SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2016
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,PA19103
23-1365389
Residential and day Treatment for adolecent boys PA 501c3 9 NA
 
 
No
(2)St Vincent's Home
222 North 17th Street

Philadelphia,PA19103
23-1381370
SUPPORT ORGANIZATION PA 501c3 11 NA
 
 
No
(3)Divine Providence Village
222 North 17th Street

Philadelphia,PA19103
23-2313873
Residential services for women PA 501c3 9 NA
 
 
No
(4)Supportive Indepentent Living
222 North 17th Street

Philadelphia,PA19103
23-3083785
INDEPENDENT LIVING AND ASSIST PA 501C3 9 NA
 
 
No
(5)St John Neumann Place
222 North 17th Street

Philadelphia,PA19103
81-0666954
HOUSING DEVELOPMENT PA 501C 9 NA
 
 
No
(6)Catholic Charities Appeal
222 North 17th Street

Philadelphia,PA19103
23-1530528
SUPPORT ORGANIZATION PA 501C 11 NA
 
 
No
(7)Catholic Clinical Sonsultants
222 North 17th Street

Philadelphia,PA19103
27-1429662
BEHAVIORAL HEALTH SERVICES PA 501C 9 NA
 
 
No
(8)Friends of Cathedral Basilica
222 North 17th Street

Philadelphia,PA19103
11-1111111
SUPPORT ORGANIZATION PA 501C 11 NA
 
 
No
(9)World Meeting of Families
222 North 17th Street

Philadelphia,PA19103
46-1237617
SUPPORT ORGANIZATION PA 501C 11 NA
 
 
No
(10)Nativity BVM Place
222 North 17th Street

Philadelphia,PA19103
27-3583614
SENIOR HOUSING PA 501C 9 NA
 
 
No
(11)Catholic Community Services
222 North 17th Street

Philadelphia,PA19103
46-3347369
FAMILY SERVICES PA 501C 9 NA
 
 
No
(12)Catholic Social Services
222 North 17th Street

Philadelphia,PA19103
23-1352063
FAMILY SERVICES PA 501C 9 NA
 
 
No
(13)DonGuanell Village
222 N17th St

Philadelphia,PA19103
23-1596874
RESIDENTIAL SERVICES FOR MEN PA 501c 3 9 na
 
 
No
(14)St Joseph's Catholic Home
222 N 17th St

Philadelphia,PA19103
23-1352536
SUPPORT ORGANIZATIO PA 501c 3 11 na
 
 
No
(15)St Vincents Services
222 N17th St

Philadelphia,PA19103
23-1520309
SUPPORT ORGANIZATION PA 501c 3 11 na
 
 
No
(16)St Joseph's House for Boys
222 N17th St

Philadelphia,PA19103
23-1352537
SUPPORT ORGANIZATION PA 501c 3 11 na
 
 
No
(17)St Edmonds for Crippled Childre
222 N17th St

Philadelphia,PA19103
23-1365399
RESIDENTAIL SERVICES FOR CHILDREN3 PA 501c 3 9 na
 
 
No
(18)Catholic Health Care Services
222 N17th St

Philadelphia,PA19103
23-2757180
HEALTH CARE PA 501c 3 9 na
 
 
No
(19)Katherine Kiernan Truse
222 N17th St

Philadelphia,PA19103
23-6251817
SUPPORT ORGANIZATION PA 501c 3 11 na
 
 
No
(20)Office of Community Development
222 N17th St

Philadelphia,PA19103
03-0524513
COMMUNITY DEVELOPMENT PA 501c 3 9 na
 
 
No
(21)Nutritional Development Services
222 N17th St

Philadelphia,PA19103
23-1903647
FOOD PROGRAM FOR CHILDREN PA 501C 3 9 na
 
 
No
(22)Heritage of Faith
222 N17th St

Philadelphia,PA19103
27-0418606
SUPPORT ORGANIZATION PA 501c 3 11 na
 
 
No
(23)St John Vianney
222 N17th St

Philadelphia,PA19103
23-1396815
BEHAVIORAL HEALTH FACILITY PA 501c 3 9 na
 
 
No
(24)StFrancis Homes for Boys
222 N17th St

Philadelphia,PA19103
23-1370504
RESIDENTIAL SERVICES FOR BOYS PA 501c 3 9 na
 
 
No
(25)STJOHN NEUMANN PLACE II
222 N17th St

Philadelphia,PA19103
47-5181225
SENIOR HOUSING PA 501c 3 9 na
 
 
No
(26)ST FRANCIS VILLA
222 N17th St

Philadelphia,PA19103
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


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