2018-05-15T15:09:23-05:00 2017-06-30 990 2016-07-01 232960726 Seton Manor Inc SETO 3147338000 12250 Weber Hill Road 200 ST LOUIS MO 63127 Tonya Mershon Tax Officer 2018-05-15 2016 2022-09-23 18:48:47Z ANDREW DURAKO NHA 12250 Weber Hill Road 200 ST LOUIS MO 63127 14735887 false 0928 X WWW.SETONMANOR.ORG X 1998 PA TO PROVIDE A CONTINUING CARE RETIREMENT COMMUNITY AND SKILLED NURSING SERVICES TO THOSE IN OUR COMMUNITY FOR THE SHORT TERM OR LONG TERM. 6 5 248 70 0 0 16866 8214 10055212 10475593 698 3864472 151612 152780 10224388 14501059 0 0 0 6488482 6169729 0 0 0 4725828 4770752 11214310 10940481 -989922 3560578 8515288 2890614 12100893 647200 -3585605 2243414 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. false false 9098195 0 10485193 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. 9098195 true false false false false false false false true false false false false false false true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 84 0 true 248 false false false false false false false false false false X 6 5 false false false false true true true true true false false false true true true true true false false false PA X JULIE TURLEY CONTROLLER 3147293500 12250 WEBER HILL ROAD ST LOUIS MO 63127 ANDREW DURAKO EX-OFFICIO, ADMINISTRATOR (START 9/2016) 50.0 0 X X 44615 0 1998 ROBERT CARL JR VICE CHAIR (END 9/2016) 1.0 0 X X 0 0 0 ANNE B CURRY TREASURER 1.0 0 X X 0 0 0 MARYANN BAUSCH BOARD MEMBER 1.0 0 X 0 0 0 SISTER BRENDA MONAHAN BOARD MEMBER 1.0 0 X 0 0 0 SISTER KATHLEEN NATWIN DC BOARD MEMBER 1.0 0 X 0 0 0 JOAN ZAWISA BOARD MEMBER 1.0 0 X 0 0 0 NICK HARSHFIELD CHIEF FINANCIAL OFFICER 1.0 54.0 X 0 293044 37102 JOE GIRARDI FORMER OFFICER (END 7/2015) 0.0 0.0 X 0 150178 0 GARY MOHN FORMER OFFICER (END 4/2016) 0.0 40.0 X 0 251634 18452 44615 694856 57552 0 true true false Concept Medical Inc 639 Chestnut Street PO Box 201 ASHLAND PA 17921 Pharmacy Services 331555 McKesson Medical-Surgical PO BOX 204786 Dallas TX 75320 Pharmacy Services 138521 2 X 8214 8214 SNF NET RESIDENT SERVICES 623000 10375324 10375324 CCRC SERVICE REVENUES 623000 100269 100269 0 0 0 0 10475593 2262 2262 21843 21843 0 21843 21843 4097038 234828 0 3862210 3862210 3862210 BEAUTY & BARBER SVS 802900 41556 41556 NET PROVIDER TAX ASSESSMENTS 900099 9600 9600 GIFT SHOP REVENUE 900099 31969 31969 47812 0 0 47812 130937 14501059 10485193 0 4007652 46613 46613 4863319 4353257 510062 8735 7819 916 897004 802927 94077 354058 314044 40014 41016 41016 4750 4750 56317 37819 18498 0 27564 4802 22762 74201 30991 43210 443428 406271 37157 13176 8019 5157 314555 314555 43738 43309 429 PURCHASED SERVICES 950588 950588 SUPPLIES 887918 878233 9685 MANAGEMENT FEES TO AFFILIATE 638205 638205 PROFESSIONAL FEES TO AFFILIATES 417447 417447 857849 842669 15180 0 10940481 9098195 1842286 0 700 1185745 218188 32833 1635613 1586420 0 0 0 102335 0 32131 13976 0 0 0 0 0 0 234828 0 6291493 71640 8515288 2890614 758295 647200 99979 0 0 11242619 0 12100893 647200 X -3586533 2243414 928 0 -3585605 2243414 8515288 2890614 X 3560578 2268441 X false true X true false X 4428 4567 4055 16866 8214 38130 110931945 10684326 10883946 10077635 10485193 153063045 0 0 0 110936373 10688893 10888001 10094501 10493407 153101175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 153101175 1028 17598 26915 698 24105 70344 0 1028 17598 26915 698 24105 70344 0 0 40492 194373 106867 121337 463069 110937401 10746983 11109289 10202066 10638849 153634588 0.9965 0.9985 0.0005 0.0002 X Schedule A, Part III, Line 12 Other Income 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; INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE DUE TO RELATED PARTY AFFILIATE 0 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. true true false false false false false false false JOE GIRARDI FORMER OFFICER (END 7/2015) 0 0 0 0 0 150178 0 0 0 0 0 150178 0 0 GARY MOHN FORMER OFFICER (END 4/2016) 0 92620 0 0 0 159014 0 0 0 18452 0 270086 0 0 NICK HARSHFIELD CHIEF FINANCIAL OFFICER 0 254114 0 30000 0 8930 0 9428 0 27674 0 330146 0 0 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. 