2023-04-12T11:38:34-05:00 2021-06-30 420714325 RSM US LLP 30 South Wacker Dr Ste 3300 Chicago IL 606063392 990 2020-07-01 356071917 Ancilla Domini College ANCI 5749368898 9601 Union Road Plymouth IN 46563 Michele Dvorak PHJC President 5749368898 2023-04-12 1 Michele Dvorak PHJC XXX-XX-XXXX Karen O Crim P00368385 9372980201 2023-04-12 2 AAL1 IAL1 2020 2023-04-26 12:10:37Z X Ancilla College Michele Dvorak PHJC 9601 Union Road Plymouth IN 46563 15013952 0 X www.ancilla.edu X 1966 IN With a strong emphasis on academic excellence, the teaching/learning process, and personalized student service, Ancilla College provides a positive environment for the physical, intellectual, emotional, and spiritual growth of each student. Together these values form a foundation for the general education program established at Ancilla. As a basis for further learning in a student's educational journey, the introduction to these values opens the way to expand his/her knowledge in a major concentration area. These values provide guidance to decision-making and program development while implying a commitment to providing the essential resources for their fulfillment. X 20 20 173 21 0 0 2097151 6373684 7754982 7407114 65364 916215 -267136 -282737 9650361 14414276 1763889 1729431 0 0 4675085 4811232 0 0 135677 4097207 6543629 10536181 13084292 -885820 1329984 8543654 0 2259041 0 6284613 0 X Ancilla College is a liberal arts institution of higher learning sponsored by the Poor Handmaids of Jesus Christ. The college's religious tradition is Roman Catholic; its climate, ecumenical. In a caring environment, Ancilla serves a diverse population, as we transform and empower students to achieve high academic goals, lifelong learning, successful careers and values-centered lives. 0 1 10306543 1729431 7124377 Ancilla College, founded in 1937, is a private, Catholic, not-for-profit, two-year college offering over two dozen associate degree programs. Students from 16 states and 20 countries live and learn at Ancilla. All activities relate to the education of approximately 500 students towards two year degrees or transfer to other colleges or universities. 10306543 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 5 0 1 173 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 20 20 1 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 IN X Marcella Hopple 5749368898 9601 Union Road Plymouth IN 46563 Donald Holland VP of Finance & Admin/CFO 50.00 0.00 X 81362 0 0 John Chandler Chair 1.00 0.00 X X 0 0 0 Chuck Hardesty Secretary 1.00 0.00 X X 0 0 0 Sr Margaret Anne Henss PHJC, Trustee 1.00 0.00 X 0 0 0 Patricia Kitch Trustee 1.00 0.00 X 0 0 0 Sr Deanne Blume PHJC, Trustee 1.00 0.00 X 0 0 0 Sr Nora Hahn PHJC, Trustee 1.00 0.00 X 0 0 0 Sr Marlene Ann Lama PHJC, Trustee, Class B 1.00 0.00 X 0 0 0 Amanda Morris-Feldman Trustee 1.00 0.00 X 0 0 0 Brad Aquino Trustee 1.00 0.00 X 0 0 0 Brad Serf Trustee 1.00 0.00 X 0 0 0 Larry Faulstich PHJC Designee, Trustee 1.00 0.00 X 0 0 0 John DeSalle Trustee 1.00 0.00 X 0 0 0 Adam Lukenbill Trustee 1.00 0.00 X 0 0 0 David Vermillion Trustee 1.00 0.00 X 0 0 0 Ralph Winters Trustee 1.00 0.00 X 0 0 0 Loretta Schmidt Trustee 1.00 0.00 X 0 0 0 Pete Pequet Trustee 1.00 0.00 X 0 0 0 Marilyn Feldmann PHJC Designee, Trustee 1.00 0.00 X 0 0 0 Rick Miller Trustee 1.00 0.00 X 0 0 0 Sr Joetta Huelsmann PHJC, Ex-Officio Class B 1.00 0.00 X 0 0 0 Michele Dvorak PHJC President 50.00 0.00 X 0 0 0 81362 0 0 0 0 0 0 0 1083054 985730 4304900 6373684 Student Tuition & Fees 611600 5995976 5995976 Student Housing 611600 1180896 1180896 SCILL 611600 158800 158800 Athletic Revenue 611600 67077 67077 Leadership Training 611600 5500 5500 -1135 -1135 7407114 196897 196897 1029500 310182 719318 719318 719318 6757 289494 -282737 -282737 14414276 7124377 0 916215 1729431 1729431 81362 64962 14376 2024 2691667 2149113 475606 66948 198028 158112 34991 4925 1563026 1247970 276180 38876 277149 221285 48971 6893 918175 695953 220982 1240 193118 114402 78286 430 473966 280774 192135 1057 18856 11170 7644 42 2621247 1824453 786159 10635 82088 48628 33277 183 102715 60848 41638 229 110808 66433 44375 118776 58296 59909 571 Student Support 977330 977330 Student Food Services 492730 492730 Bad Debt Expense 309073 309073 Tutoring Program 10257 10257 114490 94396 18470 1624 13084292 10306543 2642072 135677 6432 0 701293 0 63350 0 12912 0 0 0 0 6979 0 41146 0 0 3127732 0 0 4560745 0 0 0 23065 0 8543654 0 828179 38830 500000 892032 0 2259041 0 X 2615710 0 3668903 0 6284613 0 8543654 0 X 1329984 1036225 249574 -8900396 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3148319 3307180 1653122 8108621 3398473 7540 31924 289618 3148319 3271595 30723 158755 53350 9250 3398473 4007657 207215 372285 1315562 3271595 3515897 171939 461099 141278 4007657 0.00000 0.00000 0.00000 1 0 0 X 14041248 1036225 -1698747 -662522 14703770 -289494 -289494 14414276 11675039 289494 289494 11385545 1698747 1698747 13084292 Part V, Line 4: Restrictions relate to funds given to the college for specific purposes, such as capital acquisitions, educational support, loans, and scholarships to students from government and private sources. Part X, Line 2: The Organization has received a determination letter from the Internal Revenue Service indicating it is a tax-exempt organization as provided in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal and state income taxes on income related to its exempt purpose. The Organization files Forms 990 in the U.S. federal jurisdiction and the related state of Indiana filing. The Organization follows the accounting guidance for uncertainty in income taxes. The standard clarifies the accounting for uncertainty in income taxes by prescribing the recognition threshold a tax position is required to meet before being recognized in the financial statements. The guidance also addresses derecognition, classification, interest and penalties on income taxes, and accounting in interim periods. Management believes the Organization has no material uncertainties in income taxes. Part XI, Line 2d - Other Adjustments: Scholarships -1,698,747. Part XI, Line 4b - Other Adjustments: Cost of Goods Sold -289,494. Part XII, Line 2d - Other Adjustments: Cost of Goods Sold 289,494. Part XII, Line 4b - Other Adjustments: Scholarships 1,698,747. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 Schedule E, Part I, Line 3 Radio and newspaper advertising, and through catalog and admissions materials. Schedule E, Part I, Line 6 The government assistance consists of monies from the Department of Education relating to the direct loan program, Pell Grants, SEOG Grants and federal work study for students attending Ancilla Domini College. 1 Scholarships and grants for students attending Ancilla Domini College. 284 1729431 Part I, Line 2: Student eligibility data was matched against scholarship and grant award criteria prior to awarding of funds. Cash 2021-06-30 993438 Book Value 351738710 St Joseph Medical Center of Ft Wayne Inc 1419 S Lake Park Avenue Hobart IN 46342 501(c)(3) Pooled Investment Account 2021-06-30 8188672 Book Value 351738710 St Joseph Medical Center of Ft Wayne Inc 1419 S Lake Park Avenue Hobart IN 46342 501(c)(3) PP&E 2021-06-30 193035 Book Value 351738710 St Joseph Medical Center of Ft Wayne Inc 1419 S Lake Park Avenue Hobart IN 46342 501(c)(3) Ancilla College Fund 2021-06-30 34946 Book Value 351738710 St Joseph Medical Center of Ft Wayne Inc 1419 S Lake Park Avenue Hobart IN 46342 501(c)(3) Castaldi Scholar Fund 2021-06-30 160933 Book Value 351738710 St Joseph Medical Center of Ft Wayne Inc 1419 S Lake Park Avenue Hobart IN 46342 501(c)(3) Accrued Payroll/Vacation 2021-06-30 -268089 Book Value 351738710 St Joseph Medical Center of Ft Wayne Inc 1419 S Lake Park Avenue Hobart IN 46342 501(c)(3) Accrued Expenses 2021-06-30 -402539 Book Value 351738710 St Joseph Medical Center of Ft Wayne Inc 1419 S Lake Park Avenue Hobart IN 46342 501(c)(3) 1 1 0 0 1 1 1 1 0 Part I, Line 2e: Person(s) Involved: Michele Dvorak, John Chandler, Don Holland Part I, Line 2e: Explanation of Involvement: Effective as of the merger, Ancilla Domini College Trustees Michele Dvorak and John Chandler became Directors of the successor organization, St. Joseph Medical Center of Fort Wayne, Inc. All other Trustees of Ancilla Domini College resigned effective as of the merger date. Don Holland became an independent contractor of the successor organization to assist with the transition. Form 990, Part III, line 3 The College, Marian University (Marian) and the Ancilla Domini Sisters, Inc. (ADS), a related party, executed a Program Agreement on August 27, 2020 to create Ancilla College at Marian University, later renamed to Marian University's Ancilla College (MUAC). The College closed operations on June 30, 2021, and MUAC commenced operations on July 1, 2021. The Program Agreement with Marian University provides that, on the closing date, Marian will operate MUAC pursuant to a lease agreement between Marian and ADS for the period beginning on July 1, 2021, and ending on June 30, 2031, with an automatic five-year renewal, unless any party provides written notice of nonrenewal 120 days prior to the end of the initial term. The name of the Successor entity is St. Joseph Medical Center of Fort Wayne, Inc. 35-1738710. In accordance with the Program Agreement, on or about July 1, 2021, the Successor entity contracted with Marian University for the lease of the remaining net property, plant, and equipment. The Successor entity is responsible for resolving the outstanding liabilities and any expenses associated with the wind-down activities of the College subsequent to June 30, 2021. Form 990, Part VI, Section A, line 2 Trustees Sr. Nora Hahn, Sr. Michele Dvorak, Sr. Marlene Ann Lama, Sr. Deanne Blume, Sr. Margaret Ann Henss and Sr. Joetta Huelsmann are all members of The Poor Handmaids of Jesus Christ, the sponsoring organization of the college. Form 990, Part VI, Section A, line 7a The Board of Trustees shall consist of two classes of voting trustees, class A and class B, which together shall equal the total number of trustees. One third of the total number of trustees, class A and class B together, shall be sisters of The Poor Handmaids of Jesus Christ or their designee. Form 990, Part VI, Section A, line 7b Class B trustees shall be, ex-officio: a) the provincial of the congregation of The Poor Handmaids of Jesus Christ; b) the provincial council/college liaison; and c) one other member of the congregation, appointed by the provincial of the congregation. The secretary of the congregation shall certify to the secretary of the corporation the names and terms of the persons who will serve as class B trustees. All actions validly taken by the board shall bind the corporation, except that no action in the following matters shall be valid or binding on the corporation unless approved by a majority of the class B trustees: 1. Determination of the mission, philosophy and identity of the college. 2. Amendment of the articles and bylaws. 3. Acquisition, sale, encumbrance, leasing of real property. 4. Incurrence of debt exceeding 20% of the book value of assets. 5. Fundamental corporate change including merger, consolidation and dissolution. 6. Distribution of assets upon the de facto or de jure dissolution. 7. Appointment of a person in the office of mission effectiveness, which office shall be part of the president's cabinet. Form 990, Part VI, Section B, line 11b A draft of the 990 was provided to college administration for email distribution to all board members prior to filing. Form 990, Part VI, Section B, line 12c Conflict of interest policy is monitored via disclosure forms which are completed by all voting trustees before completion of the 990. Real or potential conflicts of interest, if any, are reviewed by the board of trustees to determine whether a conflict of interest exists. No real or potential conflicts were reported in the current filing year. Form 990, Part VI, Section B, line 15a The compensation package for the President was approved by the executive committee of the board of trustees, and the process, which included a review of comparable data from other area colleges, was substantiated through the signed contract. Form 990, Part VI, Section C, line 19 A copy of the governing documents, conflict of interest policy and financial statements are available upon request for the same period of disclosure as set forth in IRC Section 6104(D). Form 990, Part XI, line 9: Transfer of Net Assets to Successor Entity St. Joseph Medical Center of Fort Wayne, Inc. 35-1738710 -8,900,396. Ancilla Domini Sisters Inc PO Box 1 Donaldson IN 46513 350867952 Ministry IN 501(c)(3) Line 1 N/A 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0