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SAN CAMILLO INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SAN CAMILLO INC (EIN 39-1487306)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201342259349303219
Schema version
2011v1.5
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)
Timestamp2013-08-13T16:25:41-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110000 INNOVATION DRIVE SUITE 250AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code532264837ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391487306EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAN CAMILLO INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSANCNameControl
Phone4142598320Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110200 W BLUEMOUND ROADAddressLine1
CityWAUWATOSACity
StateWIState
ZIP Code53226ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN SCHWABName
TitleCHIEF FINANCIAL OFFICERTitle
Phone4142581814Phone
Date Signed2013-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAY ADKISSON CPAName
PTINP01360892PTIN
Phone4144319300Phone
Date Prepared2013-08-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEVIN SCHWABNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110200 W BLUEMOUND ROADAddressLine1
CityWAUWATOSACity
StateWIState
ZIP Code53226ZIPCode
FieldValueIRS element (for citing)
Gross Receipts13187916GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.STCAM.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1923YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionBY 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1375ContributionsGrantsPriorYear
Contributions Grants Current Year4117ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12417849ProgramServiceRevenuePriorYear
Program Service Revenue CY13158624ProgramServiceRevenueCY
Investment Income Prior Year3027InvestmentIncomePriorYear
Investment Income Current Year3345InvestmentIncomeCurrentYear
Other Revenue Prior Year26558OtherRevenuePriorYear
Other Revenue Current Year21830OtherRevenueCurrentYear
Total Revenue Prior Year12448809TotalRevenuePriorYear
Total Revenue Current Year13187916TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3404471SalariesEtcPriorYear
Salaries Etc Current Year3322028SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7332362OtherExpensePriorYear
Other Expenses Current Year7385119OtherExpensesCurrentYear
Total Expenses Prior Year10736833TotalExpensesPriorYear
Total Expenses Current Year10707147TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1711976RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2480769RevenuesLessExpensesCY
Total Assets BOY49672065TotalAssetsBOY
Total Assets EOY52381305TotalAssetsEOY
Total Liabilities BOY37468274TotalLiabilitiesBOY
Total Liabilities EOY37741562TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12203791NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14639743NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBY 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6233951Expense
Revenue8074131Revenue
DescriptionOPERATES A 277 UNIT INDEPENDENT LIVING FACILITY FOR SENIOR RESIDENTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3925682Expense
Revenue5084493Revenue
DescriptionOPERATES A 122 UNIT ASSISTED LIVING FACILITY PROVIDING HEALTHCARE AND OTHER SERVICES TO THE FRAIL ELDERLYDescription
FieldValueIRS element (for citing)
Total Program Service Expense10159633TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SAN CAMILLO INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4142581814TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110200 W BLUEMOUND ROADAddressLine1
CityWAUWATOSACity
StateWIState
ZIP Code53226ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
HARRY WHELPLEY
CHAIRPERSON20.00XX000
FR RICHARD O'DONNELL MI
VICE CHAIRPERSON20.00XX000
FR EUGENE DUTKIEWICZ SJ
TREASURER20.00XX000
FR LOUIS LUSSIER MI
BOARD MEMBER2.00X000
PAULA HOGAN
BOARD MEMBER2.00X000
FR PEDRO TRAMONTIN MI
BOARD MEMBER2.00X000
BR MARIO CRIVELLO MI
BOARD MEMBER2.00X000
ATTY FREDERICK A MUTH JR
BOARD MEMBER2.00X000
MARK SLESAR
BOARD MEMBER2.00X000
NICK LAUBUSCH
BOARD MEMBER2.00X000
ROSEMARIE MATHEUS
BOARD MEMBER2.00X000
JIM WESSON
BOARD MEMBER2.00X000
DAN MATTES
BOARD MEMBER2.00X000
RICK L JOHNSON
PRESIDENT & CEO40.00X023391110562
KEVIN SCHWAB
CHIEF FINANCIAL OFFICER40.00X01522417119
MARIE D'AMICO
SECRETARY & VICE PRESIDENT40.00X01190833100
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs505235TotalReportableCompFrmRltdOrgs
Total Other Compensation20781TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MORRISON MANAGEMENT SPECIALISTS INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 102289AddressLine1
CityATLANTACity
StateGAState
ZIP Code30368ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesFOOD SERVICEDescriptionOfServices
Compensation363327Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations4117RelatedOrganizations
Total Contributions4117TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MONTHLY SERVICE FEES9000991096294210962942
AMORTIZATION REVENUE90009912087221208722
SUPPORTING SERVICES900099816911816911
RESIDENT SERVICES900099170049170049
FieldValueIRS element (for citing)
Total Program Service Revenue13158624TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3345TotalRevenueColumn
Exclusion$3,345ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real21830Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real21830Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column21830TotalRevenueColumn
Exclusion$21,830ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13187916TotalRevenueColumn
Related Or Exempt Function Income13158624RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$25,175ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2794015Total
Program Services2654314ProgramServices
Management And General139701ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total344568Total
Program Services327340ProgramServices
Management And General17228ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total183445Total
Program Services174273ProgramServices
Management And General9172ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2398673Total
Program Services2278739ProgramServices
Management And General119934ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15788Total
Program Services2842ProgramServices
Management And General12946ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total547801Total
Program Services520411ProgramServices
Management And General27390ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5655Total
Program Services5372ProgramServices
Management And General283ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total594818Total
Program Services565077ProgramServices
Management And General29741ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1223896Total
Program Services1162701ProgramServices
Management And General61195ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total899Total
Program Services854ProgramServices
Management And General45ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total280577Total
Program Services266548ProgramServices
Management And General14029ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1103829Total
Program Services1048638ProgramServices
Management And General55191ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total88791Total
Program Services84351ProgramServices
Management And General4440ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
RAW FOOD / GROCERIES90184085674845092
MAINTENANCE1308251242846541
BAD DEBT1381313122691

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total77914Total
Program Services74019ProgramServices
Management And General3895ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10707147Total
Program Services10159633ProgramServices
Management And General547514ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1150BOY
EOY850EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY56180BOY
EOY62462EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY46208BOY
EOY36501EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY105678BOY
EOY33396EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis42171097LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec27206827LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13108196BOY
EOY14964270EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2730109BOY
EOY2553795EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY33624544BOY
EOY34730031EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49672065BOY
EOY52381305EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY371094BOY
EOY359046EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY775787BOY
EOY864651EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY5580000BOY
EOY5055000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30741393BOY
EOY31462865EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37468274BOY
EOY37741562EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12203791BOY
EOY14639743EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12203791BOY
EOY14639743EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49672065BOY
EOY52381305EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2480769ReconcilationRevenueExpenses
Reconcilation Other Changes-44817ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3767CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2200CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2591CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1375CurrentTaxYearMinus1Year
Current Tax Year4117CurrentTaxYear
Total14050Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10837539CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12072305CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12349255CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12417849CurrentTaxYearMinus1Year
Current Tax Year13243427CurrentTaxYear
Total60920375Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10841306CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12074505CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12351846CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12419224CurrentTaxYearMinus1Year
Current Tax Year13247544CurrentTaxYear
Total60934425Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50960934425PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82319CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years84577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32071CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29311CurrentTaxYearMinus1Year
Current Tax Year25175CurrentTaxYear
Total253453Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82319CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years84577CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32071CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29311CurrentTaxYearMinus1Year
Current Tax Year25175CurrentTaxYear
Total253453Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10923625CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12159082CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12383917CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12448535CurrentTaxYearMinus1Year
Current Tax Year13272719CurrentTaxYear
Total61187878Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99590PublicSupportPercentage509
Prior Year Support Percentage0.99380PriorYearSupportPercentage
Investment Income Percentage0.00410InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00620PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1037314OtherCostOrOtherBasis
Book Value1037314BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27486604OtherCostOrOtherBasis
Depreciation18302385Depreciation
Book Value9184219BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis854317OtherCostOrOtherBasis
Depreciation780738Depreciation
Book Value73579BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10129285OtherCostOrOtherBasis
Depreciation7786991Depreciation
Book Value2342294BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2663577OtherCostOrOtherBasis
Depreciation336713Depreciation
Book Value2326864BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14964270TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM RELATED PARTYDescription
Book Value34730031BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets34730031TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$22,268,775
RESIDENT FUNDS HELD FOR SAFE KEEPING$1,374
DUE TO RELATED PARTY$9,192,716
FieldValueIRS element (for citing)
Total Of Amounts31462865TotalOfAmounts
Total Revenue13187916TotalRevenue
Total Expenses10707147TotalExpenses
Excess Or Deficit For Year2480769ExcessOrDeficitForYear
Other-$44,817OtherAmount
Total Adjustments-44817TotalAdjustments
Excess Or Deficit Per FS2435952ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13138982TotRevenueEtcAuditedFinclStmt
Other Revenues-44817OtherRevenues
Revenue Not Rptd F990-44817RevenueNotRptdF990
Revenue Subtotal13183799RevenueSubtotal
Other Revenues Not Included4117OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4117RevenueNotRptdOnFinStmt
Total Revenue Per Form99013187916TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10707147TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10707147ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010707147TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE SYSTEM AND ITS CONSOLIDATED AFFILIATES DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE SYSTEM AND ITS CONSOLIDATED AFFILIATES RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2012 OR 2011. FEDERAL TAX RETURNS FOR TAX YEARS 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE ORGANIZATION HAS CERTAIN ACTIVITIES WHICH ARE CONSIDERED UNRELATED TO THEIR EXEMPT PURPOSE AND, ACCORDINGLY, ARE TAXABLE IN ACCORDANCE WITH THE CODE. THESE ACTIVITIES ARE NOT SIGNIFICANT AND NO PROVISION FOR TAXES HAS BEEN RECORDED.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -44,817.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FAIR VALUE OF INTEREST SWAP AGREEMENTS -44,817.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS FROM RELATED ORGANIZATIONS 4,117.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICK L JOHNSON
02087830251280001056200024447300
KEVIN SCHWAB
0140241012000000711900015936000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2012-02-29DateIssued
Issue Price5580000IssuePrice
Description Of PurposeREFINANCE 1995 BONDSDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired525000AmountRetired
Total Proceeds5580000TotalProceeds
Issuance Costs From Proceeds33883IssuanceCostsFromProceeds
Other Spent Proceeds5546117OtherSpentProceeds
Year Of Subst Completion2012YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed1Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1US BANKBusinessNameLine1
FieldValueIRS element (for citing)
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION HAS A SINGLE CLASS OF MEMBERS AND THE SOLE MEMBER OF THAT CLASS IS ST. CAMILLUS HEALTH SYSTEM, INC., A WISCONSIN NONSTOCK CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER ST. CAMILLUS HEALTH SYSTEM, INC., ELECTS THE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS SHALL NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OF THE MEMBER: TO DEFINE THE PHILOSOPHY, MISSION AND PURPOSE OF THE CORPORATION AND TO ADOPT, AMEND OR REPEAL ANY STATEMENTS OF MISSION OR PHILOSOPHY FOR THE CORPORATION; TO ADOPT, APPROVE, RESTATE, REVISE, OR AMEND THESE AMENDED AND RESTATED ARTICLES OF INCORPORATION AND THE BY-LAWS OF THE CORPORATION; TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE THE DIRECTORS OF THE CORPORATION AND DETERMINE THE NUMBER (WHICH MAY NOT BE LESS THAN THREE) OF SUCH DIRECTORS; TO AUTHORIZE OR MAKE OTHER DECISIONS RELATING TO THE TRANSFER OR SALE OF OR CREATION OF AN ENCUMBRANCE (E.G. MORTGAGE, PLEDGE OR GRANT OF SECURITY INTEREST) UPON FIXED ASSETS OF THE CORPORATION WITH A VALUE IN EXCESS OF $500,000; TO AUTHORIZE THE INCURRENCE BY THE CORPORATION OF DEBT FOR MONEY BORROWED IN AMOUNTS IN EXCESS OF $500,000; TO ADOPT AMEND OR REPEAL ANY PLAN OF DISSOLUTION, CONSOLIDATION OR MERGER OF THE CORPORATION, ANY CONTRACT OR AGREEMENT FOR THE MANAGEMENT OF THE CORPORATION OR ANY SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; TO CREATE, ACQUIRE, SELL, PURCHASE, DISSOLVE OR MAKE OTHER DISPOSITION OF ANY ENTITY OWNED OR CONTROLLED OR TO BE OWNED OR CONTROLLED BY THE CORPORATION OR ANY OWNERSHIP INTEREST IN ANY SUCH ENTITY; TO APPROVE ANY ACTIONS OR EXERCISE ANY POWER RESERVED TO THE CORPORATION AS A MEMBER OR SHAREHOLDER OF ANOTHER ENTITY; TO APPROVE THE INITIAL ELECTION BY THE BOARD OF DIRECTORS OF THE CHIEF EXECUTIVE OFFICER AND THE CHIEF OPERATING OFFICER OF THE CORPORATION (BUT NOT SUBSEQUENT RE-ELECTIONS OF THOSE PERSONS TO SERVE CONSECUTIVE TERMS IN SUCH RESPECTIVE OFFICES) AND TO REMOVE THE CHIEF EXECUTIVE OFFICER AND THE CHIEF OPERATING OFFICER OF THE CORPORATION WHETHER OR NOT SUCH REMOVAL IS APPROVED BY THE BOARD OF DIRECTORS; AND TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AND TO DETERMINE THE TERM OF THE PRESIDENT'S APPOINTMENT, SUCH TERM NOT TO EXCEED THREE YEARS.
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, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 5:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -44,817. TOTAL TO FORM 990, PART XI, LINE 5: -44,817.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ST CAMILLUS HEALTH SYSTEM INC
10101 W WISCONSIN AVENUEWAUWATOSAWI53226390806167ADMINISTRATIVE AND MANAGEMENT SERVICESWI501(C)(3)11(B)N/A0
ST CAMILLUS COMMUNITIES INC
10101 W WISCONSIN AVENUEWAUWATOSAWI53226391843041RESIDENTIAL FACILITIESWI501(C)(3)11(B)0ST CAMILLUS HEALTH SYSTEM INC
ORDER OF ST CAMILLUS FOUNDATION INC
10200 W BLUEMOUND ROADWAUWATOSAWI53226391925879FUND-RAISING SUPPORTWI501(C)(3)11(B)0ST CAMILLUS HEALTH SYSTEM INC
ST CAMILLUS HEALTH CENTER INC
10101 W WISCONSIN AVENUEWAUWATOSAWI53226391079224HEALTH SERVICESWI501(C)(3)90ST CAMILLUS HEALTH SYSTEM INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg