ST CAMILLUS HEALTH CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ST CAMILLUS HEALTH CENTER INC (EIN 39-1079224)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-12
- IRS object ID
- 201112249349302001
- Schema version
- 2009v1.7
- 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 | 2011-08-12T17:37:05-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10000 INNOVATION DRIVE SUITE 250 | AddressLine1 |
| City | MILWAUKEE | City |
| State | WI | State |
| ZIP Code | 532264837 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391079224 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CAMILLUS HEALTH CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STCA | NameControl |
| Phone | 4142598320 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 W WISCONSIN AVENUE | AddressLine1 |
| City | WAUWATOSA | City |
| State | WI | State |
| ZIP Code | 53226 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kevin Schwab | Name |
| Title | Chief Financial Officer | Title |
| Phone | 4142581814 | Phone |
| Date Signed | 2011-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAY ADKISSON | Name |
| Phone | 4144319300 | Phone |
| Date Prepared | 2011-08-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Kevin Schwab | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 W WISCONSIN AVENUE | AddressLine1 |
| City | WAUWATOSA | City |
| State | WI | State |
| ZIP Code | 53226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12919250 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c | X | Organization501c |
| Web Site | WWW.STCAM.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1923 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2124 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 94581 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12133358 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12802856 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 13798 | InvestmentIncomePriorYear |
| Investment Income Current Year | 21813 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12149280 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12919250 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 7239312 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7600897 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6789654 | OtherExpensePriorYear |
| Other Expenses Current Year | 7178339 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14028966 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14779236 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1879686 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1859986 | RevenuesLessExpensesCY |
| Total Assets BOY | 25362476 | TotalAssetsBOY |
| Total Assets EOY | 24578893 | TotalAssetsEOY |
| Total Liabilities BOY | 32071134 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 33819099 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -6708658 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -9240206 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7516777 | Expense |
| Revenue | 7571609 | Revenue |
| Description | SKILLED NURSING FACILITIES - ST. CAMILLUS HEALTH CENTER PROVIDES IN-HOUSE NURSING SERVICES TO ITS RESIDENTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1733663 | Expense |
| Revenue | 1746310 | Revenue |
| Description | HOME HEALTH CARE AGENCY - ST. CAMILLUS HEALTH CENTER OFFERS NURSING SERVICES TO THE RESIDENTS OF THE INDEPENDENT LIVING FACILITY, ASSISTED LIVING FACILITY AND TO OTHER COMMUNITY RESIDENTS IN NEED. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3459701 | Expense |
| Revenue | 3484937 | Revenue |
| Description | Assisted Living Facility - A 76-unit assisted living facility providing assistance with daily living activities and other health related services to senior residents. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 12710141 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | AU | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST CAMILLUS HEALTH CARE CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4142581814 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10101 W WISCONSIN AVE | AddressLine1 |
| City | WAUWATOSA | City |
| State | WI | State |
| ZIP Code | 53226 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Fr Eugene Dutkiewicz SJ | ||||||
| Treasurer | 2.00 | X | X | 0 | 0 | 0 |
| Harry W Whelpley | ||||||
| Chairman of the Board | 2.00 | X | X | 0 | 0 | 0 |
| Fr Richard O'Donnell | ||||||
| Vice Chair of the Board | 20.00 | X | X | 0 | 0 | 0 |
| Fr Albert Schempp OS CAM | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Frederick A Muth Jr | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Fr Louis Lussier MIMD PhD | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Nick Laubusch | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Mark E Slesar | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Rosemarie Matheus RN MSN | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Dan Mattes | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Fr Pedro Tramontin | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Br Mario Crivello | ||||||
| Board of Director | 2.00 | X | 0 | 0 | 0 | |
| Rick L Johnson | ||||||
| President & CEO | 40.00 | X | 0 | 219329 | 15538 | |
| Marie D'Amico | ||||||
| Corp VP & Secretary | 40.00 | X | 0 | 117260 | 5547 | |
| Kevin Schwab | ||||||
| Chief Financial Officer | 40.00 | X | 0 | 134900 | 13188 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 471489 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 34273 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Related Organizations | 94581 | RelatedOrganizations |
| Total Contributions | 94581 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICES | 623000 | 11673719 | 11673719 |
| Other Support Services | 623000 | 930848 | 930848 |
| MONTHLY SERVICE FEES | 623000 | 198289 | 198289 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12802856 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21813 | TotalRevenueColumn |
| Exclusion | $21,813 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12919250 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12802856 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $21,813 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6295971 | Total |
| Program Services | 5414535 | ProgramServices |
| Management And General | 881436 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 836854 | Total |
| Program Services | 719694 | ProgramServices |
| Management And General | 117160 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 468072 | Total |
| Program Services | 402542 | ProgramServices |
| Management And General | 65530 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1888141 | Total |
| Program Services | 1623801 | ProgramServices |
| Management And General | 264340 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53991 | Total |
| Program Services | 46432 | ProgramServices |
| Management And General | 7559 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5620 | Total |
| Program Services | 4833 | ProgramServices |
| Management And General | 787 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 681787 | Total |
| Program Services | 586337 | ProgramServices |
| Management And General | 95450 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1072023 | Total |
| Program Services | 921940 | ProgramServices |
| Management And General | 150083 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9026 | Total |
| Program Services | 7762 | ProgramServices |
| Management And General | 1264 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 827372 | Total |
| Program Services | 711540 | ProgramServices |
| Management And General | 115832 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1030091 | Total |
| Program Services | 885878 | ProgramServices |
| Management And General | 144213 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131605 | Total |
| Program Services | 113180 | ProgramServices |
| Management And General | 18425 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Purchased Services | 747053 | 642466 | 104587 |
| Raw Foood / Groceries | 489691 | 421134 | 68557 |
| maintenance | 150764 | 129657 | 21107 |
| Miscellaneous | 67071 | 57681 | 9390 |
| Bad Debt Expense | 24104 | 20729 | 3375 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14779236 | Total |
| Program Services | 12710141 | ProgramServices |
| Management And General | 2069095 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12900 | BOY |
| EOY | 10428 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 778233 | BOY |
| EOY | 922664 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17098 | BOY |
| EOY | 30779 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 364847 | BOY |
| EOY | 316262 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 32140581 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11688029 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21397209 | BOY |
| EOY | 20452552 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 886287 | BOY |
| EOY | 880726 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1905902 | BOY |
| EOY | 1965482 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25362476 | BOY |
| EOY | 24578893 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 518372 | BOY |
| EOY | 549565 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17035000 | BOY |
| EOY | 16560000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14517762 | BOY |
| EOY | 16709534 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32071134 | BOY |
| EOY | 33819099 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6708658 | BOY |
| EOY | -9240206 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6708658 | BOY |
| EOY | -9240206 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25362476 | BOY |
| EOY | 24578893 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | 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 | 1639480 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16513 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12511 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2124 | CurrentTaxYearMinus1Year |
| Current Tax Year | 94581 | CurrentTaxYear |
| Total | 1765209 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9943396 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11369638 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11727489 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12133358 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12802856 | CurrentTaxYear |
| Total | 57976737 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11582876 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11386151 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11740000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12135482 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12897437 | CurrentTaxYear |
| Total | 59741946 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 59741946 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29499 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32592 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41778 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13791 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21813 | CurrentTaxYear |
| Total | 139473 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29499 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 32592 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 41778 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13791 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21813 | CurrentTaxYear |
| Total | 139473 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11612375 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11418743 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11781778 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12149273 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12919250 | CurrentTaxYear |
| Total | 59881419 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99770 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99770 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00230 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00230 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61278 | OtherCostOrOtherBasis |
| Book Value | 61278 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25840665 | OtherCostOrOtherBasis |
| Depreciation | 6180257 | Depreciation |
| Book Value | 19660408 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20219 | OtherCostOrOtherBasis |
| Depreciation | 13594 | Depreciation |
| Book Value | 6625 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5845598 | OtherCostOrOtherBasis |
| Depreciation | 5216894 | Depreciation |
| Book Value | 628704 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 372821 | OtherCostOrOtherBasis |
