Civic Intelligence

Providence Care Centers

990 • Fiscal year 2015 • EIN 34-1826099

Jan 01, 2015 to Jun 30, 2015 • Filed on May 12, 2016

2025 Hayes AvenueSandusky, OH 44870

(419) 627-8707

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

14th percentile

0.00x

Higher debt load relative to assets than 14% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

26th percentile

0.02x

Higher debt load relative to revenue than 26% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

98th percentile

91%

Higher net margin than 98% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

60th percentile

3.4%

Faster asset growth than 60% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

1st percentile

-88%

Faster revenue growth than 1% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Assets

Up

$1,540,336

Up $50,698 (+3.4%) from 2014

Net Assets

Up

$1,540,026

Up $50,388 (+3.4%) from 2014

Liabilities

Up

$310

Up $310 from 2014

Revenue

Down

$12,881

Down $94,528 (-88%) from 2014

Expenses

Down

$1,148

Down $59,850 (-98%) from 2014

Net Income

Down

$11,733

Down $34,678 (-75%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2010: $1,251,960Liabilities 2010: $1,652Net Assets 2010: $1,250,3082010Assets 2011: $1,177,802Liabilities 2011: $2,622Net Assets 2011: $1,175,1802011Assets 2012: $1,282,771Liabilities 2012: $5,172Net Assets 2012: $1,277,5992012Assets 2013: $1,395,413Liabilities 2013: $1,410Net Assets 2013: $1,394,0032013Assets 2014: $1,489,638Liabilities 2014: $0Net Assets 2014: $1,489,6382014Assets 2015: $1,540,336Liabilities 2015: $310Net Assets 2015: $1,540,0262015Assets 2016: $1,511,837Liabilities 2016: $715Net Assets 2016: $1,511,1222016Assets 2017: $1,682,060Liabilities 2017: $310Net Assets 2017: $1,681,7502017Assets 2018: $1,788,287Liabilities 2018: $380Net Assets 2018: $1,787,9072018Assets 2019: $1,894,898Liabilities 2019: $0Net Assets 2019: $1,894,8982019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2015

Assets$1,540,336
Liabilities$310
Net Assets$1,540,026

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$150K$100K$50K$0Expenses 2010: $33,0642010Expenses 2011: $66,2252011Expenses 2012: $38,5842012Revenue 2013: $55,055Expenses 2013: $51,374Net Income 2013: $3,6812013Revenue 2014: $107,409Expenses 2014: $60,998Net Income 2014: $46,4112014Revenue 2015: $12,881Expenses 2015: $1,148Net Income 2015: $11,7332015Revenue 2016: $80,914Expenses 2016: $30,351Net Income 2016: $50,5632016Revenue 2017: $108,504Expenses 2017: $11,296Net Income 2017: $97,2082017Revenue 2018: $118,241Expenses 2018: $12,079Net Income 2018: $106,1622018Revenue 2019: $73,328Expenses 2019: $11,260Net Income 2019: $62,0682019Revenue 2020: $52,743Expenses 2020: $12,487Net Income 2020: $40,2562020

Highlighted filing

2015

Revenue$12,881
Expenses$1,148
Net Income$11,733
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Jun 30, 2015
Signed
May 12, 2016
Return Version
2014v6.0
Gross Receipts
$17,190
Mission and Program Overview

Mission

Providence care centers, a catholic organization, sponsored by the sisters of st. Francis, of sylvania, ohio, provides services to seniors of all faiths, guided by the healing presence of jesus christ.

As a holding company, Providence Care Centers provides financial and other resources to support the delivery of quality elderly and medical care in furtherance of the mission of Providence Care Centers and Subsidiaries.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$0$1,494,179▲ $1,494,179
Investments in Publicly Traded Securities$1,447,550--
Savings and Temporary Cash Investments$35,786$40,246▲ $4,460
Land, Buildings, and Equipment, Net$6,240$5,911▼ $329
Prepaid Expenses and Deferred Charges$62--
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related$0--
Total Assets$1,489,638$1,540,336▲ $50,698
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses-$310-
Other Liabilities$0$0→ $0
Total Liabilities$0$310▲ $310
Net Assets / Fund Balance
Unrestricted Net Assets$1,308,889$1,353,639▲ $44,750
Temporarily Rstr Net Assets$125,194$129,093▲ $3,899
Permanently Rstr Net Assets$55,555$57,294▲ $1,739
Total Net Assets Fund Balance$1,489,638$1,540,026▲ $50,388
Total Liabilities and Net Assets / Fund Balance$1,489,638$1,540,336▲ $50,698

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$5,911$439$6,350
Other Securities$1,494,179--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$68,144-▲ $1,739-$69,883
2013$72,328-▼ $4,184-$68,144
2012$66,367-▲ $5,961-$72,328
2011$64,128-▲ $2,239-$66,367
2010$66,502-▼ $2,374-$64,128
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Chairperson
-President/CEO Ex-Officio
-Vice Chairperson
-Executive Director
-Trustee
-Ex Officio
-Secretary/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$7,271
Program Service Revenue
$0
Investment Income
$5,610
Other Revenue
$0
All Other Contributions
$7,271
Change in Net Assets
$11,733
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,148
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses-$447-$447
Information Technology-$372-$372
Depreciation Depletion-$329-$329
Total Functional Expenses$0$1,148$0$1,148
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15 Process for Determining Compensation

During the tax year ended 6/30/2015, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, these questions are more appropriately answered as N/A.

Form 990, Part VI, Line 1A Delegate broad authority to A committee

Pursuant to section 8.6 of the bylaws of providence care centers, the executive committee is composed of only directors of the corporation and shall be composed of the chairperson of the board, the vice chairperson of the board, and the president, each of whom shall serve as an ex officio voting member of the executive committee. Each individual appointed to the executive committee shall serve for a term of one (1) year or until his or her successor is duly appointed by the board of directors. Pursuant to section 8.1 of the corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to section 8.6 of the corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors. The executive committee also possesses the power to transact routine business of the corporation in the interim period between regularly scheduled meetings of the board of directors.

Form 990, Part VI, Line 6 Classes of members or stockholders

ACCORDING TO THE BYLAWS OF PROVIDENCE CARE CENTERS, THE ENTITY'S SOLE MEMBER IS Franciscan Living Communities, AN OHIO NONPROFIT CORPORATION.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The organization's corporate member is Franciscan Living Communities. Pursuant to Section 5.4 of the organization's bylaws, both Franciscan Living Communities and Catholic Health Initiatives have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the corporate member: * Approve members of the organization's board * Amendment of the corporate documents of the organization * Approve removal of a member of the governing body of the organization * Adoption of long range and strategic plans for the organization The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change in the mission or philosophy of the organization * Removal of a member of the governing body of the organization * Approval of issuance of debt by organization * Approval of participation of organization in a joint venture * Approval of formation of a new corporation by organization * Approval of a merger involving the organization * Approval of the sale of all or substantially all of the assets of the organization * To require the transfer of assets by the organization to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to Section 5.5 of the organization's bylaws, Franciscan Living Communities or CHI may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and its President and the Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The process of reviewing the Form 990 entails a detailed review by the organization's accounting department. The governing body receives an electronic copy of the Form 990 including schedules, for review prior to filing with the IRS. Subsequent to the return being provided to the board, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.

Form 990, Part VI, Line 12C Conflict of interest policy

Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and

Form 990, Part VI, Line 19 Required documents available to the public

The organization's governing documents, conflicts of interest policy, and financial statements are made available to the general public upon request. The documents are located at the Corporate office during regular business hours.

Form 990, Part VIII, Line 2F Other Program Service Revenue

- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;

Filing and Contact Details

Filer

Filer Name
Providence Care Centers
EIN
34-1826099
Phone
4196278707
Address
2025 HAYES AVENUE, SANDUSKY, OH 44870

Signing Officer

Name
Alisa Iffland
Title
Vice President of Finance
Signed
2016-05-12
Discuss with paid preparer
Yes

Organization Details

Formed
1991
Legal Domicile
Oh
Voting Board Members
11
Independent Board Members
9
Employees
0
Volunteers
9

Preparer

Firm
Catholic Health Initiatives
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Mark Stocki
Phone
3032989100
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1 ORGANIZATION'S MISSION

The Corporation, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, the Corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Changes in permanently restricted net assets - 1741;

Financial Statement Notes

Schedule D, Part V, Line 4 Intended uses of endowment funds

Provides financial and other resources to support the delivery of quality elderly and medical care in furtherance of the mission of Providence Care Centers and Subsidiaries.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Providence Care Centers' financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2015, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements."

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IRS990/MissionDesc0The mission of the Corporation is to nurture the healing ministry of the Church, supported by education and research. Fidelity to the Gospel urges the Corporation to emphasize human dignity and social justice as it creates healthier communities. (CONTINUED ON SCHEDULE O)
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0PROVIDENCE CARE CENTERS HAS THREE SUPPORTED ORGANIZATIONS OF WHICH PROVIDENCE CARE CENTER AND THE COMMONS OF PROVIDENCE ARE LISTED BY NAME IN THE ORGANIZATION'S GOVERNING DOCUMENTS. PROVIDENCE CARE CENTERS HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH ITS THIRD SUPPORTED ORGANIZATION, PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION, SPANNING OVER A 16 YEAR PERIOD. THERE IS A SUBSTANTIAL IDENTITY OF INTERESTS BETWEEN THE TWO ORGANIZATIONS AS THEY BOTH SHARE THE SAME MISSION AND HAVE THE SAME PARENT CORPORATION. FURTHERMORE, THEY ALSO HAVE THE SAME SOLE CORPORATE MEMBER, WHO HAS THE POWER TO APPOINT THE PRESIDENT FOR BOTH THE ORGANIZATIONS. THEREFORE, PROVIDENCE CARE CENTERS MEETS THE ORGANIZATIONAL REQUIREMENTS OF A TYPE II SUPPORTING ORGANIZATION.
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0PROVIDENCE CARE CENTER
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1THE COMMONS OF PROVIDENCE
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Provides financial and other resources to support the delivery of quality elderly and medical care in furtherance of the mission of Providence Care Centers and Subsidiaries.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Providence Care Centers' financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2015, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements."
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule D, Part V, Line 4 Intended uses of endowment funds
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Corporation, sponsored by a lay-religious partnership, calls other Catholic sponsors and systems to unite to ensure the future of Catholic health care. To fulfill this mission, the Corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1During the tax year ended 6/30/2015, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, these questions are more appropriately answered as N/A.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PURSUANT TO SECTION 8.6 OF THE BYLAWS OF PROVIDENCE CARE CENTERS, THE EXECUTIVE COMMITTEE IS COMPOSED OF ONLY DIRECTORS OF THE CORPORATION AND SHALL BE COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, AND THE PRESIDENT, EACH OF WHOM SHALL SERVE AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. EACH INDIVIDUAL APPOINTED TO THE EXECUTIVE COMMITTEE SHALL SERVE FOR A TERM OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY APPOINTED BY THE BOARD OF DIRECTORS. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ACCORDING TO THE BYLAWS OF PROVIDENCE CARE CENTERS, THE ENTITY'S SOLE MEMBER IS Franciscan Living Communities, AN OHIO NONPROFIT CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The organization's corporate member is Franciscan Living Communities. Pursuant to Section 5.4 of the organization's bylaws, both Franciscan Living Communities and Catholic Health Initiatives have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the corporate member: * Approve members of the organization's board * Amendment of the corporate documents of the organization * Approve removal of a member of the governing body of the organization * Adoption of long range and strategic plans for the organization The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: * Substantial change in the mission or philosophy of the organization * Removal of a member of the governing body of the organization * Approval of issuance of debt by organization * Approval of participation of organization in a joint venture * Approval of formation of a new corporation by organization * Approval of a merger involving the organization * Approval of the sale of all or substantially all of the assets of the organization * To require the transfer of assets by the organization to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to Section 5.5 of the organization's bylaws, Franciscan Living Communities or CHI may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and its President and the Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6The process of reviewing the Form 990 entails a detailed review by the organization's accounting department. The governing body receives an electronic copy of the Form 990 including schedules, for review prior to filing with the IRS. Subsequent to the return being provided to the board, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Any such changes are not re-submitted to the board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8The organization's governing documents, conflicts of interest policy, and financial statements are made available to the general public upon request. The documents are located at the Corporate office during regular business hours.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9- Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10Changes in permanently restricted net assets - 1741;
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part III, Line 1 ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 15 Process for Determining Compensation
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 1a Delegate broad authority to a committee
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Line 6 Classes of members or stockholders
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Line 7a Members or stockholders electing members of governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Line 11b Review of form 990 by governing body
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part VI, Line 12c Conflict of interest policy
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990, Part VI, Line 19 Required documents available to the public
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990, Part VIII, Line 2f Other Program Service Revenue
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990, Part XI, Line 9 Other changes in net assets or fund balances
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