STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

CAMILLUS HOUSE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CAMILLUS HOUSE INC (EIN 65-0032862)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201841349349309654
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-14T17:15:32-04:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN204989621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VERDEJA DE ARMAS & TRUJILLO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1255 ALHAMBRA CIR STE 560AddressLine1Txt
CityCORAL GABLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP331347417ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650032862EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAMILLUS HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAMIBusinessNameControlTxt
Phone3053741065PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 11829AddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARNOLD PANIAGUAPersonNm
Person TitleCFOPersonTitleTxt
Phone3053741065PhoneNum
Signature2018-05-15SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonOCTAVIO A VERDEJAPreparerPersonNm
PTINP00640853PTIN
Phone3054463177PhoneNum
Preparation2018-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerARNOLD PANIAGUAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 11829AddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,756,617GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAMILLUS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionPROVIDE FOOD, SHELTER & SERVICES TO HOMELESS/INDIGENTActivityOrMissionDesc
Voting Members Governing Body56VotingMembersGoverningBodyCnt
Voting Members Independent56VotingMembersIndependentCnt
Total Employee270TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$38,667TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$37,667NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$17,515,449PYContributionsGrantsAmt
CY Contributions Grants$14,233,045CYContributionsGrantsAmt
PY Program Service Revenue$656,401PYProgramServiceRevenueAmt
CY Program Service Revenue$454,240CYProgramServiceRevenueAmt
PY Investment Income$80,572PYInvestmentIncomeAmt
CY Investment Income$142,422CYInvestmentIncomeAmt
PY Other Revenue$274,740PYOtherRevenueAmt
CY Other Revenue$2,280,487CYOtherRevenueAmt
PY Total Revenue$18,527,162PYTotalRevenueAmt
CY Total Revenue$17,110,194CYTotalRevenueAmt
PY Grants And Similar Paid$26,694,482PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,764,733PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,161,121CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$569,313CYTotalFundraisingExpenseAmt
PY Other Expenses$10,459,131PYOtherExpensesAmt
CY Other Expenses$12,643,983CYOtherExpensesAmt
PY Total Expenses$43,918,346PYTotalExpensesAmt
CY Total Expenses$19,805,104CYTotalExpensesAmt
PY Revenues Less Expenses-$25,391,184PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,694,910CYRevenuesLessExpensesAmt
Total Assets BOY$40,487,203TotalAssetsBOYAmt
Total Assets EOY$40,613,888TotalAssetsEOYAmt
Total Liabilities BOY$19,112,138TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,349,920TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,375,065NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,263,968NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HUMANITARIAN SERVICES TO MEN, WOMEN AND CHILDREN WHO ARE POOR AND HOMELESS. SUCH SERVICES INCLUDE FOOD, SHELTER, HOUSING, REHABILITATIVE TREATMENT, AND HEALTH CARE. EACH SERVICE IS CARRIED OUT WITH THE DEEPLY HELD BELIEF THAT EVERY HUMAN BEING DESERVES LOVE, RESPECT AND AN OPPORTUNITY TO LIVE A DIGNIFED LIFE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,024,621ExpenseAmt
Revenue$239,320RevenueAmt
DescHOUSING SERIVCES: TO PROVIDE HOUSING, CASE MANAGEMENT, AND OTHER SERVICES RELATED TO AIDING A CLIENT TO ACHIEVE SELF-SUFFICIENCY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,454,893ExpenseAmt
Revenue$388,894RevenueAmt
DescHOSPITALITY SERVICES: TO PROVIDE BASIC SOCIAL SERVICES SUCH AS CLOTHING, FOOD, SHELTER, AND CASE MANAGEMENT TO CLIENTS WHO ARE CHRONICALLY HOMELESS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,758,217ExpenseAmt
Revenue$368,951RevenueAmt
DescHEALING INSTITUTE FOR SOCIAL & PERSONAL ADJUSTMENTS: TO PROVIDE TREATMENT FOR HOMELESS INDIVIDUALS WHO SUFFER FROM CO-OCCURRING DISORDERS TO ENABLE THEM TO BREAK THE CYCLE OF HOMELESSNESS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$424,044ExpenseAmt
DescCAREER HELP: JOB DEVELOPMENT AND CAREER ASSISTANCE SERVICES TO HELP THE HOMELESS BECOME SELF-SUFFICIENT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$424,044TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$16,661,775TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document394IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee270EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members56GoverningBodyVotingMembersCnt
Independent Voting Member56IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonARNALDO PANIAGUAPersonNm
Phone3053741065PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11603 NW 7TH AVENUEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33136ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (61 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
ROBERT BOB DICKINSON
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
ALAN GREER ESQ
VICE-CHAIRMA1.00Yes (X)Yes (X)$0$0$0
BR RAPHAEL MIESZALA OH
SECRETARY1.00Yes (X)Yes (X)$0$0$0
CHIP VANDENBERG
TREASURER1.00Yes (X)Yes (X)$0$0$0
THOMAS G ABRAHAM
DIRECTOR1.00Yes (X)$0$0$0
GARY ALLEN
DIRECTOR1.00Yes (X)$0$0$0
MARIA C ALONSO
DIRECTOR1.00Yes (X)$0$0$0
JEFFREY BARTEL
DIRECTOR1.00Yes (X)$0$0$0
JIM BERLIN
DIRECTOR1.00Yes (X)$0$0$0
MARK D BLOOM ESQ
DIRECTOR1.00Yes (X)$0$0$0
SEN DWIGHT M BULLARD
DIRECTOR1.00Yes (X)$0$0$0
TONY CABRERA
DIRECTOR1.00Yes (X)$0$0$0
DR KATE CALLAHAN
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL CARRICARTE
DIRECTOR1.00Yes (X)$0$0$0
JOHN W CHIDSEY
DIRECTOR1.00Yes (X)$0$0$0
JOSEPH E DAGROSA JR
DIRECTOR1.00Yes (X)$0$0$0
ERNESTO DIAZ
DIRECTOR1.00Yes (X)$0$0$0
PAUL DIMARE
DIRECTOR1.00Yes (X)$0$0$0
JOHN DUBOIS
DIRECTOR1.00Yes (X)$0$0$0
WAYNE CAMERON ELDRED
DIRECTOR1.00Yes (X)$0$0$0
DAN FARKAS JD
DIRECTOR1.00Yes (X)$0$0$0
MIGUEL G FARRA CPA JD
DIRECTOR1.00Yes (X)$0$0$0
SEN RENE GARCIA
DIRECTOR1.00Yes (X)$0$0$0
THEODORE TED GELMAN SR
DIRECTOR1.00Yes (X)$0$0$0
RAN GIMENO
DIRECTOR1.00Yes (X)$0$0$0
XAVIER GONZALEZ
DIRECTOR1.00Yes (X)$0$0$0
JULIE G GRIMES
DIRECTOR1.00Yes (X)$0$0$0
MARY HELEN HAYDEN EDD
DIRECTOR1.00Yes (X)$0$0$0
EDITH HUDSON
DIRECTOR1.00Yes (X)$0$0$0
EDWARD JOYCE
DIRECTOR1.00Yes (X)$0$0$0
SEAN KRAMER
DIRECTOR1.00Yes (X)$0$0$0
JACQUELINE LARRALDE-SANCHEZ
DIRECTOR1.00Yes (X)$0$0$0
VICTOR LOPEZ
DIRECTOR1.00Yes (X)$0$0$0
PAUL LOWENTHAL
DIRECTOR1.00Yes (X)$0$0$0
BROTHER RICHARD MACPHEE OH
DIRECTOR1.00Yes (X)$0$0$0
BRIAN MCDONOUGH
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW MEEHAN
DIRECTOR1.00Yes (X)$0$0$0
ALFREDO MESA
DIRECTOR1.00Yes (X)$0$0$0
JOHN T MESTEPEY
DIRECTOR1.00Yes (X)$0$0$0
ALBERT R MOLINA
DIRECTOR1.00Yes (X)$0$0$0
BEN MOLLERE
DIRECTOR1.00Yes (X)$0$0$0
ALEX MONTAGUE
DIRECTOR1.00Yes (X)$0$0$0
PHILLIS OETERS
DIRECTOR1.00Yes (X)$0$0$0
JORGE ORTEGA
DIRECTOR1.00Yes (X)$0$0$0
DAVID J PARKER
DIRECTOR1.00Yes (X)$0$0$0
AARON R PATIENCE
DIRECTOR1.00Yes (X)$0$0$0
LINDA QUICK
DIRECTOR1.00Yes (X)$0$0$0
OTI ROBERTS
DIRECTOR1.00Yes (X)$0$0$0
TONY RODRIGUEZ-TELLAHECHE
DIRECTOR1.00Yes (X)$0$0$0
MCKENLEY ROMEO
DIRECTOR1.00Yes (X)$0$0$0
MARC STEPHEN SHUSTER ESQ
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM D TALBERT III CDME
DIRECTOR1.00Yes (X)$0$0$0
VINCE VENTO
DIRECTOR1.00Yes (X)$0$0$0
ANA VIAMONTE ROS
DIRECTOR1.00Yes (X)$0$0$0
LEE I WEINTRAUB ESQ
DIRECTOR1.00Yes (X)$0$0$0
SARAH WEINTRAUB
DIRECTOR1.00Yes (X)$0$0$0
ANDRIA HANLEY
VP OF DEVELO40.00Yes (X)$122,520$0$6,500
SHEDRICK BOREN
FORMER PRESI25.00Yes (X)$0$120,000$025.00
ALEJANDRO RAMIREZ
CFO40.00Yes (X)$92,773$0$05.00
EDDIE GLORIA
COO25.00Yes (X)$89,584$0$025.00
HILDA M FERNANDEZ
CEO25.00Yes (X)$0$0$025.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$304,877TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$120,000TotReportableCompRltdOrgAmt
Total Other Compensation$6,500TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARC BUILDERS & GROUP INC
7301 SW 83RD COURTMIAMIFL33143CONSTRUCTION$452,708
BLASCO CONSTRUCTION CORP
1850 SW 8TH STREET SUITE 2048MIAMIFL33135REPAIRS$374,270
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$578,713FundraisingAmt
