SETON MANOR INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SETON MANOR INC (EIN 23-2960726)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349309583
- Schema version
- 2016v3.0
- 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 | 2018-05-15T15:09:23-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 232960726 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Seton Manor Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SETO | BusinessNameControlTxt |
| Phone | 3147338000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12250 Weber Hill Road 200 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63127 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tonya Mershon | PersonNm |
| Person Title | Tax Officer | PersonTitleTxt |
| Signature | 2018-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREW DURAKO NHA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12250 Weber Hill Road 200 | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,735,887 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SETONMANOR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE A CONTINUING CARE RETIREMENT COMMUNITY AND SKILLED NURSING SERVICES TO THOSE IN OUR COMMUNITY FOR THE SHORT TERM OR LONG TERM. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 248 | TotalEmployeeCnt |
| Total Volunteers | 70 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,866 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,214 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,055,212 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,475,593 | CYProgramServiceRevenueAmt |
| PY Investment Income | $698 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,864,472 | CYInvestmentIncomeAmt |
| PY Other Revenue | $151,612 | PYOtherRevenueAmt |
| CY Other Revenue | $152,780 | CYOtherRevenueAmt |
| PY Total Revenue | $10,224,388 | PYTotalRevenueAmt |
| CY Total Revenue | $14,501,059 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,488,482 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,169,729 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,725,828 | PYOtherExpensesAmt |
| CY Other Expenses | $4,770,752 | CYOtherExpensesAmt |
| PY Total Expenses | $11,214,310 | PYTotalExpensesAmt |
| CY Total Expenses | $10,940,481 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$989,922 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,560,578 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,515,288 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,890,614 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,100,893 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $647,200 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$3,585,605 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,243,414 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Seton Manor carries out the healing mission of the Catholic Church as a corporate Member of Ascension Health Senior Care, dba Ascension Senior Living (ASL). Our Mission calls for us to provide spiritually centered, holistic care which sustains and improves the health of individuals and communities, of all faiths, races, and socio-economic backgrounds, particularly those most in need. We commit ourselves to identifying and developing effective responses to the health and housing needs of all persons we are called to serve with special attention to those who are poor and vulnerable. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,098,195 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $10,485,193 | RevenueAmt |
| Desc | SETON MANOR, INC. OPERATES A 120 BED SKILLED NURSING FACILITY WHICH PROVIDES A CONTINUUM OF SERVICES TO THE RESIDENTS OF SETON MANOR (38,675 RESIDENT DAYS SERVED - 67% TO MEDICAID RECIPIENTS) AND SETON PLACE, A 7 UNIT INDEPENDENT LIVING FACILITY, WHICH MAXIMIZES DIGNITY AND INDEPENDENCE. ROOTED IN THE CATHOLIC TRADITION OF CARING, THE STAFF IS COMMITTED TO PROMOTING THE WELL BEING OF THOSE WE SERVE THROUGH THE DELIVERY OF QUALITY CARE. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY FOR THE CONTINUUM OF SERVICES, AS A CHARITABLE ORGANIZATION, IT IS RECOGNIZED THAT NOT ALL PERSONS SERVED POSSESS THE ABILITY TO PURCHASE ESSENTIAL SERVICES NEEDED FOR CARE AND OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES. IN 2017, $925,403 WAS PROVIDED IN CHARITABLE CARE AT COST. SETON MANOR PRIMARILY SERVES THE COMMUNITIES THROUGHOUT AND SURROUNDING SCHUYLKILL COUNTY BY PROVIDING PROGRAMS THROUGHOUT THE YEAR. AS A RELIGIOUS ORGANIZATION, SETON MANOR ALSO EMPLOYS STAFF TO PROVIDE CHAPLAINCY SERVICES. THE CHAPEL AT SETON MANOR HAS DAILY INTERDENOMINATIONAL SERVICES AND PROGRAMS. On June 30, 2017, Seton Manor, Inc. began the process of winding down its affairs by selling off the property, plant and equipment as well as inventory and other various assets. | Desc |
| Total Program Service Expenses | $9,098,195 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | Yes (true) | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 84 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 248 | EmployeeCnt |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | 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 | false | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE TURLEY CONTROLLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3147293500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12250 WEBER HILL ROAD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63127 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|
| ANDREW DURAKO | ||||||||
| EX-OFFICIO, ADMINISTRATOR (START 9/2016) | 50.0 | 0 | Yes (X) | Yes (X) | $44,615 | $0 | $1,998 | |
| ROBERT CARL JR | ||||||||
| VICE CHAIR (END 9/2016) | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ANNE B CURRY | ||||||||
| TREASURER | 1.0 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARYANN BAUSCH | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| SISTER BRENDA MONAHAN | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| SISTER KATHLEEN NATWIN DC | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| JOAN ZAWISA | ||||||||
| BOARD MEMBER | 1.0 | 0 | Yes (X) | $0 | $0 | $0 | ||
| NICK HARSHFIELD | ||||||||
| CHIEF FINANCIAL OFFICER | 1.0 | 54.0 | Yes (X) | $0 | $293,044 | $37,102 | ||
| JOE GIRARDI | ||||||||
| FORMER OFFICER (END 7/2015) | 0.0 | 0.0 | $0 | $150,178 | $0 | Yes (X) | ||
| GARY MOHN | ||||||||
| FORMER OFFICER (END 4/2016) | 0.0 | 40.0 | $0 | $251,634 | $18,452 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $44,615 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $694,856 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $57,552 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| Concept Medical Inc | ||||||
| 639 Chestnut Street | PO Box 201 | ASHLAND | PA | 17921 | Pharmacy Services | $331,555 |
| McKesson Medical-Surgical | ||||||
| PO BOX 204786 | Dallas | TX | 75320 | Pharmacy Services | $138,521 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $8,214 | AllOtherContributionsAmt |
| Total Contributions | $8,214 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SNF NET RESIDENT SERVICES | 623000 | $10,375,324 | $10,375,324 |
| CCRC SERVICE REVENUES | 623000 | $100,269 | $100,269 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,475,593 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,262 | TotalRevenueColumnAmt |
| Exclusion | $2,262 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,843 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $21,843 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,843 | TotalRevenueColumnAmt |
| Exclusion | $21,843 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,097,038 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $234,828 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $3,862,210 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,862,210 | TotalRevenueColumnAmt |
| Exclusion | $3,862,210 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| BEAUTY & BARBER SVS | 802900 | $41,556 | $41,556 | |
| NET PROVIDER TAX ASSESSMENTS | 900099 | $9,600 | $9,600 | |
| GIFT SHOP REVENUE | 900099 | $31,969 | $31,969 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,812 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,812 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $130,937 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,501,059 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,485,193 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,007,652 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,613 | TotalAmt |
| Management And General | $46,613 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,863,319 | TotalAmt |
| Program Services | $4,353,257 | ProgramServicesAmt |
| Management And General | $510,062 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,735 | TotalAmt |
| Program Services | $7,819 | ProgramServicesAmt |
| Management And General | $916 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $897,004 | TotalAmt |
| Program Services | $802,927 | ProgramServicesAmt |
| Management And General | $94,077 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,058 | TotalAmt |
| Program Services | $314,044 | ProgramServicesAmt |
| Management And General | $40,014 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,016 | TotalAmt |
| Management And General | $41,016 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,750 | TotalAmt |
| Management And General | $4,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,317 | TotalAmt |
| Program Services | $37,819 | ProgramServicesAmt |
| Management And General | $18,498 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,564 | TotalAmt |
| Program Services | $4,802 | ProgramServicesAmt |
| Management And General | $22,762 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,201 | TotalAmt |
