Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
Allegany Franciscan Ministries Inc
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
33920 US Highway 19 North No 269
 
Room/suite
City or town, state or country, and ZIP + 4
Palm Harbor, FL346842673
D Employer identification number

58-1492325
E Telephone number

G Gross receipts $ 3,863,099
F Name and address of principal officer:
Eileen Boyle
33920 US Highway 19 North No 269
Palm Harbor,FL346842673
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.AFMFL.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet0928
K Form of organization:
 
L Year of formation: 1982
M State of legal domicile: FL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: Allegany Franciscan Ministries' mission is to advance, promote, and support the healthcare ministries and catholic healthcare mission of the Franciscan Sisters of Allegany. This Catholic organization, guided by this mission and rooted in the tradition and vision of the Franciscan Sisters of Allegany, is a catalyst for systemic change by committing resources and working collaboratively with others to promote physical, mental, spiritual, societal, and cultural well-being in the communities served. Allegany Franciscan Ministries is a member of Catholic Health East ("CHE").
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 14
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 0
6 Total number of volunteers (estimate if necessary) .... 6 40
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 397,934
9 Program service revenue (Part VIII, line 2g) ......... 0 0
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 577,547 3,465,165
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 12,483 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 590,030 3,863,099
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 6,721,743 6,755,992
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 751,035 747,965
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,828,213 1,322,337
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 9,300,991 8,826,294
19 Revenue less expenses. Subtract line 18 from line 12...... -8,710,961 -4,963,195
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 129,393,801 130,842,225
21 Total liabilities (Part X, line 26)............ 7,166,992 6,503,469
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 122,226,809 124,338,756
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: To advance, promote and support the healthcare ministries and Catholic healthcare mission of the Franciscan Sisters of Allegany. This Catholic organization, guided by the mission and rooted in the tradition and vision of the Franciscan Sisters of Allegany, is a catalyst for systemic change by committing resources and working collaboratively with others to promote physical, mental, spiritual, societal, and cultural well-being in communities served.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 7,320,867 including grants of $ 6,721,592 ) (Revenue $   )
Advance, promote, and support health services and educational programs through grants, with special emphasis on the communities and persons of Miami-Dade, Palm Beach, Martin, St. Lucie, Hillsborough, and Pinellas Counties, Florida. Grants are made to nonprofit organizations to support community-based strategies to increase access to health services and expand wellness education opportunities for underserved populations.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 7,320,867
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
.........................
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
...........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
...................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
2
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
14
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
14
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
Eileen C Boyle
33920 US Highway 19 N 269
Palm Harbor,FL346842673
(727) 507-9668
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Lucy Cardet OSF
Chairperson
1.00 X   X       0 0 0
(2) Avril Chin Fatt OSF
Trustee -ex officio
1.00 X           0 0 0
(3) John F Flanigan
Vice Chairperson
1.00 X   X       0 0 0
(4) Kim Greene
Trustee
1.00 X           0 0 0
(5) Margaret Mary Kimmins OSF
Trustee
1.00 X           0 0 0
(6) Carl Lavender
Trustee
1.00 X           0 0 0
(7) Anne Martin Robonie OSF
Trustee
1.00 X           0 0 0
(8) Tom Siccone
Trustee
1.00 X           0 0 0
(9) Kathleen Stagnaro OSF
Trustee
1.00 X           0 0 0
(10) Peter C Wassmer MD
Trustee
1.00 X           0 0 0
(11) Marlene Weidenborner OSF
Trustee
1.00 X           0 0 0
(12) Odette Haddad OSF
Trustee
1.00 X           0 0 0
(13) Jo Streva OSF
Secretary
1.00 X           0 0 0
(14) William Tapp
Trustee
1.00 X           0 0 0
(15) Eileen C Boyle
President & CEO, Treas
40.00     X       158,790 0 27,727




Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 158,790 0 27,727
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet0
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
397,934
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 397,934
 Program Service Revenue Business Code
2a
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet  
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 2,596,877     2,596,877
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 868,288  
b Less: cost or other basis and sales expenses    
c Gain or (loss) 868,288  
d Net gain or (loss)..........MediumBullet 868,288     868,288
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 3,863,099 0 0 3,465,165
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 6,721,592 6,721,592
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 34,400 34,400
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 186,517 93,259 93,258  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 381,819 320,727 61,092  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....        
9 Other employee benefits ....... 179,629 150,889 28,740  
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 7,074   7,074  
c Accounting ........... 49,257   49,257  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ......        
g Other .......... 11,888   11,888  
12 Advertising and promotion .... 1,921   1,921  
13 Office expenses ....... 14,773   14,773  
14 Information technology ...... 32,193   32,193  
15 Royalties ..        
16 Occupancy ........... 58,931   58,931  
17 Travel ............ 58,067   58,067  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 14,975   14,975  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 6,070   6,070  
23 Insurance .............. 19,658   19,658  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Franciscan Sisters of A 1,000,000   1,000,000  
b Supplies 18,237   18,237  
c Telephone 15,640   15,640  
d Dues & Subscriptions 8,315   8,315  
e Equipment Rental 5,338   5,338  
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 8,826,294 7,320,867 1,505,427 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 3,775,313 2 2,174,491
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net .........   4 35,061
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 3,683 9 8,521
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 74,158
b Less: accumulated depreciation. ..... 10b 51,121 27,789 10c 23,037
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 ...... 125,551,711 12 128,592,850
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 35,305 15 8,265
16 Total assets. Add lines 1 through 15 (must equal line 34)... 129,393,801 16 130,842,225
Liabilities 17 Accounts payable and accrued expenses . 16,107 17 10,969
18 Grants payable .......... 7,150,885 18 6,492,500
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D.....   25  
26 Total liabilities. Add lines 17 through 25..... 7,166,992 26 6,503,469
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 122,226,809 27 124,338,756
28 Temporarily restricted net assets .....   28  
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 122,226,809 33 124,338,756
34 Total liabilities and net assets/fund balances ..... 129,393,801 34 130,842,225
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
3,863,099
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
8,826,294
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-4,963,195
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
122,226,809
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
7,075,142
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
124,338,756
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
 
No
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
 
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
(1) CATHOLIC HEALTH EAST
 
232929748 9 Yes   Yes   Yes   1,000,000
Total                 1,000,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................   74,158 51,121 23,037
e Other .................        
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 23,037
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) Investments
84,104,954 F

(B) Investments - Alternative Managed Assets
44,487,896 F







Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 128,592,850
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  








Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
South America 0 0 Grant making See Part V 34,400
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....   0 34,400
b Total from continuation sheets to Part I ...   0 0
c Totals (add lines 3a and 3b)   0 34,400
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
Procedure for Monitoring Grants Outside the U.S.:   Schedule F, Part I, Line 2: Grants outside of the US are awarded to organizations affiliated with the Franciscan Sisters of Allegany, New York, a congregation of religious women with ministries in Brazil. The organization ensures that the funds are used exclusively for charitable purposes. English copies of organizational documents and a written application for a grant that describes the grantees activities and porgrams are obtained; a formal written agreement is entered into that documents the grantee's commitments and the use of funds for charitable purposes, and an annual report accounting for the funds is obtained. No more than $5,000 is awarded to a single grantee in a 12-month period.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Allegany Franciscan Ministries Inc
 
Employer identification number
58-1492325
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) AIDS Research & Treatment Center of the Treasure Coast706 N 7th Street
Fort Pierce,FL34950
65-0715528 501(c)(3) 27,000       Capacity Building Initiative
(2) All 'Bout Children Inc931 Village Boulevard 905-370
West Palm Beach,FL33409
65-0932032 501(c)(3) 62,000       Childcare Community Wellness Program
(3) Alzheimer's Community Care Inc800 North Point Parkway Suite 101B
West Palm Beach,FL33407
31-1481653 501(c)(3) 30,000       Community-Based Services- Western Palm Beach County
(4) American Red Cross-Greater Miami & the Keys335 SW 27th Avenue
Miami,FL33135
53-0196605 501(c)(3) 25,000       Swim Safety
(5) American Red Cross - Tampa Bay Chapter3310 West Main Street
Tampa,FL33607
59-0624359 501(c)(3) 10,000       Nurse Assistant Training Workforce Development Fund
(6) Area Agency on Aging of Palm BeachTreasure Coast Inc4400 North Congress Avenue Suite
201
West Palm Beach,FL33407
65-0087857 501(c)(3) 160,000       Senior Wellness Program
(7) Barry University11300 Northeast Second Avenue
Miami Shores,FL33161
23-0832488 501(c)(3) 33,000       Non-Profit Technical Assistance
(8) BayCare Health System16255 Bay Vista Drive
Clearwater,FL33760
59-2796965 501(c)(3) 34,000       St. Anthony's Hospital Palliative Care Program
(9) BayCare Health System16255 Bay Vista Drive
Clearwater,FL33760
59-2796965 501(c)(3) 177,000       Respite Services for Homeless Patients
(10) BayCare Health System16255 Bay Vista Drive
Clearwater,FL33760
59-2796965 501(c)(3) 201,000       Faith Community Nursing
(11) BayCare Health System16255 Bay Vista Drive
Clearwater,FL33760
59-2796965 501(c)(3) 36,000       Prescription Assistance for Uninsured
(12) BayCare Health System16255 Bay Vista Drive
Clearwater,FL33760
59-2796965 501(c)(3) 95,000       St. Joseph's Hospital: Clinic for Children with Chronic and Complex Needs
(13) BayCare Health System16255 Bay Vista Drive
Clearwater,FL33760
59-2796965 501(c)(3) 34,000       Morton Plant Mease: Palliative Care Program
(14) Benedict Haven Inc210 72nd Avenue North
St Petersburg,FL33702
59-3492167 501(c)(3) 10,000       Strategic Planning in Action/Community Advocacy and Resident Enrichment Program
(15) Brandon Outreach clinic517 North Parsons Avenue
Brandon,FL33510
59-2917499 501(c)(3) 100,000       Operating Support
(16) Camillus House Inc336 NW Fifth Street
Miami,FL33128
53-0196617 501(c)(3) 25,000       Courtyard Healthcare Services
(17) Catholic Health East3805 West Chester Pike
Newton Square,PA19073
23-2929748 501(c)(3) 1,000,000       General Fund
(18) Catholic Relief Services IncPO Box 17090
Baltimore,MA21203
13-5563422 501(c)(3) 10,000       Haiti Earthquake Relief
(19) Center for Health Education and Social Services IncPO Box 2093
Fort Pierce,FL34954
26-2164188 501(c)(3) 10,000       St. Lucie County Haitian Diabetes Project
(20) Charity Works Inc635 Court Street Suite 130
Clearwater,FL33756
59-3384413 501(c)(3) 10,000       Wellness Aid
(21) Christians Reaching Out to Society Inc301 First Avenue South
Lake Worth,FL33460
59-1802917 501(c)(3) 10,000       Comprehensive Food Initiative
(22) Church of the HarvestPO Box 183
Pahokee,FL33476
65-1079385 501(c)(3) 10,000       Glades Area Pantries
(23) Community Health Center of West Palm Beach2823 North Australian Avenue
West Palm Beach,FL33407
26-3611337 501(c)(3) 94,500       Operating Support
(24) Community Law Program Inc501 First Avenue North Room 519
St Petersburg,FL33701
59-2970727 501(c)(3) 6,000       Strategic Plan Initiative
(25) Comprehensive Community Care Network Inc2330 South Congress Avenue
Palm Springs,FL33406
54-2083748 501(c)(3) 75,000       Health Care Access and Navigation
(26) Council on Aging of Martin County Inc1071 East 10th Street
Stuart,FL34996
52-1007762 501(c)(3) 30,000       Congregate Meal Site and Home Health Services Expansion
(27) Creative Clay1124 Central Avenue
St Petersburg,FL33706
59-3338595 501(c)(3) 123,000       Creative Health
(28) Daystar Life Center Inc226 Sixth Street South
St Petersburg,FL33701
65-0523539 501(c)(3) 10,000       Accountability and Service
(29) Deaf and Hearing Connection for Tampa Bay Inc7821 Seminole Boulevard
Seminole,FL33772
59-2396122 501(c)(3) 10,000       Case Management for Hearing Disabled Adults
(30) Donors Forum of South Florida200 S Biscayne Blvd Suite 3300
Miami,FL33131
59-2671778 501(c)(3) 20,000       Capacity Building and General Operating Support
(31) Early Childhood Council of Hillsborough County Inc4210 West Bay Villa Avenue
Tampa,FL33611
59-2998189 501(c)(3) 10,000       Promoting Health, Happy Young Children Through Practitioner Training
(32) El Sol Jupiter's Neighborhood Resource Center Inc106 Military Trail
Jupiter,FL33458
01-0870672 501(c)(3) 50,000       El Sol Shines a Light on Health
(33) Epilepsy Foundation of Florida Inc7300 N Kendal Drive Suite 700
Miami,FL33156
59-2164525 501(c)(3) 20,000       Project Access
(34) Extended Hands Community Outreach Inc528 Cheerful Street
West Palm Beach,FL33407
03-0484951 501(c)(3) 10,000       Hands of Love Food/Nutrition and Health Program
(35) Faith and Action for Strength Together(FAST)PO Box 10421
St Petersburg,FL33713
20-2058779 501(c)(3) 10,000       2020 Visioning
(36) Faith in Action of Upper Pinellas455 Scotland Street
Dunedin,FL34698
59-3248081 501(c)(3) 10,000       Stronger for Life (Exercise Program) Site Expansion Project
(37) Farmworker Coordinating Council of Palm Beach County1313 Central Terrace
Lake Worth,FL33460
59-2830267 501(c)(3) 100,000       Community Health Access Team (CHAT)
(38) Florida Association of Health Start Coalition Inc1311 N Paul Russell Road A101
Tallahassee,FL32301
59-3306893 501(c)(3) 25,000       Charting Healthy Start Course- Strategic Planning
(39) Florida Catholic Conference201 West Park Avenue
Tallahassee,FL32301
59-1232887 501(c)(3) 25,000       Health desk Activities and Advocacy
(40) Florida Community Health Action Information Network Inc16887 96th Terrace North
Jupiter,FL33478
11-3799890 501(c)(3) 30,000       Getting Florida Covered: the Affordable Care Act: Public Education & Advocacy Campaign
(41) Florida Community Health Centers Inc4450 South Tiffany Drive
West Palm Beach,FL33407
59-1671640 501(c)(3) 75,000       Electronic Health Records Implementation
(42) Florida Community Health Centers Inc4450 South Tiffany Drive
West Palm Beach,FL33407
59-1671640 501(c)(3) 45,000       Expansion of Health Benefit Navigator Program
(43) Florida Immigrant Advocacy Center Inc3000 Biscayne Boulevard Suite 400
Miami,FL33137
65-0610872 501(c)(3) 50,000       TPS Initiative
(44) Florida Philanthropic Network199 East Melbourne Avenue
Winter Park,FL32789
20-1328734 501(c)(3) 10,000       Membership Dues and Operating Support
(45) Florida Public Health Institute Inc1622 N Federal Highway Suite B
Lake Worth,FL33460
31-0775600 501(c)(3) 20,000       Promoting Improvements in Oral Heath in Palm Beach County
(46) Florida Resource Center for Women & Children Inc1923 Broadway
Riviera Beach,FL33404
65-0942198 501(c)(3) 90,000       Health and Education Center
(47) Franciscan Center3010 Perry Avenue
Tampa,FL33603
59-1356360 501(c)(3) 75,000       Hope and Health Renewed
(48) Front Porch Florida Community Development Association Inc1523 16th Street South
St Petersburg,FL33705
59-3606615 501(c)(3) 10,000       Front Porch Youth 4H Gardening and Arts Camp: Summer Experience
(49) Genesis Community Health Inc564 E Woolbright Road
Boynton Beach,FL33435
80-0374741 501(c)(3) 10,000       Patient Educational and Eligibility Program
(50) Girls Incorporated of Pinellas7700 61st Street North
Pinellas Park,FL33781
59-0970201 501(c)(3) 9,000       Technology and Leadership Development Initiative
(51) Glades Community Organization Inc710 South Main Street
Belle Glade,FL33430
27-2166641 501(c)(3) 10,000       Comprehensive Health-Care and Literacy Education
(52) Glades Initiative Inc141 SE Avenue C
Belle Glade,FL33430
01-0733180 501(c)(3) 100,000       Culturally & Linguistically Appropriate Services in Palm Beach County
(53) Global Health Ministry3805 West Chester Pike Suite 100
Newton Square,PA19073
23-3068656 501(c)(3) 10,000       HSFS Rebuilding Fund- Earthquake Relief
(54) Governor's Council for Community Health Partnership800 Clematis Street Room 226
West Palm Beach,FL33401
65-0449910 501(c)(3) 10,000       Point in Time Homeless Count
(55) Guardian Ad Litem Foundation of Tampa Bay Inc14250 49 street North Suite 4000
Clearwater,FL33762
59-2961546 501(c)(3) 25,000       Partnership to Support Vulnerable Children
(56) Guardianship Program of Dade County Inc830 NW 53rd St Suite 402
Miami,FL33166
59-2124958 501(c)(3) 20,000       Entitlement and Health Services
(57) Hands Together for the Palm Beaches12415 Indian Road
North Palm Beach,FL33408
20-2512245 501(c)(3) 7,100       Haitian Health Care Initiative
(58) Health Council of South Florida Inc8095 NW 12th Street Suite 200
Miami,FL33126
59-2268478 501(c)(3) 40,000       Florida Association of Free Clinics- General Operating Support
(59) Health Council of South Florida Inc8095 NW 12th Street Suite 200
Miami,FL33126
59-2268478 501(c)(3) 20,000       Miami Matters Imitative
(60) Health Council of South Florida Inc8095 NW 12th Street Suite 200
Miami,FL33126
59-2268478 501(c)(3) 10,000       Florida Association of Free Clinics
(61) Healthy Mothers Healthy Babies Coalition of Palm Beach County500 Gulfstream Boulevard Suite 201
Delray Beach,FL33483
59-2657051 501(c)(3) 130,000       Taking to the Streets
(62) Healthy Start Coalition of Hillsborough County Inc2806 N Aremnia Avenue Suite 100
Tampa,FL33607
59-3127943 501(c)(3) 100,000       Technological Capacity and Sustainability
(63) Healthy Start Coalition of Hillsborough County Inc2806 N Aremnia Avenue Suite 100
Tampa,FL33607
59-3127943 501(c)(3) 150,000       Family Wellness Program
(64) Hearing and Speech Center of Florida Inc9425 SW 72 Street Suite 261
Miami,FL33137
59-0668488 501(c)(3) 30,000       Gift of Communication: Therapy Program
(65) Hillsborough Kids Healthcare Foundation18907 Avenue Biarritz
Lutz,FL33558
59-3517416 501(c)(3) 53,500       Child Healthcare Access Initiative
(66) Homeless Coalition of Hillsborough County IncPO Box 360181
Tampa,FL33673
59-3651378 501(c)(3) 114,000       Outreach for Life Enhanced
(67) Homeless Emergency Project1120 North Betty Lane
Clearwater,FL33755
59-2729694 501(c)(3) 50,000       Building the Capacity of HEP
(68) Human Services Coalition of Dade County1900 Biscayne Boulevard Suite 200
Miami,FL33132
65-0690368 501(c)(3) 60,000       Capacity Building Program
(69) In the Image of Christ IncPO Box 12379
Fort Pierce,FL34979
65-1104332 501(c)(3) 10,000       In the Image of Christ Food Pantry
(70) Intercultural Family Health Education Center Inc2300 Palm Beach Lakes Boulevard
Suite 102
West Palm Beach,FL33409
65-0458135 501(c)(3) 58,000       Bridge to the Future
(71) James B Sanderlin Family Center2335 22nd Avenue South
St Petersburg,FL33712
59-3024059 501(c)(3) 50,000       Operating Support
(72) Judeo Christian Health Clinic Inc4120 1/2 North MacDill Avenue
Tampa,FL33607
59-1605647 501(c)(3) 73,000       Keys to Care
(73) Katherine Drexel Nursing Outreach Inc640 EL Prado Drive 1
Belle Glade,FL33430
26-0281227 501(c)(3) 10,000       General Operating Support
(74) Key Clubhouse of South Florida800 NE 95th Street
Miami Shores,FL33138
26-3727540 501(c)(3) 20,000       Key Clubhouse Startup Project
(75) Kimberly Home Pregnancy Center1189 North East Cleveland Street
Clearwater,FL33755
59-2077208 501(c)(3) 10,000       Kimberly Home Strategic Planning Initiative
(76) Life Force Cultural Arts Academy Inc1606 North Highland Avenue
Clearwater,FL33755
59-3483799 501(c)(3) 10,000       Healthy Habits
(77) Martin County Healthy Start Coalition Inc2026 SE Ocean Boulevard
Stuart,FL34996
65-0359999 501(c)(3) 100,000       Prenatal Outreach Center
(78) Martin County Healthy Start Coalition Inc2026 SE Ocean Boulevard
Stuart,FL34996
65-0359999 501(c)(3) 88,000       Involving Dads in Maternal and Prenatal Care
(79) Mary's Shelter of the Treasure Coast3141 SE Fairway West
Stuart,FL34996
26-3714519 501(c)(3) 10,000       General Operating Support
(80) Mercy Hospital Foundation3663 S Miami Avenue
Miami,FL33133
59-1709438 501(c)(3) 50,000       St. John Bosco Clinic
(81) Miami Bridge Youth and Family Services Inc2810 NW South Revier Drive
Miami,FL33125
59-2569847 501(c)(3) 25,000       Project Tomorrow
(82) Migrant Association of South Florida (Cardiac Center)8645 W Boynton Beach Boulevard
Boynton Beach,FL33437
65-0149423 501(c)(3) 200,000       Clinic Quality Enhancement
(83) Moses House IncPO Box 9115
Tampa,FL33674
26-2701439 501(c)(3) 10,000       Moses House Community Garden
(84) Mustard Seed Ministries of Fort Pierce3130 S US 1
Fort Pierce,FL34982
26-2701439 501(c)(3) 40,000       General Operating Support
(85) Mustard Seed Ministries of Fort Pierce3130 S US 1
Fort Pierce,FL34982
26-2701439 501(c)(3) 25,000       Mustard Seed (Operating Support)
(86) Nonprofits First Inc2300 High Ridge Road Suite 132
Boynton Beach,FL33426
65-1124375 501(c)(3) 125,000       Organizational Capacity Building
(87) Nonprofit Leadership Center of Tampa Bay1401 North Westshore Boulevard 101
Tampa,FL33607
59-3671047 501(c)(3) 30,000       Operating Support
(88) Open Door Health Center Inc1350 SW 4th Street
Homestead,FL33030
83-0375996 501(c)(3) 10,000       General Operating Support
(89) Operation PAR Inc6655 66th Street North
Pinellas Park,FL33781
59-1349234 501(c)(3) 10,000       Pinellas Resiliency Education, Vigorous Enforcement Training
(90) Palm Beach County Community Health Alliance3540 Forest Hill Boulevard 101
West Palm Beach,FL33406
65-0291166 501(c)(3) 50,000       Common Eligibility Initiative
(91) Palm Beach County Medical Society Services3540 Forest Hill Boulevard 101
West Palm Beach,FL33406
65-1048299 501(c)(3) 40,000       Project Access
(92) Palm Beach County Medical Society Services3540 Forest Hill Boulevard 101
West Palm Beach,FL33406
65-1048299 501(c)(3) 75,000       Promoting Effective Communication in Healthcare
(93) Project Response IncPO Box 277
Fort Pierce,FL34954
59-3036563 501(c)(3) 30,000       HIV Navigators Program
(94) Project Response IncPO Box 277
Fort Pierce,FL34954
59-3036563 501(c)(3) 65,000       HIV Navigators
(95) Restaurant Opportunities Center of New York275 Seventh Ave 23rd Floor
New York,NY10001
03-0522321 501(c)(3) 25,000       Healthy Workers, Healthy Workplaces, Miami
(96) Roots in the City Inc164 NW 20 Street 106
Miami,FL33127
03-0524711 501(c)(3) 20,000       Urban Farm
(97) Roots in the City Inc164 NW 20 Street 106
Miami,FL33127
03-0524711 501(c)(3) 30,000       Planting the Seeds of Community Change
(98) St Joseph's Hospital Foundation2700 W Dr Martin Luther King Blvd
Suite 310
Tampa,FL33607
59-0774199 501(c)(3) 77,000       St. Joseph's Children's Hospital Pediatric Palliative Care Team
(99) St Joseph's Hospital Foundation2700 W Dr Martin Luther King Blvd
Suite 310
Tampa,FL33607
59-0774199 501(c)(3) 100,000       Kidz Bite Back/180 Change
(100) St Lucie County Health Access Network5150 NW Milner Drive
Port St Lucie,FL34983
26-3945016 501(c)(3) 100,000       Health Access Network Delivery Systems
(101) St Petersburg College FoundationPO Box 13489
St Petersburg,FL33733
59-1954362 501(c)(3) 100,000       Capacity Building Collaborative JUMP Initiative
(102) St Petersburg Free Clinic863 Third Avenue North
St Petersburg,FL33701
23-7208280 501(c)(3) 134,000       Patient Centered Model of Care (Connections for Health)
(103) Suncoast Health Council Inc9600 Koger Boulevard Suite 2210
St Petersburg,FL33702
59-2267545 501(c)(3) 122,000       MedNet (Connections for Health)
(104) Suncoast Health Council Inc9600 Koger Boulevard Suite 2210
St Petersburg,FL33702
59-2267545 501(c)(3) 8,000       Living Well with a Disability
(105) Tampa Bay Community and Family Development Corp3101 N 34th Street
Tampa,FL33605
31-7776840 501(c)(3) 10,000       Strategic Alliance for Health Enhancement Program
(106) Tampa Bay Healthcare CollaborativePO Box 408
Valrico,FL33595
54-2080380 501(c)(3) 105,000       Supporting Not for Project Organizations
(107) Tampa Bay Healthcare CollaborativePO Box 408
Valrico,FL33595
54-2080380 501(c)(3) 89,500       Journey to Unlock Management Potential (JUMP)
(108) Tampa Jewish Family Services13009 Community Campus Drive
Tampa,FL33625
59-1549670 501(c)(3) 10,000       Brandon Tampa Jewish Family Services
(109) Tampa Bay Partnership Regional Research and Education Foundation4300 W Cypress Street Suite 250
Tampa,FL33607
59-3414776 501(c)(3) 25,000       ONE BAY: Healthy Communities
(110) The Children's Campaign Inc487-1 East Tennessee Street
Tallahassee,FL32301
31-1811747 501(c)(3) 100,000       Capacity Building and Operating Support
(111) The Education Fund Inc900 NW 125th Street Suite 10
North Miami,FL33161
59-2468114 501(c)(3) 25,000       Collaborative Nutrition Initiative
(112) The Good Community Alliance IncPO Box 8267
Tampa,FL33674
59-3547077 501(c)(3) 6,000       Community Stepping Stones
(113) The Spring of Tampa BayPO Box 5147
Tampa,FL33675
59-1777135 501(c)(3) 50,000       Operating Support
(114) The Village Baptist Church8306 155th Place North
Palm Beach Gardens,FL33418
59-0766989 501(c)(3) 10,000       Feed the Hungry Food Pantry-Free Food Boxes
(115) The Whole Child Connection Inc2026 SE Ocean Boulevard
Stuart,FL94996
51-0647845 501(c)(3) 40,000       Agency Operating Support
(116) Treasure Coast Food Bank Inc3051 Industrial 25th Street
Fort Pierce,FL34946
65-0123281 501(c)(3) 37,500       Operating Support (Food Supplies)
(117) Trinity Caf Inc100 Madison Street Suite 300
Tampa,FL33602
59-3733387 501(c)(3) 10,000       Nourishing and Nurturing the Homeless and Hungry
(118) True Fast Outreach Ministries638 Sixth Street
West Palm Beach,FL33401
30-0194610 501(c)(3) 50,000       Basic Needs Program and Operating Support
(119) United Cancer Foundation Inc1200 N Federal Hwy Suite 200
Boca Raton,FL33432
26-3143871 501(c)(3) 9,800       Health and Hope Program
(120) United Ways of Florida Inc307-B East 7th Avenue
Tallahassee,FL32303
59-2104175 501(c)(3) 40,000       Florida Prosperity Campaign- Continuing Infrastructure Solidification and Program Creation
(121) United Way of Palm Beach County2600 Quantum Blvd
Boynton Beach,FL33426
59-0683258 501(c)(3) 25,000       Palm Beach County Community Food Alliance
(122) United Way of Tampa Bay5201 West Kennedy Boulevard
Tampa,FL33609
59-3725701 501(c)(3) 100,000       Sculpture Springs Resource Center
(123) Urban League of Palm Beach County Inc1700 North Australian Avenue
West Palm Beach,FL33407
59-1533710 501(c)(3) 45,000       Operating Support
(124) Voices for Children of Hillsborough County Inc655 N Franklin Street Suite 1303
Tampa,FL33602
59-2737702 501(c)(3) 25,000       Partnership to Support Vulnerable Children
(125) Voices for Children Foundation1500 NW 12th Avenue
Miami,FL33136
59-2746076 501(c)(3) 18,000       The Children's Needs Program
(126) Volunteers in Medicine Clinic417 SE Balboa Avenue
Miami,FL34994
65-1115793 501(c)(3) 100,000       Operating Support
(127) West Central Florida Area Agency on Aging Inc5905 Breckenridge Parkway Suite
Tampa,FL33610
59-0074063 501(c)(3) 50,000       Caregiver Support Initiative: Development and Pilot
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
207
3
Enter total number of other organizations ................................ . Bullet Image
1
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Once grants are approved by the organization's board of trustees, the organization enters into an agreement with the grantee. The agreement specifies the purpose of grant, allowable budget line items, and expected activities and outcomes. It also describes the payment plan and reporting requirements. During the course of the grant, written reports documenting the program and financial progress are required periodiocally; these are reviewed by the organization's grant coordinator, regional vice president and CEO. After the grant period, a final report is required documenting the budgetary and programmatic results of the grant. The final report is also reviewed by the grant coordinator, regional vice president and CEO. In certain cases, site visits are conducted to review and monitor the grant. The organization may also review additional documentation and records,and require additional reports at any time.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) Eileen C Boyle (i)
(ii)
150,861
0
5,000
0
2,929
0
7,011
0
20,716
0
186,517
0
0
0















Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  Part I, Line 1a The President/CEO received reimbursement of annual health club (YMCA) membership expense, as an eligible member of the Catholic Health East executive perquisite program. This benefit was treated as taxable compensation.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Identifier Return Reference Explanation
Form 990, Part VI, Section A, line 1   The president serves as a non-voting ex-officio member of the board of trustees. All other members of the governing body have the same voting rights. No committee has broad authority to act on behalf of the full board.
Form 990, Part VI, Section A, line 6   Catholic Health East, a Pennsylvania nonprofit corporation, (CHE) is the sole member of the Corporation.
Form 990, Part VI, Section A, line 7a   Catholic Health East has the reserved right to approve the appointment and removal of Trustees of the Corporation. The Trustees nominate and recommend new Trustees, subject to Catholic Health East approval.
Form 990, Part VI, Section A, line 7b   Catholic Health East, the sole member of the Corporation, has certain reserved rights and authorities, in addition to approving the appointment and removal of governing board members of Allegany Franciscan Ministries, Inc. Catholic Health East has the authority to approve amendments to the Allegany Franciscan Ministries,Inc articles of incorporation, approve amendments to key provisions of the Allegany Franciscan Ministries,Inc by-laws, approve changes to the philosophy and mission statement for Allegany Franciscan Ministries,Inc. and approve the dissolution, merger, consolidation/purchase of entity, entry into a joint operating agreement or joint venture by Allegany Franciscan Ministries, Inc. In all cases, Catholic Health East receives recommendations from the Allegany Franciscan Ministries, Inc. governing body.
Form 990, Part VI, Section B, line 11   The Stewardship Committee is responsible for review of the Form 990 before it is filed. This Committee receives training on responsibilities related to the Form 990 and receives a copy for review and discussion at a regularly scheduled meeting. Prior to filing, a copy is also sent electronically to all members of the Board of Trustees for review.
  Form 990, Part VI, Section B, line 12c The organization has adopted Catholic Health East's policy 103, which sets forth the organization's conflict-of-interest policy and processes. Annually, all those serving the organization in a fiduciary capacity, including directors, officers, committee members, and all employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's CEO and Board Chair. Summary information is reported to the entire Board and available to the Board throughout the year as business comes before the Board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. Specifically as it relates to grants, information is presented to the entire Board regarding any actual or apparent conflict each time grants are presented to the Board for action. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the Board or an appropriate committee thereof comprised of dis-interested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the Board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.
  Form 990, Part VI, Section B, line 15 The organization has adopted Catholic Health East's process for determining compensation which includes the following: The Board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing Catholic Health East roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative program and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.
  Form 990, Part VI, Section C, line 19 Organizational articles of incorporation, corporate by-laws, governance policies, conflict-of-interest policy and IRS Form 990 are available to the public upon written or e-mailed request. A statement is provided on the organization's web site that these documents are available.
Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 7,075,142.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Allegany Franciscan Ministries Inc
 
