ASCENSION LIVING PROVIDENCE VILLAGE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ASCENSION LIVING PROVIDENCE VILLAGE (EIN 61-1759304)
Tax period: 2016-07-08 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201811359349309616
Schema version: 2016v3.0
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 D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T15:08:57-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-08	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	611759304	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Providence Park Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PROV	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12250 Weber Hill Road Suite 200	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63127	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2018-05-15	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Initial Return	Yes (X)	InitialReturnInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Michael Olmstead	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12250 Weber Hill Road Suite 200	AddressLine1Txt
City	St Louis	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63127	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$21,276,894	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE SPIRITUALLY CENTERED, HOLISTIC, COMPASSIONATE SKILLED NURSING SERVICES AND ASSISTED LIVING SERVICES TO THOSE IN OUR COMMUNITY FOR THE SHORT TERM OR LONG TERM.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$19,496,018	PYProgramServiceRevenueAmt
CY Program Service Revenue	$20,218,236	CYProgramServiceRevenueAmt
PY Investment Income	$17,129	PYInvestmentIncomeAmt
CY Investment Income	$619,437	CYInvestmentIncomeAmt
PY Other Revenue	$225,983	PYOtherRevenueAmt
CY Other Revenue	$439,221	CYOtherRevenueAmt
PY Total Revenue	$19,739,130	PYTotalRevenueAmt
CY Total Revenue	$21,276,894	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$12,058,748	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$10,569,076	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$7,976,521	PYOtherExpensesAmt
CY Other Expenses	$11,096,297	CYOtherExpensesAmt
PY Total Expenses	$20,035,269	PYTotalExpensesAmt
CY Total Expenses	$21,665,373	CYTotalExpensesAmt
PY Revenues Less Expenses	-$296,139	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$388,479	CYRevenuesLessExpensesAmt
Total Assets BOY	$45,309,566	TotalAssetsBOYAmt
Total Assets EOY	$30,437,023	TotalAssetsEOYAmt
Total Liabilities BOY	$22,083,088	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$7,482,416	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$23,226,478	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$22,954,607	NetAssetsOrFundBalancesEOYAmt
Mission	PROVIDENCE PARK, INC. CARRIES OUT THE HEALING MISSION OF THE CATHOLIC CHURCH AS A CORPORATE MEMBER OF ASCENSION HEALTH SENIOR CARE, DBA ASCENSION SENIOR LIVING (ASL). OUR MISSION CALLS FOR US TO PROVIDE SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES, OF ALL FAITHS, RACES, AND SOCIO-ECONOMIC BACKGROUNDS, PARTICULARLY THOSE MOST IN NEED. WE COMMIT OURSELVES TO IDENTIFYING AND DEVELOPING EFFECTIVE RESPONSES TO THE HEALTH AND HOUSING NEEDS OF ALL PERSONS. WE ARE CALLED TO SERVE WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$19,468,722	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$20,402,711	RevenueAmt
Desc	PROVIDENCE PARK, INC. COMMUNITIES INCLUDE A SKILLED NURSING FACILITY (SNF), ASSISTED LIVING (AL), AND INDEPENDENT LIVING (IL). OUR SNF, INSPIRED BY THE HEALING MISSION OF THE CATHOLIC CHURCH TO THE ELDERLY, PROVIDES EACH RESIDENT CARE THAT MAXIMIZES DIGNITY AND INDEPENDENCE. ROOTED IN THE CATHOLIC TRADITION OF CARING, AS A CORPORATE MEMBER OF ASCENSION HEALTH SENIOR CARE, OUR COMMUNITY IS CONTINUALLY DEVELOPING AND ADOPTING NEW BEST PRACTICES IN CARE THAT ENHANCE THE EXPERIENCE OF OUR RESIDENTS, PROGRAM PARTICIPANTS AND PATIENTS. THE STAFF IS COMMITTED TO PROMOTING THE WELL-BEING OF THOSE WE SERVE THROUGH THE DELIVERY OF QUALITY CARE. THE SNF HAS 225 BEDS WITH AN AVERAGE OCCUPANCY OF 202. IN FY2017, 31,284 DAYS OF CARE WERE PROVIDED TO MEDICAID RECIPIENTS. 15,649 DAYS WERE PROVIDED TO MEDICARE RECIPIENTS. AS A CHARITABLE ORGANIZATION IT IS RECOGNIZED THAT NOT ALL PERSONS SERVED POSSESS THE ABILITY TO PURCHASE ESSENTIAL SERVICES.	Desc
Total Program Service Expenses	$19,468,722	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	Yes (true)	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	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	32	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
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
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	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	Yes (true)	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	false	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	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Brenda DeHass	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3169465216	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	300 W Hwy 6	AddressLine1Txt
City	Waco	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	76712	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
MICHAEL OLMSTEAD
EX-OFFICIO, VP - Long Term Care	1.0	49.0	Yes (X)	Yes (X)	$0	$120,268	$28,102
DENNIS MYERS
CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
SISTER MARY ROGERS
VICE CHAIR	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
JOHN KINNAIRD
SECRETARY/TREASURER	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN A PROVINCE
BOARD MEMBER	1.0	40.0	Yes (X)		$0	$295,662	$22,323
JACKSON GRIGGS
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
PHYLLIS HUBBARD
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
KENNETH YOUNG
BOARD MEMBER	1.0	0	Yes (X)		$0	$0	$0
NICK HARSHFIELD
CHIEF FINANCIAL OFFICER	1.0	54.0		Yes (X)	$0	$293,044	$37,102
RICK CUMBERLAND
CHIEF OPERATING OFFICER (END 4/2017)	1.0	54.0		Yes (X)	$0	$428,441	$29,576

