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NAZARETH HALL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NAZARETH HALL (EIN 74-2387843)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-22
IRS object ID
201921429349301862
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-22T17:28:18-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1810 E YANDELL DRIVEAddressLine1Txt
CityEL PASOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP79902ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742387843EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NAZARETH HALLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNAZABusinessNameControlTxt
Phone0091556546PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11475 RAYNOLDS STREETAddressLine1Txt
CityEL PASOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP79903ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL OLMSTEADPersonNm
Person TitleOFFICERPersonTitleTxt
Phone0091556546PhoneNum
Signature2019-05-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J WHITEPreparerPersonNm
PTINP00756611PTIN
Phone9155328400PhoneNum
Preparation2019-05-21PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.41.255.219IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-21IPDt
IP Tm17:47:12IPTm
IP TimezoneMDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF4EA15A6A043164CF41A58B06D543D8DCBDAA8AFAtSubmissionCreationDeviceId
At Submission Filing Device IdADCAF875129955747497BB0DB3FF5255C16D2F37AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL OLMSTEADPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11475 RAYNOLDS STREETAddressLine1Txt
CityEL PASOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP79903ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,949,398GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.NAZARETHHALL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionNAZARETH HALL PROVIDES HOLISTIC HEALTH CARE SERVICES WHICH FOSTER THE QUALITY OF LIFE OF A PRIMARILY OLDER ADULT POPULATION, PARTICULARLY PERSONS WHO ARE POOR, ADVOCATING ON THEIR BEHALF. THESE SERVICES ARE SPIRITUALLY-CENTERED, ACCESSIBLE AND AFFORDABLE. AN ENVIRONMENT OF QUALITY CARE AND DIGNITY FOR EACH RESIDENT IS SUSTAINED BY ASSOCIATES TREATED WITH EQUAL DIGNITY, RESPECT, AND SUPPORT. PROVISION OF SERVICES IS GROUNDED IN THE GOSPEL VALUES OF THE ORGANIZATION'S CO-SPONSORS, THE SISTERS OF LORETTO AND THE DAUGHTERS OF CHARITYActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee113TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$48,797PYContributionsGrantsAmt
CY Contributions Grants$624CYContributionsGrantsAmt
PY Program Service Revenue$7,978,205PYProgramServiceRevenueAmt
CY Program Service Revenue$5,763,296CYProgramServiceRevenueAmt
PY Investment Income$146PYInvestmentIncomeAmt
CY Investment Income-$160,073CYInvestmentIncomeAmt
PY Other Revenue$42,888PYOtherRevenueAmt
CY Other Revenue$20,590CYOtherRevenueAmt
PY Total Revenue$8,070,036PYTotalRevenueAmt
CY Total Revenue$5,624,437CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,469,738PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,649,597CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,005,468PYOtherExpensesAmt
CY Other Expenses$4,397,603CYOtherExpensesAmt
PY Total Expenses$9,475,206PYTotalExpensesAmt
CY Total Expenses$7,047,200CYTotalExpensesAmt
PY Revenues Less Expenses-$1,405,170PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,422,763CYRevenuesLessExpensesAmt
Total Assets BOY$7,137,823TotalAssetsBOYAmt
Total Assets EOY$866,325TotalAssetsEOYAmt
Total Liabilities BOY$6,643,899TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,785,936TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$493,924NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$919,611NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNAZARETH HALL PROVIDES HOLISTIC HEALTH CARE SERVICES WHICH FOSTER THE QUALITY OF LIFE OF A PRIMARILY OLDER ADULT POPULATION, PARTICULARLY PERSONS WHO ARE POOR, ADVOCATING ON THEIR BEHALF. THESE SERVICES ARE SPIRITUALLY- CENTERED, ACCESSIBLE AND AFFORDABLE. AN ENVIRONMENT OF QUALITY CARE AND DIGNITY FOR EACH RESIDENT IS SUSTAINED BY ASSOCIATES TREATED WITH EQUAL DIGNITY, RESPECT AND SUPPORT. PROVISION OF SERVICES IS GROUNDED IN THE GOSPEL VALUES OF THE ORGANIZATION'S CO-SPONSORS, THE SISTERS OF LORETTO AND THE DAUGHTERS OF CHARITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,424,448ExpenseAmt
Revenue$5,763,296RevenueAmt
