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.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HOLY REDEEMER HEALTH SYSTEM
Employer identification number
23-1534300
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
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(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)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(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
Total
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
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
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
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
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:
-
TIN:
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.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
HOLY REDEEMER HEALTH SYSTEM
Employer identification number
23-1534300
Identifier
Return Reference
Explanation
DOING BUSINESS AS
FORM 990, PART I, ITEM C
SAINT JOSEPH MANOR THE LAFAYETTE REDEEMER VISITING NURSE AGENCY - PA MULTICARE SERVICES SUPPORT SERVICES HOLY REDEEMER HOME CARE AND HOSPICE HOLY REDEEMER MEDICAL MESSAGING HOLY REDEEMER THRIFT STORE
FORM 990, PART VI, SECTION A, LINE 4
EFFECTIVE AT 11:59 PM EST, ON DECEMBER 31, 2010, HOLY REDEEMER HEALTH CARE CORPORATION AND FOUNDATION AMENDED THE BYLAWS OF HR PHYSICIAN SERVICES, HRH MANAGEMENT CORPORATION, HOLY REDEEMER ACTIVE AND RETIREMENT LIVING COMMUNITIES, INC., AND HOLY REDEEMER ACTIVE AND RETIREMENT LIVING COMMUNITIES SO THAT HOLY REDEEMER HEALTH SYSTEM (HRHS) WILL BE THE SOLE MEMBER OF THESE ENTITIES. IN ADDITION, HOLY REDEEMER HEALTH CARE CORPORATION AND FOUNDATION AMENDED ITS ARTICLES OF INCORPORATION TO CHANGE THEIR NAME TO HOLY REDEEMER MINISTRIES. THE PARENT COMPANY (MEMBER) OF HRHS IS HOLY REDEEMER MINISTRIES WHOSE PURPOSE IS TO OVERSEE AND PROMOTE THE MISSION, ETHICAL AND RELIGIOUS STANDARDS, AND EXPRESSION OF CATHOLIC IDENTITY, OF HRHS AND ALL ENTITIES CONTAINED THEREIN.
FORM 990, PART VI, SECTION A, LINE 6
HOLY REDEEMER MINISTRIES, A RELATED ORGANIZATION, IS A MEMBER THAT HAS RESERVE POWERS ON THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A
HOLY REDEEMER MINISTRIES IS A MEMBER AND HAS RESERVE POWERS ON THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B
HOLY REDEEMER MINISTRIES HAS RESERVE POWERS ON THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11
A COPY OF FORM 990 IS PUBLISHED IN A SECURE INTERNAL WEBSITE. THE GOVERNING BODY IS NOTIFIED AND EACH BOARD MEMBER ARE ISSUED AN INDIVIDUAL ACCESS CODE TO RETRIEVE AND REVIEW THE FORM 990. THESE ARE ALL DONE PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C
A CONFLICT OF INTEREST STATEMENT IS REVIEWED, ACKNOWLEDGE AND SIGNED BY EACH KEY EMPLOYEES, OFFICERS AND TRUSTEES OF THE ORGANIZATION ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15
HOLY REDEEMER HEALTH SYSTEM BOARD OF TRUSTEES THROUGH THE COMMITTEE THAT OVERSEES EXECUTIVE AND PHYSICIAN COMPENSATION PERIODICALLY ENGAGES THE SERVICES OF INTEGRATED HEALTHCARE STRATEGIES, A CONSULTING FIRM WITH EXPERTISE IN HEALTH CARE EXECUTIVE COMPENSATION, TO REVIEW THE EXTERNAL MARKET DATA. THE MARKET DATA PROVIDES COMPARABLE COMPENSATION LEVELS BASED ON GEOGRAPHY, REVENUE SIZE AND OTHER FACTORS TO DETERMINE A MARKET RANGE FOR EACH EXECUTIVE. THE RESULTS OF THEIR FINDINGS ARE SHARED DIRECTLY WITH THE GOVERNANCE AND LEADERSHIP COMMITTEE OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19
THE FINANCIAL STATEMENTS ARE AVAILABLE ON DAC BONDS QUARTERLY REPORT. THE ORGANIZATION'S FORM 990, CONFLICTS OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THESE ARE MADE AVAILABLE TO INDIVIDUALS THAT MAKES A REQUEST IN PERSON IMMEDIATELY AFTER COMPLETING AND SIGNING A FORMAL REQUEST FORM IDENTIFYING THEMSELVES AND PROVIDING THEIR ADDRESSES. ALL OTHER WRITTEN REQUESTS FROM INDIVIDUALS, FOUNDATIONS OR GOVERNMENT AGENCIES ARE HONORED WITHIN 30 DAYS OF RECEIPT. NOTICE OF ANNUAL PUBLIC MEETING OF THE CORPORATION IS ADVERTISED IN LOCAL NEWSPAPERS.
CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 5:
CHANGE IN ADDITIONAL PENSION LIABILITY 16,037,614. INCREASE IN TEMPORARILY RESTRICTED ASSETS 1,189,501. INCREASE IN PERMANENTLY RESTRICTED ASSETS 73,506. FUND TRANSFER TO DRUEDING CENTER PROCEEDS FROM GOLF CLASSIC FUND RAISER -78,220. TOTAL TO FORM 990, PART XI, LINE 5: 17,222,401.
FINANCIAL STATEMENTS AND REPORTING
FORM 990, PART XII, LINE 2C
THE PROCESS AND RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT REMAIN WITH THE LEGAL AND AUDIT COMMITTEE OF THE BOARD OF HOLY REDEEMER HEALTH SYSTEM; REMAINS THE SAME AS IN THE PREVIOUS YEAR.
1997 BOND, PURPOSE OF BOND ISSUES
FORM 990, SCHEDULE K, PART I, LINE A, COLUMN F
THE 1997 BONDS WERE ISSUED TO FINANCE AND REFINANCE COST OF VARIOUS CAPITAL PROJECTS FOR THE BENEFIT OF TWO NON-PROFIT CORPORATIONS, HOLY REDEEMER HEALTH SYSTEM (HRHS) AND HOLY REDEEMER PHYSICAN SERVICES. THE AMOUNTS REPORTED IN SCHEDULE K IS THE TOTAL AMOUNT OF THE BONDS ISSUED FOR HRHS, TAX ID #23-1534300 AND HRPS, TAX ID #23-2696460 (THIS FILING ORGANIZATION). PROCEEDS FROM THE SALE OF THE 1997 BOND SERIES-A BONDS WILL BE USE TO: (1) REFUND CERTAIN INDEBTEDNESS OF HRHS, AND CERTAIN TAX EXEMPT BONDS PREVIOUSLY ISSUED BY THE MONTGOMERY COUNTY HIGHER EDUCATION AND HEALTH AUTHORITY HEALTH CARE REVENUE BONDS ON BEHALF OF HRHS; (2) FINANCE CONSTRUCTION OF A 120-BED SKILLED NURSING FACILITY FOR HRHS; (3) FINANCE, OR REIMBURSE THE BORROWERS FOR, THE COST OF CERTAIN CAPITAL IMPROVEMENTS TO FACILITIES OF BORROWERS; (4) FUND A DEBT SERVICE RESERVE FUND FOR THE 1997 BONDS; AND (5) PAY CERTAIN COST RELATED TO THE ISSUANCE OF THE 1997 BONDS.
2006 BOND, PURPOSE OF BOND ISSUES
FORM 990, SCHEDULE K, PART I, LINE B, COLUMN F
THE 2006 BONDS WERE ISSUED TO FINANCE COST OF VARIOUS CAPITAL PROJECTS FOR THE BENEFIT OF TWO NON-PROFIT CORPORATIONS, HOLY REDEEMER HEALTH SYSTEM (HRHS) AND HOLY REDEEMER PHYSICAN SERVICES. THE AMOUNTS REPORTED IN SCHEDULE K IS THE TOTAL AMOUNT OF THE BONDS ISSUED FOR HRHS, TAX ID #23-1534300 AND HRPS, TAX ID #23-2696460 (THIS FILING ORGANIZATION). PROCEEDS FROM THE SALE OF THE 2006 SERIES-A BOND WILL BE USE TO: (1)FINANCE, OR REIMBURSE THE BORROWERS FOR, THE COSTS OF CERTAIN CAPITAL IMPROVEMENTS TO FACILITIES OF THE BORROWERS; (2) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2006A BONDS; AND (3) TO PAY CERTAIN COSTS RELATED TO THE ISSUANCE OF THE SERIES 2006A BONDS (COLLECTIVELY, THE "SERIES 2006A PROJECT").
COMPENSATION
FORM 990, PART VII, SECTION A
COMPENSATION INFORMATIONS OF ALL LISTED COMPENSATED PERSONS IN THIS SECTION, DUE TO "COMMON PAYMASTER" AGREEMENT WITH THE INTERNAL REVENUE SERVICE, WERE REPORTED UNDER THE HOLY REDEEMER HEALTH SYSTEM TAX ID #23-1534300. THIS WILL INCLUDE PAYROLL FOR ALL RELATED ORGANIZATIONS LISTED IN SCHEDULE R.
INDEPENDENT CONTRACTORS
FORM 990, PART VII, SECTION B
BECAUSE OF A CENTRALIZED AND "CONSOLIDATED" ACCOUNTS PAYABLE PROCESSING FOR ALL RELATED ORGANIZATIONS IN THE HOLY REDEEMER HEALTH SYSTEM, PAYMENTS FOR SERVICES AND MATERIALS RENDERED TO ALL THE RELATED ORGANIZATIONS, WERE CONSOLIDATED AND REPORTED IN FORM 1099 TO THE INTERNAL REVENUE SERVICE UNDER THE HOLY REDEEMER HEALTH SYSTEM TAX ID #23-1534300.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.