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,137,415	TotReportableCompRltdOrgAmt
Total Other Compensation	$117,103	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SELECT REHABILITATION INC	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 COMPASS RD	AddressLine1Txt
City	GLENVIEW	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60026	ZIPCd

Field	Value	IRS element (for citing)
Services	REHABILITATION SERVICES	ServicesDesc
Compensation	$630,890	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SKILLED NURSING SERVICES	623000	$16,828,718	$16,828,718
ASSISTED LIVING SERVICES	623000	$1,615,635	$1,615,635
INDEPENDENT LIVING SERVICES	623000	$1,773,633	$1,773,633
OTHER PROGRAM REVENUES	623000	$250	$250

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$20,218,236	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$616,927	TotalRevenueColumnAmt
Exclusion	$616,927	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$117,945	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$117,945	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$117,945	TotalRevenueColumnAmt
Exclusion	$117,945	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,510	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$2,510	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,510	TotalRevenueColumnAmt
Exclusion	$2,510	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BEAUTY & BARBER SVS REVENUE	900099	$103,108	$103,108
CAFETERIA REVENUE	722514	$33,693	$33,693
OTHER REVENUE	900099	$184,475		$184,475

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$321,276	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,276,894	TotalRevenueColumnAmt
Related Or Exempt Func Income	$20,402,711	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$874,183	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,228,918	TotalAmt
Program Services	$7,788,370	ProgramServicesAmt
Management And General	$440,548	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$113,165	TotalAmt
Program Services	$107,107	ProgramServicesAmt
Management And General	$6,058	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,608,753	TotalAmt
Program Services	$1,522,626	ProgramServicesAmt
Management And General	$86,127	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$618,240	TotalAmt
Program Services	$585,141	ProgramServicesAmt
Management And General	$33,099	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$242,816	TotalAmt
Program Services	$242,816	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,155	TotalAmt
Program Services	$6,079	ProgramServicesAmt
Management And General	$76	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$129,525	TotalAmt
Program Services	$99,582	ProgramServicesAmt
Management And General	$29,943	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$730,141	TotalAmt
Program Services	$715,667	ProgramServicesAmt
Management And General	$14,474	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$17,652	TotalAmt
Program Services	$7,200	ProgramServicesAmt
Management And General	$10,452	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$90	TotalAmt
Program Services	$90	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$95,229	TotalAmt
Management And General	$95,229	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,053,108	TotalAmt
Program Services	$1,053,108	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,311	TotalAmt
Program Services	$10,912	ProgramServicesAmt
Management And General	$1,399	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$1,063,414	$1,038,872	$24,542
MANAGEMENT FEE TO AFFILIATE	$1,242,122		$1,242,122
PROFESSIONAL FEES TO AFFILIATE	$929,449	$929,449
PURCHASED SERVICES	$4,482,426	$4,338,440	$143,986

