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TRINITY HEALTH SERVICES INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
TRINITY HEALTH SERVICES INC (EIN 06-1732908)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201643209349313884
Schema version
2015v2.1
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)
Return2016-11-15T16:25:47-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN061732908EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRINITY HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTRINBusinessNameControlTxt
Phone4146074100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13023 S 84TH STREETAddressLine1Txt
CityWEST ALLISCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53227ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH WIDENSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone4146074100PhoneNum
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY ANDERSON CPAPreparerPersonNm
PTINP00188889PTIN
Phone6086628600PhoneNum
Preparation2016-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH WIDENSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13023 S 84TH STREETAddressLine1Txt
CityWEST ALLISCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53227ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,879,773GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VMPCARES.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTHE CORPORATION IS DEDICATED TO PROVIDING A FULL RANGE OF CARE AND SERVICES FOR OLDER ADULTS THAT RESPECTS EACH INDIVIDUAL'S PERSONAL, PHYSICAL AND SPIRITUAL NEEDS. THESE NEEDS ARE MET THROUGH INDIVIDUALLY-TAILORED SERVICES DELIVERED BY A SKILLED AND CARING STAFF COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE CARE. OUR MISSION IS ENHANCED BY WORKING WITH COMMUNITY PARTNERS. WE DO THIS IN HARMONY WITH OUR CHRISTIAN TRADITION IN AN ENVIRONMENT THAT CONTINUALLY CHALLENGES ITS MEMBERS TO EXCEL AND A STRUCTURE THAT ENCOURAGES GROWTH, RESEARCH AND WISE USE OF RESOURCES.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers91TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$22,539PYContributionsGrantsAmt
CY Contributions Grants$751,933CYContributionsGrantsAmt
PY Program Service Revenue$12,592,637PYProgramServiceRevenueAmt
CY Program Service Revenue$11,965,311CYProgramServiceRevenueAmt
PY Investment Income$14PYInvestmentIncomeAmt
CY Investment Income$3,960,947CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,615,190PYTotalRevenueAmt
CY Total Revenue$16,678,191CYTotalRevenueAmt
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$6,494,193PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,118,651CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,336,588PYOtherExpensesAmt
CY Other Expenses$8,797,935CYOtherExpensesAmt
PY Total Expenses$13,830,781PYTotalExpensesAmt
CY Total Expenses$15,916,586CYTotalExpensesAmt
PY Revenues Less Expenses-$1,215,591PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$761,605CYRevenuesLessExpensesAmt
Total Assets BOY$15,913,883TotalAssetsBOYAmt
Total Assets EOY$16,844,167TotalAssetsEOYAmt
Total Liabilities BOY$1,146,057TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,314,820TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,767,826NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,529,347NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE INDEPENDENT LIVING FACILITIES AND INTERMEDIATE AND LIFE-LONG CARE TO RESIDENTS. THIS IS COMPRISED OF TRINITY VILLAGE SNF - AN 87 BED SKILLED NURSING FACILITY, TRINITY VILLAGE IL - A 208 BED INDEPENDENT LIVING FACILITY, AND TRINITY AL - AN 80 UNIT FACILITY LICENSED AS A RESIDENTIAL COMMUNITY APARTMENT COMPLEX PROVIDING RESIDENTIAL CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,595,795ExpenseAmt
Revenue$8,784,428RevenueAmt
DescTRINITY VILLAGE SNF - AN 87 BED SKILLED NURSING FACILITYDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,795,393ExpenseAmt
Revenue$1,384,772RevenueAmt
DescTRINITY IL - A 208 BED INDEPENDENT LIVING FACILITYDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,689,980ExpenseAmt
Revenue$1,796,111RevenueAmt
DescTRINITY AL AND OTHER SERVICES - AN 80 UNIT FACILITY LICENSED AS A RESIDENTIAL COMMUNITY APARTMENT COMPLEX PROVIDING RESIDENTIAL CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$15,081,168TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 Equipment0ReportLandBuildingEquipmentInd
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 Bonds0TaxExemptBondsInd
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 LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
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

FieldValueIRS element (for citing)
PersonALAN RUNDEPersonNm
Phone4146074302PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13023 S 84TH STREETAddressLine1Txt
CityWEST ALLISCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53227ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID AFFELDT
CHAIRMAN OF THE BOARD1.004.00Yes (X)Yes (X)$0$0$0
TERRANCE BRAATZ
VICE CHAIRMAN1.004.00Yes (X)Yes (X)$0$0$0
DANIEL T MELKA
SECRETARY/TREASURER1.004.00Yes (X)Yes (X)$0$0$0
