ASCENSION LIVING VIA CHRISTI VILLAGE RIDGE: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- ASCENSION LIVING VIA CHRISTI VILLAGE RIDGE (EIN 48-1241079)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201541349349308669
- Schema version
- 2013v4.0
- 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 | 2015-05-14T17:43:20-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 East Fifth Street Suite 1900 | AddressLine1 |
| City | Cincinnati | City |
| State | OH | State |
| ZIP Code | 45202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481241079 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cornerstone Assisted Living Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CORN | BusinessNameControlTxt |
| Phone | 3169465215 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2622 W Central No 100 | AddressLine1 |
| City | Wichita | City |
| State | KS | State |
| ZIP Code | 67203 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jerry Carley | PersonNm |
| Person Title | AHSC CEO | PersonTitleTxt |
| Phone | 3169465215 | PhoneNum |
| Signature | 2015-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebecca Lyons | PreparerPersonNm |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Doug Frihart | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2622 W Central No 100 | AddressLine1 |
| City | Wichita | City |
| State | KS | State |
| ZIP Code | 67203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,123,933 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.viachristi.org/locations/seniors | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | Provide quality residential retirement living that promotes general health of their residents. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 174 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $814,709 | PYContributionsGrantsAmt |
| CY Contributions Grants | $99,731 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,066,566 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,881,511 | CYProgramServiceRevenueAmt |
| PY Investment Income | $46,585 | PYInvestmentIncomeAmt |
| CY Investment Income | $17,846 | CYInvestmentIncomeAmt |
| PY Other Revenue | $55,771 | PYOtherRevenueAmt |
| CY Other Revenue | $113,990 | CYOtherRevenueAmt |
| PY Total Revenue | $3,983,631 | PYTotalRevenueAmt |
| CY Total Revenue | $9,113,078 | 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 | $1,291,160 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,116,374 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,668,888 | PYOtherExpensesAmt |
| CY Other Expenses | $4,235,392 | CYOtherExpensesAmt |
| PY Total Expenses | $2,960,048 | PYTotalExpensesAmt |
| CY Total Expenses | $9,351,766 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,023,583 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$238,688 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,558,112 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,565,977 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $16,597,415 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,812,982 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,960,697 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,752,995 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | As a part of Via Christi Health, a Catholic health system, we share this Mission: "Inspired by the Gospel and our Catholic tradition, we serve as a healing presence with special concern for our neighbors who are vulnerable." Via Christi Health's history extends back over 100 years and today, along with our sponsoring organization, Ascension Health, we continue to respond to community needs in Kansas and northeastern Oklahoma.The obligation to reach out to those in need & improve community health flows directly from our identity as a faith-based healing ministry. As a mission-driven organization, we provide community benefit because we are committed to our core values of:Human dignity - we recognize & respect the sacredness of each person;Stewardship - we responsibly care for all resources entrusted to us;Excellence - we extend ourselves in outstanding service. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,735,340 | ExpenseAmt |
| Revenue | $8,907,419 | RevenueAmt |
| Desc | Cornerstone Assisted Living, Inc. (CAL) provides residential retirement living, including assisted living, food services, housekeeping, and plant operation. CAL serves people in the Wichita area. The primary counties include Sedgwick and Butler. A trend of significance in the community is the growing elderly population. To address this trend, CAL is collaborating with other community organizations, including but not limited to Meals on Wheels and Alzheimer's Association to provide services and education to the elderly. Financial surpluses are used to fulfill our charitable purpose. The Board of Directors includes members of the local community. Our organization offers discounted care to persons without adequate financial means to pay for such services. This includes the participation in Medicaid, Medicare, Champus, Tricare, and/or other government-sponsored health care programs. | Desc |
| Total Program Service Expenses | $7,735,340 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 174 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | 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 (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Judy Davis | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3168584931 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8200 E Thorn Drive | AddressLine1 |
| City | Wichita | City |
| State | KS | State |
| ZIP Code | 67226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
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 |
|---|---|---|---|---|---|---|---|
| Mark A Kuhn | |||||||
| Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Jerry Carley end 1213 | |||||||
| Secretary/Treasurer | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $266,485 | $69,523 |
| Gina Ervay start 1013 | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Anthony Hain | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Sr Sherri Marie Kuhn Sch O | |||||||
| Trustee (end 09/13) | 1.00 | 49.00 | Yes (X) | $0 | $0 | $0 | |
| Lynnette RauvolaBouta | |||||||
| Trustee (end 09/13) | 1.00 | 49.00 | Yes (X) | $0 | $263,295 | $73,196 | |
| Sr Gracelyn Soignet | |||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Doug Frihart | |||||||
| President | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $130,805 | $37,204 |
| Gayle Randa | |||||||
| Secretary | 1.00 | 49.00 | Yes (X) | $0 | $112,325 | $34,915 | |
| Bill Slater start 0114 | |||||||
| Treasurer | 1.00 | 49.00 | Yes (X) | $0 | $147,287 | $32,460 | |
| Roberta Johnson start 0514 | |||||||
| Assistant Secretary | 1.00 | 49.00 | Yes (X) | $0 | $228,937 | $48,336 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,149,134 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $295,634 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Simpson & Associates | |||||
| 1831 S Anna PO Box 771088 | Wichita | KS | 672771088 | Construction (Sch O) | $926,746 |
| Genesis Edlercare Rehabilitation Service | |||||
| PO Box 7247-6521 | Philadelphia | PA | 19170 | Therapy Services | $886,723 |
| Burwell Construction | |||||
| 19844 W Kellog PO Box 317 | Goddard | KS | 67052 | Construction (Sch O) | $196,882 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $99,731 | AllOtherContributionsAmt |
| Total Contributions | $99,731 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Resident Service | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $8,881,511 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,881,511 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,881,511 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,846 | TotalRevenueColumnAmt |
| Exclusion | $17,846 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $12,977 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $10,855 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,122 | TotalRevenueColumnAmt |
| Exclusion | $2,122 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Beauty & Barber | 812900 | $64,385 | $64,385 | |
| Miscellaneous Revenue | 900099 | $27,937 | $2,029 | $25,908 |
| Guest & Employee Meals | 722210 | $19,546 | $19,546 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $111,868 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,113,078 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,907,419 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $105,928 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,583,629 | TotalAmt |
| Program Services | $4,136,188 | ProgramServicesAmt |
| Management And General | $447,441 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,578 | TotalAmt |
| Program Services | $2,827 | ProgramServicesAmt |
| Management And General | $751 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,106 | TotalAmt |
| Program Services | $247,315 | ProgramServicesAmt |
| Management And General | $48,791 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,061 | TotalAmt |
| Program Services | $215,436 | ProgramServicesAmt |
| Management And General | $17,625 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $629,584 | TotalAmt |
| Management And General | $629,584 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315 | TotalAmt |
| Management And General | $315 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,548 | TotalAmt |
| Program Services | $90,187 | ProgramServicesAmt |
| Management And General | $64,361 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,258 | TotalAmt |
| Management And General | $76,258 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990,219 | TotalAmt |
| Program Services | $916,914 | ProgramServicesAmt |
| Management And General | $73,305 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,132 | TotalAmt |
| Program Services | $2,238 | ProgramServicesAmt |
| Management And General | $51,894 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $676,690 | TotalAmt |
| Program Services | $676,690 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,373 | TotalAmt |
| Program Services | $1,265 | ProgramServicesAmt |
| Management And General | $4,108 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,169 | TotalAmt |
| Program Services | $6,390 | ProgramServicesAmt |
| Management And General | $3,779 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $811,586 | TotalAmt |
| Program Services | $811,586 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,600 | TotalAmt |
| Program Services | $608,600 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,870 | TotalAmt |
| Program Services | $122 | ProgramServicesAmt |
| Management And General | $25,748 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| Business Startup Costs | $137,030 | $137,030 | |
| Membership Dues | $34,167 | $33,640 | $527 |
| Vehicle Fuel & Maint. | $7,212 | $7,212 | |
| Client Entertainment | $6,903 | $6,903 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,736 | TotalAmt |
| Program Services | $4,940 | ProgramServicesAmt |
| Management And General | $1,796 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,351,766 | TotalAmt |
| Program Services | $7,735,340 | ProgramServicesAmt |
| Management And General | $1,616,426 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,210,635 | BOYAmt |
| EOY | $1,138,649 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,371 | BOYAmt |
| EOY | $1,134,604 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,740 | BOYAmt |
| EOY | $32,536 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855 | BOYAmt |
| EOY | $75,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,503,738 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $696,212 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,715,611 | BOYAmt |
| EOY | $21,807,526 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $543,900 | BOYAmt |
| EOY | $376,908 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,558,112 | BOYAmt |
| EOY | $24,565,977 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,244 | BOYAmt |
| EOY | $832,343 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,448,171 | BOYAmt |
| EOY | $18,980,639 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,597,415 | BOYAmt |
| EOY | $19,812,982 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,960,697 | BOYAmt |
| EOY | $4,752,995 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,960,697 | BOYAmt |
| EOY | $4,752,995 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,558,112 | BOYAmt |
| EOY | $24,565,977 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$238,688 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $30,986 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $2,787 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $207 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,591 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $814,709 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $99,731 | CurrentTaxYearAmt |
| Total | $920,025 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,779,217 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,943,309 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,860,126 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,066,566 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,907,419 | CurrentTaxYearAmt |
| Total | $23,556,637 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,782,004 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,943,516 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,862,717 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,881,275 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,007,150 | CurrentTaxYearAmt |
| Total | $24,476,662 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $24,476,662 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,089 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,046 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,141 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,660 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,846 | CurrentTaxYearAmt |
| Total | $57,782 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $4,151 | CurrentTaxYearAmt |
| Total | $4,151 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,089 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,046 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,141 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,660 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,997 | CurrentTaxYearAmt |
| Total | $61,933 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,051 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $73,310 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,040 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $55,771 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $83,931 | CurrentTaxYearAmt |
| Total | $348,103 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,852,144 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,027,872 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,946,898 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,946,706 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,113,078 | CurrentTaxYearAmt |
| Total | $24,886,698 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98350 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98120 | PublicSupportPY509Pct |
| Investment Income CY | 0.00250 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00250 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part III, Line 12, Explanation of Other Income: | Miscellaneous Income Beauty Barber Guest Employee Meals |
| Schedule A, Part III: | Effective April 1, 2013, Via Christi Health, the parent of the filing organization, was acquired by Ascension Health. Ascension Health is a subsidiary of Ascension Health Alliance. As part of the acquisition, the organization changed its tax year to June 30 in order to align with the tax year of Ascension Health. Amounts reported on Schedule A, Part III for the 2012 tax year represent the short period October 1, 2012 through June 30, 2013. |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $315 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $315 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Lobbying expenses represent the portion of dues paid to a trade association of the senior center that is specifically allocable to lobbying. Cornerstone Assisted Living, Inc. does not participate in or intervene in (including the publishing or distributing or statements) any political campaign on behalf of (or in opposition to) any candidate for public office. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $670,606 | OtherCostOrOtherBasisAmt |
| Book Value | $670,606 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,914,118 | OtherCostOrOtherBasisAmt |
| Depreciation | $549,530 | DepreciationAmt |
| Book Value | $19,364,588 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,145,284 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,777 | DepreciationAmt |
| Book Value | $1,086,507 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $773,730 | OtherCostOrOtherBasisAmt |
| Depreciation | $87,905 | DepreciationAmt |
| Book Value | $685,825 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,807,526 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Residency Funds | $116,000 |
| Resident Restricted Funds | $525 |
| Due to Related Party | $75,398 |
| Note Payable to AHC | $18,788,716 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,980,639 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | From the consolidated audited financial statements of Ascension Health Alliance and its member entities ("The System") which include the activity of Cornerstone Assisted Living, Inc.: The System accounts for uncertainty in income tax provisions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2014. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jerry Carley end 1213 | ||||||||||||||
| Secretary/Treasurer | $0 | $254,530 | $0 | $8,511 | $0 | $3,444 | $0 | $51,432 | $0 | $18,091 | $0 | $336,008 | $0 | $0 |
| Lynnette RauvolaBouta | ||||||||||||||
| Trustee (end 09/13) | $0 | $250,568 | $0 | $8,148 | $0 | $4,579 | $0 | $60,038 | $0 | $13,158 | $0 | $336,491 | $0 | $0 |
| Doug Frihart | ||||||||||||||
| President | $0 | $124,587 | $0 | $2,860 | $0 | $3,358 | $0 | $16,581 | $0 | $20,623 | $0 | $168,009 | $0 | $0 |
| Bill Slater start 0114 | ||||||||||||||
| Treasurer | $0 | $141,488 | $0 | $3,150 | $0 | $2,649 | $0 | $18,259 | $0 | $14,201 | $0 | $179,747 | $0 | $0 |
| Roberta Johnson start 0514 | ||||||||||||||
| Assistant Secretary | $0 | $213,515 | $0 | $7,055 | $0 | $8,367 | $0 | $41,052 | $0 | $7,284 | $0 | $277,273 | $0 | $2,444 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Via Christi Health, Inc., a related organization of Cornerstone Assisted Living, 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. |
| Part I, Line 4b | 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 funded annually based on participation and are not vested until the 5 year service requirement is reached. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. The amount funded annually under the program to the executives is reported as compensation on Form 990 Schedule J, Part II, Column B in the year funded. The amount ultimately paid under the program to executives is reported on Form 990 Schedule J, Part II, Column F. There were no distributions to a supplemental nonqualified retirement plan during the year. Keysop plan-frozen: Eligible executives participated in a frozen supplemental option benefit program that provides for supplemental retirement benefits that was limited to Via Christi Hospital St. Francis, Preferred Medical Associates Physicians, Mount Carmel Regional Medical Center and Via Christi Health system executives. The payment of benefits under the program, if any, was linked to the exercise date for the options or to earned dividends on the options. Executives were vested in full when the options were granted. The amount ultimately paid under the program to executives receiving net option value is reported on Form 990 Schedule J, Part II, Column F. The following individual received a distribution from the Keysop plan in the amount listed below: Roberta Johnson - $2,444 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Many of the persons listed on Part VII have a "business relationship" with each other by virtue of employment by Via Christi Health, Inc. related entities. |
| Form 990, Part VI, Section A, line 6 | Cornerstone Assisted Living, Inc. has a single corporate member, Via Christi Villages, Inc. |
| Form 990, Part VI, Section A, line 7a | Cornerstone Assisted Living, Inc. has a single corporate member, Via Christi Villages, Inc., who has the ability to elect members to the governing body of Cornerstone Assisted Living, Inc. |
| Form 990, Part VI, Section A, line 7b | All decisions that have a material impact to Cornerstone Assisted Living, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, Via Christi Villages, Inc. |
| Form 990, Part VI, Section B, line 11 | Management, including certain officers, work 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, Section B, line 12c | The organization's Conflict of Interest Policy is monitored as part of the system-wide procedures of Via Christi Health, Inc. 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 or potential conflicts are reviewed, investigated, and resolved by the chief governance officer and the corporate responsibility officer, with the results shared with the chief executive of the organization; and 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, Section B, line 15 | Cornerstone Assisted Living, Inc. uses the policies established by Via Christi Health, Inc. (VCH). VCH has established a common philosophy, strategy, and processes for executive compensation. Through the oversight of the VCH Executive Compensation Committee, executive compensation is competitively positioned at its stated market position when compared to the compensation paid by relevant organizations (comparably-sized health systems, hospitals, and long-term care providers). VCH recognizes its responsibility to ensure that its executive compensation program is appropriate in view of its mission and tax-exempt status and that its compensation levels and expenditures are reasonable and not excessive. To ensure these ends, the VCH Executive Compensation Committee has established and approved the executive compensation philosophy for VCH and all related entities. It will also approve all changes in the cmpensation package for VCH executives in advance. On an annual basis, the committee conducts a comprehensive review of total compensation for all executives. It also reviews and approves "off-cycle" compensation transactions as needed. In their review, the Committee considers the following factors: - Market data from independent compensation surveys and sources that reflect comparable positions in organizations of similar size and scope; - Difficulties in recruiting and retaining executives; - Skills, experience and performance history of individual executives; - Critical business or strategic issues that the organization may face; and - Market position for total compensation. The adequacy, competitiveness, and cost of the VCH total executive compensation program are reviewed on an ongoing basis and changes are made as the Committee determines appropriate. The executive compensation program will be maintained such that it will fall within the safe harbor guidelines established by the intermediate sanctions regulations. The Committee also employs the services of an independent compensation consultant to prepare market analysis to aid and support the Committee's actions, provide documentation of market trends for budget setting purposes, review annual compensation changes to ensure "reasonableness" and provide attestation, and provide consultation on all executive compensation issues. The Committee also relies on third-party validation of performance measures used in the determination of compensation. |
| Form 990, Part VI, Section C, line 19 | Cornerstone Assisted Living, Inc.'s governing documents and conflict of Interest Policy are available to the public upon request. |
| Form 990, Part VII, Section B: | Simpson & Associates provided construction services. The payments made to Simpson & Associates included both materials and labor. There is no easy way to break out these amounts. Burwell Construction provided construction services. The payments made to Burwell Construction included both materials and labor. There is no easy way to break out these amounts. |
| Form 990, Part VII, Section A: | Sister Sherri Marie Kuhn receives compensation from Via Christi Hospitals Wichita, Inc. Her compensation is not paid directly to her but is paid to her religious order in accordance with her vow of poverty. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ascension Health Alliance | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 453358926 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | N/A | 0 | |
| Ascension Health | |||||||||||
| PO Box 45998 | St Louis | MO | 63145 | 311662309 | National Health System | MO | Section 501(c)(3) | Schedule A, Line 11a | 0 | Ascension Health Alliance | |
| Via Christi Health Inc | |||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481172107 | Health System Parent | KS | Section 501(c)(3) | Schedule A, Line 11c | 0 | Ascension Health | |
| Via Christi Villages Inc | |||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 480559086 | Management Company | KS | Section 501(c)(3) | Schedule A, Line 11c | 0 | Via Christi Health Inc | |
| Via Christi Village Hays Inc | |||||||||||
| 2225 Canterbury Drive | Hays | KS | 67601 | 202828680 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Care at Home Inc | |||||||||||
| 2622 W Central Suite 100 | Wichita | KS | 67203 | 271889960 | Health Agency | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Healthcare Outreach Program for Elders Inc | |||||||||||
| 2622 W Central Suite 101 | Wichita | KS | 67203 | 481236589 | PACE Community Program | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Georgetown Inc | |||||||||||
| 1655 S Georgetown | Wichita | KS | 67218 | 481129325 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Manhattan Inc | |||||||||||
| 2800 Willow Grove Road | Manhattan | KS | 66502 | 481078862 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village McLean Inc | |||||||||||
| 777 N McLean Blvd | Wichita | KS | 67203 | 481247723 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Pittsburg Inc | |||||||||||
| 1502 E Centennial Drive | Pittsburg | KS | 66762 | 743070971 | Retirement Home | KS | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Village Ponca City Inc | |||||||||||
| 1601 Academy Road | Ponca City | OK | 74604 | 731153337 | Retirement Home | OK | Section 501(c)(3) | Schedule A, Line 9 | Yes (1) | Via Christi Villages Inc | |
| Via Christi Hospital Pittsburg Inc | |||||||||||
| 1 Mt Carmel Way | Pittsburg | KS | 66762 | 480543778 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | 0 | Via Christi Health Inc | |
| Mount Carmel Foundation Inc | |||||||||||
| 1 Mt Carmel Way | Pittsburg | KS | 66762 | 480961283 | Foundation | KS | Section 501(c)(3) | Schedule A, Line 11a | 0 | Via Christi Hospital Pittsburg Inc | |
| Via Christi Health Alliance in Accountable Care Inc | |||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 462872857 | ACO | KS | 0 | Via Christi Health Inc | |||
| Via Christi Hospital Wichita St Teresa Inc | |||||||||||
| 14800 W St Teresa | Wichita | KS | 67235 | 271965272 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | 0 | Via Christi Health Inc | |
| Via Christi Hospitals Wichita Inc | |||||||||||
| 929 N Saint Francis | Wichita | KS | 67214 | 481172106 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | 0 | Via Christi Health Inc | |
| Gerard House Inc | |||||||||||
| 3144 N Hood | Wichita | KS | 67204 | 481049532 | Hospital Support | KS | Section 501(c)(3) | Schedule A, Line 9 | 0 | Via Christi Hospitals Wichita Inc | |
| Via Christi Rehabilitation Hospital Inc | |||||||||||
| 1151 N Rock Road | Wichita | KS | 67206 | 481158274 | Rehabilitation Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | 0 | Via Christi Hospitals Wichita Inc | |
| Via Christi Property Services Inc | |||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 480948571 | Property Management | KS | Section 501(c)(4) | N/A | 0 | Via Christi Hospitals Wichita Inc | |
| Via Christi Health Partners Inc | |||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 480958974 | Management Company | KS | Section 501(c)(3) | Schedule A, Line 9 | 0 | Via Christi Health Inc | |
| Mercy Regional Health Center Inc | |||||||||||
| 1823 College Avenue | Manhattan | KS | 66502 | 481186704 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | 0 | Via Christi Health Inc | |
| Mercy Community Health Foundation Inc | |||||||||||
| PO Box 13 | Manhattan | KS | 66502 | 481152279 | Foundation | KS | Section 501(c)(3) | Schedule A, Line 9 | 0 | Mercy Regional Health Center Inc | |
| Wamego Hospital Association Inc | |||||||||||
| 711 Genn Drive | Wamego | KS | 66547 | 721526400 | Hospital | KS | Section 501(c)(3) | Schedule A, Line 3 | 0 | Mercy Regional Health Center Inc | |
| Mercy Regional Home Medical Services LLC | |||||||||||
| 2439 Claflin Road | Manhattan | KS | 66502 | 432024491 | Medical Equipment | KS | Section 501(c)(3) | Schedule A, Line 9 | 0 | Mercy Regional Health Center Inc | |
| Salina Regional Home Medical Services LLC | |||||||||||
| 520 South Santa Fe Ave | Salina | KS | 67401 | 431948057 | Medical Equipment | KS | Section 501(c)(3) | Schedule A, Line 9 | 0 | Salina Regional Health Center Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Ambulatory Surgery Center LP | |||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481114690 | Surgery Center | KS | N/A |
| AMS Diagnostics LLC | |||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481223653 | Radiology Services | KS | N/A |
| Kansas Surgery and Recovery Center LLC | |||||||
| 2770 North Webb Road | Wichita | KS | 67226 | 481148580 | Surgery Center | KS | N/A |
| MR Imaging Center LLC | |||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481000538 | Imaging Center | KS | N/A |
| St Joseph MRI LLC | |||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 481007220 | Imaging Center | KS | N/A |
| Mercy Imaging LLC | |||||||
| 1823 College Avenue | Manhattan | KS | 66502 | 481251984 | Radiology Services | KS | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Postal CodeForeignAddress/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Affiliated Medical Services Laboratory Inc | ||||||||||||||
| 2916 E Central | Wichita | KS | 67214 | 481239522 | Medical Laboratory | KS | N/A | C | 0 | |||||
| Integrated Healthcare Systems Inc | ||||||||||||||
| 3311 East Murdock | Wichita | KS | 67208 | 480941549 | Clinic Services | KS | N/A | C | 0 | |||||
| VCH Iowa PC Trust | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 276937322 | Beneficiary Trust | IA | N/A | T | 0 | |||||
| VCH Iowa PC | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 273983977 | Professional Association | IA | N/A | C | 0 | |||||
| Via Christi Clinic PA | ||||||||||||||
| 3311 East Murdock | Wichita | KS | 67208 | 480993446 | Professional Association | KS | N/A | C | 0 | |||||
| Sunflower Assurance Ltd | ||||||||||||||
| 980223159 | Insurance Company | N/A | C | 0 | PO Box 1085 | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| Via Christi Clinic Services Inc | ||||||||||||||
| 8200 E Thorn Drive Suite 300 | Wichita | KS | 67226 | 273984287 | Clinic Services | KS | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Via Christi Villages Inc | ||
| M | $478,296 | Amount Actually Transferred |
| Via Christi Villages Inc | ||
| O | $252,970 | Amount Actually Transferred |
| Via Christi Villages Inc | ||
| P | $120,185 | Amount Actually Transferred |
| Via Christi Villages Inc | ||
| S | $902,917 | Amount Actually Transferred |
| Via Christi Health Inc | ||
| P | $57,817 | Amount Actually Transferred |
| Via Christi Health Inc | ||
| S | $79,545 | Amount Actually Transferred |