2024-05-15T08:32:04-05:00 2023-06-30 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1400 PORTLAND OR 97205 990 2022-07-01 930752805 SISTERS OF ST MARY OF OREGON MARYVILLE CORPORATION SIST 5036438626 14645 SW FARMINGTON ROAD BEAVERTON OR 97007 KATHLEEN PARRY PRESIDENT 5036438626 2024-05-12 1 KATHLEEN PARRY 999009999 1 WENDY CAMPOS P00448102 5032421447 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KATHLEEN PARRY 14645 SW FARMINGTON ROAD BEAVERTON OR 97007 24798447 0 X WWW.MARYVILLENH.ORG X 1979 OR TO MAINTAIN AND OPERATE FACILITIES PROVIDING NURSING AND SUPPORTIVE CARE SERVICES TO RESIDENTS AND PATIENTS IN ACCORDANCE WITH THE MORAL AND ETHICAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH AND THE SISTERS OF ST. MARY OF OREGON. 5 4 285 4 0 0 2639442 75364 21344982 23377014 130911 56478 0 0 24115335 23508856 1000000 0 0 0 10785212 11224728 0 0 416442 12552782 13302125 24337994 24526853 -222659 -1017997 22579781 22446870 3930251 3957047 18649530 18489823 X TO MAINTAIN AND OPERATE FACILITIES WHICH PROVIDE NURSING AND SUPPORTIVE LIVING CARE AND SERVICES, AND OFFER OR ARRANGE FOR THE PROVISION OF SERVICES TO GERIATRIC, CHRONIC AND CONVALESCENT RESIDENTS AND/OR PATIENTS IN ACCORDANCE WITH THE MORAL AND ETHICAL TEACHINGS OF THE ROMAN CATHOLIC CHURCH, INCLUDING THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE FACILITIES, CONSISTENT WITH THE INTERESTS AND PURPOSES OF THE SISTERS OF ST. MARY OF OREGON, A RELIGIOUS INSTITUTE WITHIN THE ROMAN CATHOLIC CHURCH. 0 0 16437429 16845456 INTERMEDIATE CARE - PROVISION OF CARE AND SERVICES NEEDED BY INDIVIDUALS TO MAINTAIN "ACTIVITIES OF DAILY LIVING" (THOSE FUNCTIONAL ACTIVITIES REQUIRED BY AN INDIVIDUAL FOR CONTINUED WELL BEING AND ARE ESSENTIAL FOR HEALTH AND SAFETY INCLUDING EATING, DRESSING/GROOMING, BATHING/PERSONAL HYGIENE, MOBILITY, BOWEL AND BLADDER MANAGEMENT AND CONGNITION). 5615133 6531558 SKILLED NURSING - PROVISION OF SPECIALIZED REHABILITATIVE/NURSING SERVICES NEEDED BY INDIVIDUALS REQUIRING STAY FOR SHORT-TERM/NON-ACUTE ILLNESSES WITH THE GOAL TO ATTAIN OPTIMAL FUNCTIONING ENABLING INDIVIDUALS TO RETURN TO COMMUNITY LIVING. SERVICES DELIVERED BY LICENSED THERAPISTS AND REGISTERED NURSES AND LICENSED PRACTICAL NURSES. 0 0 PROVISION OF A CONTRIBUTION TO THE STRATEGIC INVESTMENT FUND AT SSMO MINISTRIES CORPORATION THAT WILL BE USED TO FURTHER THE SPONSORED MINISTRIES OF THE SISTERS AND FULFILL THE MISSION OF THE SISTERS IN EDUCATIONAL AND NURSING PROGRAMS AND TO PROVIDE FURTHER CAPITAL IMPROVEMENTS TO THE CAMPUS FACILITIES INCLUDING MARYVILLE. 22052562 1 1 0 0 0 0 0 0 1 0 1 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 52 0 1 285 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 OR X MARYVILLE NURSING HOME 5036438626 14645 SW FARMINGTON ROAD BEAVERTON OR 97007 KATHLEEN PARRY PRESIDENT 40.00 0.00 X X 214827 0 24683 KELLY FOX CHAIR 2.50 0.00 X X 0 0 0 TOM BAERTLEIN VICE CHAIR 1.50 0.00 X X 0 0 0 SR RITA WATKINS SECRETARY AND MEMBER SSMO MINISTRIES 1.50 1.50 X X 0 0 0 BILL BAERTLEIN TREASURER 1.50 0.00 X X 0 0 0 MARY AUGUSTYN CFO, SSMO MINISTRIES CORP 10.00 30.00 X 0 253755 0 SR ADELE MARIE ALTENHOFEN PRESIDENT & DIR., SSMO MINISTRIES 10.00 30.00 X 0 0 240617 BRET COPE COO, SSMO MINISTRIES CORP 10.00 30.00 X 0 198394 0 JENNIFER LIDGUS LICENSED PRACTICAL NURSE 66.30 0.00 X 216417 0 14712 SUJEEWA PATHIRANA REGISTERED NURSE 58.20 0.00 X 152092 0 3394 DALE GOODNO CIO, SSMO MINISTRIES CORP 10.00 30.00 X 0 143567 0 CORDELIA AGUM DIRECTOR OF NURSING 40.00 0.00 X 134085 0 43 JUDY HARTWELL CERTIFIED NURSE AIDE 57.30 0.00 X 118157 0 8115 835578 595716 291564 13 0 1 0 CONSONUS REHAB 4560 SE INTL WAY 100 MILWAUKIE OR 972224628 REHAB SERVICES 1316711 ATC HEALTHCARE SERVICES 1983 MARCUS AVE SUITE E122 LAKE SUCCESS NY 11042 NURSING SERVICES 708775 ACTRIV HEALTHCARE INC 3650 S CEDAR ST TACOMA WA 98409 NURSING SERVICES 651858 EXPRESS EMPLOYMENT PROFESSIONALS 9701 BOARDWALK BLVD OKLAHOMA CITY OR 73162 NURSING SERVICES 596736 INTEGRATED HEALTHCARE SOLUTIONS 10200 SW GREENBURG RD SUITE 700 PORTLAND OR 97223 NURSING SERVICES 521746 17 75000 364 164 75364 INTERMEDIATE CARE 623000 16803124 16803124 SKILLED NURSING 623000 6531558 6531558 OTHER REVENUE 623000 42332 42332 23377014 103228 103228 1242841 1286499 3092 -43658 -3092 -46750 -46750 23508856 23377014 0 56478 X 259632 233808 25824 8391484 8337177 54307 98906 98737 169 1804875 1653619 151256 669831 660888 8943 237719 237719 36252 36252 879575 879575 8003 8003 6641646 6139162 502484 60377 60377 131807 94949 36858 357499 268124 89375 564003 539937 24066 1061 490 571 2739 2739 100 100 800093 800093 77135 77135 LTCF ASSESSMENT 1455280 1455280 MEDICAL SUPPLIES 543664 543664 FOOD COSTS 501272 501272 PHARMACY 392433 392433 611467 332929 -137904 416442 24526853 22052562 2057849 416442 6561335 5918229 2222696 2238283 179408 120632 330237 206912 22552556 15701849 7474538 6850707 1832373 1947175 3979194 5164932 22579781 22446870 1930251 1957047 2000000 2000000 3930251 3957047 X 18606753 17736540 42777 753283 18649530 18489823 22579781 22446870 X -1017997 166914 -153918 697509 147785 X 1 X 0 1 0 X 341130 1365431 1324758 2639442 75364 5746125 22413303 22539800 18610925 21344982 23377014 108286024 22754433 23905231 19935683 23984424 23452378 114032149 0 0 0 114032149 106124 86016 54718 119128 103228 469214 106124 86016 54718 119128 103228 469214 22860557 23991247 19990401 24103552 23555606 114501363 0.99590 0.99600 0.00410 0.00400 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 25342 7717 23155 9904 0 274134 274134 19748745 13594154 6154591 2529677 2107695 421982 6850707 BENEFICIAL INTEREST IN INVESTMENTS 1947175 F 1947175 ASSETS HELD BY OTHERS 4297819 RESERVE FOR GRANT PAYABLE 367274 RESIDENT TRUST FUNDS 9914 CONSTRUCTION IN PROGRESS 489925 5164932 X PART IV, LINE 1B: CUSTODIAN OF RESIDENT PERSONAL INCIDENTAL FUNDS PART X, LINE 2: THE CORPORATION HAS OBTAINED TAX-EXEMPT STATUS FROM THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; THEREFORE, NO PROVISION FOR CORPORATE FEDERAL AND STATE INCOME TAX IS REQUIRED. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF UNCERTAIN POSITIONS HAVE BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS. THE CORPORATION'S FORMS 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, FOR THE YEARS ENDING JUNE 30, 2022, 2021 AND 2020 ARE SUBJECT TO EXAMINATION GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. THERE ARE CURRENTLY NO EXAMINATIONS FOR ANY PERIODS IN PROGRESS. X X X 0 0 0 0 0 0 0 0 0 MARY AUGUSTYN CFO, SSMO MINISTRIES CORP 0 97216 0 0 0 156539 0 0 0 0 0 253755 0 0 SR ADELE MARIE ALTENHOFEN PRESIDENT & DIR., SSMO MINISTRIES 0 0 0 0 0 0 0 0 0 240617 0 240617 0 0 KATHLEEN PARRY PRESIDENT 214407 0 0 0 420 0 10739 0 13944 0 239510 0 0 0 JENNIFER LIDGUS LICENSED PRACTICAL NURSE 216086 0 0 0 331 0 6597 0 8115 0 231129 0 0 0 BRET COPE COO, SSMO MINISTRIES CORP 0 197974 0 0 0 420 0 0 0 0 0 198394 0 0 SUJEEWA PATHIRANA REGISTERED NURSE 151751 0 0 0 341 0 3351 0 43 0 155486 0 0 0 FORM 990 PART VII AND SCHEDULE J THE SISTERS OF ST. MARY OF OREGON RECEIVE COMPENSATION ON BEHALF OF SR. ADELE MARIE ALTENHOFEN FROM SSMO MINISTRIES, A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 SISTERS OF ST. MARY OF OREGON MINISTRIES IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNANCE AND OPERATIONS OF THE ORGANIZATION SHALL BE SUBJECT IN ALL RESPECTS TO SISTERS OF ST. MARY OF OREGON MINISTRIES RIGHT (AS SOLE MEMBER) TO EXERCISE THE RESERVED POWERS SET FORTH IN THE BYLAWS WITH RESPECT TO THE ORGANIZATION. THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO EXERCISE THE RESERVED POWERS, INCLUDING TO APPOINT AND REMOVE THE BOARD OF DIRECTORS OR ANY ONE OR MORE OF THE DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNANCE AND OPERATIONS OF THE ORGANIZATION SHALL BE SUBJECT IN ALL RESPECTS TO SISTERS OF ST. MARY OF OREGON MINISTRIES RIGHT (AS SOLE MEMBER) TO EXERCISE THE RESERVED POWERS SET FORTH IN THE BYLAWS WITH RESPECT TO THE ORGANIZATION. THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO EXERCISE THE RESERVED POWERS, INCLUDING TO APPOINT AND REMOVE THE BOARD OF DIRECTORS OR ANY ONE OR MORE OF THE DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 IS COMPLETED BY THE PRESIDENT AND SSMO MARYVILLE CONTROLLER AND REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE BOARD OF DIRECTORS REQUIRES THAT DIRECTORS REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE. THROUGHOUT THE YEAR DIRECTORS ARE REQUIRED TO BRING FORWARD ITEMS WHICH MAY CHANGE THE STATUS OF THEIR PREVIOUSLY SIGNED DOCUMENTATION. ADDITIONALLY, DIRECTORS RECUSE THEMSELVES FROM PARTICIPATION IN DISCUSSION AND VOTING WHEN CONFLICTS OF INTEREST ARISE. FORM 990, PART VI, SECTION B, LINE 15 WHEN KEY PERSONNEL ARE HIRED, A SELECTION COMMITTEE IS ESTABLISHED. SEVERAL PERSONS POPULATE THESE COMMITTEES INCLUDING DIRECTORS ON THE MARYVILLE BOARD AS WELL AS PERSONS SERVING ON THE BOARD TO WHOM THE MARYVILLE BOARD IS ACCOUNTABLE. THE COMMITTEES RESEARCH THE SALARY RANGES OF PERSONS WHO HOLD LIKE POSITIONS IN THE NURSING HOME INDUSTRY AND OFFER INITIAL COMPENSATION WITHIN THAT FRAMEWORK. SUBSEQUENT SALARY RAISES ARE GIVEN BY USING A PER ANNUM PERCENTAGE INCREASE. VARIOUS DIRECTORS OF THE MARYVILLE BOARD PROVIDE FEEDBACK ABOUT THESE INCREASES AS WELL AS MEMBERS OF THE SSMO MINISTRIES FINANCE COMMITTEE. THE SSMO MINISTRIES CORPORATION HR MANAGER ALSO PROVIDES FEEDBACK ABOUT COMPENSATION OF OTHERS IN LIKE POSITIONS. THE ANNUAL BUDGET, WHICH INCLUDES SALARIES, IS PREPARED WITH SIGNIFICANT INPUT OF THE MARYVILLE CONTROLLER AND WITH THE OVERSIGHT OF THE SSMO MINISTRIES CORPORATION'S CFO AND PRESIDENT. IT IS REVIEWED AND APPROVED BY MEMBERS OF THE SSMO MINISTRIES FINANCE COMMITTEE, THE SSMO MARYVILLE BOARD, THE SSMO MINISTRIES CORPORATION BOARD AND THE MEMBERS OF THE SSMO MINISTRIES CORPORATION. THE GENERAL COMPENSATION REVIEW PROCESS WAS LAST COMPLETED DURING 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT, AT THIS TIME, MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, OTHER THAN AS DISCLOSED ON FORM 990 AND SCHEDULES. FORM 990, PART IX, LINE 11G PURCHASED SERVICES - PATIENT CARE: PROGRAM SERVICE EXPENSES 6,139,162. MANAGEMENT AND GENERAL EXPENSES 502,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,641,646. FORM 990, PART XI, LINE 9: INCREASE (DECREASE) IN BENEFICIAL INTEREST [REVENUE PORTION] 138,882. INCREASE (DECREASE) IN BENEFICIAL INTEREST [OTHER CHANGES] 8,903. SISTERS OF ST MARY OF OREGON MINISTRIES CORP 4440 SW 148TH AVE BEAVERTON OR 97078 204503509 SHARED SERVICES FOR RELIGIOUS AFFILIATES OR 501(C)(3) LINE 1 N/A 1 SISTERS OF ST MARY OF OREGON FOUNDATION 4440 SW 148TH AVE BEAVERTON OR 97078 931253966 FUNDRAISING & INVESTMENT OR 501(C)(3) LINE 10 SSMO MINISTRIES 1 SISTERS OF ST MARY OF OREGON EARLY LEARNING SCHOOL 4450 SW ST MARYS DRIVE BEAVERTON OR 97078 204503805 CHILD CARE OR 501(C)(3) LINE 2 SSMO MINISTRIES 1 SISTERS OF ST MARY OF OREGON CAMPUS SCHOOLS CORP 4440 SW 148TH AVE BEAVERTON OR 97078 204503712 SCHOOL OR 501(C)(3) LINE 2 SSMO MINISTRIES 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 SISTERS OF ST MARY OF OREGON FOUNDATION C 75000 CASH SISTERS OF ST MARY OF OREGON FOUNDATION M 416442 COST SISTERS OF ST MARY OF OREGON MINISTRIES M 1611532 COST