| Program Services | $30,991 | ProgramServicesAmt |
| Management And General | $43,210 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,428 | TotalAmt |
| Program Services | $406,271 | ProgramServicesAmt |
| Management And General | $37,157 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,176 | TotalAmt |
| Program Services | $8,019 | ProgramServicesAmt |
| Management And General | $5,157 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,555 | TotalAmt |
| Management And General | $314,555 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,738 | TotalAmt |
| Program Services | $43,309 | ProgramServicesAmt |
| Management And General | $429 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $950,588 | $950,588 | |
| SUPPLIES | $887,918 | $878,233 | $9,685 |
| MANAGEMENT FEES TO AFFILIATE | $638,205 | $638,205 | |
| PROFESSIONAL FEES TO AFFILIATES | $417,447 | $417,447 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $857,849 | TotalAmt |
| Program Services | $842,669 | ProgramServicesAmt |
| Management And General | $15,180 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,940,481 | TotalAmt |
| Program Services | $9,098,195 | ProgramServicesAmt |
| Management And General | $1,842,286 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700 | BOYAmt |
| EOY | $1,185,745 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,188 | BOYAmt |
| EOY | $32,833 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,635,613 | BOYAmt |
| EOY | $1,586,420 | 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 |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,335 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,131 | BOYAmt |
| EOY | $13,976 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,828 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,291,493 | BOYAmt |
| EOY | $71,640 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,515,288 | BOYAmt |
| EOY | $2,890,614 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $758,295 | BOYAmt |
| EOY | $647,200 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,979 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,242,619 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,100,893 | BOYAmt |
| EOY | $647,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,586,533 | BOYAmt |
| EOY | $2,243,414 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $928 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,585,605 | BOYAmt |
| EOY | $2,243,414 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,515,288 | BOYAmt |
| EOY | $2,890,614 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,560,578 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,268,441 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,428 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,567 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,055 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,866 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,214 | CurrentTaxYearAmt |
| Total | $38,130 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,931,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,684,326 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,883,946 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,077,635 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,485,193 | CurrentTaxYearAmt |
| Total | $153,063,045 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,936,373 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,688,893 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,888,001 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,094,501 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,493,407 | CurrentTaxYearAmt |
| Total | $153,101,175 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $153,101,175 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,028 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,598 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,915 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $698 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,105 | CurrentTaxYearAmt |
| Total | $70,344 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,028 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,598 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,915 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $698 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,105 | CurrentTaxYearAmt |
| Total | $70,344 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,492 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $194,373 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $106,867 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,337 | CurrentTaxYearAmt |
