FRANCISCAN VILLA OF SOUTH MILWAUKEE: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- FRANCISCAN VILLA OF SOUTH MILWAUKEE (EIN 39-1093829)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-04-25
- IRS object ID
- 201221169349300317
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-04-25T10:58:23-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC HEALTH INITIATIVES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 198 INVERNESS DRIVE WEST | AddressLine1 |
| City | ENGLEWOOD | City |
| State | CO | State |
| ZIP Code | 80112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391093829 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Franciscan Villa of South Milwaukee | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FRAN | NameControl |
| Phone | 4147644100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 S Chicago Ave | AddressLine1 |
| City | South Milwaukee | City |
| State | WI | State |
| ZIP Code | 53172 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Scott Wallner | Name |
| Title | CFO/COO | Title |
| Date Signed | 2012-04-24 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK STOCKI | Name |
| Phone | 7208741500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Jamie Weibeler | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 South CHICAGO Avenue | AddressLine1 |
| City | South Milwaukee | City |
| State | WI | State |
| ZIP Code | 53172 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 18891454 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.franciscanvilla.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1966 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | Franciscan Villa provides skilled nursing and assisted living services to residents of the surrounding area without regards to one's ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 500 | TotalNbrEmployees |
| Total Nbr Volunteers | 125 | TotalNbrVolunteers |
| Total Gross UBI | 751 | TotalGrossUBI |
| Contributions Grants Prior Year | 5307 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11259 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17824090 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17724614 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 473892 | InvestmentIncomePriorYear |
| Investment Income Current Year | 795625 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 11419 | OtherRevenuePriorYear |
| Other Revenue Current Year | 356800 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 18314708 | TotalRevenuePriorYear |
| Total Revenue Current Year | 18888298 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2568 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 4187 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10688963 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10915630 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 85852 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5832192 | OtherExpensePriorYear |
| Other Expenses Current Year | 6295364 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 16523723 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17215181 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1790985 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1673117 | RevenuesLessExpensesCY |
| Total Assets BOY | 24683047 | TotalAssetsBOY |
| Total Assets EOY | 27094152 | TotalAssetsEOY |
| Total Liabilities BOY | 6437297 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 6200091 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18245750 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20894061 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 15379436 | Expense |
| Grants | 4187 | Grants |
| Revenue | 17724614 | Revenue |
| Description | See Schedule O | Description |
| Total Program Service Expense | 15379436 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 500 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Scott Wallner | NamePerson |
| Telephone Number | 4145705406 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3601 S Chicago Ave | AddressLine1 |
| City | South Milwaukee | City |
| State | WI | State |
| ZIP Code | 53150 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization |
|---|---|---|---|---|---|---|
| JEFFREY DROP | ||||||
| BOARD MEMBER | 5.0 | X | 684808 | 74336 | ||
| FR ROBERT JODA | ||||||
| VICE-CHAIR | 5.0 | X | X | |||
| GREGORY KOST | ||||||
| BOARD CHAIR | 5.0 | X | X | |||
| PHILIP SCHULTZ | ||||||
| BOARD MEMBER | 5.0 | X | ||||
| JAMES WEIBELER | ||||||
| PRESIDENT/CEO | 45.0 | X | 206957 | 47166 | X | |
| FR JOJO OROSA | ||||||
| BOARD MEMBER | 5.0 | X | ||||
| JACKIE OVE | ||||||
| SECRETARY | 5.0 | X | X | |||
| DONN POWERS | ||||||
| BOARD MEMBER | 5.0 | X | ||||
| MARY ELLEN SCHLAX | ||||||
| SECRETARY | 5.0 | X | X | |||
| SCOTT WALLNER | ||||||
| TREASURER | 45.0 | 11609 | X | 131820 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 131820 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 891765 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 133111 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RehabCare Group Inc | |||||
| PO Box 503534 | St Louis | MO | 63150 | Therapy Services | 835369 |
| Superior Health Linens | |||||
| PO Box 3016 | Milwaukee | WI | 53201 | Laundry Services | 111719 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 11259 | AllOtherContributions |
| Total Contributions | 11259 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Services | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 17724614 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17724614 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17724614 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 236305 | TotalRevenueColumn |
| Unrelated Business Revenue | 751 | UnrelatedBusinessRevenue |
| Exclusion | $235,554 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11400 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11400 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11400 | TotalRevenueColumn |
| Exclusion | $11,400 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 562476 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3156 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 562476 | Securities |
| Other | -3156 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 559320 | TotalRevenueColumn |
| Exclusion | $559,320 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Child Care | 624410 | 296337 | $296,337 |
| Services Sold | 900099 | 24679 | $24,679 |
| Cafeteria | 722100 | 5338 | $5,338 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19046 | TotalRevenueColumn |
| Exclusion | $19,046 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 345400 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18888298 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17724614 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 751 | UnrelatedBusinessRevenue |
| Exclusion | $1,151,674 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4187 | Total |
| Program Services | 4187 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133972 | Total |
| Management And General | 133972 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8638563 | Total |
| Program Services | 8024978 | ProgramServices |
| Management And General | 553420 | ManagementAndGeneral |
| Fundraising | 60165 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227890 | Total |
| Program Services | 207302 | ProgramServices |
| Management And General | 17580 | ManagementAndGeneral |
| Fundraising | 3008 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1215440 | Total |
