Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and 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 | |||||
| (A)
SAINT FRANCIS HOSPITAL INC |
730700090 | 3 | Yes | 0 | 0 | |
|
Total 1
|
0 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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 on 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 24020961 |
| Software Version: | 2024v5.1 |
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 1a VOTING MEMBERS OF THE GOVERNING BODY | THE ORGANIZATION DELEGATES ITS GOVERNANCE TO THE SAINT FRANCIS HEALTH SYSTEM, INC. BOARD OF DIRECTORS. ALL SAINTS HOME MEDICAL LLC BOARD OF DIRECTORS IS COMPRISED OF 9 DIRECTORS, 7 OF WHICH ARE INDEPENDENT. ALL SAINTS HOME MEDICAL LLC ALSO HAS A BOARD OF TRUSTEES. EITHER THE BOARD OF DIRECTORS AND A MAJORITY OF THE TRUSTEES OR UNANIMOUS TRUSTEE APPROVAL IS REQUIRED FOR THE SALE OF CORPORATE ASSETS VALUED AT $10,000,000 OR MORE. ADDITIONALLY, THE TRUSTEES HAVE SOLE AUTHORITY TO: - AMEND THE CERTIFICATE OF INCORPORATION - APPROVE MERGERS OR CONSOLIDATIONS - APPROVE THE SALE, LEASE OR TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION - AMEND THE BYLAWS - APPOINT BOARD MEMBERS - APPROVE DISSOLUTION OR REVOCATION OF DISSOLUTION OF THE CORPORATION |
| Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS ARE NOT COMPENSATED AND SERVE VOLUNTARILY. THE SOLE MEMBER, SAINT FRANCIS HEALTH SYSTEM, INC. ANNUALLY REVIEWS COMPENSATION THROUGH A COMPENSATION COMMITTEE WITH GUIDANCE FROM INDEPENDENT CONSULTANTS AND USE OF COMPARATIVE DATA. COMPENSATION PAID TO THE OFFICERS AND SENIOR LEVEL MANAGEMENT THROUGH RELATED ENTITIES IS REVIEWED through the ultimate Parent, Saint Francis Health System. |
| Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES | THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES ARE NOT COMPENSATED AND SERVE VOLUNTARILY. THE SOLE MEMBER, SAINT FRANCIS HEALTH SYSTEM, INC., ANNUALLY REVIEWS COMPENSATION THROUGH A COMPENSATION COMMITTEE WITH GUIDANCE FROM INDEPENDENT CONSULTANTS AND USE OF COMPARATIVE DATA.COMPENSATION PAID TO THE OFFICERS AND SENIOR LEVEL MANAGEMENT THROUGH RELATED ENTITIES IS REVIEWED through the ultimate Parent, Saint Francis Health System. |
| Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS | Many of the persons listed on Part VII have a "business relationship" with each other by virtue of serving on related System entity boards and other corporation boards. There are also family relationships requiring disclosures. The organization has determined these associations do not present a conflict of interest. Cliff A. Robertson, M.D, an officer and director, served on a board outside of Saint Francis Health System, Inc. William K. Warren, Jr., a trustee, is the father of John Kelly C. Warren, a director and chairman of the board, and has a family relationship. William R. Lissau, a director, has business relationships with William K. Warren Jr., a trustee, and John Kelly C. Warren, a director and chairman of the board. William R. Lissau, a director, is the father of Michael Lissau, an officer, and has a family relationship. Bishop David Konderla, a trustee, serves on other boards outside of Saint Francis Health System, Inc. with William R. Lissau, a director. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | St. Francis Hospital is the sole corporate member of All Saints Home Medical LLC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | SAINT FRANCIS HEALTH SYSTEM, INC. THE ULTIMATE PARENT OF ALL SAINTS HOME MEDICAL LLC, APPOINTS THE MANAGERS. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | EITHER THE BOARD OF DIRECTORS AND A MAJORITY OF THE TRUSTEES OR UNANIMOUS TRUSTEE APPROVAL IS REQUIRED FOR THE SALE OF COPRORATE ASSETS VALUED AT $10,000,000 OR MORE. ADDITIONALLY, THE TRUSTEES HAVE SOLE AUTHORITY TO: -AMEND THE CERTIFICATE OF INCORPORATION -APPROVE MERGERS OR CONSOLIDATIONS -APPROVE THE SALE, LEASE OR TRANSFER OF ALL, OR SUBSTANTIALLY ALL, OF THE ASSETS OF THE CORPORATION -AMEND THE BYLAWS -APPOINT BOARD MEMBERS -APPROVE DISSOLUTION OR REVOCATION OF DISSOLUTION OF THE CORPORATION. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FINANCE COMMITTEE, A SUB COMMITTEE OF THE SAINT FRANCIS HEALTH SYSTEM, INC. BOARD OF DIRECTORS, HAS ACCESS TO REVIEW THE PASSWORD PROTECTED FORM 990 ONLINE PRIOR TO FILING THE FORM WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | A REQUEST FOR INFORMATION ON POTENTIAL CONFLICTS IS SOLICITED ANNUALLY FROM DIRECTORS, TRUSTEES AND ALL EMPLOYEES THAT ARE MANAGER LEVEL AND ABOVE TO MONITOR PROPOSED OR ONGOING TRANSACTIONS FOR CONFLICTS OF INTEREST AND DEALING WITH POTENTIAL OR ACTUAL CONFLICTS. THE DIRECTOR, TRUSTEES AND OFFICER/DIRECTOR WITH POTENTIAL CONFLICTS RECUSE THEMSELVES FROM EVENTS THAT WOULD RESULT IN A CONFLICT. CONFLICTS ARE REGULARLY DISCLOSED AND ADDRESSED. |
| Form 990, Part VI, Line 19 Required documents available to the public | THESE REQUESTS ARE DETERMINED ON A CASE-BY-CASE BASIS. |
| Form 990, Part VII, Section A, Line 1a OFFICER & DIRECTOR HOURS | THE HOURS PER WEEK REPORTED ON FORM 990, PART VII FOR OFFICERS AND DIRECTORS ARE THE HOURS SPENT ON THE FILING ENTITY ONLY. THE REMAINING PORTION OF THE 40 HOURS PER WEEK OF THE OFFICERS AND DIRECTORS WITH RELATED COMPENSATION IS ALLOCATED AMONG THE ENTITIES REPORTED ON SCHEDULE R. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | NET EQUITY TRANSFERS SETTLING INTERCOMPANY PAYABLES AND RECEIVABLES WITHIN SFHS - -583802; Total - -583802; |
| Software ID: | 24020961 |
| Software Version: | 2024v5.1 |