SLOVENE HOME FOR THE AGED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SLOVENE HOME FOR THE AGED (EIN 34-0928022)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-26
IRS object ID
201232709349300008
Schema version
2011v1.2
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)
Timestamp2012-09-26T06:46:49-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
TitleTRUSTEE/PRESIDENTTitle
Phone2164860268Phone
Date Signed2012-09-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDALE E RICHLAK CPAName
Phone4402554400Phone
Date Prepared2012-09-26DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts10687601GrossReceipts
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 Employees244TotalNbrEmployees
Total Nbr Volunteers125TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year6509ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11392081ProgramServiceRevenuePriorYear
Program Service Revenue CY10564332ProgramServiceRevenueCY
Investment Income Prior Year105260InvestmentIncomePriorYear
Investment Income Current Year116760InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11497341TotalRevenuePriorYear
Total Revenue Current Year10687601TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7188900SalariesEtcPriorYear
Salaries Etc Current Year6792819SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3504044OtherExpensePriorYear
Other Expenses Current Year3240598OtherExpensesCurrentYear
Total Expenses Prior Year10692944TotalExpensesPriorYear
Total Expenses Current Year10033417TotalExpensesCurrentYear
Revenues Less Expenses Prior Year804397RevenuesLessExpensesPriorYear
Revenues Less Expenses CY654184RevenuesLessExpensesCY
Total Assets BOY10544449TotalAssetsBOY
Total Assets EOY11916983TotalAssetsEOY
Total Liabilities BOY726507TotalLiabilitiesBOY
Total Liabilities EOY1487521TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9817942NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10429462NetAssetsOrFundBalancesEOY
Mission DescriptionTHEMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8729071Expense
Revenue10564332Revenue
DescriptionSKILLED AND INTERMEDIATE NURSING CARE FOR THE AGED OF THE COMMUNITY LICENSED AND CERTIFIED BY THE STATE OF OHIO.Description
Total Program Service Expense8729071TotalProgramServiceExpense
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 RequiredfalseScheduleJRequired
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 With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees244NumberOfEmployees
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.40.0014310400X
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 Org143104TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HERMAN GIBANS FODOR INC ARCHITECTS
1939 WEST 25TH ST SUITE 300CLEVELANDOH44113ARCHITECT336381
MAROUS BROTHERS CONSTRUCTION
1702 JOSEPH LLOYD PARKWAYWILLOUGHBYOH44060CONSTRUCTION/MGMT.1010094
THERAPY PARTNERS
16600 SPRAGUE ROAD SUITE 365MIDDLEBURG HTSOH44130PHYSICAL & SPEECH THERAPY614012
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions6509AllOtherContributions
Total Contributions6509TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESIDENT FEESDescription
Business Code623000BusinessCode
Total Revenue Column10564332TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue10564332TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column116760TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10687601TotalRevenueColumn
Related Or Exempt Function Income10681092RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total143104Total
Program Services0ProgramServices
Management And General143104ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5285724Total
Program Services4903535ProgramServices
Management And General382189ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total72771Total
Program Services60910ProgramServices
Management And General11861ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total697656Total
Program Services572044ProgramServices
Management And General125612ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total593564Total
Program Services557342ProgramServices
Management And General36222ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26259Total
Program Services0ProgramServices
Management And General26259ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43120Total
Program Services0ProgramServices
Management And General43120ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total8297Total
Program Services8297ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21656Total
Program Services0ProgramServices
Management And General21656ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total19620Total
Program Services0ProgramServices
Management And General19620ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total283242Total
Program Services283242ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total3950Total
Program Services0ProgramServices
Management And General3950ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total278817Total
Program Services0ProgramServices
Management And General278817ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total179625Total
Program Services0ProgramServices
Management And General179625ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
THERAPY FEES66746366746300
FRANCHISE PERMIT FEE60853860853800
NURSING & MEDICAL SUPPLIES10165610165600
DIETARY EXPENSES37698937698900

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total621366Total
Program Services589055ProgramServices
Management And General32311ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10033417Total
Program Services8729071ProgramServices
Management And General1304346ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY102297BOY
EOY127620EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2399695BOY
EOY1553303EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1944064BOY
EOY1666922EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11341BOY
EOY12657EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY136597BOY
EOY125968EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13615704LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5959504LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5202830BOY
EOY7656200EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1105BOY
EOY1105EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY746520BOY
EOY773208EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10544449BOY
EOY11916983EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY134022BOY
EOY863066EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY592485BOY
EOY624455EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY726507BOY
EOY1487521EOY
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)
BOY5823691BOY
EOY6435211EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9817942BOY
EOY10429462EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10544449BOY
EOY11916983EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses654184ReconcilationRevenueExpenses
Reconcilation Other Changes-42664ReconcilationOtherChanges
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 Year6509CurrentTaxYear
Total6509Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10357463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10862270CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11216474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11392081CurrentTaxYearMinus1Year
Current Tax Year10564332CurrentTaxYear
Total54392620Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10357463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10862270CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11216474CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11392081CurrentTaxYearMinus1Year
Current Tax Year10570841CurrentTaxYear
Total54399129Total
FieldValueIRS element (for citing)
Public Support Total50954399129PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53108CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22600CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years81349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year105260CurrentTaxYearMinus1Year
Current Tax Year116760CurrentTaxYear
Total379077Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years53108CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22600CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years81349CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year105260CurrentTaxYearMinus1Year
Current Tax Year116760CurrentTaxYear
Total379077Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total54778206Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99310PublicSupportPercentage509
Prior Year Support Percentage0.99450PriorYearSupportPercentage
Investment Income Percentage0.00690InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00550PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2016825InvestmentCostOrOtherBasis
Book Value2016825BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis9769300InvestmentCostOrOtherBasis
Depreciation4440217Depreciation
Book Value5329083BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1829579InvestmentCostOrOtherBasis
Depreciation1519287Depreciation
Book Value310292BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7656200TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
WORKERS COMPENSATION DEPOSIT1000
LONG RANGE PLANNING COSTS744733
DUE FROM FOUNDATION27475
FieldValueIRS element (for citing)
Total Book Value Other Assets773208TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED WAGES$304,423
ACCRUED & WITHHELD PAYROLL TAXES$137,558
ACCRUED FRANCHISE PERMIT FEE$158,976
MEDICARE & CO-INSURANCE$23,498
FieldValueIRS element (for citing)
Total Of Amounts624455TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aTHE 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 15THE HOME HAS A PERSONNEL AND PROFESSIONAL PRACTICES
COMMITTEE 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 5, 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 30241. 0. 30241. 0. POSTAGE & DELIVERY 12143. 12143. 0. 0. VEHICLE EXPENSE 2070. 0. 2070. 0. UNIVERSAL PRECAUTIONS SUPPLY 27325. 27325. 0. 0. HOUSEKEEPING SUPPLIES 30369. 30369. 0. 0. LAUNDRY SUPPLIES 21065. 21065. 0. 0. LINENS 1508. 1508. 0. 0. NURSING PURCHASED SERVICE 575. 575. 0. 0. MEDICAL DIRECTOR 24000. 24000. 0. 0. AMBULANCE SERVICE 19798. 19798. 0. 0. OXYGEN EXPENSE 20467. 20467. 0. 0. INCONTINENCE SUPPLIES 34511. 34511. 0. 0. SPECIAL HAB./REHAB 1804.

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 OrgfalseLoansOrGuaranteesFromOtherOrg
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

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1SLOVENE HOME FOR THE AGED FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypemTransactionType
Method Of Amt DeterminationCASHMethodOfAmtDetermination

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