| Total | $463,069 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,937,401 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,746,983 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,109,289 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,202,066 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,638,849 | CurrentTaxYearAmt |
| Total | $153,634,588 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.9965 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9985 | PublicSupportPY509Pct |
| Investment Income CY | 0.0005 | InvestmentIncomeCYPct |
| Investment Income PY | 0.0002 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12 Other Income | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION - GIFT SHOP REVENUE, COLUMN A - 0.0, COLUMN B - 40492.0, COLUMN C - 39278.0, COLUMN D - 38007.0, COLUMN E - 31969.0, COLUMN F - 149746.0; DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 155095.0, COLUMN D - 23986.0, COLUMN E - 47812.0, COLUMN F - 226893.0; DESCRIPTION - MEALS SERVED, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 2813.0, COLUMN E - 0.0, COLUMN F - 2813.0; DESCRIPTION - BEAUTY & BARBER SHOP, COLUMN A - 0.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 42061.0, COLUMN E - 41556.0, COLUMN F - 83617.0; | ExplanationTxt |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc |
|---|
| INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE |
| DUE TO RELATED PARTY AFFILIATE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX PROVISIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2017. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOE GIRARDI | ||||||||||||||
| FORMER OFFICER (END 7/2015) | $0 | $0 | $0 | $0 | $0 | $150,178 | $0 | $0 | $0 | $0 | $0 | $150,178 | $0 | $0 |
| GARY MOHN | ||||||||||||||
| FORMER OFFICER (END 4/2016) | $0 | $92,620 | $0 | $0 | $0 | $159,014 | $0 | $0 | $0 | $18,452 | $0 | $270,086 | $0 | $0 |
| NICK HARSHFIELD | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $254,114 | $0 | $30,000 | $0 | $8,930 | $0 | $9,428 | $0 | $27,674 | $0 | $330,146 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF SETON MANOR, INC. 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 |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | The following individual(s) received severance payments from the organization or a related organization during calendar year 2016: JOE GIRARDI - $150,178 GARY MOHN - $159,014 |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | Eligible executives participate in a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No individuals received current year distributions during calendar year 2016. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S top management official, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF SETON MANOR, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE top management official WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS PERFORMED BY ASCENSION HEALTH SENIOR CARE, A RELATED ORGANIZATION OF SETON MANOR, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENATION WAS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE BOARD MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | SETON MANOR, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | SETON MANOR, INC. HAS A SINGLE CORPORATE MEMBER, ASCENSION HEALTH SENIOR CARE WHO HAS THE AUTHORITY TO APPOINT AND REMOVE DIRECTORS AND EXECUTIVE OFFICERS OF SETON MANOR, INC. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Ascension Health Senior Care, d.b.a. Ascension Senior Living, has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals' evaluation debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. |
| Form 990, Part VI, Line 12c Conflict of interest policy | The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION WILL PROVIDE DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | OTHER REVENUE - Total Revenue: 47812, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 47812; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Transfers with Affiliates - 2268441; |
| Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS | The activity of SETON MANOR, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of SETON MANOR, INC is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of SETON MANOR, INC. |
| Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant | SETON MANOR, INC. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. |
| GENERAL INFORMATION - Box C Physical ADdress | The physical address of SETON MANOR is: 1000 SETON DRIVE, ORWIGSBURG, PA 17961. The address listed on page 1 on this return is for mailing purposes only. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | |||||||||||
| PO BOX 45998 | St Louis | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3) | NA | false | ||
| ASCENSION HEALTH | |||||||||||
| PO BOX 45998 | St Louis | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3) | ASCENSION HEALTH ALLIANCE | false | ||
| ASCENSION HEALTH SENIOR CARE | |||||||||||
| 12250 Weber Hill Road | St Louis | MO | 63127 | 431227406 | PARENT COMPANY | MO | 501(c)(3) | ASCENSION HEALTH | false | ||