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. 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) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN VILLAGE OF TENNESSEE 437 Alexian Way Signal Mountain TN 37377 621136742 CONTINUING CARE RETIREMENT COMMUNITY TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS COMMUNITY SERVICES 425 Cumberland St Suite 110 Chattanooga TN 37404 364344423 PACE- COMPREHENSIVE & COORDINATED COMMUNITY BASED SERVICES TN 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS LANSDOWNE VILLAGE 12250 Weber Hill Road SUITE 200 ST LOUIS MO 63127 431470362 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS SHERBROOKE VILLAGE 4005 Ripa Avenue St Louis MO 63125 431592502 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true OUR LADY OF PEACE INC 5285 Lewiston Road Lewiston NY 14092 161608735 SKILLED NURSING FACILITY NY 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true BORGESS NURSING HOME INC 3057 Gull Road Kalamazoo MI 49048 382555589 SKILLED NURSING FACILITY MI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST JOSEPH'S MINISTRIES INC 331 S Seton Avenue Emmitsburg MD 21727 521835288 SKILLED NURSING FACILITY MD 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true CARONDELET LONG-TERM CARE FACILITIES INC 621 Carondelet Drive Kansas City MO 64114 742505427 SKILLED NURSING FACILITY MO 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ST CATHERINE'S LABOURE MANOR 1750 Stockton Street Jacksonville FL 32204 591878316 SKILLED NURSING FACILITY FL 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true PROVIDENCE PARK INC 300 W Highway 6 Waco TX 76712 611759304 SKILLED NURSING FACILITY TX 501(c)(3) 3 ASCENSION HEALTH SENIOR CARE true WHEATON FRANCISCAN HEALTHCARE - TERRACE ST ST FRANCIS 3200 SOUTH 20TH STREET MILWAUKEE WI 53215 391486775 RETIREMENT COMMUNITY WI 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true VIA CHRISTI VILLAGES INC 2622 W Centra Suite 100 Wichita KS 67203 480559086 MANAGEMENT COMPANY KS 501(c)(3) ASCENSION HEALTH SENIOR CARE true VIA CHRISTI HEALTHCARE OUTREACH PROGRAM FOR ELDERS INC 2622 W Centra Suite 100 Wichita KS 67203 481236589 PACE (SNF) KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE PONCA CITY INC 1601 Academy Road Ponca City OK 74604 731153337 RETIREMENT COMMUNITY OK 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE HAYS INC 2225 Canterbury Drive Hays KS 67601 202828680 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE MCLEAN INC 777 N McLean Blvd McLean KS 67203 481247723 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true CORNERSTONE ASSISTED LIVING INC 2622 W Centra Suite 100 Wichita KS 67203 481241079 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE MANHATTAN INC 2800 Willow Grove Road Manhattan KS 66502 481078862 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE GEORGETOWN INC 1655 S Georgetown Georgetown KS 67218 481129325 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true VIA CHRISTI VILLAGE PITTSBURG INC 1502 E Centennial Drive Pittsburg KS 66762 743070971 RETIREMENT COMMUNITY KS 501(c)(3) 10 VIA CHRISTI VILLAGES INC true NAZARETH HALL 1475 RAYNOLDS HALL EL PASO TX 79903 742387843 RETIREMENT COMMUNITY TX 501(c)(3) 10 ASCENSION HEALTH SENIOR CARE true ALEXIAN BROTHERS CORPUS CHRISTI HOUSING PROJECT LLC 3900 SOUTH GRAND ST LOUIS MO 63118 943465394 HOUSING MO NA C Corporation true false false false false false false false false false false false false false false false true false false false