Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 137,234 | 250,459 | 230,881 | 241,018 | 83,610 | 943,202 |
| 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...... | 26,705,725 | 27,561,119 | 26,302,626 | 25,741,007 | 26,371,107 | 132,681,584 |
| 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. | 26,842,959 | 27,811,578 | 26,533,507 | 25,982,025 | 26,454,717 | 133,624,786 |
| 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 | |||||
| 8 | Public support (Subtract line 7c from line 6.) | 133,624,786 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 26,842,959 | 27,811,578 | 26,533,507 | 25,982,025 | 26,454,717 | 133,624,786 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 154,764 | 74,471 | 52,901 | 41,638 | 19,061 | 342,835 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 154,764 | 74,471 | 52,901 | 41,638 | 19,061 | 342,835 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 15,177 | 23,836 | 39,013 | |||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 239,160 | 299,262 | 300,612 | 276,499 | 245,579 | 1,361,112 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 27,236,883 | 28,185,311 | 26,887,020 | 26,315,339 | 26,743,193 | 135,367,746 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS - 2010 AMOUNT: $ 2,410. 2011 AMOUNT: $ 29,567. 2012 AMOUNT: $ 4,769. 2013 AMOUNT: $ 24,214. 2014 AMOUNT: $ 25,598. CAFETERIA INCOME - 2010 AMOUNT: $ 113,870. 2011 AMOUNT: $ 125,154. 2012 AMOUNT: $ 114,107. 2013 AMOUNT: $ 105,688. 2014 AMOUNT: $ 103,951. COMMISSIONS DISCOUNTS - 2010 AMOUNT: $ 30,231. 2012 AMOUNT: $ 28,762. 2013 AMOUNT: $ 31,195. 2014 AMOUNT: $ 27,827. INCOME FROM GIFT SHOPS BEAUTY PARLOR - 2010 AMOUNT: $ 8,475. 2011 AMOUNT: $ 9,241. 2012 AMOUNT: $ 11,405. 2013 AMOUNT: $ 10,591. 2014 AMOUNT: $ 10,972. CARMELITE SISTERS REMIBURSEMENT - 2010 AMOUNT: $ 61,794. 2011 AMOUNT: $ 64,338. 2012 AMOUNT: $ 54,018. 2013 AMOUNT: $ 49,008. 2014 AMOUNT: $ 37,260. REBATES - 2011 AMOUNT: $ 26,790. 2012 AMOUNT: $ 44,175. 2013 AMOUNT: $ 14,947. 2014 AMOUNT: $ 4,345. EMPLOYEE PARKING FEES - 2010 AMOUNT: $ 22,380. 2011 AMOUNT: $ 44,172. 2012 AMOUNT: $ 43,376. 2013 AMOUNT: $ 40,856. 2014 AMOUNT: $ 35,626. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION AMENDED ITS BYLAWS NAMING THE CARMELITE SYSTEM, INC. AS THE MEMBER AND THE CARMELITE SISTERS FOR THE AGED AND INFIRM AS THE SPONSOR. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS THE CARMELITE SYSTEM, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BOARD OF DIRECTORS OF ST. PATRICK'S HOME FOR THE AGED AND INFIRM SHALL BE ELECTED BY THE MEMBER AT EACH ANNUAL MEETING OF THE CORPORATION BY MAJORITY VOTE. THE MEMEBER CAN ALSO SERVE ON THE BOARD OF DIRECTORS AS MEMBER-DIRECTORS. ALL STANDARDS APPLICABLE TO DIRECTORS IN THE BY-LAWS SHALL ALSO APPLY TO MEMBER-DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE CORPORATE MEMBER RETAIN THE RIGHT TO APPOINT OR REMOVE MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FACILITY HAS ITS FORM 990 REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. UPON COMPLETION OF THE FORM, IT IS SUBMITTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. THEREAFTER, THE FINANCE COMMITTEE WILL REPORT TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED QUARTERLY MEETING, AT WHICH TIME EACH BOARD MEMBER WILL RECEIVE A COPY OF THE FORM 990. ALL NECESSARY COMMENTS AND CHANGES WILL BE RECORDED TO ENSURE A COMPLETE AND ACCURATE FORM 990 IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ST. PATRICK'S HOME FOR THE AGED AND INFIRM, INC. IS STRONGLY COMMITTED TO A POLICY OF COMPLIANCE WITH ALL CONFLICT OF INTEREST PROVISIONS UNDER LAW. SUCH COMPLIANCE IS OF CRITICAL IMPORTANCE TO THE NON-PROFIT, CHARITABLE MISSION AND ACTIVITIES OF ST. PATRICK'S HOME. BY FOLLOWING THIS POLICY, ALL BOARD MEMBERS WILL ASSURE THAT THE REPUTATION, GOOD WILL AND MISSION OF ST. PATRICK'S HOME ARE PRESERVED AND MAINTAINED IN GOOD STANDING. REMUNERATION: NO MEMBER OF THE BOARD OF DIRECTORS SHALL RECEIVE REMUNERATION FOR SERVICES RENDERED IN CONNECTION WITH SUCH MEMBER'S RESPONSIBILITIES AS A DIRECTOR OF THIS CORPORATION. EXPENSES INCIDENTAL TO ATTENDANCE AT THE MEETING OF THE BOARD OF DIRECTORS MAY BE PAID TO THE MEMBERS OF THE BOARD WITH BOARD APPROVAL. ANNUAL DISCLOSURE: IN ORDER TO PROPERLY IMPLEMENT THIS POLICY, EACH BOARD MEMBER SHALL SIGN AN ANNUAL DISCLOSURE, SETTING FORTH ALL POTENTIAL AND ACTUAL CONFLICTS OF INTEREST OR INDICATING THAT NO SUCH CONFLICTS EXIST. THIS DISCLOSURE SHALL BE IN THE FORM OF A LETTER DIRECTED TO THE MEMBERS OF THE CORPORATION. ACKNOWLEDGEMENT: BY SIGNING THIS POLICY STATEMENT, THE BOARD MEMBER ACKNOWLEDGES THAT HE OR SHE HAS READ THE STATEMENT, UNDERSTANDS WHAT HIS OR HER RESPONSIBILITIES ARE AS A BOARD MEMBER AND WILL FULLY COMPLY WITH THE REQUIREMENTS SET FORTH ABOVE. IF A CONFLICT WERE TO ARISE, THE INTERESTED PERSON WILL MAKE A PRESENTATION TO THE BOARD REGARDING THE POTENTIAL. THE INTERESTED PERSON WILL THEN LEAVE THE ROOM WHILE THE CONFLICT IS DISCUSSED AND VOTED ON. THE BOARD'S DECISION IS DOCUMENTED IN THE MINUTES TO THE MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15A | A COMPENSATION POLICY WAS DEVELOPED BY THE BOARD TO GOVERN COMPENSATION ARRANGEMENTS BETWEEN THE ORGANIZATION AND COVERED INDIVIDUALS, DEFINED AS THOSE IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION. THE COMPENSATION COMMITTEE CONSISTS OF AT LEAST THREE INDEPENDENT INDIVIDUALS APPOINTED BY THE BOARD, WHO THEMSELVES ARE MEMBERS OF THE BOARD OF DIRECTORS. THE COMMITTEE RECOMMENDS TO THE BOARD THE COMPENSATION FOR COVERED INDIVIDUALS BASED ON RELEVANT DATA INCLUDING COMPARABILITY COMPENSATION FOR SIMILARLY SITUATED ENTITIES AND INDEPENDENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS AS DEEMED NECESSARY. COMPENSATION PAID TO THE ADMINISTRATOR: PLEASE NOTE THAT THE ADMINISTRATOR AS WOMAN RELIGIOUS MEMBER OF THE CARMELITE SISTERS FOR THE AGED AND INFIRM, INC. HAS TAKEN A VOW OF POVERTY AND ARE PROVIDED WITH ZERO (0) COMPENSATION FROM THE FACILITY. ALL COMPENSATION THAT WOULD HAVE BEEN PAID TO THE ADMINISTRATOR ON BEHALF OF SERVICES PROVIDED TO THE FACILITY IS INSTEAD PAID TO THE CARMELITE SISTERS OF THE AGED AND INFIRM, INC. RATHER THAN THE INDIVIDUALS. FOR 2014, THE HOME PAID THE ORDER AN AMOUNT OF $196,123 FOR SERVICES THE ADMINISTRATOR PROVIDED TO THE FACILITY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS; CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND TAX FILINGS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO FILES REPORTS WITH VARIOUS GOVERNMENTAL AGENCIES AS A REQUIREMENT FOR PARTICIPATION IN GOVERNMENT PROGRAMS, WHICH THE AGENCIES MAY MAKE AVAILABLE TO THE PUBLIC. THE ORGANIZATIONS FORM 990 IS AVAILABLE TO THE PUBLIC ON GUIDESTAR'S WEBSITE. |
| FORM 990, PART VII, SECTION A: | SEVEN MEMBERS OF THE BOARD OF DIRECTORS OF ST. PATRICK'S HOME ARE ALSO RELIGIOUS MEMBERS OF THE CARMELITE SISTERS OF THE AGED & INFIRM. THESE SISTERS DEVOTE THEIR ENTIRE LIVES TO THE CHARITABLE WORKS OF THEIR ORDER. |
| FORM 990, PART XI, LINE 9: | PENSION LIABILITY ADJUSTMENT 134,061. |
| FORM 990, PART XII, LINE 2C: | THE CARMELITE SYSTEM, INC. APPROVES THE ENGAGEMENT OF THE INDEPENDENT AUDITORS FOR THE CORPORATION. THE SYSTEM AUDIT COMMITTEE MEETS WITH THE SYSTEM'S MANAGEMENT AND THE INDEPENDENT AUDITORS TO REVIEW THE ENGAGEMENT PROPOSAL, RESULTS OF THE AUDIT, DRAFT AUDIT REPORT AND MANAGEMENT LETTERS. THE AUDIT COMMITTEE MAY MEET WITH THE INDEPENDENT AUDITORS IN EXECUTIVE SESSION BEFORE CONCLUDING ITS REVIEW AND ACCEPTANCE OF THE ANNUAL AUDIT REPORT. THE AUDIT COMMITTEE REPORTS ITS FINDINGS AND MAKES ITS RECOMMENDATION TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 13: | THE HOME HAS A WRITTEN WHISTLEBLOWER POLICY AND PROCEDURE. THE POLICY IS INCORPORATED IN THE HOME'S CORPORATE COMPLIANCE PROGRAM. THE POLICY ALLOWS FOR EMPLOYEES AND OTHER INDIVIDUALS TO REPORT INCIDENTS AND OR ABUSES ANONYMOUSLY TO THE CORPORATE COMPLIANCE OFFICER VIA THE CORPORATE COMPLIANCE HOTLINE OR CORPORATE COMPLIANCE BOXES LOCATED THROUGHOUT THE PREMISES. |
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