ASCENSION DEPAUL SERVICES FUND: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- ASCENSION DEPAUL SERVICES FUND (EIN 72-1332678)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201331359349306848
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T16:22:42-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721202445 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POSTLETHWAITE & NETTERVILLE | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE GALLERIA BLVD STE 2100 | AddressLine1 |
| City | METAIRIE | City |
| State | LA | State |
| ZIP Code | 70001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721332678 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DAUG | NameControl |
| Phone | 5044822080 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4148 | AddressLine1 |
| City | NEW ORLEANS | City |
| State | LA | State |
| ZIP Code | 701784148 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL GRIFFIN | Name |
| Title | CEO | Title |
| Phone | 5044822080 | Phone |
| Date Signed | 2013-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHARON CASSIERE | Name |
| PTIN | P00543368 | PTIN |
| Phone | 5048375990 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | MICHAEL GRIFFIN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4148 | AddressLine1 |
| City | NEW ORLEANS | City |
| State | LA | State |
| ZIP Code | 701784148 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 19220424 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.DCSNO.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | LA | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 178 | TotalNbrEmployees |
| Total Nbr Volunteers | 6 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 3466330 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 7189262 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4262602 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11326280 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 30898 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13072 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 37277 | OtherRevenuePriorYear |
| Other Revenue Current Year | 593608 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7797107 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19122222 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1411977 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5559924 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6114130 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4228410 | OtherExpensePriorYear |
| Other Expenses Current Year | 4618795 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11200311 | TotalExpensesPriorYear |
| Total Expenses Current Year | 10732925 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3403204 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8389297 | RevenuesLessExpensesCY |
| Total Assets BOY | 21414110 | TotalAssetsBOY |
| Total Assets EOY | 30198776 | TotalAssetsEOY |
| Total Liabilities BOY | 14339879 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15093529 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7074231 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15105247 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS' (DCSNO) MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY AND TO BE A PRESENCE OF THE LOVE OF JESUS IN THE LIVES OF ALL WE SERVE AND WITH WHOM WE PARTNER. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 7982325 | Expense |
| Revenue | 11326280 | Revenue |
| Description | DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS PROVIDES HEALTH CARE SERVICES, EDUCATION AND COUNSELING SERVICES TO THE POOR AND WORKING POOR OF THE NEW ORLEANS AREA. TOTAL SERVICES INCLUDED 113,623 ENCOUNTERS. DURING THE YEAR, DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS PROVIDED MEDICAL CARE, DENTAL SERVICES, BEHAVIORAL HEALTH COUNSELING, PHARMACY, AND OPTOMETRY SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 134986 | Expense |
| Description | TO SUPPORT DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION, A RELATED ENTITY, WHICH WAS ESTABLISHED TO PARTICIPATE IN THE ACQUISITION AND CONSTRUCTION BY DCSNO OF TWO NONPROFIT MEDICAL CENTERS LOCATED AT 3201 SOUTH CAROLLTON AVENUE AND 4201 NORTH RAMPART STREET, NEW ORLEANS, LOUISIANA, AS PART OF THE NEW MARKETS TAX CREDIT TRANSACTION, BY ACTING AS A LEVERAGE LENDER TO THE INVESTMENT FUND PROVIDING EQUITY TO THE PROJECT. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 8117311 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 1 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 18 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 178 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOM MASSEY CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5042129505 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3201 S CARROLLTON AVENUE | AddressLine1 |
| City | NEW ORLEANS | City |
| State | LA | State |
| ZIP Code | 70118 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| SR PATRICIA BACHMAN DC | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MR JUAN BARETTO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DR JOHN J ESTRADA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MR SAM LEBLANC | |||||||
| BOARD MEMBER (RESIGNED 06-30-12) | 1.00 | X | 0 | 0 | 0 | ||
| MRS STEPHANIE RHODES NAVARRE | |||||||
| BOARD MEMBER (RESIGNED 06-30-12) | 1.00 | X | 0 | 0 | 0 | ||
| MR RODERIC F TEAMER | |||||||
| BOARD MEMBER (RESIGNED 06-30-12) | 1.00 | X | 0 | 0 | 0 | ||
| MR ROBERT ANGELICO | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| MRS THERESE M BADON | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| SR MARIE THERESE SEDGWICK DC | |||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| MR MICHAEL S TODD | |||||||
| VICE CHAIR (RESIGNED 06-30-12) | 1.00 | X | 0 | 0 | 0 | X | |
| MR MICHAEL G GRIFFIN | |||||||
| PRESIDENT/CEO | 40.00 | 123010 | 0 | 11197 | X | ||
| MR TOM MASSEY | |||||||
| CFO | 40.00 | 126923 | 0 | 5316 | X | ||
| LOUIS BEVROTTE | |||||||
| PHYSICIAN, PEDIATRICS | 40.00 | 211564 | 0 | 3063 | X | ||
| WILLARD DUMAS | |||||||
| PHYSICIAN, DENTAL | 40.00 | 144846 | 0 | 0 | X | ||
| JAY DUMAS | |||||||
| PHYSICIAN, DENTAL | 40.00 | 143909 | 0 | 2856 | X | ||
| CAROLINA URBIZO | |||||||
| PHYSICIAN, FAMILY MEDICINE | 40.00 | 143806 | 0 | 2831 | X | ||
| CASEY WILLIAMS | |||||||
| PHYSICIAN, FAMILY MEDICINE | 40.00 | 143198 | 0 | 4313 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1037256 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 29576 | TotalOtherCompensation |
| Number Individuals GT100 K | 16 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DONAHUE FAVRET CONTRACTORS | |||||
| 3030 EAST CAUSEWAY APPROACH | MANDEVILLE | LA | 70448 | CONTRACTOR | 712547 |
| SUCCESS EHS | |||||
| ONE METROPLEX DR SUITE 500 | BIRMINGHAM | AL | 35209 | INFORMATION SYSTEMS | 221418 |
| THE FISHER CONSULTATING GROUP LTD | |||||
| PO BOX 987 | PRAIRIEVILLE | LA | 70769 | CONSULTING | 215810 |
| BARBARA ENTERPRISES INC | |||||
| 22278 10TH ST | ABITA SPRINGS | LA | 70420 | CONTRACTOR | 149937 |
| LISKOW & LEWIS APLC | |||||
| 701 POYDRAS ST SUITE 5000 | NEW ORLEANS | LA | 70139 | LEGAL | 140688 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Fundraising Events | 101912 | FundraisingEvents |
| Related Organizations | 189926 | RelatedOrganizations |
| Government Grants | 513680 | GovernmentGrants |
| All Other Contributions | 6383744 | AllOtherContributions |
| Noncash Contributions | 3625 | NoncashContributions |
| Total Contributions | 7189262 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 621110 | 8296558 | 8296558 |
| CLINICAL SERVICE FEES | 621110 | 2987144 | 2987144 |
| MEDICAL RECORD FEES | 621110 | 42578 | 42578 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11326280 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13072 | TotalRevenueColumn |
| Exclusion | $13,072 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 282656 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 282656 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 282656 | TotalRevenueColumn |
| Exclusion | $282,656 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 10619 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 101912 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 98202 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -87583 | TotalRevenueColumn |
| Exclusion | -$87,583 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| PENSION RELATED CHANGE | 900099 | 202208 | $202,208 |
| LA ENTERPRISE ZONE TAX | 900099 | 196327 | $196,327 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 398535 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19122222 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11326280 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $606,680 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222380 | Total |
| Management And General | 222380 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4800007 | Total |
| Program Services | 3653829 | ProgramServices |
| Management And General | 1146178 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59101 | Total |
| Program Services | 15864 | ProgramServices |
| Management And General | 43237 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 588102 | Total |
| Program Services | 534400 | ProgramServices |
| Management And General | 53702 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 444540 | Total |
| Program Services | 334621 | ProgramServices |
| Management And General | 109919 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59877 | Total |
| Program Services | 31007 | ProgramServices |
| Management And General | 28870 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34050 | Total |
| Program Services | 17633 | ProgramServices |
| Management And General | 16417 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1054806 | Total |
| Program Services | 646611 | ProgramServices |
| Management And General | 408195 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143377 | Total |
| Program Services | 63455 | ProgramServices |
| Management And General | 79922 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 601315 | Total |
| Program Services | 468291 | ProgramServices |
| Management And General | 133024 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5839 | Total |
| Program Services | 3872 | ProgramServices |
| Management And General | 1967 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72529 | Total |
| Program Services | 12784 | ProgramServices |
| Management And General | 59745 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158670 | Total |
| Program Services | 154455 | ProgramServices |
| Management And General | 4215 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 855673 | Total |
| Program Services | 828186 | ProgramServices |
| Management And General | 27487 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141537 | Total |
| Program Services | 108145 | ProgramServices |
| Management And General | 33392 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 804554 | 763975 | 40579 |
| BAD DEBTS | 460279 | 460279 | |
| CONSUMER AWARENESS | 178429 | 11684 | 166745 |
| TEMPORARY EMPLOYEES / I | 27995 | 3360 | 24635 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19865 | Total |
| Program Services | 4860 | ProgramServices |
| Management And General | 15005 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10732925 | Total |
| Program Services | 8117311 | ProgramServices |
| Management And General | 2615614 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57364 | BOY |
| EOY | 4281550 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 635577 | BOY |
| EOY | 1558382 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2763804 | BOY |
| EOY | 3343535 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95793 | BOY |
| EOY | 158799 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 169642 | BOY |
| EOY | 243921 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 18103613 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1961294 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15823956 | BOY |
| EOY | 16142319 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1867974 | BOY |
| EOY | 4470270 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21414110 | BOY |
| EOY | 30198776 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148952 | BOY |
| EOY | 631679 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13692217 | BOY |
| EOY | 13644163 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 498710 | BOY |
| EOY | 817687 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14339879 | BOY |
| EOY | 15093529 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4739228 | BOY |
| EOY | 12911761 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2335003 | BOY |
| EOY | 2193486 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7074231 | BOY |
| EOY | 15105247 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21414110 | BOY |
| EOY | 30198776 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 8389297 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -358281 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| General Explanation | SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART I, LINE 3 SCHEDULE H IS NOT REQUIRED TO BE COMPLETED PER THE INSTRUCTIONS FOR SCHEDULE A, LINE 3. PER THE INSTRUCTIONS AND DEFINITIONS FOR BOTH SCHEDULE A, LINE 3 AND FORM 990, PART IV, LINE 20, SCHEDULE H IS NOT REQUIRED TO BE ATTACHED. DSCNO IS A MEDICAL GROUP THAT IS NOT REGULATED OR REGISTERED WITH THE STATE OF LOUISIANA AS A HOSPITAL. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1622516 | OtherCostOrOtherBasis |
| Book Value | 1622516 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12212093 | OtherCostOrOtherBasis |
| Depreciation | 672821 | Depreciation |
| Book Value | 11539272 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 199222 | OtherCostOrOtherBasis |
| Depreciation | 68739 | Depreciation |
| Book Value | 130483 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3043597 | OtherCostOrOtherBasis |
| Depreciation | 958283 | Depreciation |
| Book Value | 2085314 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1026185 | OtherCostOrOtherBasis |
| Depreciation | 261451 | Depreciation |
| Book Value | 764734 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 16142319 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| HEALTH SYSTEM DEPOSITORY ACCOUNT | 1649423 |
| OTHER ASSETS | 85159 |
| NEW MARKET TAX CREDIT FINANCING FEES, NET OF AMORTIZATION | 466501 |
| DUE FROM MARILLAC COMMUNITY HEALTH CENTERS (MCHC) | 2269187 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 4470270 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYROLL TAXES PAYABLE | $104,146 |
| ACCRUED PENSION, SALARIES AND VACATION PAY | $531,453 |
| SELF INSURANCE LIABILITY | $95,838 |
| NEW MARKET TAX CREDIT FEES PAYABLE | $86,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 817687 | TotalOfAmounts |
| Total Revenue | 19122222 | TotalRevenue |
| Total Expenses | 10732925 | TotalExpenses |
| Excess Or Deficit For Year | 8389297 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 52 | NetUnrealizedGLOnInvestments |
| Other | -$358,333 | OtherAmount |
| Total Adjustments | -358281 | TotalAdjustments |
| Excess Or Deficit Per FS | 8031016 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 21805326 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 52 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 23106 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 2670506 | OtherRevenues |
| Revenue Not Rptd F990 | 2693664 | RevenueNotRptdF990 |
| Revenue Subtotal | 19111662 | RevenueSubtotal |
| Other Revenues Not Included | 10560 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 10560 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 19122222 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 13774310 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 23106 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 3028839 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 3051945 | ExpensesNotRptdF990 |
| Expenses Subtotal | 10722365 | ExpensesSubtotal |
| Other Expenses Not Included | 10560 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 10560 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 10732925 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | DCSNO IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF LOUISIANA IN 1996. IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND QUALIFIES AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION AS DEFINED IN SECTION 509(A) OF THE CODE. IT IS ALSO EXEMPT FROM LOUISIANA INCOME TAX UNDER THE AUTHORITY OF R.S.47:121(5). DCSNOF WAS INCORPORATED IN THE STATE OF LOUISIANA ON NOVEMBER 23, 2009. THE SOLE MISSION OF THE FOUNDATION IS TO PROVIDE FINANCIAL RESOURCES FOR THE EXECUTION OF THE MISSION OF DCSNO. DCSNOE WAS INCORPORATED IN THE STATE OF LOUISIANA ON JANUARY 24, 2012. IT IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND QUALIFIES AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION AS DEFINED IN SECTION 509(A) OF THE CODE. IT IS ALSO EXEMPT FROM LOUISIANA INCOME TAX UNDER THE AUTHORITY OF R.S.47:121(5). THE PRIMARY PURPOSE OF THE CORPORATION IS TO FURTHER THE TRADITION OF HEALING AND SERVICE TO THE SICK AND POOR ESTABLISHED BY ST. VINCENT DEPAUL, ST. LOUISE DE MARILLAC, AND ST. ELIZABETH ANN SETON AND EXEMPLIFIED BY THE PHILOSOPHY AND MISSION OF DCSNO. THE ORGANIZATION APPLIES A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD FOR ALL TAX UNCERTAINTIES. THIS APPROACH ONLY ALLOWS THE RECOGNITION OF THOSE TAX BENEFITS THAT HAVE A GREATER THAN 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS A RESULT OF IMPLEMENTING THIS APPROACH, THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING, OR RETROACTIVE TAX POSITIONS WITH LESS THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. THEREFORE, THE IMPLEMENTATION OF THIS STANDARD HAS NOT HAD A MATERIAL EFFECT ON THE ORGANIZATION. THE ORGANIZATION'S TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2011, 2010 AND 2009 REMAIN OPEN AND SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION'S TAX RETURN FOR THE YEAR ENDED JUNE 30, 2012 HAS NOT YET BEEN FILED. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | GRANT TO AFFILIATE FOR DONATED SERVICES & USE OF FACILITIES -358,333. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | REIMBURSEMENTS FROM AFFILIATE SEPARATELY STATED IN AUDIT 2,670,506. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INTEREST EXPENSE REPORTED NET IN AUDIT 10,560. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | GRANT TO AFFILIATE FOR DONATED SERVICES & USE OF FACILITIES 358,333. REIMBURSEMENTS FROM AFFILIATE SEPARATELY STATED IN AUDIT 2,670,506. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | INTEREST EXPENSE REPORTED NET IN AUDIT 10,560. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | INAUGURAL GALA | NameOfEvent1 |
| Gross Receipts Event1 | 112531 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 101912 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 10619 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 98202 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 112531 | GrossReceiptsTotal |
| Charitable Contributions Total | 101912 | CharitableContributionsTotal |
| Gross Revenue Total Events | 10619 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 98202 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 98202 | DirectExpenseSummaryEvents |
| Net Income Summary | -87583 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LOUIS BEVROTTE | NamePerson |
| Base Compensation Filing Org | 211564 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 3063 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 214627 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 20 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 3625 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | VALUE GIVEN BY DONOR | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | THE ORGANIZATION ENTERED INTO AN AFFILIATION AGREEMENT WITH MARILLAC COMMUNITY HEALTH CENTERS (MCHC) EFFECTIVE MARCH 1, 2012. UNDER THE TERMS, THE ORGANIZATION PROVIDES LEASED EMPLOYEES, BUILDING SPACE, EQUIPMENT, SUPPLIES, AND OTHER SERVICES TO MCHC IN ORDER FOR MCHC TO PROVIDE PRIMARY CARE AND PREVENTATIVE MEDICAL AND DENTAL SERVICES. THE ORGANIZATION CONTINUES TO PROVIDE NEIGHBORHOOD OUTREACH, PHARMACY, AND OPTOMETRY SERVICES TO THE COMMUNITY. |
| FORM 990, PART VI, SECTION A, LINE 6 | DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH. | |
| FORM 990, PART VI, SECTION A, LINE 7A | DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH, WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BOARD OF DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | ASCENSION HEALTH HAS DESIGNED A SYSTEM AUTHORITY MATRIX WHICH ASSIGNS AUTHORITY FOR KEY DECISIONS THAT ARE NECESSARY TO THE OPERATION OF THE SYSTEM. SPECIFIC AREAS THAT ARE IDENTIFIED IN THE AUTHORITY MATRIX ARE NEW ORGANIZATIONS & MAJOR TRANSACTIONS, GOVERNING DOCUMENTS, APPOINTMENTS/REMOVALS, EVALUATION, DEBT LIMITS, STRATEGIC & FINANCIAL PLANS, ASSETS, SYSTEM POLICIES & PROCEDURES. THESE AREAS ARE SUBJECT TO CERTAIN LEVELS OF APPROVAL BY ASCENSION PER THE SYSTEM AUTHORITY MATRIX. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN IS REVIEWED BY THE CFO PRIOR TO BEING FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MAINTAINS A FORMAL CORPORATE COMPLIANCE PROGRAM WHICH INCLUDES A CORPORATE COMPLIANCE OFFICE AND CORPORATE COMPLIANCE COMMITTEE. ALL BOARD MEMBERS ARE SUBJECT TO THE POLICY WHICH IS UPDATED AND SIGNED BY MEMBERS EACH YEAR. ANY CONFLICTS OF INTEREST ARE SELF-REPORTED BY MEMBERS. MEMBERS THAT ARE FOUND TO HAVE A CONFLICT EITHER ABSTAIN FROM VOTING ON ISSUES THAT CREATE THE CONFLICT OR ARE EXCUSED FROM THE BOARD DEPENDING ON THE SEVERITY OF THE CONFLICT. | |
| FORM 990, PART VI, SECTION B, LINE 15 | IN DETERMINING COMPENSATION FOR THE CEO, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION WITH THE FACILITATION BY THE SCP OF HR AND THE DIRECTOR OF COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER SIMILAR 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 MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. IN DETERMINING COMPENSATION OF OTHER OFFICERS OF THE ORGANIZATION, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OTHER OFFICERS OF THE ORGANIZATION WERE COMPARED TO INDIVIDUALS AT OTHER SIMILAR 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. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO THE PUBLIC INSPECTION UPON REQUEST. | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 52. GRANT TO AFFILIATE FOR DONATED SERVICES & USE OF FACILITIES -358,333. TOTAL TO FORM 990, PART XI, LINE 5: -358,281. |
| COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT | FORM 990, PART XII, LINE 2C | NO CHANGE FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH | |||||||||||
| 4600 EDMUNDSON ROAD | ST LOUIS | MO | 63134 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(C)(3) | LINE 11A, I | N/A | 0 | |
| DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION | |||||||||||
| PO BOX 4148 | NEW ORLEANS | LA | 70178 | 721658000 | PROVIDE SUPPPORT TO DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS | LA | 501(C)(3) | LINE 11B, II | 1 | DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ASCENSION HEALTH | ||
| C | 50000 | ACTUAL AMOUNT TRANSFERRED |
| DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION | ||
| Q | 134986 | ACTUAL AMOUNT TRANSFERRED |
| DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION | ||
| C | 139926 | ACTUAL AMOUNT TRANSFERRED |
| DAUGHTERS OF CHARITY SERVICES OF NEW ORLEANS FOUNDATION | ||
| E | 67493 | ACTUAL AMOUNT TRANSFERRED |
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