2012-11-15T12:24:30-06:00 2011-12-31 351178661 BLUE & CO LLC 8800 LYRA DRIVE SUITE 450 COLUMBUS OH 43240 990 2011-01-01 341931806 FRANCISCAN CARE CENTER SYLVANIA FRAN 4198826582 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 JILL SCHLIEVERT 4198826582 2012-11-15 1 STEPHEN A SHERIDAN P00028551 6148852583 2011 2016-02-24 21:20:13Z JILL SCHLIEVERT 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 8348085 0 0928 X WWW.FCCSYLVANIA.ORG X 2000 OH DELIVER HEALTH CARE SERVICES TO THE ELDERLY AND THOSE IN NEED OF REHABILITATION IN A MANNER WHICH UPHOLDS THE MORAL, ETHICAL AND RELIGOUS DOCTRINES AND TEACHINGS OF THE ROMAN CATHOLIC CHURCH 8 6 156 45 0 0 21515 10925 8316458 8264057 30081 37886 40157 28942 8408211 8341810 0 0 0 0 4333566 4253626 0 0 6602 3711297 3559472 8044863 7813098 363348 528712 10888677 11224729 7398854 7245004 3489823 3979725 X FRANCISCAN CARE CENTER, SYLVANIA IS A RESIDENTIAL AND REHABILITATIVE FACILITY FOR THE CARE OF THE ELDERLY AND THOSE IN NEED OF EXTENSIVE REHABILITATION SERVICES. IN A COMPASSIONATE ENVIRONMENT, WE PROVIDE CARE THAT ENHANCES THE PERSON: MIND, BODY AND SPIRIT. COMMITTED TO WORKNG TOGETHER, OUR SERVICE IS CHARACTERIZED BY MUTUAL TRUST AND RESPECT, EDUCATION AND LEADERSHIP, EFFICIENCY AND SERVICE, ACCESS AND QUALITY. 0 0 5701497 8283785 DELIVER HEALTH CARE SERVICES TO THE ELDERLY AND THOSE IN NEED OF REHABILITATION IN A MANNER WHICH UPHOLDS THE MORAL AND RELIGEOUS DOCTRINES AND TEACHINGS OF THE ROMAN CATHOLIC CHURCH (254 RESIDENTS SERVED, FOR A TOTAL OF 33,337 RESIDENT DAYS OF CARE GIVEN). 5701497 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 23 0 1 156 1 0 0 0 0 0 0 0 0 0 0 X 8 6 0 0 1 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 0 OH X CATHY LONGACRE 4198826582 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 X TERRI FITZPATRICK 0.30 X X 0 0 0 AL HAYES 0.30 X X 0 0 0 SR ANN CARMEN BARONE 0.30 X X 0 0 0 RICK RYAN 0.30 X 0 299149 46804 MICHAEL OLSZEWSKI 0.30 X 0 0 0 JUDITH WARNTZ 0.30 X 0 0 0 SR MARIA PACELLI SPINO 0.30 X 0 0 0 SHAWN LITTEN 40.00 X X 97476 0 12433 97476 299149 59237 0 0 1 0 CONCEPT REHAB 7150 GRANITE CIRCLE TOLEDO OH 43617 THERAPY SERVICES 692545 1 10925 10925 PATIENT SERVICES 900099 8264057 8264057 8264057 37886 37886 15122 6275 8847 8847 REBATES/REFUNDS 900099 20095 20095 20095 8341810 8284152 0 46733 96993 96993 2970489 2750334 215473 4682 198641 148417 49896 328 637957 421129 215236 1592 349546 279769 69777 165076 165076 64802 64802 64754 64754 9777 9777 773344 733935 39409 28628 28628 883953 796042 87911 61023 61023 228756 139914 88842 30852 22793 8059 255115 255115 424560 424560 35405 35405 FRANCHISE PERMIT FEE 401389 401389 BAD DEBT 114313 114313 STAFF DEVELOPMENT 17358 7775 9583 ASSET DISPOSAL 367 367 7813098 5701497 2104999 6602 500 499 1218772 1896451 1681284 1016042 20961 17563 134871 37928 10075686 3474239 7575763 6601447 1347611 256526 307188 10888677 11224729 653854 595861 6320000 6075000 425000 425000 0 149143 7398854 7245004 X 3489823 3979725 3489823 3979725 10888677 11224729 X 528712 -38810 X 0 1 0 X 0 X 8369 11930 10025 21515 10925 62764 7673699 7942989 8123292 8316458 8279435 40335873 7682068 7954919 8133317 8337973 8290360 40398637 0 41792 18922 58521 85319 112121 316675 41792 18922 58521 85319 112121 316675 40081962 56890 46726 76348 54826 37886 272676 56890 46726 76348 54826 37886 272676 6894 18341 26491 19194 28942 99862 7745852 8019986 8236156 8411993 8357188 40771175 0.98310 0.98320 0.00670 0.00730 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SECTION B - LINE 12: TOTAL DOES NOT INCLUDE LOSS ON DISPOSAL OF ASSET OF $367. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 917594 917594 6864130 2533553 4330577 135002 93932 41070 1827950 846754 981196 331010 331010 6601447 THIRD PARTY SETTLEMENTS 88632 RESERVE FOR INSURANCE CLAIMS 60511 149143 GOLF OUTING 15122 15122 6275 15122 15122 6275 6275 8847 0 0 0 0 0 0 0 0 0 RICK RYAN 0 298393 0 0 0 756 0 22000 0 24804 0 345953 0 0 FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE APRIL 8, 2011 FRANCISCAN CARE CENTER, SYLVANIA WAS REMOVED AS THE SOLE MEMBER OF FRANCISCAN PROPERTIES. THE AMENDMENT TO THE ARTICLES OF INCORPORATION WAS PROPERLY FILED WITH THE OHIO SECRETARY OF STATE. FORM 990, PART VI, SECTION A, LINE 6 PART VI, 6: FRANCISCAN LIVING COMMUNITIES IS THE SOLE MEMBER OF FRANCISCAN CARE CENTER, SYLVANIA. FORM 990, PART VI, SECTION A, LINE 7A PART VI, 7A:FRANCISCAN LIVING COMMUNITIES, 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 FRANCISCAN CARE CENTER, SYLVANIA. FORM 990, PART VI, SECTION A, LINE 7B PART VI, 7B:FRANCISCAN LIVING COMMUNITIES HAS THE RESERVED POWER TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF FRANCISCAN CARE CENTER, SYLVANIA. FORM 990, PART VI, SECTION B, LINE 11 THE 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 APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE PRESIDENT/CEO. THE SCOPE OF THIS POLICY INCLUDES BOARD MEMBERS AND STAFF (DESIGNATED PERSONS). THE POLICY IS IN PLACE TO PREVENT DESIGNATED PERSONS FROM EXERTING INFLUENCE ON TRANSACTIONS, AGREEMENTS OR CLAIMS. A SELF DISCLOSURE FROM COVERED PERSONS TO THE BOARD IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO RECUSE THEMSELVES FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD CHAIRPERSON, IN CONJUNCTION WITH THE PRESIDENT OF FRANCISCAN LIVING COMMUNITIIES (SOLE MEMBER), CONDUCTS THE ANNUAL EVALUATION OF THE PRESIDENT/CEO OF FRANCISCAN CARE CENTER, SYLVANIA AND JOINTLY DETERMINE THE ANNUAL COMPENSATION BASED ON PERFORMANCE AND COMPARISON TO SIMILAR ENTITITES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF FRANCSICAN CARE CENTER, SYLVANIA, ALONG WITH THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE DOCUMENTS ARE LOCATED IN THE ADMINISTRATIVE OFFICES DURING REGULAR BUSINESS HOURS. FORM 990, PT VII, AVERAGE HOURS PER WEEK RICK RYAN IS AN OFFICER OF THE PARENT ORGANIZATION. ONE OF THE RESPONSIBILITIES OF HIS POSITION IS TO SERVE AS AN OFFICER FOR MANY OF THE SUBSIDIARY ORGANIZATIONS. THE AVERAGE WORK WEEK FOR HIM IS 40+ HOURS. THIS TIME IS ALLOCATED TO HIS POSITION WITH THE VARIOUS SUBSIDIARIES AS WELL AS HIS RESPONSIBILITIES OF THE PARENT ORGANIZATION. IT IS ESTIMATED HE DEDICATES AT LEAST A THIRD OF AN HOUR PER WEEK TO HIS RESPONSIBILITIES AS AN OFFICER OF THIS SUBORDINATE ORGANIZATION. FORM 990, PT VI, SECTION A, LINE 9 RICK RYAN 6832 CONVENT BLVD SYLVANIA, OHIO 43560 419-882-8373 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -38,810. ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 GOVERNANCE TX 501 (C) (3) LINE 11A, I SFH 0 ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTH CARE TX 501 (C) (3) LINE 3 SJSC 0 BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTH CARE TX 501 (C) (3) LINE 3 SJSC 0 MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTH CARE TX 501 (C) (3) LINE 3 SJSC 0 ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 NURSING CARE TX 501 (C) (3) LINE 9 SJSC 0 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 NURSING CARE TX 501 (C) (3) LINE 9 SJSC 0 ST JOSEPH FOUNDATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUND RAISING TX 501 (C) (3) LINE 11A, I SJSC 0 ST JOSEPH PHYSICAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHYSICAN PRACTICE TX 501 (C) (3) LINE 3 SJSC 0 FRANCISCAN SHELTERS DBA BETHANY HOUSE PO BOX 80596 TOLEDO OH 43608 341612437 DOMESTIC VIOLENCE SHELTER OH 501 (C) (3) LINE 7 SFH 0 SOPHIA CENTER 6832 CONVENT BLVD SYLVANIA OH 43560 341761656 MENTAL HEALTH OH 501 (C) (3) LINE 9 SFH 0 SISTERS OF ST FRANCIS 6832 CONVENT BLVD SYLVANIA OH 43560 344450609 RELIGIOUS OH 501 (C) (3) N/A 0 SYLVANIA FRANCISCAN HEALTH 3231 CENTRAL PARK WEST SUITE 106 TOLEDO OH 43617 341412964 CHURCH ORG OH 501 (C) (3) LINE 1 N/A 0 FRANCISCAN LIVING COMMUNITIES 5942 RENAISSANCE PLACE SUITE A TOLEDO OH 43623 341892096 MANAGEMENT SUPPORT OH 501 (C) (3) LINE 11A, I SFH 0 ST LEONARD 8100 CLYO ROAD CENTERVILLE OH 45458 341940863 LONG TERM CARE FACULTY OH 501 (C) (3) LINE 9 FLC 0 ST LEONARD FOUNDATION 8100 CLYO ROAD CENTERVILLE OH 45458 320102715 FUND RAISING OH 501 (C) (3) LINE 7 ST LEONARD 0 PROVIDENCE CARE CENTER 2025 HAYES AVE SANDUSKY OH 44870 341658625 LONG TERM CARE FACULTY OH 501 (C) (3) LINE 9 FLC 0 THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSISTED LIVING OH 501 (C) (3) LINE 9 PCC 0 PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 341896807 INDEPENDENT LIVING OH 501 (C) (3) LINE 9 PCC 0 PROVIDENCE CARE CENTERS 2025 HAYES AVE SANDUSKY OH 44870 341826099 FINANCIAL SUPPORT OH 501 (C) (3) LINE 7 FLC 0 MADONNA MANOR 2344 AMSTERDAM ROAD VILLA HILLS KY 41017 610654635 LONG TERM CARE FACULTY KY 501 (C) (3) LINE 9 FLC 0 ST CLARE COMMONS 5942 RENAISSANCE PLACE SUITE A TOLEDO OH 43623 270163752 LONG TERM CARE FACULTY OH 501 (C) (3) LINE 9 FLC 0 ROSARY CARE CENTER 6832 CONVENT BLVD SYLVANIA OH 43560 341931795 LONG TERM CARE FACULTY OH 509 (A) (3) LINE 9 SFH 0 FRANCISCAN PROPERTIES INC 6600 CONVENT BLVD SYLVANIA OH 43560 341412966 SENIOR HOUSING OH 501 (C) (3) LINE 9 FLC 0 TRINITY HOSPITAL TWIN CITY 819 NORTH FIRST STREET DENNISON OH 44621 275401105 HEALTH CARE OH 501 (C) (3) LINE 3 SFH 0 ST LEONARD LIMITED PARTNERSHIP 88 EAST BROAD STREET SUITE 1800 CENTERVILLE OH 45458 311481761 LOW INCOME RENTAL RESIDENTIAL OH EXCLUDED 1 1 0.01000 ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 PHYSICAN HOSPITAL ORGANIZATION TX ST JOSEPH SERVICE CORPORATION C TAU ENTERPRISES 2801 FRANCISCAN DRIVE BRYAN TX 77802 742544009 OFFICE BUILDING RENTAL TX ST JOSEPH SERVICE CORPORATION C ST LEONARD CENTER 1 INC 8100 CLYO ROAD CENTERVILLE CENTERVILLE OH 45458 311481764 LOW INCOME RENTAL RESIDENTIAL OH ST LEONARD C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 SYLVANIA FRANCISCAN HEALTH CORPORATE P 60511 YEAR END AMOUNT DUE