PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION (EIN 34-1896807)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201323199349302122
Schema version
2012v2.1
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)
Timestamp2013-11-15T09:02:14-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 SUPERIOR AVENUE SUITE 1250AddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44114ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341896807EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE RESIDENTIAL COMMUNITY CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPROVNameControl
Phone4196272273Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15055 PROVIDENCE DRIVEAddressLine1
CitySANDUSKYCity
StateOHState
ZIP Code44870ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWENDY DOLYKName
TitleEXECUTIVE DIRECTORTitle
Phone4196272273Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJEREMY S HERMANName
PTINP00745789PTIN
Phone2165231010Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWENDY DOLYKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15055 PROVIDENCE DRIVEAddressLine1
CitySANDUSKYCity
StateOHState
ZIP Code44870ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1003499GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.PROVIDENCECENTERS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDENCE RESIDENTIAL PROVIDES INDEPENDENT LIVING FACILITIES AND LIMITED NURSING SERVICES TO RESIDENTS OVER AGE 55 YEARS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year973764ProgramServiceRevenuePriorYear
Program Service Revenue CY1000902ProgramServiceRevenueCY
Investment Income Prior Year138InvestmentIncomePriorYear
Investment Income Current Year54InvestmentIncomeCurrentYear
Other Revenue Prior Year8965OtherRevenuePriorYear
Other Revenue Current Year2543OtherRevenueCurrentYear
Total Revenue Prior Year982867TotalRevenuePriorYear
Total Revenue Current Year1003499TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year15945SalariesEtcPriorYear
Salaries Etc Current Year66336SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year899676OtherExpensePriorYear
Other Expenses Current Year893573OtherExpensesCurrentYear
Total Expenses Prior Year915621TotalExpensesPriorYear
Total Expenses Current Year959909TotalExpensesCurrentYear
Revenues Less Expenses Prior Year67246RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43590RevenuesLessExpensesCY
Total Assets BOY7301772TotalAssetsBOY
Total Assets EOY6990256TotalAssetsEOY
Total Liabilities BOY9159244TotalLiabilitiesBOY
Total Liabilities EOY8804138TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1857472NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1813882NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDENCE CARE CENTERS, A CATHOLIC ORGANIZATION, SPONSORED BY THE SISTERS OF ST. FRANCIS, OF SYLVANIA, OHIO, PROVIDES SERVICES TO SENIORS OF ALL FAITHS, GUIDED BY THE HEALING PRESENCE OF JESUS CHRIST.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense266693Expense
Revenue1003445Revenue
DescriptionPROVIDENCE REDIDENTIAL PROVIDES INDEPENDENT LIVING FACILITIES AND LIMITED NURSING SERVICES TO RESIDENTS OVER AGE 55 YEARS. DURING 2012, 76 REDIDENTS WERE SERVED WITH 24,093 PATIENT DAYS.Description
Total Program Service Expense266693TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AMY GILLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4196272273TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12025 HAYES AVENUEAddressLine1
CitySANDUSKYCity
StateOHState
ZIP Code44870ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
RICK RYAN
CEO OF FLC1.0040.00X034763743887
H JOHN HILDEBRANDT
CHAIRMAN OF THE BOARD1.00X000X
CARL MCGOOKEY
VICE-CHAIRMAN OF THE BOARD1.00X000
CHARLENE MOCKENSTURM
SECRETARY1.00X000X
SISTER JULIE MEYERS
TRUSTEE1.00X000
BRIAN MURPHY MD
TRUSTEE1.00X000
JAMES PETERS
TRUSTEE1.00X000
DONALD MAZZA
TRUSTEE1.00X000
EDMOND HOTY PARTIAL YEAR
TRUSTEE1.00X000
WENDY DOLYK
EXECUTIVE DIRECTOR1.0040.00015079511950X
GLORIA KATTOUAH
CONTROLLER1.0040.0008643314472X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs584865TotalReportableCompFrmRltdOrgs
Total Other Compensation70309TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BLUE SKY THERAPY MGMYTBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1510 W MAIN STAddressLine1
CityCANFIELDCity
StateOHState
ZIP Code44406ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesTHERAPYDescriptionOfServices
Compensation1303975Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENTAL INCOME623990957867957867
ENTRANCE FEE REVENUE6239903858638586
HOUSEKEEPING REVENUE62300044494449
FieldValueIRS element (for citing)
Total Program Service Revenue1000902TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column54TotalRevenueColumn
Exclusion$54ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE90009915251525
NURSING SERVICES REVEN90009910181018
FieldValueIRS element (for citing)
Total Other Revenue2543TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1003499TotalRevenueColumn
Related Or Exempt Function Income1003445RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$54ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59660Total
Program Services16202ProgramServices
Management And General43458ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2727Total
Program Services736ProgramServices
Management And General1991ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3949Total
Program Services1066ProgramServices
Management And General2883ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total19723Total
Program Services19723ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2261Total
Management And General2261ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5665Total
Management And General5665ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23504Total
Program Services23504ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total354Total
Management And General354ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8365Total
Program Services3773ProgramServices
Management And General4592ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total76597Total
Program Services66639ProgramServices
Management And General9958ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total140Total
Program Services140ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total247906Total
Management And General247906ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total369352Total
Management And General369352ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4796Total
Management And General4796ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
LICENSES AND TAXES132130132130
FINANCE CHARGES27802780

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total959909Total
Program Services266693ProgramServices
Management And General693216ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY332863BOY
EOY281722EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13295BOY
EOY4246EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14374BOY
EOY5270EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11608382LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4942544LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6919059BOY
EOY6665838EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY22181BOY
EOY33180EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7301772BOY
EOY6990256EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY138922BOY
EOY166463EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1445BOY
EOY1493EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7350000BOY
EOY7315000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1668877BOY
EOY1321182EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9159244BOY
EOY8804138EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1857472BOY
EOY-1813882EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1857472BOY
EOY-1813882EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7301772BOY
EOY6990256EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses43590ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years239CurrentTaxYearMinus4Years
Total239Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1119162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years790333CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years990872CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year973764CurrentTaxYearMinus1Year
Current Tax Year1003445CurrentTaxYear
Total4877576Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1119401CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years790333CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years990872CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year973764CurrentTaxYearMinus1Year
Current Tax Year1003445CurrentTaxYear
Total4877815Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years218106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years380764CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years266101CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year250682CurrentTaxYearMinus1Year
Current Tax Year265891CurrentTaxYear
Total1381544Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years218106CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years380764CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years266101CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year250682CurrentTaxYearMinus1Year
Current Tax Year265891CurrentTaxYear
Total1381544Total
FieldValueIRS element (for citing)
Public Support Total5093496271PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years921CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years608CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138CurrentTaxYearMinus1Year
Current Tax Year54CurrentTaxYear
Total1960Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years921CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years608CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138CurrentTaxYearMinus1Year
Current Tax Year54CurrentTaxYear
Total1960Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5723CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9747CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8368CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8965CurrentTaxYearMinus1Year
Total32803Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1126045CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years800319CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years999848CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year982867CurrentTaxYearMinus1Year
Current Tax Year1003499CurrentTaxYear
Total4912578Total
FieldValueIRS element (for citing)
Public Support Percentage5090.71170PublicSupportPercentage509
Prior Year Support Percentage0.72700PriorYearSupportPercentage
Investment Income Percentage0.00040InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00270PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis678271OtherCostOrOtherBasis
Book Value678271BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7788748OtherCostOrOtherBasis
Depreciation2669168Depreciation
Book Value5119580BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis273694OtherCostOrOtherBasis
Depreciation221865Depreciation
Book Value51829BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2867669OtherCostOrOtherBasis
Depreciation2051511Depreciation
Book Value816158BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6665838TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
NONREFUNDABLE RESIDENT FEES$219,243
REFUNDABLE RESIDENT FEES$1,037,077
DUE TO AFFILIATES$34,539
INSURANCE CLAIMS RESERVE$30,323
FieldValueIRS element (for citing)
Total Of Amounts1321182TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AT DECEMBER 31, 2012 OR 2011.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICK RYAN
CEO OF FLC031323300034404022490021397039152400
WENDY DOLYK
EXECUTIVE DIRECTOR013729507500060000935002600016274500

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). CURRENT YEAR PAYMENTS, REPORTED IN PART II, COLUMN (B)(III), ARE SUMMARIZED BELOW: RICK RYAN $33,737
PART I, LINE 6THE EXECUTIVE DIRECTOR RECEIVED A BONUS BASED ON ACHIEVING THE NET OPERATING REVENUE BUDGET FOR THE YEAR.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF ERIE OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN346400428IssuerEIN
Date Issued2009-10-15DateIssued
Issue Price7420000IssuePrice
Description Of PurposeCURRENT REFUNDING OF ISSUE DATED 12/23/1999DescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds7420000TotalProceeds
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1MORGAN STANLEYBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge0.025500000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K, PART IV, ARBITRAGE:Identifier
Return Reference(2C) DATE THE REBATE COMPUTATION WAS PERFORMED:ReturnReference
Explanation10/15/2009Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 6FRANCISCAN LIVING COMMUNITIES (FLC), IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AFRANCISCAN LIVING COMMUNITIES (FLC), AS THE SOLE MEMBER OF THE ORGANIZATION, HAS THE RESERVED POWERS TO ELECT THE TRUSTEES OF THE ORGANIZATION, AND TO ELECT AND REMOVE THE CHAIRPERSON AND PRESIDENT/CEO OF PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BFLC ALSO HAS THE RESERVED POWER TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVE PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER IS PROVIDED A COPY OF THE CORPORATE COMPLIANCE POLICY AT THE JANUARY BOARD MEETING. EACH MEMBER IS ASKED TO READ THE POLICY AND SIGN A DISCLOSURE. EACH BOARD MEMBER ALSO COMPLETES AND SIGNS AN ANNUAL QUESTIONNAIRE WHICH ASKS SPECIFIC QUESTIONS REGARDING CONFLICT OF INTEREST AND INDEPENDENCE ISSUES. ANY DISPUTE AS TO WHETHER A DESIGNATED PERSON HAS A CONFLICT OF INTEREST SHALL BE DETERMINED BY VOTE OF THE BOARD OF THE CORPORATION. THE DESIGNATED PERSON IN QUESTION AND ANY RELATED PERSON SHALL BE EXCUSED FROM THE MEETING BEFORE ANY DELIBERATION OR VOTE ON THE ISSUE OF WHETHER A CONFLICT OF INTEREST EXISTS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, AVERAGE HOURS PER WEEKRICK RYAN AND WENDY DOLYK ARE OFFICERS OF THE PARENT ORGANIZATION. ONE OF THE RESPONSIBILITIES OF THEIR POSITION IS TO SERVE AS OFFICERS FOR MANY OF THE SUBSIDIARY ORGANIZATIONS. THE AVERAGE WORK WEEK FOR THESE INDIVIDUALS IS 40+ HOURS. THIS TIME IS ALLOCATED TO THEIR POSITIONS WITH THE VARIOUS SUBSIDIARIES AS WELL AS THEIR RESPONSIBILITIES OF THE PARENT ORGANIZATION. IT IS ESTIMATED THAT THESE INDIVIDUALS DEDICATE AT LEAST ONE HOUR PER WEEK TO THEIR RESPONSIBILITIES AS OFFICERS OF THE SUBORDINATE ORGANIZATIONS.
FORM 990, PART XII, LINE 2CTHE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1JOSEPH BERNADINE RESIDENCE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18400 ST FRANCIS DRIVEAddressLine1
CityCENTERVILLECity
StateOHState
ZIP Code45458ZIPCode
FieldValueIRS element (for citing)
EIN461614594EIN
Primary ActivitiesLOW INCOME RENTAL RESIDENTIALPrimaryActivities
Legal Domicile StateOHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST LEONARDBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (27 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161GOVERNANCETX501(C)(3)LINE 11A, ISYLVANIA FRANCISCAN HEALTH0
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HEALTH CARETX501(C)(3)LINE 3ST JOSEPH SERVICES CORPORATION0
BURLESON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HEALTH CARETX501(C)(3)LINE 3ST JOSEPH SERVICES CORPORATION0
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HEALTH CARETX501(C)(3)LINE 3ST JOSEPH SERVICES CORPORATION0
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594NURSING CARETX501(C)(3)LINE 9ST JOSEPH SERVICES CORPORATION0
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931NURSING CARETX501(C)(3)LINE 9ST JOSEPH SERVICES CORPORATION0
ST JOSEPH FOUNDATION
2801 FRANCISCAN DRIVEBRYANTX77802742351158FUNDRAISINGTX501(C)(3)LINE 11A, IST JOSEPH SERVICES CORPORATION0
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302PHYSICIAN PRACTICETX501(C)(3)LINE 3ST JOSEPH SERVICES CORPORATION0
SOPHIA CENTER
6832 CONVENT BLVDSYLVANIAOH43560341761656MENTAL HEALTHOH501(C)(3)LINE 9SYLVANIA FRANCISCAN HEALTH0
SISTERS OF ST FRANCIS
6832 CONVENT BLVDSYLVANIAOH43560344450609RELIGIOUSOH501(C)(3)LINE 10N/A
SYLVANIA FRANCISCAN HEALTH
3231 CENTRAL PARK WEST SUITE 106TOLEDOOH43617341412964CHURCH ORGOH501(C)(3)LINE 10N/A
FRANCISCAN LIVING COMMUNITIES
5942 RENAISSANCE PLACE SUITE ATOLEDOOH43623341892096MANAGEMENT SUPPORTOH501(C)(3)LINE 11A, ISYLVANIA FRANCISCAN HEALTH0
ST LEONARD
8100 CLYO ROADCENTERVILLEOH45458341940863LONG TERM CARE FACILITYOH501(C)(3)LINE 9FRANCISCAN LIVING COMMUNITIES0
ST LEONARD FOUNDATION
8100 CLYO ROADCENTERVILLEOH45458320102715FUNDRAISINGOH501(C)(3)LINE 7ST LEONARD0
PROVIDENCE CARE CENTER
2025 HAYES ROADSANDUSKYOH44870341658625LONG TERM CARE FACILITYOH501(C)(3)LINE 9FRANCISCAN LIVING COMMUNITIES0
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSISTED LIVING FACILITYOH501(C)(3)LINE 9PROVIDENCE CARE CENTER0
PROVIDENCE CARE CENTERS
2025 HAYES ROADSANDUSKYOH44870341826099FINANCIAL SUPPORTOH501(C)(3)LINE 7PROVIDENCE CARE CENTER0
FRANCISCAN CARE CENTER
4111 HOLLAND SYLVANIA ROADTOLEDOOH43623341931806LONG TERM CARE FACILITYOH501(C)(3)LINE 9FRANCISCAN LIVING COMMUNITIES0
ST CLARE COMMONS
5942 RENAISSANCE PLACE SUITE ATOLEDOOH43623270163752LONG TERM CARE FACILITYOH501(C)(3)LINE 9FRANCISCAN LIVING COMMUNITIES0
ROSARY CARE CENTER
6832 CONVENT BLVDSYLVANIAOH43560341931795LONG TERM CARE FACILITYOH501(C)(3)LINE 9SYLVANIA FRANCISCAN HEALTH0
FRANCISCAN PROPERTIES INC
6600 CONVENT ROADSYLVANIAOH43560341412966SENIOR HOUSINGOH501(C)(3)LINE 9FRANCISCAN LIVING COMMUNITIES0
TRINITY HOSPITAL TWIN CITY
819 NORTH FIRST STREETDENNISONOH44621275401105HEALTH CAREOH501(C)(3)LINE 3SYLVANIA FRANCISCAN HEALTH0
FRANCISCAN SERVICES SELF INSURANCE TRUST FUND (DSLVD IN 2012)
6832 CONVENT BLVDSYLVANIAOH43560346895492SELF INSURANCE TRUSTOH501(C)(3)LINE 11A, ISYLVANIA FRANCISCAN HEALTH0
SYLVANIA FRANCISCAN HEALTH FOUNDATION
3231 CENTRAL PARK WEST SUITE 106TOLEDOOH43617455357161FUNDRAISINGOH501(C)(3)LINE 7SYLVANIA FRANCISCAN HEALTH0
MADONNA MANOR
2344 AMSTERDAM ROADVILLA HILLSKY41017610654635LONG TERM CARE FACILITYKY501(C)(3)LINE 9FRANCISCAN LIVING COMMUNITIES0
FRANCISCAN SHELTERS
6832 CONVENT BLVDSYLVANIAOH43560341612437DOMESTIC VIOLENCE SHELTEROH501(C)(3)LINE 7SYLVANIA FRANCISCAN HEALTH0
ST JOSEPH REGIONAL HEALTH PARTNERS
2801 FRANCISCAN DRIVEBRYANTX77802454088170PHYSICIAN SUPPORTTX501(C)(3)LINE 3ST JOSEPH SERVICES CORPORATION0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ST LEONARD LIMITED PARTNERSHIPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line188 EAST BROAD STREET SUITE 1800AddressLine1
CityCENTERVILLECity
StateOHState
ZIP Code45458ZIPCode
FieldValueIRS element (for citing)
EIN311481761EIN
Primary ActivityLOW INCOME RENTAL RESIDENTIALPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeINVESTMENTPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
TAU ENTERPRISES
2801 FRANCISCAN DRIVEBRYANTX77802742544009OFFICE BUILDING RENTALTXST JOSEPH SERVICE CORPORATIONC0
ST LEONARD CENTER 1 INC
8100 CLYO ROADCENTERVILLEOH45458311481764LOW INCOME RENTAL RESIDENTIALOHST LEONARDC0
SFH ASSURANCE LTD
981056892INSURANCESYLVANIA FRANCISCAN HEALTHC0STE 6 GRAND PAVILION COMMERICAL CT10073GRAND CAYMAN KY1-CJCJ
ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY
2801 FRANCISCAN DRIVEBRYANTX77802742466914PHYSICIAN HOSPITAL ORGANIZATIONTXST JOSEPH SERVICE CORPORATIONC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

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