Government Grants$10,265,374GovernmentGrantsAmt
All Other Contributions$3,388,958AllOtherContributionsAmt
Noncash Contributions$1,692,049NoncashContributionsAmt
Total Contributions$14,233,045TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCLIENT CONTRIBUTIONSDesc
Business900099BusinessCd
Total Revenue Column$454,240TotalRevenueColumnAmt
Related Or Exempt Func Income$454,240RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$454,240TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$142,422TotalRevenueColumnAmt
Exclusion$142,422ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$2,345,318FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$578,713ContriRptFundraisingEventAmt
Fundraising Direct Expenses$646,423FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,698,895TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
FORGIVENESS OF LOANS900099$437,206$437,206
OTHER INCOME900099$83,537$83,537
LEASING OF WALLSCAPE900099$38,667$38,667

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,182TotalRevenueColumnAmt
Related Or Exempt Func Income$22,182RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$581,592OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,110,194TotalRevenueColumnAmt
Related Or Exempt Func Income$997,165RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$38,667UnrelatedBusinessRevenueAmt
Exclusion$142,422ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$338,415TotalAmt
Program Services$307,957ProgramServicesAmt
Management And General$23,689ManagementAndGeneralAmt
Fundraising$6,769FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,391,739TotalAmt
Program Services$4,886,226ProgramServicesAmt
Management And General$343,331ManagementAndGeneralAmt
Fundraising$162,182FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,038,508TotalAmt
Program Services$945,042ProgramServicesAmt
Management And General$72,696ManagementAndGeneralAmt
Fundraising$20,770FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$392,459TotalAmt
Program Services$357,138ProgramServicesAmt
Management And General$27,472ManagementAndGeneralAmt
Fundraising$7,849FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$121,573TotalAmt
Program Services$21,227ProgramServicesAmt
Management And General$99,702ManagementAndGeneralAmt
Fundraising$644FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$114,573TotalAmt
Program Services$19,987ProgramServicesAmt
Management And General$93,979ManagementAndGeneralAmt
Fundraising$607FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$497,248TotalAmt
Program Services$86,823ProgramServicesAmt
Management And General$407,810ManagementAndGeneralAmt
Fundraising$2,615FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$241,273TotalAmt
Program Services$5,294ProgramServicesAmt
Management And General$22,718ManagementAndGeneralAmt
Fundraising$213,261FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$346,208TotalAmt
Program Services$119,311ProgramServicesAmt
Management And General$204,932ManagementAndGeneralAmt
Fundraising$21,965FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,957,489TotalAmt
Program Services$1,542,004ProgramServicesAmt
Management And General$381,722ManagementAndGeneralAmt
Fundraising$33,763FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,624TotalAmt
Program Services$31,345ProgramServicesAmt
Management And General$5,794ManagementAndGeneralAmt
Fundraising$485FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,507,280TotalAmt
Program Services$1,408,808ProgramServicesAmt
Management And General$76,201ManagementAndGeneralAmt
Fundraising$22,271FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$562,266TotalAmt
Program Services$470,727ProgramServicesAmt
Management And General$71,371ManagementAndGeneralAmt
Fundraising$20,168FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
INKIND DONATIONS$1,695,385$1,671,360$16,885$7,140
DIRECT SUPPORT$1,466,659$1,466,659
PASTORAL SERVICES$1,362,972$1,177,214$185,758
REPAIRS AND MAINTENANCE$984,225$848,872$120,567$14,786

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,749,208TotalAmt
Program Services$1,295,781ProgramServicesAmt
Management And General$419,389ManagementAndGeneralAmt
Fundraising$34,038FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,805,104TotalAmt
Program Services$16,661,775ProgramServicesAmt
Management And General$2,574,016ManagementAndGeneralAmt
Fundraising$569,313FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,182,289BOYAmt
EOY$2,470,268EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$82,015BOYAmt
EOY$925,796EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,369,456BOYAmt
EOY$7,414,446EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$427,065BOYAmt
EOY$113,045EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$36,462,588LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,857,840LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,032,907BOYAmt
EOY$28,604,748EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$124,082BOYAmt
EOY$137,942EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,269,389BOYAmt
EOY$947,643EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$40,487,203BOYAmt
EOY$40,613,888EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,685,885BOYAmt
EOY$2,109,217EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$97,042BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$17,283,674BOYAmt
EOY$16,521,263EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,537BOYAmt
EOY$719,440EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,112,138BOYAmt
EOY$19,349,920EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,661,763BOYAmt
EOY$9,550,666EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,538,752BOYAmt
EOY$11,538,752EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$174,550BOYAmt
EOY$174,550EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,375,065BOYAmt
EOY$21,263,968EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,487,203BOYAmt
EOY$40,613,888EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,694,910ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,906NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$2,569,907PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,825,861CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,787,215CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,264,296CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,343,333CurrentTaxYearMinus1YearAmt
Current Tax Year$14,233,045CurrentTaxYearAmt
Total$88,453,750TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,825,861CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,787,215CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,264,296CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,343,333CurrentTaxYearMinus1YearAmt
Current Tax Year$14,233,045CurrentTaxYearAmt
Total$88,453,750TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$88,453,750PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$184,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$190,571CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$190,172CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$68,193CurrentTaxYearMinus1YearAmt
Current Tax Year$142,422CurrentTaxYearAmt
Total$775,857TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$37,667CurrentTaxYearAmt
Total$37,667TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$146,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,092CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,046CurrentTaxYearMinus2YearsAmt
Current Tax Year$997,165CurrentTaxYearAmt
Total$1,190,351TotalAmt
FieldValueIRS element (for citing)
Total Support$90,457,625TotalSupportAmt
Gross Receipts Rltd Activities$13,090,345GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97780PublicSupportCY170Pct
Public Support PY1700.98670PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
Explanation1,190,351ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$42,000OtherActivitiesAmt
Total Lobbying Expenditures$42,000TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationORGANIZATION HIRED A FIMR TO REPRESENT ITS INTERESTS IN THE STATE CAPITAL, IN THE MATTERS OF APPROPRIATIONS AND STATE FUNDING. CAMILLUS HOUSE, INC. ALSO HIRED A LOCAL LOBBYIST TO REPRESENT THE ORGANIZATION IN CITY AND COUNTY MATTERS.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,631,013OtherCostOrOtherBasisAmt
Book Value$1,631,013BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,184,595OtherCostOrOtherBasisAmt
Depreciation$4,492,132DepreciationAmt
Book Value$17,692,463BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,693,892OtherCostOrOtherBasisAmt
Depreciation$946,880DepreciationAmt
Book Value$5,747,012BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,961,387OtherCostOrOtherBasisAmt
Depreciation$2,418,828DepreciationAmt
Book Value$1,542,559BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,991,701OtherCostOrOtherBasisAmt
Book Value$1,991,701BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,604,748TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO RELATED ENTITIES$693,176
REFUNDABLE ADVANCES$26,264
FieldValueIRS element (for citing)
Total Liability$719,440TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS ADOPTED THE PROVISIONS OF ASC NO 740, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" ("ASC NO 740"). ASC 740 REQUIRED THAT THE IMPACT OF TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT OF BEING SUSTAINED UPON EXAMINATION. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THE FINANCIAL STATEMENTS. AT 6/30/17, THERE WERE NO UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES TAX RETURNS WITH US FEDERAL AND OTHER TAX AUTHORITIES FOR WHICH STATUE LIMITATIONS MAY GO BACK TO THE YEAR ENDED 2014.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HOPE FOR ALL BAEvent1Nm
Gross Receipts Event1$1,747,107GrossReceiptsEvent1Amt
Charitable Contri Event1$265,938CharitableContriEvent1Amt
Gross Revenue Event1$1,481,169GrossRevenueEvent1Amt
Other Direct Expenses Event1$341,196OtherDirectExpensesEvent1Amt
Event2SPRING EVENT -Event2Nm
Gross Receipts Event2$1,176,924GrossReceiptsEvent2Amt
Charitable Contri Event2$312,775CharitableContriEvent2Amt
Gross Revenue Event2$864,149GrossRevenueEvent2Amt
Other Direct Expenses Event2$305,227OtherDirectExpensesEvent2Amt
Gross Receipts Total$2,924,031GrossReceiptsTotalAmt
Charitable Contributions Tot$578,713CharitableContributionsTotAmt
Gross Revenue Total Events$2,345,318GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$646,423OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$646,423DirectExpenseSummaryEventsAmt
Net Income Summary$1,698,895NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonROBERT DICKINSONCABBAGE PATCHPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionCHAIRMANRelationshipDescriptionTxt
Transaction$68,415TransactionAmt
TransactionLEASE AGREEMENTTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART VFormAndLineReferenceDesc
Explanation(A) NAME OF INTERESTED PERSON: ROBERT DICKINSON/CABBAGE PATCH INVESTMENTS, INC JOINT VENTURE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CHAIRMAN OF THE ORGANIZATION (D) DESCRIPTION OF TRANSACTION: LEASE AGREEMENT BETWEEN ROBERT DICKINSON/CABBAGE PATCH INVESTMENTS, INC JOINT VENTURE (LANDLORD) AND CAMILLUS HOUSE, INC (TENANT) SIGNED ON 6/30/14. THE LEASE COMMENCES ON JULY 1, 2014 AND ENDS ON JUNE 30, 2019. LEASE AGREEMENT IS ENTERED INTO WITH THE INTENT OF COMPENSATING LESSORS FOR OUT-FOR-POCKET BUILDING OCCUPANCY EXPENSES FOR THIS PROPERTY, WHICH IS BEING USED BY CAMILLUS HOUSE TO FURTHER ITS MISSION ACTIVITIES.ExplanationTxt

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$3,797NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$669,621NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2634ContributionCnt
Noncash Contributions Rpt F990$1,018,631NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Method Of Determining RevenuesCOMPARABLE SALESMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO PROVIDE HUMANITARIAN SERVICES TO MEN, WOMEN AND CHILDREN WHO ARE POOR AND HOMELESS. SUCH SERVICES INCLUDE FOOD, SHELTER, HOUSING, REHABILITATIVE TREATMENT, AND HEALTH CARE. EACH SERVICE IS CARRIED OUT WITH THE DEEPLY HELD BELIEF THAT EVERY HUMAN BEING DESERVES LOVE, RESPECT AND AN OPPORTUNITY TO LIVE A DIGNIFED LIFE.
FORM 990, PAGE 2, PART III, LINE 4DCAREER HELP: JOB DEVELOPMENT AND CAREER ASSISTANCE SERVICES TO HELP THE HOMELESS BECOME SELF-SUFFICIENT.
FORM 990, PAGE 6, PART VI, LINE 6THERE ARE 5 MEMBERS WHO HAVE ULTIMATE AUTHORITY OVER THE ORGANIZATION. THESE MEMBERS MUST BELONG TO THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA, A RELIGIOUS ORGANIZATION OF THE CATHOLIC CHURCH.
FORM 990, PAGE 6, PART VI, LINE 7ATHE 5 MEMBERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA HAVE THE ULTIMATE AUTHORITY TO APPOINT THE GOVERNING BODY.
FORM 990, PAGE 6, PART VI, LINE 7BALL MAJOR DECISIONS ARE SUBJECT TO THE APPROVAL BY THE 5 MEMBERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY THE PRESIDENT, CFO AND FINACE COMMITTEE.
FORM 990, PAGE 6, PART VI, LINE 12CON AN ANNUAL BASIS, THE CONFLICE OF INTEREST QUESTIONNARIE IS ADMINISTERED TO MEMBERS OF THE BOARD AS WELL AS EMPLOYEES TO DISCLOSE INTERESTS THAT MIGHT RESULT IN A CONFLICT OR THE APPEARANCE OF A CONFLICT.
FORM 990, PAGE 6, PART VI, LINE 15APROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES INCLUDES COMPARABILITY DATA AND APPROVAL BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15BPROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES INCLUDES COMPARABILITY DATA AND APPROVAL BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9767,756 -767,756

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SHEPARD'S COURT INVESTOR LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1336 NW 5TH STREETAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33128ZIPCd
FieldValueIRS element (for citing)
EIN450901972EIN
Primary ActivitiesINVESTMENTPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CAMILLUSBusinessNameLine1Txt
Business Name Line2CAMILLUS HOUSE INCBusinessNameLine2Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtBusiness Name Line2DirectControllingEntityName/BusinessNameLine2TxtControlled OrganizationControlledOrganizationInd
CHARITY UNLIMITED OF FLORIDA INC
PO BOX 11829MIAMIFL33101650627797SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
CHARITY UNLIMITED FOUNDATION INC
PO BOX 11829MIAMIFL33101262449875SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
BROTHER KEILY PLACE INC
PO BOX 11829MIAMIFL33101262449799SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
EMMAUS PLACE INC
PO BOX 11829MIAMIFL33101262466746SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
MATT TALBOT HOUSE INC
PO BOX 11829MIAMIFL33101262466977SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
LABRE PLACE INC
PO BOX 11829MIAMIFL33101262449416SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
GOOD SHEPHERD VILLAS INC
PO BOX 11829MIAMIFL33101262466926SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
SOMERVILLE RESIDENCE INC
PO BOX 11829MIAMIFL33101262466816SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
BROWNSVILLE HOUSING INC
PO BOX 11829MIAMIFL33101262449736SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
CAMILLUS HEALTH CONCERN INC
PO BOX 11829MIAMIFL33101650063921SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse
NEW CAMILLUS HOUSE CAMPUS INC
PO BOX 11829MIAMIFL33101274182310SHELTERFL501C37SEE STMTLITTLE BROTHERS OF GOOD SHEPHERfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SHEPHERD'S COURT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1336 NW 5TH STREETAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33128ZIPCd
FieldValueIRS element (for citing)
EIN208725209EIN
Primary ActivitiesHOUSINGPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.00010OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CAMILLUS SHEPHERD'S LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11603 NW 7TH AVEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33136ZIPCd
FieldValueIRS element (for citing)
EIN454109856EIN
Primary ActivitiesHOUSINGPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CAMILLUSBusinessNameLine1Txt
Business Name Line2CAMILLUS HOUSING INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Ownership0.01000OwnershipPct
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NEW CAMILLUS HOUSE CAMPUS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$160,800InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationNAME OF RELATED ORGANIZATION: CHARITY UNLIMITED OF FLORIDA, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: BROTHER KEILY PLACE, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: EMMAUS PLACE, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: MATT TALBOT HOUSE, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: LABRE PLACE, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: CHARITY UNLIMITED FOUNDATION, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: GOOD SHEPHERD VILLAS, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: SOMERVILLE RESIDENCE, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: BROWNSVILLE HOUSING, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: CAMILLUS HEALTH CONCERN, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD. NAME OF RELATED ORGANIZATION: NEW CAMILLUS HOUSE CAMPUS, INC. DIRECT CONTROLLING ENTITY: 5 RELIGIOUS BROTHERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD.ExplanationTxt