Attach to Form 990 or Form 990-EZ.
See separate instructions.| (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? |
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|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| Total | |||||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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. | ||||||
| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (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). | ||||||






| Calendar year(or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 547,850 | 362,551 | 202,329 | 286,752 | 53,986 | 1,453,468 |
| 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...... | 0 | |||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | 0 | |||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | 0 | |||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 6 | Total. Add lines 1 through 5. | 547,850 | 362,551 | 202,329 | 286,752 | 53,986 | 1,453,468 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public Support (Subtract line 7c from line 6.) | 1,453,468 | |||||
| Calendar year (or fiscal year beginning in) | (a) 2007 | (b) 2008 | (c) 2009 | (d) 2010 | (e) 2011 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 547,850 | 362,551 | 202,329 | 286,752 | 53,986 | 1,453,468 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 87,122 | 61,895 | 35,359 | 35,527 | 39,835 | 259,738 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 87,122 | 61,895 | 35,359 | 35,527 | 39,835 | 259,738 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 0 | |||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) | 0 | |||||
| 13 | Total support (Add lines 9, 10c, 11 and 12.). | 634,972 | 424,446 | 237,688 | 322,279 | 93,821 | 1,713,206 |




| Facts And Circumstances Test |
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| Explanation |
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| OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0;, |
| Software ID: | 11000230 |
| Software Version: | v2011.1.0 |
Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| VALUE STATEMENT | FORM 990, PART III, LINE 1 | THE VALUES OF FRANCISCAN COMMUNITY BENEFIT SERVICES INCLUDE: 1. RESPECT: SEEING THE FACE OF GOD REFLECTED IN THOSE WE SERVE; 2. SERVICE: RESPONDING TO THE NEEDS OF OTHERS BEFORE OUR OWN; 3. DEDICATION: PASSIONATELY FULFILLING THIS CALL ENTRUSTED TO US: 4. STEWARDSHIP: RESPONSIBLY USING OUR RESOURCES, AWARE THAT ALL CREATION IS A GIFT; 5. JOY: GIVING FROM YOUR HEART. |
| VISION STATEMENT | FORM 990, PART III, LINE 1 | FRANCSICAN COMMUNITY BENEFIT SERVICES IS OPERATED SOLELY FOR THE CHARITABLE AND RELIGIOUS PURPOSE OF THE FRANCISCAN SISTERS OF CHICAGO. THE CHARISM OF THE FRANCISCAN SISTERS OF CHICAGO IS TO DEVOTE THEMSELVES TO THE MINISTRY OF PROVIDING CARE AND HOUSING TO THE ELDERLY AND INFIRM. IN ADDITION, FRANCISCAN COMMUNITY BENEFIT SERVICES PROVIDES SCHOLARSHIPS TO YOUNG URBAN CATHOLIC WOMEN WHO COME FROM LOW-INCOME HOUSING THROUGH THE MADONNA FOUNDATION. |
| New program services | Form 990, Part III, Line 2 | ADDOLORATA VILLA FOUNDATION CEASED OPERATIONS UNDER FRANCISCAN BENEFIT SERVICES JULY 1, 2011. THE PURPOSE OF ADDOLORATA VILLA FOUNDATION WAS TO SERVE THE FRANCISCAN COMMUNITIES ADDOLORATA VILLA COMMUNITY. ALL ACTIVITY WAS TRANSFERRED TO FRANCISCAN COMMUNITIES, INC. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE SOLE CORPORATE MEMBER OF FRANCISCAN COMMUNITY BENEFIT SERVICES IS THE FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION ("FSCSC"). THE MEMBERS OF FSCSC SHALL CONSIST OF THE GENERAL MINISTER AND THE MEMBERS OF THE GENERAL COUNCIL OF THE FRANCISCAN SISTERS OF CHICAGO. THE MEMBERS SHALL ACT IN A STEWARDSHIP CAPACITY AND ENSURE THAT ALL ACTIONS OF FRANCISCAN COMMUNITY BENEFIT SERVICES ARE CONSISTENT WITH THE PURPOSES OF FSCSC AND THE ETHICAL AND RELIGIOUS PRINCIPLES OF THE FRANCISCAN SISTERS OF CHICAGO AND IN FURTHERANCE OF THEIR APOSTOLATES AND THE CATHOLIC CHURCH. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | THE SOLE CORPORATE MEMBER, THE FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION, HAS THE RESERVE POWER TO APPOINT AND REMOVE DIRECTORS AND FILL VACANCIES ON THE BOARD OF DIRECTORS OF FRANCISCAN COMMUNITY BENEFIT SERVICES. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | THE MEMBER, THE FRANCSICAN SISTERS OF CHICAGO SERVICE CORPORATION ("FSCSC"), SHALL HAVE THE FOLLOWING RESERVED POWERS: (A) TO APPROVE THE CORPORATION'S STRATEGIC PLANS, ANNUAL, OPERATING, CAPITAL AND CASH FLOW BUDGETS AND SIMILAR DOCUMENTS DEVELOPED BY THE BOARD. (B) GOVERNING DOCUMENT AMENDMENTS AND GOVERNANCE 1. TO APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION, BYLAWS OR SIMILAR GOVERNING DOCUMENTS OF THE CORPORATION. 2. TO APPOINT AND REMOVE DIRECTORS AND FILL VACANCIES ON THE BOARD OF DIRECTORS. 3. TO APPOINT OR REMOVE THE CHAIRPERSON/CEO AND PRESIDENT OF FRANCISCAN COMMUNITY BENEFIT SERVICES. (C) SIGNIFICANT ACTIONS: 1. TO APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION OR LIQUIDATION OF FRANCISCAN COMMUNITY BENEFIT SERVICES, OR ANY AFFILIATE, OTHER THAN A MERGER OR CONSOLIDATION SOLEY BETWEEN EXISTING AFFILIATES. SUBJECT TO APPROVAL OF THE MEMBERS OF FSCSC. 2. TO APPROVE THE CREATION OF ANY NEW AFFILIATE OR ANY AFFILIATION SUBJECT TO APPROVAL OF THE MEMBERS OF FSCSC. 3. TO APPROVE THE ESTABLISHMENT, TERMINATION, TRANSFER OR OTHER ACQUISITION OR DISPOSITION OF ANY MAJOR MINISTRY, WORK OR SIMILAR PROGRAM BY FRANCISCAN COMMUNITY BENEFIT SERVICES, OR ANY AFFILIATE. SUBJECT TO APPROVAL OF THE MEMBERS OF FSCSC. 4. TO APPROVE THE PURCHASE, SALE, DONATION, LEASE, MORTGAGE, OR ANY OTHER ACQUISITION, DISPOSITION OR ENCUMBRANCE OF ANY ASSETS OF FRANCISCAN COMMUNITY BENEFIT SERVICES, OR ANY AFFILIATE, OVER THE AMOUNT SET BY THE MEMBERS FROM TIME TO TIME. SUBJECT TO APPROVAL OF THE MEMBERS OF FSCSC. 5. TO APPROVE THE INCURRENCE OF INDEBTEDNESS, OR THE GUARANTEE OF INDEBTEDNESS OF ANY PERSON, BY FRANCISCAN COMMUNITY BENEFIT SERVICES OR ANY AFFILIATE OVER AN AMOUNT SPECIFIED BY THE MEMBERS FROM TIME TO TIME. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | MANAGEMENT PRESENTED A FINAL DRAFT OF THE COMPLETED FORM 990 TO THE AUDIT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | AS PROVIDED FOR IN THE CONFLICT OF INTEREST POLICY, IT IS THE RESPONSIBILITY OF THE BOARD OR COMMITTEE CHAIR TO ENSURE THAT EACH DIRECTOR, OFFICER, AND MEMBER OF A BOARD COMMITTEE ANNUALLY SIGNS AN FSCSC APPROVED CONFLICT OF INTEREST DISCLOSURE STATEMENT. COPIES OF ALL SIGNED STATEMENTS ARE FORWARDED TO THE CORPORATE DIRECTOR OF COMPLIANCE AND STANDARDS. KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT THAT IS REVIEWED BY THEIR DIRECT SUPERVISOR. POTENTIAL CONFLICTS OF INTEREST OF BOARD MEMBERS ARE BROUGHT TO THE ATTENTION OF THE BOARD CHAIR. AFTER DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE A DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED ON. PROPOSED TRANSACTIONS WITH INTERESTED PERSONS OF THE BOARD OF DIRECTORS OR COMMITTEES REQUIRES THE APPROVAL OF THE BOARD PRIOR TO ENTERING INTO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE INTERESTED PERSON SHALL NOT BE PRESENT DURING THE PRESENTATION OR THE VOTE ON THE PROPOSED TRANSACTION OR ARRANGEMENT. KEY EMPLOYEES, OFFICERS AND HIGHEST COMPENSATED EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT THAT IS REVIEWED BY THEIR DIRECT SUPERVISOR. THE SUPERVISOR WILL WORK WITH THE COMPLIANCE OFFICER AND POSSIBLY HUMAN RESOURCES IN TAKING APPROPRIATE STEPS TO ADDRESS THE POTENTIAL CONFLICT. |
| PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS | FORM 990, PART VI, LINE 15A | FRANCISCAN COMMUNITY BENEFIT SERVICE'S TOP MANAGEMENT OFFICIAL IS PAID BY THE FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION ("FSCSC"), A RELATED TAX-EXEMPT ORGANIZATION. THE BOARD OF DIRECTORS OF FSCSC HAS ADOPTED AN EXECUTIVE COMPENSATION PHILOSOPHY TO ENABLE FSCSC TO RECRUIT, RETAIN, DEVELOP AND MOTIVATE CAPABLE AND COMMITTED EXECUTIVE LEADERS ESSENTIAL TO SUSTAINING ITS MISSION AND ACHIEVING ITS VISION AND ORGANIZATIONAL GOALS. THE BOARD OF DIRECTORS APPOINTED AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD TO MEET THIS RESPONSIBILITY. THE EXECUTIVE COMPENSATION COMMITTEE WILL CONTINUALLY MONITOR THE COMPENSATION STRATEGY TO REFLECT CHANGES IN MARKET CONDITIONS AND EXECUTIVE NEEDS. THIS STRATEGY AND THE REWARD ELEMENTS SERVE AS A "ROAD MAP" FOR THE ON-GOING ADMINISTRATION OF THE COMPENSATION PROGRAMS. THE BOARD HAS ADOPTED A PHILOSOPHY OF VIEWING EXECUTIVE COMPENSATION IN ITS TOTALITY, CONSIDERING ALL REWARD ELEMENTS - BOTH EXTRINSIC AND INTRINSIC, PROVIDED TO EXECUTIVES THE EXECUTIVE COMPENSATION COMMITTEE MAKES THE RECOMMENDATION ON THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER AND PRESIDENT WITH FINAL APPROVAL FROM THE SPONSOR BOARD AND THE FSCSC BOARD OF DIRECTORS. THE ANNUAL REVIEW PROCESS FOR DETERMINING THE APPROPRIATE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL INCLUDES: 1. OBTAINING AND ANALYZING COMPARABLE COMPENSATION DATA FOR SIMILAR PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS IN SIMILAR ORGANIZATIONS. 2. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. 3. THE PROCESS OF OBTAINING COMPARABLE COMPENSATION DATA, AS OUTLINED ABOVE, WAS LAST PERFORMED IN FEBRUARY 2010. |
| PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES | FORM 990, PART VI, LINE 15B | FRANCISCAN COMMUNITY BENEFIT SERVICE'S OTHER OFFICERS ARE PAID BY THE FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION ("FSCSC"), A RELATED TAX-EXEMPT ORGANIZATION. FSCSC'S CHIEF EXECUTIVE OFFICER AND PRESIDENT, MAKES RECOMMENDATIONS TO THE EXECUTIVE COMPENSATION COMMITTEE FOR THE ESTABLISHEMENT OF SALARY RANGES AND SALARIES FOR THE CHIEF FINANCIAL OFFICER AND CHIEF OPERATING OFFICER OF THE ORGANIZATION WITH FINAL APPROVAL FROM THE FSCSC BOARD OF DIRECTORS. THE VICE PRESIDENT OF HUMAN RESOURCES IS RESPONSIBLE FOR MAKING RECOMMENDATIONS AND ESTABLISHING COMPENSATION RANGES FOR THE POSITIONS OF VICE PRESIDENT OF MINISTRY DEVELOPMENT; VICE PRESIDENT OF HUMAN RESOURCES; VICE PRESIDENT OF MISSION INEGRATION AND PASTORAL CARE AND VICE PRESIDENT OF CLINICAL SERVICES, WITH THE APPROVAL OF THE CHIEF EXECUTIVE OFFICER AND PRESIDENT. FSCSC'S VICE PRESIDENT OF HUMAN RESOURCES HAS THE RESPONSIBILITY TO ESTABLISH COMPENSATION RECOMMENDATIONS FOR THE ORGANIZATION'S OTHER KEY EMPLOYEES. THE PROCESS FOR DETERMINING THE APPROPRIATE COMPENSATION OF EACH POSITION INCLUDES: 1. HUMAN RESOURCE DEPARTMENT OBTAINS AND ANALYZES COMPARABLE COMPENSATION DATA FOR SIMILAR PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS IN SIMILAR ORGANIZATIONS. THE PROCESS OF OBTAINING COMPARABLE COMPENSATION DATA WAS LAST PERFORMED IN 2010. 2. CHIEF EXECUTIVE OFFICER AND PRESIDENT REVIEWS AND MAKES FINAL APPROVAL OF COMPENSATION RANGES AND SALARIES. 3. APPROVED COMPENSATION IS SHARED WITH THE EXECUTIVE COMPENSATION COMMITTEE. 4. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC IN ACCORDANCE WITH APPLICABLE LAWS AND REGULATIONS. |
| Average number of hours devoted per week to related organization | Form 990, Part VII, Section A, Column B | THE FRANCISCAN SISTERS OF CHICAGO SERVICE CORPORATION ("FSCSC") IS THE SOLE CORPORATE MEMBER OF FRANCISCAN COMMUNITIES, INC., UNIVERSITY PLACE, INC., FRANCISCAN COMMUNITIES ST. MARY OF THE WOODS, INC., FRANCISCAN COMMUNITIES VILLA DE SAN ANTONIO,INC., THE CLARE AT WATER TOWER, INC., FRANCISCAN COMMUNITY SERVICES, INC., FRANCISCAN COMMUNITY BENEFIT SERVICES, INC., ST. JUDE HOUSE, INC., ST. JOSEPH SENIOR HOUSING, INC., AND SAMC, INC.. THE PURPOSE OF FSCSC IS TO PROVIDE PROGRAM AND ADMINISTRATIVE SUPPORT FOR ITS AFFILIATES INCLUDING OPERATIONAL OVERSIGHT, FINANCIAL MANAGEMENT, TREASURY MANAGEMENT, INFORMATION TECHNOLOGY, COMPLIANCE, MARKETING, HUMAN RESOURCES, RESIDENT SERVICES, AND CONSTRUCTION AND DEVELOPMENT MANAGEMENT. FSCSC IS THE PAYMASTER FOR THE OFFICERS AND KEY EMPLOYEES THAT PROVIDE THESE SERVICES. THE AVERAGE HOURS PER WEEK IDENTIFIED IN PART VII REFLECT THE TOTAL HOURS SPENT ON ALL AFFILIATES. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -251196; UNRESTRICTED NET ASSET TRANSFER - -20221; |
| Software ID: | 11000230 |
| Software Version: | v2011.1.0 |