| ALEXIAN VILLAGE OF MILWAUKEE INC | |||||||||||
| 9301 N 76th Street | Milwaukee | WI | 53223 | 391351584 | CONTINUING CARE RETIREMENT COMMUNITY | WI | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| ALEXIAN VILLAGE OF TENNESSEE | |||||||||||
| 437 Alexian Way | Signal Mountain | TN | 37377 | 621136742 | CONTINUING CARE RETIREMENT COMMUNITY | TN | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| ALEXIAN BROTHERS COMMUNITY SERVICES | |||||||||||
| 425 Cumberland St Suite 110 | Chattanooga | TN | 37404 | 364344423 | PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES | TN | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| ALEXIAN BROTHERS LANSDOWNE VILLAGE | |||||||||||
| 12250 Weber Hill Road | ST LOUIS | MO | 63127 | 431470362 | SKILLED NURSING FACILITY | MO | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | SUITE 200 |
| ALEXIAN BROTHERS SHERBROOKE VILLAGE | |||||||||||
| 4005 Ripa Avenue | St Louis | MO | 63125 | 431592502 | SKILLED NURSING FACILITY | MO | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| OUR LADY OF PEACE INC | |||||||||||
| 5285 Lewiston Road | Lewiston | NY | 14092 | 161608735 | SKILLED NURSING FACILITY | NY | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| BORGESS NURSING HOME INC | |||||||||||
| 3057 Gull Road | Kalamazoo | MI | 49048 | 382555589 | SKILLED NURSING FACILITY | MI | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| ST JOSEPH'S MINISTRIES INC | |||||||||||
| 331 S Seton Avenue | Emmitsburg | MD | 21727 | 521835288 | SKILLED NURSING FACILITY | MD | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| CARONDELET LONG-TERM CARE FACILITIES INC | |||||||||||
| 621 Carondelet Drive | Kansas City | MO | 64114 | 742505427 | SKILLED NURSING FACILITY | MO | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| ST CATHERINE'S LABOURE MANOR | |||||||||||
| 1750 Stockton Street | Jacksonville | FL | 32204 | 591878316 | SKILLED NURSING FACILITY | FL | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 3 | |
| PROVIDENCE PARK INC | |||||||||||
| 300 W Highway 6 | Waco | TX | 76712 | 611759304 | SKILLED NURSING FACILITY | TX | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 3 | |
| WHEATON FRANCISCAN HEALTHCARE - TERRACE ST ST FRANCIS | |||||||||||
| 3200 SOUTH 20TH STREET | MILWAUKEE | WI | 53215 | 391486775 | RETIREMENT COMMUNITY | WI | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
| VIA CHRISTI VILLAGES INC | |||||||||||
| 2622 W Centra Suite 100 | Wichita | KS | 67203 | 480559086 | MANAGEMENT COMPANY | KS | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | ||
| VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC | |||||||||||
| 2622 W Centra Suite 100 | Wichita | KS | 67203 | 481236589 | PACE (SNF) | KS | 501(c)(3) | VIA CHRISTI VILLAGES INC | Yes (true) | 10 | |
| VIA CHRISTI VILLAGE PONCA CITY INC | |||||||||||
| 1601 Academy Road | Ponca City | OK | 74604 | 731153337 | RETIREMENT COMMUNITY | OK | 501(c)(3) | VIA CHRISTI VILLAGES INC | Yes (true) | 10 | |
| VIA CHRISTI VILLAGE HAYS INC | |||||||||||
| 2225 Canterbury Drive | Hays | KS | 67601 | 202828680 | RETIREMENT COMMUNITY | KS | 501(c)(3) | VIA CHRISTI VILLAGES INC | Yes (true) | 10 | |
| VIA CHRISTI VILLAGE MCLEAN INC | |||||||||||
| 777 N McLean Blvd | McLean | KS | 67203 | 481247723 | RETIREMENT COMMUNITY | KS | 501(c)(3) | VIA CHRISTI VILLAGES INC | Yes (true) | 10 | |
| CORNERSTONE ASSISTED LIVING INC | |||||||||||
| 2622 W Centra Suite 100 | Wichita | KS | 67203 | 481241079 | RETIREMENT COMMUNITY | KS | 501(c)(3) | VIA CHRISTI VILLAGES INC | Yes (true) | 10 | |
| VIA CHRISTI VILLAGE MANHATTAN INC | |||||||||||
| 2800 Willow Grove Road | Manhattan | KS | 66502 | 481078862 | RETIREMENT COMMUNITY | KS | 501(c)(3) | VIA CHRISTI VILLAGES INC | Yes (true) | 10 | |
| VIA CHRISTI VILLAGE GEORGETOWN INC | |||||||||||
| 1655 S Georgetown | Georgetown | KS | 67218 | 481129325 | RETIREMENT COMMUNITY | KS | 501(c)(3) | VIA CHRISTI VILLAGES INC | Yes (true) | 10 | |
| VIA CHRISTI VILLAGE PITTSBURG INC | |||||||||||
| 1502 E Centennial Drive | Pittsburg | KS | 66762 | 743070971 | RETIREMENT COMMUNITY | KS | 501(c)(3) | VIA CHRISTI VILLAGES INC | Yes (true) | 10 | |
| NAZARETH HALL | |||||||||||
| 1475 RAYNOLDS HALL | EL PASO | TX | 79903 | 742387843 | RETIREMENT COMMUNITY | TX | 501(c)(3) | ASCENSION HEALTH SENIOR CARE | Yes (true) | 10 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3900 SOUTH GRAND | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63118 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943465394 | EIN |
| Primary Activities | HOUSING | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| 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 | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| 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 | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |