SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC (EIN 23-7379161)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201113199349300801
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T02:00:52-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 CARONDELET PLAZA SUITE 1300 | AddressLine1 |
| City | CLAYTON | City |
| State | MO | State |
| ZIP Code | 63105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237379161 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISTERS OF CHARITY OF LEAVENWORTH | BusinessNameLine1 |
| Business Name Line2 | HEALTH SYSTEM INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SIST | NameControl |
| Phone | 9138952800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9801 RENNER BOULEVARD | AddressLine1 |
| City | LENEXA | City |
| State | KS | State |
| ZIP Code | 662199745 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LYDIA JUMONVILLE | Name |
| Title | SR VP/CFO | Title |
| Date Signed | 2011-11-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142901000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LYDIA W JUMONVILLE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2420 WEST 26TH AVE STE 100-D | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80211 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 101242709 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.sclhealthsystem.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1972 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 271 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | -8577 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1093 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3100 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 59732749 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 72582296 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4240595 | InvestmentIncomePriorYear |
| Investment Income Current Year | 22559296 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5456923 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6098017 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 69431360 | TotalRevenuePriorYear |
| Total Revenue Current Year | 101242709 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 289461 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 379320 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 37882714 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40263716 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 65038561 | OtherExpensePriorYear |
| Other Expenses Current Year | 131032929 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 103210736 | TotalExpensesPriorYear |
| Total Expenses Current Year | 171675965 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -33779376 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -70433256 | RevenuesLessExpensesCY |
| Total Assets BOY | 825765094 | TotalAssetsBOY |
| Total Assets EOY | 1480585187 | TotalAssetsEOY |
| Total Liabilities BOY | 776716176 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1477109961 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 49048918 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3475226 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 59025230 | Expense |
| Grants | 0 | Grants |
| Revenue | 15175016 | Revenue |
| Description | FINANCE, AUDIT AND DEBT SERVICES - ADMINISTERS FINANCING PROGRAM AND REVIEWS THE CAPITAL FORMATION PROGRAM (FOR ELEVEN HOSPITALS AND FOUR CLINICS). IT ALSO OVERSEES THE AUDITS OF ITS RELATED AFFILIATES TO PROVIDE ASSURANCE REGARDING THE EFFECTIVENESS AND EFFICIENCY OF OPERATIONS AND THE RELIABILITY OF FINANCIAL REPORTING. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3668129 | Expense |
| Grants | 0 | Grants |
| Revenue | 0 | Revenue |
| Description | HUMAN RESOURCES - ADMINISTERS PROGRAMS AND OTHER SERVICES TO THE ELEVEN HOSPITALS, FOUR CLINICS AND VARIOUS FOR-PROFIT ENTITIES WHICH ARE AFFILIATES OF SCLHS. PROGRAMS ADMINISTERED INCLUDE EMPLOYEE WELFARE BENEFIT PLANS, RETIREMENT PLANS, AND CERTAIN EXECUTIVE RECRUITING FUNCTIONS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 52827400 | Expense |
| Grants | 0 | Grants |
| Revenue | 16551049 | Revenue |
| Description | INFORMATION SYSTEMS - COORDINATES THE CENTRALIZATION OF MANY OF THE INFORMATION SYSTEMS OF THE HEALTH SYSTEM. CURRENTLY, AN ENTERPRISE RESOURCE PLANNING (ERP) SYSTEM AND A RADIOLOGY INFORMATION SYSTEM (RIS) ARE INSTALLED AND BEING OPERATED. IN ADDITION, A CLINICAL AND PATIENT ADMINISTRATIVE SYSTEM IS BEING INSTALLED THROUGHOUT THE HEALTH SYSTEM. | Description |
Activity Other ActivityOther (4 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription | GrantsGrants |
|---|---|---|---|
| 26630278 | 38486684 | Quality, Risk Management, Communications: | |
| 7402412 | 2465822 | Medical Office Building, Denver, CO: | |
| 185108 | Depreciation: | ||
| 379320 | Grants Related to SCLHS Mission: | 379320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 34597118 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 379320 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 40952506 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 150117877 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 262 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 271 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Name Of Foreign Country | UK | NameOfForeignCountry |
| Name Of Foreign Country | CA | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SHARON OWENSSCL HEALTH SYS | NamePerson |
| Telephone Number | 3038135190 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2420 W 26TH AVE STE 100-D | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80211 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| SISTER LYNN CASEY SCL | ||||||||
| BOARD MEMBER-PARTIAL YEAR | 3.0 | X | 0 | 0 | 0 | |||
| MICHAEL T DEFREECE | ||||||||
| VICE CHAIRPERSON-PARTIAL YEAR | 3.0 | X | 380 | 0 | 0 | X | ||
| SISTER KATHERINE FRANCHETT SCL | ||||||||
| BOARD MEMBER-PARTIAL YEAR | 3.0 | X | 0 | 0 | 0 | |||
| SISTER MAUREEN HALL SCL | ||||||||
| VICE PRESIDENT-PARTIAL YEAR | 3.0 | X | 0 | 0 | 0 | X | ||
| TERRY HEATH | ||||||||
| BOARD MEMBER | 3.0 | X | 0 | 0 | 0 | |||
| GORDON HOWIE | ||||||||
| CHAIRPERSON | 3.0 | X | 0 | 0 | 0 | X | ||
| SISTER EILEEN HURLEY SCL | ||||||||
| BOARD MEMBER-PARTIAL YEAR | 3.0 | X | 0 | 0 | 0 | |||
| KNUTE KNUDSON | ||||||||
| BOARD MEMBER | 3.0 | X | 0 | 0 | 0 | |||
| MATTHEW J LAMBERT III MD | ||||||||
| VICE CHAIRPERSON-PARTIAL YEAR | 3.0 | X | 0 | 0 | 0 | X | ||
| SISTER JOAN SUE MILLER SCL | ||||||||
| VICE PRESIDENT-PARTIAL YEAR | 3.0 | X | 0 | 0 | 0 | X | ||
| MARLON PRIEST MD | ||||||||
| BOARD MEMBER | 3.0 | X | 626 | 0 | 0 | |||
| DENNIS PURTELL | ||||||||
| BOARD MEMBER | 3.0 | X | 386 | 0 | 0 | |||
| SISTER LINDA ROTH SCL | ||||||||
| BOARD MEMBER | 3.0 | X | 0 | 0 | 0 | |||
| KENT RUSSELL | ||||||||
| BOARD MEMBER-PARTIAL YEAR | 3.0 | X | 0 | 0 | 0 | |||
| CAROLYN SMELTZER | ||||||||
| BOARD MEMBER-PARTIAL YEAR | 3.0 | X | 784 | 0 | 0 | |||
| RON SPERLING | ||||||||
| BOARD MEMBER | 3.0 | X | 338 | 0 | 0 | |||
| WILLIAM M MURRAY | ||||||||
| PRESIDENT/CHIEF EXECUTIVE OFFI | 40.0 | X | 1706457 | 0 | 169086 | X | ||
| LYDIA W JUMONVILLE | ||||||||
| INTERIM TREASURER/SVP FIN/CFO | 40.0 | 294190 | 0 | 278 | X | |||
| MICHAEL D ROWE | ||||||||
| TREASURER/SVP FIN/CFO | 40.0 | 635455 | 0 | 21368 | X | |||
| EDWARD L BARKER | ||||||||
| SECRETARY/SVP GENERAL COUNSEL | 40.0 | 967328 | 0 | 68938 | X | |||
| MARK A WILKINSON | ||||||||
| ASSISTANT TREASURER | 40.0 | 136753 | 0 | 25841 | X | |||
| PAMELA G LOGAN | ||||||||
| ASSISTANT SECRETARY | 40.0 | 87763 | 0 | 17132 | X | |||
| MARY JO GREGORY | ||||||||
| EVP CHIEF OPERATING OFFICER | 40.0 | 1352059 | 0 | 116263 | X | |||
| ROBERT A BOYSEN | ||||||||
| VP CHIEF INFO OFFICER-PARTIAL | 40.0 | 788947 | 0 | 85811 | X | |||
| MARGARET J BREEN | ||||||||
| SVP HUMAN RESOURCES | 40.0 | 574096 | 0 | 612685 | X | |||
| RICHARD T LOPES | ||||||||
| SVP CHIEF TRANSFORMATION OFFIC | 40.0 | 588276 | 0 | 17185 | X | |||
| JILL WILLEN KENNELLY | ||||||||
| VP CHIEF STRATEGY OFFICER | 40.0 | 485416 | 0 | 72262 | X | |||
| DAVID PECORARO | ||||||||
| VP CHIEF INFO OFFICER-PARTIAL | 40.0 | 79343 | 332998 | 35001 | X | |||
| ROBERT W LADENBURGER | ||||||||
| CEO EXEMPLA INC DENVER CO | 0.0 | 1224099 | 0 | 63373 | X | |||
| JAMES T PAQUETTE | ||||||||
| CEO ST VINCENT BILLINGS MT | 0.0 | 768909 | 0 | 97940 | X | |||
| LOURDES J LAZATIN | ||||||||
| CEO SAINT JOHN'S SANTA MONICA | 0.0 | 846020 | 0 | 27143 | X | |||
| IRMA C NAPOLI | ||||||||
| VP HUMAN RESOURCES | 40.0 | 542838 | 0 | 40337 | X | |||
| BAIN J FARRIS | ||||||||
| CEO SAINT JOSEPH DENVER CO | 0.0 | 525916 | 0 | 73804 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 11606379 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 332998 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1544447 | TotalOtherCompensation |
| Number Individuals GT100 K | 100 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BROADLANE INC | |||||
| 13727 NOEL RD | DALLAS | TX | 75240 | PROF/ADMIN PERSONNEL | 5139210 |
| ERNST AND YOUNG LLP | |||||
| PO BOX 660401 | DALLAS | TX | 75260 | AUDIT & TAX SERVICES | 1792983 |
| CATHOLIC HEALTHCARE AUDIT NETWORK | |||||
| 231 SOUTH BEMISTON | ST LOUIS | MO | 63105 | INT AUDIT SERVICES | 1757895 |
| HUSCH BLACKWELL SANDERS LLP | |||||
| PO Box 802765 | KANSAS CITY | MO | 641802765 | LEGAL CONSULTING | 1007747 |
| MCKINSEY COMPANY INC | |||||
| PO BOX 7247-7255 | PHILADELPHIA | PA | 191707255 | CONSULTING | 9832750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| All Other Contributions | 3100 | AllOtherContributions |
| Total Contributions | 3100 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| AFFILIATE MANAGEMENT FEES | 541900 | 54872954 | 54842954 | 30000 |
| PROGRAM RENTAL INCOME | 532000 | 2490589 | 2490589 | |
| NET ASSETS RELEASED FROM RESTRICTIONS | 900099 | 140000 | 140000 | |
| INTEREST INCOME FROM NOTES RECEIVABLE | 523000 | 15078753 | 15078753 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 72582296 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10804603 | TotalRevenueColumn |
| Unrelated Business Revenue | -38577 | UnrelatedBusinessRevenue |
| Exclusion | $10,843,180 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 56292 | TotalRevenueColumn |
| Exclusion | $56,292 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11491341 | Securities |
| Other | 207060 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11491341 | Securities |
| Other | 207060 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11698401 | TotalRevenueColumn |
| Exclusion | $11,698,401 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| VENDOR ADMINISTRATION REBATE | 900099 | 6001742 | $6,001,742 | |
| DEBT GUARANTEE FEES | 900099 | 96263 | 96263 | |
| MISCELLANEOUS REVENUE | 900099 | 12 | 12 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6098017 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 101242709 | TotalRevenueColumn |
| Related Or Exempt Function Income | 72648571 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -8577 | UnrelatedBusinessRevenue |
| Exclusion | $28,599,615 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 315667 | Total |
| Program Services | 315667 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63653 | Total |
| Program Services | 63653 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8897768 | Total |
| Program Services | 8897768 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23955388 | Total |
| Program Services | 11921995 | ProgramServices |
| Management And General | 12033393 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4407633 | Total |
| Program Services | 2215397 | ProgramServices |
| Management And General | 2192236 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1460101 | Total |
| Program Services | 942253 | ProgramServices |
| Management And General | 517848 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1542826 | Total |
| Program Services | 1072190 | ProgramServices |
| Management And General | 470636 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7277 | Total |
| Management And General | 7277 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2793882 | Total |
| Management And General | 2793882 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182470 | Total |
| Program Services | 182470 | ProgramServices |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1155479 | Total |
| Management And General | 1155479 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16271071 | Total |
| Program Services | 15646494 | ProgramServices |
| Management And General | 624577 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 669396 | Total |
| Program Services | 568987 | ProgramServices |
| Management And General | 100409 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9660496 | Total |
| Program Services | 8211422 | ProgramServices |
| Management And General | 1449074 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1248218 | Total |
| Program Services | 1060985 | ProgramServices |
| Management And General | 187233 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1616690 | Total |
| Program Services | 1616690 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 786666 | Total |
| Program Services | 786666 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51997308 | Total |
| Program Services | 51997308 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41852129 | Total |
| Program Services | 41852129 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173624 | Total |
| Program Services | 147580 | ProgramServices |
| Management And General | 26044 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| SYSTEM DUES | 1274009 | 1274009 |
| RENTAL LESS DEPRECIATION | 1166230 | 1166230 |
| PRINTING | 173684 | 173684 |
| SCHOLARSHIP ADMIN EXPENSE | 4300 | 4300 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 171675965 | Total |
| Program Services | 150117877 | ProgramServices |
| Management And General | 21558088 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 443 | BOY |
| EOY | 988 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6456749 | BOY |
| EOY | 22615441 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60000 | BOY |
| EOY | 60000 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1750802 | BOY |
| EOY | 2714583 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 176910046 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 98980472 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68918349 | BOY |
| EOY | 77929574 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37384542 | BOY |
| EOY | 481273610 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 394290942 | BOY |
| EOY | 340800910 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 273145468 | BOY |
| EOY | 511801418 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43757799 | BOY |
| EOY | 43388663 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 825765094 | BOY |
| EOY | 1480585187 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17917000 | BOY |
| EOY | 48238199 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 630903678 | BOY |
| EOY | 1395010059 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100000000 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27895498 | BOY |
| EOY | 33861703 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 776716176 | BOY |
| EOY | 1477109961 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11043137 | BOY |
| EOY | -32798405 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36005781 | BOY |
| EOY | 34273631 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000000 | BOY |
| EOY | 2000000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49048918 | BOY |
| EOY | 3475226 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 825765094 | BOY |
| EOY | 1480585187 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -70433256 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 24859564 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (14 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| PROVIDENCE MEDICAL CENTER INC | |||||
| 480784446 | 03 | false | true | true | $0 |
| ST FRANCIS HEALTH CENTER INC | |||||
| 480547719 | 03 | false | true | true | $0 |
| ST JAMES HEALTHCARE | |||||
| 810231785 | 03 | false | true | true | $0 |
| SAINT JOHN HOSPITAL INC | |||||
| 480543768 | 03 | false | true | true | $0 |
| SAINT JOHN'S HEALTH CENTER | |||||
| 951684082 | 03 | false | true | true | $0 |
| SAINT JOSEPH HOSPITAL INC | |||||
| 840417134 | 03 | false | true | true | $0 |
| EXEMPLA INC | |||||
| 841103606 | 03 | false | true | true | $0 |
| ST MARY'S HOSPITAL AND MEDICAL CENTER INC | |||||
| 840425720 | 03 | false | true | true | $0 |
| ST VINCENT HEALTHCARE | |||||
| 810232124 | 03 | false | true | true | $0 |
| HOLY ROSARY HEALTHCARE | |||||
| 810231792 | 03 | false | true | true | $0 |
| BETHANY COMMUNITY PLAZA INC | |||||
| 481207407 | 03 | false | true | true | $0 |
| CARITAS CLINICS INC | |||||
| 481009910 | 03 | false | true | true | $0 |
| MARIAN CLINIC INC | |||||
| 481046905 | 03 | false | true | true | $0 |
| MARILLAC CLINIC INC | |||||
| 841085822 | 03 | false | true | true | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 14 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | true | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | true | MailingsMembers |
| Mailings Members | $35,412 | MailingsMembersAmount |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $56,539 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | true | RalliesDemonstrations |
| Rallies Demonstrations | $284,975 | RalliesDemonstrationsAmount |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 376926 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3502137 | BeginningOfYearBalance |
| Contributions | 60804 | Contributions |
| Investment Earnings Or Losses | 277272 | InvestmentEarningsOrLosses |
| Other Expenditures | 200235 | OtherExpenditures |
| End Of Year Balance | 3639978 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3435586 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 261551 | InvestmentEarningsOrLosses |
| Other Expenditures | 195000 | OtherExpenditures |
| End Of Year Balance | 3502137 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4177114 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -620022 | InvestmentEarningsOrLosses |
| Other Expenditures | 121506 | OtherExpenditures |
| End Of Year Balance | 3435586 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.54950 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.45050 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 36793483 | OtherCostOrOtherBasis |
| Book Value | 36793483 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 23931206 | OtherCostOrOtherBasis |
| Depreciation | 23559505 | Depreciation |
| Book Value | 371701 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1602195 | OtherCostOrOtherBasis |
| Depreciation | 1531681 | Depreciation |
| Book Value | 70514 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 114583162 | OtherCostOrOtherBasis |
| Depreciation | 73889286 | Depreciation |
| Book Value | 40693876 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 77929574 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| REAL ESTATE | 183070740 | F |
| ABSOLUTE RETURN FUNDS | 92242505 | F |
| CORE HEDGE FUNDS | 46873467 | F |
| PRIVATE EQUITY | 18614198 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 340800910 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated (6 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| PROVIDENCE MEDICAL CENTER | 15663471 | F |
| ST. JOHN HOSPITAL, INC. | 1605816 | F |
| ST. JAMES HEALTHCARE | 14399438 | F |
| ST. MARY'S HOSPITAL & MEDICAL | 44092693 | F |
| SAINT JOHN'S HEALTH CENTER | 105000000 | F |
| SAINT JOSEPH HOSPITAL | 331040000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 511801418 | TotalOfBookValueProgramRelated |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMP 457 PLAN LIAB | $7,428,054 |
| INTEREST RATE SWAP LIABILITY | $13,348,330 |