DescLONG TERM CARE: THE ORGANIZATION HAS PROVIDED SPIRITUALLY-CENTERED LONG TERM CARE TO RESIDENTS BY PROVIDING A LARGE FACILITY, CHAPEL, AND A DEDICATED AND TRAINED STAFF. THE AVERAGE DAILY CENSUS OF RESIDENTS BEING SERVED DURING THE YEAR ENDED JUNE 30, 2018 IS APPROXIMATELY 47. FAST TRACK RECOVERY: TRANSITIONAL CARE OFFERS AN OPPORTUNITY FOR PATIENTS TO REGAIN HEALTH AND STRENGTH IN A SAFE, NURTURING, FAMILY ENVIRONMENT WHILE RECOVERING AFTER HOSPITALIZATION SURGERY OR ILLNESS. 24 PRIVATE ROOMS WERE DEDICATED TO SKILLED NURSING AND REHABILITATION SHORT TERM STAYS AND THE AVERAGE DAILY CENSUS OF PATIENTS SERVED IN THE SHORT TERM CARE FACILITY DURING THE YEAR ENDED JUNE 30, 2018 IS APPROXIMATELY 22.Desc
Total Program Service Expenses$6,424,448TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document47IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld Compliance0BackupWthldComplianceInd
Employee113EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRENDA DEHASSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3147293500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line112250 WEBER HILL RD SUITE 200AddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63127ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
EUGENIO MESTA
CHAIR2.00Yes (X)$0$0$0
JEANNETTE SESSUMS
VICE CHAIR2.00Yes (X)$0$0$0
PEDRO RICARDO GALICIA JR
CHAIR2.00Yes (X)$0$0$0
SR EMILE MORGAN DC
DIRECTOR2.00Yes (X)$0$0$0
SR MARY BOESEN
DIRECTOR2.00Yes (X)$0$0$0
ROSE GAILEY
CHAIR2.00Yes (X)$0$0$0
KAY CARLEW
DIRECTOR2.00Yes (X)$0$0$0
ELLEN KRON
VICE PRESIDENT2.00Yes (X)$0$0$0
MICHAEL OLMSTEAD
OFFICER40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INTEGRA REHABILITATION
PO BOX 221862EL PASOTX79913THERAPY SERVICE$1,491,039
PHARMACY UNLIMITED
PO BOX 687ODESSATX79760MEDICAL SUPPLIE$610,740
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING SE$233,209
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$624AllOtherContributionsAmt
Total Contributions$624TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICE REVENUE623990$5,626,264$5,626,264
MEDICARE623990$135,341$135,341
EMPLOYEE/GUEST MEALS722210$1,691$1,691
FieldValueIRS element (for citing)
Total Program Service Revenue$5,763,296TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,262TotalRevenueColumnAmt
Exclusion$1,262ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,163,626OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,324,961OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$161,335OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$161,335TotalRevenueColumnAmt
Exclusion-$161,335ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS900099$20,584$20,584
PVT PERSONAL PURCHASES900099$6$6
FieldValueIRS element (for citing)
Other Revenue Total$20,590OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,624,437TotalRevenueColumnAmt
Related Or Exempt Func Income$5,763,296RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$139,483ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$21,620TotalAmt
Management And General$21,620ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,291,158TotalAmt
Program Services$2,094,148ProgramServicesAmt
Management And General$197,010ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$71,045TotalAmt
Program Services$64,651ProgramServicesAmt
Management And General$6,394ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$101,281TotalAmt
Program Services$92,166ProgramServicesAmt
Management And General$9,115ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$164,493TotalAmt
Program Services$149,689ProgramServicesAmt
Management And General$14,804ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$259,245TotalAmt
Program Services$235,913ProgramServicesAmt
Management And General$23,332ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,420TotalAmt
Management And General$9,420ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$395TotalAmt
Management And General$395ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,289,450TotalAmt
Program Services$1,001,404ProgramServicesAmt
Management And General$288,046ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,079TotalAmt
Program Services$6,079ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,705TotalAmt
Program Services$1,939ProgramServicesAmt
Management And General$29,766ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total-$172,200TotalAmt
Program Services-$156,702ProgramServicesAmt
Management And General-$15,498ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$337,208TotalAmt
Program Services$337,208ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,696TotalAmt
Program Services$5,598ProgramServicesAmt
Management And General$14,098ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$23,928TotalAmt
Program Services$23,928ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$345,880TotalAmt
Program Services$338,962ProgramServicesAmt
Management And General$6,918ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$47,322TotalAmt
Program Services$46,376ProgramServicesAmt
Management And General$946ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAID & HOSPICE$812,455$812,455$0$0
BAD DEBTS$522,469$522,469$0$0
PRESCRIPTION DRUGS-MEDI$223,501$223,501$0$0
RAW FOOD$151,381$151,381$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$489,669TotalAmt
Program Services$473,283ProgramServicesAmt
Management And General$16,386ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,047,200TotalAmt
Program Services$6,424,448ProgramServicesAmt
Management And General$622,752ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$355,085BOYAmt
EOY$420,385EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,363,533BOYAmt
EOY$445,940EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$35,226BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,801BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,324,962BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,216BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,137,823BOYAmt
EOY$866,325EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$998,633BOYAmt
EOY$23,347EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,246,442BOYAmt
EOY$259,139EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$18,084BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,374,501BOYAmt
EOY$1,503,450EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$889,866BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,373BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,643,899BOYAmt
EOY$1,785,936EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$493,924BOYAmt
EOY-$919,611EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$493,924BOYAmt
EOY-$919,611EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,137,823BOYAmt
EOY$866,325EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,422,763ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$9,228OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$535,507CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,800CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$608,810CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$48,797CurrentTaxYearMinus1YearAmt
Current Tax Year$624CurrentTaxYearAmt
Total$1,195,538TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,711,893CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,859,343CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,034,227CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,978,205CurrentTaxYearMinus1YearAmt
Current Tax Year$5,763,296CurrentTaxYearAmt
Total$32,346,964TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,247,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,861,143CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,643,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,027,002CurrentTaxYearMinus1YearAmt
Current Tax Year$5,763,920CurrentTaxYearAmt
Total$33,542,502TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$33,542,502PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$3,176CurrentTaxYearMinus2YearsAmt
Current Tax Year$1,262CurrentTaxYearAmt
Total$4,651TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$3,176CurrentTaxYearMinus2YearsAmt
Current Tax Year$1,262CurrentTaxYearAmt
Total$4,651TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$612,733CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$42,034CurrentTaxYearMinus1YearAmt
Current Tax Year$20,590CurrentTaxYearAmt
Total$675,357TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,053CurrentTaxYearMinus4YearsAmt
Total$8,053TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,255,666CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,473,876CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,646,213CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,069,036CurrentTaxYearMinus1YearAmt
Current Tax Year$5,785,772CurrentTaxYearAmt
Total$34,230,563TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97990PublicSupportCY509Pct
Public Support PY5090.98150PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab0InclEscrowCustodialAcctLiabInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION HAS MEMBERS AND OTHER PERSONS WHO MAY ELECT ONE OR MOREMEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CCOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCEDBY REQUIRING ANNUAL SIGNED CONFLICT OF INTEREST STATEMENTS AND PERIODICBOARD DISCUSSIONS.
