SETON MANOR INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SETON MANOR INC (EIN 23-2960726)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-16
- IRS object ID
- 201621379349310837
- Schema version
- 2014v6.0
- 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 | 2016-05-16T19:04:14-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232960726 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Manor Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SETO | BusinessNameControlTxt |
| Phone | 5703660400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Seton Drive | AddressLine1Txt |
| City | ORWIGSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17961 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL GROVE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2016-05-16 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL GROVE NHA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Seton Drive | AddressLine1Txt |
| City | ORWIGSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17961 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,109,289 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SETONMANOR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE A CONTINUING CARE RETIREMENT COMMUNITY AND SKILLED NURSING SERVICES TO THOSE IN OUR COMMUNITY FOR THE SHORT TERM OR LONG TERM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 234 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,567 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,055 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,684,326 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,883,946 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,118 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,918 | CYInvestmentIncomeAmt |
| PY Other Revenue | $42,972 | PYOtherRevenueAmt |
| CY Other Revenue | $216,515 | CYOtherRevenueAmt |
| PY Total Revenue | $10,746,983 | PYTotalRevenueAmt |
| CY Total Revenue | $11,101,598 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,342,870 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,536,229 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,569,326 | PYOtherExpensesAmt |
| CY Other Expenses | $4,814,442 | CYOtherExpensesAmt |
| PY Total Expenses | $10,912,196 | PYTotalExpensesAmt |
| CY Total Expenses | $11,350,671 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$165,213 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$249,073 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,466,626 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,099,756 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,806,939 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,957,940 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,340,313 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,858,184 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ROOTED IN LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. SETON MANOR IS DEDICATED TO SPIRITUALLY CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,448,074 | ExpenseAmt |
| Revenue | $10,883,946 | RevenueAmt |
| Desc | SETON MANOR, INC. OPERATES A 120 BED SKILLED NURSING FACILITY WHICH PROVIDES A CONTINUUM OF SERVICES TO THE RESIDENTS OF SETON MANOR (41,076 RESIDENT DAYS SERVED) AND SETON PLACE, A 7 UNIT INDEPENDENT LIVING FACILITY, WHICH MAXIMIZES DIGNITY AND INDEPENDENCE. ROOTED IN THE CATHOLIC TRADITION OF CARING, THE STAFF IS COMMITTED TO PROMOTING THE WELL BEING OF THOSE WE SERVE THROUGH THE DELIVERY OF QUALITY CARE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY FOR THE CONTINUUM OF SERVICES, AS A CHARITABLE ORGANIZATION, IT IS RECOGNIZED THAT NOT ALL PERSONS SERVED POSSESS THE ABILITY TO PURCHASE ESSENTIAL SERVICES NEEDED FOR CARE AND OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES. IN 2015, $1,641,138 WAS PROVIDED IN CHARITABLE CARE AT COSTS. SETON MANOR PRIMARILY SERVES THE COMMUNITIES THROUGHOUT AND SURROUNDING SCHUYLKILL COUNTY BY PROVIDING PROGRAMS THROUGHOUT THE YEAR. AS A RELIGIOUS ORGANIZATION, SETON MANOR ALSO EMPLOYS STAFF TO PROVIDE CHAPLAINCY SERVICES. THE CHAPEL AT SETON MANOR HAS DAILY INTERDENOMINATIONAL SERVICES AND PROGRAMS. | Desc |
| Total Program Service Expenses | $9,448,074 | 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 | Yes (true) | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | 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 | 104 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 234 | 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | 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 |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| 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 CONTROLLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5703660400 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 SETON DRIVE | AddressLine1Txt |
| City | ORWIGSBURG | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17961 | 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 |
|---|---|---|---|---|---|---|---|
| ROBERT CARL JR | |||||||
| SECRETARY | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANNE B CURRY | |||||||
| TREASURER | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOSEPH TROY ESQ | |||||||
| BOARD CHAIR (END 2/15) | 1.00 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL GROVE | |||||||
| ADMINISTRATOR | 40.00 | 0 | Yes (X) | Yes (X) | $27,885 | $0 | $0 |
| PHILLLIP A MALLOY PT DPT OCS | |||||||
| BOARD MEMBER (END 2/15) | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| SISTER KATHLEEN NATWIN DC | |||||||
| BOARD MEMBER | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |
| SISTER MARGARET WALKER DC | |||||||
| BOARD MEMBER (END 2/15) | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| JOAN ZAWISA | |||||||
| BOARD MEMBER | 1.00 | 0 | Yes (X) | $0 | $0 | $0 | |
| JOE GIRARDI | |||||||
| CFO | 1.00 | 68.00 | Yes (X) | $0 | $139,916 | $3,997 | |
| GARY MOHN | |||||||
| CEO | 2.00 | 42.00 | Yes (X) | $0 | $295,169 | $22,681 | |
| JACQUELYN ROBINSON | |||||||
| ADMINISTRATOR | 40.00 | 0 | Yes (X) | $83,962 | $0 | $10,950 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $111,847 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $435,085 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $37,628 | 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 (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Capital Blue Cross | ||||||
| PO Box 779516 | HARRISBURG | PA | 171779516 | Health Insurance Administrator | $756,023 | |
| Encore Rehabilitation Services | ||||||
| 30230 Orchard Lake Road | Farmington Hills | MI | 48334 | Therapy Services | $504,060 | Suite 100 |
| Concept Medical Inc | ||||||
| 639 Chestnut Street | ASHLAND | PA | 17921 | Pharmacy Services | $332,470 | PO Box 201 |
| Concept Rehab | ||||||
| 7150 Granite Circle | Toledo | OH | 43617 | Therapy Services | $318,366 | Suite 200 |
| GEISINGER QUALITY OPTIONS INC | ||||||
| PO BOX 822434 | PHILADELPHIA | PA | 19182 | HEALTH INSURANCE ADMINISTRATION | $256,609 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $4,055 | AllOtherContributionsAmt |
| Total Contributions | $4,055 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT FEES | 623000 | $10,814,587 | $10,814,587 |
| CCRC REVENUE | 623000 | $69,359 | $69,359 |
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 | $10,883,946 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,773 | TotalRevenueColumnAmt |
| Exclusion | $4,773 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,142 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,142 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,142 | TotalRevenueColumnAmt |
| Exclusion | $22,142 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,691 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$7,691 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,691 | TotalRevenueColumnAmt |
| Exclusion | -$7,691 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| GIFT SHOP REVENUE | 900099 | $39,278 | $39,278 |
| OTHER REVENUE | 900099 | $155,095 | $155,095 |
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 | $194,373 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,101,598 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,883,946 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $213,597 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,382 | TotalAmt |
| Management And General | $53,382 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,183,666 | TotalAmt |
| Program Services | $4,283,997 | ProgramServicesAmt |
| Management And General | $899,669 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,129 | TotalAmt |
| Program Services | $6,522 | ProgramServicesAmt |
| Management And General | $1,607 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $918,918 | TotalAmt |
| Program Services | $785,354 | ProgramServicesAmt |
| Management And General | $133,564 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,134 | TotalAmt |
| Program Services | $312,301 | ProgramServicesAmt |
| Management And General | $59,833 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,740 | TotalAmt |
| Management And General | $28,740 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,864 | TotalAmt |
| Management And General | $20,864 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,704 | TotalAmt |
| Management And General | $34,704 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,956 | TotalAmt |
| Program Services | $2,179 | ProgramServicesAmt |
| Management And General | $18,777 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,356 | TotalAmt |
| Program Services | $15,129 | ProgramServicesAmt |
| Management And General | $61,227 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,892 | TotalAmt |
| Program Services | $4,206 | ProgramServicesAmt |
| Management And General | $37,686 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,005 | TotalAmt |
| Program Services | $1,008 | ProgramServicesAmt |
| Management And General | $997 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,958 | TotalAmt |
| Program Services | $11,231 | ProgramServicesAmt |
| Management And General | $10,727 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,608 | TotalAmt |
| Program Services | $2,412 | ProgramServicesAmt |
| Management And General | $4,196 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $309,365 | TotalAmt |
| Program Services | $309,300 | ProgramServicesAmt |
| Management And General | $65 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $355,945 | TotalAmt |
| Program Services | $353,173 | ProgramServicesAmt |
| Management And General | $2,772 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,723 | TotalAmt |
| Program Services | $57,678 | ProgramServicesAmt |
| Management And General | $2,045 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTUAL SERVICES | $1,239,719 | $1,147,814 | $91,905 |
| SUPPLIES | $1,147,157 | $1,070,594 | $76,563 |
| FOOD | $324,566 | $317,751 | $6,815 |
| NURSING FACILITY ASSESSMENT | $274,703 | $274,703 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,181 | TotalAmt |
| Program Services | $492,722 | ProgramServicesAmt |