| Program Services | 1113331 | ProgramServices |
| Management And General | 93762 | ManagementAndGeneral |
| Fundraising | 8347 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 699765 | Total |
| Program Services | 640977 | ProgramServices |
| Management And General | 53982 | ManagementAndGeneral |
| Fundraising | 4806 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1362740 | Total |
| Program Services | 1174014 | ProgramServices |
| Management And General | 188726 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1845276 | Total |
| Program Services | 1758737 | ProgramServices |
| Management And General | 79923 | ManagementAndGeneral |
| Fundraising | 6616 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 796324 | Total |
| Program Services | 796324 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48359 | Total |
| Program Services | 22568 | ProgramServices |
| Management And General | 22881 | ManagementAndGeneral |
| Fundraising | 2910 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209467 | Total |
| Program Services | 209467 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 566556 | Total |
| Management And General | 566556 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 832245 | Total |
| Program Services | 832245 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68619 | Total |
| Program Services | 68619 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| OFFICE SERVICE CONTRACTS | 14913 | 14913 | |
| Income/sales/property taxes | 67965 | 67965 | |
| Dues & subscriptions | 37269 | 18937 | 18332 |
| PROVIDER BED TAXES | 301240 | 301240 | |
| Bad debts | 113601 | 113601 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30790 | Total |
| Program Services | 25549 | ProgramServices |
| Management And General | 5241 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17215181 | Total |
| Program Services | 15379436 | ProgramServices |
| Management And General | 1749893 | ManagementAndGeneral |
| Fundraising | 85852 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000 | BOY |
| EOY | 1000 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 647145 | BOY |
| EOY | 861275 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1188213 | BOY |
| EOY | 1365736 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36494 | BOY |
| EOY | 37411 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6708 | BOY |
| EOY | 12821 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 22568385 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9695184 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12687034 | BOY |
| EOY | 12873201 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10083153 | BOY |
| EOY | 11919748 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33300 | BOY |
| EOY | 22960 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24683047 | BOY |
| EOY | 27094152 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2265182 | BOY |
| EOY | 1323133 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3257 | BOY |
| EOY | 3637 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4168858 | BOY |
| EOY | 4873321 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6437297 | BOY |
| EOY | 6200091 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18242379 | BOY |
| EOY | 20889612 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3371 | BOY |
| EOY | 4449 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18245750 | BOY |
| EOY | 20894061 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24683047 | BOY |
| EOY | 27094152 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1673117 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 975194 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9535 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16475 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11824 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5307 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11259 | CurrentTaxYear |
| Total | 54400 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15174475 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16936716 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17280879 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17824090 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17724614 | CurrentTaxYear |
| Total | 84940774 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15184010 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16953191 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17292703 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17829397 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17735873 | CurrentTaxYear |
| Total | 84995174 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 84995174 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 179447 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 203807 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 223226 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 259321 | CurrentTaxYearMinus1Year |
| Current Tax Year | 247705 | CurrentTaxYear |
| Total | 1113506 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 179447 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 203807 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 223226 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 259321 | CurrentTaxYearMinus1Year |
| Current Tax Year | 247705 | CurrentTaxYear |
| Total | 1113506 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15363457 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17156998 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17515929 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18088718 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17983578 | CurrentTaxYear |
| Total | 86108680 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98707 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98770 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01293 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01230 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | true | GrantsOtherOrganizations |
| Grants Other Organizations | $1,219 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 1219 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobbying Activities Explanation | Identifier |
| Return Reference | Form 990, Schedule C, Part II-B, Line 1f | ReturnReference |
| Explanation | THE ENTITY'S CONTROLLING ORGANIZATION, CATHOLIC HEALTH INITIATIVES, PAYS ANNUAL DUES TO THE CATHOLIC HOSPITAL ASSOCIATION (CHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA) A PORTION OF WHICH IS ALLOCATED TO LOBBYING. IN ADDITION, THE ORGANIZATION PAYS ANNUAL DUES TO THE WISCONSIN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (WAHSA), AND THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING (AAHSA) A PORTION OF WHICH IS ALLOCATED TO LOBBYING. THE AMOUNT SHOWN IN LINE 1F ABOVE REPRESENTS THIS ENTITY'S SHARE OF THE FOLLOWING ALLOCATED LOBBYING EXPENSES: CHA $243; AHA $81; WAHSA $640 & AAHSA $255. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 359573 | OtherCostOrOtherBasis |
| Book Value | 359573 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 18302179 | OtherCostOrOtherBasis |
| Depreciation | 7295771 | Depreciation |
| Book Value | 11006408 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2263841 | OtherCostOrOtherBasis |
| Depreciation | 1906008 | Depreciation |
| Book Value | 357833 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1642792 | OtherCostOrOtherBasis |
| Depreciation | 493405 | Depreciation |
| Book Value | 1149387 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12873201 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CHI OIP - Fixed Income | 5662512 | F |
| CHI OIP - Equity Securities | 6257236 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 11919748 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Security Deposits | $382,600 |
| A/P Accrual | $264,474 |
| Accrued Expenses | $34,220 |
| Resident Trust Funds | $23,178 |
| Intercompany payables | $4,168,849 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4873321 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) Footnote | Identifier |
| Return Reference | SCHEDULE D, PART X, Q. 2 | ReturnReference |
| Explanation | Franciscan Villa of South Milwaukee's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2011 reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. As of June 30, 2011, CHI has current net deferred tax assets of $2.1 Million and a noncurrent net deferred tax liability of $5.4 million related to these taxable activities. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements." | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|
| JEFFREY DROP | |||||
| 349509 | 146330 | 188969 | 53996 | 20340 | 759144 |
| JAMES WEIBELER | |||||
| 137133 | 48131 | 21693 | 28332 | 18834 | 254123 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| METHODS USED TO ESTABLISH CEO COMPENSATION | Schedule J, Part I, Q.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. |
| POST-TERMINATION PAYMENTS | SCHEDULE J, PART I, Q. 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. |
| SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, Q. 4B | During the 2010 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: Jeffrey Drop and James Weibeler. During 2010 the following contributions were made by CHI to the deferred compensation plan: Jeffrey Drop $28,868 James Weibeler $12,961 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (15 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | Form 990, Part III, Q 4A | Introduction Franciscan Villa was founded in 1966 as a non-profit, long term care provider. Franciscan Villa's campus is comprised of a 150-bed nursing home, a 64-unit memory care assisted living facility, a 39-unit frail elderly assisted living facility, and a 48-unit assisted living facility serving the needs of frail elderly and memory impaired residents. The organization also provides child day care services to the community. As a tax-exempt 501(c)(3) long term care facility, Franciscan Villa is committed to serving the needs of community members without regard to one's ability to pay. The Villa requires residents to demonstrate the ability to pay the facility fees and charges, which are set at a rate that is affordable to a significant segment of the elderly residing in the area. However, Franciscan Villa will not force a resident to move from the facility if the individual and/or the individual's family becomes unable to pay the facility charges. Franciscan Villa is also committed to the promotion of healthier communities. Franciscan Villa is proud of its Catholic heritage and its ability to provide direct and indirect support to the communities it serves. In total, over $2,095,000 in quantifiable community benefits were provided during FY 2011, an increase of 22.7% over the prior fiscal year. As a percent of net revenues, this equates to 11.6%. Benefits for the Poor Traditional Charity Care: Traditional charity care costs were nearly $40,000 during FY 2011. Fourteen (14) residents qualified for benefits under the organization's charity care policy, mostly for bed hold days not covered by the Family Care program, a county-based Medicaid-waiver program. Unpaid Cost of Medicaid and Other Social Programs: Franciscan Villa continues to provide services to Medicaid and Family Care recipients within its skilled nursing facility. Reimbursement rates under these programs fall well short of the actual cost of providing care. The $1,653,000 in unpaid cost of services provided during the year represents a significant contribution to the community. Of the total, Medicaid accounted for $874,000 and Family Care represented $779,000. Nearly 31,000 days of service were provided to Medicaid and Family Care residents within the nursing home, representing 64% of total days. Services are also provided to Family Care recipients within the organization's Francis House CBRF, Franciscan Courts RCAC, and Franciscan Gardens CBRF. Reimbursement rates are inadequate to cover the full cost of providing care. Within the Francis House, $162,000 in unpaid costs was incurred; Family Care accounted for 65% of total days within this facility. A total of $166,000 in unpaid costs was reported within Franciscan Courts; Family Care represented 58% of this facility's total days. And an estimated $58,000 in unpaid costs was incurred within the Franciscan Gardens; Family Care residents represented 38% of total days. The total of unpaid cost of Family Care recipients within the organization's assisted living facilities equaled $386,000. Direct Financial Support: Franciscan Villa made cash contributions of $1,000 in total to the following organizations: South Milwaukee Human Concerns - an organization which assists people in obtaining food, clothing, holiday assistance and referrals to other support groups. South Milwaukee/Oak Creek Interfaith - a neighborhood outreach program assisting elderly community residents. These outreach services may include transportation to medical appointments, grocery shopping, friendly visiting and information and assistance. These services are essential to helping an older adult continue living in his or her home. Other Support: Franciscan Villa coordinated its annual "Caring by Sharing" program. Under this initiative, employees sponsored 12 families (all employees of Franciscan Villa) and provided them with Christmas gifts that they would otherwise not be able to afford. Total Benefits for the Poor were $2,081,000 in Fiscal Year 2011. This represents 11.5% of total revenue. Benefits for the Broader Community Educational Support Services to the Community: Educational support activities were continued during Fiscal Year 2011, including the awarding of scholarships to two area high school students pursuing a career in healthcare and the free use of its facility by two local colleges as a nursing student clinical rotation site. Training and education was provided to professionals and community members at no cost on a variety of topics: Self Defense Techniques - The Franciscan Gardens chapel hosted an educational program on Self Defense. The instructor was Jeff Gendelman, president of JK Lee Black Belt academy. Mr. Gendelman shared various strategies to deescalate a situation verbally and techniques to protect oneself physically. Preventing Long Lie Times - Franciscan Villa partnered with Philips Life Line and Aurora Health Care to provide education to professionals working with the senior population on techniques to reduce long lie times. The program advocated for professionals to educate their clients on the importance of having a plan to help prevent falls. Ethics and Hospice and Palliative Care - This program was offered free of charge to professionals in partnership with Seasons Hospice. The program had a strong impact on participants based on feedback following the meeting. The case study format used during the meeting allowed professionals to interact with one another to discuss difficult ethical issues that arise in the health care work place. Personality Disorders - Franciscan Villa engaged Dr. Mark Eberhage, psychologist, to provide education to professionals on methods for dealing with personality disorders. Fall Prevention - An event was sponsored for seniors and family members to receive education on fall prevention strategies. Franciscan Villa again partnered with Philips Life Line and Aurora Health Care. Osteoporosis and Arthritis - Franciscan Villa worked with the Arthritis Foundation during Arthritis Awareness Month to help educate the public on osteoporosis and arthritis. Amy Parry, a physical therapist, provided the education. Other Services to the Community: Franciscan Villa again sponsored the annual Cookie Decorating Contest, a popular event for children and families at Heritage Days, a summer fund-raising festival of the Lions Club in South Milwaukee. About 75 children participated. The Villa provided representation on the Southeastern Wisconsin Chapter of the Alzheimer's Association's board of directors. In addition, Franciscan Villa made cash contributions to the Alzheimer's Association and provided a team of employees to participate in their annual "Memory Walk". The Villa again partnered with the South Milwaukee Performing Arts Center to present three free outdoor concerts during the summer on its campus for members of the community. Franciscan Villa also offered the use of its campus by Home Instead Senior Care to provide training to over 100 caregivers that tend to the needs of seniors within the local community. Cash and in-kind contributions were made to the following non-profit organizations: St. Rita's Parish South Milwaukee Chamber of Commerce Total Benefits for the Broader Community were approximately $14,000 in Fiscal Year 2011. Estimated Community Number Benefit of People Cost Served (in thousands) Community Benefit Provided to the Poor: Cost of Charity care provided 14 $ 40 Unpaid cost of Medicaid 95 874 Unpaid cost of Family Care 211 1,165 Financial Contributions 2 Cost of community benefit provided to the Poor $ 2,081 Community Benefit provided to the Broader community: Community Education $ 1 Health Professions Education 153 5 Community Building Activities 8 Support Groups Total Benefit for the broader community $ 14 Total cost of community benefit $ 2,095 |
| Executive Committee | Form 990, Part VI, Q. 1A | The executive committee consists of only directors of the corporation and is composed of the chairperson of the board, the vice chairperson of the board, and the president and chief executive officer, each of whom serve as ex officio voting members of the executive committee. The executive committee has the power to transact the routine business of the corporation in the interim periods between regularly scheduled meetings of the boards of directors, provided that their actions are consistent with any actions or policies of the board or the corporate member. All actions taken are contemporaneously documented and reported to the board at the earliest meeting. |
| members or shareholders | Form 990, Part VI, Q.6 | The sole member of the organization is catholic health iniatives, a colorado nonprofit corporation. |
| Electing Board Members | Form 990, Part VI, Q. 7A | The sole member has the power to appoint, replace or remove the members of the board of directors. |
| Governing Powers | Form 990, Part VI, Q 7B | The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4.1 of the organization's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix 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 Franciscan Villa of South Milwaukee. - Amendment of the corporate documents of Franciscan Villa of South Milwaukee. - Approve members of the Franciscan Villa of South Milwaukee board. - Removal of a member of the governing body of Franciscan Villa of South Milwaukee. - Approval of issuance of debt by Franciscan Villa of South Milwaukee. - Approval of participation of Franciscan Villa of South Milwaukee in a joint venture. - Approval of formation of a new corporation by Franciscan Villa of South Milwaukee - Approval of a merger involving Franciscan Villa of South Milwaukee. - Approval of the sale of all or substantially all of the assets of Franciscan Villa of South Milwaukee. - To require the transfer of assets by Franciscan Villa of South Milwaukee to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. - Adoption of long range and strategic plans for Franciscan Villa of South Milwaukee Pursuant to Section 5.5.2 of the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate. |
| Review of Form 990 | Form 990, Part VI, Q 11B | Once the return is prepared, the return is reviewed by the Chief Financial Officer. The Chief Financial Officer presents the return to the Franciscan Villa of South Milwaukee's board at a board meeting, or an electronic copy of the return is sent to each board member by email for their review. Subsequent to providing the return 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, Q. 12a | The Organization has adopted CHI's conflict of interest policy. However, the policy was not yet approved by the governing board at the end of the taxable year. |
| Procedures for Monitoring and Enforcing the COI Policy | Form 990, Part VI, Q. 12c | All board members are required to complete an annual conflict of interest disclosure statement. In addition, any board member with a conflict is required to declare the conflict before the beginning of each board or committee meeting. The entire board or committee determines whether the affected board member should be excluded from the meeting due to the disclosed conflict. |
| Whistleblower Policy | Form 990, Part VI, Q. 13 | The Organization did not yet have a board adopted Whistleblower policy in place as of the end of the tax year. However, the Organization makes reference to whistleblower protection within other organization policies and within their employee handbook. |
| Document Retention and destruction policy | Form 990, part VI, Q. 14 | The Organization has a document retention and destruction policy, however, the policy had not been adopted by the governing board as of the end of the tax year. |
| Process for Determining CEO's Compensation | Part 990, Part VI, Q. 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, 2011. 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. |
| Process for Determining Compensation - Officers/Key employees | Part 990, Part VI, Q 15B | The process for determining the compensation of the other officers or key employees was the result of an independent compensation study conducted in November 2009. This study was then presented to and approved by the board in January 2010. |
| Public Inspection of Documents | Form 990, part VI, Q. 19 | The organization's financial statements are included in Catholic health initiatives' consolidated audited financial statements that are available at www.catholicheathinit.org or at www.dacbond.com. The Organization's governing documents and conflict of interest policy are available upon request from the administration department. In addition, the governing documents are available from the Wisconsin Secretary of State. |
| Estimate of Hours Devoted to Related Organizations | Form 990, Part VII | Compensation Reported on Form 990, Part VII was paid to these individuals by related organizations in exchange 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, Q. 5 | Franciscan Villa of South Milwaukee's other changes in net assets are as follows: Net unrealized gain/loss - $1,040,433 CHI connect depreciation - $ 90,435 Capital Resource pool contribution - $ (155,676) Total - $ 975,194 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (125 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Catholic Health Initiatives | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 470617373 | Healthcare | CO | 501(c)(3) | 9 | CHI |
| Bornemann Healthcare Corporation | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 232187242 | Healthcare | PA | 501(c)(3) | 11a | CHI |
| CHI Institute For Research and Innovatio | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 271050565 | Healthcare | CO | 501(c)(3) | 11a | CHI |
| CHI National Foundation | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 270930004 | Fundraising | CO | 501(c)(3) | 11a | CHI |
| CHI National Services | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 452532084 | Healthcare | CO | 501(c)(3) | 9 | CHI |
| CHI National Home Care | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 451261716 | Healthcare | CO | 501(c)(3) | 11a | CHI |
| Global Health Initiatives | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 201536108 | Ministries | CO | 501(c)(3) | 11a | CHI |
| St Joseph Physician Enterprises | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521311775 | Physicians | MD | 501(c)(3) | 11a | CHI |
| St Vincent Infirmary Medical Center | |||||||||
| 2 St Vincent Circle | Little Rock | AR | 72205 | 710236917 | Healthcare | AR | 501(c)(3) | 3 | CHI |
| St Anthony's Hospital Association | |||||||||
| 4 Hospital Drive | Morrilton | AR | 72110 | 710245507 | Healthcare | AR | 501(c)(3) | 3 | SVIMC |
| St Vincent Foundation | |||||||||
| Two St Vincent Circle | Little Rock | AR | 72205 | 510169537 | Fundraising | AR | 501(c)(3) | 11a | SVIMC |
| St Vincent Medical Group | |||||||||
| 2 St Vincent Circle | Little Rock | AR | 72205 | 710830696 | Healthcare | AR | 501(c)(3) | 9 | SVIMC |
| CHI Colorado | |||||||||
| 188 Inverness Drive West | Englewood | CO | 80112 | 840405257 | Healthcare | CO | 501(c)(3) | 3 | CHI |
| Mercy Regional Medical Center of Durango | |||||||||
| 1010 Three Springs Blvd | Durango | CO | 81301 | 840405515 | Healthcare | CO | 501(c)(3) | 3 | CHI |
| Catholic Health Initiatives Colorado Fou | |||||||||
| 961 East Colorado Avenue | Colorado Springs | CO | 80903 | 840902211 | Fundraising | CO | 501(c)(3) | 7 | CHI Colorado |
| Health SET | |||||||||
| 4200 West Conejos Place 436 | Denver | CO | 80204 | 841102943 | Low Inc.Care | CO | 501(c)(3) | 7 | CHI Colorado |
| Pueblo Stepup | |||||||||
| 1925 East Orman Avenue Suite G52 | Pueblo | CO | 81004 | 841234295 | Community | CO | 501(c)(3) | 7 | CHI |
| SET of Colorado Springs Inc | |||||||||
| 825 E Pikes Peak Avenue Bldg 29 | Colorado Springs | CO | 80903 | 841183335 | LTerm Care | CO | 501(c)(3) | 7 | CHI Colorado |
| Total Healthcare | |||||||||
| PO Box 7021 | Colorado Springs | CO | 80933 | 840927232 | Healthcare | CO | 501(c)(3) | 3 | CHI Colorado |
| CHI-Iowa Corp | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420680448 | Healthcare | IA | 501(c)(3) | 3 | MHN |
| Bishop Drumm Retirement Center | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420725196 | LTerm Care | IA | 501(c)(3) | 9 | CHI-IA Corp |
| House of Mercy | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421323808 | Shelter | IA | 501(c)(3) | 7 | CHI-IA Corp |
| Mercy Clinics Inc | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421193699 | Physician | IA | 501(c)(3) | 9 | CHI-IA Corp |
| Mercy College of Health Sciences | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421511682 | Education | IA | 501(c)(3) | 2 | CHI-IA Corp |
| Mercy Foundation of Des Moines IA | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 237358794 | Fundraising | IA | 501(c)(3) | 7 | CHI-IA Corp |
| Mercy Auxiliary of Central Iowa | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 426076069 | Auxiliary | IA | 501(c)(3) | 11a | CHI-IA Corp |
| Mercy Professional Practice Associates | |||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421470935 | Physician | IA | 501(c)(3) | 9 | CHI-IA Corp |
| Mercy Medical Center - Centerville FKA | |||||||||
| 1 St Josephs Drive | Centerville | IA | 52544 | 420680308 | Healthcare | IA | 501(c)(3) | 3 | CHI-IA Corp |
| St Rose Ambulatory and Surgery Center F | |||||||||
| 3515 Broadway | Great Bend | KS | 67530 | 480543724 | Surgery Cntr | KS | 501(c)(3) | 3 | CHI |
| St Catherine Hospital | |||||||||
| 401 East Spruce Street | Garden City | KS | 67846 | 480543721 | Healthcare | KS | 501(c)(3) | 3 | CHI |
| St Catherine Hospital Development Found | |||||||||
| 401 East Spruce Street | Garden City | KS | 67846 | 200598702 | Fundraising | KS | 501(c)(3) | 11a | SCH |
| CHI Kentucky Inc | |||||||||
| 3900 Olympic Blvd Suite 400 | Erlanger | KY | 41018 | 202741651 | Healthcare | KY | 501(c)(3) | 11a | CHI |
| Saint Joseph Health System Inc | |||||||||
| 150 N Eagle Creek Dr | Lexington | KY | 40509 | 611334601 | Healthcare | KY | 501(c)(3) | 3 | CHI |
| Continuing Care Hospital | |||||||||
| 150 North Eagle Creek Drive | Lexington | KY | 40509 | 611400619 | LTACH | KY | 501(c)(3) | 3 | SJHS |
| Flaget Healthcare DBA Flaget Memorial | |||||||||
| 4305 New Shepherdsville Road | Bardstown | KY | 40004 | 611345363 | Healthcare | KY | 501(c)(3) | 3 | CHI |
| Flaget Memorial Hospital Foundation Inc | |||||||||
| 4305 New Shepherdsville Road | Bardstown | KY | 40004 | 562351341 | Fundraising | KY | 501(c)(3) | 11a | FH |
| Saint Joseph London Foundation Inc | |||||||||
| 310 East Ninth Street | London | KY | 40741 | 260438748 | Fundraising | KY | 501(c)(3) | 11a | SJHS |
| Saint Joseph Berea Hospital Foundation | |||||||||
| 305 Estill Street | Berea | KY | 40403 | 260152877 | Fundraising | KY | 501(c)(3) | 7 | SJHS |
| St Joseph Hospital Foundation Inc | |||||||||
| 305 Estill Street | Lexington | KY | 40504 | 611159649 | Fundraising | KY | 501(c)(3) | 11a | SJHS |
| Saint Joseph Medical Foundation Inc | |||||||||
| One St Joseph Drive | Lexington | KY | 40504 | 311539059 | Phy Practices | KY | 501(c)(3) | 3 | SJHS |
| Saint Joseph Mount Sterling Foundation | |||||||||
| 50 Sterling Avenue | Mount Sterling | KY | 40353 | 272884584 | Fundraising | KY | 501(c)(3) | 7 | SJHS |
| St Joseph Medical Center Inc | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 520591461 | Healthcare | MD | 501(c)(3) | 3 | CHI |
| St Joseph Medical Center Foundation In | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521681044 | Fundraising | MD | 501(c)(3) | 7 | SJMC |
| Alverna Apartments | |||||||||
| 300 SE 8th Avenue | Little Falls | MN | 56345 | 411351177 | Lterm Care | MN | 501(c)(3) | 9 | CHI |
| Lakewood Health Center | |||||||||
| 600 Main Avenue South | Baudette | MN | 56623 | 410758434 | LTerm Care | MN | 501(c)(3) | 3 | CHI |
| St Francis Home | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 410729978 | LTerm Care | MN | 501(c)(3) | 9 | CHI |
| Appletree Court | |||||||||
| 601 Oak Street | Breckenridge | MN | 56520 | 411850500 | Senior Homes | MN | 501(c)(3) | 9 | SFH |
| St Francis Medical Center | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 410695598 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| Healthcare and Wellness Foundation | |||||||||
| 2400 St Francis Drive | Breckenridge | MN | 56520 | 760761782 | Fundraising | MN | 501(c)(3) | 11a | SFMC |
| St Joseph's Area Health Services | |||||||||
| 600 Pleasant Avenue | Park Rapids | MN | 56470 | 410695603 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| Unity Family Healthcare | |||||||||
| 815 2nd Street SE | Little Falls | MN | 56345 | 410721642 | Healthcare | MN | 501(c)(3) | 3 | CHI |