RICK KELLAR
BOARD MEMBER1.004.00Yes (X)$0$0$0
ALAN RUNDE
PRESIDENT/CEO8.0032.00Yes (X)Yes (X)$0$193,183$2,741
ROBERT FISHER
COO THROUGH 8/11/158.0032.00Yes (X)Yes (X)$0$182,259$7,168
DONALD BUSAKOWSKI
CFO THROUGH 10/31/158.0032.00Yes (X)Yes (X)$0$169,506$431
KENNETH J WIDENSKI
CFO EFFECTIVE 11/1/158.0032.00Yes (X)Yes (X)$0$68,203$1,148
THOMAS HENSCHEL
EXECUTIVE DIRECTOR/NHA20.0020.00$0$110,390$1,886Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$723,541TotReportableCompRltdOrgAmt
Total Other Compensation$13,374TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DRIVE SUITE 300BENSALEMPA19020HOUSEKEEPING$588,025
SUNDANCE REHABILITATION CORP
101 EAST STATE STREETKENNET SQUAREPA19348REHABILITATION THERAPY$442,441
OMNICARE PHARMACY
5185 S 9TH STREETMILWAUKEEWI53221PHARMACEUTICAL$320,548
PRECISION CONTRACTING SERVICES
12020 W REPLEY AVENUEMILWAUKEEWI53226CONTRACTOR$152,588
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$751,933RelatedOrganizationsAmt
Total Contributions$751,933TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS623000$8,138,430$8,138,430
NET SERVICE REVENUE623000$3,413,557$3,413,557
OTHER OPERATING REVENUE623000$253,508$253,508
ENTRANCE FEES623000$159,816$159,816
FieldValueIRS element (for citing)
Total Program Service Revenue$11,965,311TotalProgramServiceRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$18,162,529OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$14,201,582OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$3,960,947OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,960,947TotalRevenueColumnAmt
Exclusion$3,960,947ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,678,191TotalRevenueColumnAmt
Related Or Exempt Func Income$11,965,311RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,960,947ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,952,861TotalAmt
Program Services$5,653,483ProgramServicesAmt
Management And General$299,378ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$635,022TotalAmt
Program Services$629,537ProgramServicesAmt
Management And General$5,485ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$530,768TotalAmt
Program Services$530,768ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,681TotalAmt
Program Services$341ProgramServicesAmt
Management And General$2,340ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,111,326TotalAmt
Program Services$1,081,334ProgramServicesAmt
Management And General$29,992ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$20,609TotalAmt
Program Services$17,175ProgramServicesAmt
Management And General$3,434ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$125,761TotalAmt
Program Services$102,583ProgramServicesAmt
Management And General$23,178ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$689,339TotalAmt
Program Services$654,856ProgramServicesAmt
Management And General$34,483ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,663TotalAmt
Program Services$1,452ProgramServicesAmt
Management And General$1,211ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$675,985TotalAmt
Program Services$675,985ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,001,658TotalAmt
Program Services$1,001,658ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$240,760TotalAmt
Program Services$240,760ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ALLOCATED COSTS$2,639,321$2,500,790$138,531
OTHER EXPENSES$975,257$677,871$297,386
FOOD$496,418$496,418
DRUGS AND MEDICATIONS$282,916$282,916

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$533,241TotalAmt
Program Services$533,241ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,916,586TotalAmt
Program Services$15,081,168ProgramServicesAmt
Management And General$835,418ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,110BOYAmt
EOY$550EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,278,095BOYAmt
EOY$1,042,670EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$45,650BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,364,935BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$42,500BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$181,593BOYAmt
EOY$15,800,947EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,913,883BOYAmt
EOY$16,844,167EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$747,141BOYAmt
EOY$912,937EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$271,726BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$127,190BOYAmt
EOY$401,883EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,146,057BOYAmt
EOY$1,314,820EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,767,826BOYAmt
EOY$15,529,347EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,767,826BOYAmt
EOY$15,529,347EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,913,883BOYAmt
EOY$16,844,167EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$761,605ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$84NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$196,216CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,172CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$137,609CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,539CurrentTaxYearMinus1YearAmt
Current Tax Year$751,933CurrentTaxYearAmt
Total$1,154,469TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,985,742CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,605,722CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,363,535CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,592,637CurrentTaxYearMinus1YearAmt
Current Tax Year$11,965,311CurrentTaxYearAmt
Total$58,512,947TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,181,958CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,651,894CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,501,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,615,176CurrentTaxYearMinus1YearAmt
Current Tax Year$12,717,244CurrentTaxYearAmt
Total$59,667,416TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$59,667,416PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$306TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$85CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14CurrentTaxYearMinus1YearAmt
Total$306TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,182,099CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,651,960CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,501,229CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,615,190CurrentTaxYearMinus1YearAmt
Current Tax Year$12,717,244CurrentTaxYearAmt
Total$59,667,722TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATESDesc
Book Value$15,800,947BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,800,947TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
REFUNDABLE DEPOSITS$132,065
RESIDENT DEPOSITS$11,149
DUE TO AFFILIATES$258,669
FieldValueIRS element (for citing)
Total Liability$401,883TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
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 (3 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
ALAN RUNDE
PRESIDENT/CEO$0$182,915$0$0$0$10,268$0$0$0$2,741$0$195,924$0$0
ROBERT FISHER
COO THROUGH 8/11/15$0$123,009$0$40,000$0$19,250$0$0$0$7,168$0$189,427$0$0
DONALD BUSAKOWSKI
CFO THROUGH 10/31/15$0$114,506$0$40,000$0$15,000$0$0$0$431$0$169,937$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationROBERT FISHER, COO, TERMINATED 8/11/15: $44,758.29 SEVERANCE DONALD BUSAKOWSKI, CFO, TERMINATED 10/31/15: $20,833.32 SEVERANCEExplanationTxt

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidALL INVENTORY, BUILDINGS, LAND, EQUIPMENT, IMPROVEMENTS, AND OTHER PERSONAL PROPERTY OF TRINITY HEALTH SERVICES.AssetsDistriOrExpnssPaidDesc
Distribution2015-12-31DistributionDt
Fair Market Value Of Asset$19,000,000FairMarketValueOfAssetAmt
Method Of FMV DeterminationCLOSING SALE PRICE.MethodOfFMVDeterminationTxt

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line17300 W DEAN LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16865 N LINCOLN AVEAddressLine1Txt
CityLINCOLNWOODCityNm
State AbbreviationILStateAbbreviationCd
ZIP60712ZIPCd
FieldValueIRS element (for citing)
IRC SectionLLCIRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE ACCOUNTING AND ADMINISTRATION MANAGEMENT REVIEW THE FORM 990 BEFORE IT IS SUBMITTED. IT IS AVAILABLE TO EACH BOARD MEMBER FOR THEIR REVIEW AFTER COMPLETION AND FILING.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS AND CERTAIN DIRECTORS, THROUGH COMMUNICATION WITH THE ACCOUNTING DEPARTMENT, REVIEW COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. BEGINNING 2016, IT WILL BE PART OF THE CORPORATE COMPLIANCE PROCESS.
FORM 990, PART VI, SECTION B, LINE 15WHEN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT, RESPONSIBILITIES AND COMPETITIVE ENVIRONMENT ARE TAKEN INTO CONSIDERATION. HR SURVEYS OF COMPARABLE ORGANIZATIONS AND REVIEW AND APPROVAL OF EXECUTIVE COMMITTEE OF BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE CORPORATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2CNO CHANGE IN PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
METHODIST MANOR INC
3023 S 84TH STREETWEST ALLISWI53227390942151NOT-FOR-PROFIT CORPORATIONWI501(C)(3)LINE 9THE VILLAGE AT MANOR PARK INC0
METHODIST MANOR HEALTH CENTER INC
3023 S 84TH STREETWEST ALLISWI53227391096121SPECIALIZED CARE FACILITY, SPECIALIZED VENT UNITWI501(C)(3)LINE 9THE VILLAGE AT MANOR PARK INC0
METHODIST MANOR OF WAUKESHA INC
3023 S 84TH STREETWEST ALLISWI53227391739567HOSPICEWI501(C)(3)LINE 9THE VILLAGE AT MANOR PARK INC0
THE VILLAGE AT MANOR PARK INC
3023 S 84TH STREETWEST ALLISWI53227930840673NOT-FOR-PROFIT MANAGEMENT CORPORATIONWI501(C)(3)LINE 11B, II0N/A
VMP FOUNDATION INC
3023 S 84TH STREETWEST ALLISWI53227510188458CONTROL ASSETS FOR BENEFIT OF RELATED ORGANIZATIONSWI501(C)(3)LINE 11A, I0N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ANCHOR HOLDINGS INC
3023 S 84TH STREETWEST ALLISWI53227391677564HOLDING COMPANYWIN/AC0
VANGUARD HEALTH SERVICES INC
3023 S 84TH STREETWEST ALLISWI53227391394780HOLDING COMPANYWIN/AC0
HOME CARE MEDICAL INC
5665 S WESTRIDGE DRIVENEW BERLINWI53131870735686MEDICAL EQUIPMENTWIN/AC0
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 OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd