FURP.ORG / PUBLIC DATA EXPLORER

CARONDELET LONG TERM CARE FACILITIES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CARONDELET LONG TERM CARE FACILITIES INC (EIN 74-2505427)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-14
IRS object ID
201221359349304447
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-14T14:43:37-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 East Fifth Street Suite 1900AddressLine1
CityCincinnatiCity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN742505427EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Carondelet Long-Term Care Facilities IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARONameControl
Phone8169424400Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameSteve ClearyName
TitleCFO - Carondelet HealthTitle
Phone8169424400Phone
Date Signed2012-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAlicia JanischName
Phone5137847100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 Carondelet DriveAddressLine1
CityKansas CityCity
StateMOState
ZIP Code641144673ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29024965GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionProvides nursing home and assisted living facilities to in-patients.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees539TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7176ContributionsGrantsPriorYear
Contributions Grants Current Year15660ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29095223ProgramServiceRevenuePriorYear
Program Service Revenue CY28724090ProgramServiceRevenueCY
Investment Income Prior Year11204InvestmentIncomePriorYear
Investment Income Current Year9418InvestmentIncomeCurrentYear
Other Revenue Prior Year458187OtherRevenuePriorYear
Other Revenue Current Year254828OtherRevenueCurrentYear
Total Revenue Prior Year29571790TotalRevenuePriorYear
Total Revenue Current Year29003996TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20392378SalariesEtcPriorYear
Salaries Etc Current Year20648755SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9394951OtherExpensePriorYear
Other Expenses Current Year10227593OtherExpensesCurrentYear
Total Expenses Prior Year29787329TotalExpensesPriorYear
Total Expenses Current Year30876348TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-215539RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1872352RevenuesLessExpensesCY
Total Assets BOY5762044TotalAssetsBOY
Total Assets EOY6200673TotalAssetsEOY
Total Liabilities BOY7382909TotalLiabilitiesBOY
Total Liabilities EOY9694019TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1620865NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-3493346NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCarondelet Health consists of Catholic organizations dedicated to the healing ministry of Jesus Christ. Our mission is to continue the healing ministry of Jesus Christ by providing long-term health care for older persons of all faiths, races and socio-economic backgrounds.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9447638Expense
Revenue10022094Revenue
DescriptionCarondelet Manor is a 162-bed skilled nursing facility with 642 discharges and 45,882 patient days during fiscal year 2011. The sub-acute unit provides more intensive treatment for patients requiring specialty care, rehabilitation or who have nursing care needs related to medically complex diagnoses. Ancillary services include physical and occupational therapy as well as specialized speech-language vital stimulation therapy. Carondelet Manor also offers complete decongestive therapy (CDT) to individuals suffering from a common chronic condition affecting their lymphatic system, known as lymphedema. The Alzheimer/Dementia Care is a separate unit dedicated to the care of individuals with Alzheimer's disease and other forms of dementia. The cherished moments programs are designed to celebrate the life, spirit and memories of the patients. The Long-Term Care unit provides extended care services for patients 240 hours-a-day, 7 days-a-week with a goal to help the patients attain and maintain their optimal level of well-being.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense9018947Expense
Revenue10022167Revenue
DescriptionSt. Mary's Manor is a 132-bed skilled nursing facility with an additional 57 residential living beds. In FY11 there were 551 skilled care discharges and 35,889 skilled patient days with an additional 14,531 residential care days. St. Mary's Manor offers a full range of services including post-hospital or sub-acute, respite, short and long term care, hospice and an aggressive rehab to home program, offering both inpatient and outpatient services. St. Mary's Manor specializes in meeting individual nursing needs which include skilled care, wound care and recuperative care. Specific rehabilitation needs are met with physical, occupational and speech therapy. St. Mary's Manor has a secure care unit for those requiring Alzheimer's or other dementia care. The facility is a Parkinson Accredited Facility offering specialized training for our staff on Parkinson's disease. The residential care area offers one or two bedroom apartments for independent living with services including three meals each day, housekeeping services, laundry, and medication distribution and assistance.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6736038Expense
Revenue8679829Revenue
DescriptionVilla Saint Joseph is a 120-bed skilled nursing facility with 322 discharges and 34,760 patient days during fiscal year 2011. The medical plan of care is ordered by the physician and implemented by the nursing staff. Services include physical, speech and occupational therapy as well as a mobile x-ray unit for radiology and EKG services. Because of the importance of spiritual care to the Sisters of St. Joseph of Carondelet, there is a full-time spiritual care staff member who visits residents regularly and schedules scripture and devotional services. The social service department at Villa Saint Joseph is an integral part of the health care team. The social worker's primary responsibility is to assist with the psychosocial needs of all residents, family members and friends. The staff activities director organizes activities for individuals and groups, including social events and special activity groups. Villa Saint Joseph is a place where independent living and family participation are welcomed and encouraged.Description
FieldValueIRS element (for citing)
Total Program Service Expense25202623TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees539NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Steve ClearyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8169432819TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Steve Chies
Director/President1.00XX000
Larry Rubin Sch O
Director1.00XX021841055048
Dale Thompson
Director1.00X000
Kevin Rymanowski
Director1.00X000
Deborah Everage
MDS Cordinator1.009204701658X
Bronna Woods
Occupational Therapy1.0086953016559X
Valerie Finley
Occupational Therapy1.008848807205X
Kim Berens
Nurse1.0076692019190X
Dee Foote
Nurse1.0078694015171X
Steve Cleary Sch O
Health System CFO/Dir.1.00X029472634166
Scott Kashman Sch O
CEO-SJMC1.00X030660153412
Carla Brogdon Sch O
Assistant Secretary1.00X0559523495
Larry Marshall
Director000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs875689TotalReportableCompFrmRltdOrgs
Total Other Compensation146121TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Benedictine Health SystemBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11995 E Rum River DrAddressLine1
CityCambridgeCity
StateMNState
ZIP Code55008ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesManagementDescriptionOfServices
Compensation993583Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations15660RelatedOrganizations
Total Contributions15660TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient RevenueDescription
Business Code623990BusinessCode
Total Revenue Column28724090TotalRevenueColumn
Related Or Exempt Function Income28724090RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue28724090TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9418TotalRevenueColumn
Exclusion$9,418ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real16480Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real20969Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-4489Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-4489TotalRevenueColumn
Exclusion-$4,489ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
Beauty Shop812900133652$133,652
Medicoach90000092670$92,670
Dietary Guest Meals72221021052$21,052

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column11943TotalRevenueColumn
Exclusion$11,943ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue259317TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29003996TotalRevenueColumn
Related Or Exempt Function Income28724090RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$264,246ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17158097Total
Program Services13984562ProgramServices
Management And General3173535ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total66925Total
Program Services54547ProgramServices
Management And General12378ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2207545Total
Program Services1799241ProgramServices
Management And General408304ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1216188Total
Program Services1017913ProgramServices
Management And General198275ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6200Total
Management And General6200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1249722Total
Program Services199714ProgramServices
Management And General1050008ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total31150Total
Program Services19007ProgramServices
Management And General12143ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total739759Total
Program Services479938ProgramServices
Management And General259821ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total38387Total
Management And General38387ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2563980Total
Program Services2321166ProgramServices
Management And General242814ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total76269Total
Program Services13407ProgramServices
Management And General62862ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17858Total
Program Services3953ProgramServices
Management And General13905ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total797Total
Program Services618ProgramServices
Management And General179ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total148726Total
Program Services148726ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
Medical Supplies297984829798480
NFRA Fee101879610187960
Bad Debt6308336308330
Purchase Services279288185962093326
Beauty Shop Exp.236581205218031363

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total209399Total
Program Services139174ProgramServices
Management And General70225ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30876348Total
Program Services25202623ProgramServices
Management And General5673725ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1631837BOY
EOY1368493EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4041201BOY
EOY4612440EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY65714BOY
EOY64771EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY23292BOY
EOY154969EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5762044BOY
EOY6200673EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1830166BOY
EOY1665021EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY986372BOY
EOY913000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4566371BOY
EOY7115998EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7382909BOY
EOY9694019EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1620865BOY
EOY-3493346EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1620865BOY
EOY-3493346EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5762044BOY
EOY6200673EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1872352ReconcilationRevenueExpenses
Reconcilation Other Changes-129ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6722CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4423CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16613CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7176CurrentTaxYearMinus1Year
Current Tax Year15660CurrentTaxYear
Total50594Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26227879CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27854264CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27833350CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29597889CurrentTaxYearMinus1Year
Current Tax Year28988208CurrentTaxYear
Total140501590Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26234601CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27858687CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27849963CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29605065CurrentTaxYearMinus1Year
Current Tax Year29003868CurrentTaxYear
Total140552184Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509140552184PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years530333CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years479892CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years529141CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23531CurrentTaxYearMinus1Year
Current Tax Year9289CurrentTaxYear
Total1572186Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years530333CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years479892CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years529141CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23531CurrentTaxYearMinus1Year
Current Tax Year9289CurrentTaxYear
Total1572186Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years243831CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years260992CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years242306CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year264658CurrentTaxYearMinus1Year
Current Tax Year259318CurrentTaxYear
Total1271105Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27008765CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28599571CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28621410CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29893254CurrentTaxYearMinus1Year
Current Tax Year29272475CurrentTaxYear
Total143395475Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98020PublicSupportPercentage509
Prior Year Support Percentage0.97700PriorYearSupportPercentage
Investment Income Percentage0.01100InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01410PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

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

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Settlements to Third Party Payors$23,717
Other Current Liabilities$7,090,815
Self Insurance Liability$1,466
FieldValueIRS element (for citing)
Total Of Amounts7115998TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Larry Rubin Sch O
019025000028160038017017031027345800
Steve Cleary Sch O
025815800036568017527016639032889200
Scott Kashman Sch O
0265475013751027375035340018072036001300

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 4bPart I, Line 4b: Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. A related organization that paid the salaries of the individuals listed in Schedule J, Part II, contributed to the supplemental nonqualified retirement plan in the amount as noted: - Scott Kashman - $18,065 - Steven Cleary - $17,849 - Larry Rubin - $19,882
Part IIIPart I, Line 3: Carondelet Long-Term Care Facilities, Inc. relied on a related organization (Carondelet Health) that used one or more of the methods described below to establish Steve Cleary's compensation: - Compensation Committee - Independent Compensation Consultant - Written Employment Contract - Compensation Survey or Study - Approval by the Board/Compensation CommitteeSupplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 3Carondelet Long-Term Care Facilities, Inc. delegated control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to Benedictine Health System. The Benedictine Health System is a 501(c)(3) nonprofit organization. The Benedictine Health System is committed to providing compassionate, quality care with special concern for the underserved and those in need.
Form 990, Part VI, Section A, line 6Carondelet Long-Term Care Facilities, Inc., has a single corporate member, Carondelet Health.
Form 990, Part VI, Section A, line 7aCarondelet Long-Term Care Facilities, Inc., has a single corporate member, Carondelet Health, who has the ability to elect members to the governing body of Carondelet Long-Term Care Facilities Inc.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to Carondelet Long-Term Care Facilities, Inc. financial information or corporation as a whole are subject to approval by its sole corporate member, Carondelet Health.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the Board, or a designated committee, to review. Prior to filing the return, all Board Members are provided the Form 990 and management team members are available to answer any Board Members questions.
The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.Form 990, Part VI, Section B, line 12c
Form 990, Part VI, Section B, Line 15a: This question is most appropriately answered as not applicable as this organization does not have a CEO, executive director, top management official, officers, and/or key employees.
The organization will provide any documents open to public inspection upon request.Form 990, Part VI, Section C, line 19
Scott Kashman, Larry Rubin, Carla Brogdon and Steve Cleary receive compensation from Carondelet Health, a related organization of Carondelet Long-Term Care Facilities, Inc. The compensation they receive is for their role at Caondelet Health, and not for their role as a Director/Officer of Carondelet Long-Term Care Facilities, Inc.Form 990, Part VII, Section A:
Changes in Net Assets or Fund Balances:Net unrealized losses on investments: -129.Form 990, Part XI, line 5:
Description of Organization's Audited Financial Statements:The financial statements of Carondelet Long-Term Care Facilities, Inc. fall under the limited scope audit of Carondelet Health. The activity of Carondelet Long-Term Care Facilities, Inc. and other members of the Carondelet Health System are reported in the consolidated financial statements of Ascension Health. No individual audit of Carondelet Long-Term Care Facilities, Inc. is completed.Form 990, Part XII, Line 2:
Carondelet Health - Kansas City Community Benefit Report For the year ended June 30, 2011 Carondelet Health consists of St. Mary's Medical Center, St. Joseph Medical Center, three long-term care facilities and home care services. Carondelet Health is dedicated to the healing ministry of Jesus Christ. Our commitment to human dignity compels us to provide compassionate, quality healthcare for body, mind and spirit, with a special concern for the poor. We are responsible stewards serving the needs of all people from conception to death. Carondelet Health is a member of Ascension Health, the nation's largest Catholic and nonprofit health system. With Charity for All: The downturn in the American economy these last few years has proved challenging for everyone involved in health care. Not-for-profit hospitals have felt the increasing number of patients who have no insurance, are underinsured and cannot pay the full cost of their care. Comparative health care costs have soared since the Sisters of St. Joseph of Carondelet started Kansas City's first hospital in a three-story house in downtown Kansas City. Today, Carondelet Health provides financial assistance to uninsured patients at both St. Joseph and St. Mary's Medical Centers. If patients are eligible for Medicaid, the Medical Centers will assist with the application. Carondelet Health also helps patients who need extra time to settle their bills with an interest-free, extended-term payment plan, regardless of their employment or credit history. Carondelet Health is also deeply involved in educating the public about the challenges for those without health insurance. Each year it joins other organizations in Cover the Uninsured Week. Carondelet Health created a resource guide for the uninsured that is used throughout the region and is available in both English and Spanish. In keeping with the rich tradition of the founding Sisters of St. Joseph of Carondelet and the Sisters of St. Mary, St. Joseph and St. Mary's turn away no one in need. The sister's commitment to providing compassionate, quality care remains visible at the Medical Centers to this day. Caring for Our Community: Carondelet Health's facilities are active members of the communities they serve, offering a long list of programs and services to help care for the physical, mental, social and spiritual health of the residents living in those communities. Here are some highlights: The Health Sciences Library at St. Joseph Medical Center: This library facility welcomes anyone wishing to learn more about health, disease and wellness. Visitors have access to print, video and computerized health information. - Support Groups: Both medical centers offer groups for bereavement, Alzheimer's, stroke, infant loss, Lyme disease, diabetes, battered women and other areas of need. - Informative Web site and Health Magazine: Our newly redesigned Web site, Carondelethealth.org offers health information and direct links to more than fifty health-related organizations and support groups. Health Wise, our community health magazine is full of interesting and educational health features and is available on our Web site or by mail. - High Risk Obstetrics Care: Our Healthy Beginnings program provides counseling and pre- and post-natal care for underinsured, uninsured and Medicaid mothers going through high-risk pregnancies. - Seniors Clinic: Located at St. Joseph Medical Center, this popular program addresses the health needs of homebound seniors and residents of long-term care and assisted living facilities. The clinic provides a comfortable, convenient, cost-effective setting where seniors' needs can be assessed, diagnosed and treated by physicians. The clinic also provides free transportation for many patients. - Free Wellness Services: Carondelet Health provides wellness services to nine churches in its service area and to designated low-income patients. - Classroom Space: Space is provided for alternative high school classes offered by the Kansas City School District. Other local not-for-profit agencies are invited to host meetings and seminars in the medical centers for a nominal fee. - Contributions to Community Groups: Carondelet Health contributes to many worthwhile organizations, including Cristo Rey High School, the American Cancer Society, the American Heart Association and Catholic Charities of Kansas City. It supports the Seton Center Family and Health Services by providing human resources, maintenance and wellness services; and funds after school programs for at-risk children at YMCAs in Kansas City and Blue Springs. - Involvement with Community Events: St. Joseph and St. Mary's participate in numerous health fairs, offering free blood pressure, blood sugar and prostate cancer screenings. Together the medical centers sponsor a domestic violence rally to raise awareness about this critical issue and to support area victims. St. Joseph also coordinates a free informational seminar with the American Diabetes Association. Caring for the Poor: Charitable Losses by Carondelet Health of Kansas Fiscal Year 2011 (July 1, 2010 - June 30, 2011) Unpaid Medicare Reimbursement $7.4 million Unpaid Medicaid reimbursement $7.8 million Traditional Charity $3.5 million Collectable Debt $4 million Community Services $1.3 million Subsidized Services $2.8 million Total Community Benefit: $23 million Carondelet Long-Term Care Fiscal Year 2011 (July 1, 2010 - June 30, 2011) 1) Care of the poor - at cost - $97,383 2) Government sponsored health care - net expense - $1,776,012 Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, other safety net programs: does not include Medicare shortfall) 3) Community Benefit Programs - net expense - $0 Total quantifiable community benefit as determined in accordance with CHA reporting guidelines - $1,873,395 Total quantifiable community benefit - $1,873,395Form 990, Part III:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998St LouisMO63145311662306National Health SystemMOSection 501(c)(3)Schedule A, Line 11aN/A0
Carondelet Health
1000 Carondelet DriveKansas CityMO641144673431276738System ParentMOSection 501(c)(3)Schedule A, Line 11c0Ascension Health
Carondelet Health Corp & Affiliates Emp Health & Dental Care
1000 Carondelet DriveKansas CityMO641144673431116849VEBAMOSection 501(c)(9)N/A1Carondelet Health
Carondelet Home Care Services Inc
11050 Roe Suite 120Overland ParkKS66211431379352Home Health Care ServicesMOSection 501(c)(3)Schedule A, Line 31Carondelet Health
St Josesph Medical Center
1000 Carondelet DriveKansas CityMO641144673440546292Health CareMOSection 501(c)(3)Schedule A, Line 31Carondelet Health
St Mary's Medical Center
201 West RD Mize RdBlue SpringsMO64014431284526Health CareMOSection 501(c)(3)Schedule A, Line 31Carondelet Health
St Mary's Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431918107FundraisingMOSection 501(c)(3)Schedule A, Line 11c1Carondelet Health
St Joseph Medical Center Foundation
1000 Carondelet DriveKansas CityMO641144673431388461FundraisingMOSection 501(c)(3)Schedule A, Line 11c1Carondelet Health

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1South Kansas City Surgical Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110730 Nall Ste 100AddressLine1
CityOverland ParkCity
StateKSState
ZIP Code66211ZIPCode
FieldValueIRS element (for citing)
Primary ActivityHealth CarePrimaryActivity
Legal Domicile StateKSLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Percentage Ownership0.51000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Indian Creek Center Inc
1000 Carondelet DriveKansas CityMO641144673480956627ManagementMON/AC
Carondelet Management Company Inc
11050 Roe Suite 110Overland ParkMO66211431352545Health ManagementMON/AC
Carondelet Pharmacy
1000 Carondelet DriveKansas CityMO641144673431699329PharmacyMON/AC
Carondelet Primary Care Network Inc
1000 Carondelet DriveKansas CityMO641144673431596702Health CareMON/AC
Saint Joseph Ambulatory Surgical Center LLC
1000 Carondelet DriveKansas CityMO641144673251905706Health CareMON/AC
Carondelet Occupational Health Wellness & Educational Serv Inc
1000 Carondelet DriveKansas CityMO641144673861144194Health CareMON/AC
Carondelet Physician Services
1000 Carondelet DriveKansas CityMO641144673562661163Health CareMON/AC
Carondelet Medical Enterprises
1000 Carondelet DriveKansas CityMO641144673562661165Office Admin. ServicesMON/AC
Carondelet Cardiology Services
1000 Carondelet DriveKansas CityMO641144673271322670Health CareMON/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Carondelet Health
Q2613641Cash
Carondelet Health Corp & Affiliates Emp Health & Dental Care
R1854302Cash
Carondelet Health
J828868Cash
St Mary's Medical Center
J650868Cash
Carondelet Health
R2044265Cash
St Joseph Medical Center
P7690329Cash