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ST CAMILLUS HEALTH SYSTEM INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ST CAMILLUS HEALTH SYSTEM INC (EIN 39-0806167)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-07-20
IRS object ID
201732019349300328
Schema version
2015v3.0
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

FieldValueIRS element (for citing)
Return2017-07-20T13:27:37-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Wipfli LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110000 Innovation Drive Suite 250AddressLine1Txt
CityMilwaukeeCityNm
State AbbreviationWIStateAbbreviationCd
ZIP532264837ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390806167EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST CAMILLUS HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTCABusinessNameControlTxt
Phone4142596333PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 W WISCONSIN AVENUEAddressLine1Txt
CityWAUWATOSACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53226ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUSTIN MUNZELPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone4142598355PhoneNum
Signature2017-07-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaul Daly CPAPreparerPersonNm
PTINP00277674PTIN
Phone4144319300PhoneNum
Preparation2017-07-11PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKevin SchwabPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 w wisconsin avenueAddressLine1Txt
CitywauwatosaCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53226ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,152,596GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STCAM.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1923FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionBY PROVIDING SERVICES TO THE POOR, THE SICK AND THE ELDERLY WITH A SENSE OF COMPASSION AND LOVE, ST. CAMILLUS OFFERS HOPE AND MEANING TO THOSE WHO ARE SUFFERING, COMFORT AND SECURITY TO THOSE WHO ARE AGING, AND SERENITY TO THOSE WHO ARE DYING, TAKING INTO ACCOUNT EACH PERSON'S INNATE DIGNITY, UNIQUE NEEDS, AND GOD-GIVEN RIGHTS.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee730TotalEmployeeCnt
Total Volunteers175TotalVolunteersCnt
Total Gross UBI$763,385TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$624,375PYContributionsGrantsAmt
CY Contributions Grants$4,110CYContributionsGrantsAmt
PY Program Service Revenue$7,335,627PYProgramServiceRevenueAmt
CY Program Service Revenue$7,384,662CYProgramServiceRevenueAmt
PY Investment Income$4,857PYInvestmentIncomeAmt
CY Investment Income$439CYInvestmentIncomeAmt
PY Other Revenue$796,873PYOtherRevenueAmt
CY Other Revenue$763,385CYOtherRevenueAmt
PY Total Revenue$8,761,732PYTotalRevenueAmt
CY Total Revenue$8,152,596CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,764,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,954,311CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,927,604PYOtherExpensesAmt
CY Other Expenses$2,734,429CYOtherExpensesAmt
PY Total Expenses$7,691,795PYTotalExpensesAmt
CY Total Expenses$7,688,740CYTotalExpensesAmt
PY Revenues Less Expenses$1,069,937PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$463,856CYRevenuesLessExpensesAmt
Total Assets BOY$31,512,236TotalAssetsBOYAmt
Total Assets EOY$52,485,912TotalAssetsEOYAmt
Total Liabilities BOY$29,056,560TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,068,345TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,455,676NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,417,567NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBY PROVIDING SERVICES TO THE POOR, THE SICK AND THE ELDERLY WITH A SENSE OF COMPASSION AND LOVE, ST. CAMILLUS OFFERS HOPE AND MEANING TO THOSE WHO ARE SUFFERING, COMFORT AND SECURITY TO THOSE WHO ARE AGING, AND SERENITY TO THOSE WHO ARE DYING, TAKING INTO ACCOUNT EACH PERSON'S INNATE DIGNITY, UNIQUE NEEDS, AND GOD-GIVEN RIGHTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,226,173ExpenseAmt
Grant$0GrantAmt
Revenue$7,384,662RevenueAmt
DescMANAGEMENT SERVICES FOR AFFILIATED TAX EXEMPT ORGANIZATIONSDesc
Total Program Service Expenses$7,226,173TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document97IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee730EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST CAMILLUS HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4142581814PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110101 W WISCONSIN AVENUEAddressLine1Txt
CityWAUWATOSACityNm
State AbbreviationWIStateAbbreviationCd
ZIP53226ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Br Mario Crivello MI
board Member40.001.00Yes (X)$0$0$0
Tom Deisinger
board Member1.001.00Yes (X)$0$0$0
Coreen Dicus-Johnson
board Member1.001.00Yes (X)$0$0$0
Kelly Gaglione
Board Member1.001.00Yes (X)$0$0$0
Nick Laubusch
board Member1.001.00Yes (X)$0$0$0
Rosemarie Matheus
board Member1.001.00Yes (X)$0$0$0
David Niles
board Member1.001.00Yes (X)$0$0$0
Mark E Slesar
Finance Committee Chair1.001.00Yes (X)$0$0$0
Judie Taylor
board Member1.001.00Yes (X)$0$0$0
Tom VanHimbergen
Board Member1.001.00Yes (X)$0$0$0
Francis Wiesner
Chairperson of the Board1.001.00Yes (X)$0$0$0Yes (X)
Fr Pedro Tramontin MI
Vice Chair of the Board40.001.00Yes (X)$0$0$0Yes (X)
Fr Leandro Blanco MI
Treasurer40.001.00Yes (X)$0$0$0Yes (X)
Fr Richard O'Donnell MI
Officer20.001.00Yes (X)$0$0$0Yes (X)
Rick L Johnson
President & ceo40.001.00$244,628$0$18,696Yes (X)
Marie D'Amico
Secretary (Thru 01/16)40.001.00$132,531$0$13,178Yes (X)
Kevin Schwab
Chief Operating Officer40.001.00$175,732$0$16,254Yes (X)
Justin Munzel
Chief Financial Officer40.001.00$112,802$0$13,257Yes (X)
Sandra Dugan
Administrator of Skilled Nursing and Assisted Livi40.001.00$128,397$0$366Yes (X)
Beverly Harvey
Director of Home Health40.001.00$126,004$0$3,590Yes (X)
Richard Senk
Director of Environmental Services40.001.00$121,140$0$4,748Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,041,234TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$70,089TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MA Mortenson Company
17975 W Sarah LaneBrookfieldWI54045Construction$3,466,313
Plunkett Raysich Architects LLP
209 South Water StreetMilwaukeeWI53204Architects$1,620,903
Humana Insurance Co
PO Box 3024MilwaukeeWI532013024Health Insurance$1,253,622
VJS Construction Services
W233 N2847 Roundy Circle WestPewaukeeWI53072Construction$1,076,246
Reinhart Boerner Van Deuren SC
PO Box 2965MilwaukeeWI532012965Attorney$415,607
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$4,110RelatedOrganizationsAmt
Total Contributions$4,110TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGEMENT FEES900099$6,551,761$6,551,761
Supporting Services900099$832,901$832,901
FieldValueIRS element (for citing)
Total Program Service Revenue$7,384,662TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$439TotalRevenueColumnAmt
Exclusion$439ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPrinting RevenueDesc
Business323100BusinessCd
Total Revenue Column$763,385TotalRevenueColumnAmt
Unrelated Business Revenue$763,385UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$763,385OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,152,596TotalRevenueColumnAmt
Related Or Exempt Func Income$7,384,662RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$763,385UnrelatedBusinessRevenueAmt
Exclusion$439ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$727,078TotalAmt
Program Services$690,724ProgramServicesAmt
Management And General$36,354ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,299,553TotalAmt
Program Services$3,134,575ProgramServicesAmt
Management And General$164,978ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$597,671TotalAmt
Program Services$567,787ProgramServicesAmt
Management And General$29,884ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$330,009TotalAmt
Program Services$313,509ProgramServicesAmt
Management And General$16,500ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$49,985TotalAmt
Program Services$11,497ProgramServicesAmt
Management And General$38,488ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$46,823TotalAmt
Program Services$2,341ProgramServicesAmt
Management And General$44,482ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$420,353TotalAmt
Program Services$399,335ProgramServicesAmt
Management And General$21,018ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$194,033TotalAmt
Program Services$184,331ProgramServicesAmt
Management And General$9,702ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$545,688TotalAmt
Program Services$518,404ProgramServicesAmt
Management And General$27,284ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$218,615TotalAmt
Program Services$207,684ProgramServicesAmt
Management And General$10,931ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,996TotalAmt
Program Services$18,996ProgramServicesAmt
Management And General$1,000ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,199TotalAmt
Program Services$10,639ProgramServicesAmt
Management And General$560ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$60,433TotalAmt
Program Services$57,411ProgramServicesAmt
Management And General$3,022ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$587,491TotalAmt
Program Services$558,116ProgramServicesAmt
Management And General$29,375ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,745TotalAmt
Program Services$36,808ProgramServicesAmt
Management And General$1,937ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
maintenance$394,495$374,772$19,723
Dues & Subscriptions$27,606$26,226$1,380
Catering Expense$3,727$3,541$186

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$115,240TotalAmt
Program Services$109,477ProgramServicesAmt
Management And General$5,763ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,688,740TotalAmt
Program Services$7,226,173ProgramServicesAmt
Management And General$462,567ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,232,562BOYAmt
EOY$4,050,121EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$53,360BOYAmt
EOY$51,953EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$17,100BOYAmt
EOY$17,526EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$183,369BOYAmt
EOY$168,121EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,011,384LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,783,732LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,933,681BOYAmt
EOY$21,227,652EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,092,164BOYAmt
EOY$26,970,539EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,512,236BOYAmt
EOY$52,485,912EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,479,117BOYAmt
EOY$6,360,237EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$251,393BOYAmt
EOY$13,622,478EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,119,331BOYAmt
EOY$3,909,056EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$19,452BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,187,267BOYAmt
EOY$26,176,574EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,056,560BOYAmt
EOY$50,068,345EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,455,676BOYAmt
EOY$2,417,567EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,455,676BOYAmt
EOY$2,417,567EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,512,236BOYAmt
EOY$52,485,912EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$463,856ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$501,965OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations3SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (3 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
ST CAMILLUS HEALTH CENTER INC
3910792249Yes (1)$3,163,017$0
SAN CAMILLO INC
3914873069Yes (1)$3,340,510$0
St CAMILLUS COMMUNITIES INC
3918430419Yes (1)$48,234$0
FieldValueIRS element (for citing)
Supported Organizations Total3SupportedOrganizationsTotalCnt
Support Sum$6,551,761SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,961OtherCostOrOtherBasisAmt
Book Value$160,961BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,447,861OtherCostOrOtherBasisAmt
Depreciation$9,498,908DepreciationAmt
Book Value$3,948,953BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$315,556OtherCostOrOtherBasisAmt
Depreciation$242,753DepreciationAmt
Book Value$72,803BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,206,196OtherCostOrOtherBasisAmt
Depreciation$6,454,094DepreciationAmt
Book Value$752,102BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,880,810OtherCostOrOtherBasisAmt
Depreciation$587,977DepreciationAmt
Book Value$16,292,833BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,227,652TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Due from related party$21,393,292
Deferred financing cost$704,819
RESTRICTED ESCROW ACCOUNT$4,872,428
FieldValueIRS element (for citing)
Total Book Value Other Assets$26,970,539TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to related party$25,571,352
Security Deposits$9,645
interest rate swap$589,132
Other Liabilities$6,445
FieldValueIRS element (for citing)
Total Liability$26,176,574TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Rick L Johnson
President & ceo$227,311$0$0$0$17,317$0$11,410$0$7,286$0$263,324$0$0$0
Kevin Schwab
Chief Operating Officer$160,376$0$10,000$0$5,356$0$9,000$0$7,254$0$191,986$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1wisconsin Health and Educational Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
Bond Issued2010-12-13BondIssuedDt
Issue Price$5,000,000IssuePriceAmt
PurposeRefinance 1998 IssuePurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,148,673RetiredAmt
Total Proceeds$5,000,000TotalProceedsAmt
Issuance Costs From Proceeds$94,605IssuanceCostsFromProceedsAmt
Capital Expenditures$2,272,061CapitalExpendituresAmt
Other Spent Proceeds$2,633,334OtherSpentProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledYes (1)Form8038TFiledInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The CEO, CFO, and controller review the 990 before it is filed with the IRS. A copy is kept on hand for public viewing.
Form 990, Part VI, Section B, line 12cthe parties that are involved are asked to disclose any changes that would impact the policy.
Form 990, Part VI, Section B, line 15The board reviews salaries which are then compared to management resource association data. the organization also compares their salaries to other companies that are similar in nature via 990's.
Form 990, Part VI, Section C, line 19The organization does not make its governing documents or conflict of interest policy available to the public. Audited Financial statements are available for all residents to view.
Form 990, Part XI, line 9:change in fair value of interest rate swap agreements -529,157. Net assets released from restrictions for operations 27,192.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
st camillus health center inc
10101 w wisconsin avenuewauwatosaWI53226391079224health servicesWI501(c)(3)9St Camillus Health System IncYes (1)
san camillo inc
10200 w bluemound roadwauwatosaWI53226391487306assisted livingWI501(c)(3)9St Camillus Health System IncYes (1)
order of st camillus foundation inc
10200 w bluemound roadwauwatosaWI53226391925879fund-raising supportWI501(c)(3)11(b)St Camillus Health System IncYes (1)
st camillus communities inc
10101 w wisconsin avenuewauwatosaWI53226391843041residential facilitiesWI501(c)(3)11(b)St Camillus Health System IncYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
order of St Camillus Foundation Inc
L$193,890
st Camillus Health Center Inc
L$3,163,017
san Camillo Inc
L$3,340,510
san Camillo Inc
J$530,000