| St John's Regional Medical Center | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 440545809 | Healthcare | MO | 501(c)(3) | 3 | CHI |
| Mercy Lifecare Systems | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431305163 | Property Mgmt | MO | 501(c)(3) | 11a | SJRMC |
| MNMCH Inc | |||||||||
| 220 North Pennsylvania | Columbus | KS | 66725 | 481216238 | Healthcare | KS | 501(c)(3) | 3 | SJRMC |
| St John's Medical Group | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431882377 | Phys Practice | MO | 501(c)(3) | 9 | SJRMC |
| St John's Mercy Regional Foundation | |||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431308084 | Fundraising | MO | 501(c)(3) | 7 | SJRMC |
| Alegent Health - Bergan Mercy Health Sys | |||||||||
| 7500 Mercy Road | Omaha | NE | 68124 | 470484764 | Healthcare | NE | 501(c)(3) | 3 | CHI |
| Alegent Health - Mercy Hospital Corning | |||||||||
| PO Box 368 | Corning | IA | 50841 | 420782518 | Healthcare | IA | 501(c)(3) | 3 | AHBMHS |
| Mercy Health Care Foundation | |||||||||
| PO Box 368 | Corning | IA | 50841 | 421461064 | Fundraising | NE | 501(c)(3) | 11a | AHMH |
| Mercy Hospital Foundation Council Bluff | |||||||||
| 800 Mercy Drive | Council Bluffs | IA | 51503 | 421178204 | Fundraising | IA | 501(c)(3) | 11a | AHBMHS |
| CHI Nebraska | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 363233121 | Healthcare | NE | 501(c)(3) | 11a | CHI |
| The Physician Network | |||||||||
| 8055 O Street Suite 300 | Lincoln | NE | 68510 | 470780857 | Phys Practice | NE | 501(c)(3) | 11a | CHI Nebraska |
| Good Samaritan Hospital | |||||||||
| PO Box 1990 | Kearney | NE | 68848 | 470379755 | HealthCare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Good Samaritan Hospital Foundation | |||||||||
| PO Box 1810 | Kearney | NE | 68848 | 470659443 | Fundraising | NE | 501(c)(3) | 7 | GSH |
| Catholic Health Care Federation | |||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 208473567 | Jurdic Person | CO | 501(c)(3) | 11a | CHI |
| Saint Elizabeth Regional Medical Center | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470379836 | Healthcare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Saint Elizabeth Foundation | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 470625523 | Fundraising | NE | 501(c)(3) | 7 | SERMC |
| Saint Elizabeth Health Services | |||||||||
| 555 South 70th Street | Lincoln | NE | 68510 | 363233120 | Healthcare | NE | 501(c)(3) | 3 | SERMC |
| Saint Francis Medical Center | |||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 470376601 | HealthCare | NE | 501(c)(3) | 3 | CHI Nebraska |
| Saint Francis Medical Center Foundation | |||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 470630267 | Fundraising | NE | 501(c)(3) | 7 | SFMC |
| St Mary's Hospital | |||||||||
| 1314 3rd Avenue | Nebraska City | NE | 68410 | 470443636 | Healthcare | NE | 501(c)(3) | 3 | CHI Nebraska |
| St Mary's Hospital Foundation | |||||||||
| 1314 3rd Avenue | Nebraska City | NE | 68410 | 470707604 | Fundraising | NE | 501(c)(3) | 7 | SMH |
| Saint Clare's Health Services Inc | |||||||||
| 25 Pocono Road | Denville | NJ | 07834 | 223639733 | Management | NJ | 501(c)(3) | 7 | CHI |
| Saint Clare's Community Care | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222876836 | Healthcare | NJ | 501(c)(3) | 11b | SCHS |
| Saint Clare's Foundation Inc | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222502997 | Fundraising | NJ | 501(c)(3) | 7 | SCHS |
| Saint Clare's Hospital | |||||||||
| 66 Ford Road | Denville | NJ | 07834 | 223319886 | Healthcare | NJ | 501(c)(3) | 3 | CHI |
| St Francis Life Care Corporation | |||||||||
| 19 Pocono Road | Denville | NJ | 07834 | 222536017 | Elderly Care | NJ | 501(c)(3) | 9 | SCHS |
| Visiting Nurse Association of Saint Clar | |||||||||
| 191 Woodport Road | Sparta | NJ | 07871 | 221768334 | Home Health | NJ | 501(c)(3) | 9 | SCHS |
| St Joseph Community Health Services | |||||||||
| 300 Central Ave SW Suite 3000W | Albuquerque | NM | 87102 | 710897107 | Community | NM | 501(c)(3) | 11a | CHI |
| CHI Health Connect at Home - Fargo | |||||||||
| 4816 Amber Valley Parkway | Fargo | ND | 58104 | 271966847 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Carrington Health Center | |||||||||
| 800 North 4th Street | Carrington | ND | 58421 | 450227311 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Lisbon Area Health Services | |||||||||
| 905 Main Street | Lisbon | ND | 58054 | 820558836 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Hospital of Devils Lake | |||||||||
| 1031 East Seventh Street | Devils Lake | ND | 58301 | 450227012 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| The Mercy Hospital of Devils Lake Fdn | |||||||||
| 1031 East Seventh Street | Devils Lake | ND | 58301 | 352367360 | Fundraising | ND | 501(c)(3) | 11a | MHDL |
| Mercy Hospital of Valley City | |||||||||
| 570 Chautauqua Boulevard | Valley City | ND | 58072 | 450226553 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Medical Center | |||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450231183 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Mercy Medical Foundation | |||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450381803 | Fundraising | ND | 501(c)(3) | 11a | MMC |
| Oakes Community Hospital | |||||||||
| 314 South 8th Street | Oakes | ND | 58474 | 450231675 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Oakes Community Hospital Foundation | |||||||||
| 314 South 8th Street | Oakes | ND | 58474 | 710966606 | Fundraising | ND | 501(c)(3) | 11a | OCH |
| St Joseph's Hospital and Health Center | |||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 450226429 | Healthcare | ND | 501(c)(3) | 3 | CHI |
| Saint Joseph's Hospital Foundation | |||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 363418207 | Fundraising | ND | 501(c)(3) | 11a | SJHHC |
| Villa Nazareth Inc | |||||||||
| 801 Page Drive | Fargo | ND | 58103 | 450226714 | LT Care | ND | 501(c)(3) | 9 | CHI |
| Samaritan Health Partners | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 311107411 | Healthcare | OH | 501(c)(3) | 11a | CHI |
| Samaritan Behavioral Health | |||||||||
| 601 S Edwin C Moses Blvd | Dayton | OH | 45408 | 020633634 | Healthcare | OH | 501(c)(3) | 3 | SHP |
| Samaritan Health Foundation | |||||||||
| 2222 Philadelphia Drive | Dayton | OH | 45406 | 237296923 | Fundraising | OH | 501(c)(3) | 7 | SHP |
| The Good Samaritan Hospital of Cincinnat | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 310537486 | Healthcare | OH | 501(c)(3) | 3 | TRI-HEALTH |
| The Community Limited Care Dialysis Cent | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 237419853 | Dialysis | OH | 501(c)(2) | none | GSH |
| Good Samaritan College of Nursing & Heal | |||||||||
| 375 Dixmyth Ave | Cincinnati | OH | 45220 | 311778403 | Education | KY | 501(c)(3) | 2 | GHS |
| Good Samaritan Foundation of Cincinnati | |||||||||
| 619 Oak Street Accounting-3 West | Cincinnati | OH | 45206 | 311206047 | Fundraising | OH | 501(c)(3) | 11a | GSH |
| Hospital Association for St Joseph Hosp | |||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 526050777 | Healthcare | MD | 501(c)(3) | 9 | SJMC |
| Mercy Medical Center | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930386868 | Healthcare | OR | 501(c)(3) | 3 | CHI |
| Centennial Medical Group Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 900433062 | Physicians | OR | 501(c)(3) | 9 | MMC |
| Linus Oakes Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930821381 | Senior Living | OR | 501(c)(3) | 9 | MMC |
| Mercy Foundation Inc | |||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 936088946 | Fundraising | OR | 501(c)(3) | 7 | MMC |
| Mt St Joseph Inc | |||||||||
| 3060 SE Stark Street | Portland | OR | 97214 | 930386870 | Nursing Care | OR | 501(c)(3) | 9 | CHI |
| St Anthony Hospital | |||||||||
| 1601 SE Court Avenue | Pendleton | OR | 97801 | 930391614 | Healthcare | OR | 501(c)(3) | 3 | CHI |
| St Anthony Hospital Foundation | |||||||||
| 1601 SE Court Avenue | Pendleton | OR | 97801 | 930992727 | Fundraising | OR | 501(c)(3) | 11a | SA Hospital |
| St Dominic at Ontario | |||||||||
| 351 SW 9th Street | Ontario | OR | 97914 | 930433692 | Healthcare | OR | 501(c)(3) | 3 | CHI |
| St Francis of Baker City | |||||||||
| 3325 Pocahontas Road | Baker City | OR | 97814 | 930412495 | Healthcare | OR | 501(c)(3) | 3 | CHI |
| St Joseph Health Ministries | |||||||||
| 1929 Lincoln Hwy E Ste 150 | Lancaster | PA | 17602 | 232342997 | Health | PA | 501(c)(3) | 11a | CHI |
| St Joseph Health Ministries Foundation | |||||||||
| 1929 Lincoln Hwy E Ste 150 | Lancaster | PA | 17602 | 232605579 | Fundraising | PA | 501(c)(3) | 11a | SJHM |
| St Joseph Health Services Inc | |||||||||
| 1929 Lincoln Hwy E Ste 150 | Lancaster | PA | 17602 | 201425375 | Dental care | PA | 501(c)(3) | 11a | SJHM |
| St Joseph Regional Health Network | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 231352211 | Healthcare | PA | 501(c)(3) | 3 | CHI |
| St Joseph Medical Group | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 208544021 | Healthcare | PA | 501(c)(3) | 9 | BHC |
| St Joseph Medical Center Foundation | |||||||||
| 2500 Bernville Road PO Box 316 | Reading | PA | 19603 | 232649362 | Fundraising | PA | 501(c)(3) | 11a | SJRHN |
| St Mary's Healthcare Center | |||||||||
| 801 East Sioux Avenue | Pierre | SD | 57501 | 460230199 | Healthcare | SD | 501(c)(3) | 3 | CHI |
| Gettysburg Medical Center | |||||||||
| 606 East Garfield Avenue | Gettysburg | SD | 57442 | 460234354 | Healthcare | SD | 501(c)(3) | 3 | SMHC |
| Memorial Health Care System Inc | |||||||||
| 2525 De Sales Avenue | Chattanooga | TN | 37404 | 620532345 | Healthcare | TN | 501(c)(3) | 3 | CHI |
| Memorial Health Care System Foundation | |||||||||
| 2525 De Sales Avenue | Chattanooga | TN | 37404 | 621839548 | Fundraising | TN | 501(c)(3) | 7 | MHCS |
| Memorial Health Partners Foundation Inc | |||||||||
| 6028 Shallowford Road | Chattanooga | TN | 37421 | 030417049 | Healthcare | TN | 501(c)(3) | 9 | MHCS |
| Franciscan Health System FKA Franciscan | |||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 910564491 | Healthcare | WA | 501(c)(3) | 3 | CHI |
| Enumclaw Regional Hospital Association | |||||||||
| 1450 Battersby Avenue | Enumclaw | WA | 98022 | 910715805 | Healthcare | WA | 501(c)(3) | 3 | FHS |
| Franciscan Foundation | |||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911145592 | Fundraising | WA | 501(c)(3) | 9 | FHS |
| Franciscan Medical Group | |||||||||
| 1708 South Yakima Avenue | Tacoma | WA | 98405 | 911939739 | Healthcare | WA | 501(c)(3) | 9 | FHS |
| Franciscan Villa of South Milwaukee Inc | |||||||||
| 3601 South Chicago Avenue | South Milwaukee | WI | 53172 | 391093829 | Healthcare | WI | 501(c)(3) | 9 | CHI |
Form990 Schedule R Part III Form990ScheduleRPartIII (20 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | Code VCodeVAmount | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHI Operating Investment Program LP | ||||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 470727942 | Investments | CO | CHI | Investment | 139679805 | 2069974790 | false | $371,292 | true | 1.00000 |
| North River Surgery Center LLC | ||||||||||||||
| 2209 Wildwood Avenue | Sherwood | AR | 72120 | 710799771 | Ambul Surg Ctr | AR | SVIMC | Related | 198313 | 1758688 | false | false | 0.57450 | |
| Audubon Land Company LLC | ||||||||||||||
| 5390 N Academy Blvd Suite 300 | Colorado Springs | CO | 80918 | 841513085 | Real Estate | CO | THC | Related | -157673 | 14390550 | false | false | 0.50100 | |
| OrthoColorado LLC | ||||||||||||||
| 11650 West 2nd Place | Lakewood | CO | 80255 | 371577105 | Ortho Hospital | CO | THC | Related | -3249314 | 10905384 | false | false | 0.60000 | |
| Penrad Imaging | ||||||||||||||
| 1390 Kelly Johnson Blvd | Colorado Springs | CO | 80920 | 841072619 | Medical Imaging | CO | THC | Related | 1857228 | 5457224 | false | false | 0.70000 | |
| St Anthony Regional Mtn Cancer Center | ||||||||||||||
| 4231 W 16th Avenue | Denver | CO | 80112 | 371568013 | Cancer Center | CO | THC | Related | -290552 | false | false | 0.51000 | ||
| St Francis Land Company | ||||||||||||||
| 5390 N Academy Blvd Suite 300 | Colorado Springs | CO | 80918 | 263134100 | Real Estate | CO | THC | Related | -180979 | 14886022 | false | false | 0.51000 | |
| Bluegrass Regional Imaging Center | ||||||||||||||
| 1218 South Broadway Suite 310 | Lexington | KY | 40504 | 611386736 | Diagnostic | KY | SJ HospitalLex | Related | false | false | 0.65000 | |||
| St Joseph-PAML LLC | ||||||||||||||
| 424 Lewis Hargett Circle Ste 160 | Lexington | KY | 40503 | 452116736 | Mgmt Svcs | KY | SJHS | Related | false | true | 0.62500 | |||
| Saint Joseph SCA Holdings LLC | ||||||||||||||
| 424 Lewis Hargett Circle Ste 160 | Lexington | KY | 40503 | 453801157 | OP Surgery | DE | SJHS | Related | false | true | 0.51000 | |||
| Surgery Center of Lexington LLC | ||||||||||||||
| 1451 Harrodsburg Road | Lexington | KY | 40504 | 621179539 | Surgery Center | DE | SJHS | Related | 808840 | 4236901 | false | true | 0.51000 | |
| Ruxton Surgicenter LLC | ||||||||||||||
| 8322 Bellona Avenue Suite 201 | Baltimore | MD | 21204 | 522095835 | Surgery Center | MD | SJMC | Related | false | true | 0.51000 | |||
| Avantas LLC | ||||||||||||||
| 1207 South 13 Street | Omaha | NE | 68108 | 392045003 | Healthcare | NE | AHMH | Unrelated | false | false | 0.95000 | |||
| Healthcare Support Services LLC | ||||||||||||||
| PO Box 9804 | Grand Island | NE | 68802 | 721546196 | Laundry | NE | CHI | Related | 196124 | 3913481 | false | -$58,436 | false | 1.00000 |
| Central Nebraska Home Care Services | ||||||||||||||
| PO Box 1146-4510 Second Avenue | Kearney | NE | 68848 | 470692112 | Healthcare Srvc | NE | HSEINC | Related | -99941 | 1021498 | false | -$48,712 | true | 1.00000 |
| Superior Medical Imaging LLC | ||||||||||||||
| 5000 North 26th Street | Lincoln | NE | 68521 | 262884555 | OP Diagnostics | NE | SERMC | Related | false | false | 0.51000 | |||
| Central Nebraska Rehab Services | ||||||||||||||
| 3004 W Faidley Ave | Grand Island | NE | 68802 | 810653461 | Physical Therapy | NE | CHI | Related | 1857991 | 2262775 | false | false | 0.51000 | |
| St Francis Medical Center Associates | ||||||||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911352698 | Med. Office | WA | FHS | Related | 116948 | 1652280 | false | false | 0.54210 | |
| Peninsula Radiation Oncology | ||||||||||||||
| 314 Martin Luther King Jr Way 11 | Tacoma | WA | 98405 | 870808610 | Healthcare Srvc | WA | FHS | Related | 131195 | 3052504 | false | false | 0.60000 | |
| Berywood Office Properties LLC | ||||||||||||||
| 400 Berywood Trail | Cleveland | TN | 37312 | 621875199 | Phys Office | TN | MHCS | Related | false | true | 0.63000 | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (45 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Share Of Total IncomeShareOfTotalIncome |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alternative Insurance Management Service | ||||||||||||
| 3900 Olympic Boulevard Suite 400 | Erlanger | KY | 41018 | 841112049 | Management Servic | CO | CHI | C Corp | 3267441 | 1.00000 | ||
| Captive Management Initiatives | ||||||||||||
| 6028D Shallowford Road | Chattanooga | TN | 37422 | 980663022 | Captive Managemen | CHI | C Corp | 1.00000 | CJ | |||
| Center for Translational Research | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 272269511 | Healthcare | CO | CHI | C Corp | 1668589 | 1.00000 | -2247962 | |
| First Initiatives Insurance Ltd | ||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 980203038 | Insurance | CHI | C Corp | 1.00000 | CJ | |||
| Franciscan Services Inc | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 232487967 | Healthcare | CO | CHI | C Corp | 11914284 | 1.00000 | -507578 | |
| SJH Services Corporation | ||||||||||||
| 198 Inverness Drive West | Englewood | CO | 80112 | 232307408 | Healthcare | CO | FSI | C Corp | 3180100 | 1.00000 | -518360 | |
| St Joseph Development Company Inc | ||||||||||||
| 1717 South J Street | Tacoma | WA | 98405 | 911480569 | Rental | WA | FSI | C Corp | 12168022 | 1.00000 | -36395 | |
| Towson Management Inc | ||||||||||||
| 7601 Osler Drive | Towson | MD | 21204 | 521710750 | Management Servic | MD | FSI | C Corp | 498393 | 1.00000 | -469016 | |
| Nazareth Assurance Company | ||||||||||||
| 76 St Paul Street Suite 500 | Burlington | VT | 05401 | 030304831 | Insurance | VT | CHI | C Corp | 123535 | 1.00000 | -379 | |
| St Vincent Community Health Services In | ||||||||||||
| Two St Vincent Circle | Little Rock | AR | 72205 | 710710785 | Healthcare | AR | SVIMC | C Corp | 14049375 | 1.00000 | 2309129 | |
| Comcare Services | ||||||||||||
| 4231 W 16th Avenue | Denver | CO | 80204 | 840904813 | Inactive | CO | CHIC | C Corp | 1.00000 | |||
| Des Moines Medical Center Inc | ||||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 420837382 | Real Estate | IA | CHI-IA Corp | C Corp | 1253452 | 0.92980 | ||
| Mercy Park Apartments Ltd | ||||||||||||
| 1111 6th Avenue | Des Moines | IA | 50314 | 421202422 | Housing | IA | CHI-IA Corp | C Corp | 1796053 | 1.00000 | 264489 | |
| Central Kansas Health Services Associati | ||||||||||||
| 3515 Broadway | Great Bend | KS | 67530 | 481042853 | MEDICAL EQUIPMENT | KS | CKMC | C Corp | 1.00000 | |||
| SJL Physician Management Services Inc | ||||||||||||
| 424 Lewis Hargett Cr 160 | Lexington | KY | 40503 | 270164198 | Management | KY | SJHS | C Corp | 1.00000 | |||
| St Joseph Office Park Association | ||||||||||||
| 1401 HarrodsBurg Road Bldg B70 | Lexington | KY | 40504 | 611079899 | Management | KY | SJHS | C Corp | 882139 | 0.85000 | 16644 | |
| Mercy Health Services Corporation | ||||||||||||
| 2727 McClelland Blvd | Joplin | MO | 64804 | 431457881 | DME | MO | St John's RMC | C Corp | 1369083 | 1.00000 | -1533371 | |
| Good Samaritan Outreach Services | ||||||||||||
| PO BOX 1990 | Kearney | NE | 68848 | 470659440 | MEDICAL CLINIC | NE | CHI Nebraska | C Corp | 355110 | 1.00000 | -2921063 | |
| Health Systems Enterprises Inc | ||||||||||||
| PO BOX 1990 | Kearney | NE | 68848 | 470664558 | MANAGEMENT | NE | GSH | C Corp | 1443049 | 1.00000 | 25289 | |
| Saint Clare's Primary Care Inc | ||||||||||||
| 66 Ford Road | Denville | NJ | 07834 | 222441202 | Billing Services | NJ | SCCC | C Corp | 2177166 | 1.00000 | -342970 | |
| MedQuest | ||||||||||||
| 1301 15th Avenue West | Williston | ND | 58801 | 450392137 | Sale of DME | ND | MHof Williston | C Corp | 962554 | 1.00000 | 9852 | |
| Consolidated Health Services | ||||||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311378212 | Home Health | OH | CHI | C Corp | 11595125 | 1.00000 | ||
| American Nursing Care | ||||||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311085414 | Home Health | OH | CHS | C Corp | 44470358 | 1.00000 | 1778617 | |
| Amerimed Inc | ||||||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311158699 | Home Health | OH | ANC | C Corp | 11869657 | 1.00000 | 2395230 | |
| Patient Transport Services Inc | ||||||||||||
| 1700 Edison Drive | Milford | OH | 45150 | 311100798 | Home Health | OH | ANC | C Corp | 5325941 | 1.00000 | 662425 | |
| Samaritan Family Care Inc | ||||||||||||
| 40 W Fourth St 1700 | Dayton | OH | 45402 | 311299450 | Healthcare | OH | SHP | C Corp | 1.00000 | |||
| Mercy Services Corp | ||||||||||||
| 2700 Stewart Parkway | Roseburg | OR | 97470 | 930824308 | Retail Sales | OR | MMC | C Corp | 954798 | 1.00000 | -690267 | |
| St Anthony Development Company | ||||||||||||
| 1415 Southgate | Pendleton | OR | 97801 | 931216943 | Athletic Club | OR | St Anthony H | C Corp | 3007554 | 1.00000 | 53891 | |
| CGH Realty Company Inc | ||||||||||||
| 215 N 12th St | Reading | PA | 19603 | 232326801 | Real Estate | PA | SJHM | C Corp | 42415 | 1.00000 | 1007 | |
| Caduceus Medical Associates Inc | ||||||||||||
| 6028 Shallowford Road Suite D | Chattanooga | TN | 37422 | 621570736 | Healthcare | TN | MHCS | C Corp | 1008 | 1.00000 | ||
| Mountain Management Services Inc | ||||||||||||
| 6028D Shallowford Road | Chattanooga | TN | 37422 | 621570739 | mgmt svc org | TN | MHCS | C Corp | 4667998 | 1.00000 | -386020 | |
| Physician Health System Network | ||||||||||||
| 1149 Market St | Tacoma | WA | 98402 | 911746721 | Health Org. | WA | FHS | C Corp | 1.00000 | |||
| Healthcare Mgmt Services Org Inc | ||||||||||||
| 1149 Market St | Tacoma | WA | 98402 | 911865474 | Health Org. | WA | FHS | C Corp | 1.00000 | |||
| Harold W Rase 1995 Charitable Unittrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 456090420 | Investments | ND | SJHHC | Trust | 21533 | 1.00000 | 1240 | |
| Harold W Rase 1996 Charitable Unittrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206037112 | Investments | ND | SJHHC | Trust | 15495 | 1.00000 | 900 | |
| Harold W Rase 1997 Charitable Unittrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206037104 | Investments | ND | SJHHC | Trust | 20261 | 1.00000 | 1025 | |
| Harold W Rase 1999 Charitable Unittrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206037099 | Investments | ND | SJHHC | Trust | 25027 | 1.00000 | 1313 | |
| James & Henrietta Nistler Unitrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206021899 | Investments | ND | SJHHC | Trust | 41455 | 1.00000 | -16708 | |
| Joseph A Schuster Annuity Trust #1 | ||||||||||||
| 400 Univerity Avenue | Des Moines | IA | 50314 | 421195122 | Investments | IA | MFDM | Trust | 441488 | 1.00000 | 18924 | |
| Ray & Shirley David 1999 Unitrust | ||||||||||||
| 30 West 7th Street | Dickinson | ND | 58601 | 206037077 | Investments | ND | SJHHC | Trust | 24194 | 1.00000 | 1250 | |
| Tom Deyle Charitable Remainder Unitrust | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 476192393 | Investments | NE | GSHF | Trust | 166321 | 1.00000 | 4884 | |
| David Deyle Charitable Remainder Unitrus | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 476192395 | Investments | NE | GSHF | Trust | 166425 | 1.00000 | 4880 | |
| Jeanne Deyle Charitable Remainder Unitru | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 476192398 | Investments | NE | GSHF | Trust | 166320 | 1.00000 | 4880 | |
| Lodesca Miller Charitable Remainder Unit | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 476186933 | Investments | NE | GSHF | Trust | 86367 | 1.00000 | 3387 | |
| Robert & Wanda Charitable Remainder Unit | ||||||||||||
| PO Box 1810 | Kearney | NE | 68848 | 266191916 | Investments | NE | GSHF | Trust | 537775 | 1.00000 | 13030 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Catholic Health Initiatives | |
| l | 1944560 |
| Catholic Health Initiatives | |
| o | 444579 |
| Catholic Health Initiatives | |
| q | 629920 |
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