FURP.ORG / PUBLIC DATA EXPLORER

CARONDELET LONG TERM CARE FACILITIES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CARONDELET LONG TERM CARE FACILITIES INC (EIN 74-2505427)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-14
IRS object ID
201331349349304708
Schema version
2011v1.5
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)
Timestamp2013-05-14T14:02:00-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

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
Phone8169424400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code641144673ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSteve ClearyName
TitleCFO - Carondelet HealthTitle
Phone8169424400Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRebecca LyonsName
PTINP01487105PTIN
Phone5137847100Phone
Date Prepared2013-05-06DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteve ClearyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code641144673ZIPCode
FieldValueIRS element (for citing)
Gross Receipts28677875GrossReceipts
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 Members3NbrIndependentVotingMembers
Total Nbr Employees515TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year15660ContributionsGrantsPriorYear
Contributions Grants Current Year17829ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28724090ProgramServiceRevenuePriorYear
Program Service Revenue CY28365851ProgramServiceRevenueCY
Investment Income Prior Year9418InvestmentIncomePriorYear
Investment Income Current Year5550InvestmentIncomeCurrentYear
Other Revenue Prior Year254828OtherRevenuePriorYear
Other Revenue Current Year288645OtherRevenueCurrentYear
Total Revenue Prior Year29003996TotalRevenuePriorYear
Total Revenue Current Year28677875TotalRevenueCurrentYear
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 Year20648755SalariesEtcPriorYear
Salaries Etc Current Year20117023SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10227593OtherExpensePriorYear
Other Expenses Current Year9721817OtherExpensesCurrentYear
Total Expenses Prior Year30876348TotalExpensesPriorYear
Total Expenses Current Year29838840TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1872352RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1160965RevenuesLessExpensesCY
Total Assets BOY6200673TotalAssetsBOY
Total Assets EOY5144240TotalAssetsEOY
Total Liabilities BOY9694019TotalLiabilitiesBOY
Total Liabilities EOY9798551TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-3493346NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-4654311NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCarondelet Health consists of Catholic organizations 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
Expense6486854Expense
Revenue9688286Revenue
DescriptionCarondelet Manor is a 162-bed skilled nursing facility with 549 discharges and 43,816 patient days during fiscal year 2012. 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. Carondelet Manor also offers complete decongestive therapy (CDT) to individuals suffering from a common chronic condition affecting their lymphatic system, known as lymphedema. The Alzheimer/Dementia Care is a separate unit dedicated to the care of individuals with Alzheimer's disease and other forms of dementia. The cherished moments programs are designed to celebrate the life, spirit and memories of the patients. 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7892928Expense
Revenue9762200Revenue
DescriptionSt. Mary's Manor is a 132-bed skilled nursing facility with an additional 57 residential living beds. In FY12 there were 565 skilled care discharges and 33,406 skilled patient days with an additional 14,827 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. St. Mary's Manor has a secure care unit for those requiring Alzheimer's or other dementia care. 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 independent living with services including three meals each day, housekeeping services, laundry, and medication distribution and assistance.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense7042156Expense
Revenue8915365Revenue
DescriptionVilla Saint Joseph is a 120-bed skilled nursing facility with 251 discharges and 35,283 patient days during fiscal year 2012. 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. Villa Saint Joseph is a place where independent living and family participation are welcomed and encouraged.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2399560Expense
DescriptionTraditional Charity Care - $58,262Unpaid Medicaid Loss - $1,101,581Community Benefits - $3,825Cash & In-Kind Contributions for Community Benefits - $11,695Community Building Activities - $2,892Other Program Service Expenses - $1,221,305Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2399560TotalOfOtherProgramServiceExp
Total Program Service Expense23821498TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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 Equip0ReportLandBldgEquip
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 Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees515NumberOfEmployees
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 Members3NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Line1Steve ClearyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8169432819TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code64114ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Steve Chies
Director/President1.00XX000
Fleury Yelvington Sch O
CEO-CH/Director1.00XX095478753367
Scott Kashman end 711
CEO-SJMC/Director1.00XX032608136004
Steve Cleary Sch O
CFO-CH/Director1.00XX031191659188
Larry Rubin Sch O
Director1.00XX023415356352
Dale Thompson
Director1.00X000
Kevin Rymanowski
Director1.00X000
Carla Brogdon Sch O
Assistant Secretary1.00X05290814886
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1879845TotalReportableCompFrmRltdOrgs
Total Other Compensation219797TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
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 DriveCambridgeMN55008Management Services945691
LJHRET Ascension SJ LLC
5575 Payspher CircleChicagoIL60674Management Services936244
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations17829RelatedOrganizations
Total Contributions17829TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient RevenueDescription
Business Code623990BusinessCode
Total Revenue Column28365851TotalRevenueColumn
Related Or Exempt Function Income28365851RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue28365851TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5550TotalRevenueColumn
Exclusion$5,550ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Beauty Shop812900126967$126,967
Medicoach900000124626$124,626
Dietary Guest Meals72221025876$25,876

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column11176TotalRevenueColumn
Exclusion$11,176ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue288645TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column28677875TotalRevenueColumn
Related Or Exempt Function Income28365851RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$294,195ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16797228Total
Program Services13806662ProgramServices
Management And General2990566ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total67174Total
Program Services55179ProgramServices
Management And General11995ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2066006Total
Program Services1698176ProgramServices
Management And General367830ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1186615Total
Program Services815428ProgramServices
Management And General371187ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1449Total
Management And General1449ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1206755Total
Program Services142316ProgramServices
Management And General1064439ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total43961Total
Program Services15260ProgramServices
Management And General28701ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total717029Total
Program Services471309ProgramServices
Management And General245720ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total60220Total
Management And General60220ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2507183Total
Program Services1943067ProgramServices
Management And General564116ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total65887Total
Program Services14517ProgramServices
Management And General51370ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15664Total
Program Services6217ProgramServices
Management And General9447ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3415Total
Program Services2647ProgramServices
Management And General768ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total178290Total
Program Services178290ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies28771952877195
NFRA Fee10588331058833
Bad Debt309577309577
Purchased Services287615184931102684

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total388744Total
Program Services241894ProgramServices
Management And General146850ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29838840Total
Program Services23821498ProgramServices
Management And General6017342ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1368493BOY
EOY1157419EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4612440BOY
EOY3779804EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY64771BOY
EOY62113EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY154969BOY
EOY144904EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6200673BOY
EOY5144240EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1665021BOY
EOY1412741EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY913000BOY
EOY833902EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7115998BOY
EOY7551908EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9694019BOY
EOY9798551EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-3493346BOY
EOY-4654311EOY

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-3493346BOY
EOY-4654311EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6200673BOY
EOY5144240EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1160965ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years4423CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16613CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7176CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15660CurrentTaxYearMinus1Year
Current Tax Year17829CurrentTaxYear
Total61701Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27854264CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27833350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29597889CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28988208CurrentTaxYearMinus1Year
Current Tax Year28365851CurrentTaxYear
Total142639562Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27858687CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27849963CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29605065CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29003868CurrentTaxYearMinus1Year
Current Tax Year28383680CurrentTaxYear
Total142701263Total

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 Total509142701263PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years479892CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years529141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23531CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9289CurrentTaxYearMinus1Year
Current Tax Year5550CurrentTaxYear
Total1047403Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years479892CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years529141CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23531CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9289CurrentTaxYearMinus1Year
Current Tax Year5550CurrentTaxYear
Total1047403Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years260992CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years242306CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years264658CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year259318CurrentTaxYearMinus1Year
Current Tax Year288645CurrentTaxYear
Total1315919Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28599571CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28621410CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years29893254CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29272475CurrentTaxYearMinus1Year
Current Tax Year28677875CurrentTaxYear
Total145064585Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98370PublicSupportPercentage509
Prior Year Support Percentage0.98020PriorYearSupportPercentage
Investment Income Percentage0.00720InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01100PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Other Current Liabilities$1,212
Self Insurance Liability$91,855
Related Affiliates - LTD$7,458,841
FieldValueIRS element (for citing)
Total Of Amounts7551908TotalOfAmounts

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 (4 entries)

Base 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 Sch O
0482482032875801435470406330127340100815400
Scott Kashman end 711
027804900048032022564013440036208500
Steve Cleary Sch O
028677400025142045381013807037110400
Larry Rubin Sch O
020271600031437039443016909029050500

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental InformationPart IIIPart 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.
Supplemental InformationPart IIIPart 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 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 - $114,060 - Steve Cleary - $20,265 - Scott Kashman - $21,584 - Larry Rubin - $24,750.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 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 Benedictine Health System. The Benedictine Health System is a 501(c)(3) nonprofit organization. The Benedictine Health System is committed to providing compassionate, quality care with special concern for the underserved and those in need.
Form 990, Part VI, Section A, line 6Carondelet Long-Term Care Facilities, Inc. has a single corporate member, Carondelet Health.
Form 990, Part VI, Section A, line 7aCarondelet Long-Term Care Facilities, Inc., has a single corporate member, Carondelet Health, who has the ability to elect members to the governing body of Carondelet Long-Term Care Facilities Inc.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Carondelet Long-Term Care Facilities, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Carondelet Health.
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. Individual was not present when her 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 compensations, 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 VII, Section A:Fleury Yelvington, Larry Rubin, Carla Brogdon and Steve Cleary receive compensation from Carondelet Health, a related organization of Carondelet Long-Term Care Facilities, Inc. The compensation they receive is for their role at Caondelet Health, and not for their role as a Director/Officer of Carondelet Long-Term Care Facilities, Inc.
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 Alliance. No individual audit of Carondelet Long-Term Care Facilities, Inc. is completed.Description of Organization's Audited Financial Statements:
Form 990, Part III, Line 4:Carondelet Long-Term Care Fiscal Year 2011 (July 1, 2011 - June 30, 2012) 1) Care of the poor - at cost - $58,262 2) Government sponsored health care - net expense - $1,101,581 Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, other safety net programs: does not include Medicare shortfall) 3) Community Benefit Programs - net expense - $18,412 These community programs include: - Community Benefits - $3,825 - Cash and in-kind Contributions for Community Benefit - $11,695 - Community Building Activities - $2,892 Total quantifiable community benefit as determined in accordance with CHA reporting guidelines - $1,178,255 Total quantifiable community benefit - $1,178,255Community Benefit Information:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 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 SystemMOSection 501(c)(3)Schedule A, Line 11aAscension Health Alliance0
Carondelet Health
1000 Carondelet DriveKansas CityMO641144673431276738System ParentMOSection 501(c)(3)Schedule A, Line 11cAscension Health0
Carondelet Health Corp & Affil Emp Health & Dental Care
1000 Carondelet DriveKansas CityMO641144673431116849VEBAMOSection 501(c)(9)N/ACarondelet Health1
Carondelet Home Care Services Inc
11050 Roe Suite 120Overland ParkMO66211431379352Home Health Care ServicesMOSection 501(c)(3)Schedule A, Line 3Carondelet Health1
St Joseph Medical Center
1000 Carondelet DriveKansas CityMO641144673440546292Health CareMOSection 501(c)(3)Schedule A, Line 3Carondelet Health1
St Mary's Medical Center
201 West RD Mize RdBlue SpringsMO64014431284526Health CareMOSection 501(c)(3)Schedule A, Line 3Carondelet Health1
St Mary's Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431918107FundraisingMOSection 501(c)(3)Schedule A, Line 11cCarondelet Health1
St Joseph Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431388461FundraisingMOSection 501(c)(3)Schedule A, Line 11cCarondelet 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 Suite 100AddressLine1
CityOverland ParkCity
StateKSState
ZIP Code66211ZIPCode
FieldValueIRS element (for citing)
Primary ActivityHealth CarePrimaryActivity
Legal Domicile StateKSLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Indian Creek Center Inc
1000 Carondelet DriveKansas CityMO641144673480956627ManagementMON/AC
Carondelet Management Company Inc
11050 Roe Suite 110Overland ParkMO66211431352545Health ManagementMON/AC
Carondelet Pharmacy
1000 Carondelet DriveKansas CityMO641144673431699329PharmacyMON/AC
Carondelet Primary Care Network Inc
1000 Carondelet DriveKansas CityMO641144673431596702Health CareMON/AC
Saint Joseph Ambulatory Surgical Center LLC
1000 Carondelet DriveKansas CityMO641144673251905706Health CareMON/AC
Carondelet Occupational Health Wellness & Edu Serv Inc
1000 Carondelet DriveKansas CityMO641144673861144194Health CareMON/AC
Carondelet Physician Services
1000 Carondelet DriveKansas CityMO641144673562661163Health CareMON/AC
Carondelet Medical Enterprises
1000 Carondelet DriveKansas CityMO641144673562661165Office Admin. ServicesMON/AC
Carondelet Cardiology Services
1000 Carondelet DriveKansas CityMO641144673271322670Health CareMON/AC
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
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 Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Carondelet Health Corp & Affiliates Emp Health & Dental Care
Q2222103Cash
Carondelet Health
J828868Cash
St Mary's Medical Center
J650868Cash
Carondelet Health
P6500000Cash
Carondelet Health
R4022025Cash