |
| CENTRO MATER CHILD CARE SERVICES | ||||||||||
| 8298 NW 103RD STREET | HIALEAH GARDENS | FL | 330162202 | 208083301 | CHILD CARE | FL | 501C | 10 | NA | false |
| CATHOLIC CEMETERIES | ||||||||||
| 11411 NW 25TH STREET | MIAMI | FL | 33172 | 590862834 | CEMETERIES | FL | 501C | 10 | NA | false |
| CATHOLIC HEALTH CARE TRANSITIONS | ||||||||||
| 3075 NW 35TH AVENUE | LAUDERDALE LAKES | FL | 33311 | 453717633 | MED SERV | FL | 501C | 10 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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