CATHERINE KASPER LIFE CENTER: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CATHERINE KASPER LIFE CENTER (EIN 36-4390434)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-08-23
- IRS object ID
- 202132359349300808
- Schema version
- 2020v4.1
- 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) |
|---|---|---|
| Return | 2021-08-23T08:53:23-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E Main St Suite 700 | AddressLine1Txt |
| City | Fort Wayne | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364390434 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHERINE KASPER LIFE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CKLC | InCareOfNm |
| Business Name Control | CATH | BusinessNameControlTxt |
| Phone | 5749351727 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1 | AddressLine1Txt |
| City | DONALDSON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46513 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SR JOETTA HUELSMANN | PersonNm |
| Person Title | PROVINICAL LEADER | PersonTitleTxt |
| Phone | 5749351727 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SR JOETTA | PersonFirstNm |
| Person Last | HUELSMANN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lauren R Denton | PreparerPersonNm |
| PTIN | P01571860 | PTIN |
| Phone | 2604604000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SR JOETTA HUELSMANN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1 | AddressLine1Txt |
| City | DONALDSON | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46513 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,400,404 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CKLC.POORHANDMAIDS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | CKLC IS COMPOSED OF CKH, A LONG TERM CARE FACILITY, MARIA CENTER, AN APARTMENT COMPLEX FOR SENIORS, AND CATHERINE'S COTTAGE, OFFERING INDEPENDENT LIVING SERVICES FOR MEMBERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 172 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $48,429 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,477,298 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,680,179 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,913,722 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,437 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,384 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $8,750,045 | PYTotalRevenueAmt |
| CY Total Revenue | $10,400,404 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,415,381 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,294,478 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,124,061 | PYOtherExpensesAmt |
| CY Other Expenses | $4,455,882 | CYOtherExpensesAmt |
| PY Total Expenses | $9,539,442 | PYTotalExpensesAmt |
| CY Total Expenses | $9,750,360 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$789,397 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $650,044 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,582,536 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,652,159 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,487,632 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $895,211 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $94,904 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $756,948 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CKLC IS COMPOSED OF CATHERINE KASPER HOME (CKH), A STATE LICENSED AND CERTIFIED LONG TERM CARE FACILITY, MARIA CENTER, AN APARTMENT COMPLEX FOR SENIORS OFFERING SUPPORTIVE SERVICES, AND CATHERINE'S COTTAGE (THE COTTAGE) OFFERING INDEPENDENT LIVING SERVICES TO THE RELIGIOUS MEMBERS RESIDING THERE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,210,846 | ExpenseAmt |
| Revenue | $8,146,818 | RevenueAmt |
