2012-05-14T15:39:21-05:00 2011-06-30 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2010-07-01 721332678 Daughters of Charity Services of New Orleans DAUG 5044822080 PO Box 4148 New Orleans LA 701784148 Michael Griffin 5044822080 2012-05-14 1 Rebecca Lyons 5137847100 2010 2016-02-24 21:20:13Z Michael Griffin PO Box 4148 New Orleans LA 701784148 7797107 0 0928 X www.dcsno.org X 1997 LA To improve the health and well-being of our community. 9 9 108 9 0 0 9144554 3466330 2057328 4262602 32883 30898 -20894 37277 11213871 7797107 9066700 1411977 0 0 3937760 5559924 0 0 31522 3524231 4228410 16528691 11200311 -5314820 -3403204 23089165 21438311 12790755 14364080 10298410 7074231 X Daughters of Charity Services of New Orleans' (DCSNO) mission is to improve the health and well-being of our community and to be a presence of the love of Jesus in the lives of all we serve and with whom we partner. 1 0 4082207 4274735 Daughters of Charity Services of New Orleans provides health care services, education and counseling services to the poor and working poor of the New Orleans area. Total services included 85,847 encounters during the year. Additionaly, Daughters of Charity Services of New Orleans provides primary care, dental services, behavioral health counseling, pharmacy, and optometry services. 6319967 To support Daughters of Charity Services of New Orleans Foundation, a related entity, which was established to participate in the acquisition and construction by DCSNO of two nonprofit medical centers located at 3201 South Carollton Avenue and 4201 North Rampart Street, New Orleans, Louisiana, as part of the New Markets Tax Credit transaction, by acting as a leverage lender to the investment fund providing equity to the project. 10402174 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 14 0 108 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X Thomas E Massey 5042129505 3201 S Carrollton Ave New Orleans LA 70118 Sr Ellen Kron DC 1.00 X X 0 0 0 Sister Marie Theresa Sedgwick DC 1.00 X X 0 0 0 Theresa Badon 1.00 X X 0 0 0 Robert Angelico 1.00 X X 0 0 0 Sister Patricia Bachman 1.00 X 0 0 0 Sam LeBlanc 1.00 X 0 0 0 Stephanie Rhodes Navarre 1.00 X 0 0 0 Roderic Teamer 1.00 X 0 0 0 Michael Todd 1.00 X 0 0 0 Michael Griffin 40.00 X 175212 0 26496 Gregg Moreau 1.00 X 96269 0 2860 Robert Post 40.00 X 150781 0 15019 Denise Woodall-Ruff 40.00 X 136206 0 14599 Radha Raman 40.00 X 133226 0 5530 691694 0 64504 4 0 1 0 Donahue Favret Contractors 3030 E Causeway Approach Mandeville LA 70448 Contractor 1449038 Blue Cross Blue Shield of LA 5525 Reitz Ave Baton Rouge LA 70809 Health Insurance 610707 SuccessEHS One Metroplex Dr Suite 500 Birmingham AL 35209 Information Systems 225530 Family and Community Medicine 1430 Tulane Ave TB3 New Orleans LA 70112 Contract Physicians 159282 Laboratory Corporation PO Box 12140 Burlington NC 272162140 Laboratory Services 155270 18 645264 2821066 3466330 Clinical Service Fees 621110 4262602 4262602 4262602 30898 30898 25144 25144 25144 25144 Medical Record Fees 900090 11535 11535 598 598 12133 7797107 4274735 0 56042 1411977 1411977 4571480 4571480 76837 76837 588381 588381 323226 247265 75961 144170 144170 33700 33700 1562983 1490835 72148 29084 29084 340223 212766 127457 90887 19864 71023 134331 134331 380015 352820 27195 108057 79179 28878 Supplies 766799 766799 0 0 New Market Trade Credit 171122 171122 0 0 Consumer Awareness 167594 10595 156999 0 Bad Debts 130520 130520 0 0 Dues & Subscriptions 57261 57261 0 0 111664 80142 31522 11200311 10402174 766615 31522 1810450 57364 693298 635577 4024867 2763804 106987 164417 95046 169642 16885244 1105623 13727345 15779621 2631172 1867886 23089165 21438311 205235 62345 12240272 13734400 345248 567335 12790755 14364080 X 6843402 4739228 3455008 2335003 10298410 7074231 23089165 21438311 X -3403204 179025 X 0 1 1 X 1 1 X Schedule A, Part IV, Supplemental Information: Part I, Line 3: Daughters of Charity Services of New Orleans is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however it is not a hospital as defined by Form 990, Schedule H instructions. Daughters of Charity of New Orleans is a medical group that is not regulated or registered with the state of Louisiana as a hospital. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1622516 1622516 11984298 256340 11727958 69325 63733 5592 2560931 781437 1779494 648174 4113 644061 15779621 Health System Depository Account 1212484 Other Assets 90690 New Market Tax Credit Financing Fees, Net of Amortization 564712 1867886 Payroll Taxes Payable 64639 Accrued Pension, Salary & Vacation 289122 Self Insurance Liability 58699 New Market Tax Credit Fees Payable 154875 567335 Description of Uncertain Tax Positions Under FIN 48: Part X: The following footnote is from the Consolidated Audited Financial Statements of Daughters of Charity Services of New Orleans: The organization applies a "more-likely-than-not" recognition threshold for all tax uncertainties. This approach only allows the recognition of those tax benefits that have a greater than 50% likelihood of being sustained upon examination by the taxing authorities. As a result of implementing this approach, the organization has reviewed its tax positions and determined there were no outstanding, or retroactive tax positions with less than a 50% likelihood of being sustained upon examination by the taxing authorities. Therefore, the implementation of this standard has not had material effect on the organization. The organization's tax returns for the years ended June 30, 2010, 2009, and 2008 remain open and subject to examination by taxing authorities. The organization's tax return for the year ended June 30, 2011 has not yet been filed. 0 Daughters of Charity Services of New Orleans Foundation PO Box 4148 New Orleans LA 70178 721658000 501(c)(3) 1411977 0 General Support 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: A third party investment advisor is monitoring the funds that are being held in the Foundation. X X X 0 0 0 0 0 0 0 0 0 Michael Griffin 166972 0 0 0 8240 0 0 0 26496 0 201708 0 0 0 Robert Post 150781 0 0 0 0 0 0 0 15019 0 165800 0 0 0 Denise Woodall-Ruff 136206 0 0 0 0 0 0 0 14599 0 150805 0 0 0 New Program Services Form 990, Part III, line 2 Added optometry services including providing glasses. Form 990, Part VI, Section A, line 6 Daughters of Charity Services of New Orleans has a single corporate member, Ascension Health. Form 990, Part VI, Section A, line 7a Daughters of Charity Services of New Orleans has a single corporate member, Ascension Health, who has the ability to elect members to the governing board of Daughters of Charity Services of New Orleans. Form 990, Part VI, Section A, line 7b Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. Form 990, Part VI, Section B, line 11 The return is reviewed by the CFO prior to being filed. Form 990, Part VI, Section B, line 12c The organization maintains a formal Corporate Compliance Program which includes a Corporate Compliance Office and Corporate Compliance Committee. All Board Members are subject to the policy which is updated and signed by Members each year. Any conflicts of interest are self-reported by Members. Members that are found to have a conflict either abstain from voting on issues that create the conflict or are excused from the Board depending on the severity of the conflict. Form 990, Part VI, Section B, line 15 In determining compensation for the CEO, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation with the facilitation by the SCP of HR and the Director of Compensation. In the review of the compensation, the CEO was compared to individuals at other similar organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when his compensation was decided. In determining compensation of other officers of the organization, the process a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The Compensation Committee reviewed and approved the compensation. In the review of the compensation, the other officers of the organization were compared to individuals at other similar organizations in the area who hold the same title. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -637. Donated services and use of facilities: 78,175. Other 101,487. Total to Form 990, Part XI, Line 5: 179,025. Ascension Health PO Box 45998 St Louis MO 63134 311662309 National Health System MO Section 501(c)(3) Schedule A, Line 11a N/A 0 Daughters of Charity Services of New Orleans Foundation 4164 Canal Street New Orleans LA 70119 721658000 Provide support to the Daughters of Charity Services of New Orleans LA Section 501(c)(3) Schedule A, Line 11b Daughters of Charity Services of New Orleans 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Daughters of Charity Services of New Orleans Foundation B 1411977 Actual Amount Transferred