| Depreciation | 277284 | Depreciation |
| Book Value | 95537 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20452552 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| resident funds held for safe Keeping | 4745 |
| due from related party | 1943395 |
| other assets | 17342 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1965482 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| RESIDENT FUNDS HELD FOR SAFE Keeping | $4,745 |
| DUE TO RELATED PARTY | $15,231,022 |
| INTEREST RATE SWAP | $1,280,282 |
| REFUNDABLE ENTRANCE FEES | $193,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16709534 | TotalOfAmounts |
| Total Revenue | 12919250 | TotalRevenue |
| Total Expenses | 14779236 | TotalExpenses |
| Excess Or Deficit For Year | -1859986 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -10233 | NetUnrealizedGLOnInvestments |
| Other | -$661,329 | OtherAmount |
| Total Adjustments | -671562 | TotalAdjustments |
| Excess Or Deficit Per FS | -2531548 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12824669 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 12824669 | RevenueSubtotal |
| Other Revenues Not Included | 94581 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 94581 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12919250 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 15440565 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 661329 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 661329 | ExpensesNotRptdF990 |
| Expenses Subtotal | 14779236 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 14779236 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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: -604080. Accelerated amortization of deferred financing costs: -57249. | |
| Part XII, Line 4b - Other Adjustments: | net assets released from restriction: 94581. | |
| Part XIII, Line 2d - Other Adjustments: | change in the fair value of interest rate swap agreements: 604080. Accelerated amortization of deferred financing costs: 57249. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rick L Johnson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 203102 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 16227 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 15538 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 234867 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|
| wisconsin health and educational facilities authority | |||||
| Noneavail | 2003-06-19 | 7415000 | refinance 1998 issue | 0 | 0 |
| wisconsin health and educational facilities authority | |||||
| noneavail | 2005-02-24 | 8200000 | remodel of skilled nursing facility | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|
| 7415000 | 109150 | 7305850 | 2003 | 1 | 0 | 1 | 1 |
| 8200000 | 211399 | 7988601 | 2005 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 | 1 |
| 0 | 0 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| us bank | ||||||
| 0 | 1 | 1 | 7.000000000000 | 0 | 0 | 0 |
| US Bank | ||||||
| 0 | 1 | 1 | 10.000000000000 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | The corporation has a single class of members and the sole member of that class is St. Camillus Health System, Inc., a Wisconsin nonstock corporation. |
| Form 990, Part VI, Section A, line 7a | The sole Member St. Camillus Health System, Inc., elects The members of the Board of directors. |
| Form 990, Part VI, Section A, line 7b | The Board of Directors shall not take any of the following actions without the approval of the member: To define the philosophy, mission and purpose of the Corporation and to adopt, amend or repeal any statements of mission or philosophy for the corporation; To adopt, approve, restate, revise, or amend these Amended and Restated Articles of Incorporation and the By-Laws of the corporation; To appoint or remove, with or without cause the Directors of the Corporation and determine the number (which may not be less than three) of such Directors; to authorize or make other decisions relating to the transfer or sale of or creation of an encumbrance (e.g. mortgage, pledge or grant of security interest) upon fixed assets of the Corporation with a value in excess of $500,000; To authorize the incurrence by the corporation of debt for money borrowed in amounts in excess of $500,000; To adopt amend or repeal any plan of dissolution, consolidation or merger of the Corporation, any contract or agreement for the management of the Corporation or any sale or lease of all or substantially all of the assets of the corporation; To create, acquire, sell, purchase, dissolve or make other disposition of any entity owned or controlled or to be owned or controlled by the corporation or any ownership interest in any such entity; To approve any actions or exercise any power reserved to the corporation as a member or shareholder of another entity; to approve the initial election by the Board of Directors of the Chief Executive Officer and the Chief Operating Officer of the Corporation (but not subsequent re-elections of those persons to serve consecutive terms in such respective offices) and to remove the Chief Executive Officer and the Chief Operating Officer of the Corporation whether or not such removal is approved by the Board of Directors; and to appoint or remove, with or without cause, the president of the corporation and to determine the term of the President's appointment, such term not to exceed three years. |
| Form 990, Part VI, Section B, line 11 | the ceo, cfo, and controller review the 990 before it is filed with the irs. 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| st camillus health system inc | |||||||||
| 10101 w wisconsin avenue | wauwatosa | WI | 53226 | 390806167 | administrative and management services | WI | 501(C)(3) | 11(b) | N/A |
| st camillus communities inc | |||||||||
| 10101 w wisconsin avenue | wauwatosa | WI | 53226 | 391843041 | residential facilities | WI | 501(C)(3) | 11(b) | N/A |
| san camillo inc | |||||||||
| 10200 w bluemound road | wauwatosa | WI | 53226 | 391487306 | assisted living | WI | 501(C)(3) | 9 | N/A |
| order of st camillus foundation inc | |||||||||
| 10200 w bluemound road | wauwatosa | WI | 53226 | 391925879 | fund-raising support | WI | 501(C)(3) | 11(b) | N/A |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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