Employer identification number

58-1492325
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity



















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) Mercy Health System of Maine

144 State Street

Portland,ME04101
01-0484074
Management & Support Services ME 501(c)(3) Line 11c, III-FI Catholic Health East
 
 
No
(2) Mercy Hospital

144 State Street

Portland,ME04101
01-0211534
Hospital ME 501(c)(3) Line 3 Mercy Health System of Maine
 
 
No
(3) Mercy Care for Kids Inc

310 South Manning Blvd

Albany,NY12208
14-1717564
Day care center NY 501(c)(3) Line 9 St Peter's Health Care Services
 
 
No
(4) Our Lady of Mercy Life Center

2 Mercycare Lane

Guilderland,NY12084
14-1743506
Nursing Home Facility NY 501(c)(3) Line 3 St Peter's Health Care Services
 
 
No
(5) St Peter's Auxiliary

315 South Manning Blvd

Albany,NY01228
22-2843206
Auxiliary NY 501(c)(3) Line 11a, I St Peter's Health Care Services
 
 
No
(6) St Peter's Health Care Services

315 South Manning Blvd

Albany,NY12208
22-2702507
Management & Support Services NY 501(c)(3) Line 9 Catholic Health East
 
 
No
(7) St Peter's Hospital

315 South Manning Blvd

Albany,NY12208
14-1348692
Hospital NY 501(c)(3) Line 3 St Peter's Health Care Services
 
 
No
(8) St Peter's Hospital Foundation Inc

319 South Manning Blvd Suite 309

Albany,NY12208
22-2262982
Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services
 
 
No
(9) St Peter's Licensed Home Care Agency

159 Wolf Road

Albany,NY12205
14-1818568
Home Health NY 501(c)(3) Line 3 St Peter's Health Care Services
 
 
No
(10) The Community Hospice Foundation Inc

295 Valley View Blvd

Rensselaer,NY12144
22-2692940
Fundraising & Public Relations NY 501(c)(3) Line 7 St Peter's Health Care Services
 
 
No
(11) The Community Hospice Inc

295 Valley View Blvd

Rensselaer,NY12144
14-1608921
Serving seriously ill people & their families NY 501(c)(3) Line 3 St Peter's Health Care Services
 
 
No
(12) Villa Mary Immaculate

301 Hackett Blvd

Albany,NY12208
14-1438749
Nursing Home & Physical Rehab NY 501(c)(3) Line 3 St Peter's Health Care Services
 
 
No
(13) Warde Service Corporation Inc

159 Wolf Road 3rd Floor

Albany,NY12205
14-1732097
Supporting & strengthing the ministries of rel. sr. mercy NY 501(c)(3) Line 9 St Peter's Health Care Services
 
 
No
(14) Brightside Inc

c/o SPHS 1221 Main Street Suite 108

Holyoke,MA01040
04-2182395
Behavioral Care MA 501(c)(3) Line 9 Sisters of Providence Health System Inc
 
 
No
(15) Farren Care Center Inc

c/o SPHS 1221 Main Street Suite 108

Holyoke,MA01040
04-2501711
Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc
 
 
No
(16) Mercy Hospital Inc

c/o SPHS 1221 Main Street Suite 108

Holyoke,MA01040
04-3398280
Acute Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc
 
 
No
(17) Mercy Specialist Physicians Inc

c/o SPHS 1221 Main Street No 108

Holyoke,MA01040
26-4033168
Neurosurgery Medical Services MA 501(c)(3) Line 3 Sisters of Providence Health System Inc
 
 
No
(18) Sisters of Providence Care Centers Inc

c/o SPHS 1221 Main Street Suite 108

Holyoke,MA01040
22-2541103
Long Term Care MA 501(c)(3) Line 3 Sisters of Providence Health System Inc
 
 
No
(19) Sisters of Providence Health System Inc

c/o SPHS 1221 Main Street Suite 108

Holyoke,MA01040
04-3398374
Management & Support Services MA 501(c)(3) Line 11a, I Catholic Health East
 
 
No
(20) McAuley Center Inc

275 Steele Road

West Hartford,CT06117
06-1058086
Independent Living CT 501(c)(3) Line 9 Mercy Community Health Inc
 
 
No
(21) Mercy Community Health Inc

2021 Albany Avenue

West Hartford,CT06117
06-1492707
Management & Support Services CT 501(c)(3) Line 11a, I Catholic Health East
 
 
No
(22) Mercy Community HomeCare Services

2021 Albany Avenue

West Hartford,CT06117
06-1488137
In Home Health Care CT 501(c)(3) Line 9 Mercy Community Health Inc
 
 
No
(23) Mercy Services

2021 Albany Avenue

West Hartford,CT06117
06-1453323
Support Services CT 501(c)(3) Line 1 Mercy Community Health Inc
 
 
No
(24) Mercyknoll Inc

2021 Albany Avenue

West Hartford,CT06117
06-0757380
Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc
 
 
No
(25) Saint Mary Home II Inc

2021 Albany Avenue

West Hartford,CT06117
06-1164104
Elderly Care CT 501(c)(3) Line 3 Mercy Community Health Inc
 
 
No
(26) St Mary Home Incorporated

2021 Albany Avenue

West Hartford,CT06117
06-0646843
Skilled Nursing CT 501(c)(3) Line 3 Mercy Community Health Inc
 
 
No
(27) Mercy Healthcare Center

114 Wawbeek Avenue

Tupper Lake,NY12986
15-0532211
Hospital NY 501(c)(3) Line 3 Catholic Health East
 
 
No
(28) Mercy Uihlein Health Corporation

185 Old Military Road

Lake Placid,NY12946
16-1535133
Hospital NY 501(c)(3) Line 11b, II Mercy Healthcare Center
 
 
No
(29) Uihlein Mercy Center

185 Old Military Road

Lake Placid,NY12946
15-0532190
Hospital NY 501(c)(3) Line 3 Mercy Healthcare Center
 
 
No
(30) St James Mercy Foundation Inc

411 Canisteo Street

Hornell,NY14843
16-1486437
Foundation NY 501(c)(3) Line 7 St James Mercy Health System Inc
 
 
No
(31) St James Mercy Health System Inc

411 Canisteo Street

Hornell,NY14843
22-3127184
Management & Support Services NY 501(c)(3) Line 11b, II Catholic Health East
 
 
No
(32) St James Mercy Hospital

411 Canisteo Street

Hornell,NY14843
16-0743310
Hospital NY 501(c)(3) Line 3 St James Mercy Health System Inc
 
 
No
(33) Marian Community Hospital

100 Lincoln Avenue

Carbondale,PA18407
24-0711230
Hospital PA 501(c)(3) Line 3 Maxis Health System
 
 
No
(34) Marian Community Hospital Auxiliary

100 Lincoln Avenue

Carbondale,PA18407
25-1874733
Fundraising PA 501(c)(3) Line 11b, II Maxis Health System
 
 
No
(35) Maxis Foundation

100 Lincoln Avenue

Carbondale,PA18407
23-2330090
Fundraising PA 501(c)(3) Line 11b, II Maxis Health System
 
 
No
(36) Maxis Health System

100 Lincoln Avenue

Carbondale,PA18407
91-1940902
Health Care System PA 501(c)(3) Line 11b, II Catholic Health East
 
 
No
(37) Maxis Medical Services

100 Lincoln Avenue

Carbondale,PA18407
23-2577185
Physician Practices PA 501(c)(3) Line 3 Maxis Health System
 
 
No
(38) Tri-County Human Services Center Inc

PO Box 517

Carbondale,PA18407
23-1938528
Behavioral Health Organization PA 501(c)(3) Line 7 Maxis Health System
 
 
No
(39) Columbus Acquisition Corp

1160 Raymond Boulevard

Newark,NJ07102
26-2616342
Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center
 
 
No
(40) Saint Michaels Medical Center

111 Central Avenue

Newark,NJ07102
26-2616046
Hospital NJ 501(c)(3) Line 3 Catholic Health East
 
 
No
(41) St James Care Inc

1160 Raymond Boulevard

Newark,NJ07102
26-2616230
Inactive Entity NJ 501(c)(3) Line 9 Saint Michaels Medical Center
 
 
No
(42) St Michaels Medical Center Foundation

1160 Raymond Boulevard

Newark,NJ07102
22-3311976
Foundation NJ 501(c)(3) Line 11a, I Saint Michaels Medical Center
 
 
No
(43) University Heights Property Company Inc

1160 Raymond Boulevard

Newark,NJ07102
22-3100162
Medical Property Holding Company NJ 501(c)(2)   Saint Michaels Medical Center
 
 
No
(44) Life St Francis Corporation

601 Hamilton Avenue

Trenton,NJ08629
22-2797282
Health Services NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ
 
 
No
(45) St Francis Medical Center Foundation NJ

601 Hamilton Avenue

Trenton,NJ08629
52-1025476
Foundation NJ 501(c)(3) Line 11a, I St Francis Medical Center Trenton NJ
 
 
No
(46) St Francis Medical Center Trenton NJ

601 Hamilton Avenue

Trenton,NJ08629
22-3431049
Hospital NJ 501(c)(3) Line 3 Catholic Health East
 
 
No
(47) Langhorne MRI Inc

1201 Langhorne-Newtown Road

Langhorne,PA19047
23-2519529
Inactive Entity PA 501(c)(3) Line 9 St Mary Medical Center
 
 
No
(48) Langhorne Physician Services Inc

1201 Langhorne-Newtown Road

Langhorne,PA19047
23-2571699
Physician Services PA 501(c)(3) Line 9 St Mary Medical Center
 
 
No
(49) LIFE St Mary

1201 Langhorne-Newtown Road

Langhorne,PA19047
26-2976184
Elderly Care PA 501(c)(3) Line 9 St Mary Medical Center
 
 
No
(50) St Mary Medical Center

1201 Langhorne-Newtown Road

Langhorne,PA19047
23-1913910
Hospital PA 501(c)(3) Line 3 Catholic Health East
 
 
No
(51) St Mary Medical Center Foundation Inc

1201 Langhorne-Newtown Road

Langhorne,PA19047
23-2567468
Foundation PA 501(c)(3) Line 7 St Mary Medical Center
 
 
No
(52) East Norriton Physician Services

c/o One West Elm Street

Conshohocken,PA19428
23-2515999
Physician Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania
 
 
No
(53) Mercy Catholic Medical Center of Southeastern Pennsylvania

One West Elm Street

Conshohocken,PA19428
23-1352191
Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania
 
 
No
(54) Mercy Family Support

1001 Baltimore Pike Suite 301

Springfield,PA19064
23-2325059
Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania
 
 
No
(55) Mercy Health Foundation of Southeastern Pennsylvania

c/o MHS One West Elm Street

Conshohocken,PA19428
23-2829864
Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania
 
 
No
(56) Mercy Health Plan

c/o One West Elm Street

Conshohocken,PA19428
22-2483605
Health Plans PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania
 
 
No
(57) Mercy Health System of Southeastern Pennsylvania

One West Elm Street

Conshohocken,PA19428
23-2212638
Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East
 
 
No
(58) Mercy Home Health

1001 Baltimore Pike Suite 310

Springfield,PA19064
23-1352099
Home Health PA 501(c)(3) Line 9 Mercy Health System of Southeastern Pennsylvania
 
 
No
(59) Mercy Home Health Services

1001 Baltimore Pike Suite 301

Springfield,PA19064
23-2325058
Home Health PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania
 
 
No
(60) Mercy Management of Southeastern Pennsylvania

One West Elm Street

Conshohocken,PA19428
23-2627944
Physician Practices PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania
 
 
No
(61) Mercy Suburban Hospital

One West Elm Street

Conshohocken,PA19428
23-1396763
Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania
 
 
No
(62) Nazareth Health Care Foundation

2701 Holme Avenue

Philadelphia,PA19152
23-2300951
Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania
 
 
No
(63) Nazareth Hospital

2601 Holme Avenue

Philadelphia,PA19152
23-2794121
Acute Care Hospital PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania
 
 
No
(64) Nazareth Physician Services Inc

2601 Holme Avenue

Philadelphia,PA19152
20-3261266
Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania
 
 
No
(65) NE Physician Services

2601 Holme Avenue

Philadelphia,PA19152
23-2497355
Physician Practices PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania
 
 
No
(66) St Agnes Continuing Care Center

1900 S Broad Street

Philadelphia,PA19145
23-2840137
Continuing Care Services PA 501(c)(3) Line 3 Mercy Health System of Southeastern Pennsylvania
 
 
No
(67) St Agnes Continuing Care Center Foundation

1900 S Broad Street

Philadelphia,PA19145
23-2415137
Fundraising PA 501(c)(3) Line 11b, II Mercy Health System of Southeastern Pennsylvania
 
 
No
(68) Life at Lourdes Inc

1600 Haddon Avenue

Camden,NJ08108
26-1854750
Elderly Care NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services
 
 
No
(69) Lourdes Ancillary Services

1600 Haddon Avenue

Camden,NJ08103
22-2568525
Supporting Organization NJ 501(c)(3) Line 11b, II Our Lady of Lourdes Health Care Services
 
 
No
(70) Lourdes Dialysis at Innova Inc

1600 Haddon Avenue

Camden,NJ08108
26-3237625
Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services
 
 
No
(71) Lourdes Medical Center Burlington County

218 Sunset Road

Willingboro,NJ08046
22-3612265
Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services
 
 
No
(72) Our Lady of Lourdes Health Care Services

1600 Haddon Avenue

Camden,NJ08103
22-2568528
Management & Support Services NJ 501(c)(3) Line 11b, II Catholic Health East
 
 
No
(73) Our Lady of Lourdes Health Foundation Inc

1600 Haddon Avenue

Camden,NJ08103
22-2351960
Foundation NJ 501(c)(3) Line 7 Our Lady of Lourdes Health Care Services
 
 
No
(74) Our Lady of Lourdes Medical Center

1600 Haddon Avenue

Camden,NJ08103
21-0635001
Hospital NJ 501(c)(3) Line 3 Our Lady of Lourdes Health Care Services
 
 
No
(75) Franciscan Eldercare Corporation

PO Box 2500

Wilmington,DE19805
22-3008680
Eldercare DE 501(c)(3) Line 9 St Francis Hospital
 
 
No
(76) St Francis Foundation

PO Box 2500

Wilmington,DE19805
51-0374158
Foundation DE 501(c)(3) Line 11b, II St Francis Hospital
 
 
No
(77) St Francis Hospital

PO Box 2500

Wilmington,DE19805
51-0064326
Hospital DE 501(c)(3) Line 3 Catholic Health East
 
 
No
(78) McAuley Ministries

McAuley Hall 3333 Fifth Avenue

Pittsburgh,PA15213
94-3436142
Management & Support Services PA 501(c)(3) Line 9 Pittsburgh Mercy Health System
 
 
No
(79) Mercy Jeannette Hospital

3805 West Chester Pike

Newtown Square,PA19073
25-1310602
Inactive Entity PA 501(c)(3) Line 9 Pittsburgh Mercy Health System
 
 
No
(80) Mercy Life Center Corporation

1200 Reedsdale Street

Pittsburgh,PA15233
25-1604115
Community Treatment PA 501(c)(3) Line 9 Pittsburgh Mercy Health System
 
 
No
(81) Pittsburgh Mercy Foundation

1200 Reedsdale Street

Pittsburgh,PA15233
25-1479026
Foundation PA 501(c)(3) Line 11b, II Pittsburgh Mercy Health System
 
 
No
(82) Pittsburgh Mercy Health System

3333 5th Avenue

Pittsburgh,PA15213
25-1464211
Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East
 
 
No
(83) St Joseph's of the Pines Inc

100 Gossman Drive Suite B

Southern Pines,NC28387
56-0694200
Hospital NC 501(c)(3) Line 3 Catholic Health East
 
 
No
(84) Life St Joseph of the Pines Inc

100 Gossman Drive Suite B

Southern Pines,NC28387
27-2159847
Healthcare Services NC 501(c)(3) Line 3 St Joseph's of the Pines Inc
 
 
No
(85) Mercy Senior Care Inc

212 West Third Street PO Box 866

Rome,GA30162
58-1366508
Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc
 
 
No
(86) Saint Joseph's at East Georgia Inc

1201 Siloam Road

Greensboro,GA30462
26-1720984
Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc
 
 
No
(87) Saint Joseph's Health System Inc

5673 Peachtree-Dunwoody Road Suite

Atlanta,GA30342
58-1744848
Management & Support Services GA 501(c)(3) Line 11b, II Catholic Health East
 
 
No
(88) Saint Joseph's Hospital of Atlanta Inc

5673 Peachtree-Dunwoody Road Suite

Atlanta,GA30342
58-0566257
Hospital GA 501(c)(3) Line 3 Saint Joseph's Health System Inc
 
 
No
(89) Saint Joseph's Mercy Care Services Inc

5673 Peachtree-Dunwoody Road Suite

Atlanta,GA30342
58-1752700
Community Outreach GA 501(c)(3) Line 7 Saint Joseph's Health System Inc
 
 
No
(90) Saint Joseph's Mercy Foundation Inc

5673 Peachtree-Dunwoody Road Suite

Atlanta,GA30342
58-1448522
Fundraising GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc
 
 
No
(91) Saint Joseph's Translational Research Institute Inc

5673 Peachtree-Dunwoody Road Suite

Atlanta,GA30342
80-0079841
Research GA 501(c)(3) Line 4 Saint Joseph's Health System Inc
 
 
No
(92) Mercy Services Downtown Inc

5673 Peachtree-Dunwoody Road Suite

Atlanta,GA30342
27-2046353
Real Estate Holding Company GA 501(c)(3) Line 11b, II Saint Joseph's Health System Inc
 
 
No
(93) St Mary's Health Care System Inc

1230 Baxter Street

Athens,GA30606
58-0566223
Hospital GA 501(c)(3) Line 3 Catholic Health East
 
 
No
(94) St Mary's Foundation Inc

1230 Baxter Street

Athens,GA30606
58-2544232
Fundraising GA 501(c)(3) Line 11b, II St Mary's Health Care System Inc
 
 
No
(95) St Mary's Highland Hills Inc

1230 Baxter Street

Athens,GA30606
02-0576648
Assisted Living & Retirement Community GA 501(c)(3) Line 3 St Mary's Health Care System Inc
 
 
No
(96) St Mary's Medical Group Inc

1230 Baxter Street

Athens,GA30606
26-1858563
Hospital / Physician Services GA 501(c)(3) Line 3 St Mary's Health Care System Inc
 
 
No
(97) Mercy Medical Corporation

PO Box 1090 101 Villa Drive

Daphne,AL36526
63-6002215
Hospital AL 501(c)(3) Line 3 Catholic Health East
 
 
No
(98) St Francis Hospital Inc

33920 US Highway 19 North Suite 269

Palm Harbor,FL34684
59-0624442
Hospital FL 501(c)(3) Line 11a, I Allegany Franciscan Ministries Inc
 
 
No
(99) Holy Cross Hospital Inc

4725 North Federal Highway

Ft Lauderdale,FL33308
59-0791028
Hospital FL 501(c)(3) Line 3 Catholic Health East
 
 
No
(100) Holy Cross Long-Term Inc

4725 North Federal Highway

Ft Lauderdale,FL33308
65-0787320
Medical Services FL 501(c)(3) Line 3 Holy Cross Hospital Inc
 
 
No
(101) Holy Cross Medical Properties Inc

4725 North Federal Highway

Ft Lauderdale,FL33308
65-0666283
Medical Building Real Estate Management FL 501(c)(2)   Holy Cross Hospital Inc
 
 
No
(102) Mercy Hospital Foundation Inc

3663 South Miami Avenue

Miami,FL33133
59-1709438
Fundraising FL 501(c)(3) Line 7 Mercy Hospital Inc
 
 
No
(103) Mercy Hospital Inc

3663 South Miami Avenue

Miami,FL33133
59-0791034
Hospital FL 501(c)(3) Line 3 Catholic Health East
 
 
No
(104) Mercy Medical Development Inc

3663 South Miami Avenue

Miami,FL33133
59-2789194
Outpatient Services FL 501(c)(3) Line 9 Mercy Hospital Inc
 
 
No
(105) Mercy Mission Services Inc

3663 South Miami Avenue

Miami,FL33133
65-0435764
Health Care FL 501(c)(3) Line 11a, I Mercy Hospital Inc
 
 
No
(106) Catholic Health East

3805 West Chester Pike Suite 100

Newtown Square,PA19073
23-2929748
Management Services PA 501(c)(3) Line 11a, I N/A
 
No
(107) Continuing Care Management Services Network

3805 West Chester Pike Suite 100

Newtown Square,PA19073
35-2336834
Management & Support Services PA 501(c)(3) Line 11b, II Catholic Health East
 
 
No
(108) Global Health Ministry

3805 West Chester Pike Suite 100

Newtown Square,PA19073
23-3068656
Health Care PA 501(c)(3) Line 7 Catholic Health East
 
 
No
(109) Mercy Jeanette Hospital Foundation

600 Jefferson Avenue

Jeannette,PA15644
25-1462863
Foundation PA 501(c)(3) Line 7 Pittsburgh Mercy Health System
 
 
No
(110) VNA Home Health & Hospice

50 Foden Road

South Portland,ME04106
01-0246804
Home Health & Hospice ME 501(c)(3) Line 11a, I Mercy Health System of Maine
 
 
No
(111) Providence Place Inc

5 Gamelin Street

Holyoke,MA01040
04-3404084
Retirement Community MA 501(c)(3) Line 9 Sisters of Providence Health System Inc
 
 
No
(112) Intercoastal Health Systems

3805 West Chester Pike Suite 100

Newtown Square,PA19073
65-0556413
Management & Support Services PA 501(c)(3) Line 11a, I Catholic Health East
 
 
No
(113) Mercy Outpatient Services Inc DBA Sister Emmanuel Hospital

3663 South Miami Avenue

Miami,FL33133
51-0461511
Hospital FL 501(c)(3) Line 3 Mercy Hospital Inc
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) Catherine Horan Building Limited Partnership

1221 Main Street Room 108
Holyoke,MA010400000
04-2723429
Property Management MA N/A
                 
(2) AmeriHealth Mercy Health Plan

200 Stevens Drive Suite 350
Philadelphia,PA19113
23-2859523
Medicaid Managed Care Organization PA N/A
                50.000 %
(3) Amerihealth Mercy of Indiana LLC

200 STEVENS DRIVE Suite 350
Philadelphia,PA19113
20-4948091
PREPAID HEALTH CARE SERVICES IN N/A
                50.000 %
(4) East Norriton Medical Associates

2701 Dekalb Pike
Norristown,PA19401
23-2319531
Medical Office Building PA N/A
                12.560 %
(5) East Norriton Medical Associates

2701 Dekalb Pike
Norristown,PA19401
23-2319531
Medical Office Building PA N/A
                40.930 %
(6) Gateway Health Plan

300 Grant Street
Pittsburgh,PA15219
25-1691945
Medicaid & Medicare/Special Needs Managed Care Organization PA N/A
                50.000 %
(7) Keystone Mercy Health Plan

100 Stevens Drive
Philadelphia,PA19113
23-2842344
Medicaid Managed Care Organization PA N/A
                50.000 %
(8) Langhorne MOB Partners LP

1201 Langhorne-Newtown Road
Langhorne,PA19047
23-2622772
Investment and operation of a medical building PA N/A
                28.956 %
(9) SMMC MOB II LP

1201 Langhorne-Newtown Road
Langhorne,PA19047
36-4559869
Investment and operation of a medical building PA N/A
                74.520 %
(10) MercyManor Partnership

PO Box 10086
Toledo,OH436990086
52-1931012
Nursing Home PA N/A
                50.000 %
(11) Nazareth Medical Office Building Associates LP

c/o Nazareth Hospital 2601 Holme Av
Philadelphia,PA19152
23-2388040
Medical Office Building PA N/A
                1.000 %
(12) Nazareth Medical Office Building Associates LP

c/o Nazareth Hospital 2601 Holme Av
Philadelphia,PA19152
23-2388040
Medical Office Building PA N/A
                47.460 %
(13) St Agnes Long Term Intensive Care LLP

1900 S Broad Street
Philadelphia,PA19145
20-0984882
Long Term Intensive Care PA N/A
                60.000 %
(14) St Agnes Long Term Intensive Care LLP

1900 S Broad Street
Philadelphia,PA19145
20-0984882
Long Term Intensive Care PA N/A
                40.000 %
(15) St Peter's Ambulatory Surgery Center LLC

1375 Washington Avenue Ste 201
Albany,NY12206
46-0463892
Surgery NY N/A
                34.750 %
(16) Outpatient Surgical Management LLC

5673 Peachtree Dunwoody Rd Ste 550
Atlanta,GA30342
20-8004929
Outpatient Medical Services GA N/A
                51.000 %
(17) CV Partners LLC

5665 Peachtree Dunwoody Road
Atlanta,GA303421764
26-3881202
Outpatient Medical Services GA N/A
                50.000 %
(18) Gwinnett Cardiovascular Servies LLC

1000 Medical Center Boulevard
Lawrenceville,GA30045
26-3870307
Cardiology GA N/A
                50.000 %
(19) Central New Jersey Heart Services LLC

10720 Sikes Places Ste 300
Charlotte,NC28277
20-8525458
Cardiac Program NJ N/A
                63.905 %
(20) Physicians Outpatient Surgery Center LLC

1000 NE 56th
Oakland Park,FL33334
35-2325646
Ambulatory Surgery Center FL N/A
                73.000 %
(21) Center for Surgery & Digestive Orders

3641 South Miami Avenue
Miami,FL33133
51-0438152
Outpatient Medical Services FL N/A
                50.000 %
(22) SJV Management LLC

200 Century Pkwy Ste 200E
Mount Laurel,NJ08054
20-2273476
Medical Services NJ N/A
                50.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) Catherine Horan Building Inc
c/o SPHS 1221 Main Street Suite 108
Holyoke,MA010400000
04-2938180
Building Management MA N/A
C      
(2) Diversified Community Services Inc
c/o SPHS 1221 Main Street Suite 108
Holyoke,MA010400000
04-3128890
Medical Services MA N/A
C      
(3) Mercy Inpatient Medical Associates Inc
c/o SPHS 1221 Main Street Suite 108
Holyoke,MA010400000
04-3029829
Medical Services MA N/A
C      
(4) Providence Home Care Inc
c/o SPHS 1221 Main Street Suite 108
Holyoke,MA010400000
04-3317426
Health Care Services MA N/A
C      
(5) System Coordinated Services Inc
c/o SPHS 1221 Main Street Suite 108
Holyoke,MA010400000
04-2938181
Lab Services MA N/A
C      
(6) Physicians Medical Office Building Condominium Trust
1221 Main Street Room 108
Holyoke,MA010400000
04-6608649
Property Management MA N/A
C      
(7) SJM Properties
411 Canisteo Street
Hornell,NY148482104
16-1294991
Property Holdings NY N/A
C      
(8) Carbondale Area Physicians' Association PC
100 Lincoln Ave
Carbondale,PA18407
23-2801677
Medical Insurance Contracting PA N/A
C      
(9) Carbondale Area Physicians' PHO Inc
100 Lincoln Ave
Carbondale,PA18407
23-2801676
Inactive PA N/A
C      
(10) Carbondale Physicians' Services Inc
100 Lincoln Ave
Carbondale,PA18407
23-2365077
Pharmacy PA N/A
C      
(11) Chestnut Risk Services Ltd
11 Victoria Street
Hamilton    
BD
Insurance BD N/A
C      
(12) LifeCare Physicians PC
601 Hamilton Avenue
Trenton,NJ086291986
26-1649038
Health Care Services NJ N/A
C      
(13) Multicare Plus Inc
601 Hamilton Avenue
Trenton,NJ086291986
22-3435844
Inactive NJ N/A
C      
(14) Langhorne Services II Inc
1201 Langhorne-Newtown Road
Langhorne,PA190470000
25-3795549
General Partner of LMOB Partners, II PA N/A
C      
(15) Langhorne Services Inc
1201 Langhorne-Newtown Road
Langhorne,PA190470000
23-2625981
General Partner of LMOB Partners PA N/A
C      
(16) AMHP Holdings Corp
200 Stevens Drive
Philadelphia,PA19113
26-1144363
Behavioral Health PA N/A
C      
(17) Select Health of South Carolina Inc
4390 Belle Oaks Drive Suite 400
Charleston,SC29405
57-1032456
Health Maintenance Organization SC N/A
C      
(18) Gateway Health Plan Inc
600 Grant Street
Pittsburgh,PA15219
25-1505506
Health Care PA N/A
C      
(19) Gateway Health Plan Inc of Ohio
600 Grant Street
Pittsburgh,PA15219
30-0282076
Health Care PA N/A
C      
(20) MCMC Eastwick Inc
c/o MHS One West Elm Street
Conshohocken,PA19428
23-2184261
Medical Office Buildings PA N/A
C      
(21) Community Behavioral Healthcare Network of PA Inc
8040 Carlson Road
Harrisburg,PA17112
25-1765391
Behavioral Health PA N/A
C      
(22) Health Management Services Org Inc
500 Grove Street Suite 100
Haddon Heights,NJ08035
22-3366580
Health Care Billing NJ N/A
C      
(23) Jeannette Medical Providers
3805 West Chester Pike
Newtown Square,PA19073
25-1787334
Holding Company PA N/A
C      
(24) Jeannette OBGYN Group 1 Inc
3805 West Chester Pike
Newtown Square,PA19073
23-2890748
Holding Company PA N/A
C      
(25) Jeannette Primary Care Group 1 Inc
3805 West Chester Pike
Newtown Square,PA19073
23-2890743
Holding Company PA N/A
C      
(26) Saint Joseph's Service Corporation Inc
5673 Peachtree Dunwoody Road
Atlanta,GA303421769
58-1750815
Service Provider GA N/A
C      
(27) Saint Joseph's Real Estate Management Corp
5673 Peachtree Dunwoody Road
Atlanta,GA303421769
58-1657768
Investment Company GA N/A
C      
(28) Magnetic Resonance Imaging Inc
5673 Peachtree Dunwoody Road
Atlanta,GA303421769
58-1609308
Holding Company GA N/A
C      
(29) ACTx
5673 Peachtree Dunwoody Road
Atlanta,GA303421769
83-0345672
Research GA N/A
C      
(30) Georgia Health Enterprises LLC
11440 Commerce Park Drive
Reston,VA20191
54-1806329
Healthcare VA N/A
C      
(31) St Mary's Highland Hills Village Inc
1660 Jennings Mill Road
Bogart,GA30622
58-2276801
Assisted Living GA N/A
C      
(32) GHE Physicians PC
3500 Piedmont Road
Atlanta,GA30305
58-2277939
Practice Management GA N/A
C      
(33) Nursing Network Inc
4725 North Federal Highway
Fort Lauderdale Highwa,FL333080000
59-1145192
Medical Services FL N/A
C      
(34) Mercy Physician Group Inc
3663 South Miami Avenue
Miami,FL33133
20-2970015
Health Care FL N/A
C      
(35) Stella Maris Insurance Company Limited
PO Box 69
Grand Cayman,Cayman IslandsKY1-1102
CJ
98-0078266
Insurance CJ N/A
C      
(36) Catholic Health East Senior Services
3805 West Chester Pike Suite 100
Newtown Square,PA19073
37-1572595
Senior Services PA N/A
C      
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Catholic Health East

B 1,000,000 Cash Paid
(2) Catholic Health East

O 780,705 Cash Paid
(3)

(4)

(5)

(6)

Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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