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 | |||||
|
Total |
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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.") .. | 20,478,930 | 28,530,467 | 21,776,337 | 27,757,732 | 35,286,618 | 133,830,084 |
| 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 | 20,478,930 | 28,530,467 | 21,776,337 | 27,757,732 | 35,286,618 | 133,830,084 |
| 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. | 133,830,084 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 20,478,930 | 28,530,467 | 21,776,337 | 27,757,732 | 35,286,618 | 133,830,084 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 1,277 | 1,268 | 157 | 1,133 | 807 | 4,642 |
| 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.).. | 407,624 | 197,066 | 15,327,986 | 281,771 | 174,861 | 16,389,308 |
| 11 | Total support. Add lines 7 through 10 | 150,913,051 | |||||
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) |
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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 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. |
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| 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) |
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| 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 |
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| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS INCOME - 2020 AMOUNT: $ 407,624. 2021 AMOUNT: $ 197,066. 2022 AMOUNT: $ 15,327,986. 2023 AMOUNT: $ 281,771. 2024 AMOUNT: $ 174,861. |
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| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THERE ARE 5 MEMBERS WHO HAVE ULTIMATE AUTHORITY OVER THE ORGANIZATION. THESE MEMBERS MUST BELONG TO THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA, A RELIGIOUS ORGANIZATION OF THE CATHOLIC CHURCH. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE 5 MEMBERS OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD, PROVINCE OF THE GOOD SHEPHERD IN NORTH AMERICA HAVE THE ULTIMATE AUTHORITY TO APPOINT THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING POWERS ARE SPECIFICALLY RESERVED TO THE MEMBERS ACTING IN ACCORDANCE WITH THE GENERAL STATUES OF THE HOSPITALLER ORDER OF ST. JOHN OF GOD, AND ANY PROVISION IN THE ARTICLES OF INCORPORATION OR IN THE BYLAWS OF THE CORPORATION THAT ARE IN CONFLICT SHALL BE SUPERSEDED: A) THE MEMBERS RESERVE TO THEMSELVES THE ARTICULATION OF AND MEDIATION OF THE OPERATING PHILOSOPHY AND MISSION STATEMENT THAT UNDERLIE THE CHARITABLE MINISTRY OF CAMILLUS HOUSE. INCLUDED WITHIN THIS RESERVED POWER SHALL BE ALL DECISION REGARDING MAJOR POLICY CHANGES AND LONG RANGE PLANNING. B) CORPORATE PROPERTY MAY NOT BE LEASED, SOLD, MORTGAGED; PLEDGED, CONVEYED, ENCUMBERED, OR OTHERWISE DISPOSED OF BEYOND WHAT IS STATED IN THE BYLAWS WITHOUT EXPRESS WRITTEN APPROVAL OF THE MEMBERS. C) THE CORPORATION SHALL NOT BE MERGED, CONSOLIDATED, OR DISSOLVED WITHOUT THE EXPRESS WRITTEN APPROVAL OF THE MEMBERS. D) THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION SHALL NOT BE ALTERED, REVISED, OR AMENDED WITHOUT EXPRESS WRITTEN APPROVAL OF THE MEMBERS. E) THE MEMBERS MAY REMOVE ANY DIRECTOR AY ANY TIME FOR AN REASON WHICH THE MEMBERSHIP, IN ITS SOLE DISCRETION, DEEMS TO BE IN THE BEST INTEREST OF THE CORPORATION. F) THE MEMBERS SHALL APPROVE, IN WRITING, THE APPOINTMENT AND REMOVAL OF THE PRESIDENT/CEO OF THE CORPORATION. G) THE MEMBERS SHALL APPROVE THE APPOINTMENT AND REMOVAL OF THE LEGAL COUNSEL OF THE CORPORATION AND THE OUTSIDE AUDITOR. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING THE FORM 990 IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER AND FINANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ESTABLISHES THE FRAMEWORK WITHIN WHICH CAMILLUS HOUSE WISHES THE BUSINESS TO OPERATE. BOARD MEMBERS ARE EXPECTED TO VOTE AND TAKE ACTION IN ACCORDANCE WITH THEIR DUTIES OF DUE DILIGENCE, REASONABLE INQUIRY, AND TO ACT ON THEIR REASONABLE SUSPICIONS. AS PART OF THESE GENERAL DUTIES, A BOARD MEMBER IS OBLIGATED TO DISCLOSE ANY CONFLICT OF INTEREST. A DIRECTOR IS EXPECTED TO ACT IN THE CORPORATION'S INTERESTS WHENEVER HIS OR HER PERSONAL OR PROFESSIONAL INTEREST, OR THE INTERESTS OF ANY OTHER ORGANIZATION WITH WHOM HE OR SHE IS AFFILIATED, AND THOSE OF THE CORPORATION ARE IN CONFLICT. ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF A DIRECTOR SHALL BE DISCLOSED TO THE BOARD. ANY ACTION THAT CONSTITUTES AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST BETWEEN THIS CORPORATION AND ANY OF ITS DIRECTORS OR OFFICERS IS ALSO AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST BETWEEN THIS CORPORATION AND ANY IMMEDIATE FAMILY MEMBER OF THAT DIRECTOR OR OFFICER. COMMON OR INTERESTED DIRECTORS MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF WHICH AUTHORIZES, APPROVES, OR RATIFIES THE TRANSACTION DESCRIBED HEREIN; HOWEVER, SUCH INTERESTED DIRECTORS OR COMMITTEE MEMBERS SHALL DECLARE THE CONFLICT OF INTEREST AND ABSTAIN FROM ANY VOTES THAT APPLY TO THE CONFLICT OF INTEREST. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER, AND ANSWER PERTINENT QUESTIONS OF BOARD MEMBERS. MINUTES OF THE MEETING SHALL REFLECT ANY CONFLICTS OF INTEREST THAT ARE DECLARED. IN THE EVENT THAT A MEMBER DECLARES A POTENTIAL CONFLICT OF INTEREST AND EITHER IS UNSURE AS TO WHETHER A CONFLICT OF INTEREST ACTUALLY EXISTS OR, ALTERNATIVELY, BELIEVES THAT THE NATURE OF THE FINANCIAL INTEREST IS NOT SUBSTANTIAL AND, THEREFORE, DOES NOT REQUIRE ABSTENTION FROM VOTE, THEN AND IN SUCH EVENT THE PRESIDING CHAIR OF THE MEETING OF THE BOARD SHALL MAKE A DETERMINATION AS TO WHETHER OR NOT THE SUBJECT MEMBER SHOULD BE PERMITTED TO VOTE ON THE MATTER BEFORE THE BOARD. ANY BOARD MEMBER MAY REQUEST AND MOVE FOR A VOTE BY THE BOARD MEMBERS THEN PRESENT ON ANY DECISION MADE BY EITHER AN INDIVIDUAL BOARD MEMBER WITH POTENTIAL CONFLICT OF INTEREST OR BY THE PRESIDING CHAIR. A MAJORITY VOTE BY THE MEMBERS THEN PRESENT (ASSUMING A QUORUM) IS AUTHORIZED TO OVERRULE THE DECISION OF THE PRESIDING CHAIR. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND EMPLOYEES INCLUDES COMPARABILITY DATA AND APPROVAL BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER FROM AFFILIATE 2,294,214. |
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