FURP.ORG / PUBLIC DATA EXPLORER

PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION (EIN 34-1896807)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201133189349302238
Schema version
2010v3.4
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)
Timestamp2011-11-14T11:23:43-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 AVE SUITE 1250AddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code441142533ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2165231010Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts999848GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
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 Year1026367ProgramServiceRevenuePriorYear
Program Service Revenue CY990872ProgramServiceRevenueCY
Investment Income Prior Year-233797InvestmentIncomePriorYear
Investment Income Current Year608InvestmentIncomeCurrentYear
Other Revenue Prior Year9748OtherRevenuePriorYear
Other Revenue Current Year8368OtherRevenueCurrentYear
Total Revenue Prior Year802318TotalRevenuePriorYear
Total Revenue Current Year999848TotalRevenueCurrentYear
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 Year32285SalariesEtcPriorYear
Salaries Etc Current Year15678SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1011359OtherExpensePriorYear
Other Expenses Current Year938090OtherExpensesCurrentYear
Total Expenses Prior Year1043644TotalExpensesPriorYear
Total Expenses Current Year953768TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-241326RevenuesLessExpensesPriorYear
Revenues Less Expenses CY46080RevenuesLessExpensesCY
Total Assets BOY7772097TotalAssetsBOY
Total Assets EOY7441319TotalAssetsEOY
Total Liabilities BOY9742895TotalLiabilitiesBOY
Total Liabilities EOY9366037TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1970798NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1924718NetAssetsOrFundBalancesEOY
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
Expense281191Expense
Revenue990872Revenue
DescriptionPROVIDENCE RESIDENTIAL PROVIDES INDEPENDENT LIVING FACILITIES AND LIMITED NURSING SERVICES TO RESIDENTS OVER AGE 55 YEARS. DURING 2010, 77 RESIDENTS WERE SERVED WITH 23,068 PATIENT DAYS.Description
Total Program Service Expense281191TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Footnote0ReportFin48Footnote
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 Address1OfficerMailingAddress
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 CEO1CompensationProcessCEO
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 Line1GLORIA KATTOUAHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4196272273TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12025 HAYES AVENUEAddressLine1
CitySANDUSKYCity
StateOHState
ZIP Code44870ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
RICK G RYAN
TRUSTEE5.00X028972260293
CHARLENE MOCKENSTURM
SECRETARY/TRUSTEE1.00X000X
BRIAN MURPHY MD
TRUSTEE1.00X000
SISTER JULIE MEYERS
TRUSTEE1.00X000
DONALD MAZZA
TRUSTEE1.00X000
JOHN ROSINO
CHAIRMAN/TRUSTEE1.00X000X
H JOHN HILDEBRANDT
TRUSTEE1.00X000
CARL MCGOOKEY
TRUSTEE1.00X000
EDMUND HOTY
TRUSTEE1.00X000
WENDY DOLYK
EXECUTIVE DIRECTOR1.00014696516035X
GLORIA KATTOUAH
CONTROLLER1.0008678816919X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs523475TotalReportableCompFrmRltdOrgs
Total Other Compensation93247TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENTAL INCOME623990907372907372
ENTRANCE FEE INCOME6239908350083500
FieldValueIRS element (for citing)
Total Program Service Revenue990872TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column608TotalRevenueColumn
Exclusion$608ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code623990BusinessCode
Total Revenue Column8368TotalRevenueColumn
Exclusion$8,368ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue8368TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column999848TotalRevenueColumn
Related Or Exempt Function Income990872RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,976ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14748Total
Program Services14748ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total930Total
Program Services930ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1406Total
Management And General1406ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6404Total
Management And General6404ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1824Total
Program Services1824ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total2137Total
Management And General2137ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2484Total
Program Services2377ProgramServices
Management And General107ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total95984Total
Program Services83899ProgramServices
Management And General12085ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total251990Total
Management And General251990ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total392343Total
Management And General392343ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4204Total
Management And General4204ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LICENSES & TAXES134800134800
MANAGEMENT/TRUSTEE FEES2216022160
PROFESSIONAL CONTRACT1773017730
CONTRACTUAL ALLOWANCE/B26732673
FINANCE CHARGES19011901

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total50Total
Program Services50ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total953768Total
Program Services281191ProgramServices
Management And General672577ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY292087BOY
EOY302087EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1344BOY
EOY947EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY193BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9428BOY
EOY14736EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11339035LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4215486LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7469045BOY
EOY7123549EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7772097BOY
EOY7441319EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY153309BOY
EOY148264EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY204BOY
EOY1446EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY7420000BOY
EOY7385000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2169382BOY
EOY1831327EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9742895BOY
EOY9366037EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1970798BOY
EOY-1924718EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1970798BOY
EOY-1924718EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7772097BOY
EOY7441319EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses46080ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Minus2 Years239CurrentTaxYearMinus2Years
Total239Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1064642CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1071070CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1119162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year790333CurrentTaxYearMinus1Year
Current Tax Year990872CurrentTaxYear
Total5036079Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1064642CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1071070CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1119401CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year790333CurrentTaxYearMinus1Year
Current Tax Year990872CurrentTaxYear
Total5036318Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years160060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years218106CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year380764CurrentTaxYearMinus1Year
Current Tax Year266101CurrentTaxYear
Total1218543Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years160060CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years218106CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year380764CurrentTaxYearMinus1Year
Current Tax Year266101CurrentTaxYear
Total1218543Total
FieldValueIRS element (for citing)
Public Support Total5093817775PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8239CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11493CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years921CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year239CurrentTaxYearMinus1Year
Current Tax Year608CurrentTaxYear
Total21500Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8239CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11493CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years921CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year239CurrentTaxYearMinus1Year
Current Tax Year608CurrentTaxYear
Total21500Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10282CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9747CurrentTaxYearMinus1Year
Current Tax Year8368CurrentTaxYear
Total44081Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1082842CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1092845CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1126045CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year800319CurrentTaxYearMinus1Year
Current Tax Year999848CurrentTaxYear
Total5101899Total
FieldValueIRS element (for citing)
Public Support Percentage5090.74830PublicSupportPercentage509
Prior Year Support Percentage0.75690PriorYearSupportPercentage
Investment Income Percentage0.00420InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00700PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSchedule A, Part IV, Supplemental Information: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: HOUSEKEEPING, THERAPY, AND OTHER MISCELLANEOUS REVENUEGeneralExplanation

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 Basis7562527OtherCostOrOtherBasis
Depreciation2224028Depreciation
Book Value5338499BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis259508OtherCostOrOtherBasis
Depreciation199583Depreciation
Book Value59925BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2836710OtherCostOrOtherBasis
Depreciation1791875Depreciation
Book Value1044835BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2019OtherCostOrOtherBasis
Book Value2019BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7123549TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
NONREFUNDABLE RESIDENT FEES$357,298
REFUNDABLE RESIDENT FEES$1,342,428
DUE TO AFFILIATES$131,601
FieldValueIRS element (for citing)
Total Of Amounts1831327TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org1CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base 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 G RYAN
02886250001097023465036828035001500
WENDY DOLYK
01259650150000600005658010377016300000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aATTENDEES OF THE FSC BI-ANNUAL CONFERENCE IN BOSTON. NOT TAXABLE AS LONG AS THEY MEET CONFERENCE ATTENDANCE REQUIREMENTS.
Part I, Line 5EXECUTIVE DIRECTOR RECEIVED BONUS BASED ON FINANCIAL PERFORMANCE AND OPERATING PERFORMANCE.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Total Proceeds7420000TotalProceeds
Refunding Escrow7420000RefundingEscrow
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
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
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 6FRANCISCAN LIVING COMMUNITIES IS THE SOLE MEMBER OF FRANCISCAN CARE CENTER, SYLVANIA.
Form 990, Part VI, Section A, line 7aFRANCISCAN 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 7bFRANCISCAN 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 11THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING. GLORIA KATTOUAH, CONTROLLER, EMAILED THE FORM 990 TO EACH BOARD MEMBER INDIVIDUALLY FOR THEM TO REVIEW PRIOR TO FILING.
THE ORGANIZATION REGULARY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY PROVIDING EACH BOARD MEMBER WITH A COPY OF THE POLICY AT THE JANUARY BOARD MEETING. EACH MEMBER IS ASKED TO READ THE POLICY AND SIGN A DISCLOSURE.Form 990, Part VI, Section B, line 12c
THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR INCLUDES THE BOARD OF DIRECTORS DISCUSSING HER COMPENSATION AND USING DATA COMPILED ON SIMILAR QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS TO MAKE A DECISION. THE DISCUSSION TAKES PLACE DURING THE EXECUTIVE SESSION AT THE BOARD OF DIRECTORS MEETING. THE LAST TIME THIS PROCESS TOOK PLACE WAS DECEMBER 2008. DELIBERATIONS AND DISCUSSIONS ARE INCLUDED IN THE BOARD MEETING MINUTES.Form 990, Part VI, Section B, line 15a
THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.Form 990, Part VI, Section C, line 18
THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.Form 990, Part VI, Section C, line 19
OVERSIGHT OF AUDITTHE ORGANIZATION'S COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND FOR SELECTION OF THE INDEPENDENT ACCOUNTANTS CONSISTS OF THE BOARD MEMBERS. THE PROCESS USED IN THE OVERSIGHT AND SELECTION DID NOT CHANGE FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C
ORGANIZATION'S MISSIONPROVIDENCE RESIDENTIAL COMMUNITY CORPORATION IS A SUBSIDIARY OF PROVIDENCE CARE CENTERS. THE MISSION STATEMENT SHOWN IN PART III WAS ADOPTED BY THE ORGANIZATION'S GOVERNING BODY FOR PROVIDENCE CARE CENTERS AND SUBSIDIARIES.FORM 990, PART III, LINE 1
OFFICER WHO CANNOT BE REACHED AT THE ORGANIZATION'S MAILING ADDRESSNAME: RICK RYAN ADDRESS: 5942 RENAISSANCE PLACE, SUITE A, TOLEDO, OHIO 43623FORM 990, PART VI, LINE 9
PUBLIC CHARITY STATUSTHE PUBLIC CHARITY STATUS OF THE SISTERS OF ST. FRANCIS OF SYLVANIA, A RELATED PARTY, IS NOT APPLICABLE. THE ORGANIZATION IS CONSIDERED A CHURCH AND RECEIVED THE EXEMPT CODE STATUS OF 501(C)(3) AUTOMATICALLY.FORM 990, SCHEDULE R, PART II, COLUMN E
OFFICER'S AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONTHE AVERAGE HOURS PER WEEK DEVOTED TO A RELATED ORGANIZATION FOR RICK G. RYAN, TRUSTEE, IS APPROXIMATELY 35 HOURS PER WEEK. THE AVERAGE HOURS PER WEEK DEVOTED TO A RELATED ORGANIZATION FOR WENDY DOLYK, EXECUTIVE DIRECTOR, IS APPROXIMATELY 40 HOURS PER WEEK. THE AVERAGE HOURS PER WEEK DEVOTED TO A RELATED ORGANIZATION FOR GLORIA KATTOUAH, CONTROLLER, IS APPROXIMATELY 40 HOURS PER WEEK.FORM 990, PART VII, SECTION A

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
PROVIDENCE CARE CENTER
2025 HAYES AVENUESANDUSKYOH44870341658625LONG TERM CARE FACILITYOH501(C)3LINE 9 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
THE COMMONS OF PROVIDENCE
5000 PROVIDENCE DRIVESANDUSKYOH44870341826097ASSISTED LIVINGOH501(C)3LINE 9 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
PROVIDENCE CARE CENTERS
2025 HAYES AVENUESANDUSKYOH44870341826099FINANCIAL SUPPORTOH501(C)3LINE 11 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
FRANCISCAN SERVICES CORPORATION
6832 CONVENT BLVDSYLVANIAOH43560341412964CHURCH ORGANIZATIONOH501(C)3LINE 1 (SCH. A)0N/A
FRANCISCAN LIVING COMMUNITIES
6832 CONVENT BLVDSYLVANIAOH43560341892096MANAGEMENT SUPPORTOH501(C)3LINE 11 (SCH. A)FRANCISCAN SERVICES CORP1
SISTERS OF ST FRANCIS OF SYLVANIA
6832 CONVENT BLVDSYLVANIAOH43560344450609RELIGIOUSOH501(C)3N/A0N/A
BURLESON ST JOSEPH HEALTH CARE CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742759890HEALTHCARETX501(C)3LINE 3 (SCH. A)ST JOSEPH SERVICES CORPORATION1
BURLESON ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742913931NURSING CARETX501(C)3LINE 9 (SCH. A)ST JOSEPH SERVICES CORPORATION1
FRANCISCAN CARE CENTER SYLVANIA
4111 HOLLAND SYLVANIA RDTOLEDOOH43623341931806LONG TERM CARE FACILITYOH501(C)3LINE 9 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
FRANCISCAN PROPERTIES INC
6832 CONVENT BLVDSYLVANIAOH43560341412966RESIDENTIAL HOUSINGOH501(C)3LINE 9 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
FRANCISCAN SERVICES CORP SELF INSURANCE TRUST
6832 CONVENT BLVDSYLVANIAOH43560346895492SELF INSURANCE TRUSTOH501(C)3LINE 11 (SCH. A)FRANCISCAN SERVICES CORP1
FRANCISCAN SHELTERS
6832 CONVENT BLVDSYLVANIAOH43560341612437DOMESTIC VIOLENCE SHELTEROH501(C)3LINE 1 (SCH. A)FRANCISCAN SERVICES CORP1
MADISON ST JOSEPH HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802742761145HEALTHCARETX501(C)3LINE 3 (SCH. A)ST JOSEPH SERVICES CORPORATION1
MADONNA MANOR
2344 AMSTERDAM RDVILLA HILLSKY41017610654635CONTINUING CARE RETIREMENT COMMUNITYKY501(C)3LINE 1 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
ROSARY CARE CENTER
6832 CONVENT BLVDSYLVANIAOH43560341931795LONG TERM CARE FACILITYOH501(C)3LINE 11 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
SOPHIA CENTER
6832 CONVENT BLVDSYLVANIAOH43560341761656OUTPATIENT MENTAL HEALTHOH501(C)3LINE 9 (SCH. A)FRANCISCAN SERVICES CORP1
ST CLARE COMMONS
6832 CONVENT BLVDSYLVANIAOH43560270163752LONG TERM CARE FACILITYOH501(C)3LINE 9 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
ST JOSEPH FOUNDATION
2801 FRANCISCAN DRIVEBRYANTX77802742351158CHARITABLE FUNDRAISINGTX501(C)3LINE 11 (SCH. A)ST JOSEPH SERVICES CORPORATION1
ST JOSEPH MANOR
2801 FRANCISCAN DRIVEBRYANTX77802742847594NURSING CARETX501(C)3LINE 9 (SCH. A)ST JOSEPH SERVICES CORPORATION1
ST JOSEPH PHYSICIAN ASSOCIATES
2801 FRANCISCAN DRIVEBRYANTX77802203159302PHYSICIAN PRACTICETX501(C)3LINE 3 (SCH. A)ST JOSEPH SERVICES CORPORATION1
ST JOSEPH REGIONAL HEALTH CENTER
2801 FRANCISCAN DRIVEBRYANTX77802741282696HEALTHCARETX501(C)3LINE 3 (SCH. A)ST JOSEPH SERVICES CORPORATION1
ST JOSEPH SERVICES CORPORATION
2801 FRANCISCAN DRIVEBRYANTX77802742455161GOVERNANCETX501(C)3LINE 11 (SCH. A)FRANCISCAN SERVICES CORP1
ST LEONARD
8100 CLYO RDCENTERVILLEOH45458341940863CONTINUING CARE RETIREMENT COMMUNITYOH501(C)3LINE 9 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
ST LEONARD FOUNDATION
8100 CLYO RDCENTERVILLEOH45458320102715CHARITABLE FUNDRAISINGOH501(C)3LINE 7 (SCH. A)FRANCISCAN LIVING COMMUNITIES1
TRINITY CARE CENTER
400 E SAYLESBRENHAMTX77833742663229LONG TERM CARE FACILITYTX501(C)3LINE 9 (SCH. A)TRINITY HEALTH SERVICES CORP1
TRINITY COMMUNITY MEDICAL CENTER
700 MEDICAL PARKWAYBRENHAMTX77833742519752HOSPITALTX501(C)3LINE 3 (SCH. A)TRINITY HEALTH SERVICES CORP1
TRINITY HEALTH SERVICES CORP
700 MEDICAL PARKWAYBRENHAMTX77833742605157HOLDING COMPANYTX501(C)3LINE 11 (SCH.A)FRANCISCAN SERVICES CORP1
TRINITY HEALTH SERVICES FOUNDATION
700 MEDICAL PARKWAYBRENHAMTX77833742460815CHARITABLE FUNDRAISINGTX501(C)3LINE 7 (SCH. A)TRINITY HEALTH SERVICES CORP1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line188 E BROAD STREET STE 1800AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
EIN311481761EIN
Primary ActivityLOW INCOME RENTALPrimaryActivity
Legal Domicile StateOHLegalDomicileState
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY
2801 FRANCISCAN DRIVEBRYANTX77802742466914PHYSICIAN HOSPITAL ORGANIZATIONTXN/AC
TAU ENTERPRISES
2801 FRANCISCAN DRIVEBRYANTX77802742544009OFFICE BUILDING RENTALTXN/AC
ST JOSEPH PHYSICIAN ALLIANCE
2801 FRANCISCAN DRIVEBRYANTX77802742764039COORD EMPL INSURTXN/AC
ST LEONARD CENTER 1 INC
8100 CLYO RDCENTERVILLEOH45458311481764LOW INCOME RENTALOHN/A
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
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
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 Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg