2013-05-14T19:00:18-05:00 2012-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2011-07-01 222536017 ST FRANCIS LIFE CARE CORPORATION STFR 9735866005 19 POCONO ROAD DENVILLE NJ 07834 MARK HERBERS 2013-05-13 true KIMBERLY STEENHOEK P01201968 3032989100 2011 2016-02-24 21:20:13Z FRANCISCAN OAKS LESLIE HIRSCH 25 POCONO ROAD DENVILLE NJ 07834 24082842 false 0928 X WWW.SAINTCLARES.ORG X 1986 NJ TO PROVIDE RESIDENTIAL AND HEALTHCARE SERVICES TO ELDERLY PERSONS INCLUDING BUT NOT LIMITED TO HOUSING, HEALTHCARE AND NEEDED SUPPORT SERVICES. 4 3 275 70 0 0 0 0 21222924 22482290 1419833 827466 731597 773086 23374354 24082842 0 0 0 0 9699785 10878596 0 0 0 13903806 15745958 23603591 26624554 -229237 -2541712 86396357 77825554 91243293 86373859 -4846936 -8548305 THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false false 20904407 22482290 ST. FRANCIS LIFE CARE CORPORATION (OPERATING AS FRANCISCAN OAKS) IS A 501(C)(3) CONTINUING CARE RETIREMENT COMMUNITY (CCRC) WITH 286 INDEPENDENT LIVING UNITS, 34 ASSISTED LIVING UNITS AND 84 SKILLED NURSING BEDS. FRANCISCAN OAKS OFFERS A VARIETY OF DIFFERENT PROGRAMS THAT ARE DESIGNED TO MEET THE PHYSICAL, EMOTIONAL, RECREATIONAL AND SOCIAL NEEDS OF THE ELDERLY. THE ORGANIZATION GIVES BACK TO THE COMMUNITY THROUGH SUCH PROGRAMS AS FOOD AND CLOTHING DRIVES. FRANCISCAN OAKS OPERATES AT THE LOWEST FEASIBLE COST TAKING INTO ACCOUNT CASH FLOW REQUIREMENTS SUCH AS PAYMENT OF INDEBTEDNESS. ITS ENTRANCE FEES AND MONTHLY CHARGES ARE SET AT RATES THAT ARE GENERALLY AFFORDABLE IN THE COMMUNITY, WITH CERTAIN ENTRANCE FEES BEING REFUNDABLE. THIS PRICING STRUCTURE ENSURES THAT FRANCISCAN OAKS REACHES THE BROADEST PORTION OF THE COMMUNITY POSSIBLE. FRANCISCAN OAKS IS COMMITTED TO THE ESTABLISHED POLICY OF MAINTAINING, IN RESIDENCE, ANY PERSON WHO BECOMES UNABLE TO PAY THEIR REGULAR CHARGES BY USING THE ORGANIZATION'S OWN RESERVES OR SOLICITING FUNDS FROM ITS SPONSORING ORGANIZATION OR THE GENERAL PUBLIC. 20904407 true false false false false false false false false true false false false true true false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false true false false false false true 0 0 275 true false false false false false false false false false false X 4 3 false false false false true true true true true false false true true true true true true false false false NJ X JOHN BARONE 9739831760 66 FORD ROAD DENVILLE NJ 07834 X JOHN MACDOUGALL 1.00 X X 0 0 0 LESLIE HIRSCH 2.00 X X 0 799542 99198 SR CATHERINE MARIE BELONGIA 1.00 X X 0 0 0 SUELLYN ELLERBE 2.00 X X 0 421380 24155 EARL MILLER 1.00 X 0 0 0 MARK HERBERS 1.00 X 0 0 0 ANGELA CATTON 40.00 X 105321 0 9420 AUREA CATHERINE GONZALES 40.00 X 159626 824 23459 JIN FANG 40.00 X 113837 0 7294 MAGDY ELTOUNY 40.00 X 110019 0 18511 WILMA ABAT 40.00 X 101341 369 9470 DEBRA BABE 0.00 X 0 153771 15051 FREDERICK HAMMOND 0.00 X 0 213727 17262 590144 1589613 223820 7 true true false SANDER MECHANICAL SERVICE LLC 55 COLUMBIA ROAD BRANCHBURG NJ 08876 REPAIRS AND MAINTENANCE 197904 SOLUTIONS ADVISORS LLC 2000 WINDROWS DRIVE PRINCETON NJ 08540 MARKETING CONSULTING 154761 TRI-STATE INDUSTRIAL LLC 429 E BLACKWELL STREET DOVER NJ 07801 REPAIRS & MAINTENANCE 151265 SHEHADI COMMERCIAL FLOORING(JD SHEHADI LLC) 23 JUST ROAD FAIRFIELD NJ 07004 CARPETING AND INSTALLATION 105975 4 0 PATIENT SERVICES 900099 22034766 22034766 RENTAL INCOME 900099 447524 447524 0 0 0 0 22482290 611657 611657 0 0 0 0 0 0 0 215809 215809 0 215809 215809 0 0 0 SERVICES SOLD 900099 548566 548566 PRODUCT SALES 446199 102602 102602 CAFETERIA 722100 121918 121918 0 0 0 0 773086 24082842 22482290 0 1600552 0 0 0 0 0 0 8577845 6862276 1715569 388904 311123 77781 1190993 952794 238199 720854 576683 144171 0 170 170 0 0 0 0 2172923 1338853 834070 211378 169102 42276 1455892 997360 458532 2758 2206 552 0 2438458 1924526 513932 25984 6209 19775 0 51988 41436 10552 1778784 1778784 492959 492959 3646014 3281413 364601 214856 214856 BAD DEBTS 124526 124526 REPAIRS AND MAINTENANCE 1865355 1864548 807 DUES/SUBSCRIPTIONS 41024 41024 RESTRUCTING LOSSES 454949 454949 767940 631544 136396 0 26624554 20904407 5720147 0 0 4040 4130 3922244 3298266 488494 1183809 46619 97481 48034 33975 65806110 14461512 54161736 51344598 27352623 21764045 0 0 0 0 372567 99250 86396357 77825554 1434591 1608552 42169637 2440000 0 47639065 82325307 91243293 86373859 X -4846936 -8548305 -4846936 -8548305 86396357 77825554 X -2541712 -1159657 X false true true X true true X 0 15831369 22647915 22505396 21222924 22482290 104689894 0 0 0 15831369 22647915 22505396 21222924 22482290 104689894 0 0 0 0 0 0 0 0 104689894 1403924 1095279 47195 533897 611657 3691952 0 1403924 1095279 47195 533897 611657 3691952 0 0 0 0 731597 773086 1504683 17235293 23743194 22552591 22488418 23867033 109886529 0.95270 0.95560 0.03360 0.03770 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - SERVICES SOLD, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 514082, COLUMN E - 548566, COLUMN F - 1062648; DESCRIPTION - PRODUCT SALES, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 113622, COLUMN E - 102602, COLUMN F - 216224; DESCRIPTION - CAFETERIA, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 103893, COLUMN E - 121918, COLUMN F - 225811;, 3430000 3430000 54781747 10594003 44187744 0 5423114 2930469 2492645 2171249 937040 1234209 51344598 0 ENTRANCE FEE LIABILITY 45900802 RESIDENT DEPOSITS 413334 PROFESSIONAL LIABILITY 64343 OTHER CURRENT LIABILITIES 21547 INTERCOMPANY NOTE PAYABLE 2676532 CHI DEBT PROGRAM 32732986 INTERCOMPANY PAYABLES 515763 82325307 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 ST. FRANCIS LIFE CARE CORPORATION'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF ST. CLARE'S HEALTH SYSTEM, INC. BELOW IS THE TEXT OF THE FOOTNOTE FROM THOSE FINANCIAL STATEMENTS: "THE SYSTEM, HOSPITAL, FOUNDATION, LIFE CARE, COMMUNITY CARE AND VNA ARE NOT-FOR-PROFIT ORGANIZATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, AS WELL AS STATE AND LOCAL TAXES. PRIMARY CARE IS A FOR-PROFIT ORGANIZATION SUBJECT TO BOTH FEDERAL AND STATE INCOME TAXES. NO INCOME TAXES HAVE BEEN PROVIDED FOR AT JUNE 30, 2012 AND 2011 DUE TO CARRYFORWARD NET LOSSES, FOR WHICH THE ULTIMATE REALIZABILITY IS UNCERTAIN." true true false false false false false false false AUREA CATHERINE GONZALES 156945 824 2617 0 64 0 12384 0 11075 0 183085 824 0 0 DEBRA BABE 0 71808 0 0 0 81963 0 11228 0 3823 0 168822 0 0 FREDERICK HAMMOND 0 199881 0 0 0 13846 0 17113 0 149 0 230989 0 0 LESLIE HIRSCH 0 655062 0 119468 0 25012 0 79348 0 19850 0 898740 0 0 SUELLYN ELLERBE 0 367061 0 35978 0 18341 0 20228 0 3927 0 445535 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WAS ESTABLISHED AND PAID BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) WRITTEN EMPLOYMENT CONTRACTS; (4) COMPENSATION SURVEY OR STUDY; (5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. Severance or change-of-control payment Schedule J, Part I, Line 4a POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CATHOLIC HEALTH INITIATIVES ("CHI") AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE, INCLUDING THE MBO CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CATHOLIC HEALTH INITIATIVES DURING THE 2011 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUAL'S W-2 INCOME AND REPORTABLE COMPENSATION ON SCHEDULE J: FREDERICK HAMMOND $13,846 DEBRA BABE $77,501 Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b DURING THE 2011 CALENDAR YEAR CATHOLIC HEALTH INITIATIVES ("CHI"), A RELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR MBO CEOS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: LESLIE HIRSCH DURING 2011 THE FOLLOWING CONTRIBUTIONS WERE MADE BY CHI TO THE DEFERRED COMPENSATION PLAN: LESLIE HIRSCH - $59,120 NEW JERSEY ECONOMIC DEVELOPMENT AUTH 222045817 645916P35 2004-09-02 11320000 SEE SCHEDULE K, PART VI false false false 8890000 0 11321543 3207319 0 0 226400 228883 0 0 0 0 true false true true 0.0000 0.0000 0.0000 false true false 0.0 false 0.0 true false X DESCRIPTION OF PURPOSE PART I, COLUMN (F) THE SERIES 2004 BONDS WERE ISSUED TO CURRENTLY REFUND A PORTION OF THE AUTHORITY'S FIRST MORTGAGE REVENUE BONDS (FRANCISCAN OAKS PROJECT) SERIES 1997, WHICH WERE ISSUED 12/23/1997. TOTAL PROCEEDS OF ISSUE PART II, LINE 3 INCLUDES INVESTMENT EARNINGS Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a THE BOARD MAY AT ANY TIME, BY RESOLUTION, CREATE AN EXECUTIVE COMMITTEE WHOSE MEMBERS WILL BE COMPRISED OF THE OFFICERS OF THE CORPORATION AND THE PRESIDENT OF THE SYSTEM. SUCH EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO MEET BETWEEN MEETINGS OF THE BOARD OF TRUSTEES AND HAVE FULL AUTHORITY TO MEET BETWEEN MEETINGS OF THE BOARD OF TRUSTEES, AND HAVE FULL AUTHORITY OF THE BOARD OF TRUSTEES EXCEPT AS MAY BE LIMITED BY THE NEW JERSEY NONPROFIT CORPORATION ACT OR ANY OTHER APPLICABLE LAW, OR BY THE BYLAWS OR BY RESOLUTION OF THE BOARD OF TRUSTEES. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 ACCORDING TO THE BYLAWS, THE ENTITY'S SOLE MEMBER IS SAINT CLARE'S HEALTH SERVICES, INC. D/B/A SAINT CLARE'S HEALTH SYSTEM, A NEW JERSEY NONPROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE ORGANIZATION'S CORPORATE MEMBER IS SAINT CLARE'S HEALTH SERVICES, INC. D/B/A SAINT CLARE'S HEALTH SYSTEM. PURSUANT TO SECTION 2.1 OF THE ORGANIZATION'S BYLAWS, BOTH SAINT CLARE'S HEALTH SYSTEM AND CATHOLIC HEALTH INITIATIVES ("CHI") (SAINT CLARE'S HEALTH SYSTEM'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE SAINT CLARE'S HEALTH SYSTEM BOARD: - APPROVE MEMBERS OF THE ST. FRANCIS LIFE CARE CORPORATION BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF ST. FRANCIS LIFE CARE CORPORATION - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. FRANCIS LIFE CARE CORPORATION - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR ST. FRANCIS LIFE CARE CORPORATION THE FOLLOWING RIGHTS ARE RESERVED TO THE CHI BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE CHI CHIEF EXECUTIVE OFFICER: - SUBSTANTIAL CHANGE IN THE MISSION OR PHILOSOPHY OF ST. FRANCIS LIFE CARE CORPORATION - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF ST. FRANCIS LIFE CARE CORPORATION - APPROVAL OF ISSUANCE OF DEBT BY ST. FRANCIS LIFE CARE CORPORATION - APPROVAL OF PARTICIPATION OF ST. FRANCIS LIFE CARE CORPORATION IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY ST. FRANCIS LIFE CARE CORPORATION - APPROVAL OF A MERGER INVOLVING ST. FRANCIS LIFE CARE CORPORATION - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF ST. FRANCIS LIFE CARE CORPORATION - TO REQUIRE THE TRANSFER OF ASSETS BY ST. FRANCIS LIFE CARE CORPORATION TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS. PURSUANT TO THE ORGANIZATION'S BYLAWS, SAINT CLARE'S HEALTH SYSTEM OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b ONCE THE RETURN IS PREPARED, THE RETURN IS REVIEWED BY THE CHIEF FINANCIAL OFFICER. THE CHIEF FINANCIAL OFFICER PROVIDES A COPY OF THE RETURN TO THE BOARD PRIOR TO FILING. SUBSEQUENT TO PROVIDING A COPY TO THE BOARD THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD. Conflict of interest policy Form 990, Part VI, Section B, Line 12c ANNUALLY, OFFICERS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ACKNOWLEDGING THAT THEY HAVE NO CONFLICTS OF INTEREST. THE COMPLETED FORM IS RETURNED TO THE CORPORATE COMPLIANCE OFFICER FOR REVIEW. IN ADDITION, ANY CONFLICTS THAT MAY ARISE DURING THE YEAR MUST BE DISCLOSED TO THE COMPLIANCE OFFICER. IN ADDITION TO THE ANNUAL QUESTIONNAIRE, IF THERE IS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE INDIVIDUAL WITH THE CONFLICT IS PROHIBITED FROM PARTICIPATING IN DISCUSSIONS OR VOTING ON MATTERS RELATED TO THE CONFLICT. PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A THE ORGANIZATION'S CEO'S COMPENSATION IS PAID BY CHI. CHI HAS A DEFINED COMPENSATION PHILOSOPHY. BOTH THE EXECUTIVE AND NON-EXECUTIVE COMPENSATION STRUCTURES AND RANGES ARE REVIEWED ANNUALLY IN COMPARISON TO MARKET DATA. CHI USES THE HAY GROUP AS THE INDEPENDENT THIRD PARTY TO ASSESS EXECUTIVE COMPENSATION PROGRAMS AND TO ENSURE THE REASONABLENESS OF ACTUAL SALARIES AND TOTAL COMPENSATION PACKAGES. COMPENSATION OF THE SENIOR MOST EXECUTIVES IS REVIEWED ANNUALLY. THE HAY GROUP REVIEWS BOTH CASH AND TOTAL COMPENSATION FOR OVERALL REASONABLENESS, FOR ADHERENCE TO CHI'S COMPENSATION PHILOSOPHY, AND FOR COMPARABILITY TO THE NOT-FOR-PROFIT HEALTHCARE MARKET. THIS INDEPENDENT REVIEW IS DELIVERED BY HAY GROUP TO THE HR COMMITTEE OF THE CHI BOARD OF STEWARDSHIP TRUSTEES ANNUALLY AT THEIR SEPTEMBER MEETING AND MINUTES ARE SHARED WITH THE FULL BOARD AT THE DECEMBER MEETING. THE LAST REVIEW WAS SEPTEMBER 2012. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE TO DETERMINE AND VALIDATE APPROPRIATE COMPENSATION LEVELS. THESE LEVELS HAVE BEEN REVIEWED ANNUALLY SINCE AND REVISED BASED ON MARKET DATA, WHERE APPLICABLE. PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, LINE 15B DURING THE TAX YEAR ENDED 6/30/12, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED AS N/A BUT HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE NEW JERSEY SECRETARY OF STATE. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. ESTIMATE OF HOURS FOR RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A COMPENSATION REPORTED ON FORM 990, PART VII AS PAID BY RELATED ORGANIZATIONS WAS PAID TO THESE INDIVIDUALS FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 60 HOUR-PER-WEEK EMPLOYEES. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -1159707; PRIOR PERIOD ADJUSTMENTS - 50; ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 470484764 HEALTHCARE NE 501(C)(3) 3 CHI true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 411850500 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 420725196 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 840902211 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 270930004 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 263946191 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 480543724 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY FARGO ND 58104 271966847 HEALTHCARE ND 501(C)(3) 3 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(C)(3) 11 - Type I CHI NS true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) 9 CHI true CHI NEBRASKA 6940 O STREET SUITE 200 LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 611400619 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 1223 POTTSVILLE PIKE SHOEMAKERSVILLE PA 19555 232018429 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 911145592 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM FKA FRANCISCAN HEALTH SYSTEM WEST 1717 SOUTH J STREET TACOMA WA 98405 910564491 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 911939739 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE INC 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 391093829 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 460234354 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 201536108 MINISTRIES CO 501(C)(3) 11 - 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