Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 4,373,641 | 4,644,215 | 4,690,473 | 4,242,620 | 3,424,543 | 21,375,492 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 4,373,641 | 4,644,215 | 4,690,473 | 4,242,620 | 3,424,543 | 21,375,492 |
| 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).. | 7,313,643 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 14,061,849 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 4,373,641 | 4,644,215 | 4,690,473 | 4,242,620 | 3,424,543 | 21,375,492 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 24,202 | 485 | 29,003 | 18,871 | 1,809 | 74,370 |
| 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.).. | 9,797 | 60,676 | 384 | 25,475 | 9,798 | 106,130 |
| 11 | Total support. Add lines 7 through 10 | 21,617,455 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) |
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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) |
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| 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): |
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| 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 | ||||
| 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 2018 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-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1 | ORGANIZATION'S MISSION: OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS. |
| FORM 990, PART III, LINE 4A | PROGRAM SERVICE ACTIVITY #1: THERE ARE APPROXIMATELY 11,000 CHILDREN AGE FIVE AND UNDER IN THE SCHOOL DISTRICTS IN THE DEPAUL CHILDREN'S CENTER AREA: SOUTH SAN ANTONIO HARLANDALE ISD. THE MOST RECENT HEAD START COMMUNITY ESTIMATES THAT ABOUT 28% OF THEM ATTEND CHILDCARE. THE DAUGHTERS PROVIDE CHILD DEVELOPMENT FOR APPROXIMATELY 300 CHILDREN WITH OVER 75,658 CHILD CARE DAYS. |
| FORM 990, PART III, LINE 4B | PROGRAM SERVICE ACTIVITY #2: COLLECTIVELY, OUR CENTERS PROVIDE PRIMARY MEDICAL CARE, DENTAL CARE, SOCIAL SERVICES, WELLNESS SERVICES, COUNSELING, CHILD DEVELOPMENT AND AFTER-SCHOOL CARE TO OVER 12,000 INDIVIDUALS ANNUALLY. DCSSA'S SERVICES ARE PROVIDED ON A CO-PAY AND/OR SLIDING SCALE FEE, BASED ON A FAMILY'S INCOME AND HOUSEHOLD SIZE. HOWEVER, EMERGENCY SOCIAL SERVICES (FOOD PANTRY, FINANCIAL CRISIS, CLOTHING, UTILITY ASSISTANCE, ETC.) ARE PROVIDED AT NO COST. OUR PROGRAMS HAVE A STRONG HOLISTIC ORIENTATION, WITH PARTICIPATION AND EMPOWERMENT AS INTEGRAL DIMENSIONS OF WHAT WE DO. IN 2018, CLIENT VISITS WERE 12,200 AND SOCIAL SERVICE AND WELLNESS ENCOUNTERS WERE 17,000, ALL AT NO COST TO CLIENTS. TARGET POPULATION -- OUR TARGET POPULATION IS TYPICALLY COMPRISED OF HISPANICS, SINGLE MOTHERS, THE ELDERLY, POOR AND WORKING POOR RESIDENTS OF SOUTH SAN ANTONIO. OF THOSE CLIENTS WHO SEEK OUR SOCIAL SERVICES, 73% ARE FEMALE, 27% ARE MALE. TWENTY PERCENT OF THOSE SERVED ARE BETWEEN ZERO AND 20 YEARS OLD, 63% ARE BETWEEN 21 AND 54 YEARS OLD, AND 17% ARE 55 OR OLDER. EIGHTY-FIVE PERCENT OF THE CLIENTS WE SERVE FALL AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL. TARGET GEOGRAPHIC AREA -- PRIMARY GEOGRAPHIC AREA (ZIP CODES) INCLUDE: 78211, 78224, 78221, 78214, 78242, 78221, 78214, AND 78264. IN ADDITION, CLIENTS REFERRED BY SCHOOL PERSONNEL AND/OR OTHER COLLABORATIVE PARTNERS IN THE COMMUNITY ARE ALSO SERVED. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS OF THE ORGANIZATION: ASCENSION HEALTH, OUR CORPORATE SPONSOR IS THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO APPOINT OR ELECT MEMBERS: THE ORGANIZATION HAS ONE MEMBER, ASCENSION HEALTH, WHO HAS SOLE AUTHORITY ELECTING THE MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS SUBJECT TO APPROVAL BY MEMBERS: THE BYLAWS STATE THAT THE BOARD OF TRUSTEES OF THE CORPORATION SHALL NOT TAKE ACTION ON THE FOLLOWING LIST OF ITEMS WITHOUT THE APPROVAL OF THE MEMBER: 4.2-A APPROVE THE FORMATION OR ACQUISITION OF LEGAL ENTITIES FOR WHICH ASCENSION HEALTH WILL SERVE AS THE SOLE OR CONTROLLING ENTITY AND, SUBJECT TO CANONICAL REQUIREMENTS, APPROVE THE SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR THE DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP OR CORPORATE REORGANIZATION OF THE CORPORATION. 4.2-B APPROVE REQUIREMENTS OF, AND APPROVE CHANGES TO, THE GOVERNING DOCUMENTS OF THE CORPORATION AND ITS SUBSIDIARY ORGANIZATIONS, IF THE CHANGES ARE INCONSISTENT WITH THE SYSTEM REQUIREMENTS FOR GOVERNING DOCUMENTS. 4.2-C APPOINT, UPON THE RECOMMENDATION OF THE BOARD OF THE CORPORATION, OR REMOVE, WITH OR WITHOUT CAUSE, THE MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION. 4.2-D APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR OF THE BOARD OF THE CORPORATION, IN CONSULTATION WITH THE MEMBER WITH CANONICAL JURISDICTION. 4.2-E APPROVE THE TRANSFER OF ASSETS AND THE REALLOCATION OF DEBT AMONG THE CORPORATION AND OTHER HEALTH MINISTRIES IN ACCORDANCE WITH SYSTEM POLICIES, IN CONSULTATION WITH THE CORPORATION'S BOARD. 4.2-F APPROVE THE TRANSFER OR ENCUMBRANCE OF TAX EXEMPT FINANCED ASSETS OF THE CORPORATION, AND ITS SUBSIDIARY ORGANIZATIONS IN ACCORDANCE WITH SYSTEM POLICIES. 4.2-G APPROVE THE INCURRENCE OF DEBT OF THE CORPORATION IN ACCORDANCE WITH SYSTEM POLICIES. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990: DCSSA USES BKD TEMPLATE FOR PREPARATION OF 990, BKD COMPILES THE INFORMATION AND FORWARDS TO DCSSA INTERIM CFO FOR REVIEW. AFTER DCSSA'S INTERIM CFO REVIEW, IT GOES TO THE BOARD OF DIRECTORS FOR FINAL REVIEW. THE 990 IS SENT OUT TO ALL BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE WITH CONFLICT OF INTEREST POLICY: CONFLICT OF INTEREST DISCLAIMERS ARE COMPLETED BY SENIOR LEADERSHIP STAFF AND BOARD MEMBERS ANNUALLY IN THE OCTOBER BOARD MEETING. IF THERE APPEARS TO BE A CONFLICT, STATEMENTS ARE FORWARDED TO ASCENSION FOR FURTHER REVIEW. IF THERE IS A CONFLICT, THE BOARD MEMBER WILL BE EXCLUDED FROM VOTING IN THAT PARTICULAR BUSINESS TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | REVIEW OF CEO/TOP MANAGEMENT OFFICIAL COMPENSATION: A REVIEW IS DONE BY THE ENTIRE BOARD OF DIRECTORS IN EXECUTIVE SESSION AFTER THE AUDITED FINANCIAL STATEMENTS ARE PRESENTED. A COMPENSATION REVIEW IS DONE ANNUALLY BY AN INDEPENDENT CONSULTANT. THE REVIEW IS DOCUMENTED IN THE MEETING MINUTES OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15B | REVIEW OF OTHER OFFICER OFFICIAL COMPENSATION: DIRECTORS' SALARIES ARE REVIEWED BY IMMEDIATE SUPERVISORS AND A FINAL REVIEW AND APPROVED BY THE CEO. ALL EVALUATIONS BASED ON ESTABLISHED GOALS IN THE PRECEDING YEAR. THE ANNUAL WERLING REPORT FOR NOT-FOR-PROFITS SURVEY IS ALSO USED. A COMPENSATION REVIEW IS DONE ANUALLY BY AN INDEPENDENT CONSULTANT. THE REVIEW IS DOCUMENTED IN THE MEETING MINUTES OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: -$167,586 PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1044235 |
| Software ID: | |
| Software Version: |