2024-11-14T12:30:05-06:00 2023-12-31 540737372 PBMARES LLP 150 BOUSH STREET SUITE 400 NORFOLK VA 23510 990 2023-01-01 540505952 ST MARY'S HOME FOR DISABLED CHILDREN INC STMA 7576222208 6171 KEMPSVILLE CIRCLE NORFOLK VA 23502 SHANNON EDSALL CURRENT CEO 7576222208 2024-11-14 1 0 JENNIFER N FRENCH CPA P00659678 7576274644 2024-11-14 X 2023 2024-10-15 13:58:12Z SHANNON EDSALL 6171 KEMPSVILLE CIRCLE NORFOLK VA 23502 30098274 0 X SAINTMARYSHOME.ORG X 1901 VA TO PROVIDE CARE AS AN INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) AS A RESIDENTIAL FACILITY WITH 100 LICENSED BEDS. 15 15 401 10 0 0 1444977 2276480 25959991 27793452 -874 -5812 0 -1768 27404094 30062352 0 0 0 0 19842877 21436372 0 0 249803 7505925 7982761 27348802 29419133 55292 643219 17386377 16559045 9585642 8047845 7800735 8511200 TO PROVIDE CARE AS AN INTERMEDIATE CARE FACILITY FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES (ICF/IID) AS A RESIDENTIAL FACILITY WITH 100 LICENSED BEDS. 0 0 25481698 27787640 INTERMEDIATE HEALTH CARE FOR INDIVIDUALS WITH SEVERE MENTAL AND PHYSICAL DISABILITIES WITH 88 LICENSED PEDIATRIC BEDS AND 12 LICENSED ADULT BEDS. 25481698 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 38 0 1 401 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X WAYNE JONES 7576222208 6171 KEMPSVILLE CIRCLE NORFOLK VA 23502 RANDALL CRUTCHFIELD PRESIDENT 0.50 0.50 X X 0 0 0 GAELA NORMILE VICE PRESIDENT 0.50 0.00 X X 0 0 0 ANDY RIVENBARK SECRETARY/TREASURER 0.50 0.50 X X 0 0 0 DR ALLEN WHITE III TRUSTEE 0.50 0.50 X X 0 0 0 JANETTE CRUMLEY TRUSTEE 0.50 0.00 X 0 0 0 CHRIS D'SURNEY TRUSTEE 0.50 0.50 X 0 0 0 MICHAEL COTTER TRUSTEE 0.50 0.50 X 0 0 0 EMILY GRIMSLEY TRUSTEE 0.50 0.00 X 0 0 0 BRAD MASON TRUSTEE 0.50 0.50 X 0 0 0 DR JUANITA SMITH TRUSTEE 0.50 0.00 X 0 0 0 JENNIFER REASOR TRUSTEE 0.50 0.00 X 0 0 0 NANCY WILCOX TRUSTEE 0.50 0.00 X 0 0 0 JANICE KEENER TRUSTEE 0.50 0.00 X 0 0 0 GREGORY KILDUFF TRUSTEE 0.50 0.00 X 0 0 0 QUETTA RUFFIN TRUSTEE 0.50 0.00 X 0 0 0 H WAYNE JONES CEO 40.00 0.00 X 272521 0 85346 SHANNON EDSALL CURRENT CEO 40.00 0.00 X 176988 0 27193 ELIZABETH MCCUEAN CHIEF OF NURSING AND CLINI 40.00 0.00 X 151097 0 26123 ROBYN JONES CONTROLLER 40.00 0.00 X 125336 0 24707 MELANIE KIGER LICENSED PRACTICAL NURSE` 40.00 0.00 X 127184 0 2356 KATHRYN BINDER LICENSED PRACTICAL NURSE` 40.00 0.00 X 112514 0 29378 KATINA WOOD REGISTERED NURSE 40.00 0.00 X 110390 0 37823 1076030 0 232926 7 0 1 0 PBMARES LLP 150 BOUSH STREET NORFOLK VA 23510 ASSURANCE AND TAX SERVICES 126206 ARC3 GASES INC 304 E 25TH SREET NORFOLK VA 23504 OXYGEN/BIOMEDICAL SERVICES 120203 THOMPSON SIEGEL AND WALMSLEY LLC (TSW) 6641 WEST BROAD STREET SUITE 600 RICHMOND VA 23230 PENSION ADVISORY SERVICES 115827 METRO MECHANICAL CORP 6017 PROVIDENCE ROAD VIRGINIA BEACH VA 23464 HEATING AND COOLING SERVICES 105947 FAVORITE HEALTHCARE STAFFING LLC 8921 THREE CHOPT RD SUITE 205 RICHMOND VA 23229 AGENCY STAFFING 101884 5 39308 51400 1629500 156399 399873 21499 2276480 MEDICAID PATIENT CARE 623000 27782046 27782046 MEDICAID PATIENT PAY 623000 11406 11406 27793452 5812 -5812 -5812 -5812 17613 51400 30110 -12497 -12497 OTHER/MISCELLANEOUS INCOME 900099 10729 10729 10729 30062352 27787640 0 -1768 562048 562048 15498593 14065818 1290934 141841 1523422 1413407 94310 15705 2662089 2364801 275665 21623 1190220 1049963 129918 10339 30792 30792 279268 279268 1949353 1796128 152304 921 136578 42512 55890 38176 2257811 1883602 355794 18415 356107 339526 15095 1486 224 224 134071 118881 14710 480 439482 420852 18630 644895 617558 27337 489911 129358 359987 566 FOOD & DIETARY SUPPLIES 758881 758881 REPAIRS & MAINTENANCE 488976 476977 11991 8 DUES 15416 3334 12063 19 LICENSES 996 100 896 29419133 25481698 3687632 249803 11154 33998 71953 52117 4132449 4359481 178076 252787 169616 328638 25096791 15580807 9630014 9515984 3193115 2016040 17386377 16559045 1917586 2619099 5857158 5137298 71953 52117 1432368 0 306577 239331 9585642 8047845 X 7640590 8357103 160145 154097 7800735 8511200 17386377 16559045 X 643219 67246 X X 0 1 X 1 0 X 1143060 1570782 1556122 1444977 2276480 7991421 22414082 22855265 23975682 25959991 27793452 122998472 23557142 24426047 25531804 27404968 30069932 130989893 0 364277 555700 644167 625853 1328752 3518749 364277 555700 644167 625853 1328752 3518749 127471144 185 185 185 185 -40 3905 51512 -874 4917 59420 23557287 24429952 25583316 27404094 30074849 131049498 0.97270 0.97830 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3157751 3157751 17133654 11848130 5285524 3024182 2444350 579832 1781204 1288327 492877 9515984 ACCRUED INCOME RECEIVABLE 92955 ACCRUED PENSION ASSET 1923085 2016040 FAIR VALUE OF HEDGE 239331 239331 X 30161398 1690 97356 99046 30062352 0 30062352 29450933 1690 30110 31800 29419133 0 29419133 PART IV, LINE 2B: THE FACILITY DOES NOT REQUIRE THE INDIVIDUAL OR AUTHORIZED REPRESENTATIVE TO DEPOSIT PERSONAL FUNDS WITH THE FACILITY. THE FACILITY SHALL MAINTAIN AN INDIVIDUAL TRUST ACCOUNT FOR THOSE INDIVIDUALS WHO, OR WHOSE AUTHORIZED REPRESENTATIVE, DESIRE THAT THEIR PERSONAL FUNDS OR A PORTION THEREOF, BE DEPOSITED AND DISBURSED BY THE FACILITY. THE FUNDS SHALL BE MAINTAINED IN AN ACCOUNT SEPARATE FROM FACILITY FUNDS WHERE APPROPRIATE. INDIVIDUAL TRUST FUND ACCOUNT SHALL BE ESTABLISHED AS AN INTEREST BEARING ACCOUNT. THE FACILITY SHALL ISSUE WRITTEN STATEMENTS TO THE INDIVIDUAL OR AUTHORIZED REPRESENTATIVE QUARTERLY AND UPON REQUEST OF THE INDIVIDUAL OR AUTHORIZED REPRESENTATIVE. UPON DISCHARGE FROM THE FACILITY, INDIVIDUAL IS ENTITLED TO A REFUND OF THE BALANCE OF HIS OR HER INDIVIDUAL TRUST FUND ACCOUNT. IF THE INDIVIDUAL PASSES AWAY WITH AN INDIVIDUAL ACCOUNT BALANCE WHILE RESIDING AT THE FACILITY, THE REMAINDER WILL BE REIMBURSED TO THEIR ESTATE. THE FACILITY SHALL NOT IMPOSE A CHARGE AGAINST THE PERSONAL FUNDS OF THE INDIVIDUAL FOR ANY ITEM OR SERVICE FOR WHICH PAYMENT IS MADE UNDER MEDICAID OR OTHER PAYOR (EXCEPT FOR APPLICABLE DEDUCTIBLE OR CO-PAY AMOUNTS). PART X, LINE 2: ST. MARY'S AND THE FOUNDATION ARE EXEMPT FROM INCOME TAXES AS PROVIDED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). FASB ASC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS EVALUATED THE IMPACT OF THIS GUIDANCE TO ITS CONSOLIDATED FINANCIAL STATEMENTS. ST. MARY'S AND THE FOUNDATION'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS FROM THE DATE THE RETURNS ARE FILED. INCOME TAX RELATED INTEREST AND PENALTIES, IF ANY, ARE CLASSIFIED IN INTEREST EXPENSE AND PENALTIES EXPENSE, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF HEDGE FUND 67,246. FUNDRAISING EXPENSES NETTED WITH REVENUE 30,110. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUE 30,110. GOLF TOURNAMENT 69013 51400 17613 0 4000 14035 12075 69013 51400 17613 4000 14035 12075 30110 -12497 X 1 1 X X 0 0 0 0 0 0 0 0 0 H WAYNE JONES CEO 272521 0 0 0 0 0 70982 0 14364 0 357867 0 0 0 SHANNON EDSALL CURRENT CEO 176988 0 0 0 0 0 24612 0 2581 0 204181 0 0 0 ELIZABETH MCCUEAN CHIEF OF NURSING AND CLINI 151097 0 0 0 0 0 13500 0 12623 0 177220 0 0 0 ROBYN JONES CONTROLLER 125336 0 0 0 0 0 10584 0 14123 0 150043 0 0 0 PART I, LINE 1A THE ORGANIZATION REIMBURSES THE CEO FOR YMCA DUES. A NORFOLK AIRPORT AUTHORITY 521375010 2003-02-01 4000000 ACQUISITION, CONSTRUCTION AND EQUIPPING OF A REPLACEMENT FACILITY 0 0 0 A 2532239 4000000 10000 3990000 2005 0 0 1 1 A 0 0 0 0 1 0 0 A 0 0 1 0 1 1 BANK OF AMERICA 25.000000000000 0 0 0 0 0 A 0 FORM 990, PART V LINE 7G THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTION OF QUALIFIED INTELLECTUAL PROPERTY. FORM 990 PART V LINE 7H THE ORGANIZATION DID NOT RECEIVE ANY CONTRIBUTIONS THAT REQUIRED IT TO FILE FORM 1098-C FORM 990, PART VI, SECTION B, LINE 11B THE BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY WAS WRITTEN AND APPROVED IN 2008. TRANSACTIONS WITH POTENTIAL CONFLICTS ARE REVIEWED BY THE ENTIRE BOARD. FORM 990, PART VI, SECTION B, LINE 15A AN INDEPENDENT SUB-COMMITTEE PERFORMS AN EVALUATION OF THE CEO'S COMPENSATION. THE INDEPENDENT COMMITTEE THEN REPORTS TO THE BOARD FOR FURTHER EVALUATION. FORM 990, PART VI, SECTION C, LINE 18 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. A SUMMARY OF FINANCIAL PERFORMANCE IS INCLUDED IN THE HOME'S ANNUAL REPORT. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF HEDGE 67,246. FORM 990, PART XII, LINE 2C THE ENTIRE BOARD OF DIRECTORS SERVES AS THE FINANCE/AUDIT COMMITTEE, WHICH MEETS ANNUALLY TO DISCUSS THE AUDIT AND ITS FINDINGS. THE BOARD ALSO DETERMINES ANNUALLY WHETHER OR NOT TO CHANGE INDEPENDENT ACCOUNTING FIRMS. SAINT MARYS HOME FOR DISABLED CHILDREN FOUNDATION 6171 KEMPSVILLE CIRCLE NORFOLK VA 23502 541868069 FINANCIAL SUPPORT TO ST. MARY'S HOME VA 501(C)(3) 12 A ST MARY'S HOME FOR DISABLED CHILDREN INC 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 SAINT MARYS HOME FOR DISABLED CHILDREN FOUNDATION C 1629500 CASH