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,091,859	TotalAmt
Program Services	$1,023,263	ProgramServicesAmt
Management And General	$68,596	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,665,373	TotalAmt
Program Services	$19,468,722	ProgramServicesAmt
Management And General	$2,196,651	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$106,540	BOYAmt
EOY	$328,885	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,401,234	BOYAmt
EOY	$3,197,871	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$53,695	BOYAmt
EOY	$36,105	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,736	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$33,384,489	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,616,217	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$18,470,107	BOYAmt
EOY	$17,768,272	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$24,277,990	BOYAmt
EOY	$9,103,154	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,309,566	BOYAmt
EOY	$30,437,023	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,360,116	BOYAmt
EOY	$2,215,659	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,722,972	BOYAmt
EOY	$5,266,757	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,083,088	BOYAmt
EOY	$7,482,416	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,226,478	BOYAmt
EOY	$22,954,607	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$23,226,478	BOYAmt
EOY	$22,954,607	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$45,309,566	BOYAmt
EOY	$30,437,023	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$388,479	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$329,542	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$212,934	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
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	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,250,850	OtherCostOrOtherBasisAmt
Book Value	$3,250,850	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,766,522	OtherCostOrOtherBasisAmt
Depreciation	$11,664,965	DepreciationAmt
Book Value	$13,101,557	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,777,661	OtherCostOrOtherBasisAmt
Depreciation	$2,909,789	DepreciationAmt
Book Value	$867,872	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,589,456	OtherCostOrOtherBasisAmt
Depreciation	$1,041,463	DepreciationAmt
Book Value	$547,993	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$17,768,272	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE	$8,088,464
DUE FROM AFFILIATES	$860,508
Estimated Settlements from Third-Party Payor	$108,467
Other Receivables	$30,000
Miscellaneous Assets	$15,715

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$9,103,154	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE	$2,711,334
Self Insurance Liability
DUE TO AFFILIATES	$2,072,470
OTHER Liabilities	$29,179
Pension and Other Post retirement Liability	$453,774

Field	Value	IRS element (for citing)
Total Liability	$5,266,757	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2017.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	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 (3 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN A PROVINCE
BOARD MEMBER	$0	$244,718	$0	$42,484	$0	$8,460	$0	$12,208	$0	$10,115	$0	$317,985	$0	$0
NICK HARSHFIELD
CHIEF FINANCIAL OFFICER	$0	$254,114	$0	$30,000	$0	$8,930	$0	$9,428	$0	$27,674	$0	$330,146	$0	$0
RICK CUMBERLAND
CHIEF OPERATING OFFICER (END 4/2017)	$0	$325,888	$0	$56,166	$0	$46,387	$0	$9,615	$0	$19,961	$0	$458,017	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF PROVIDENCE PARK, INC. USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions during calendar year 2016.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	IN DETERMINING COMPENSATION OF THE ORGANIZATION'S top management official, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION of providence park, inc., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE top management official WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS	IN DETERMINING COMPENSATION OF OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF PROVIDENCE PARK, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholders	PROVIDENCE PARK, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	PROVIDENCE PARK, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE, WHO HAS THE AUTHORITY TO APPOINT AND REMOVE DIRECTORS AND EXECUTIVE OFFICERS OF PROVIDENCE PARK, INC.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	Ascension Health Senior Care has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals' evaluation debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
Form 990, Part VI, Line 11b Review of form 990 by governing body	DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policy	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	TRANSFERS WITH AFFILIATES - 98228; FAS 158 PENSION ADJUSTMENT - -311162;
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS	The activity of PROVIDENCE PARK, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of PROVIDENCE PARK, INC. is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of PROVIDENCE PARK, INC. .
Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant	PROVIDENCE PARK, INC. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.
Schedule A, Part I REASON FOR PUBLIC CHARITY STATUS	Providence Park, Inc. is exempt as a hospital under Internal Revenue Code 170(b)(1)(A)(iii), however it is not a hospital as defined by Form 990, Schedule H Instructions.
General Information-C Physical Address	The physical address of Providence Park, Inc. is 300 W. Highway 6, Waco, Texas 76712. The address listed on page 1 on this return is for mailing purposes only.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt	Address Line2USAddress/AddressLine2Txt
ASCENSION HEALTH ALLIANCE
PO BOX 45998	St Louis	MO	63145	453358926	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	NA	false
ASCENSION HEALTH
PO BOX 45998	St Louis	MO	63145	311662309	NATIONAL HEALTH SYSTEM	MO	501(c)(3)	ASCENSION HEALTH ALLIANCE	false
ASCENSION HEALTH SENIOR CARE
12250 Weber Hill Road	St Louis	MO	63127	431227406	PARENT COMPANY	MO	501(c)(3)	ASCENSION HEALTH	false
ALEXIAN VILLAGE OF MILWAUKEE INC
9301 N 76th Street	Milwaukee	WI	53223	391351584	CONTINUING CARE RETIREMENT COMMUNITY	WI	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
ALEXIAN VILLAGE OF TENNESSEE
437 Alexian Way	Signal Mountain	TN	37377	621136742	CONTINUING CARE RETIREMENT COMMUNITY	TN	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
ALEXIAN BROTHERS COMMUNITY SERVICES
425 Cumberland St Suite 110	Chattanooga	TN	37404	364344423	PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES	TN	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
ALEXIAN BROTHERS LANSDOWNE VILLAGE
12250 Weber Hill Road	ST LOUIS	MO	63127	431470362	SKILLED NURSING FACILITY	MO	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10	SUITE 200
ALEXIAN BROTHERS SHERBROOKE VILLAGE
4005 Ripa Avenue	St Louis	MO	63125	431592502	SKILLED NURSING FACILITY	MO	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
SETON MANOR INC
1000 Seton Drive	Orwigsburg	PA	17961	232960726	SKILLED NURSING FACILITY	PA	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
OUR LADY OF PEACE INC
5285 Lewiston Road	Lewiston	NY	14092	161608735	SKILLED NURSING FACILITY	NY	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
BORGESS NURSING HOME INC
3057 Gull Road	Kalamazoo	MI	49048	382555589	SKILLED NURSING FACILITY	MI	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
ST JOSEPH'S MINISTRIES INC
331 S Seton Avenue	Emmitsburg	MD	21727	521835288	SKILLED NURSING FACILITY	MD	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
CARONDELET LONG-TERM CARE FACILITIES INC
621 Carondelet Drive	Kansas City	MO	64114	742505427	SKILLED NURSING FACILITY	MO	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
ST CATHERINE'S LABOURE MANOR
1750 Stockton Street	Jacksonville	FL	32204	591878316	SKILLED NURSING FACILITY	FL	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	3
WHEATON FRANCISCAN HEALTHCARE - TERRACE ST ST FRANCIS
3200 SOUTH 20TH STREET	MILWAUKEE	WI	53215	391486775	RETIREMENT COMMUNITY	WI	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10
VIA CHRISTI VILLAGES INC
2622 W Centra Suite 100	Wichita	KS	67203	480559086	MANAGEMENT COMPANY	KS	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)
VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC
2622 W Centra Suite 100	Wichita	KS	67203	481236589	PACE (SNF)	KS	501(c)(3)	VIA CHRISTI VILLAGES INC	Yes (true)	10
VIA CHRISTI VILLAGE PONCA CITY INC
1601 Academy Road	Ponca City	OK	74604	731153337	RETIREMENT COMMUNITY	OK	501(c)(3)	VIA CHRISTI VILLAGES INC	Yes (true)	10
VIA CHRISTI VILLAGE HAYS INC
2225 Canterbury Drive	Hays	KS	67601	202828680	RETIREMENT COMMUNITY	KS	501(c)(3)	VIA CHRISTI VILLAGES INC	Yes (true)	10
VIA CHRISTI VILLAGE MCLEAN INC
777 N McLean Blvd	McLean	KS	67203	481247723	RETIREMENT COMMUNITY	KS	501(c)(3)	VIA CHRISTI VILLAGES INC	Yes (true)	10
CORNERSTONE ASSISTED LIVING INC
2622 W Centra Suite 100	Wichita	KS	67203	481241079	RETIREMENT COMMUNITY	KS	501(c)(3)	VIA CHRISTI VILLAGES INC	Yes (true)	10
VIA CHRISTI VILLAGE MANHATTAN INC
2800 Willow Grove Road	Manhattan	KS	66502	481078862	RETIREMENT COMMUNITY	KS	501(c)(3)	VIA CHRISTI VILLAGES INC	Yes (true)	10
VIA CHRISTI VILLAGE GEORGETOWN INC
1655 S Georgetown	Georgetown	KS	67218	481129325	RETIREMENT COMMUNITY	KS	501(c)(3)	VIA CHRISTI VILLAGES INC	Yes (true)	10
VIA CHRISTI VILLAGE PITTSBURG INC
1502 E Centennial Drive	Pittsburg	KS	66762	743070971	RETIREMENT COMMUNITY	KS	501(c)(3)	VIA CHRISTI VILLAGES INC	Yes (true)	10
NAZARETH AHLL
1475 RAYNOLDS STREET	EL PASO	TX	79903	742387843	RETIREMENT COMMUNITY	TX	501(c)(3)	ASCENSION HEALTH SENIOR CARE	Yes (true)	10

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3900 SOUTH GRAND	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63118	ZIPCd

Field	Value	IRS element (for citing)
EIN	943465394	EIN
Primary Activities	HOUSING	PrimaryActivitiesTxt
Legal Domicile State	MO	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Controlled Organization	Yes (true)	ControlledOrganizationInd

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	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	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	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd