ASCENSION LIVING ST CATHERINE LABOURE PLACE: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ASCENSION LIVING ST CATHERINE LABOURE PLACE (EIN 59-1878316)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201701359349314160
- Schema version
- 2015v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T21:01:57-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591878316 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Catherine Laboure Manor Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STCA | BusinessNameControlTxt |
| Phone | 9043087300 | 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 | NICK HARSHFIELD | PersonNm |
| Person Title | AHSC COO | PersonTitleTxt |
| Signature | 2017-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deborah Slemons | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12250 Weber Hill Road | AddressLine1Txt |
| City | St Louis | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,775,700 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.jaxhealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1979 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | To provide skilled nursing services to those in our community for the short-term respite care & long-term 24-hour nursing care or hospice care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 383 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,404 | PYContributionsGrantsAmt |
| CY Contributions Grants | $26,578 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,567,684 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,680,639 | CYProgramServiceRevenueAmt |
| PY Investment Income | $318,585 | PYInvestmentIncomeAmt |
| CY Investment Income | -$47,698 | CYInvestmentIncomeAmt |
| PY Other Revenue | $40,467 | PYOtherRevenueAmt |
| CY Other Revenue | $68,461 | CYOtherRevenueAmt |
| PY Total Revenue | $25,934,140 | PYTotalRevenueAmt |
| CY Total Revenue | $25,727,980 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,056,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,590,134 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,937,608 | PYOtherExpensesAmt |
| CY Other Expenses | $14,357,180 | CYOtherExpensesAmt |
| PY Total Expenses | $23,993,608 | PYTotalExpensesAmt |
| CY Total Expenses | $25,947,314 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,940,532 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$219,334 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $26,917,421 | TotalAssetsBOYAmt |
| Total Assets EOY | $26,872,818 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $19,180,229 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,482,883 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,737,192 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,389,935 | NetAssetsOrFundBalancesEOYAmt |
| Mission | St. Catherine Laboure Manor is a Catholic organization dedicated to the healing ministry of Jesus Christ. Our mission is to continue the healing ministry of Jesus Christ by providing long-term health care to seniors of all faiths, races, and socio-economic levels. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $18,400,217 | ExpenseAmt |
| Revenue | $25,680,639 | RevenueAmt |
| Desc | IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED BELOW: ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT: ST. CATHERINE LABOURE MANOR IS A 240 BED NURSING HOME. ST. CATHERINE SERVES THE RESIDENTS OF NORTHEAST FLORIDA AND SOUTHEAST GEORGIA. AS ONE OF THE LARGEST LONG-TERM NURSING FACILITIES IN JACKSONVILLE, ST. CATHERINE OFFERS MANY OF THE SERVICES RESIDENTS NEED IN A HOME-LIKE ATMOSPHERE. SERVICES INCLUDE A 60-BED SPECIAL CARE UNIT FOR ALZHEIMER'S AND DEMENTIA RESIDENTS, DENTAL AND PHARMACY SERVICES, A LIBRARY, A BEAUTY/BARBER SHOP, AND CHAPEL SERVICES. WITH A MISSION OF HEALING THROUGH DIGNITY, COMPASSION AND RESPECT, ST. CATHERINE LABOURE MANOR IS UNIQUELY SUITED TO CARING FOR THOSE IN NEED OF SHORT-TERM RESPITE CARE, LONG-TERM CARE, 24-HOUR CARE OR HOSPICE CARE. THROUGH ITS WIDE RANGE OF SERVICES, STAFF IS PREPARED TO MEET THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF RESIDENTS. ST. CATHERINE HAS A SPECIALIZED ALZHEIMER/DEMENTIA UNIT DESIGNED TO MEET THE NEEDS OF THESE RESIDENTS . COMBINING THOUGHTFUL DESIGN OF THE INTERIOR WITH SPECIALIZED TRAINING OF THE STAFF, ST. CATHERINE PROVIDES A RESPONSIVE AND SECURE LIVING AREA FOR UP TO 60 RESIDENTS WITH MEMORY IMPAIRMENTS. THIS SEPARATE UNIT OFFERS ITS OWN ENCLOSED GARDEN TO PROVIDE PATIENTS ACCESS TO SAFE OUTDOOR ACTIVITIES, AS WELL AS SPECIALIZED ACTIVITY PROGRAMS AND A FAMILY SUPPORT GROUP. ST. CATHERINE CONTRACTS WITH REHABCARE, INC. FOR ITS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES. UPON ADMISSION FOR SHORT-TERM OR LONG-TERM CARE, A LICENSED AND QUALIFIED THERAPIST WILL ASSESS THE NEW RESIDENT, AND WORK WITH THE PHYSICIAN TO HELP THE RESIDENT MEET THEIR GOALS. ST. CATHERINE OFFERS AN ACTIVITIES PROGRAM DESIGNED TO MEET RESIDENTS' NEEDS AND ABILITIES. STAFF MEMBERS SCHEDULE MANY SPECIAL EVENTS THROUGHOUT THE YEAR INCLUDING SEVERAL FAMILY NIGHTS AND PROGRAMS FEATURING SPECIAL GUESTS TO ENTERTAIN OUR PATIENTS AND RESIDENTS. THE PATIENTS AND RESIDENTS ESPECIALLY ENJOY VISITS FROM BODY & SOUL: THE ART OF HEALING, A UNIQUE GROUP OF PERFORMERS AND ARTISTS FROM JACKSONVILLE THAT RECOGNIZES THE VALUE OF THE ARTS TO ONE'S HEALTH AND WELL BEING. BODY & SOUL: THE ART OF HEALING IS A PROGRAM THAT LINKS THE ARTS AND HEALING TO DIMINISH THE STRESSES THAT MANY IN THE HEALTHCARE AND EXTENDED CARE ENVIRONMENT EXPERIENCE. IT BRINGS PROFESSIONAL ARTISTS INTO HOSPITALS, ASSISTED LIVING AND PSYCHIATRIC FACILITIES TO ENHANCE THE QUALITY OF HEALTHCARE THROUGH THE ARTS AS WELL AS TO ENLARGE THE ARTS THROUGH SERVICE. MONTHLY PERFORMANCES ARE HELD AT ST. CATHERINE IN GROUP AND ROOM-TO-ROOM SETTINGS, FEATURING INSTRUMENTAL, VOCAL AND THEATRICAL PERFORMANCES BY CELEBRATED JACKSONVILLE PERFORMERS. THE PROGRAM, DEVELOPED AND IMPLEMENTED BY JAMES JENKINS OF THE JACKSONVILLE SYMPHONY ORCHESTRA AND BOARD MEMBER OF RIVERSIDE FINE ARTS ASSOCIATION IS PARTNERED BY THE CUMMER MUSEUM OF ART & GARDENS IN JACKSONVILLE AND ST. VINCENT'S FOUNDATION IN JACKSONVILLE. ADDITIONAL INFORMATION ABOUT ST. CATHERINE CAN BE FOUND ON THE ST. VINCENT'S HEALTHCARE WEBPAGE, LOCATED AT WWW.JAXHEALTH.COM. UNREIMBURSED SERVICES PROVIDED TO THE ELDERLY AND THE POOR: IN THE SPIRIT OF PRINCIPLES ADOPTED BY ASCENSION HEALTH SENIOR CARE, ST. CATHERINE LABOURE MANOR HAS TAKEN PROACTIVE STEPS TO ADDRESS THOSE ISSUES THAT WILL AFFECT ACCESSIBILITY, THE FINANCING, AND THE DELIVERY OF NURSING HOME SERVICES TO ALL PERSONS, ESPECIALLY THE UNINSURED AND THE UNDER-SERVED. DURING THE FISCAL YEAR ENDING JUNE 30 2015, APPROXIMATELY 38.56% OF THE VALUES OF SERVICES RENDERED WERE TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AND APPROXIMATELY 45.64% OF THE SERVICES WERE PROVIDED TO PATIENTS UNDER THE MEDICAID PROGRAM. OPERATIONS AND GOVERNANCE: - HAS A GOVERNING BODY COMPOSED OF COMMUNITY REPRESENTATIVES AND OFFICIALS OF ASCENSION HEALTH SENIOR CARE. - IS SUBJECT TO ALL FEDERAL AND STATE REGULATIONS INCLUDING CMS, OBRA AND OSHA. - PARTICIPATES IN MEDICAID, MEDICARE, CBAKPUS, TRICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS. PATIENT SERVICES: ST. CATHERINE LABOURE MANOR PROVIDES QUALITY INPATIENT RESIDENT CARE SERVICES TO THE ELDERLY AND/OR INFIRM RESIDENTS OF JACKSONVILLE, FLORIDA AND THE SURROUNDING COMMUNITIES. THE FACILITY OPERATES AN ALZHEIMER'S UNIT THAT HAS BEEN RECOGNIZED FOR THE SKILLED AND CARING MINISTRY OF ITS RESIDENTS. ST. CATHERINE HAS BEEN AWARDED RECOGNITION AS A TOP NURSING HOME CARE FACILITY IN THE STATE OF FLORIDA. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, ST. CATHERINE PROVIDED 84,768 DAYS OF RESIDENTIAL CARE. SUMMARY: ST, CATHERINE LABOURE MANOR FURTHERS ITS CHARITABLE PURPOSES BY PROVIDING A BROAD ARRAY OF SERVICES TO MEET THE HEALTHCARE AND RESIDENTIAL NEEDS OF THOSE UNABLE TO CARE FOR THEMSELVES. WE PROVIDE ESSENTIAL SERVICES TO THE COMMUNITY AND PROVIDE APPROPRIATE CHARITY SERVICES TO THOSE RESIDENTS WHO ARE NOT ABLE TO PAY FOR THEIR OWN NEEDS, AND PRESENT EDUCATION INFORMATION CLASSES AND ACTIVITIES TO THE COMMUNITY IN ORDER TO IMPROVE THE OVERALL STATUS OF THE ELDERLY, THE CARE OF THESE PEOPLE WHO ARE SO IN NEED OF SUPPORT IS THE FOUNDING MISSION OF THE DAUGHTERS OF CHARITY. | Desc |
| Total Program Service Expenses | $18,400,217 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 383 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | 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 | Julie Turley | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3147293566 | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| MAUREEN F GARTLAND | ||||||||
| VP - ADMINISTRATOR | 40.0 | 0 | Yes (X) | Yes (X) | $159,373 | $0 | $31,482 | |
| ESTRELLITA HOWARD REDMON MD | ||||||||
| CHAIRMAN | 3.0 | 40.0 | Yes (X) | Yes (X) | $0 | $289,349 | $30,027 | |
| MARTHA BARRETT | ||||||||
| MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| TERESA BARTON | ||||||||
| MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JUDITH A MANESS | ||||||||
| MEMBER | 1.0 | 42.4 | Yes (X) | $0 | $780,642 | $6,584 | ||
| PAULA SALAS MD | ||||||||
| MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| VICKI LYNNE GLOGER MSM SFHM | ||||||||
| MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| RICK CUMBERLAND | ||||||||
| CHIEF OPERATING OFFICER (START 10/2015) | 1.0 | 54.0 | Yes (X) | $0 | $91,293 | $1,825 | ||
| NICK HARSHFIELD | ||||||||
| CHIEF FINANCIAL OFFICER (START 2/2016) | 1.0 | 54.0 | Yes (X) | $0 | $0 | $0 | ||
| MOODY CHISHOLM | ||||||||
| FORMER OFFICER (END 3/15) | 0.0 | 0.0 | $0 | $680,696 | $26,723 | Yes (X) | ||
| MICHAEL SCHATZLEIN MD | ||||||||
| PRES/CEO (END 5/15) | 0.0 | 64.5 | $0 | $2,906,062 | $39,144 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $159,373 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,748,043 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $135,785 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| REHABCARE GROUP SRS DIV | ||||||
| 680 S FOURTH STREET | LOUISVILLE | KY | 40202 | REHABILITATION | $2,236,201 | |
| PHARMACY CORPORATION OF AMERICA | ||||||
| 7970 BAY BERRY RD | JACKSONVILLE | FL | 32256 | PHARMACEUTICAL | $790,625 | SUITE 400 |
| ABM HEALTH INC | ||||||
| 2310 130th AVE NE | BELLEVUE | WA | 98005 | BUILDING MAINTENANCE & FACILITY | $517,151 | SUITE B200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $26,578 | AllOtherContributionsAmt |
| Total Contributions | $26,578 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SNF RESIDENT SERVICES | 621990 | $23,849,884 | $23,849,884 |
| Other Resident Services | 621990 | $1,830,755 | $1,830,755 |
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 | $25,680,639 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22 | TotalRevenueColumnAmt |
| Exclusion | $22 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,758 | SecuritiesAmt |
| Other | $4,962 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$42,758 | SecuritiesAmt |
| Other | -$4,962 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$47,720 | TotalRevenueColumnAmt |
| Exclusion | -$47,720 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| BEAUTY/BARBER SHOP | 812900 | $47,176 | $47,176 |
| Therapy/Rehab | 624310 | $17,736 | $17,736 |
| Dietary/Nutrition | 722210 | $3,549 | $3,549 |
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 | $68,461 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,727,980 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,680,639 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,763 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,855 | TotalAmt |
| Management And General | $190,855 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,967,157 | TotalAmt |
| Program Services | $7,990,945 | ProgramServicesAmt |
| Management And General | $976,212 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,261 | TotalAmt |
| Management And General | $22,261 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,737,796 | TotalAmt |
| Program Services | $1,527,458 | ProgramServicesAmt |
| Management And General | $210,338 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $672,065 | TotalAmt |
| Program Services | $574,196 | ProgramServicesAmt |
| Management And General | $97,869 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,548,023 | TotalAmt |
| Management And General | $1,548,023 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,034,628 | TotalAmt |
| Program Services | $3,943,463 | ProgramServicesAmt |
| Management And General | $2,091,165 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $672 | TotalAmt |
| Management And General | $672 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,026 | TotalAmt |
| Program Services | $978 | ProgramServicesAmt |
| Management And General | $69,048 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,291 | TotalAmt |
| Management And General | $808,291 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,086 | TotalAmt |
| Program Services | $402,002 | ProgramServicesAmt |
| Management And General | $20,084 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,782 | TotalAmt |
| Program Services | $1,460 | ProgramServicesAmt |
| Management And General | $33,322 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $969 | TotalAmt |
| Management And General | $969 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,881 | TotalAmt |
| Management And General | $448,881 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $687,488 | TotalAmt |
| Program Services | $241,997 | ProgramServicesAmt |
| Management And General | $445,491 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,120 | TotalAmt |
| Management And General | $211,120 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provider Tax | $1,680,080 | $1,680,080 | |
| Medical Supplies and Pharm | $1,561,593 | $1,561,593 | |
| Repair and Maint. | $75,256 | $44,573 | $30,683 |
| Equipment Lease | $190,680 | $190,680 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $582,605 | TotalAmt |
| Program Services | $240,792 | ProgramServicesAmt |
| Management And General | $341,813 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,947,314 | TotalAmt |
| Program Services | $18,400,217 | ProgramServicesAmt |
| Management And General | $7,547,097 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,055 | BOYAmt |
| EOY | $219,077 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,366,062 | BOYAmt |
| EOY | $3,797,064 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,510 | BOYAmt |
| EOY | $538 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,862 | BOYAmt |
| EOY | $135,514 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,580,076 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,451,737 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,160,054 | BOYAmt |
| EOY | $8,128,339 | 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 | $12,117,878 | BOYAmt |
| EOY | $14,592,286 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,917,421 | BOYAmt |
| EOY | $26,872,818 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,403,403 | BOYAmt |
| EOY | $1,437,818 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,776,826 | BOYAmt |
| EOY | $19,045,065 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,180,229 | BOYAmt |
| EOY | $20,482,883 | EOYAmt |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,644,823 | BOYAmt |
| EOY | $6,286,631 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,369 | BOYAmt |
| EOY | $103,304 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,737,192 | BOYAmt |
