2025-11-03T11:30:04-06:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-01-01 251214797 SAINT JOHN XXIII HOME SAIN 7249813200 2250 SHENANGO VALLEY FREEWAY HERMITAGE PA 16148 KIRK HAWTHORNE COO/ADMINISTRATOR 7249813200 2025-10-30 1 1 KELLY A BROCIOUS P01254262 4126976400 2025-10-30 2024 2025-03-06 01:10:19Z KIRK HAWTHORNE 2250 SHENANGO VALLEY FREEWAY HERMITAGE PA 16148 8882680 0 X WWW.SAINTJOHNXXIIIHOME.ORG X 1971 PA SAINT JOHN XXIII HOME, A NOT-FOR PROFIT NURSING HOME OF THE ROMAN CATHOLIC DIOCESE OF ERIE, IS COMMITTED TO THE HEALING MISSION OF JESUS CHRIST. WE PROVIDE OPTIMUM-QUALITY PERSONALIZED CARE AT THE LOWEST FEASIBLE COST IN AN ENVIRONMENT CONDUCIVE TO THE COMFORT, DIGNITY AND PEACE FOR THE INFIRM, CHRONICALLY ILL AND AGING INDIVIDUALS OF ALL FAITHS. WE ARE COMMITTED TO A CHRISTIAN VISION, WHICH RECOGNIZES THE DIGNITY OF HUMAN LIFE AND RESPECT FOR THE UNIQUENESS OF EACH PERSON. 7 7 130 12 0 0 42627 70604 7830025 8273715 336988 402723 37721 124521 8247361 8871563 0 0 0 0 5439782 5448886 0 0 0 3269165 4177992 8708947 9626878 -461586 -755315 15209143 15065418 663816 858948 14545327 14206470 X SAINT JOHN XXIII OPERATES A FACILITY WHICH ACCOMMODATES RESIDENTS FOR LONG-TERM CARE AND PERSONAL CARE. WE PROVIDE CARE CONDUCIVE TO THE COMFORT, DIGNITY, AND PEACE FOR THE INFIRM, CHRONICALLY ILL AND AGING INDIVIDUALS. 0 0 8494299 8401752 SAINT JOHN XXIII HOME OPERATES A FACILITY WHICH ACCOMMODATES 88 RESIDENTS. THE ORGANIZATION PROVIDES CARE CONDUCIVE TO THE COMFORT, DIGNITY AND PEACE FOR INFIRM, CHRONICALLY ILL AND AGING INDIVIDUALS. SAINT JOHN XXIII ALSO PROVIDES PHYSICAL, OCCUPATIONAL, AND SPEECH REHABILITATION THERAPY. LONG TERM CARE-LICENSED TO PROVIDE 24/7 LONG TERM NURSING CARE FOR 54 RESIDENTS UNDER A LTC LICENSE.PERSONAL CARE/SPECIAL NEEDS-CAN PROVIDE 24/7 CARE FOR 24 RESIDENTS UNDER A PERSONAL CARE LICENSE.INDEPENDENT LIVING TO PROVIDE 24/7 CARE FOR 7 RESIDENTS.REHAB THERAPIES-PROVIDES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY FOR RESIDENTS. 8494299 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 130 1 0 0 0 0 0 1 1 0 0 0 0 X 7 7 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X MICHAEL ABBOTT 7249813200 2250 SHENANGO VALLEY FREEWAY HERMITAGE PA 16148 KATHLEEN MASTRIAN PRESIDENT 1.00 X X 0 0 0 GARY LACKEY VICE PRESIDENT 1.00 X X 0 0 0 JOHN EVANS BOARD MEMBER 1.00 X 0 0 0 ANTHONY PAGLIA BOARD MEMBER 1.00 X 0 0 0 JEFFREY LINN BOARD MEMBER 1.00 X 0 0 0 DANA DUNN SECRETARY 1.00 X X 0 0 0 RAYMOND SHAFFER BOARD MEMBER 1.00 X 0 0 0 KIRK HAWTHORNE COO/ADMINISTRATOR 40.00 X 150040 0 5844 MICHAEL ABBOTT CFO 40.00 X 109400 0 15654 259440 0 21498 2 0 1 0 POWERBACK REHABILITATION PO BOX 821322 PHILADELPHIA PA 19182 THERAPY 847803 HELP M ERISE STAFFING INC 322 NORTH SHORE DRIVE BLDG 1B PITTSBURGH PA 15212 AGENCY STAFFING 138572 2 20613 49991 70604 NET RESIDENT REVENUE 623000 8273715 8273715 8273715 299538 299538 103185 0 103185 103185 103185 7601 20613 11117 -3516 -3516 OTHER REVENUE 900099 128037 128037 128037 8871563 8401752 0 399207 X 280938 280938 3961956 3570384 391572 120265 98501 21764 768280 691350 76930 317447 267674 49773 67 67 60000 60000 1114376 1101446 12930 18736 18736 15979 15979 205687 205687 823 823 264265 264265 173786 755 173031 BAD DEBT 1121860 1121860 MEDICAL SUPPLIES 501122 501122 DIETARY AND FOOD 373460 373460 REPAIRS AND MAINTENANCE 134681 134681 193150 162291 30859 9626878 8494299 1132579 0 498288 183370 1227323 880361 102426 39445 13690925 9484787 3936072 4206138 9435608 9746611 9426 9493 15209143 15065418 605250 800315 49140 49140 9426 9493 663816 858948 X 14525327 14181470 20000 25000 14545327 14206470 15209143 15065418 -755315 416458 0 X X 0 1 X 1 0 X 2128694 1491961 162761 42627 70604 3896647 8935455 7397255 7032609 7830025 8273715 39469059 11064149 8889216 7195370 7872652 8344319 43365706 0 0 0 43365706 221853 353039 236500 290217 299538 1401147 221853 353039 236500 290217 299538 1401147 31847 24476 18342 41002 128037 243704 11317849 9266731 7450212 8203871 8771894 45010557 0.96350 0.96850 0.03110 0.02820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 83144 83144 11634528 8076416 3558112 1374503 1241555 132948 598750 166816 431934 4206138 RESIDENT FUND BALANCES 9493 9493 X 8177278 416458 11117 427575 7749703 1121860 1121860 8871563 8516135 11117 11117 8505018 1121860 1121860 9626878 PART X, LINE 2: THE HOME IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND HAS BEEN RECOGNIZED AS TAX EXEMPT UNDER SECTION 501(A) OF THE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE HOME TO EVALUATE TAX POSITIONS TAKEN BY THE HOME AND RECOGNIZE A TAX LIABILITY OR ASSET OF THE HOME HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE HOME HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEARS ENDED DECEMBER 31, 2021, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 11,117. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,121,860. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 11,117. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 1,121,860. GOLF OUTING 28214 20613 7601 1592 7601 1924 28214 20613 7601 1592 7601 1924 11117 -3516 X 0 0 0 0 0 0 0 0 0 KIRK HAWTHORNE COO/ADMINISTRATOR 143040 0 7000 0 0 0 5789 0 55 0 155884 0 0 0 FORM 990, PART VI, SECTION A, LINE 7B SINCE SAINT JOHN XXIII IS CONTROLLED BY THE ROMAN CATHOLIC DIOCESE OF ERIE UNDER CATHOLIC CHARITIES. DECISIONS OF THE GOVERNING BOARD ARE ULTIMATELY SUBJECT TO APPROVAL BY BISHOP PERSICO. FORM 990, PART VI, SECTION B, LINE 11B THE ECONOMICS COMMITTEE IS GIVEN A COPY OF THE 990 TO REVIEW BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS SIGNED ANNUALLY BY ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES AND REVIEWED BY THE CHIEF ADMINISTRATOR OF JOHN XXIII. DURING BOARD MEETINGS, IF AN INTERESTED PARTY HAS A CONFLICT, HE OR SHE RECUSES THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION AND BENEFITS PACKAGES FOR THE ADMINISTRATOR ARE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, AND THEN TAKEN TO THE ECONOMICS COMMITTEE. ALL OTHER KEY EMPLOYEES ARE APPROVED BY PERSONNEL/ECONOMICS COMMITTEE. SALARIES ARE COMPARED AND REVIEWED THROUGH LEADING AGE INFORMATION, AND COMPARED WITH THE LOCAL NURSING HOMES, LONG TERM CARE FACILITIES, AND HOSPITALS FOR SIMILAR POSITIONS. THE BISHOP APPROVES THE OVERALL BUDGET. FORM 990, PART VI, SECTION C, LINE 19 FORM 1023 AND FORM 990 ARE AVAILABLE FOR PUBLIC INSPECTION DURING REGULAR BUSINESS HOURS IN THE BUSINESS OFFICE. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALSO AVAILABLE IN THE BUSINESS OFFICE DURING REGULAR BUSINESS HOURS. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,101,446. MANAGEMENT AND GENERAL EXPENSES 12,930. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,114,376. FORM 990, PART XII, LINE 2C THE ECONOMICS COMMITTEE PROVIDES OVERSIGHT OF THE AUDIT. THE PROCESS OF OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PREVIOUS YEARS. ROMAN CATHOLIC DIOCESE OF ERIE PO BOX 10397 ERIE PA 165140397 250965322 CHURCH PA 501(C)(3) LINE 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0