2019-11-08T12:54:34-06:00 2018-12-31 571184737 FABRIZIO & SHULTZ LLC 3620 N HIGH ST STE 309 COLUMBUS OH 43214 990 2018-01-01 341437965 ST FRANCIS HOME INC STFR 4194472723 182 ST FRANCIS AVE TIFFIN OH 44883 SISTER SARA ALDRIDGE COMMUNITY MINISTER 4194472723 2019-10-16 RYAN E SHULTZ CPA P01318447 6142684400 2019-11-05 167.68.16.49 2019-11-08 12:54:34 CS P 48FFB77D4616A23198CCEF00C1607D9269D3B27A 0CA194CBC5E2A2BBF6CDC2BB91C36F06C0C9087E 2018 2020-04-17 16:48:07Z SISTER SARA ALDRIDGE 200 ST FRANCIS AVE TIFFIN OH 44883 11058550 false X WWW.STFRANCISTIFFIN.ORG X 1961 OH TO PROVIDE FACILITIES FOR INDEPENDENT LIVING, CUSTODIAL CARE & INTERMEDIATE CARE FOR THE ELDERLY. 12 11 325 54 0 236022 374398 10156307 10037301 8768 4839 482207 499558 10883304 10916096 0 0 6651834 7118830 0 0 4075850 4010100 10727684 11128930 155620 -212834 5516769 5064327 2006403 1786346 3510366 3277981 TO PROVIDE FACILITIES FOR INDEPENDENT LIVING, CUSTODIAL CARE & INTERMEDIATE CARE FOR THE ELDERLY. false false 207053 243826 INDEPENDENT LIVING FACILITY FOR ELDERLY RESIDENTS WITH 31 UNITS OF APARTMENT-LIVING COMPLEX KNOWN AS ELIZABETH SCHAEFER APARTMENTS. 7685906 9793475 SKILLED NURSING FACILITY FOR THE ELDERLY. DURING THE YEAR, IT OPERATED WITH 132 SKILLED-NURSING BEDS AND 16 ASSISTED-LIVING BEDS. 7892959 true true false false false false false false false true true false false true false true false true false false false false false false false false false false false false true false false false false false false false true false false false false false false false true true true false false true 40 0 325 true false false false false false false false false false false false false false false X 12 11 false true false false true true true true true false false true true true true true true true true false OH X SISTER SARA ALDRIDGE 4194472723 200 ST FRANCIS AVE TIFFIN OH 44883 TYLER WEBB CHAIRPERSON 1.00 1.00 X X 0 0 0 SHELLIE MACK BOARD MEMBER 1.00 1.00 X 0 0 0 SISTER MYRA ARNONE SECRETARY 1.00 40.00 X X 0 0 0 DR DOMINIC FABRIZIO TREASURER 1.00 1.00 X X 0 0 0 REV JAN KUCERA BOARD MEMBER 1.00 1.00 X 0 0 0 BRIAN FALTER BOARD MEMBER 1.00 1.00 X 0 0 0 ELEANOR ANDERSON BOARD MEMBER 1.00 1.00 X 0 0 0 JILL GRIFFIN BOARD MEMBER 1.00 1.00 X 0 0 0 FRANCINE NEAL BOARD MEMBER 1.00 1.00 X 0 0 0 REBECCA SHANK VICE CHAIRPE 1.00 1.00 X X 0 0 0 KELLI DARIANO BOARD MEMBER 1.00 1.00 X 0 0 0 SISTER SARA ALDRIDGE COMMUNITY MI 1.00 1.00 X 0 0 0 SEAN RILEY CEO/EXEC DIR 40.00 1.00 X 88513 0 0 88513 false false false MEDICAL STAFFING NETWORK PO BOX 840292 DALLAS TX 752840292 STAFFING 520396 FABRIZIO CHIROPRACTIC & REHAB SERVIC 676 MIAMI ST SUITE A TIFFIN OH 44883 PHYSICAL & OCCU 383532 TRINITY SENIOR SERVICES MANAGEMENT 17410 COLLEGE PARKWAY STE 200 LIVONIA MI 48152 MANAGEMENT 345348 GORDON FOOD SERVICES PO BOX 88029 CHICAGO IL 606800129 FOOD SALES 321697 MEDICAL STAFFING SOLUTIONS 9700 IN-57 N SUITE A EVANSVILLE IN 47725 STAFFING 267106 5 12000 362398 374398 MEDICARE AND MEDICAID 623000 5939856 5939856 NURSING HOME REVENUE 623000 3853619 3853619 INDEPENDENT LIVING FEE 531110 243826 243826 10037301 5222 5222 65386 65386 65386 65386 142071 142454 -383 -383 -383 MANAGEMENT FEE TO RELATIVES 284484 284484 OTHER MISC INCOME 133545 133545 CAFETERIA 16143 16143 434172 10916096 10454947 86751 88513 88513 5529332 5529332 76564 76564 995625 995625 428796 428796 305619 305619 25311 25311 110042 110042 415096 415096 77960 77960 6105 6105 401119 401119 10478 10478 30479 30479 35719 35719 410510 410510 98835 98835 SUPPLIES 783509 718562 64947 FRANCHISE FEES 614781 614781 SUPPLIES - MEALS 376026 376026 EQUIPMENT, REPAIR, MAINTE 247273 247273 61238 16356 44882 11128930 7892959 3235971 0 1650 1650 2045879 1707021 683906 528745 26849 29373 73631 91112 14753943 12702646 2106695 2051297 227227 211675 350932 443454 5516769 5064327 1114968 1099286 801819 687060 89616 2006403 1786346 X 3280171 2980383 180195 247598 50000 50000 3510366 3277981 5516769 5064327 -212834 -19551 X false true X true false X 282731 739538 209167 236022 374398 1841856 9798558 10437648 10469439 10544953 10455330 51705928 15175 20632 40731 14479 16143 107160 10096464 11197818 10719337 10795454 10845871 53654944 53654944 84715 65757 79201 87150 70608 387431 84715 65757 79201 87150 70608 387431 10181179 11263575 10798538 10882604 10916479 54042375 0.99280 0.99250 0.01000 0.01000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 57308 -3313 175 53820 51405 6388 485 57308 50000 1405 51405 1.00000 false false 11112899 10127605 985294 3641044 2575041 1066003 2051297 PURCHASED NURSING HOME LICENSE 318378 CONSTRUCTION IN PROCESS 125076 443454 X SCHEDULE D, PAGE 2, PART V, LINE 4 ZAHN ENDOWMENT - INCOME TO BE UTILIZED AS ST. FRANCIS, HOME INC. SHALL DETERMINE, BUT ST FRANCIS HOME, INC. SHALL NOT EXPEND OR BORROW AGAINST OR FROM THE PRINCIPAL (EXCEPT AS ACCOUNTING PRINCIPAL MAY IN GIVEN YEARS BE INCLUDED IN THE AMOUNTS DISTRIBUTABLE FROM OTHER UNRESTRICTED ENDOWMENT FUNDS OF ST. FRANCIS HOME, INC UNDER ANY EXPENDITURE POLICY THAT ST. FRANCIS HOME, INC. MAY FOLLOW). SCHEDULE D, PAGE 3, PART X THE ORGANIZATION ANNUALLY EVALUATES WHETHER THERE ARE ANY UNCERTAINTIES IN INCOME TAX POSITIONS THAT MAY AFFECT COMBINED FINANCIAL STATEMENTS. MANAGEMENT DETERMINED THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS TAKEN BY THE ORGANIZATION IN THEIR TAX RETURNS. IRS FORM 990 FILING PERIODS FOR THE YEARS ENDED 2014 AND PRIOR ARE CLOSED. A COUNTY OF SENECA OHIO 346401331 2005-09-01 2340000 HOSPITAL CARE FACILITIES REFUNDING BONDS, SERIES 2005 false false false A false false false false A false false false false false false false A false false false false false false false false false A false SCHEDULE K - ADDITIONAL INFORMATION COUNTY OF SENECA, OHIO ON SEPTEMBER 1, 2005, ST FRANCIS HOME ISSUED COUNTY OF SENECA, HOSPITAL CARE FACILITIES REVENUE BONDS, SERIES 2005. THE 2005 BONDS WERE ISSUED AS A PRIVATE OFFERING WITH A BANK AND DO NOT REQUIRE A SUPPORTING LETTER OF CREDIT. THE 2005 BONDS BEAR INTEREST AT A FIXED RATE OF 3.99 PERCENT AND ARE DUE WITH ANNUAL PRINICPAL PAYMENTS OF 117,000 THROUGH FINAL MATURITY ON DECEMBER 1, 2024. DOMINIC FABRIZIO BOARD MEMBER 383532 SEE BELOW false SCHEDULE L, PART V SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: DOMINIC FABRIZIO (B) DESCRIPTION OF TRANSACTION: PURCHASED REHABILITATION SERVICES FROM FABRIZIO CHIROPRACTIC AND REHABILITATION SERVICES, INC. AT FAIR VALUE. FORM 990, PAGE 6, PART VI, LINE 3 THE ORGANIZATION WAS MANAGED BY TRINITY SENIOR SERVICES MANAGEMENT FROM JANUARY - MAY OF 2019. DURING THAT TIME TRINITY SENIOR SERVICES MANAGEMENT MANAGE AND OPERATE THE CAMPUS CONSISTENT WITH ALL APPLICABLE FEDERAL, STATE AND LOCAL LAWS, RULES AND REGULATIONS RELATED TO THE SERVICES PROVIDED IN THE CONTINUUM. SUPERVISE AND MANAGE THE DAY-TO-DAY OPERATION OF THE CAMPUS ON BEHALF OF THE OWNER. IMPLEMENT POLICIES AND PROCEDURES ESTABLISHED BY MANAGER AND APPROVED BY OWNER. FORM 990, PAGE 6, PART VI, LINE 6 THE SOLE CORPORATE MEMBERS OF THE ORGANIZATION ARE THE COMMUNITY MINISTER AND FOUR MEMBERS OF GENERAL COUNCIL OF THE SISTERS OF ST. FRANCIS OF PENANCE AND CHARITY OF TIFFIN, OHIO (SISTERS OF ST. FRANCIS). FORM 990, PAGE 6, PART VI, LINE 7A THE ORGANIZATION'S CHAIR OF THE BOARD IS ELECTED BY THE SISTERS OF ST. FRANCIS. FORM 990, PAGE 6, PART VI, LINE 7B THE ORGANIZATION'S ANNUAL BUDGET AND OTHER MAJOR DECISIONS REQUIRE AN APPROVAL FROM THE COMMUNITY MINISTER AND SISTERS OF ST. FRANCIS, SOLE MEMBERS OF ST. FRANCIS HOME, INC. FORM 990, PAGE 6, PART VI, LINE 11B EACH MEMBER OF THE BOARD RECEIVES AN ELECTRONIC COPY OF THE 990 FOR REVIEW. ANY QUESTIONS OR CONCERNS THAT ARISE FROM THE REVIEW OF THE 990 FROM THE BOARD WILL BE DISCUSSED AND RESOLVED APPROPRIATELY. FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST ANNUALLY. THE GOVERNING BODY ADDRESSES THOSE CONFLICTS AS NEEDED. FORM 990, PAGE 6, PART VI, LINE 15A IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, A COMPARISON IS DONE TO SALARIES FOR COMPARABLE POSITIONS. SALARIES ARE REVIEWED AND APPROVED BY THE MEMBERS OF SISTERS OF ST. FRANCIS. FORM 990, PAGE 6, PART VI, LINE 15B CEO AND HUMAN RESOURCE DEPARTMENT REVIEW SALARIES OF ALL KEY EMPLOYEES ANNUALLY WITH COMPARABLE SALARY RANGE FOR OTHER FACILITIES IN THE REGION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE KEPT ON SITE AND MADE AVAILABLE FOR PUBLIC VIEWING UPON REQUEST. ST FRANCIS VILLAS INC 182 ST FRANCIS AVE TIFFIN OH 44883 341628903 OPERATION OH 501C3 10 SISTERS OF true ST FRANCIS SENIOR MINISTRIES DAY C 182 ST FRANCIS AVE TIFFIN OH 44883 203401507 PROVIDE DA OH 501C3 10 SISTERS OF true SISTERS OF ST FRANCIS 200 ST FRANCIS AVE TIFFIN OH 44883 344428986 SISTERS OF OH 501C3 1 SISTERS OF false FRIEDMAN VILLAGE AT ST FRANCIS 175 ST FRANCIS AVE TIFFIN OH 44883 264425817 PROVIDE IN OH 501C3 10 SISTERS OF true false false true false false false false false false false false false false true true false false false false ST FRANCIS VILLAS INC O 63684 FAIR MARKET VALUE FRIEDMAN VILLAGE AT ST FRANCIS O 134784 FAIR MARKET VALUE SISTERS OF ST FRANCIS C 12000 FAIR MARKET VALUE