2011-11-14T11:23:43-06:00 2010-12-31 PLANTE & MORAN PLLC 1111 SUPERIOR AVE SUITE 1250 CLEVELAND OH 441142533 990 2010-01-01 341896807 PROVIDENCE RESIDENTIAL COMMUNITY CORPORATION PROV 4196272273 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 WENDY DOLYK 4196272273 2011-11-11 1 2165231010 2010 2016-03-07 17:11:31Z WENDY DOLYK 5055 PROVIDENCE DRIVE SANDUSKY OH 44870 999848 0 X WWW.PROVIDENCECENTERS.ORG X 1999 OH PROVIDENCE RESIDENTIAL PROVIDES INDEPENDENT LIVING FACILITIES AND LIMITED NURSING SERVICES TO RESIDENTS OVER AGE 55 YEARS. 10 8 0 1 0 0 0 0 1026367 990872 -233797 608 9748 8368 802318 999848 0 0 0 0 32285 15678 0 0 0 1011359 938090 1043644 953768 -241326 46080 7772097 7441319 9742895 9366037 -1970798 -1924718 PROVIDENCE 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. 0 0 281191 990872 PROVIDENCE 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. 281191 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 0 0 OH X GLORIA KATTOUAH 4196272273 2025 HAYES AVENUE SANDUSKY OH 44870 RICK G RYAN 5.00 X 0 289722 60293 CHARLENE MOCKENSTURM 1.00 X X 0 0 0 BRIAN MURPHY MD 1.00 X 0 0 0 SISTER JULIE MEYERS 1.00 X 0 0 0 DONALD MAZZA 1.00 X 0 0 0 JOHN ROSINO 1.00 X X 0 0 0 H JOHN HILDEBRANDT 1.00 X 0 0 0 CARL MCGOOKEY 1.00 X 0 0 0 EDMUND HOTY 1.00 X 0 0 0 WENDY DOLYK 1.00 X 0 146965 16035 GLORIA KATTOUAH 1.00 X 0 86788 16919 0 523475 93247 0 0 1 0 0 RENTAL INCOME 623990 907372 907372 ENTRANCE FEE INCOME 623990 83500 83500 990872 608 608 OTHER REVENUE 623990 8368 8368 8368 999848 990872 0 8976 14748 14748 930 930 1406 1406 6404 6404 1824 1824 2137 2137 2484 2377 107 95984 83899 12085 251990 251990 392343 392343 4204 4204 LICENSES & TAXES 134800 134800 MANAGEMENT/TRUSTEE FEES 22160 22160 PROFESSIONAL CONTRACT 17730 17730 CONTRACTUAL ALLOWANCE/B 2673 2673 FINANCE CHARGES 1901 1901 50 50 953768 281191 672577 0 292087 302087 1344 947 193 9428 14736 11339035 4215486 7469045 7123549 7772097 7441319 153309 148264 204 1446 7420000 7385000 2169382 1831327 9742895 9366037 X -1970798 -1924718 -1970798 -1924718 7772097 7441319 46080 0 X X 0 1 1 X 0 X 239 239 1064642 1071070 1119162 790333 990872 5036079 1064642 1071070 1119401 790333 990872 5036318 0 160060 193512 218106 380764 266101 1218543 160060 193512 218106 380764 266101 1218543 3817775 8239 11493 921 239 608 21500 8239 11493 921 239 608 21500 9961 10282 5723 9747 8368 44081 1082842 1092845 1126045 800319 999848 5101899 0.74830 0.75690 0.00420 0.00700 X Schedule A, Part IV, Supplemental Information: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: HOUSEKEEPING, THERAPY, AND OTHER MISCELLANEOUS REVENUE 678271 678271 7562527 2224028 5338499 259508 199583 59925 2836710 1791875 1044835 2019 2019 7123549 NONREFUNDABLE RESIDENT FEES 357298 REFUNDABLE RESIDENT FEES 1342428 DUE TO AFFILIATES 131601 1831327 X 1 1 X X X 0 0 0 1 0 0 0 0 0 RICK G RYAN 0 288625 0 0 0 1097 0 23465 0 36828 0 350015 0 0 WENDY DOLYK 0 125965 0 15000 0 6000 0 5658 0 10377 0 163000 0 0 Part I, Line 1a ATTENDEES OF THE FSC BI-ANNUAL CONFERENCE IN BOSTON. NOT TAXABLE AS LONG AS THEY MEET CONFERENCE ATTENDANCE REQUIREMENTS. Part I, Line 5 EXECUTIVE DIRECTOR RECEIVED BONUS BASED ON FINANCIAL PERFORMANCE AND OPERATING PERFORMANCE. COUNTY OF ERIE OHIO 346400428 2009-10-15 7420000 CURRENT REFUNDING OF ISSUE DATED 12/23/1999 0 0 0 7420000 7420000 1 0 1 1 0 0 0 0 1 1 0 1 1 MORGAN STANLEY 0.025500000000 0 0 0 0 0 Form 990, Part VI, Section A, line 6 FRANCISCAN LIVING COMMUNITIES IS THE SOLE MEMBER OF FRANCISCAN CARE CENTER, SYLVANIA. Form 990, Part VI, Section A, line 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 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 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. Form 990, Part VI, Section B, line 12c 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 15a 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 C, line 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OVERSIGHT OF AUDIT FORM 990, PART XI, LINE 2C THE 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. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 PROVIDENCE 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. OFFICER WHO CANNOT BE REACHED AT THE ORGANIZATION'S MAILING ADDRESS FORM 990, PART VI, LINE 9 NAME: RICK RYAN ADDRESS: 5942 RENAISSANCE PLACE, SUITE A, TOLEDO, OHIO 43623 PUBLIC CHARITY STATUS FORM 990, SCHEDULE R, PART II, COLUMN E THE 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. OFFICER'S AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATION FORM 990, PART VII, SECTION A THE 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. PROVIDENCE CARE CENTER 2025 HAYES AVENUE SANDUSKY OH 44870 341658625 LONG TERM CARE FACILITY OH 501(C)3 LINE 9 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DRIVE SANDUSKY OH 44870 341826097 ASSISTED LIVING OH 501(C)3 LINE 9 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 PROVIDENCE CARE CENTERS 2025 HAYES AVENUE SANDUSKY OH 44870 341826099 FINANCIAL SUPPORT OH 501(C)3 LINE 11 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 FRANCISCAN SERVICES CORPORATION 6832 CONVENT BLVD SYLVANIA OH 43560 341412964 CHURCH ORGANIZATION OH 501(C)3 LINE 1 (SCH. A) N/A 0 FRANCISCAN LIVING COMMUNITIES 6832 CONVENT BLVD SYLVANIA OH 43560 341892096 MANAGEMENT SUPPORT OH 501(C)3 LINE 11 (SCH. A) FRANCISCAN SERVICES CORP 1 SISTERS OF ST FRANCIS OF SYLVANIA 6832 CONVENT BLVD SYLVANIA OH 43560 344450609 RELIGIOUS OH 501(C)3 N/A N/A 0 BURLESON ST JOSEPH HEALTH CARE CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTHCARE TX 501(C)3 LINE 3 (SCH. A) ST JOSEPH SERVICES CORPORATION 1 BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 NURSING CARE TX 501(C)3 LINE 9 (SCH. A) ST JOSEPH SERVICES CORPORATION 1 FRANCISCAN CARE CENTER SYLVANIA 4111 HOLLAND SYLVANIA RD TOLEDO OH 43623 341931806 LONG TERM CARE FACILITY OH 501(C)3 LINE 9 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 FRANCISCAN PROPERTIES INC 6832 CONVENT BLVD SYLVANIA OH 43560 341412966 RESIDENTIAL HOUSING OH 501(C)3 LINE 9 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 FRANCISCAN SERVICES CORP SELF INSURANCE TRUST 6832 CONVENT BLVD SYLVANIA OH 43560 346895492 SELF INSURANCE TRUST OH 501(C)3 LINE 11 (SCH. A) FRANCISCAN SERVICES CORP 1 FRANCISCAN SHELTERS 6832 CONVENT BLVD SYLVANIA OH 43560 341612437 DOMESTIC VIOLENCE SHELTER OH 501(C)3 LINE 1 (SCH. A) FRANCISCAN SERVICES CORP 1 MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTHCARE TX 501(C)3 LINE 3 (SCH. A) ST JOSEPH SERVICES CORPORATION 1 MADONNA MANOR 2344 AMSTERDAM RD VILLA HILLS KY 41017 610654635 CONTINUING CARE RETIREMENT COMMUNITY KY 501(C)3 LINE 1 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 ROSARY CARE CENTER 6832 CONVENT BLVD SYLVANIA OH 43560 341931795 LONG TERM CARE FACILITY OH 501(C)3 LINE 11 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 SOPHIA CENTER 6832 CONVENT BLVD SYLVANIA OH 43560 341761656 OUTPATIENT MENTAL HEALTH OH 501(C)3 LINE 9 (SCH. A) FRANCISCAN SERVICES CORP 1 ST CLARE COMMONS 6832 CONVENT BLVD SYLVANIA OH 43560 270163752 LONG TERM CARE FACILITY OH 501(C)3 LINE 9 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 ST JOSEPH FOUNDATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 CHARITABLE FUNDRAISING TX 501(C)3 LINE 11 (SCH. A) ST JOSEPH SERVICES CORPORATION 1 ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 NURSING CARE TX 501(C)3 LINE 9 (SCH. A) ST JOSEPH SERVICES CORPORATION 1 ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHYSICIAN PRACTICE TX 501(C)3 LINE 3 (SCH. A) ST JOSEPH SERVICES CORPORATION 1 ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTHCARE TX 501(C)3 LINE 3 (SCH. A) ST JOSEPH SERVICES CORPORATION 1 ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 GOVERNANCE TX 501(C)3 LINE 11 (SCH. A) FRANCISCAN SERVICES CORP 1 ST LEONARD 8100 CLYO RD CENTERVILLE OH 45458 341940863 CONTINUING CARE RETIREMENT COMMUNITY OH 501(C)3 LINE 9 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 ST LEONARD FOUNDATION 8100 CLYO RD CENTERVILLE OH 45458 320102715 CHARITABLE FUNDRAISING OH 501(C)3 LINE 7 (SCH. A) FRANCISCAN LIVING COMMUNITIES 1 TRINITY CARE CENTER 400 E SAYLES BRENHAM TX 77833 742663229 LONG TERM CARE FACILITY TX 501(C)3 LINE 9 (SCH. A) TRINITY HEALTH SERVICES CORP 1 TRINITY COMMUNITY MEDICAL CENTER 700 MEDICAL PARKWAY BRENHAM TX 77833 742519752 HOSPITAL TX 501(C)3 LINE 3 (SCH. A) TRINITY HEALTH SERVICES CORP 1 TRINITY HEALTH SERVICES CORP 700 MEDICAL PARKWAY BRENHAM TX 77833 742605157 HOLDING COMPANY TX 501(C)3 LINE 11 (SCH.A) FRANCISCAN SERVICES CORP 1 TRINITY HEALTH SERVICES FOUNDATION 700 MEDICAL PARKWAY BRENHAM TX 77833 742460815 CHARITABLE FUNDRAISING TX 501(C)3 LINE 7 (SCH. A) TRINITY HEALTH SERVICES CORP 1 ST LEONARD CENTER LIMITED PARTNERSHIP 88 E BROAD STREET STE 1800 COLUMBUS OH 43215 311481761 LOW INCOME RENTAL OH 0 1 ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 PHYSICIAN HOSPITAL ORGANIZATION TX N/A C TAU ENTERPRISES 2801 FRANCISCAN DRIVE BRYAN TX 77802 742544009 OFFICE BUILDING RENTAL TX N/A C ST JOSEPH PHYSICIAN ALLIANCE 2801 FRANCISCAN DRIVE BRYAN TX 77802 742764039 COORD EMPL INSUR TX N/A C ST LEONARD CENTER 1 INC 8100 CLYO RD CENTERVILLE OH 45458 311481764 LOW INCOME RENTAL OH N/A 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0