SLOVENE HOME FOR THE AGED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SLOVENE HOME FOR THE AGED (EIN 34-0928022)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-05
IRS object ID
201322179349300677
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-05T09:19:56-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RICHLAK LAWYER & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19140 TYLER BOULEVARDAddressLine1
CityMENTORCity
StateOHState
ZIP Code44060ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340928022EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SLOVENE HOME FOR THE AGEDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSLOVNameControl
Phone2164860268Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118621 NEFF ROADAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44119ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT KLANCHERName
TitlePRESIDENTTitle
Phone2164860268Phone
Date Signed2013-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDALE E RICHLAK CPAName
Phone4402554400Phone
Date Prepared2013-08-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT KLANCHERBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line118621 NEFF ROADAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44119ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9823506GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE SLOVENE HOME FOR THE AGED IS DEDICATED TO PROVIDING CARE AND SERVICES OF THE HIGHEST QUALITY POSSIBLE IN A HOMELIKE ENVIRONMENT IN ORDER TO MEET THE MEDICAL, SOCIAL, PSYCHOLOGICAL, RELIGIOUS, AND CULTURAL NEEDS OF ITS RESIDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees223TotalNbrEmployees
Total Nbr Volunteers115TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6509ContributionsGrantsPriorYear
Contributions Grants Current Year5129ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10564332ProgramServiceRevenuePriorYear
Program Service Revenue CY9756878ProgramServiceRevenueCY
Investment Income Prior Year116760InvestmentIncomePriorYear
Investment Income Current Year68691InvestmentIncomeCurrentYear
Other Revenue Current Year-7192OtherRevenueCurrentYear
Total Revenue Prior Year10687601TotalRevenuePriorYear
Total Revenue Current Year9823506TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6792819SalariesEtcPriorYear
Salaries Etc Current Year6455790SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3240598OtherExpensePriorYear
Other Expenses Current Year3350642OtherExpensesCurrentYear
Total Expenses Prior Year10033417TotalExpensesPriorYear
Total Expenses Current Year9806432TotalExpensesCurrentYear
Revenues Less Expenses Prior Year654184RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17074RevenuesLessExpensesCY
Total Assets BOY11916983TotalAssetsBOY
Total Assets EOY18418210TotalAssetsEOY
Total Liabilities BOY1487521TotalLiabilitiesBOY
Total Liabilities EOY7978941TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10429462NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10439269NetAssetsOrFundBalancesEOY
Mission DescriptionTHEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8307523Expense
Revenue9756878Revenue
DescriptionSKILLED AND INTERMEDIATE NURSING CARE FOR THE AGED OF THE COMMUNITY LICENSED AND CERTIFIED BY THE STATE OF OHIO.Description
Total Program Service Expense8307523TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees223NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY S SASNamePerson
Telephone Number2164860268TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118621 NEFF ROADAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44119ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT KLANCHER
PRESIDENT8.00XX000
PHILIP HRVATIN
VICE PRESIDENT2.00XX000
CELESTE FROLLO
TREASURER2.00XX000
VERA MARSIC
SECRETARY2.00XX000
JEFFERY SAS
N.H.A.40.0015440300X
CHRIS CHERMELY
TRUSTEE2.00X000
DOUGLAS ELERSICH
TRUSTEE2.00X000
DALE LUZAR
TRUSTEE2.00X000
RICHARD TOMSIC
TRUSTEE2.00X000
AGNES TURK
TRUSTEE2.00X000
SCOTT ZELE
TRUSTEE2.00X000
DARLENE ZELE
TRUSTEE2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org154403TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HERMAN GIBANS FODOR INC ARCHITECTS
1939 WEST 25TH ST SUITE 300CLEVELANDOH44113ARCHITECT174724
MAROUS BROTHERS CONSTRUCTION
1702 JOSEPH LLOYD PARKWAYWILLOUGHBYOH44060CONSTRUCTION/MGMT.6079449
THERAPY PARTNERS
16600 SPRAGUE ROAD SUITE 365MIDDLEBURG HTSOH44130PHYSICAL & SPEECH THERAPY671087
LEFF ELECTRIC
PO BOX 72150CLEVELANDOH44192CONSTRUCTION329033
SHERIDAN MILLWORK & CABINETRY INC
17801 SOUTH MILES ROADCLEVELANDOH44128CONSTRUCTION115855
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
All Other Contributions5129AllOtherContributions
Total Contributions5129TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT FEESDescription
Business Code623000BusinessCode
Total Revenue Column9756878TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue9756878TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column68691TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionLOSS ON DISPOSAL OF ASSETSDescription
Business Code900099BusinessCode
Total Revenue Column-7192TotalRevenueColumn
Related Or Exempt Function Income-7192RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-7192TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9823506TotalRevenueColumn
Related Or Exempt Function Income9818377RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total154403Total
Program Services0ProgramServices
Management And General154403ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5031670Total
Program Services4641527ProgramServices
Management And General390143ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total66026Total
Program Services52844ProgramServices
Management And General13182ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total657440Total
Program Services545684ProgramServices
Management And General111756ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total546251Total
Program Services508133ProgramServices
Management And General38118ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15985Total
Program Services0ProgramServices
Management And General15985ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35615Total
Program Services0ProgramServices
Management And General35615ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total5121Total
Program Services5121ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21635Total
Program Services0ProgramServices
Management And General21635ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total13338Total
Program Services0ProgramServices
Management And General13338ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total222160Total
Program Services222160ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total9016Total
Program Services0ProgramServices
Management And General9016ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total107914Total
Program Services0ProgramServices
Management And General107914ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total296949Total
Program Services0ProgramServices
Management And General296949ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total186008Total
Program Services0ProgramServices
Management And General186008ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
THERAPY FEES66808566808500
FRANCHISE PERMIT FEE63726863726800
NURSING & MEDICAL SUPPLIES28601428601400
DIETARY EXPENSES36206736206700

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total483467Total
Program Services378620ProgramServices
Management And General104847ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9806432Total
Program Services8307523ProgramServices
Management And General1498909ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY127620BOY
EOY99343EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1553303BOY
EOY1393060EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1666922BOY
EOY1515843EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY12657BOY
EOY10320EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY125968BOY
EOY115974EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20608407LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6126663LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7656200BOY
EOY14481744EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1105BOY
EOY1105EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY773208BOY
EOY800821EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11916983BOY
EOY18418210EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY863066BOY
EOY234006EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY7154310EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY624455BOY
EOY590625EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1487521BOY
EOY7978941EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY3994251BOY
EOY3994251EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY6435211BOY
EOY6445018EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10429462BOY
EOY10439269EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11916983BOY
EOY18418210EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses17074ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-7267ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year6509CurrentTaxYearMinus1Year
Current Tax Year5129CurrentTaxYear
Total11638Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10862270CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11216474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11392081CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10564332CurrentTaxYearMinus1Year
Current Tax Year9756878CurrentTaxYear
Total53792035Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10862270CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11216474CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11392081CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10570841CurrentTaxYearMinus1Year
Current Tax Year9762007CurrentTaxYear
Total53803673Total
FieldValueIRS element (for citing)
Public Support Total50953803673PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years81349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105260CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year116760CurrentTaxYearMinus1Year
Current Tax Year68691CurrentTaxYear
Total394660Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22600CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years81349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105260CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year116760CurrentTaxYearMinus1Year
Current Tax Year68691CurrentTaxYear
Total394660Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total54198333Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99270PublicSupportPercentage509
Prior Year Support Percentage0.99310PriorYearSupportPercentage
Investment Income Percentage0.00730InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00690PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2028197InvestmentCostOrOtherBasis
Book Value2028197BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis16770779InvestmentCostOrOtherBasis
Depreciation4539627Depreciation
Book Value12231152BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1809431InvestmentCostOrOtherBasis
Depreciation1587036Depreciation
Book Value222395BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14481744TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
WORKERS COMPENSATION DEPOSIT1000
LONG RANGE PLANNING COSTS744733
Due from foundation55088
FieldValueIRS element (for citing)
Total Book Value Other Assets800821TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Accrued wages$341,389
ACCRUED & WITHHELD PAYROLL TAXES$88,338
Accrued franchise permit fee$160,898
FieldValueIRS element (for citing)
Total Of Amounts590625TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJEFFERY SASNamePerson
Base Compensation Filing Org126256BaseCompensationFilingOrg
Bonus Filing Org16160BonusFilingOrg
Other Compensation Filing Org11987OtherCompensationFilingOrg
Total Compensation Filing Org154403TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bTHE TRUSTEES REVIEW AND APPROVE FORM 990 BEFORE
FILING
Pt VI, Line 12cTHE FINANCE COMMITTEE REVIEWS AND MONITORS COMPLIANCE
REGARDING CONFLICTS OF INTEREST AS IT RELATES
TO THE CORPORATION.
Pt VI, Line 15aTHE HOME HAS A PERSONNEL AND PROFESSIONAL PRACTICES
Pt VI, Line 15bCOMMITTEE WHICH IS RESPONSIBLE FOR DETERMINING
COMPENSATION OF KEY EMPLOYEES.
Pt VI, Line 19THE HOME PROVIDES COPIES TO THE PUBLIC UPON REQUEST.
Pt VI, Line 6THE ORGANIZATION CONSISTS OF MEMBERS.
Pt VI, Line 7aTHE MEMBERS OF THE ORGANIZATION ELECT THE GOVERNING
BODY.
Pt XILINE 8, OTHER CHANGES IN NET ASSETS INCLUDES AN ADJUSTMENT
FOR PRIOR YEARS DAILY SERVICE CHARGES THAT WERE ADJUDICATED
BY THE STATE OF OHIO.
Form 990, Part IX, Line 24fPURCHASED SERVICES- ADMINISTRATION 27022. 0. 27022. 0. POSTAGE & DELIVERY 10970. 0. 10970. 0. UNIVERSAL PRECAUTIONS SUPPLY 23584. 23584. 0. 0. HOUSEKEEPING SUPPLIES 29704. 29704. 0. 0. LAUNDRY SUPPLIES 37319. 37319. 0. 0. NURSING PURCHASED SERVICE 413. 413. 0. 0. NURSING AIDES TRAINING 3125. 3125. 0. 0. MEDICAL DIRECTOR 24000. 24000. 0. 0. TELEPHONE 25077. 25077. 0. 0. CRAFT AND PROGRAM SUPPLIES 18035. 18035. 0. 0. PERSONNEL MAINTENANCE 10906. 10906. 0. 0. BAD DEBT EXPENSE 144000. 144000. 0. 0.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SLOVENE HOME FOR THE AGED FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118621 NEFF ROADAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44119ZIPCode
FieldValueIRS element (for citing)
EIN311597513EIN
Primary ActivitiesFUNDRAISINGPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SLOVENE HOME FOR THE AGED FOUNDATION
e7154311CASH
SLOVENE HOME FOR THE AGED FOUNDATION
nCASH

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