2017-11-14T14:42:30-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990 2016-01-01 420760833 KAHL HOME FOR THE AGED AND INFIRM KAHL 5633241621 6701 JERSEY RIDGE ROAD DAVENPORT IA 52807 KIMBERLY HUFSEY ADMINISTRATOR 5633241621 2017-11-13 1 GREGORY S ADAMS P00095597 6305738600 2017-11-13 67.137.57.251 2017-11-13 15:09:48 CS P 573A7FE416AD6C5E032A0E46635AF7078886CB08 1A575DA7D4580FEB092587E941B69D20BC1E409C 2016 2017-02-10 21:41:12Z KIMBERLY HUFSEY 6701 JERSEY RIDGE ROAD DAVENPORT IA 52807 12838127 0 0928 X WWW.KAHLHOMEDAV.COM X 1957 IA PROVIDE CARE AND SERVICES TO THE COMMUNITY IN CONFORMANCE WITH THE THEOLOGY; PHILOSOPHY; TEACHINGS AND DOCTRINES OF THE ROMAN CATHOLIC CHURCH, RESPECTING AND BUILDING ON THE MISSION, PHILOSOPHY AND VALUES OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. 15 15 355 120 0 0 175979 170555 12672455 12462460 278328 202643 5368 0 13132130 12835658 0 0 0 0 8537177 8503774 0 0 0 4410053 5173095 12947230 13676869 184900 -841211 53735348 55318184 24795045 26220637 28940303 29097547 PROVIDE CARE AND SERVICES TO THE COMMUNITY IN CONFORMANCE WITH THETHEOLOGY, PHILOSOPHY, TEACHINGS AND DOCTRINES OF THE ROMAN CATHOLICCHURCH. RESPECTING AND BUILDING ON THE MISSION, PHILOSOPHY AND VALUESOF THE CARMELITE SISTERS FOR THE AGED AND INFIRM. 0 0 12098557 12462460 THE HOME PROVIDES PROFESSIONAL AND PERSONAL SERVICES IN A COMPASSIONATE AND CARING MANNER TO SERVE MEMBERS OF THE DAVENPORT AND SURROUNDING COMMUNITIES. DURING THE YEAR THE HOME PROVIDED APPROXIMATELY 43,500 PATIENT DAYS OF CARE TO OUR NEIGHBORS AND THEIR FAMILIES WITHOUT REGARD TO THEIR ETHNIC BACKGROUND, RELIGION, AND FINANCIAL CIRCUMSTANCES. 12098557 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 355 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X X THE ORGANIZATION 5633241621 6701 JERSEY RIDGE ROAD DAVENPORT IA 52807 SISTER MARY ROSE HEERY PRESIDENT 1.00 1.00 X X 0 0 0 SISTER M JEANNE FRANCIS HALEY DIRECTOR 1.00 1.00 X 0 0 0 MRS SHAWNA GRAHAM SECRETARY 1.00 X X 0 0 0 MR MICHAEL MCCARTHY CHAIRMAN 1.00 X X 0 0 0 SISTER M ANTHONY DE LOURDES VEILLE DIRECTOR 1.00 1.00 X 0 0 0 SISTER ALICE WEBSTER DIRECTOR 1.00 1.00 X 0 0 0 SISTER PATRICIA M RAWDON VICE PRESIDENT 1.00 1.00 X X 0 0 0 JOSEPH LOHMULLER MD DIRECTOR 1.00 X 0 0 0 MR ROBERT MCCABE DIRECTOR 1.00 X 0 0 0 MR JOSEPH POLASCHEK DIRECTOR 1.00 X 0 0 0 MRS JUDITH K PRANGER DIRECTOR 1.00 X 0 0 0 MRS MARY REHMANN DIRECTOR 1.00 X 0 0 0 MR THOMAS SUNDERBRUCH DIRECTOR 1.00 X 0 0 0 SISTER ANN ELIZABETH BROWN DIRECTOR 1.00 1.00 X 0 0 0 SISTER ROSEMARY RUBOCKI DIRECTOR 1.00 1.00 X 0 0 0 MRS ROSALIE THOMAS ADMINISTRATOR 45.00 X 98923 0 20752 RACHEL KING CONTROLLER 40.00 X 64611 0 1249 163534 0 22001 0 0 0 0 CONSONUS REHAB 4560 SE INTERNATIONAL WAY SUITE 101 MILWAUKIE OR 97222 MEDICAL STAFFING SERVICES 790586 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 SENIOR LIVING HOUSEKEEPING AND LAUNDRY 438961 MEDICAL STAFFING NETWORK 1035 LINCOLN ROAD SUITE 302 BETTENDORF IA 52722 MEDICAL STAFFING SERVICES 432540 SYSCO IOWA INC 1 SYSCO DRIVE ANKENY IA 50021 FOOD SERVICES 318312 GRAPETREE MEDICAL STAFFING INC 119 W MISSISSIPPI DRIVE MUSCATINE IA 52761 MEDICAL STAFFING SERVICES 194694 7 170555 170555 RESIDENT SERVICES REVENUE 623312 12356724 12356724 OTHER OPERATING INCOME 623312 105736 105736 12462460 205112 205112 2469 -2469 -2469 -2469 12835658 12462460 0 202643 185535 185535 6721004 6109524 611480 1126276 996304 129972 470959 416610 54349 128787 113925 14862 24229 21433 2796 22150 19594 2556 797902 705824 92078 41541 36747 4794 124202 109869 14333 103129 91228 11901 527995 467064 60931 6187 5473 714 820516 725828 94688 1221989 1080971 141018 93260 82498 10762 DIETARY 509275 450505 58770 MEDICAL SUPPLIES 325955 288340 37615 PROVIDER FEE 50752 44895 5857 375226 331925 43301 13676869 12098557 1578312 0 2931213 4029781 215154 93004 972552 1217263 110133 48432 36336034 5297463 32045165 31038571 16728625 16777079 732506 2114054 53735348 55318184 739850 2102925 23920000 23395000 135195 722712 24795045 26220637 X 28725149 29004543 215154 93004 28940303 29097547 53735348 55318184 X -841211 721763 276692 X X 0 1 X 1 0 X 1372311 313632 410837 175979 170555 2443314 9254633 10859156 12418595 12672455 12462460 57667299 297852 297852 10924796 11172788 12829432 12848434 12633015 60408465 17984 17012 34996 0 17984 17012 34996 60373469 225958 174360 189710 196388 205112 991528 225958 174360 189710 196388 205112 991528 11150754 11347148 13019142 13044822 12838127 61399993 0.98330 0.98020 0.01610 0.01920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2553016 2553016 31236004 4428610 26807394 2547014 868853 1678161 31038571 PROFESSIONALLY MANAGED POOLED INVESTMENT FUNDS 16777079 F 16777079 DUE TO RELATED PARTY 177471 SWAP AGREEMENT 545241 722712 X 13004888 721763 -552533 169230 12835658 0 12835658 13664644 0 13664644 12225 12225 13676869 PART X, LINE 2: KAHL HOME FOR THE AGED AND INFIRM IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. PART XI, LINE 2D - OTHER ADJUSTMENTS: NON-OPERATING EXPENSES -12,225. CHANGE IN VALUE OF INTEREST RATE SWAP -540,308. PART XII, LINE 4B - OTHER ADJUSTMENTS: NON-OPERATING EXPENSE 12,225. A IOWA FINANCE AUTHORITY 521699886 2014-11-12 24895000 TO REFINANCE SERIES 2011 REVENUE BONDS 0 0 0 A 1500000 24895000 569854 24325146 2011 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 FORM 990, SCHEDULE K, PART II, LINE 7 $71,954 OF THE PROCEEDS WERE USED TO PAY COST NOT SUBJECT TO THE LIMITATIONS OF SECTION 147(G)(1) OF THE INTERNAL REVENUE CODE. FORM 990, SCHEDULE K, PART I THE BONDS WERE ISSUED AT THE SAME TIME AS THE $14,430,000 COUNTY OF FRANKLIN, OHIO REVENUE REFUNDING BONDS, SERIES 2014 (MOTHER ANGELINE MCCRORY MANOR, INC. PROJECT), THE $7,040,000 COUNTY OF FRANKLIN OHIO REVENUE BONDS, SERIES 2014 (THE VILLAS AT SAINT THERESE, INC. PROJECT), AND THE $17,300,000 PALM BEACH COUNTY REVENUE REFUNDING BONDS, SERIES 2014 (LOURDES-NOREEN MCKEEN RESIDENCE FOR GERIATRIC CARE, INC. PROJECT) (COLLECTIVELY THE "OBLIGATED GROUP BONDS"). THE BONDS AND THE OBLIGATED GROUP BONDS CONSTITUTE A SINGLE ISSUE FOR PURPOSES OF TREASURY REGULATIONS SECTION 1.150-1(C). EACH SERIES OF THE OBLIGATED GROUP BONDS WILL BE REPORTED ON THE SCHEDULE K OF THE APPLICABLE MEMBER OF THE OBLIGATED GROUP. FORM 990, PART VI, SECTION A, LINE 1 THERE SHALL BE AN "EXECUTIVE COMMITTEE," WHICH SHALL BE A COMMITTEE OF THE CORPORATION AND SHALL CONSIST OF THE CHAIRPERSON OF THE BOARD, THE PRESIDENT, THE VICE-PRESIDENT, THE SECRETARY, THE TREASURER, AND SUCH OFFICERS OF THE CORPORATION AS MAY BE APPOINTED BY THE MEMBER. THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED AND SHALL HAVE AUTHORITY TO TRANSACT REGULAR BUSINESS OF THE CORPORATION BETWEEN MEETINGS OF THE BOARD. HOWEVER, THE EXECUTIVE COMMITTEE IS NOT EMPOWERED TO ACT WITH RESPECT TO ANY RESERVE POWERS DESCRIBED IN THE BY-LAWS, SHALL NOT TAKE ANY ACTION BEYOND THE AUTHORITY OF THE BOARD OR IN CONFLICT WITH THE EXPRESSED POLICIES OF THE BOARD. A MAJORITY OF THE COMMITTEE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF BUSINESS FOR ANY MEETING. ANY ACTION TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE REPORTED TO THE BOARD AT THE NEXT MEETING OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS THE CARMELITE SYSTEM, INC. A NEW YORK NOT-FOR-PROFIT CORPORATION FORM 990, PART VI, SECTION A, LINE 7A DIRECTORS SHALL BE ELECTED BY THE MAJORITY VOTE OF THE MEMBER (THE CARMELITE SYSTEM, INC.) AT THE ANNUAL MEETING, EXCEPT THAT THE CHAIR OF THE MEMBER SHALL APPOINT TWO (2) OF THE MEMBERS OF THE SPONSOR TO BE DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING POWERS ARE RESERVED EXCLUSIVELY TO THE MEMBER OF THE ORGANIZATION: 4.1.1 TO REQUIRE THAT THE CORPORATION OPERATES IN CONFORMANCE WITH ITS STATED PURPOSE, MISSION, PHILOSOPHY AND VALUES; 4.1.2 TO APPROVE THE STRATEGIC PLANS FOR THE CORPORATION, 4.1.3 TO REQUIRE AND APPROVE THE ANNUAL CAPITAL AND OPERATING BUDGETS 4.1.4 TO RECOMMEND TO THE SPONSOR ANY AMENDMENT, OR MODIFICATION OF THE CERTIFICATE OF INCORPORATION OR THE BY-LAWS OF THIS CORPORATION; 4.1.5 TO RECOMMEND TO THE SPONSOR (1) THE ESTABLISHMENT OF NEW ENTITIES OF WHICH THE CORPORATION IS A MEMBER, STOCKHOLDER, PARTNER, JOINT VENTURER OR DIRECTOR, OR IN WHICH IT OTHERWISE HAS AN EQUITY INTEREST, (2) THE ACQUISITION BY THE CORPORATION IN ANY MANNER OF ANY SUCH INTEREST IN ANY ENTITY, OR (3) THE ENTRY BY THE CORPORATION INTO A CONTRACT TO MANAGE ALL OR PART OF ANY OTHER ENTITY, 4.1.6 TO APPROVE BORROWING OR LENDING OF FUNDS IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME-TO-TIME BY THE MEMBER, 4.1.7 TO APPROVE EXPENDITURES NOT AUTHORIZED BY, OR INCLUDED WITHIN, THE CORPORATION'S BUDGETS APPROVED BY THE MEMBER WHICH ARE IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME-TO-TIME BY THE MEMBER, 4.1.8 TO RECOMMEND TO THE SPONSOR FOR APPROVAL THE ACQUISITION, SALE, LEASE, PLEDGE, MORTGAGE OR OTHER ENCUMBRANCE OR DISPOSITION OF ANY ASSETS OF THE CORPORATION. [IF THE FAIR MARKET VALUE OF THE ASSETS AT THE TIME OF SUCH DISPOSITION, IN ONE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS, EXCEEDS THE LESSER OF (1) 10% OF THE TOTAL NET ASSETS (AS SUCH TERM IS DEFINED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES) OF THE CORPORATION, OR (2) $3,000,000]; 4.1.9 TO REQUIRE THAT THE PROVISION BY THE CORPORATION OF EXISTING SERVICES OR A SERVICE THAT WAS NOT OFFERED BY THE CORPORATION AS OF THE DAY BEFORE THE CARMELITE SYSTEM, INC. BECAME THE SOLE CORPORATE MEMBER OF THE CORPORATION, BE IN CONFORMANCE WITH THE TEACHINGS, TRADITIONS OF THE ROMAN CATHOLIC CHURCH, THE MISSION AND PHILOSOPHY OF THE CONGREGATION OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM AND THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES; 4.1.10 TO REQUIRE THAT THE DISCONTINUATION OF A SERVICE BY THE CORPORATION BE IN CONFORMANCE WITH THE DIRECTIVES; 4.1.11 TO RECOMMEND TO THE SPONSOR THE MERGER, CONSOLIDATION OR REORGANIZATION OF THE CORPORATE STRUCTURE, CORPORATION, ORGANIZATION OR PROGRAM, OR THE DISSOLUTION, OF THE CORPORATION; 4.1.12 TO RECOMMEND TO THE SPONSOR ANY CHANGE IN THE FUNDAMENTAL NATURE OF THE CORPORATION AFFECTING ITS MISSION AND PHILOSOPHY. 4.1.13 TO ELECT THE DIRECTORS, OFFICERS, AND MEMBERS OF THE EXECUTIVE AND FINANCE COMMITTEES OF THE CORPORATION, 4.1.14 TO REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR, OFFICER, EXECUTIVE COMMITTEE OR FINANCE COMMITTEE MEMBER OF THE CORPORATION; 4.1.15 TO APPROVE THE APPOINTMENT OF THE ADMINISTRATOR OR CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 4.1.16 TO RECOMMEND TO THE SPONSOR THE REMOVAL, WITH OR WITHOUT CAUSE, OF THE ADMINISTRATOR OR CHIEF EXECUTIVE OFFICER OF THE CORPORATION; 4.1.17 TO RECOMMEND TO THE SPONSOR THAT ANY CHANGE IN LICENSURE, LEVEL OF CARE, BED CAPACITY AND TYPES OF SERVICE OF THE CORPORATION BE IN CONFORMANCE WITH THE MISSION, AND PHILOSOPHY OF THE CORPORATION AND THE DIRECTIVES; 4.1.18 TO APPROVE THE ENGAGEMENT OF LEGAL COUNSEL FOR THE CORPORATION; 4.1.19 TO APPROVE THE ENGAGEMENT OF MONEY MANAGERS FOR THE CORPORATION; 4.1.20 TO APPROVE THE ENGAGEMENT OF THE INDEPENDENT AUDITORS FOR THE CORPORATION; 4.1.21 TO APPROVE THE CONFERRAL OF GIFTS, DONATIONS OR LOANS TO OTHER LEGALLY RECOGNIZED CHARITABLE ORGANIZATIONS IN EXCESS OF A PRESCRIBED AMOUNT; 4.1.22 TO FORMULATE AND PROMULGATE WRITTEN POLICIES OF THE CORPORATION AS REQUIRED BY APPLICABLE REGULATORY AGENCIES TO ENSURE COMPLIANCE WITH MISSION AND PHILOSOPHY; 4.1.23 TO DESIGNATE STANDING AND SPECIAL COMMITTEES OF THE CORPORATION; 4.1.24 TO AUTHORIZE CONTRACTS BY THE CORPORATION WHICH ARE IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME-TO-TIME BY THE MEMBER, 4.1.25 TO RATIFY SETTLEMENTS OF CLAIMS AND LITIGATION WHEN SUCH CLAIMS OR SETTLEMENTS EXCEED APPLICABLE INSURANCE COVERAGE OR THE AMOUNT OF ANY APPLICABLE SELF-INSURANCE FUND; 4.1.26 TO APPROVE THE CONFERRAL OR ACCEPTANCE OF ANY GIFT BY THE CORPORATION IN EXCESS OF A PRESCRIBED AMOUNT; 4.1.27 TO APPROVE THE CONFERRAL OF ANY LOAN BY THE CORPORATION TO A CHARITY IN EXCESS OF A PRESCRIBED AMOUNT; 4.1.28 TO APPROVE THE PARTICIPATION OF THE CORPORATION IN AN OBLIGATED GROUP OF THE AFFILIATES OF THE MEMBER INCLUDING AUTHORIZATION AND THE EXECUTION OF A MASTER TRUST INDENTURE PROVIDING FOR THE CROSS-COLLATERALIZATION OF THE CORPORATION'S ASSETS TO SECURE FINANCING FOR THE PROJECTS AND BUDGETS OF THE AFFILIATE MEMBERS OF THE OBLIGATED GROUP; 4.1.29 TO APPROVE THE EXECUTION BY THE CORPORATION OF A SUPPLEMENTAL MASTER TRUST INDENTURE AND MASTER NOTE AS A MEMBER OF AN OBLIGATED GROUP OF THE AFFILIATES; 4.1.30 TO APPROVE THE EXECUTION BY THE CORPORATION OF A MASTER TRUST INDENTURE MORTGAGE AS AN AFFILIATE MEMBER OF THE OBLIGATED GROUP GRANTING A MORTGAGE ON THE CORPORATION'S REAL PROPERTY TO SECURE THE ENTIRE MASTER TRUST INDENTURE DEBT; 4.1.31 TO APPROVE AND SECURE THE OPINION OF COUNSEL FOR THE CORPORATION IN AN OBLIGATED GROUP OF THE AFFILIATES THAT THE MASTER TRUST INDENTURE, SUPPLEMENTAL TRUST INDENTURE, MASTER NOTE AND MORTGAGE, AS DEEMED APPLICABLE, ARE VALID, BINDING AND ENFORCEABLE OBLIGATIONS OF THE CORPORATION; 4.1.32 TO APPROVE THE APPOINTMENT OF THE MASTER DIRECTOR FOR THE OBLIGATED GROUP; 4.1.33 TO APPROVE AND REQUIRE THE PARTICIPATION OF THE CORPORATION IN CONSOLIDATED FINANCIAL STATEMENTS WITH THE AFFILIATE MEMBERS OF THE OBLIGATED GROUP AND THE PROVISION OF A SINGLE BUDGET AND SINGLE AUDITOR; FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, AND THEN PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW. THE FINANCE COMMITTEE REPORTS TO THE BOARD OF DIRECTORS REGARDING THE REVIEW, AND A COPY OF FORM 990 IS PROVIDED TO THE BOARD BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY REQUIRES ALL OFFICERS AND BOARD MEMBERS TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT. IN ADDITION, SHOULD AN OFFICER OR BOARD MEMBER ASSUME NEW EXTERNAL INTERESTS THAT POTENTIALLY CONFLICT WITH HIS/HER ROLE WITH THE ORGANIZATION, SUCH INDIVIDUAL IS REQUIRED TO DISCLOSE IN WRITING THE NATURE OF SUCH EXTERNAL INTERESTS. THE DISCLOSURE STATEMENT IS PROVIDED TO THE ADMINISTRATOR FOR REVIEW. CONFLICTS ARE RESOLVED BY MAKING A REQUIRED DISCLOSURE, AND MAY RESULT IN RESTRICTING THE OFFICER OR BOARD MEMBER IN ANY RELATED ACTIVITY OR PROCESS AS DETERMINED APPROPRIATE TO THE CIRCUMSTANCES OF THE CONFLICT. FAILURE TO DISCLOSE A CONFLICT OF INTEREST IS IN VIOLATION OF THE ADOPTED POLICY AND CAN RESULT IN DISCIPLINARY ACTION OR REMOVAL. FORM 990, PART VI, SECTION B, LINE 15A A COMPENSATION POLICY WAS DEVELOPED BY THE BOARD TO GOVERN COMPENSATION ARRANGEMENTS BETWEEN THE ORGANIZATION AND COVERED INDIVIDUALS, DEFINED AS THOSE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE CONSISTS OF AT LEAST THREE INDEPENDENT INDIVIDUALS APPOINTED BY THE BOARD, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION FOR COVERED INDIVIDUALS BASED ON RELEVANT DATA INCLUDING COMPARABILITY COMPENSATION FOR SIMILARLY SITUATED ENTITIES AND INDEPENDENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS AS DEEMED NECESSARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FORM 990, PART XI, LINE 9: GAIN ON SETTLEMENT OF INTEREST RATE SWAP 817,000. CHANGE IN VALUE OF INTEREST RATE SWAP -540,308. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING 2016. PART IV, LINE 11F THE ORGANIZATION EVALUATED THE LIABILITY FOR UNCERTAIN TAX POSITIONS FOR THE YEAR, DETERMINING NONE WERE CONSIDERED NECESSARY. CARMELITE SISTERS FOR THE AGED AND INFIRM INC 600 WOODS ROAD GERMANTOWN NY 12526 141369151 TO SPONSOR NURSING HOMES FOR THE AGED AND INFIRM NY 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 ST PATRICK'S RESIDENCE 1400 BROOKDALE ROAD NAPERVILLE IL 60563 362527011 SKILLED NURSING FACILITY IL 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 ST PATRICK'S MANOR 863 CENTER STREET FRAMINGHAM MA 01701 042157057 SKILLED NURSING FACILITY MA 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 ST PATRICK'S HOMES FOR THE AGED AND INFIRM 66 VAN CORTLAND PARK SOUTH BRONX NY 10463 121740033 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 SAINT MARGARET HALL INC 1960 MADISON RAOD CINCINNATI OH 45206 310655031 SKILLED NURSING FACILITY AND ASSISTED LIVING FACILITY OH 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 MOTHER ANGELINE MCCRORY MANOR 5199 EAST BROAD STREET COLUMBUS OH 43213 912134683 SKILLED NURSING FACILITY OH 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 MARION MANOR FOR THE AGED AND INFIRM INC 130 DORCHESTER STREET BOSTON MA 02127 042173054 SKILLED NURSING FACILITY MA 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 LOURDES-NOREEN MCKEEN RESIDENCE FOR GERIATRIC CARE INC 315 SOUTH FLAGLER DRIVE WEST PALM BEACH FL 33401 590879342 SKILLED, ASISTED AND INDEPENDENT LIVING FACILITY FL 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 MOUNT CARMEL CARE CENTER INC 320 PITTSFIELD ROAD LENOX MA 01240 383902709 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 CARMEL TERRACE INC 933 CENTRAL STREET FRAMINGHAM MA 01701 043210051 ASSISTED LIVING FACILITY MA 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 CARMEL MANOR INC 100 CARMEL MANOR ROAD FT THOMAS KY 41075 610523290 SKILLED NURSING FACILITY KY 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 THE VILLAS AT ST THERESE 25 NOE BIXBY ROAD COLUMBUS OH 43213 472021696 ASSISTED LIVING FACILITY OH 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 THE CARMELITE SYSTEM INC 646 WOODS ROAD GERMANTOWN NY 12526 141810368 MANAGEMENT OF AFFILIATED FACILITIES NY 501(C)(3) LINE 10 N/A 0 OZANAM HALL 4241 201ST STREET BAYSIDE NY 11361 112167809 SKILLED NURSING FACILITY NY 501(C)(3) LINE 10 CARMELITE SYSTEM INC 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0