| FROZEN DB PLAN | $13,085,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 33861703 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| FORM 990, SCHEDULE D, PART V, LINE 4 (ENDOWMENT FUNDS) | SCLHS HAS A PERMANENT ENDOWMENT IN THE AMOUNT OF $2,000,000. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE A TERM ENDOWMENT TO BE USED FOR EDUCATION PURPOSES AS DETERMINED BY SCLHS MANAGEMENT. |
| FORM 990, SCHEDULE D, PART X (ASC 740-10 FOOTNOTE DISCLOSURE) | SCLHS DID NOT HAVE A DISCLOSURE OF ASC 740-10 - INCOME TAXES IN ITS DECEMBER 31, 2010 AUDITED FINANCIAL STATEMENTS AS IT WAS NOT MATERIAL. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| Central America and the Caribbean | 0 | 0 | Program Services | CAPTIVE INSURANCE PREM | 19006085 |
| Central America and the Caribbean | Investments | 123267000 | |||
| Europe (Including Iceland and Greenland) | Investments | 2843000 | |||
| North America | Investments | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 145116085 | SubtotalAmountSpent |
| Total Amount Spent | 145116085 | TotalAmountSpent |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | true | PassiveForeignInvestCo |
| Foreign Partnership | true | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule F, Part I, Line 3 | Identifier |
| Explanation | SCLHS' expenditures (premiums paid) for its captive insurance premiums was $19,006,085 net of premium discounts. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| CRISTO REY KANSAS CITY SCHOOL | |||||||
| 211 W LINWOOD BLVD | KANSAS CITY | MO | 64111 | 436033728 | 501(c)(3) | 32416 | SCHOOL SUPPORT |
| ST VINCENT HEALTHCARE FOUNDATION | |||||||
| 1106 N 30TH ST | BILLINGS | MT | 59101 | 481092520 | 501(c)(3) | 10000 | FUNDRAISER SPONSOR |
| ST FRANCIS HEALTH CENTER FOUNDATION | |||||||
| 1700 SW 7TH ST | TOPEKA | KS | 66606 | 480925688 | 501(c)(3) | 10000 | FUNDRAISER SPONSOR |
| PROVIDENCE SAINT JOHN FOUNDATION | |||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 66112 | 956100079 | 501(c)(3) | 10000 | FUNDRAISER SPONSOR |
| SAINT JOHNS HOSPITAL AND HEALTH CENTER FOUNDATION | |||||||
| 2121 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 481046905 | 501(c)(3) | 65000 | FUNDRAISER SPONSOR AND MOTHER XAVIER ROSS AWARD |
| ST MARYS HOSPITAL FOUNDATION | |||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81502 | 651202190 | 501(c)(3) | 10000 | FUNDRAISER SPONSOR |
| UNIVERSITY OF ST MARY | |||||||
| 4100 SOUTH 4TH STREET | LEAVENWORTH | KS | 66048 | 480547846 | 501(C)(3) | 29500 | FUNDRAISER SPONSOR AND SUPPORT |
| LEGENDS OF GRAND VALLEY | |||||||
| 248 S 4TH ST | GRAND JUNCTION | CO | 81501 | 234338654 | 501(C)(3) | 10000 | FUNDRAISER SPONSOR |
| AMERICAN RED CROSS | |||||||
| 2025 EAST ST NW | WASHINGTON | DC | 20001 | 530196605 | 501(C)(3) | 33333 | HAITI RELIEF SUPPORT |
| CATHOLIC CHARITIES USA | |||||||
| PO BOX 17090 | BALTIMORE | MD | 212037090 | 530196620 | 501(C)(3) | 33333 | HAITI RELIEF SUPPORT |
| PARTNERS IN PROGRESS | |||||||
| 329 N FAIRFIELD STREET | LIGONIER | PA | 15658 | 252896636 | 501(C)(3) | 33333 | HAITI RELIEF SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 11 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SECONDARY EDUCATION SCHOLARSHIPS | TypeOfGrant |
| Number Of Recipients | 35 | NumberOfRecipients |
| Amount Of Cash Grant | 63653 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, SCHEDULE I, PART I, LINE 2 (MONITORING OF GRANTS) | Identifier |
| Explanation | SCLHS' MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM M MURRAY | |||||||||||||
| 910180 | 0 | 489328 | 0 | 306949 | 0 | 157816 | 0 | 11270 | 0 | 1875543 | 0 | 0 | 0 |
| LYDIA W JUMONVILLE | |||||||||||||
| 270273 | 0 | 0 | 0 | 23917 | 0 | 0 | 0 | 278 | 0 | 294468 | 0 | 0 | 0 |
| MICHAEL D ROWE | |||||||||||||
| 328324 | 0 | 250906 | 0 | 56225 | 0 | 18300 | 0 | 3068 | 0 | 656823 | 0 | 0 | 0 |
| EDWARD L BARKER | |||||||||||||
| 453716 | 0 | 245899 | 0 | 267713 | 0 | 53254 | 0 | 15684 | 0 | 1036266 | 0 | 0 | 0 |
| MARK A WILKINSON | |||||||||||||
| 132664 | 0 | 0 | 0 | 4089 | 0 | 11941 | 0 | 13900 | 0 | 162594 | 0 | 0 | 0 |
| MARY JO GREGORY | |||||||||||||
| 717798 | 0 | 308171 | 0 | 326090 | 0 | 105346 | 0 | 10917 | 0 | 1468322 | 0 | 0 | 0 |
| ROBERT A BOYSEN | |||||||||||||
| 376494 | 0 | 159066 | 0 | 253387 | 0 | 74778 | 0 | 11033 | 0 | 874758 | 0 | 0 | 0 |
| MARGARET J BREEN | |||||||||||||
| 272892 | 0 | 0 | 0 | 301204 | 0 | 607543 | 0 | 5142 | 0 | 1186781 | 0 | 0 | 0 |
| RICHARD T LOPES | |||||||||||||
| 199721 | 0 | 350775 | 0 | 37780 | 0 | 14673 | 0 | 2512 | 0 | 605461 | 0 | 0 | 0 |
| JILL WILLEN KENNELLY | |||||||||||||
| 333445 | 0 | 66531 | 0 | 85440 | 0 | 56750 | 0 | 15512 | 0 | 557678 | 0 | 0 | 0 |
| DAVID PECORARO | |||||||||||||
| 76450 | 229547 | 0 | 83044 | 2893 | 20407 | 3977 | 16105 | 2010 | 12909 | 85330 | 362012 | 0 | 0 |
| ROBERT W LADENBURGER | |||||||||||||
| 576408 | 0 | 268750 | 0 | 378941 | 0 | 52613 | 0 | 10760 | 0 | 1287472 | 0 | 0 | 0 |
| JAMES T PAQUETTE | |||||||||||||
| 416920 | 0 | 66462 | 0 | 285527 | 0 | 87072 | 0 | 10868 | 0 | 866849 | 0 | 0 | 0 |
| LOURDES J LAZATIN | |||||||||||||
| 501230 | 0 | 100189 | 0 | 244601 | 0 | 19600 | 0 | 7543 | 0 | 873163 | 0 | 56530 | 0 |
| IRMA C NAPOLI | |||||||||||||
| 289271 | 0 | 120067 | 0 | 133500 | 0 | 33986 | 0 | 6351 | 0 | 583175 | 0 | 0 | 0 |
| BAIN J FARRIS | |||||||||||||
| 425034 | 0 | 83164 | 0 | 17718 | 0 | 63105 | 0 | 10699 | 0 | 599720 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J SUPPLEMENTAL DISCLOSURES | Identifier |
| Explanation | SCHEDULE J, PART I, LINE 1a (CHARTER TRAVEL) DURING 2010, SCLHS UTILIZED A CHARTER AIRCRAFT TO TRANSPORT AN EXECUTIVE TO A MEETING AT ITS AFFILIATE HOSPITAL IN BUTTE, MT. DUE TO SCHEDULE REQUIREMENTS THIS WAS THE ONLY TRANSPORTATION OPTION. ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 1a (TRAVEL FOR COMPANION) SCLHS AND ITS AFFILIATES HAVE ANNUAL RETREATS FOR THEIR BOARDS OF DIRECTORS. THE BOARD MEMBERS AND MANAGEMENT ARE ALLOWED TO BE REIMBURSED IF THEY BRING A SPOUSE OR GUEST TO THESE RETREATS. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2010 WERE: MICHAEL T DEFREECE MARLON PRIEST MD DENNIS PURTELL CAROLYN SMELTZER RON SPERLING LYDIA W JUMONVILLE MARY JO GREGORY ROBERT W LADENBURGER BAIN J FARRIS ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 1a (TAX INDEMNIFICATION AND GROSS-UP PAYMENTS) SCLHS ALLOWS FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2010 WERE: LYDIA W JUMONVILLE MARY JO GREGORY MARGARET J BREEN ROBERT W LADENBURGER ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 1a (HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE) SCLHS ALLOWS FOR CERTAIN HOUSING PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2010 WERE: LYDIA W JUMONVILLE MARY JO GREGORY MARGARET J BREEN ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 1a (CLUB MEMBERSHIPS) SCLHS HAS CERTAIN CORPORATE CLUB MEMBERSHIPS. PERSONAL USE IS TREATED AS TAXABLE COMENSATION TO THE INDIVIDUAL FOR IRS PURPOSES. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2010 WERE: LOURDES J LAZATIN ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 4a (SEVERANCE PAYMENTS) SCLHS PERIODICALLY INCURS SEVERANCE PAYMENTS RELATED TO FORMER EMPLOYEES. THE AMOUNTS PAID TO LISTED INDIVIDUALS FOR SEVERANCE IN 2010 WERE: MARGARET J BREEN-$43,317 ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 4b (PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN) OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2010 WERE: WILLIAM M MURRAY-$113,244 EDWARD L BARKER-$106,552 ROBERT A BOYSEN-$96,080 ROBERT W LADENBURGER-$111,377 JAMES T PAQUETTE-$108,797 LOURDS J LAZATIN-$101,512 IRMA C NAPOLI-$45,489 IN ADDITION, VESTED AMOUNTS ARE PAYABLE UPON END OF EMPLOYMENT. THE AMOUNTS WITHDRAWN FOR THIS TYPE OF PAYMENT IN 2010 WERE: MICHAEL D ROWE-$128,351 RICHARD T LOPES-$152,565 ---------------------------------------------------------------------- SCHEDULE J (ADDITIONAL OFFICER AND BOARD DISCLOSURES) THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS' BOARD OF DIRECTORS (BOARD) IS COMPENSATED FOR THAT SERVICE. SCLHS' BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF SULLIVAN, COTTER AND ASSOCIATES, INC. (SULLIVAN COTTER), AS INDEPENDENT COMPENSATION ADVISORS. SULLIVAN COTTER IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED BY SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. THE SISTERS WHO SERVE AS OFFICERS AND / OR BOARD MEMBERS OF THIS HEALTH SYSTEM ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). AS MEMBERS OF THIS ORDER, THEY HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH SYSTEM. HOWEVER, PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. ---------------------------------------------------------------------- | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MONTANA FACILITY FINANCE AUTHORITY | |||||||
| 810302402 | 61204KBB6 | 2003-12-05 | 39210000 | 2/2/1994 REFINANCE+BLDGS+EQUIPMENT | false | false | false |
| CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY | |||||||
| 521643828 | 13033FQU7 | 2003-12-05 | 49755000 | 2/2/1994 REFINANCE | false | false | false |
| COLORADO HEALTH FACILITIES AUTHORITY | |||||||
| 840752932 | 196474K58 | 2003-12-05 | 103035000 | 2/2/1994&9/9/1992 REFINANCE+BLDGS+ | false | false | false |
| MONTANA FACILITY FINANCE AUTHORITY | |||||||
| 810302402 | 61204KBC4 | 2006-03-07 | 35000000 | CONSTRUCT/REMODEL HOSPITAL FACILIT | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 39210022 | 0 | 0 | 0 | 270531 | 0 | 0 | 7630591 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 49755055 | 0 | 0 | 0 | 346200 | 0 | 0 | 55 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 103035433 | 0 | 0 | 0 | 714438 | 0 | 0 | 22369995 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 35028997 | 0 | 0 | 0 | 325299 | 0 | 0 | 34703698 | 0 | 0 | 2006 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | true | true | false | true | 0.00000 | 0.00074 | 0.00074 | true |
| false | true | true | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | true | true | false | true | 0.00000 | 0.02937 | 0.02937 | true |
| false | true | true | false | true | 0.00055 | 0.03093 | 0.03148 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|
| MERRILL LYNCH | ||||||||
| true | true | true | 20. | false | false | false | false | false |
| MERRILL LYNCH | ||||||||
| true | true | true | 20. | false | false | false | false | false |
| MERRILL LYNCH | ||||||||
| true | true | true | 20. | false | false | false | false | false |
| DEUTSCHE BANK | ||||||||
| true | true | true | 25. | false | false | false | false | false |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SCHEDULE K, PART I, COLUMN (C), CUSIP # | Identifier |
| Explanation | SCHEDULE K DISCLOSES THE COLORADO HEALTH FACILITIES AUTHORITY BONDS, ISSUED 12/05/2003, WITH AN ISSUE PRICE OF $103,035,000. THIS IS DISCLOSED AS ONE LINE ON SCHEDULE K DUE TO ONLY ONE FORM 8038 BEING ISSUED. THAT SAID, THERE ARE ACTUALLY TWO CUSIP NUMBERS, AS FOLLOWS: PER FORM 8038: CUSIP - 196474 K58 / K41 ACTUAL: CUSIP - 196474 K58 and CUSIP - 196474 K41 | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990 GENERAL EXPLANATIONS_1 | FORM 990 (DEFINITION) SCLHS = SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ------------------------------------------------------------------------- FORM 990, PART VI (GOVERNANCE, MANAGEMENT, & DISCLOSURE) SECTION A. GOVERNING BODY AND MANAGEMENT 6., 7(A)., AND 7(B). SCLHS DOES HAVE MEMBERS WHO APPOINT THE BOARD OF DIRECTORS OF SCLHS. THE MEMBERS OF SCLHS ARE THE COMMUNITY DIRECTOR AND THOSE PERSONS WHO ARE MEMBERS OF THE COMMUNITY COUNCIL OF THE SISTERS OF CHARITY OF LEAVENWORTH RELIGIOUS COMMUNITY. SECTION B. POLICIES 11(B). SCLHS' GOVERNING BODY, A BOARD OF DIRECTORS, REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE IRS. THIS PROCESS INVOLVES EACH BOARD MEMBER RECEIVING A DRAFT OF THE FORM 990 AND THE OPPORTUNITY TO REVIEW AND ASK QUESTIONS BEFORE IT IS FILED, THUS ENSURING THAT THE INFORMATION ACCURATELY REFLECTS SCLHS' MISSION, OPERATIONS, COMMUNITY BENEFITS, GOVERNANCE OVERSIGHT, ETC. FURTHER, AND BEFORE THE FORM 990 IS FILED, IT IS REFLECTED IN THE MINUTES OF THE BOARD OF DIRECTORS THAT THEY HAVE REVIEWED THE DOCUMENTS AND INFORMATION, AND THAT THIS REVIEW WAS IN FACT MEANINGFUL. 12(C). SCLHS REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR EACH OF ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS, AS WELL AS HAVING EACH OF THESE INDIVIDUALS COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED AND A REPORT PROVIDED TO SCLHS' PRESIDENT/CEO REGARDING EMPLOYEES AND OFFICERS, AND TO THE CHAIR OF THE BOARD AND CHAIR OF THE GOVERNANCE COMMITTEE REGARDING BOARD MEMBERS. IN THE EVENT OF A CONFLICT OF INTEREST WITH AN SCLHS BOARD MEMBER, THE CONFLICT SHALL PROMPTLY BE REPORTED TO THE SCLHS BOARD CHAIR WHO WILL PRESENT THE FACTS TO THE SCLHS GOVERNANCE COMMITTEE FOR EVALUATION AND PRESENTATION TO THE SCLHS BOARD OF DIRECTORS FOR ITS ACTION. 