FURP.ORG / PUBLIC DATA EXPLORER

CARONDELET LONG TERM CARE FACILITIES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CARONDELET LONG TERM CARE FACILITIES INC (EIN 74-2505427)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-12
IRS object ID
201431329349300248
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2014-05-12T11:47:41-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742505427EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Carondelet Long-Term Care Facilities IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARONameControl
Phone8169411300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1621 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code641144673ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel StrickerName
TitleCEOTitle
Phone8169411300Phone
Date Signed2014-05-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLaura GillespieName
PTINP00855604PTIN
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonDaniel StrickerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1621 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code641144673ZIPCode
FieldValueIRS element (for citing)
Gross Receipts26320908GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionProvides nursing home and assisted living facilities to in-patients.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees784TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year17829ContributionsGrantsPriorYear
Contributions Grants Current Year29971ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28365851ProgramServiceRevenuePriorYear
Program Service Revenue CY26140003ProgramServiceRevenueCY
Investment Income Prior Year5550InvestmentIncomePriorYear
Investment Income Current Year4384InvestmentIncomeCurrentYear
Other Revenue Prior Year288645OtherRevenuePriorYear
Other Revenue Current Year146550OtherRevenueCurrentYear
Total Revenue Prior Year28677875TotalRevenuePriorYear
Total Revenue Current Year26320908TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20117023SalariesEtcPriorYear
Salaries Etc Current Year19153780SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9721817OtherExpensePriorYear
Other Expenses Current Year8889193OtherExpensesCurrentYear
Total Expenses Prior Year29838840TotalExpensesPriorYear
Total Expenses Current Year28042973TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1160965RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1722065RevenuesLessExpensesCY
Total Assets BOY5144240TotalAssetsBOY
Total Assets EOY7420678TotalAssetsEOY
Total Liabilities BOY9798551TotalLiabilitiesBOY
Total Liabilities EOY4695661TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-4654311NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2725017NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCarondelet Long-Term Care Facilities, Inc. is a Catholic organization dedicated to the healing ministry of Jesus Christ. Our mission is to continue the healing ministry of Jesus Christ by providing long-term health care for older persons of all faiths, races, and socio-economic backgrounds.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24173676Expense
Revenue26140003Revenue
DescriptionCarondelet Manor is a 162 bed skilled nursing facility with 429 discharges and 38,736 patient days during fiscal year 2013. The sub-acute unit provides more intensive treatment for patients requiring specialty care, rehabilitation or who have nursing care needs related to medically complex diagnoses. Ancillary services include physical and occupational therapy as well as specialized speech-language vital stimulation therapy. The Long-Term Care unit provides extended care services for patients 24 hours-a-day, 7 days-a-week with a goal to help the patients attain and maintain their optimal level of well-being.St. Mary's Manor is a 132 bed skilled nursing facility with an additional 57 residential living beds. In FY13 there were 585 skilled care discharges and 31,552 skilled patient days with an additional 14,848 residential care days. St. Mary's Manor offers a full range of services including post-hospital or sub-acute, respite, short and long term care, hospice and an aggressive rehab to home program, offering both inpatient and outpatient services. St. Mary's Manor specializes in meeting individual nursing needs which include skilled care, wound care and recuperative care. Specific rehabilitation needs are met with physical, occupational and speech therapy. The facility is a Parkinson Accredited Facility offering specialized training for our staff on Parkinson's disease. The residential care area offers one or two bedroom apartments for assisted living with services including three meals each day, housekeeping services, laundry, and medication distribution and assistance.Villa Saint Joseph is a 116 bed skilled nursing facility with 232 discharges and 36,029 patient days during fiscal year 2013. The medical plan of care is ordered by the physician and implemented by the nursing staff. Services include physical, speech and occupational therapy as well as a mobile x-ray unit for radiology and EKG services. Because of the importance of spiritual care to the Sisters of St. Joseph of Carondelet, there is a full-time spiritual care staff member who visits residents regularly and schedules scripture and devotional services. The social service department at Villa Saint Joseph is an integral part of the health care team. The social worker's primary responsibility is to assist with the psychosocial needs of all residents, family members and friends. The staff activities director organizes activities for individuals and groups, including social events and special activity groups.Description
Total Program Service Expense24173676TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109677NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees784NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Toni Marie RaneyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8169411300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1621 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64151ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Steve Chies
Director/President (end 1/13)0.300.00XX000
Fleury Yelvington
CEO-CH/Director0.3040.00XX0138519354882
Steve Cleary
CFO-CH/Director0.3040.00XX033126056260
Mark Frey
Director0.300.00X000
Bonnie Phipps
Director (start 12/12)0.300.00X000
John Turongian
Director (start 12/12)1.000.00X000
Sr Margaret Vincent
Director (start 12/12)0.300.00X000
Dale Thompson
Director (end 1/13)0.300.00X000
Kevin Rymanowski
Director (end 1/13)0.300.00X000
Daniel Stricker
CEO-CLTCF, Inc. (start 12/12)1.000.00X000
Kathy Ensign
Administrator40.000.00017395414831X
Pat Kelley
Administrator40.000.00012597019361X
Rick Blim
Administrator40.000.00015265616091X
Larry Rubin
Former Director0.000.00027352614635X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2442559TotalReportableCompFrmRltdOrgs
Total Other Compensation176060TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Benedictine Health System
1995 E Rum River Dr SouthCambridgeMN55008Management Services414357
Alexian Brothers Senior Ministries
12250 Weber Hill Road Ste 200St LouisMO63127Management Services405574
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions29971AllOtherContributions
Total Contributions29971TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient RevenueDescription
Business Code623990BusinessCode
Total Revenue Column26140003TotalRevenueColumn
Related Or Exempt Function Income26140003RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue26140003TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4384TotalRevenueColumn
Exclusion$4,384ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Beauty Shop812900120791$120,791
Dietary Guest Meals72221022240$22,240

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3519TotalRevenueColumn
Exclusion$3,519ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue146550TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26320908TotalRevenueColumn
Related Or Exempt Function Income26140003RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$150,934ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15984461Total
Program Services13994162ProgramServices
Management And General1990299ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total76234Total
Program Services71259ProgramServices
Management And General4975ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1961995Total
Program Services1833946ProgramServices
Management And General128049ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1131090Total
Program Services1071860ProgramServices
Management And General59230ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total57453Total
Management And General57453ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29052Total
Management And General29052ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1156982Total
Program Services661889ProgramServices
Management And General495093ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1673727Total
Program Services1637438ProgramServices
Management And General36289ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total56101Total
Management And General56101ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total753928Total
Program Services753928ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total80434Total
Program Services16256ProgramServices
Management And General64178ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24625Total
Program Services15917ProgramServices
Management And General8708ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total84266Total
Management And General84266ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies1514154151415400
NFRA Fee1101142110114200
Food Expense92868392868300
Purchase Services34965434965400

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1078992Total
Program Services223388ProgramServices
Management And General855604ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28042973Total
Program Services24173676ProgramServices
Management And General3869297ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY950012EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1157419BOY
EOY442070EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3779804BOY
EOY3347401EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY62113BOY
EOY62169EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY144904BOY
EOY26137EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2592889LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY2592889EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5144240BOY
EOY7420678EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1412741BOY
EOY2034071EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY833902BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7551908BOY
EOY2661590EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9798551BOY
EOY4695661EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-4654311BOY
EOY2725017EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-4654311BOY
EOY2725017EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5144240BOY
EOY7420678EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1722065ReconcilationRevenueExpenses
Reconciliation Unrealized Invest9101393ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16613CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7176CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15660CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17829CurrentTaxYearMinus1Year
Current Tax Year29971CurrentTaxYear
Total87249Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27833350CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29597889CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28988208CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28365851CurrentTaxYearMinus1Year
Current Tax Year27099190CurrentTaxYear
Total141884488Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27849963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29605065CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29003868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28383680CurrentTaxYearMinus1Year
Current Tax Year27129161CurrentTaxYear
Total141971737Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509141971737PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years529141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23531CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9289CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5550CurrentTaxYearMinus1Year
Current Tax Year4384CurrentTaxYear
Total571895Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years529141CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23531CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9289CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5550CurrentTaxYearMinus1Year
Current Tax Year4384CurrentTaxYear
Total571895Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years242306CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years264658CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years259318CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year288645CurrentTaxYearMinus1Year
Current Tax Year176520CurrentTaxYear
Total1231447Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28621410CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29893254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29272475CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28677875CurrentTaxYearMinus1Year
Current Tax Year27310065CurrentTaxYear
Total143775079Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98750PublicSupportPercentage509
Prior Year Support Percentage0.98370PriorYearSupportPercentage
Investment Income Percentage0.00400InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00720PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2592889OtherCostOrOtherBasis
Book Value2592889BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2592889TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther Current LiabilitiesDescription
Amount$2,661,590Amount
FieldValueIRS element (for citing)
Total Of Amounts2661590TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Fleury Yelvington
CEO-CH/Director0500922076842001158510415490133330144007500
Steve Cleary
CFO-CH/Director0263746031651035863043822012438038752000
Kathy Ensign
Administrator0131108000428460747307358018878500
Rick Blim
Administrator0123219000294370153370754016874700
Larry Rubin
Former Director01436001573002434360593008705028816100

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aPart I, Line 3: Carondelet Long-Term Care Facilities, Inc. relied on a related organization (Carondelet Health) that used one or more of the methods described below to establish the top management official's compensation: - Compensation Committee - Independent Compensation Consultant - Written Employment Contract - Compensation Survey or Study - Approval by the Board/Compensation Committee.
Part I, Line 4bEligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amount as noted: - Fleury Yelvington - - Steve Cleary - - Larry Rubin -

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related Carondelet Health entity boards.
Form 990, Part VI, Section A, line 3Carondelet Long-Term Care Facilities, Inc. delegated control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to Alexian Brothers Senior Ministries.
Form 990, Part VI, Section A, line 4The bylaws were amended to allow for more board members to serve and removed Benedictine Health System as a managing member.
Form 990, Part VI, Section A, line 6Carondelet Long Term Care Facilities, Inc has one class of member, Carondelet Health (the "Sponsor").
Form 990, Part VI, Section A, line 7aCarondelet Health has the authority to appoint and remove Directors and Executive Officers of Carondelet Long Term Care Facilities, Inc.
Form 990, Part VI, Section B, line 11Management, 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, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15In determining compensation of the organization's top management official the process performed by Carondelet Health (a related organization), included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. In the review of the compensation, the top management official was compared to individuals at other organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided. In determining compensation of other officers of the organization, the process performed by Carondelet Health (a related organization), included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The audit committee reviewed and approved the compensation. 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 audit committee minutes. Individuals were not present when their compensation was decided.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part XII, Line 2:The financial statements of Carondelet Long-Term Care Facilities, Inc. fall under the limited scope audit of Carondelet Health. The activity of Carondelet Long-Term Care Facilities, Inc. and other members of the Carondelet Health System are reported in the consolidated financial statements of Ascension Health. No individual audit of Carondelet Long-Term Care Facilities, Inc. is completed.Description of Organization's Audited Financial Statements:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Ascension Health
PO Box 45998St LouisMO63145311662306National Health SystemMO501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Carondelet Health
1000 Carondelet DriveKansas CityMO641144673431276738System ParentMO501(c)(3)Schedule A, Line 11cAscension Health1
Carondelet Health Corp & Affil Emp Health & Dental Care
1000 Carondelet DriveKansas CityMO641144673431116849VEBAMO501(c)(9)N/ACarondelet Health1
Carondelet Home Care Services Inc
11050 Roe Suite 120Overland ParkMO66211431379352Home Health Care ServicesMO501(c)(3)Schedule A, Line 3Carondelet Health1
St Josesph Medical Center
1000 Carondelet DriveKansas CityMO641144673440546292Health CareMO501(c)(3)Schedule A, Line 3Carondelet Health1
St Mary's Medical Center
201 West RD Mize RdBlue SpringsMO64014431284526Health CareMO501(c)(3)Schedule A, Line 3Carondelet Health1
St Mary's Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431918107FundraisingMO501(c)(3)Schedule A, Line 11cCarondelet Health1
St Joseph Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431388461FundraisingMO501(c)(3)Schedule A, Line 11cCarondelet Health1
Carondelet Cardiology Services
1000 Carondelet DriveKansas CityMO641144673271322670Health CareMO501(c)(3)Schedule A, Line 9Carondelet Health1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1South Kansas City Surgical Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110730 Nall Ste 100AddressLine1
CityOverland ParkCity
StateKSState
ZIP Code66211ZIPCode
FieldValueIRS element (for citing)
EIN202181884EIN
Primary ActivityHealth CarePrimaryActivity
Legal Domicile StateKSLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
Indian Creek Center Inc
1000 Carondelet DriveKansas CityMO641144673480956627ManagementMON/AC0
Carondelet Management Company Inc
11050 Roe Suite 110Overland ParkMO66211431352545Health ManagementMON/AC0
Carondelet Pharmacy
1000 Carondelet DriveKansas CityMO641144673431699329PharmacyMON/AC0
Carondelet Primary Care Network Inc
1000 Carondelet DriveKansas CityMO641144673431596702Health CareMON/AC0
Saint Joseph Ambulatory Surgical Center LLC
1000 Carondelet DriveKansas CityMO641144673251905706Health CareMON/AC0
Carondelet Occupational Health Wellness & Edu Serv Inc
1000 Carondelet DriveKansas CityMO641144673861144194Health CareMON/AC0
Carondelet Physician Services
1000 Carondelet DriveKansas CityMO641144673562661163Health CareMON/AC0
Carondelet Medical Enterprises
1000 Carondelet DriveKansas CityMO641144673562661165Office Admin. ServicesMON/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Carondelet Health IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeKTransactionType
Amount Involved744624AmountInvolved
Method Of Amt DeterminationActual Amount PaidMethodOfAmtDetermination