| Management And General | $356,459 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,350,671 | TotalAmt |
| Program Services | $9,448,074 | ProgramServicesAmt |
| Management And General | $1,902,597 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700 | BOYAmt |
| EOY | $700 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,133 | BOYAmt |
| EOY | $221,291 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,469,996 | BOYAmt |
| EOY | $1,770,397 | 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 | $113,027 | BOYAmt |
| EOY | $103,172 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,049 | BOYAmt |
| EOY | $104,325 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,201,428 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,646,843 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,616,535 | BOYAmt |
| EOY | $5,554,585 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,802 | 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 | $298,384 | BOYAmt |
| EOY | $345,286 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,466,626 | BOYAmt |
| EOY | $8,099,756 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,159,986 | BOYAmt |
| EOY | $1,512,537 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,418 | BOYAmt |
| EOY | $111,024 | 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 | $9,533,535 | BOYAmt |
| EOY | $9,334,379 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,806,939 | BOYAmt |
| EOY | $10,957,940 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,341,688 | BOYAmt |
| EOY | -$2,859,642 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,375 | BOYAmt |
| EOY | $1,458 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,340,313 | BOYAmt |
| EOY | -$2,858,184 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,466,626 | BOYAmt |
| EOY | $8,099,756 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$249,073 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,775 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$262,023 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,999 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,407 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,428 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,567 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,055 | CurrentTaxYearAmt |
| Total | $33,456 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,907,736 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $110,905,292 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $110,931,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,684,326 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,883,946 | CurrentTaxYearAmt |
| Total | $254,313,245 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,920,735 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $110,912,699 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $110,936,373 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,688,893 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,888,001 | CurrentTaxYearAmt |
| Total | $254,346,701 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $254,346,701 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,028 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,598 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,915 | CurrentTaxYearAmt |
| Total | $56,936 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,745 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,650 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,028 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,598 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,915 | CurrentTaxYearAmt |
| Total | $56,936 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,452 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,492 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $194,373 | CurrentTaxYearAmt |
| Total | $267,317 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,960,932 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $110,916,349 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $110,937,401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,746,983 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,109,289 | CurrentTaxYearAmt |
| Total | $254,670,954 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9987 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9958 | PublicSupportPY509Pct |
| Investment Income CY | 0.0002 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0006 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - GIFT SHOP REVENUE, COLUMN A - 32452.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 40492.0, COLUMN E - 39278.0, COLUMN F - 112222.0; DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 0.0, COLUMN E - 155095.0, COLUMN F - 155095.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Beginning Balance | $0 | BeginningBalanceAmt |
| Additions During Year | $0 | AdditionsDuringYearAmt |
| Distributions During Year | $0 | DistributionsDuringYearAmt |
| Ending Balance | $0 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $400,060 | OtherCostOrOtherBasisAmt |
| Book Value | $400,060 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,811,385 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,093,378 | DepreciationAmt |
| Book Value | $4,718,007 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,951,440 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,553,465 | DepreciationAmt |
| Book Value | $397,975 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,543 | OtherCostOrOtherBasisAmt |
| Book Value | $38,543 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,554,585 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE | Desc |
| Amt | $9,334,379 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,334,379 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,939,035 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$6,775 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$155,788 | OtherRevenueAmt |
| Revenue Not Reported | -$162,563 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,101,598 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,101,598 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,194,883 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,194,883 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $155,788 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $155,788 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,350,671 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part IV, Line 2b Explanation of escrow agreement | THE ORGANIZATION MAINTAINS RESIDENT FUNDS FOR THE RESIDENTS' BENEFIT. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | THE ORGANIZATION FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, AND ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. AS OF JUNE 30, 2015 AND 2014, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE ORGANIZATION'S FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL, STATE, OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. |
| Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 | BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STATEMENTS - -155788 |
| Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements | BAD DEBT EXPENSE NETTED WITH REVENUE ON FINANCIAL STATEMENTS - 155788 |
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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY MOHN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $0 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $234,987 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $36,718 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $23,464 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $17,500 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $5,181 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $0 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $317,850 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
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 | ALEXIAN BROTHERS HEALTH SYSTEM, A RELATED ORGANIZATION OF Seton Manor, Inc. THROUGH JUNE 30, 2014 , USES THE FOLLOWING METHODS 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 Seton Manor, Inc. TRANSFERRED MEMBERSHIP TO ASCENSION HEALTH SENIOR CARE D.B.A. ASCENSION SENIOR LIVING EFFECTIVE 7/1/14. ASCENSION SENIOR LIVING USES THE FOLLOWING METHODS: - 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 | ASCENSION Health SENIOR CARE, d.b.a. ASCENSION SENIOR LIVING, offers a Supplemental Employee Retirement Plan to all employees who participate in the executive benefits program and whose compensation exceeds the IRS allowable limit for a qualified pension plan. The purpose of the plan is to restore retirement benefits that are restricted because of compensation limits for the executives. Neither contributions to nor distributions from the supplemental nonqualified retirement plan were made in the current year. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 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 2 Family/business relationships amongst interested persons | Many of the persons listed in Part VII, Section A have a "business relationship" with each other by virtue of employment by Ascension Senior Living related entities - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | SETON 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 | SETON MANOR, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE WHO HAS THE AUTHORITY TO APPOINT AND REMOVE DIRECTORS AND EXECUTIVE OFFICERS OF SETON 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 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. 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 MEMBERS THAT ARE GUIDED BY THIS POLICY ARE ENCOURAGED TO SPEAK WITH THE CHAIR OR ADMINISTRATOR AND DISCUSS OUTSIDE CONTACTS TO DETERMINE IF 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 XI, Line 9 Other changes in net assets or fund balances | Transfer to Affiliate - -262023; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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 Brothers Senior Neighbors | ||||||||||
| 250 East 10th Street | Chattanooga | TN | 37402 | 620646376 | Supports the provision of community services for senior citizens | TN | 501(c)(3 | 7 | 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) |
| 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) |
| St Catherine's Laboure Manor | ||||||||||
| 1750 Stockton Street | Jacksonville | FL | 32204 | 591878316 | Skilled nursing facility | FL | 501(c)(3 | 9 | 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 | 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 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 McLean Inc | ||||||||||
| 777 N McLean Blvd | McLean | KS | 67203 | 481247723 | 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) |
| 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 Villages Inc | ||||||||||
| 2622 W Centra Suite 100 | Wichita | KS | 67203 | 480559086 | Management Company | KS | 501(c)(3 | Type I | Ascension Health Senior Care | 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) |
| 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 | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |