2011-08-12T17:37:05-05:00 2010-09-30 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2009-10-01 390806167 ST CAMILLUS HEALTH SYSTEM INC STCA 4142581814 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 Kevin Schwab 4142581814 2011-08-12 1 JAY ADKISSON 4144319300 2011-08-12 2009 2016-02-24 21:20:13Z Kevin Schwab 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 5864737 0 0928 X WWW.STCAM.COM X 1923 WI BY PROVIDING SERVICES TO THE POOR, THE SICK AND THE ELDERLY WITH A SENSE OF COMPASSION AND LOVE, ST. CAMILLUS OFFERS HOPE AND MEANING TO THOSE WHO ARE SUFFERING, COMFORT AND SECURITY TO THOSE WHO ARE AGING, AND SERENITY TO THOSE WHO ARE DYING, TAKING INTO ACCOUNT EACH PERSON'S INNATE DIGNITY, UNIQUE NEEDS, AND GOD-GIVEN RIGHTS. 3 3 655 0 1042041 -61607 288035 26176 4513902 4796608 -2447 -88 1033910 1042041 5833400 5864737 0 0 3422150 3541646 0 0 2294752 2442937 5716902 5984583 116498 -119846 30089524 29991312 27975739 28060662 2113785 1930650 BY PROVIDING SERVICES TO THE POOR, THE SICK AND THE ELDERLY WITH A SENSE OF COMPASSION AND LOVE, ST. CAMILLUS OFFERS HOPE AND MEANING TO THOSE WHO ARE SUFFERING, COMFORT AND SECURITY TO THOSE WHO ARE AGING, AND SERENITY TO THOSE WHO ARE DYING, TAKING INTO ACCOUNT EACH PERSON'S INNATE DIGNITY, UNIQUE NEEDS, AND GOD-GIVEN RIGHTS. 0 0 5603759 4796608 MANAGEMENT SERVICES FOR AFFILIATED TAX EXEMPT ORGANIZATIONS 5603759 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 44 0 1 655 1 1 1 1 AU 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X X ST CAMILLUS HEALTH SYSTEM INC 4142581814 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 Fr Richard O'Donnell 20.00 X X 0 0 0 Br Mario Crivello 20.00 X X 0 0 0 Fr Louis Lussier 1.00 X 0 0 0 Rick L Johnson 40.00 X 219329 0 15538 marie d'amico 40.00 X 0 117260 5547 Kevin C Schwab 40.00 X 134900 0 13188 354229 117260 34273 2 0 1 0 Johnson Controls Inc PO Box 905240 Charlotte NC 28290 Energy Savings Project 374405 Mortenson MA Company 17975 W Sarah Lane Brookfield WI 53076 Construction 255174 11 26176 26176 MANAGEMENT FEES 900099 4047636 4047636 Supporting Services 900099 748972 748972 4796608 -88 -88 Printing Revenue 323100 1042041 1042041 1042041 5864737 4796608 1042041 -88 354229 336518 17711 2541715 2414629 127086 442057 419954 22103 203645 193463 10182 58590 13476 45114 43788 2189 41599 73953 70255 3698 616942 586095 30847 218607 207677 10930 8086 7682 404 112033 106431 5602 677894 643999 33895 39387 37418 1969 Purchased/Shared Servic 292112 277506 14606 maintenance 226071 214767 11304 Miscellaneous 73552 69874 3678 Bad Debt 1922 1826 96 5984583 5603759 380824 0 706085 262682 96980 116664 17054 20493 88255 129030 20631844 13337741 7044135 7294103 22137015 22168340 30089524 29991312 1212564 1036322 204085 137414 2177686 1869220 24381404 25017706 27975739 28060662 X 2113785 1930650 2113785 1930650 30089524 29991312 X 0 1 1 X 0 X X X 0 0 0 ST CAMILLUS HEALTH CENTER INC 391079224 9 1 1769953 SAN CAMILLO INC 391487306 9 1 2189522 St CAMILLUS COMMUNITIES INC 391843041 9 1 88161 3 4047636 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 160961 160961 13285624 7297867 5987757 221066 209248 11818 6042203 5360956 681247 921990 469670 452320 7294103 Due from related party 22116788 Deferred financing cost 51552 22168340 Due to related party 24909747 Security Deposits 8445 interest rate swap 99514 25017706 5864737 5984583 -119846 -63289 -63289 -183135 5838561 0 5838561 26176 26176 5864737 6047872 63289 63289 5984583 0 5984583 Part X: Description of Uncertain Tax Positions Under FIN 48: In order to account for any uncertain tax positions, the System and its combined affiliates determine whether it is more likely than not that a tax position will be sustained upon examination on the technical merits of the position assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more likely than not recognition threshold, the benefit of that position is not recognized in the financial statements. The System and its combined affiliates recorded no assets or liabilities related to uncertain tax positions in 2010 or 2009. Federal returns for the years ended September 30, 2009, 2008, and 2007, remain subject to examination by the Internal Revenue Service. Part XI, Line 8 - Other Adjustments: change in fair value of interest rate swap agreements: -63289. Part XII, Line 4b - Other Adjustments: net assets released from restriction: 26176. Part XIII, Line 2d - Other Adjustments: Change in fair value of interest rate swap agreements: 63289. X X X X 0 0 0 0 0 0 0 0 0 Rick L Johnson 203102 0 16227 0 0 0 15538 0 0 0 234867 0 0 0 Form 990, Part VI, Section B, line 11 the ceo, cfo and controller review the 990 after it is compiled by our CPA firm. a copy is kept on hand for public viewing. Form 990, Part VI, Section B, line 12c the parties that are involved are asked to disclose any changes that would impact the policy. Form 990, Part VI, Section B, line 15 The board reviews salaries which are then compared to management resource association data. the organization also compares their salaries to other companies that are similar in nature via 990's. Form 990, Part VI, Section C, line 19 the organization does not make its governing documents, conflict of interest policy and financial statements available to the public. st camillus health center inc 10101 w wisconsin avenue wauwatosa WI 53226 391079224 health services WI 501(c)(3) Line 9 N/A san camillo inc 10200 w bluemound road wauwatosa WI 53226 391487306 assisted living WI 501(c)(3) Line 9 N/A order of st camillus foundation inc 10200 w bluemound road wauwatosa WI 53226 391925879 fund-raising support WI 501(c)(3) Line 11b, II N/A st camillus communities inc 10101 w wisconsin avenue wauwatosa WI 53226 391843041 residential facilities WI 501(c)(3) Line 11b, II N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Order of St Camillus Foundation Inc C 26176