15(A) & 15(B). SCLHS' PROCESS FOR DETERMINING COMPENSATION FOR THE TOP MANAGEMENT, SENIOR LEADERSHIP, IS THE RESPONSIBILITY OF THE SCLHS COMPENSATION COMMITTEE. THIS COMMITTEE IS COMPOSED OF THREE OR MORE MEMBERS WHO ARE NOT CURRENT EMPLOYEES OF SCLHS, OR FORMER EMPLOYEES WITH NO ACTIVE INTEREST IN THE SCLHS' COMPENSATION PROGRAM, INCLUDING AT LEAST TWO MEMBERS OF THE SCLHS BOARD. SCLHS BELIEVES THAT THE INDEPENDENCE OF THESE MEMBERS IS VITAL TO THE INTEGRITY OF THE PROCESS. THE WORK OF THIS COMMITTEE INCLUDES BEING CONSTANTLY AWARE OF THE CURRENT COMPETITIVE MARKET FOR MANAGEMENT AND SENIOR LEADERS, AS WELL AS COMPILING AND MAINTAINING RECORDS OF COMPARABLE COMPENSATION AND BENEFITS DATA, INCLUDING SURVEYS AND OTHER ANALYSES, TO SUPPORT SCLHS' TOTAL COMPENSATION TO EACH INDIVIDUAL. MINUTES ARE KEPT CONTEMPORANEOUSLY FOR EACH MEETING OF THE COMMITTEE. LIKEWISE, THE COMMITTEE IS RESPONSIBLE FOR ENSURING THAT NO "EXCESS BENEFIT" IS CONFERRED ON AN INDIVIDUAL, OR THAT SUCH COMPENSATION DOES NOT CONSTITUTE PROHIBITED INUREMENT. THIS PROCESS IS COMPLETED FOR ALL SENIOR LEADERSHIP, AT THE AFFILIATE AND SYSTEM LEVEL, AND THE COMMITTEE'S RECOMMENDATION IS THEN SUBMITTED TO THE SCLHS BOARD FOR APPROVAL. THE CHARGE OF THIS COMMITTEE ADHERES TO SCLHS' CORE VALUE OF STEWARDSHIP, ENSURING THAT THE MINISTRY'S RESOURCES HELD IN TRUST ARE NOT WASTED OR MISUSED, AND ARE DEPLOYED TO EFFECTIVELY AND EFFICIENTLY ADVANCE THE MISSION. SECTION C. DISCLOSURE 19. SCLHS' GOVERNANCE MANUAL FOR BOARD MEMBERS IS AVAILABLE TO THE PUBLIC ON THE WEBSITE, WWW.GREATBOARDS.ORG. THE MANUAL SETS FORTH THE STANDARDS AND EXPECTATIONS OF EACH BOARD MEMBER INCLUDING THE FIDUCIARY DUTY OF LOYALTY WHICH REQUIRES THAT EACH MEMBER ABIDE BY SCLHS' CONFLICT OF INTEREST POLICY, DISCLOSE ANY ISSUES WHICH MAY PRESENT A CONFLICT, COMPLETE THE ANNUAL DISCLOSURE STATEMENT, REVIEW POLICIES AND PROCEDURES PERTAINING TO CONFLICTS OF INTEREST, AND PROVIDE OVERSIGHT OF SCLHS' RESPONSIBILITY PROGRAM. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ------------------------------------------------------------------------- FORM 990, PART XI (RECONCILIATION OF NET ASSETS) LINE 5: OTHER CHANGES IN NET ASSETS: UNREALIZED GAIN ON INVESTMENTS $26,753,038 UNREALIZED LOSS ON SWAPS (2,421,851) FROZEN DEFINED BENEFIT RETIREMENT PLAN GAIN 5,873,419 EQUITY TRANSFERS FROM RELATED 5,621,780 FAS 158 LOSS ON DEFINED BENEFIT PLANS (9,176,059) SELF-INSURED LIABILITY REDUCTION (1,651,332) RESTRICTED NET ASSET ACTIVITY (139,431) ----------- TOTAL $24,859,564 =========== ------------------------------------------------------------------------- FORM 990, PART XII, LINE 2 (FINANCIAL STATEMENTS & REPORTING) SCLHS HAS AN INDEPENDENT AUDIT COMPLETED AND REPORTED UPON ANNUALLY ON ITS CONSOLIDATED ORGANIZATION. THERE IS NO SEPARATE AUDIT REPORT FOR SCLHS. IN ADDITION, SCLHS' BOARD HAS AN AUDIT COMMITTEE WHICH HAS OVERSIGHT OF THE EXTERNAL AUDIT PROCESS AND RESULTS AS WELL AS SELECTION OF THE INDEPENDENT AUDITORS. CURRENT INDEPENDENT AUDITORS ARE ERNST & YOUNG, LLP. ------------------------------------------------------------------------- | |
| FORM 990 GENERAL EXPLANATIONS_2 | FORM 926, STATEMENT PURSUANT TO TREASURY REG. SEC. 1.6038B-1(C): APPLICABLE TO ALL IRS FORMS 926 FILED WITH THIS RETURN. 1. TRANSFEROR NAME: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND U.S. TAXPAYER IDENTIFICATION NUMBER: 23-7379161. 2. TRANSFEREE: A. NAME: VARIOUS, SEE IRS FORMS 926, PART II, LINE 3; TAXPAYER IDENTIFICATION NUMBER: VARIOUS, SEE IRS FORMS 926, PART II, LINE 4; ADDRESS: VARIOUS, SEE IRS FORMS 926, PART II, LINE 5; COUNTRY OF INCORPORATION: VARIOUS, SEE IRS FORMS 926, PART II, LINE 6. B. GENERAL DESCRIPTION OF THE TRANSFER: VARIOUS, GENERALLY CASH, SEE IRS FORMS 926, PART III. 3. CONSIDERATION RECEIVED: SEE AMOUNT ON IRS FORMS 926, PART III. 4. PROPERTY TRANSFERRED, INCLUDING THE ESTIMATED FAIR MARKET VALUE AND ADJUSTED BASIS OF THE PROPERTY: A. ACTIVE BUSINESS PROPERTY: SEE AMOUNT ON IRS FORMS 926, PART III. B. STOCK OR SECURITIES: SEE AMOUNT ON IRS FORMS 926, PART III. I. ACTIVE TRADE OR BUSINESS STOCK. II. APPLICATION OF SPECIAL RULES. C. DEPRECIATED PROPERTY: SEE AMOUNT ON IRS FORMS 926, PART III. D. PROPERTY TO BE LEASED: N/A E. PROPERTY TO BE SOLD: N/A F. TRANSFERS TO FSCS: N/A G. TAINTED PROPERTY: N/A I. INVENTORY, ETC.: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(B); II. INSTALLMENT OBLIGATIONS, ETC.: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(C); III. FOREIGN CURRENCY, ETC: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(D); IV. INTANGIBLE PROPERTY: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(E); V. LEASED PROPERTY: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(F). H. FOREIGN LOSS BRANCH: N/A I. OTHER INTANGIBLES: SEE AMOUNT ON IRS FORMS 926, PART III. 5. TRANSFER OF FOREIGN BRANCH WITH PREVIOUSLY DEDUCTED LOSSES: N/A A. BRANCH OPERATION. B. BRANCH PROPERTY. C. PREVIOUSLY DEDUCTED LOSSES. D. CHARACTER OF GAIN IN ACCORDANCE WITH SEC. 1.367(A)-6T(C)(1). N/A ------------------------------------------------------------------------- FORM 926, STATEMENT PURSUANT TO TREASURY REGS. SEC. 1.351-3T(A) AND SEC. 1.351-3T(B): APPLICABLE TO ALL IRS FORMS 926 WHERE SCLHS IS A SIGNIFICANT TRANSFEROR. BY: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. EIN: 23-7379161 YEAR ENDED DECEMBER 31, 2010. 1. NAME AND EIN (IF ANY) OF TRANSFEREE CORPORATION(S): SEE FORMS 926, PART II, LINES 3 AND 4. 2. DATE(S) OF THE TRANSFER(S) OF ASSETS: VARIOUS DATES. SEE FORMS 926, PART III. 3. IMMEDIATELY BEFORE THE EXCHANGE, THE PROPERTY TRANSFERRED BY THE TRANSFEROR IN EXCHANGE HAD AN: (A) AGGREGATE FAIR MARKET VALUE OF: SEE FORMS 926, PART III WHERE CASH VALUE EXCHANGED WAS REPORTED. (B) AGGREGATE BASIS OF: SINCE CASH WAS EXCHANGED, BASIS IS EQUAL TO FAIR MARKET VALUE ABOVE. 4. DATE AND CONTROL NUMBER OF ANY PRIVATE LETTER RULING(S) ISSUED BY THE INTERNAL REVENUE SERVICE IN CONNECTION WITH THE SECTION 351 EXCHANGE: NOT APPLICABLE. ------------------------------------------------------------------------- FORM 5471, STATEMENT PURSUANT TO TREASURY REG. SEC. 1.351-3T(B): APPLICABLE TO ALL IRS FORMS 5471 FILED WITH THIS RETURN. BY: VARIOUS, SEE ALL FORMS 5471 FILED WITH THIS RETURN. EIN: VARIOUS, SEE ALL FORMS 5471 FILED WITH THIS RETURN. YEAR ENDED DECEMBER 31, 2010. 1. NAME AND EIN (IF ANY) OF TRANSFEREE CORPORATION(S): SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.; 23-7379161. 2. DATE(S) OF THE TRANSFER(S) OF ASSETS: VARIOUS DATES. SEE FORMS 5471. 3. IMMEDIATELY BEFORE THE EXCHANGE, THE PROPERTY TRANSFERRED BY THE TRANSFEROR IN EXCHANGE HAD AN: (A) AGGREGATE FAIR MARKET VALUE OF: SEE FORMS 5471 WHERE CASH VALUE EXCHANGED WAS REPORTED. (B) AGGREGATE BASIS OF: SINCE CASH WAS EXCHANGED, BASIS IS EQUAL TO FAIR MARKET VALUE ABOVE. 4. DATE AND CONTROL NUMBER OF ANY PRIVATE LETTER RULING(S) ISSUED BY THE INTERNAL REVENUE SERVICE IN CONNECTION WITH THE SECTION 351 EXCHANGE: NOT APPLICABLE. ------------------------------------------------------------------------- FORM 5471, STATEMENT OF REASONABLE CAUSE PURSUANT TO TREASURY REG. SEC. 301.6679-1(A)(3): SCLHS, A SHAREHOLDER OF THE RIVERVIEW MULTI-SERIES FUND SPC, LTD., IS NOT IN POSSESSION OF CERTAIN INFORMATION REQUESTED BY THE IRS ON FORM 5471 AND IS UNABLE TO OBTAIN SUCH INFORMATION FROM RIVERVIEW MULTI-SERIES FUND SPC, LTD. SPECIFICALLY, SCLHS IS NOT IN POSSESSION OF THE FOLLOWING INFORMATION REQUESTED IN FORM 5471: SCHEDULE B: THE IDENTITY, HOLDINGS AND INCOME OF OTHER U.S. SHAREHOLDERS AND THEIR PRO RATA SHARE OF SUBPART F INCOME; THIS STATEMENT IS INTENDED TO SERVE AS A STATEMENT OF REASONABLE CAUSE IN ACCORDANCE WITH TREASURY REG. SEC. 301.6679-1(A)(3). ------------------------------------------------------------------------- FORM 5471, STATEMENT OF REASONABLE CAUSE PURSUANT TO TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II): SCLHS, A SHAREHOLDER OF THE JP MORGAN HEDGE FUND SPC, LTD -ACCESS MAR09 SEGREGATED PORTFOLIO, IS NOT IN POSSESSION OF CERTAIN INFORMATION REQUESTED BY THE IRS ON FORM 5471 AND IS UNABLE TO OBTAIN SUCH INFORMATION FROM JP MORGAN HEDGE FUND SPC, LTD -ACCESS MAR09 SEGREGATED PORTFOLIO. SPECIFICALLY, SCLHS IS NOT IN POSSESSION OF THE FOLLOWING INFORMATION REQUESTED IN FORM 5471: SCHEDULE B: THE IDENTITY, HOLDINGS AND INCOME OF OTHER U.S. SHAREHOLDERS AND THEIR PRO RATA SHARE OF SUBPART F INCOME; SCHEDULE E: THE INCOME, WAR PROFITS, AND EXCESS PROFITS TAXES PAID OR ACCRUED BY THE CORPORATION; SCHEDULE G: THE OTHER INFORMATION REGARDING THE CORPORATION. NOTE ALL BOXES ARE MARKED NO BY DEFAULT OF SCLHS' TAX SOFTWARE. ANSWERS MAY NOT BE ACCURATE; SCHEDULE H: THE CURRENT EARNINGS AND PROFITS OF THE CORPORATION; SCHEDULE I: THE SUMMARY OF SHAREHOLDER'S INCOME FROM FOREIGN CORPORATION. SCHEDULE J: THE INFORMATION REGARDING THE ACCUMULATED EARNINGS AND PROFITS (E&P) OF THE CORPORATION; SCHEDULE M: THE INFORMATION REGARDING TRANSACTIONS BETWEEN CONTROLLED FOREIGN CORPORATIONS AND SHAREHOLDERS OR OTHER RELATED PARTIES; AND SCHEDULE O, PART II, SECTIONS B, E AND F: SOCIAL SECURITY NUMBERS OF U.S. DIRECTORS OF THE CORPORATION, INFORMATION REGARDING THE ORGANIZATION OR REORGANIZATION OF THE FOREIGN CORPORATION, AND THE ADDITIONAL INFORMATION. THIS STATEMENT IS INTENDED TO SERVE AS A STATEMENT OF REASONABLE CAUSE IN ACCORDANCE WITH TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II). ------------------------------------------------------------------------- FORM 5471, STATEMENT OF REASONABLE CAUSE PURSUANT TO TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II): SCLHS, A SHAREHOLDER OF THE JP MORGAN HEDGE FUND SPC, LTD -ACCESS JUN09 SEGREGATED PORTFOLIO, IS NOT IN POSSESSION OF CERTAIN INFORMATION REQUESTED BY THE IRS ON FORM 5471 AND IS UNABLE TO OBTAIN SUCH INFORMATION FROM JP MORGAN HEDGE FUND SPC, LTD -ACCESS JUN09 SEGREGATED PORTFOLIO. SPECIFICALLY, SCLHS IS NOT IN POSSESSION OF THE FOLLOWING INFORMATION REQUESTED IN FORM 5471: SCHEDULE B: THE IDENTITY, HOLDINGS AND INCOME OF OTHER U.S. SHAREHOLDERS AND THEIR PRO RATA SHARE OF SUBPART F INCOME; SCHEDULE E: THE INCOME, WAR PROFITS, AND EXCESS PROFITS TAXES PAID OR ACCRUED BY THE CORPORATION; SCHEDULE G: THE OTHER INFORMATION REGARDING THE CORPORATION. NOTE ALL BOXES ARE MARKED NO BY DEFAULT OF SCLHS' TAX SOFTWARE. ANSWERS MAY NOT BE ACCURATE; SCHEDULE H: THE CURRENT EARNINGS AND PROFITS OF THE CORPORATION; SCHEDULE I: THE SUMMARY OF SHAREHOLDER'S INCOME FROM FOREIGN CORPORATION. SCHEDULE J: THE INFORMATION REGARDING THE ACCUMULATED EARNINGS AND PROFITS (E&P) OF THE CORPORATION; SCHEDULE M: THE INFORMATION REGARDING TRANSACTIONS BETWEEN CONTROLLED FOREIGN CORPORATIONS AND SHAREHOLDERS OR OTHER RELATED PARTIES; AND SCHEDULE O, PART II, SECTIONS B, E AND F: SOCIAL SECURITY NUMBERS OF U.S. DIRECTORS OF THE CORPORATION, INFORMATION REGARDING THE ORGANIZATION OR REORGANIZATION OF THE FOREIGN CORPORATION, AND THE ADDITIONAL INFORMATION. THIS STATEMENT IS INTENDED TO SERVE AS A STATEMENT OF REASONABLE CAUSE IN ACCORDANCE WITH TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II). ------------------------------------------------------------------------- | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:ROBERT W LADENBURGER TITLE:CEO EXEMPLA INC DENVER CO HOURS:40 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:JAMES T PAQUETTE TITLE:CEO ST VINCENT BILLINGS MT HOURS:40 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:LOURDES J LAZATIN TITLE:CEO SAINT JOHN'S SANTA MONICA HOURS:40 | FORM 990 PART VII |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:BAIN J FARRIS TITLE:CEO SAINT JOSEPH DENVER CO HOURS:40 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| CARITAS CLINICS INC | |||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SVCS | KS | 501(C)(3) | 3 | NA |
| MARIAN CLINIC INC | |||||||||
| 1001 SW GARFIELD | TOPEKA | KS | 66604 | 481046905 | CLINIC SVCS | KS | 501(C)(3) | 3 | NA |
| MARILLAC CLINIC INC | |||||||||
| 2333 N 6TH STREET | GRAND JUNCTION | CO | 81501 | 841085822 | CLINIC SVCS | CO | 501(C)(3) | 3 | NA |
| PROVIDENCE MEDICAL CENTER | |||||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 66112 | 480784446 | HEALTHCARE | KS | 501(C)(3) | 3 | NA |
| ST JOHN HOSPITAL INC | |||||||||
| 3500 SOUTH FOURTH STREET | LEAVENWORTH | KS | 66048 | 480543768 | HEALTHCARE | KS | 501(C)(3) | 3 | NA |
| BETHANY COMMUNITY PLAZA INC | |||||||||
| 15 NORTH 12TH STREET | KANSAS CITY | KS | 66102 | 481207407 | HEALTHCARE | KS | 501(C)(3) | 3 | NA |
| PROVIDENCEST JOHN FOUNDATION INC | |||||||||
| 8929 PARALLEL PARKWAY | KANSAS CITY | KS | 661121689 | 480925688 | SUPPORT 501C3 | KS | 501(C)(3) | 7 | NA |
| ST FRANCIS HEALTH CENTER INC | |||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 480547719 | HEALTHCARE | KS | 501(C)(3) | 3 | NA |
| ST FRANCIS HEALTH CENTER FOUNDATION | |||||||||
| 1700 SW 7TH STREET | TOPEKA | KS | 66606 | 481092520 | SUPPORT 501C3 | KS | 501(C)(3) | 11A-TYPE I | NA |
| ST MARYS HOSPITAL & MEDICAL CENTER INC | |||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81502 | 840425720 | HEALTHCARE | CO | 501(C)(3) | 3 | NA |
| ST MARYS HOSPITAL FOUNDATION | |||||||||
| 2635 N 7TH STREET | GRAND JUNCTION | CO | 81502 | 237001007 | SUPPORT 501C3 | CO | 501(C)(3) | 11A-TYPE I | NA |
| SAINT JOSEPH HOSPITAL FOUNDATION | |||||||||
| 1835 FRANKLIN STREET | DENVER | CO | 80218 | 840735096 | SUPPORT 501C3 | CO | 501(C)(3) | 11A-TYPE I | NA |
| HOLY ROSARY HEALTHCARE | |||||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 810231792 | HEALTHCARE | MT | 501(C)(3) | 3 | NA |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | |||||||||
| 2600 WILSON | MILES CITY | MT | 59301 | 202270238 | SUPPORT 501C3 | MT | 501(C)(3) | 11A-TYPE I | NA |
| ST VINCENT HEALTHCARE | |||||||||
| 1233 NORTH 30TH | BILLINGS | MT | 59101 | 810232124 | HEALTHCARE | MT | 501(C)(3) | 3 | NA |
| ST VINCENT HEALTHCARE FOUNDATION | |||||||||
| PO BOX 35200 | BILLINGS | MT | 591075200 | 810468034 | SUPPORT 501C3 | MT | 501(C)(3) | 7 | NA |
| NORTHWEST RESEARCH & EDUCATION INSTITUTE | |||||||||
| 315 NORTH 25TH STREET | BILLINGS | MT | 59101 | 201343024 | COMM HLTH RES | MT | 501(C)(3) | 9 | NA |
| ST JAMES HEALTHCARE | |||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 597012328 | 810231785 | HEALTHCARE | MT | 501(C)(3) | 3 | NA |
| ST JAMES HEALTHCARE FOUNDATION | |||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORT 501C3 | MT | 501(C)(3) | 11A-TYPE I | NA |
| SAINT JOHNS HEALTH CENTER | |||||||||
| 1328 22ND STREET | SANTA MONICA | CA | 90404 | 951684082 | HEALTHCARE | CA | 501(C)(3) | 3 | NA |
| JOHN WAYNE CANCER INSTITUTE | |||||||||
| 2000 SANTA MONICA BLVD | SANTA MONICA | CA | 90404 | 954291515 | CANCER R&D | CA | 501(C)(3) | 4 | NA |
| SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN | |||||||||
| 1328 22ND STREET | SANTA MONICA | CA | 904042091 | 956100079 | SUPPORT 501C3 | CA | 501(C)(3) | 11A-TYPE I | NA |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | |||||||||
| 2420 W 26TH AVE SUITE 100D | DENVER | CO | 80211 | 841103606 | HEALTHCARE | CO | 501(C)(3) | 3 | NA |
| EXEMPLA LUTHERAN MEDICAL CENTER FNDTN | |||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 208846152 | SUPPORT 501C3 | CO | 501(C)(3) | 7 | NA |
| EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN | |||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT 501C3 | CO | 501(C)(3) | 7 | NA |
| LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST | |||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 742571584 | INSURANCE | CO | 501(C)(3) | 11A-TYPE I | NA |
| MEDPARK INC | |||||||||
| 2480 W 26TH AVESUITE 360B | DENVER | CO | 80211 | 841490379 | PARKING | CO | 501(C)(3) | 7 | NA |
| SAINT JOSEPH HOSPITAL | |||||||||
| 1835 FRANKLIN STREET | DENVER | CO | 80218 | 840417134 | HEALTHCARE | CO | 501(C)(3) | 3 | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|---|---|---|---|
| PAVILION IMAGING LLC | ||||||||
| 750 WELLINGTON | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | NA | N/A |
| GRAND VALLEY SURGICAL CENTER LLC | ||||||||
| 710 WELLINGTON | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO | NA | N/A |
| SAN JUAN CANCER CENTER LLC | ||||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO | NA | N/A |
| BILLINGS MRI CENTER LLC | ||||||||
| 1041 NORTH 29TH STREET | BILLINGS | MT | 59101 | 810450943 | MRI-PET SCAN | MT | NA | N/A |
| LUTHERAN CAMPUS ASC LLC | ||||||||
| 3455 LUTHRN PKW SUITE 150 | WHEATRIDGE | CO | 800336028 | 020749532 | OP SURGERY | CO | NA | N/A |
| COLORADO SURGICAL VENTURES LLC | ||||||||
| 30 S WACKER DR SUITE 2302 | CHICAGO | IL | 60605 | 208038915 | OP SURGERY | CO | NA | N/A |
| COLORADO SURGICAL HOSPITAL LLC | ||||||||
| 30 S WACKER DR SUITE 2302 | CHICAGO | IL | 60605 | 208038977 | OP SURGERY | CO | NA | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARITAS INC AND SUBSIDIARIES | |||||||||||||||||
| 9801 RENNER BOULEVARD SUITE 100 | LENEXA | KS | 66219 | 480941069 | OTHER MEDICAL | KS | N/A | C CORP | 21339365 | 26911496 | 1.00000 | ||||||
| LEAVEN INSURANCE COMPANY LTD | |||||||||||||||||
| 980370522 | Insurance | N/A | 191385 | 64599538 | 1.00000 | 23 Lime Tree Bay Ave | George Town | Grand Cayman | CJ | KY1-1102 | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (64 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| PROVIDENCE MEDICAL CENTER (PMC) | |
| A | 494655 |
| ST JOHN HOSPITAL INC (SJL) | |
| A | 67325 |
| ST JAMES HEALTHCARE (SJB) | |
| A | 589288 |
| ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ) | |
| A | 1868418 |
| ST JOHN'S HEALTH CTR (SJSM) | |
| A | 3848401 |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | |
| A | 96078 |
| ST JOSEPH HOSPITAL (SJD) | |
| A | 1603840 |
| ST JOHN'S HEALTH CTR (SJSM) | |
| B | 65000 |
| PROVIDENCE MEDICAL CENTER (PMC) | |
| E | 15293174 |
| ST JOHN HOSPITAL INC (SJL) | |
| E | 127172 |
| ST JAMES HEALTHCARE (SJB) | |
| E | 4755889 |
| ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ) | |
| E | 4274158 |
| ST JOHN'S HEALTH CTR (SJSM) | |
| E | 4000000 |
| ST JOSEPH HOSPITAL (SJD) | |
| E | 53954224 |
| ST JOSEPH HOSPITAL (SJD) | |
| D | 53675000 |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | |
| D | 277365000 |
| PROVIDENCE MEDICAL CENTER (PMC) | |
| K | 5798992 |
| ST FRANCIS HEALTH CENTER INC (SFT) | |
| K | 6185705 |
| HOLY ROSARY HEALTHCARE (HRH) | |
| K | 1188554 |
| ST VINCENT HEATHCARE (SVB) | |
| K | 8429706 |
| ST JAMES HEALTHCARE (SJB) | |
| K | 2421591 |
| ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ) | |
| K | 7545586 |
| ST JOHN'S HEALTH CTR (SJSM) | |
| K | 6836920 |
| PROVIDENCE MEDICAL CENTER (PMC) | |
| O | 215121 |
| ST JAMES HEALTHCARE (SJB) | |
| O | 149868 |
| ST VINCENT HEATHCARE (SVB) | |
| O | 288257 |
| ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ) | |
| O | 148937 |
| LEAVEN INSURANCE COMPANY LTD | |
| O | 21185885 |
| PROVIDENCE MEDICAL CENTER (PMC) | |
| P | 146980636 |
| ST JOHN HOSPITAL INC (SJL) | |
| P | 29465837 |
| ST FRANCIS HEALTH CENTER INC (SFT) | |
| P | 203958301 |
| HOLY ROSARY HEALTHCARE (HRH) | |
| P | 33462479 |
| ST VINCENT HEATHCARE (SVB) | |
| P | 284610881 |
| ST JAMES HEALTHCARE (SJB) | |
| P | 76783579 |
| ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ) | |
| P | 295029487 |
| ST JOHN'S HEALTH CTR (SJSM) | |
| P | 281309236 |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | |
| P | 2747222 |
| ST JOSEPH HOSPITAL (SJD) | |
| P | 9225435 |
| LEAVEN INSURANCE COMPANY LTD | |
| P | 4760447 |
| CARITAS INC & SUBSIDIARIES | |
| P | 674483 |
| CARITAS CLINICS INC | |
| P | 337376 |
| MARIAN CLINIC INC | |
| P | 1897177 |
| JOHN WAYNE CANCER INSTITUTE | |
| P | 16511899 |
| MARILLAC CLINIC INC | |
| P | 213148 |
| PROVIDENCE MEDICAL CENTER (PMC) | |
| Q | 65440 |
| ST JOHN HOSPITAL INC (SJL) | |
| Q | 65815 |
| ST FRANCIS HEALTH CENTER INC (SFT) | |
| Q | 74293 |
| HOLY ROSARY HEALTHCARE (HRH) | |
| Q | 64511 |
| ST VINCENT HEATHCARE (SVB) | |
| Q | 328419 |
| ST JAMES HEALTHCARE (SJB) | |
| Q | 64511 |
| ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ) | |
| Q | 83841 |
| ST JOHN'S HEALTH CTR (SJSM) | |
| Q | 83860 |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | |
| Q | 984429 |
| ST JOSEPH HOSPITAL (SJD) | |
| Q | 589820 |
| CARITAS INC & SUBSIDIARIES | |
| Q | 3427423 |
| PROVIDENCE MEDICAL CENTER (PMC) | |
| R | 1713317 |
| ST FRANCIS HEALTH CENTER INC (SFT) | |
| R | 1942365 |
| HOLY ROSARY HEALTHCARE (HRH) | |
| R | 302947 |
| ST VINCENT HEATHCARE (SVB) | |
| R | 2567092 |
| ST JAMES HEALTHCARE (SJB) | |
| R | 688533 |
| ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ) | |
| R | 2332292 |
| ST JOHN'S HEALTH CTR (SJSM) | |
| R | 5299610 |
| EXEMPLA INC FKA LUTHERAN HOSPITAL | |
| R | 63100000 |
| LEAVEN INSURANCE COMPANY LTD | |
| R | 4815200 |