| FORM 990, PART III, LINE 1 |
VILLA MARIA, INC., MULVANE, KANSAS, SPONSORED BY ADORERS OF THE BLOOD OF CHRIST, UNITED STATES PROVINCE, EXISTS TO IMITATE THE COMPASSIONATE JESUS BY CREATING A HOME FOR AGING MEN AND WOMEN WHERE THEY ARE LOVED AND RESPECTED. THE SPONSORS, DIRECTORS, AND STAFF ARE COMMITTED TO A MINISTRY THAT PROVIDES FOR SPIRITUAL, PHYSICAL, AND PSYCHO-SOCIO NEEDS IN A CHRISTIAN, LOVING ATMOSPHERE; ENABLING RESIDENTS TO LIVE THEIR LIVES TO THE FULLEST WHILE PREPARING THEMSELVES FOR A NEW DIMENSION - LIFE AFTER DEATH; MAINTAINING A WARM AND FRIENDLY, CLEAN, SAFE, AND COMFORTABLE ENVIRONMENT; BUILDING A COMMUNITY WITH STRONG RELATIONSHIPS THAT PROMOTES A FAMILY-CENTERED SPIRIT. FORM 990, PART VI, SECTION A, LINE 3 CSJ INITIATIVES, INC. ADMINISTERS THE OPERATIONS AND MANAGEMENT OF THE FACILITIES OF VILLA MARIA, INC. ACCORDING TO THE TERMS OF THEIR MANAGEMENT AGREEMENT. THE BOARD OF VILLA MARIA, INC. RETAINS FINAL CONTROL OVER THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 |
ASC HEALTH, INC., A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF VILLA MARIA, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A |
ASC HEALTH, INC. HAS THE RIGHT TO ELECT UP TO FOUR MEMBERS OF THE BOARD OF DIRECTORS OF VILLA MARIA WITH THE REMAINING MEMBERS SELECTED BY THE BOARD. CURRENTLY, THREE MEMBERS ARE APPOINTED BY ASC. |
| FORM 990, PART VI, SECTION A, LINE 7B |
ASC HEALTH INC., THE SOLE MEMBER, HAS THE POWER AND VOTING RIGHTS WITH RESPECT TO VILLA MARIA, INC. TO DO THE FOLLOWING: A. TO ESTABLISH, DEFINE, AND APPROVE THE CORPORATE PHILOSOPHY, MISSION, AND VALUES OF THIS CORPORATION, AND TO REVIEW PROCEDURES FOR MONITORING THE SAME TO ENSURE PROPER UNDERSTANDING AND EFFECTIVE IMPLEMENTATION. B. TO APPROVE ALL AMENDMENTS OR REVISIONS TO THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THIS CORPORATION. C. TO APPROVE ANY MERGERS, CONSOLIDATIONS, OR DISSOLUTION INVOLVING THIS CORPORATION AND THE ACQUISITION OR CREATION OF SUBSIDIARY CORPORATIONS. D. TO APPROVE THE SALE, PURCHASE, LEASE, OR ENCUMBERANCE OF REAL PROPERTY. E. TO GRANT PRIOR APPROVAL TO ANY INCREMENT OR ADDITIONS TO THE CAPITAL DEBT OF THIS CORPORATION OR ANY OTHER NEGOTIATION, MODIFICATION OR OTHER CHANGE IN THE EXISTING CAPITAL DEBT OBLIGATIONS OF THIS CORPORATION. F. TO APPROVE ALL CAPITAL EXPENDITURES OVER $300,000 AND ANY EXPENDITURE OVER $25,000 WHICH WAS NOT PROVIDED FOR IN THE CORPORATION'S OPERATING AND/OR CAPITAL BUDGET. G. TO REMOVE, WITH OR WITHOUT CAUSE, ANY DIRECTOR UPON WRITTEN NOTICE TO THE BOARD OF DIRECTORS. H. TO APPROVE ALL AFFILIATIONS AND CONTRACTUAL ARRANGEMENTS INVOLVING THIS CORPORATION WITH OTHER PARTIES IF SUCH AFFILIATIONS AND CONTRACTUAL ARRANGEMENTS ARE OTHER THAN IN THE ORDINARY COURSE OF OPERATIONS. I. TO APPROVE THE INITIATION OF LEGAL ACTION ON BEHALF OF THIS CORPORATION, OTHER THAN ACTIONS PREVIOUSLY APPROVED AS A MATTER OF WRITTEN POLICY, INCLUDING THOSE NECESSITATED BY THE COLLECTION OF BAD DEBTS OR ACCOUNTS RECEIVABLE. J. TO APPROVE THE STRATEGIC PLAN FOR THIS CORPORATION. K. TO APPROVE ANY OTHER MATTERS WHICH MAY BE REQUIRED BY CIVIL OR CANON LAW TO BE SUBMITTED TO THE MEMBER, OR WHICH THE BOARD OF DIRECTORS MAY REQUEST BE SUBMITTED. L. TO APPROVE ANY ACTION BY THIS CORPORATION SEEKING BANKRUPTCY OR OTHER DEBTOR PROTECTION. M. TO APPROVE ANY CHANGE IN THE FISCAL YEAR OF THIS CORPORATION. N. TO APPROVE THE RECOMMENDATION OF THE BOARD OF DIRECTORS AS TO THE SELECTION OF THE NECESSARY MEMBER OF THE BOARD OF DIRECTORS OF ASC HEALTH MADE BY THIS CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B |
AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN PROVIDED TO THE ADMINISTRATOR AND THE PERSON IN CARE OF THE BOOKS. ANY QUESTIONS AND CONCERNS THE ADMINISTRATOR AND THE PERSON IN CARE OF THE BOOKS HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C |
THE CONFLICT OF INTEREST QUESTIONNAIRE IS UPDATED AND SIGNED BY EACH BOARD MEMBER AND OFFICER ANNUALLY. THE CEO/ADMINISTRATOR OR THEIR DESIGNEE IS RESPONSIBLE FOR MONITORING THE RETURN OF ALL QUESTIONNAIRES. ANY POSSIBLE CONFLICTS OF INTEREST ARE REVIEWED BY THE CEO WHO DETERMINES IF THERE IS ACTUALLY AN EXISTING CONFLICT OF INTEREST. IF IT IS DETERMINED THERE IS A CONFLICT, THE PERSON WITH THE CONFLICT ABSTAINS FROM PARTICIPATING IN THE VOTE. |
| FORM 990, PART VI, SECTION B, LINE 15A |
VILLA MARIA INC.'S EXECUTIVES ARE EMPLOYED BY CSJ INITIATIVES, INC. AS PART OF THE MANAGEMENT CONTRACT. CSJI HAS A COMPENSATION COMMITTEE THAT USES COMPARABILITY DATA TO EVALUATE AND DETERMINE ALL EXECUTIVE COMPENSATION. A PAY RANGE IS DETERMINED FOR EACH POSITION BASED ON A NUMBER OF FACTORS INCLUDING COMPANY SIZE AND MARKET COMPARISON. HUMAN RESOURCES AND MANAGEMENT DECIDE THE APPROPRIATE RATE WITHIN THAT RANGE AND PRESENT IT TO VILLA MARIA'S BOARD DURING EXECUTIVE SESSION. THE BOARD THEN GIVES HUMAN RESOURCES VERBAL APPROVAL AND THE RATE IS PRESENTED TO THE EMPLOYEE IN AN OFFER LETTER. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:OCCUPATIONAL THERAPY TOTAL FEES:149633 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PHYSICAL THERAPY TOTAL FEES:177012 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:CONTRACT LABOR TOTAL FEES:377061 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:SPEECH THERAPY TOTAL FEES:55767 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:DIAGNOSTIC SERVICES TOTAL FEES:23208 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:DIETICIAN CONSULTANT TOTAL FEES:6559 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PHARMACY CONSULTANT TOTAL FEES:5463 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:MAINTENANCE SERVICES TOTAL FEES:58795 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:ASSISTED LIVING SERVICES TOTAL FEES:828 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:SOCIAL SERVICES TOTAL FEES:3051 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:NURSING SERVICES TOTAL FEES:19526 |
Attach to Form 990 or 990-EZ.