FORM 990, PART VI, SECTION B, LINE 15AASCENSION HEALTH SENIOR CARE D.B.A. ASCENSION SENIOR LIVING, A RELATED ORGANIZATION OF NAZARETH LIVING, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART IX, LINE 11GPHYSICIAN CONSULTANT: PROGRAM SERVICE EXPENSES 24,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,000. PHARMACY ELEC MED RECORDS: PROGRAM SERVICE EXPENSES 3,496. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,496. SPEECH CONSULTANT - THERAPY: PROGRAM SERVICE EXPENSES 98,413. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,413. PT CONSULTANT - THERAPY: PROGRAM SERVICE EXPENSES 338,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 338,324. OT CONSULTANT - THERAPY: PROGRAM SERVICE EXPENSES 331,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 331,918. CONTRACT SERVICES - DIETARY: PROGRAM SERVICE EXPENSES 368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368. DIETARY CONSULTANT: PROGRAM SERVICE EXPENSES 12,821. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,821. CONTRACT SERVICES - LAUNDRY: PROGRAM SERVICE EXPENSES 25,736. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,736. CONTRACT SERVICES - HOUSEKEEPING: PROGRAM SERVICE EXPENSES 137,062. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,062. CONTRACT SERVICES - MAINTENANCE: PROGRAM SERVICE EXPENSES 11,596. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,596. PHYSICIAN CONSULTANT: PROGRAM SERVICE EXPENSES -1. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -1. PHARMACY CONSULTANT: PROGRAM SERVICE EXPENSES 8,522. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,522. DIETARY CONSULTANT: PROGRAM SERVICE EXPENSES 65. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65. DENTAL CONSULTANT: PROGRAM SERVICE EXPENSES 8,814. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,814. CONTRACT SERVICES NURSING ADMIN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 129,914. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,914. CONTRACT LABOR CHAPEL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 14,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,700. CONTRACT LABOR - ADMINISTRATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 143,432. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,432. CONTRACT LABOR : PROGRAM SERVICE EXPENSES 270. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 270.
FORM 990, PART XI, LINE 9:OTHER 9,228.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(C)(3) PUBLIC CHALINE 12A, IN/A0
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(C)(3) PUBLIC CHALINE 12A, I0ASCENSION HEALTH ALLIANCE
ALEXIAN BROTHERS SHERBROOKE VILLAGE
4005 RIPA AVENUEST LOUISMO63125431592502SKILLED NURSING FACILITYMO501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
ALEXIAN BROTHERS LANSDOWNE VILLAGE
4624 LANDSDOWNEST LOUISMO63116431470362SKILLED NURSING FACILITYMO501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
SETON MANOR INC
1000 SETON DRIVEORWIGSBURGPA17961232960726SKILLED NURSING FACILITYPA501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
OUR LADY OF PEACE INC
5285 LEWISTON ROADLEWISTONNY14092161608735SKILLED NURSING FACILITYNY501(C)(3) PUBLIC CHALINE 3Yes (1)ASCENSION HEALTH SENIOR CARE
ASCENSION HEALTH SENIOR CARE
12250 WEBER HILL ROADST LOUISMO63127431227406PARENT COMPANYMO501(C)(3) PUBLIC CHALINE 12A, I0ASCENSION HEALTH
ST JOSEPH'S MINISTRIES INC
331 S SETON AVENUEEMMITSBURGMD21727521835288SKILLED NURSING FACILITYMD501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
BORGESS NURSING HOME INC
3057 GULL ROADKALAMAZOOMI49048382555589SKILLED NURSING FACILITYMI501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
ST CATHERINE'S LABOURE MANOR
1750 STOCKTON STREETJACKSONVILLEFL32204591878316SKILLED NURSING FACILITYFL501(C)(3) PUBLIC CHALINE 12C, III-FIYes (1)ASCENSION HEALTH SENIOR CARE
CORNERSTONE ASSISTED LIVING INC
2622 W CENTRA SUITE 100WICHITAKS67203481241079RETIREMENT COMMUNITYKS501(C)(3) PUBLIC CHALINE 10Yes (1)VIA CHRISTI VILLAGES INC
WHEATON FRANCISCAN HEALTHCARE - TERRACE ST ST FRANCIS
3200 SOUTH 20TH STREETMILWAUKEEWI53215391486775RETIREMENT COMMUNITYWI501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
VIA CHRISTI VILLAGES INC
2622 W CENTRA SUITE 100WICHITAKS67203480559086MANAGEMENT COMPANYKS501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC
2622 W CENTRA SUITE 100WICHITAKS67203481236589PACE (SNF)KS501(C)(3) PUBLIC CHALINE 10Yes (1)VIA CHRISTI VILLAGES INC
VIA CHRISTI VILLAGE PONCA CITY INC
1601 ACADEMY ROADPONCA CITYOK74604731153337RETIREMENT COMMUNITYOK501(C)(3) PUBLIC CHALINE 10Yes (1)VIA CHRISTI VILLAGES INC
VIA CHRISTI VILLAGE HAYS INC
2225 CANTERBURY DRIVEHAYSKS67601202828680RETIREMENT COMMUNITYKS501(C)(3) PUBLIC CHALINE 10Yes (1)VIA CHRISTI VILLAGES INC
VIA CHRISTI VILLAGE MCLEAN INC
777 N MCLEAN BLVDMCLEANKS67203481247723RETIREMENT COMMUNITYKS501(C)(3) PUBLIC CHALINE 10Yes (1)VIA CHRISTI VILLAGES INC
CARONDELET LONG-TERM CARE FACILITIES INC
621 CARONDELET DRIVEKANSAS CITYMO64114742505427SKILLED NURSING FACILITYMO501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
VIA CHRISTI VILLAGE MANHATTAN INC
2800 WILLOW GROVE ROADMANHATTANKS66502481078862RETIREMENT COMMUNITYKS501(C)(3) PUBLIC CHALINE 10Yes (1)VIA CHRISTI VILLAGES INC
VIA CHRISTI VILLAGE GEORGETOWN INC
1655 S GEORGETOWNGEORGETOWNKS67218481129325RETIREMENT COMMUNITYKS501(C)(3) PUBLIC CHALINE 10Yes (1)VIA CHRISTI VILLAGES INC
VIA CHRISTI VILLAGE PITTSBURG INC
1502 E CENTENNIAL DRIVEPITTSBURGKS66762743070971RETIREMENT COMMUNITYKS501(C)(3) PUBLIC CHALINE 10Yes (1)VIA CHRISTI VILLAGES INC
NAZARETH HALL
1475 RAYNOLDS STREETEL PASOTX79903742387843RETIREMENT COMMUNITYTX501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
PRESENCE LIFE CONNECTIONS
18927 HICKORY CREEK DRIVE 300MOKENAIL60448371127787RETIREMENT COMMUNITYIL501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
PRESENCE SENIOR SERVICES CHICAGOLAND
100 NORTH RIVER ROADDES PLAINESIL60016237061646RETIREMENT COMMUNITYIL501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
ARTHUR-MERKLE - CLARA KNIPPRATH NURSING HOME
1190 E 2900 N ROADCLIFTONIL60606362841358RETIREMENT COMMUNITYIL501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
ALEXIAN VILLAGE OF MILWAUKEE INC
9301 N 76TH STREETMILWAUKEEWI53223391351584CONTINUING CARE RETIREMENT COMMUNITYWI501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
ALEXIAN BROTHERS COMMUNITY SERVICES
425 CUMBERLAND ST SUITE 110CHATTANOOGATN37404364344423PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICESTN501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
ALEXIAN VILLAGE OF TENNESSEE
437 ALEXIAN WAYSIGNAL MOUNTAINTN37377621136742CONTINUING CARE RETIREMENT COMMUNITYTN501(C)(3) PUBLIC CHALINE 10Yes (1)ASCENSION HEALTH SENIOR CARE
PROVIDENCE PARK INC
300 W HIGHWAY 6WACOTX76712611759304SKILLED NURSING FACILITYTX501(C)(3) PUBLIC CHALINE 3Yes (1)ASCENSION HEALTH SENIOR CARE
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationLATE FILED RETURN DUE TO CCH SOFTWARE OUTAGEExplanationTxt