VILLA MARIA NURSING & REHABILITATION CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- VILLA MARIA NURSING & REHABILITATION CENTER (EIN 59-1284678)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-14
- IRS object ID
- 202642269349302294
- 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 I
- 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 | 591284678 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VILLA MARIA NURSING & | BusinessNameLine1Txt |
| Business Name Line2 | REHABILITATION CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VILL | BusinessNameControlTxt |
| Phone | 3058918850 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1050 NORTHEAST 125TH STREET | AddressLine1Txt |
| City | NORTH MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33161 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA WILSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3058918850 | 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 | $43,207,705 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1966 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | VILLA MARIA NURSING AND REHABILITATION CENTER PROVIDES NURSING AND REHABILITATIVE CARE TO INDIVIDUALS OF ALL FAITHS REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHDIOCESE OF MAIMI HEALTH CARE MISSION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 487 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $176,043 | PYContributionsGrantsAmt |
| CY Contributions Grants | $111,270 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $39,545,855 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $43,022,197 | CYProgramServiceRevenueAmt |
| PY Investment Income | $88,472 | PYInvestmentIncomeAmt |
| CY Investment Income | $73,255 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,645 | PYOtherRevenueAmt |
| CY Other Revenue | $983 | CYOtherRevenueAmt |
| PY Total Revenue | $39,813,015 | PYTotalRevenueAmt |
| CY Total Revenue | $43,207,705 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $487,249 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,666,175 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,299,622 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,853,643 | PYOtherExpensesAmt |
| CY Other Expenses | $20,973,055 | CYOtherExpensesAmt |
| PY Total Expenses | $44,519,818 | PYTotalExpensesAmt |
| CY Total Expenses | $41,759,926 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,706,803 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,447,779 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,838,122 | TotalAssetsBOYAmt |
| Total Assets EOY | $55,082,357 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $36,478,730 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,093,454 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,359,392 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,988,903 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | VILLA MARIA NURSING AND REHABILITATION CENTER PROVIDES NURSING AND REHABILITATIVE CARE TO INDIVIDUALS OF ALL FAITHS REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHDIOCESE OF MAIMI HEALTH CARE MISSION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $40,262,187 | ExpenseAmt |
| Grant | $487,249 | GrantAmt |
| Desc | VILLA MARIA NURSING AND REHABILIATION CENTER, UNDER THE SPONSPORSHIP OF THE ARCHDIOCESE OF MIAMI, PROVIDES ONE MAIN PROGRAM SERVICE ACTIVITY; THE CARE OF PATIENTS UNDER THE PHILOSOPHIES OF THE ARCHDIOCESE OF MIAMI. | Desc |
| Total Program Service Expenses | $40,262,187 | 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 | Yes (true) | 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 | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 487 | 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 | Yes (true) | 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 | NATHANIEL JOHNSON | PersonNm |
| Phone | 3058918850 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1050 NE 125TH STREET | AddressLine1Txt |
| City | N MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33161 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 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 | 7.80 | 42.20 | Yes (X) | $0 | $468,355 | $42,623 | ||||
| BRIAN KIEDROWSKI | ||||||||||
| CMO | 11.90 | 38.20 | Yes (X) | $0 | $416,849 | $40,110 | ||||
| ARISTIDES PALLIN | ||||||||||
| CEO | 7.80 | 42.20 | $0 | $336,176 | $32,547 | Yes (X) | ||||
| LAURA WILSON | ||||||||||
| CFO | 6.50 | 43.50 | Yes (X) | $0 | $304,008 | $28,622 | ||||
| NATHANIEL JOHNSON | ||||||||||
| EXEC DIRECTO | 40.00 | $204,382 | $0 | $25,954 | Yes (X) | |||||
| JAIME GONZALEZ | ||||||||||
| DIR. REG. OP | 40.00 | $197,839 | $0 | $25,060 | Yes (X) | |||||
| CHRISTINA SIERRA | ||||||||||
| DON | 40.00 | $119,071 | $0 | $22,946 | Yes (X) | |||||
| SANDRA NUNEZ | ||||||||||
| SENIOR DIR. | 40.00 | $121,187 | $0 | $14,967 | Yes (X) | |||||
| BRENITH DELSON | ||||||||||
| DON | 40.00 | $114,205 | $0 | $19,849 | Yes (X) | |||||
| MARIE S CEDOIT | ||||||||||
| NURSE, LIC P | 40.00 | $107,771 | $0 | $23,138 | Yes (X) | |||||
| JENNIFER PIERRE | ||||||||||
| NURSE, LIC P | 40.00 | $116,027 | $0 | $6,528 | Yes (X) | |||||
| DAVID D'AMICO | ||||||||||
| CFO | 6.50 | 43.50 | $0 | $100,147 | $20,414 | Yes (X) | ||||
| CHRISTOPHER CATALLO | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| BUD FARREY | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| DR MANUEL P ANTON III | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| RALPH 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) | |||||
| JULIE S STAUB | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| DR PATRICK TAYLOR | ||||||||||
| DIRECTOR | 1.00 | $0 | $0 | $0 | Yes (X) | |||||
| SR ELIZABETH A WORLEY | ||||||||||
| VICE CHAIRMA | 1.00 | Yes (X) | $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 | $980,482 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,625,535 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $302,758 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | 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 | $4,925,115 |
| QUALITY CARE REHAB INC | |||||
| 2685 EXEC PARK DR NO 4 | WESTIN | FL | 33331 | THERAPY SERVICE | $3,610,137 |
| SODEXO INC & AFFILIATES | |||||
| 9801 WASHINGTONIAN BLVD | GAITHERBURG | MD | 20878 | DIETARY & EVS | $2,919,734 |
| SHIFTMED LLC | |||||
| 7925 JONES BRANCH DRIVE SUITE 1100 | MCLEAN | VA | 22102 | MED STAFFING | $555,488 |
| MEDICAL STAFFING NETWORK | |||||
| 5201 CONGREE AVENUE STE 100B | BOCA RATON | FL | 33487 | MED STAFFING | $444,641 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $111,270 | AllOtherContributionsAmt |
| Total Contributions | $111,270 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PATIENT REVENUE-NET | $41,699,229 | $41,699,229 | |
| RENTAL INCOME - HOSPICE | $1,183,668 | $1,183,668 | |
| DPP/LPPF | $128,695 | $128,695 | |
| OTHER | $10,605 | $10,605 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $43,022,197 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,255 | TotalRevenueColumnAmt |
| Exclusion | $73,255 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Total Revenue Column | $983 | TotalRevenueColumnAmt |
| Exclusion | $983 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $983 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,207,705 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,011,592 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $84,843 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $487,249 | TotalAmt |
| Program Services | $487,249 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,240,918 | TotalAmt |
| Program Services | $16,888,392 | ProgramServicesAmt |
| Management And General | $352,526 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,583 | TotalAmt |
| Program Services | $719,999 | ProgramServicesAmt |
| Management And General | $17,584 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,128,397 | TotalAmt |
| Program Services | $1,092,286 | ProgramServicesAmt |
| Management And General | $36,111 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,192,724 | TotalAmt |
| Program Services | $1,166,900 | ProgramServicesAmt |
| Management And General | $25,824 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,914,676 | TotalAmt |
| Program Services | $3,834,632 | ProgramServicesAmt |
| Management And General | $80,044 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,794 | TotalAmt |
| Management And General | $25,794 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,280 | TotalAmt |
| Management And General | $179,280 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,235,656 | TotalAmt |
| Program Services | $989,911 | ProgramServicesAmt |
| Management And General | $245,745 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,778 | TotalAmt |
| Program Services | $38,692 | ProgramServicesAmt |
| Management And General | $86 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $663,615 | TotalAmt |
| Program Services | $648,525 | ProgramServicesAmt |
| Management And General | $15,090 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,739 | TotalAmt |
| Program Services | $632,657 | ProgramServicesAmt |
| Management And General | $5,082 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,623,257 | TotalAmt |
| Program Services | $3,555,076 | ProgramServicesAmt |
| Management And General | $68,181 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,838 | TotalAmt |
| Program Services | $14,616 | ProgramServicesAmt |
| Management And General | $1,222 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,704 | TotalAmt |
| Program Services | $3,628 | ProgramServicesAmt |
| Management And General | $76 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,349,695 | TotalAmt |
| Program Services | $1,322,098 | ProgramServicesAmt |
| Management And General | $27,597 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,796 | TotalAmt |
| Program Services | $398,478 | ProgramServicesAmt |
| Management And General | $8,318 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OUTSRCD THER, DIET, EVE | $3,520,637 | $3,493,876 | $26,761 |
| PATIENT CARE SUPPLIES | $3,087,102 | $3,087,102 | |
| NURSING PURCHASED SERVICE | $667,772 | $667,772 | |
| ASSESSMENT FEES | $530,291 | $530,291 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,072,425 | TotalAmt |
| Program Services | $690,007 | ProgramServicesAmt |
| Management And General | $382,418 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,759,926 | TotalAmt |
| Program Services | $40,262,187 | ProgramServicesAmt |
| Management And General | $1,497,739 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,339,944 | BOYAmt |
| EOY | $5,628,164 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,899,843 | BOYAmt |
| EOY | $5,087,518 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,030 | BOYAmt |
| EOY | $94,183 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $571,022 | BOYAmt |
| EOY | $169,770 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $62,028,796 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $36,132,443 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,503,431 | BOYAmt |
| EOY | $25,896,353 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $126,250 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,394,852 | BOYAmt |
| EOY | $18,080,119 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,838,122 | BOYAmt |
| EOY | $55,082,357 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,294,172 | BOYAmt |
| EOY | $5,953,282 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,814,692 | BOYAmt |
| EOY | $25,849,736 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,369,866 | BOYAmt |
| EOY | $1,290,436 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,478,730 | BOYAmt |
| EOY | $33,093,454 | 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 | $18,697,541 | BOYAmt |
| EOY | $20,145,316 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,661,851 | BOYAmt |
| EOY | $1,843,587 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,359,392 | BOYAmt |
| EOY | $21,988,903 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,838,122 | BOYAmt |
| EOY | $55,082,357 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,447,779 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $181,732 | OtherChangesInNetAssetsAmt |
| 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 | $2,852,317 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,539,204 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125,921 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $176,043 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $111,270 | CurrentTaxYearAmt |
| Total | $6,804,755 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,429,013 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,174,696 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,206,044 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,541,003 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,011,592 | CurrentTaxYearAmt |
| Total | $205,362,348 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,789 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,497 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,588 | CurrentTaxYearAmt |
| Total | $45,647 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,285,148 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,720,689 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,347,920 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,724,543 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,134,450 | CurrentTaxYearAmt |
| Total | $212,212,750 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $212,212,750 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $106,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $103,913 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $88,472 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,255 | CurrentTaxYearAmt |
| Total | $372,386 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $106,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $103,913 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $88,472 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $73,255 | CurrentTaxYearAmt |
| Total | $372,386 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,285,148 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,827,435 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,451,833 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,813,015 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,207,705 | CurrentTaxYearAmt |
| Total | $212,585,136 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99820 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99860 | 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 | $5,091,677 | OtherCostOrOtherBasisAmt |
| Book Value | $5,091,677 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,604,433 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,189,693 | DepreciationAmt |
| Book Value | $19,414,740 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,283,362 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,942,750 | DepreciationAmt |
| Book Value | $1,340,612 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,324 | OtherCostOrOtherBasisAmt |
| Book Value | $49,324 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,896,353 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATE | $9,937,882 |
| ADV & MGT FEES REC. AFFIL & DEV COST | $5,710,137 |
| BENE. INTEREST IN NET ASSETS OF VMF | $1,843,587 |
| LEASE RIGHT OF USE ASSETS | $303,458 |
| ASSETS WHOSE USE IS LIMITED | $285,055 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $18,080,119 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD-PARTY PAY SETTLEMTS | $700,992 |
| LEASE LIABILITIES | $310,678 |
| PATIENT AND RESIDENT FUNDS HELD | $262,766 |
| DEFERRED REVENUE | $16,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,290,436 | 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 | $14,140 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,140 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,125,804 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,125,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02730 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,139,944 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,139,944 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02760 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,721 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $85,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,721 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $85,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,225,665 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,225,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02970 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | -$96,585 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,424,997 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $6,721,976 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,703,021 | 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 | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | OtherOtherDesc |
|---|---|---|---|---|---|---|
| ST CATHERINE'S REHAB HOSP | ||||||
| 1 | 1050 NE 125TH STREET | NORTH MIAMI | FL | 33161 | Yes (X) | INPATIENT REHAB FACILITY |
| ST CATHERINE WEST REHAB HOSP | ||||||
| 2 | 8850 NW 122ND STREET | HIALEAH | FL | 33108 | Yes (X) | INPATIENT REHAB FACILITY |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | OtherOtherInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Other CriteriaOtherCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Other ActionsPermitOtherActionsInd | Collection ActivitiesCollectionActivitiesInd | Other ActionsOtherActionsInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicaid Medcr PrvtLookBackMedicaidMedcrPrvtInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST CATHERINE'S REHAB HOSP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 22 | Yes (true) | false | false | Yes (true) | Yes (X) | CATHOLICHEALTHSERVICES.ORG | Yes (true) | 22 | Yes (true) | CATHOLICHEALTHSERVICES.ORG | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | CATHOLICHEALTHSERVICES.ORG | Yes (X) | CATHOLICHEALTHSERVICES.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| ST CATHERINE WEST REHAB HOSP | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 22 | Yes (true) | false | false | Yes (true) | Yes (X) | CATHOLICHEALTHSERVICES.ORG | Yes (true) | 22 | Yes (true) | CATHOLICHEALTHSERVICES.ORG | Yes (true) | false | Yes (true) | Yes (X) | 200.000000000000 | 400.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | CATHOLICHEALTHSERVICES.ORG | Yes (X) | CATHOLICHEALTHSERVICES.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, ST. CATHERINE'S REHAB HOSP. - PART V, LINE 3E | SEE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. |
| FACILITY 1, ST. CATHERINE'S REHAB HOSP. - PART V, LINE 5 | SEE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. |
| FACILITY 1, ST. CATHERINE'S REHAB HOSP. - PART V, LINE 13H | THE FACILITIES 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. CATHERINE'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. CATHERINE'S REHAB HOSP. - PART V, LINE 18E | THE ORGANIZATION HAS A SEPARATE BILLING AND COLLECTION POLICY. THE HOSPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT BEFORE THE HOSPITAL FACILITY HAS MADE REASONABLE EFFORT TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE FOR THE CARE UNDER THE FINANCIAL ASSISTANCE PROGRAM. |
| FACILITY 1, ST. CATHERINE'S REHAB HOSP. - PART V, LINE 19E | THE ORGANIZATION HAS A SEPARATE BILLING AND COLLECTION POLICY. THE HOSPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT BEFORE THE HOSPITAL FACILITY HAS MADE REASONABLE EFFORT TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE FOR THE CARE UNDER THE FINANCIAL ASSISTANCE PROGRAM. |
| FACILITY 2, ST. CATHERINE WEST REHAB HOSP. - PART V, LINE 3E | SEE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. |
| FACILITY 2, ST. CATHERINE WEST REHAB HOSP. - PART V, LINE 5 | SEE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN. |
| FACILITY 2, ST. CATHERINE WEST REHAB HOSP. - PART V, LINE 13H | THE FACILITIES 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. CATHERINE WEST REHAB 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 2, ST. CATHERINE WEST REHAB HOSP. - PART V, LINE 18E | THE ORGANIZATION HAS A SEPARATE BILLING AN COLLECTION POLICY. THE HOSPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT BEFORE THE HOSPITAL FACILITY HAS MADE REASONABLE EFFORT TO DETERMINE WHETHER THE INDIVDUAL IS ELIGIBLE FOR ASSISTANCE FOR THE CARE UNDER THE FINANCIAL ASSISTANCE PROGRAM. |
| FACILITY 2, ST. CATHERINE WEST REHAB HOSP. - PART V, LINE 19E | THE ORGANIZATION HAS A SEPARATE BILLING AN COLLECTION POLICY. THE HOSPITAL DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AGAINST AN INDIVIDUAL TO OBTAIN PAYMENT BEFORE THE HOSPITAL FACILITY HAS MADE REASONABLE EFFORT TO DETERMINE WHETHER THE INDIVDUAL IS ELIGIBLE FOR ASSISTANCE FOR THE CARE UNDER THE FINANCIAL ASSISTANCE PROGRAM. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| VILLA MARIA NURSING | ||||
| 1050 NE 125TH STREET | NORTH MIAMI | FL | 33161 | SKILLED NURSING FACILITY |
| VILLA MARIA WEST | ||||
| 8850 NW 122ND STREET | HIALEAH GARDENS | FL | 33018 | SKILLED NURSING FACILITY |
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 EMPLYEES ACTIVELY PARTICIPATE IN LOCAL PROFESSIONAL AND TRADE ASSOCIATONS. THE ORGANIZATION FREQUENTLY PROVIDES CHARITABLE INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO INDIGENT PATIENTS TO FACIITATE THEIR RECOVERY FORM 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 I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARCHDIOCESE OF MIAMI | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9401 BISCAYNE BLVD | AddressLine1Txt |
| City | MIAMI SHORES | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33138 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 590865839 | RecipientEIN |
| IRC Section | 501(C) | IRCSectionDesc |
| Cash Grant | $487,249 | CashGrantAmt |
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 (7 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 | ||||
| NATHANIEL JOHNSON | ||||||||
| EXEC DIRECTOR | $204,382 | $15,529 | $10,425 | $230,336 | ||||
| JAIME GONZALEZ | ||||||||
| DIR. REG. OPERATIONS | $197,839 | $14,230 | $10,830 | $222,899 | ||||
| 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 | $38,669,580 | IssuePriceAmt |
| Purpose | REFI 2007SERIES 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 | $35,976,833 | BondDefeasedAmt |
| Total Proceeds | $38,669,580 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $368,444 | 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 2007SERIES BONDS |
| DATE REBATE COMPUTATION PERFORMED | CITY OF HIALEAH GARDENS SER. 2015 08/15/25 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | VILLA MARIA NURSING AND REHABILITATION CENTER PROVIDES NURSING AND REHABILITATIVE CARE TO INDIVIDUALS OF ALL FAITHS REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY FOR SERVICES, INCLUDING ROUTINE AND ANCILLARY CARE, IN SUPPORT OF THE ARCHDIOCESE OF MAIMI HEALTH CARE MISSION. |
| FORM 990, PAGE 1, PART I, LINE 6 | PRIMARY STUDENT VOLUNTEERS PROVIDE SERVICES TO PATIENTS |
| 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 THE 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 IDENFIFIED 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 - 43.5 HOURS MARY JO FRICK - 42.20 HOURS BRIAN KIEDROWDKI - 38.20 HOURS |
| 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 | CHANGE IN BENE INT VILLA FOUND 181,737 TRANSFERS FROM AFFILIATES 0 ROUNDING -5 TOTAL 181,732 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 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 |
| ST JOHN'S REHAB HOSP & NRS CEN | ||||||||||
| 3075 NW 35TH AVENUE | LAUDERDALE LAKES | FL | 33311 | 591945163 | 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 | REHAB FAC | 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 |
| CATHOLIC HEALTH SERVICES FOUNDATION | ||||||||||
| 4790 N STATE ROAD 7 | LAUDERDALE LAKES | FL | 33319 | 650312041 | FDRAISING | FL | 501C | 12A | NA | false |
| ARCHDIOCESE OF MIAMI | ||||||||||
| 9401 BISCAYNE BLVD | MIAMI SHORES | FL | 33138 | 590865839 | SPONSOR | FL | 501C | 1 | 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 |
| VILLA MARIA FOUNDATION | ||||||||||
| 4790 N STATE ROAD 7 | LAUDERDALE LAKES | FL | 33319 | 650203239 | FOUNDATION | FL | 501C | 12A | 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 |
Comments