| Desc | CATHERINE KASPER HOME (CKH) IS AN 82-BED LICENSED NURSING CARE FACILITY PROVIDING SKILLED SERVICES TO RESIDENTS. CKH PROVIDES ROUTINE CARE SERVICES MEETING THE NEEDS OF RESIDENTS RANGING FROM A LIGHT ACUITY LEVEL NURSING FACILITY COMPONENT TO A SKILLED NURSING UNIT. THE BASIC FEE INCLUDES 24-HOUR NURSING SERVICES, THREE MEALS PER DAY, AND AT LEAST ONE PLANNED NUTRITIONAL SNACK, LAUNDRY SERVICES FOR PERSONAL CLOTHING AND LINENS, ROUTINE MEDICAL SUPPLIES, LOCAL TRANSPORTATION FOR MEDICAL NECESSITY, ACTIVITIES, SOCIAL SERVICE CONSULTATION, PASTORAL CARE, DIETICIAN CONSULTATIONS AND GROUNDS SECURITY. ALL ROOM ACCOMMODATIONS ARE INDIVIDUAL PRIVATE ROOMS, OFFERING A PEACEFUL HOME-LIKE SETTING FOR RESIDENTS' FRIENDS AND FAMILY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,078,151 | ExpenseAmt |
| Revenue | $603,403 | RevenueAmt |
| Desc | MARIA CENTER IS A NON-LICENSED APARTMENT COMPLEX FOR SENIORS OFFERING SUPPORTIVE SERVICES. A PART OF CKLC, MARIA CENTER IS HOUSED WITHIN THE MAIN POOR HANDMAIDS OF JESUS CHRIST MINISTRY CENTER BUILDING. A FULL-TIME DIRECTOR AND PART-TIME ACTIVITY DIRECTOR STAFF THE MARIA CENTER. MARIA CENTER IS COMPRISED OF 27 APARTMENTS. AN ACTIVITY ROOM PROVIDES EXERCISE EQUIPMENT, A FULL KITCHEN, SMALL LIBRARY, LARGE SCREEN TV AND MEETING AND ACTIVITY SPACE. MARIA CENTER PROVIDES THREE MEALS DAILY THROUGH THE MINISTRY CENTER'S DINING SERVICE. THE MONTHLY RENT INCLUDES ACCESS TO A LAUNDRY FACILITY, A LOCKED PERSONAL STORAGE UNIT, RESERVED PARKING AND TRANSPORTATION FOR SHOPPING. AS AN INDEPENDENT LIVING COMPLEX, ALL ACTIVITIES AND OFFERINGS ARE UTILIZED PER CHOICE OF THE RESIDENT. THERE ARE A WIDE VARIETY OF ACTIVITIES BOTH WITHIN AND OUTSIDE THE MARIA CENTER. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $548,259 | ExpenseAmt |
| Revenue | $163,501 | RevenueAmt |
| Desc | CATHERINE'S COTTAGE IS A PART OF CKLC THAT PROVIDES COMMUNAL LIVING SERVICES FOR RELIGIOUS MEMBERS OF ITS CONGREGATION. EACH RESIDENT RECEIVES STANDARD SERVICES THAT INCLUDE HEALTH AND MEDICAL, MEALS, HOUSEKEEPING, LAUNDRY, TRANSPORTATION, SECURITY, MAINTENANCE, AND WELLNESS ACTIVITIES FOR A MONTHLY RATE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $7,837,256 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 172 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CKLC | PersonNm |
| Phone | 5749369936 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9601 UNION ROAD | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46563 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| SR LINDA VOLK | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| MERITA ALLSOP-BORTON | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| SAM BOYS | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| SR SHARON MARIE FOX | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| RAY GIRRES | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| SR JOETTA HUELSMANN | |||||||
| PRESIDENT/CHAIRPERSON | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DR JON KUBLEY | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| SR CAROLE LANGHAUSER | |||||||
| VICE PRESIDENT/SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KENNETH LUKENBILL | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| DONNA SIKORSKI | |||||||
| TREASURER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STEPHEN GRANDFIELD | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| ANDREA KOONTZ | |||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MELADJOY THERAPY SERVICES INC | |||||
| 51470 NORWICH DR | GRANGER | IN | 46530 | THERAPY SERVICES | $556,197 |
| ROSEWOOD STAFFING INC | |||||
| 1022 S 250 W | ALBION | IN | 46701 | EMPLOYMENT SERVICES | $555,854 |
| CSJI | |||||
| 3450 N ROCK ROAD STE 605 | WICHITA | KS | 67226 | MANAGEMENT SERVICES | $543,454 |
| IN TOUCH PHARMACEUTICALS | |||||
| 1150 EASTPORT CENTER DR | VALPARAISO | IN | 46383 | PHARMACY SERVICES | $253,841 |
| MEDLINE INDUSTRIES | |||||
| 3 THREE LAKES DRIVE | NORTHFIELD | IL | 60093 | MEDICAL SERVICES | $175,625 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,396,988 | GovernmentGrantsAmt |
| All Other Contributions | $80,310 | AllOtherContributionsAmt |
| Total Contributions | $1,477,298 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CKH REVENUE | 623000 | $8,146,818 | $8,146,818 |
| MARIA CENTER REVENUE | 623000 | $603,403 | $603,403 |
| CATHERINE'S COTTAGE REVENUE | 623990 | $163,501 | $163,501 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,913,722 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,384 | TotalRevenueColumnAmt |
| Exclusion | $9,384 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,400,404 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,913,722 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $9,384 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,996,158 | TotalAmt |
| Program Services | $3,476,658 | ProgramServicesAmt |
| Management And General | $519,500 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,336 | TotalAmt |
| Program Services | $174,292 | ProgramServicesAmt |
| Management And General | $26,044 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $821,874 | TotalAmt |
| Program Services | $715,030 | ProgramServicesAmt |
| Management And General | $106,844 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,110 | TotalAmt |
| Program Services | $240,216 | ProgramServicesAmt |
| Management And General | $35,894 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $789,371 | TotalAmt |
| Management And General | $789,371 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,521 | TotalAmt |
| Management And General | $12,521 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,151 | TotalAmt |
| Management And General | $48,151 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,650,178 | TotalAmt |
| Program Services | $1,435,655 | ProgramServicesAmt |
| Management And General | $214,523 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728 | TotalAmt |
| Management And General | $728 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,999 | TotalAmt |
| Program Services | $37,818 | ProgramServicesAmt |
| Management And General | $142,181 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $660,544 | TotalAmt |
| Program Services | $660,544 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,915 | TotalAmt |
| Program Services | $25,156 | ProgramServicesAmt |
| Management And General | $3,759 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,775 | TotalAmt |
| Program Services | $1,544 | ProgramServicesAmt |
| Management And General | $231 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,112 | TotalAmt |
| Program Services | $69,112 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,165 | TotalAmt |
| Program Services | $107,165 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACY | $200,854 | $200,854 | |
| FOOD | $488,255 | $488,255 | |
| REPAIRS & MAINTENANCE | $102,747 | $89,390 | $13,357 |
| COVID EXPENSES | $115,567 | $115,567 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,750,360 | TotalAmt |
| Program Services | $7,837,256 | ProgramServicesAmt |
| Management And General | $1,913,104 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,637 | BOYAmt |
| EOY | $598,961 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $926,695 | BOYAmt |
| EOY | $656,229 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,245 | BOYAmt |
| EOY | $29,281 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,752 | BOYAmt |
| EOY | $26,544 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,158,572 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $949,165 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,854 | BOYAmt |
| EOY | $209,407 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,353 | BOYAmt |
| EOY | $131,737 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,582,536 | BOYAmt |
| EOY | $1,652,159 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750,913 | BOYAmt |
| EOY | $756,490 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,417 | BOYAmt |
| EOY | $29,861 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706,302 | BOYAmt |
| EOY | $108,860 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,487,632 | BOYAmt |
| EOY | $895,211 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,149 | BOYAmt |
| EOY | $741,395 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,755 | BOYAmt |
| EOY | $15,553 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,904 | BOYAmt |
| EOY | $756,948 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,582,536 | BOYAmt |
| EOY | $1,652,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $650,044 | ReconcilationRevenueExpnssAmt |
| Donated Services And Use Fclts | $12,000 | DonatedServicesAndUseFcltsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANCILLA DOMINI SISTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350867952 | EIN |
| Organization Type | 1 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (true) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $128,701 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,350 | DepreciationAmt |
| Book Value | $27,351 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,027,823 | OtherCostOrOtherBasisAmt |
| Depreciation | $847,815 | DepreciationAmt |
| Book Value | $180,008 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,048 | OtherCostOrOtherBasisAmt |
| Book Value | $2,048 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $209,407 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS - OTHER SECURITIES | Desc |
| Book Value | $131,737 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $131,737 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER LIABILITY | Desc |
| Amt | $108,860 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $108,860 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $10,412,404 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $12,000 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $12,000 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,400,404 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $10,400,404 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,750,360 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $9,750,360 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $9,750,360 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | ASC 740 FOOTNOTE | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH THE CONGREGATION OF ST. JOSEPH INITIATIVES (CSJI) ON DECEMBER 1, 2019. THE AGREEMENT CALLS FOR CSJI TO PROVIDE MANAGEMENT SERVICES FOR THE LONG-TERM CARE FACILITY MAINLY IN THE AREAS OF CLINICAL OPERATIONS, HUMAN RESOURCES, ACCOUNTS RECEIVABLE MANAGEMENT, AND FINANCIAL OVERSIGHT. FINANCIAL OVERSIGHT ENCOMPASSES THE PROCESSING AND RECORDING OF BILLINGS/CASH RECEIPTS AND ACCOUNTS PAYABLES/CASH DISBURSEMENTS, AS WELL AS THE PREPARATIONS OF MONTHLY FINANCIAL STATEMENTS AND ANNUAL COST REPORTS. THE AGREEMENT WAS EXTENDED FOR A TERM OF THREE YEARS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE PROVINCIAL OF THE AMERICAN PROVINCE OF THE POOR HANDMAIDS OF JESUS CHRIST, THE TREASURER OF THE AMERICAN PROVINCE OF POOR HANDMAIDS OF JESUS CHRIST AND THE INDIVIDUALS HOLDING MEMBERSHIP POSITION IN THE PROVINCIAL COUNCIL OF THE AMERICAN PROVINCE OF THE POOR HANDMAIDS OF JESUS CHRIST ARE THE VOTING MEMBERS OF THE CATHERINE KASPER LIFE CENTER (CKLC). |
| FORM 990, PART VI, LINE 7A | THE MEMBERS OF CKLC APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 7B THE APPROVAL OF THE MEMBERS OF CKLC IS REQUIRED WITH RESPECT TO THE FOLLOWING: 1.) ANY MODIFICATIONS OF THE PHILOSOPHY OF CKLC. 2.) ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS. 3.) THE MERGER OR CONSOLIDATION OF CKLC WITH OR INTO ANY OTHER ENTITY. 4.) THE VOLUNTARY DISSOLUTION OF CKLC. 5.) THE LEASE, SALE, TRANSFER, ASSIGNMENT, MORTGAGE OR ENCUMBRANCE OF ANY KIND OF FIXED CAPITAL, REAL ESTATE OR BUILDINGS HAVING A BOOK VALUE IN EXCESS OF ONE MILLION. 6.) THE INCURRENCE OF DEBT IN EXCESS OF $100,000 OTHER THAN INCURRED IN THE ORDINARY COURSE OF BUSINESS. 7.) THE SELECTION OF CERTIFIED PUBLIC ACCOUNTANTS. 8.) THE ACCEPTANCE OF ANY DONATION, GIFT, DEVISE OR BEQUEST WHICH IMPOSES AN ONGOING OR CONTINUING OBLIGATION UPON CKLC. FORM 990, PART VI, LINE 11B THE FORM 990 WAS PREPARED BY THE INDEPENDENT AUDITORS OF CKLC, AND WAS REVIEWED BY TRINITY SENIOR SERVICES MANAGEMENT AND ANCILLA DOMINI SISTERS, INC., BOTH OF WHICH PROVIDED ACCOUNTING SERVICES TO CKLC DURING 2020. A DRAFT OF THE FORM 990 WAS PROVIDED TO ALL DIRECTORS VIA EMAIL FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, LINE 12C | EACH OFFICER AND DIRECTOR ARE REQUIRED TO ANNUALLY COMPLETE A DISCLOSURE STATEMENT WHICH IDENTIFIES CONFLICTS OF INTEREST. THE FILING OFFICER REVIEWS THE DISCLOSURE STATEMENTS AND REPORTS ANY POTENTIAL CONFLICTS OF INTEREST TO THE BOARD CHAIR WHO WOULD SUBSEQUENTLY DISCLOSE THE POTENTIAL CONFLICT OF INTEREST TO THE BOARD. IN 2020, NO POTENTIAL CONFLICTS OF INTEREST WERE NOTED. FORM 990, PART VI, LINE 15A & 15B THE DIRECTOR OF HUMAN RESOURCES OF ANCILLA DOMINI SISTERS, INC., WHICH PROVIDES HUMAN RESOURCE SERVICES TO CKLC, GATHERS DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AS SIMILARLY SITUATED ORGANIZATIONS AND MAKES A RECOMMENDATION AS TO ANNUAL ADJUSTMENTS FOR EACH EMPLOYEE. THE MEMBERS OF CKLC REVIEW AND APPROVE THE COMPENSATION. |
| FORM 990, PART VI, LINE 19 | CKLC DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC EXCEPT TO THE EXTENT THAT THEY ARE IN A PUBLICLY AVAILABLE DOCUMENT SUCH AS FORM 990 OR 1023. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:AGENCY STAFFING TOTAL FEES:646187 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT LABOR TOTAL FEES:73660 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PHYSICAL THERAPY SERVICES TOTAL FEES:264629 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SPEECH THERAPY SERVICES TOTAL FEES:5293 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OCCUPATIONAL THERAPY SERVICES TOTAL FEES:259337 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DIAGNOSTIC SERVICES TOTAL FEES:5267 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:112565 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT SERVICES TOTAL FEES:253632 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER TOTAL FEES:29608 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THE LINDEN HOUSE OF GARY INC | ||||||||||
| 566 WEST LAKE STREET | CHICAGO | IL | 60661 | 351954576 | SR. HOUSING | IL | 501(C)(3) | 10 | ANCILLA SYS | false |
| THE LINDEN HOUSE OF HOBART INC | ||||||||||
| 566 WEST LAKE STREET | CHICAGO | IL | 60661 | 352006008 | SR. HOUSING | IL | 501(C)(3) | 10 | ANCILLA SYS | false |
| THE LINDEN HOUSE OF MISHAWAKA | ||||||||||
| 566 WEST LAKE STREET | CHICAGO | IL | 60661 | 351968002 | SR. HOUSING | IL | 501(C)(3) | 10 | ANCILLA SYS | false |
| WEST TOWER SENIOR RESIDENCE INC | ||||||||||
| 566 WEST LAKE STREET | CHICAGO | IL | 60661 | 363768578 | SR. HOUSING | IL | 501(C)(3) | 10 | ANCILLA SYS | false |
| SOJOURNER TRUTH HOUSE INC | ||||||||||
| 1419 S LAKE PARK AVENUE | HOBART | IN | 46342 | 270296707 | SOCIAL SVS. | IN | 501(C)(3) | 7 | ANCILLA SYS | false |
| CATHERINE KASPER PLACE | ||||||||||
| 347 W BERRY SUITE 101 | FORT WAYNE | IN | 46802 | 273213747 | SOCIAL SVS. | IN | 501(C)(3) | 7 | SJ HEALTH FN | false |
| PHJC FOUNDATION INC | ||||||||||
| 1419 S LAKE PARK AVENUE | HOBART | IN | 46342 | 271688707 | FUND. FDN | IN | 501(C)(3) | 7 | ANCILLA SIS | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANCILLA HEALTH SERVICES INC | ||||||||||||||
| 1419 S LAKE PARK AVENUE | HOBART | IN | 46342 | 351938745 | MGMT SERVICES | IN | ANCILLA SYST | C | false | |||||
| L GILBRAITH INSURANCE SPC LTD | ||||||||||||||
| EXCESS INSURA | ANCILLA SYST | false | 23 LINE TREE BAY AVENUE PO BOX 1051 | GRAND CAYMAN | CJ | KY-1102 | CJ | |||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ANCILLA DOMINI SISTERS INC | ||
| K | $431,401 | FMV |
| ANCILLA DOMINI SISTERS INC | ||
| L | $425,063 | FMV |
| ANCILLA DOMINI SISTERS INC | ||
| M | $45,522 | FMV |
| ANCILLA DOMINI SISTERS INC | ||
| E | $600,000 | FMV |