efile Public Visual Render
ObjectId: 201801319349301700 - Submission: 2018-05-11
TIN: 47-3697165
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
16
Open to Public Inspection
Name of the organization
StJohn's Hospice
Employer identification number
47-3697165
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
St Gabriel's System
222 North 17th Street
Philadelphia
,
PA
19103
23-1365389
Residential and day Treatment for adolecent boys
PA
501c3
9
NA
No
(2)
St Vincent's Home
222 North 17th Street
Philadelphia
,
PA
19103
23-1381370
SUPPORT ORGANIZATION
PA
501c3
11
NA
No
(3)
Divine Providence Village
222 North 17th Street
Philadelphia
,
PA
19103
23-2313873
Residential services for women
PA
501c3
9
NA
No
(4)
Supportive Indepentent Living
222 North 17th Street
Philadelphia
,
PA
19103
23-3083785
INDEPENDENT LIVING AND ASSIST
PA
501C3
9
NA
No
(5)
St John Neumann Place
222 North 17th Street
Philadelphia
,
PA
19103
81-0666954
HOUSING DEVELOPMENT
PA
501C
9
NA
No
(6)
Catholic Charities Appeal
222 North 17th Street
Philadelphia
,
PA
19103
23-1530528
SUPPORT ORGANIZATION
PA
501C
11
NA
No
(7)
Catholic Clinical Sonsultants
222 North 17th Street
Philadelphia
,
PA
19103
27-1429662
BEHAVIORAL HEALTH SERVICES
PA
501C
9
NA
No
(8)
Friends of Cathedral Basilica
222 North 17th Street
Philadelphia
,
PA
19103
11-1111111
SUPPORT ORGANIZATION
PA
501C
11
NA
No
(9)
World Meeting of Families
222 North 17th Street
Philadelphia
,
PA
19103
46-1237617
SUPPORT ORGANIZATION
PA
501C
11
NA
No
(10)
Nativity BVM Place
222 North 17th Street
Philadelphia
,
PA
19103
27-3583614
SENIOR HOUSING
PA
501C
9
NA
No
(11)
Catholic Community Services
222 North 17th Street
Philadelphia
,
PA
19103
46-3347369
FAMILY SERVICES
PA
501C
9
NA
No
(12)
Catholic Social Services
222 North 17th Street
Philadelphia
,
PA
19103
23-1352063
FAMILY SERVICES
PA
501C
9
NA
No
(13)
DonGuanell Village
222 N17th St
Philadelphia
,
PA
19103
23-1596874
RESIDENTIAL SERVICES FOR MEN
PA
501c 3
9
na
No
(14)
St Joseph's Catholic Home
222 N 17th St
Philadelphia
,
PA
19103
23-1352536
SUPPORT ORGANIZATIO
PA
501c 3
11
na
No
(15)
St Vincents Services
222 N17th St
Philadelphia
,
PA
19103
23-1520309
SUPPORT ORGANIZATION
PA
501c 3
11
na
No
(16)
St Joseph's House for Boys
222 N17th St
Philadelphia
,
PA
19103
23-1352537
SUPPORT ORGANIZATION
PA
501c 3
11
na
No
(17)
St Edmonds for Crippled Childre
222 N17th St
Philadelphia
,
PA
19103
23-1365399
RESIDENTAIL SERVICES FOR CHILDREN3
PA
501c 3
9
na
No
(18)
Catholic Health Care Services
222 N17th St
Philadelphia
,
PA
19103
23-2757180
HEALTH CARE
PA
501c 3
9
na
No
(19)
Katherine Kiernan Truse
222 N17th St
Philadelphia
,
PA
19103
23-6251817
SUPPORT ORGANIZATION
PA
501c 3
11
na
No
(20)
Office of Community Development
222 N17th St
Philadelphia
,
PA
19103
03-0524513
COMMUNITY DEVELOPMENT
PA
501c 3
9
na
No
(21)
Nutritional Development Services
222 N17th St
Philadelphia
,
PA
19103
23-1903647
FOOD PROGRAM FOR CHILDREN
PA
501C 3
9
na
No
(22)
Heritage of Faith
222 N17th St
Philadelphia
,
PA
19103
27-0418606
SUPPORT ORGANIZATION
PA
501c 3
11
na
No
(23)
St John Vianney
222 N17th St
Philadelphia
,
PA
19103
23-1396815
BEHAVIORAL HEALTH FACILITY
PA
501c 3
9
na
No
(24)
StFrancis Homes for Boys
222 N17th St
Philadelphia
,
PA
19103
23-1370504
RESIDENTIAL SERVICES FOR BOYS
PA
501c 3
9
na
No
(25)
STJOHN NEUMANN PLACE II
222 N17th St
Philadelphia
,
PA
19103
47-5181225
SENIOR HOUSING
PA
501c 3
9
na
No
(26)
ST FRANCIS VILLA
222 N17th St
Philadelphia
,
PA
19103
46-5390940
SENIOR HOUSING
PA
501c 3
9
na
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2016
Page 2
Schedule R (Form 990) 2016
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
Schedule R (Form 990) 2016
Page 3
Schedule R (Form 990) 2016
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
Yes
d
Loans or loan guarantees to or for related organization(s)
............................
1d
Yes
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
No
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
Catholic Social Services
d
554,434
cash
(2)
Catholic Charities Appeal
c
25,000
cash
(3)
Catholic Social Services
m
63,387
cash
Schedule R (Form 990) 2016
Page 4
Schedule R (Form 990) 2016
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2016
Page 5
Schedule R (Form 990) 2016
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2016
Additional Data
Software ID:
16000371
Software Version: