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.") . | ||||||
| 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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 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 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 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) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
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 |
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| Return Reference | Explanation |
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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 I, Item C | DBA: HOLY REDEEMER THRIFT STORE DBA: HOLY REDEEMER HOMECARE DBA: HOLY REDEEMER LAFAYETTE DBA: HOLY REDEEMER ST. JOSEPH MANOR DBA: HOLY REDEEMER SUPPORT AT HOME DBA: HOLY REDEEMER MULTICARE SERVICES DBA: HOLY REDEEMER MEDICAL MESSAGING DBA: HOLY REDEEMER HOSPICE |
| Form 990, Part VI, Section A, line 6 | HOLY REDEEMER MINISTRIES, a related organization, is a member with reserve powers. |
| Form 990, Part VI, Section A, line 7a | HOLY REDEEMER MINISTRIES, a related organization, is a member which had the power to elect or appoint one or more members of the governing body. |
| Form 990, Part VI, Section A, line 7b | HOLY REDEEMER MINISTRIES, a related organization, is a member with reserve powers over governance decisions of the organization. |
| Form 990, Part VI, Section B, line 11 | A copy of Form 990 (pdf format) is published in a secure internal website prior to filing. Members and officers of the governing body are notified by email, and each are issued an individual access code to retrieve the Form 990. They are given two weeks to review, question, and comment on the Form 990. |
| Form 990, Part VI, Section B, line 12c | The organization regularly and consistently monitors, and enforces compliance to our conflict of interest policy. All officers, directors, and key employees reviews, acknowledge and sign annually, the organizations Conflict of Interest Policy statement. All are required to disclose annually any interests that could give rise to conflicts. |
| Form 990, Part VI, Section B, line 15 | The 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 Holy Redeemer Health Systems consolidated financial statements are available on DAC Bonds quarterly report. The organization's Form 990, financial statements, 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, providing their addresses and signing the form. All other written requests via mail or email 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. |
| FORM 990, PART VII, SECTION A | All compensation informations to all listed compensated persons in this section, due to "Common Paymaster" agreement with the Internal Revenue Service were reported under the Holy Redeemer Health Systems tax id #23-1534300. |
| FORM 990, PART VII, SECTION B | The Holy Redeemer Health System has a centralized and consolidated accounts payable processing for all related organizations listed in Schedule R. Payments for services and materials rendered to all the related organizations, including Holy Redeemer Health System, were consolidated and reported in Form 1099 to the Internal Revenue Service under the Holy Redeemer Health System tax id #23-1534300. |
| Form 990, Part XI, line 9: | Increase in temporarily restricted assets 327,512. increase in permanently restricted assets 447,015. Fund transfer to Drueding Center for proceeds of Thriftshop sales of -97,827. Correction to suspense account entry 37. |
| 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, and remains the same as in the previous year. |
| Schedule K, Part I, line A, column F | The Series 2014A Bonds were issued to finance the costs of the current refunding of all of the Authority's outstanding Health Care Revenue Bonds, the 1997 Series A (Holy Redeemer Health System) bonds which were originally issued by the Authority to finance and refinance the costs of various capital projects for the benefit of two Pennsylvania non-profit corporations - Holy Redeemer Health System, tax id#23-1534300 ("HRHS"), this filing organization, and HR Physician Services, tax id#23-2696460 ("HRPS")- which are part of an integrated health and social service delivery system. The proceeds from the sale of the Series 2014A Bonds, together with other available funds of the HRHS and HRPS, will be used to: (i) currently refund all of the outstanding Series 1997 Bonds; (ii) fund a deposit to the Debt Service Reserve Fund established under the Bond Indenture in an amount sufficient to satisfy the Reserve Fund Requirement thereunder upon issuance of the Series 2014A Bonds; and (iii) pay certain costs related to the issuance of the Series 2014A Bonds. |
| 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 Physician Services. The amounts reported in Schedule K is the total 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 cost of certain capital improvements to facilities of the borrowers; (2) fund a debt service reserve fund for the series 2006a bonds; (3) to pay certain costs related to the issuance of the series 2006a bonds (collectively, the "series 2006a project"). |
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