| EOY | $6,389,935 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,917,421 | BOYAmt |
| EOY | $26,872,818 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$219,334 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$309,943 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$1,861 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$816,119 | 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,799,652 | OtherCostOrOtherBasisAmt |
| Book Value | $4,799,652 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,404,598 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,619,518 | DepreciationAmt |
| Book Value | $2,785,080 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,229,302 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,968,478 | DepreciationAmt |
| Book Value | $260,824 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,146,524 | OtherCostOrOtherBasisAmt |
| Depreciation | $863,741 | DepreciationAmt |
| Book Value | $282,783 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,128,339 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE | |
| RECEIVABLES FROM RELATED FOUNDATION | $1,336,141 |
| INVESTMENT OF NET ASSETS OF RELATED FOUNDATION | $103,304 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMTNS | $236,858 |
| OTHER MISCELLANEOUS LONG-TERM ASSETS | $57,803 |
| PATIENT TRUST ACCOUNTS | $59,914 |
| Intercompany Receivables | $12,809,560 |
| other receivables | -$11,294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,592,286 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| INTER-COMPANY DEBT WITH ASCENSION HEALTH ALLIANCE | $14,317,277 |
| AP INTERCOMPANY BETWEEN HEALTH MINISTRIES | $2,924,337 |
| ESTIMATED SETTLEMENTS TO THIRD PARTY PAYORS | $137,108 |
| AR CREDIT BALANCE | $204,704 |
| PENSION PLAN LIABILITY | $906,957 |
| AH SAVINGS PLAN LIABILITY | $139,107 |
| SITF SYSTEM SPONSORED | $102,699 |
| RESIDENT OF PATIENT TRUST FUND ST | $59,914 |
| CURRENT PORTION WORKERS COMP | $252,962 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,045,065 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MAUREEN F GARTLAND | ||||||||||||||
| VP - ADMINISTRATOR | $136,456 | $0 | $10,010 | $0 | $12,907 | $0 | $15,637 | $0 | $15,845 | $0 | $190,855 | $0 | $0 | $0 |
| ESTRELLITA HOWARD REDMON MD | ||||||||||||||
| CHAIRMAN | $0 | $283,621 | $0 | $0 | $0 | $5,728 | $0 | $6,357 | $0 | $23,670 | $0 | $319,377 | $0 | $0 |
| JUDITH A MANESS | ||||||||||||||
| MEMBER | $0 | $626 | $0 | $617,521 | $0 | $162,495 | $0 | $0 | $0 | $6,584 | $0 | $787,226 | $0 | $0 |
| MOODY CHISHOLM | ||||||||||||||
| FORMER OFFICER (END 3/15) | $0 | $144,240 | $0 | $0 | $0 | $536,455 | $0 | $3,231 | $0 | $23,492 | $0 | $707,419 | $0 | $0 |
| MICHAEL SCHATZLEIN MD | ||||||||||||||
| PRES/CEO (END 5/15) | $0 | $960,751 | $0 | $1,660,416 | $0 | $284,896 | $0 | $7,950 | $0 | $31,194 | $0 | $2,945,206 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 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 st. Catherines Laboure Manor , Inc., uses the following to establish the compensation of the organization's President : - Compensation Committee - Independent Compensation Consultant, - Compensation survey or Study, and - Approval by the Board or Compensation Committee. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | THE FOLLOWING INDIVIDUALS RECEIVED SEVERENCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2015: MOODY CHISHOLM - $455,785 |
| 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 executives is reported as compensation on Form 990 Schedule J, Part II, Column B in the year paid. No individuals received payouts in CY 2015. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. 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. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OF THE ORGANIZATION 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 BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | St. Catherine Laboure Manor, Inc. has a single corporate member, Ascension Health Senior Care. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | St. Catherine Laboure Manor, Inc. has a single corporate member, Ascension Health Senior Care, who has the ability to appoint and remove members to the governing body of St. Catherine Laboure Manor, Inc. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | ASCENSION HEALTH SENIOR CARE, D.B.A. ASCENSION SENIOR LIVING, 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 8b Documentation of meetings held by committees of governing body | There are no separate committees that have the authority to act on behalf of the governing body for St.Catherine Laboure Manor, Inc. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner, Management presents the Form to the Board, or a designated committee, to review and answer any questions, Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members' questions. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The organization's Conflict of Interest Policy is monitored as part of the system-wide procedures and not at the organizational level. The system-wide procedures are as follows: 1. At time of appointment and annually thereafter, all interested persons, including board and committee members, complete a disclosure statement which addresses actual or potential conflicts of interest. 2. The disclosure statement is done electronically and the return of the completed statement is a condition of continued appointment, employment, or participation with the organization. 3. All actual conflicts are investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization. 4. Periodic reviews are conducted by governance, compliance, and internal audit to ensure the organization is operating consistent with the policy and enforcing the policy's terms. |
| 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 IX, Line 11g Other Fees | Physician Fees - Total Expense: 33780, Program Service Expense: , Management and General Expenses: 33780, Fundraising Expenses: ; eLearning Professional Feees - Total Expense: 2680, Program Service Expense: , Management and General Expenses: 2680, Fundraising Expenses: ; Other Professional Fees - Total Expense: 177535, Program Service Expense: 9774, Management and General Expenses: 167761, Fundraising Expenses: ; Purchased Services - Total Expense: 5820633, Program Service Expense: 3933689, Management and General Expenses: 1886944, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Unrestricted Deferred Pension Cost Administered by Ascension Health - -816119; |
| Schedule A, Part I Reason for Public Charity Status | St. Catherine Laboure Manor, 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 - Box C Change of Address | The physical address of St. Catherine Laboure Manor, Inc. is 1750 Stockton Street, Jacksonville, Florida 32204. The address listed on page 1 on this return is for mailing purposes only. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health Alliance | ||||||||||
| PO BOX 45998 | St Louis | MO | 63145 | 453358926 | National Health System | MO | 501(c)(3 | Type I | NA | false |
| Ascension Health | ||||||||||
| PO BOX 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | 501(c)(3 | Type I | ASCENSION HEALTH ALLIANCE | false |
| Ascension Health Senior Care | ||||||||||
| 12250 Weber Hill Road | St Louis | MO | 63127 | 431227406 | Parent Company | MO | 501(c)(3 | Type I | Ascension Health | false |
| Alexian Village of Milwaukee Inc | ||||||||||
| 9301 N 76th Street | Milwaukee | WI | 53223 | 391351584 | Continuing care retirement community | WI | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Alexian Village of Tennessee | ||||||||||
| 437 Alexian Way | Signal Mountain | TN | 37377 | 621136742 | Continuing care retirement community | TN | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Alexian Brothers Lansdowne Village | ||||||||||
| 4624 Lansdowne | St Louis | MO | 63116 | 431470362 | Skilled nursing facility | MO | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Alexian Brothers Sherbrooke Village | ||||||||||
| 4005 Ripa Avenue | St Louis | MO | 63125 | 431592502 | Skilled nursing facility | MO | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Alexian Brothers Community Services | ||||||||||
| 425 Cumberland St Suite 110 | Chattanooga | TN | 37404 | 364344423 | PACE- Comprehensive & Coordinated Community Based Services | TN | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Seton Manor Inc | ||||||||||
| 1000 Seton Drive | Orwigsburg | PA | 17961 | 232960726 | Skilled nursing facility | PA | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Our Lady of Peace Inc | ||||||||||
| 5285 Lewiston Road | Lewiston | NY | 14092 | 161608735 | Skilled nursing facility | NY | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Borgess Nursing Home Inc | ||||||||||
| 3057 Gull Road | Kalamazoo | MI | 49048 | 382555589 | Skilled nursing facility | MI | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| St Joseph's Ministries Inc | ||||||||||
| 331 S Seton Avenue | Emmitsburg | MD | 21727 | 521835288 | Skilled nursing facility | MD | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Carondelet Long-Term Care Facilities Inc | ||||||||||
| 621 Carondelet Drive | Kansas City | MO | 64114 | 742505427 | Skilled nursing facility | MO | 501(c)(3 | 9 | Ascension Health Senior Care | Yes (true) |
| Providence Park Inc | ||||||||||
| 300 W Highway 6 | Waco | TX | 76712 | 611759304 | Skilled nursing facility | TX | 501(c)(3 | 3 | Ascension Health Senior Care | Yes (true) |
| Via Christi Villages Inc | ||||||||||
| 2622 W Centra Suite 100 | Wichita | KS | 67203 | 480559086 | Management Company | KS | 501(c)(3 | Type III-FI | Ascension Health Senior Care | Yes (true) |
| Nazareth Hall | ||||||||||
| 1475 Raynolds Street | El Paso | TX | 79903 | 742387843 | Retirement Community | TX | 501(c)(3 | 9 | AHSC & Loretto Literary & Benevolent Ins | 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 | 9 | Via Christi Villages Inc | Yes (true) |
| Via Christi Village Ponca City Inc | ||||||||||
| 1601 Academy Road | Ponca City | OK | 74604 | 731153337 | Retirement Community | OK | 501(c)(3 | 9 | Via Christi Villages Inc | Yes (true) |
| Via Christi Village Hays Inc | ||||||||||
| 2225 Canterbury Drive | Hays | KS | 67601 | 202828680 | Retirement Community | KS | 501(c)(3 | 9 | Via Christi Villages Inc | Yes (true) |
| Via Christi Village McLean Inc | ||||||||||
| 777 N McLean Blvd | McLean | KS | 67203 | 481247723 | Retirement Community | KS | 501(c)(3 | 9 | Via Christi Villages Inc | Yes (true) |
| Cornerstone Assisted Living Inc | ||||||||||
| 2622 W Centra Suite 100 | Wichita | KS | 67203 | 481241079 | Retirement Community | KS | 501(c)(3 | 9 | Via Christi Villages Inc | Yes (true) |
| Via Christi Village Manhattan Inc | ||||||||||
| 2800 Willow Grove Road | Manhattan | KS | 66502 | 481078862 | Retirement Community | KS | 501(c)(3 | 9 | Via Christi Villages Inc | Yes (true) |
| Via Christi Village Georgetown Inc | ||||||||||
| 1655 S Georgetown | Georgetown | KS | 67218 | 481129325 | Retirement Community | KS | 501(c)(3 | 9 | Via Christi Villages Inc | Yes (true) |
| Via Christi Village Pittsburg Inc | ||||||||||
| 1502 E Centennial Drive | Pittsburg | KS | 66762 | 743070971 | Retirement Community | KS | 501(c)(3 | 9 | Via Christi Villages Inc | Yes (true) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC | |||||||||
| 3900 SOUTH GRAND | ST LOUIS | MO | 63118 | 943465394 | HOUSING | MO | NA | C Corporation | Yes (true) |
| ALEXIAN VILLAGE OF ELK GROVE | |||||||||
| 3040 W SALT CREEK | ARLINGTON HEIGHTS | ID | 60005 | 352211303 | TAX CREDIT FINANCED HOUSING | IL | NA | C Corporation | Yes (true) |
| 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 |
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