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.") .. | ||||||
| 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) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (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) 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.") . | 346,174 | 346,174 | ||||
| 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 | 11,796,400 | 13,360,743 | 13,952,033 | 15,673,597 | 14,795,998 | 69,578,771 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 104,989 | 350,597 | 26 | 455,612 | ||
| 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 | 11,901,389 | 13,711,340 | 13,952,059 | 15,673,597 | 15,142,172 | 70,380,557 |
| 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.) | 70,380,557 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 11,901,389 | 13,711,340 | 13,952,059 | 15,673,597 | 15,142,172 | 70,380,557 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 7,089 | 9,015 | 10,069 | 17,160 | 83,903 | 127,236 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 7,089 | 9,015 | 10,069 | 17,160 | 83,903 | 127,236 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 256,012 | 256,012 | ||||
| 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.).. | 11,908,478 | 13,720,355 | 13,962,128 | 15,946,769 | 15,226,075 | 70,763,805 |
| 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, PAGE 2, PART III, LINE 4A | CATHOLIC HEALTH SERVICES ("CHS") WAS FORMED IN 1986 TO PLAN, DEVELOP, MANAGE AND COORDINATE THE NEW AND EXISTING NOT-FOR-PROFIT HEALTH CARE RELATED FACILITIES OF THE ARCHDIOCESE OF MIAMI. OVER THE YEARS ITS OVERSIGHT HAS EXPANDED TO INCLUDE LOW INCOME HOUSING FOR SENIORS, AN EARLY CHILDHOOD EDUCATION PROVIDER AND THE CATHOLIC CEMETERIES ALSO SPONSORED BY THE ARCHDIOCESE OF MIAMI. ALL ENTITIES ARE EXEMPT UNDER SECTION 501(C)(3) AND SERVE ALL FAITHS WITHIN THEIR GEOGRAPHIC AREA. THE CATHOLIC HEALTH SERVICES SYSTEM INCLUDES 4 SKILLED NURSING AND LONG-TERM CARE FACILITIES WITH A TOTAL OF 633 LICENSED BEDS. THESE FACILITIES SERVED 4,154 PATIENTS IN FISCAL 2019. THREE SPECIALTY REHABILITATION HOSPITALS WITH A TOTAL OF 88 LICENSED BEDS SERVED 1,262 INPATIENTS IN FISCAL 2019, AND AN ADDITIONAL 1,198 INDIVIDUALS RECEIVED SERVICES IN THE HOSPITALS' OUTPATIENT CLINICS. TWO ASSISTED LIVING FACILITIES WITH A TOTAL OF 121 LICENSED BEDS SERVED 122 INDIVIDUALS DURING THE YEAR. 1,083 CLIENTS RECEIVED HOME HEALTH SERVICES FROM THE SYSTEM'S TWO HOME HEALTH AGENCIES. CATHOLIC HOSPICE SERVED 3,071 PATIENTS IN THEIR HOMES, HEALTHCARE FACILITIES AND IN THE AGENCY'S 3 INPATIENT UNITS. CATHOLIC HOUSING MANAGEMENT, A PROGRAM SERVICE OF CHS, OVERSEES OVER 2,300 APARTMENTS IN 17 HUD HOUSING COMMUNITIES FOR LOW INCOME SENIORS IN BROWARD AND MIAMI-DADE COUNTIES. IN FISCAL 2019, 2,702 RESIDENTS OF ALL FAITHS BENEFITED FROM THIS SAFE AND AFFORDABLE HOUSING. CENTRO MATER'S FIVE CHILD CARE CENTERS SERVED 2,197 CHILDREN AND THEIR FAMILIES IN FISCAL 2019, PROVIDING EARLY LEARNING SERVICES FUNDED THROUGH FEDERAL AND LOCAL GOVERNMENT SOURCES AND PRIVATE AGENCIES. COMMUNITY BENEFIT IS PROVIDED IN VARIOUS FORMS. THE HEALTHCARE ENTITIES DEVOTE SUBSTANTIAL EFFORTS AND RESOURCES TO PROVIDING HEALTH SERVICES TO PEOPLE IN THEIR COMMUNITIES WHO NEED CARE BUT CANNOT AFFORD IT. BENEFITS TO THE POOR ARE PROVIDED TO PERSONS WHO ARE ECONOMICALLY POOR OR ARE MEDICALLY INDIGENT AND CANNOT AFFORD TO PAY BECAUSE THEY HAVE INADEQUATE RESOURCES AND/OR ARE UNINSURED OR UNDERINSURED. CHARITY CARE IS PROVIDED TO THOSE WHO ARE FINANCIALLY UNABLE TO PAY AND WHO ARE UNABLE TO ACCESS FEDERAL OR STATE ENTITLEMENT PROGRAMS. THE FACILITIES DO NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND DO NOT REPORT SUCH AMOUNTS AS NET PATIENT SERVICE REVENUE. QUALIFICATION FOR CHARITY CARE AND FINANCIAL ASSISTANCE IS DETERMINED USING FEDERAL POVERTY GUIDELINES. COST INCURRED IN EXCESS OF NORMAL INPATIENT AND RESIDENT REIMBURSEMENT RATES RECEIVED ARE BASED ON COST-TO-CHARGE RATIO METHODOLOGY. IN FISCAL 2019 "TOTAL UNCOMPENSATED AND CHARITY CARE" TOTALED APPROXIMATELY 3,700,000 AND MADE UP 30% OF THE TOTAL CHS COMMUNITY BENEFIT. AT 6,800,000, "ELDERLY HOUSING RENTAL SUBSIDY" ACCOUNTS FOR 48% OF THE COMMUNITY BENEFIT BREAKDOWN AS THE TENANT SHARE OF MONTHLY RENT AVERAGES ONLY 233 THROUGHOUT THESE PROPERTIES. DONATIONS TO THE ARCHDIOCESE OF MIAMI AND OTHER LOCAL NON- PROFIT PROGRAMS TO BENEFIT THE POOR AND ASSISTING ORGANIZATIONS IN FUNDRAISING EFFORTS FOR MEDICAL RESEARCH TOTAL APPROXIMATELY 1,300,000 AND COMPRISE 10% OF THE TOTAL COMMUNITY BENEFIT. APPROXIMATELY 1,300,000 OF COMMUNITY BENEFIT IS PROVIDED THROUGH "HEALTH PROFESSIONS EDUCATION" THROUGH INTERNSHIP PROGRAMS AND STUDENT ROTATIONS IN GERIATRIC MEDICINE, THERAPIES, AND NURSING. IN ADDITION, CATHOLIC HEALTH SERVICES FACILITIES, THROUGH THEIR PARTICIPATION IN HEALTH FAIRS AND COMMUNITY SPONSORED EVENTS, PROVIDE COMMUNITY HEALTH EDUCATION AND HEALTH SUPPORT SERVICES TO THOSE WHO WOULD OTHERWISE NOT HAVE THE BENEFIT OF THESE SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE SOLE MEMBER, IS THE ARCHBISHOP OF THE ARCHDIOCESE OF MIAMI AND HIS SUCCESSORS IN OFFICE, HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE ORGANIZATION'S BYLAWS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE SOLE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS AND TO DETERMINE ANY MATTER WHICH MAY BE PROPERLY BROUGHT BEFORE THE MEMBERS FOR ACTION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE DIRECTOR OF FINANCE AND CFO CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. FORM 990 IS PROVIDED TO MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE THE RETURN IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL EMPLOYEES AND DIRECTORS ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ARE PROVIDED WITH THE POLICY UPON HIRE. THE POLICY IS REVIEWED ANNUALLY BY THE CORPORATE COMPLIANCE OFFICER, WHO ALSO DETERMINES WHETHER A CONFLICT MAY EXIST. PER POLICY, EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. IF A CONFLICT OF INTEREST OCCURS, IT IS INVESTIGATED AND THE RESULTS ARE REPORTED TO THE GOVERNING BODY. LEGAL AND DISCIPLINARY ACTION AND RESTRICTIONS ARE IDENFIFIED ON AN INDIVIDUAL BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS DETERMINES THE COMPENSATION AND BENEFITS OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE BOARD OF DIRECTORS IS INDEPENDENT WITH RESPECT TO COMPENSATION AND BENEFITS. TOTAL COMPENSATION ANALYSIS IS CONDUCTED BY AN INDEPENDENT CONSULTANT WHO PROVIDES DATA TO COMPARE COMPENSATION AND BENEFITS FOR SIMILAR POSITIONS WITHIN THE INDUSTRY. COMPENSATION AND BENEFIT CHANGES FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS ARE DISCUSSED IN THE BOARD MEETINS AND ARE PROPERLY DOCUMENTED IN THE MINUTES. FORM 990, PART VII, LINE 1A: AVERAGE HOURS PER WEEK FOR OFFICERS ARE PAID BY THE TAXPAYER AND INCLUDE HOURS WORKED FOR RELATED ORGANIZATIONS AS FOLLOWS: JAMES A. BALL - 36.1 HOURS JOSEPH M. CATANIA - 36.5 HOURS DAVID D'AMICO - 36.8 HOURS MARK REINER - 39.0 HOURS ARISTIDES PALLIN - 36.1 |
| FORM 990, PAGE 6, PART VI, LINE 15B | . |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | INTERCO FEE INC/EXP 164,928 BOOKKEEPING SERVICE REIMBURSEMENT -88,318 INSURANCE PROCEEDS -11,222 INTERCO FEE INC/EXP 0 BOOKKEEPING SERVICE REIMBURSEMENT 88,318 INSURANCE PROCEEDS 11,222 CHANGE IN BENE INT-CHS FOUND 0 EQUITY IN EARNINGS FROM UNCON. SUB 0 TRANSFERS FROM AFFILIATE 0 ROUNDING -3 TOTAL 164,925 |
| Software ID: | |
| Software Version: |