ROSARY CARE CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ROSARY CARE CENTER (EIN 34-1931795)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-12
- IRS object ID
- 202033179349305543
- Schema version
- 2019v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-12T13:49:46-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 SUPERIOR AVE SUITE 1250 | AddressLine1Txt |
| City | CLEVELAND | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44114 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 341931795 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROSARY CARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ROSA | BusinessNameControlTxt |
| Phone | 4198243669 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6832 CONVENT BLVD | AddressLine1Txt |
| City | SYLVANIA | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43560 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON PHILLIPS | PersonNm |
| Person Title | CEO/ADMINISTRATOR | PersonTitleTxt |
| Phone | 4198243669 | PhoneNum |
| Signature | 2020-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JEREMY S HERMAN CPA | PreparerPersonNm |
| PTIN | P00745789 | PTIN |
| Phone | 2165231010 | PhoneNum |
| Preparation | 2020-11-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 99.59.111.177 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-11 | IPDt |
| IP Tm | 15:31:27 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2073614AB6CC048C75CA70E90B6FEBAC5ECCA686 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JASON PHILLIPS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6832 CONVENT BLVD | AddressLine1Txt |
| City | SYLVANIA | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43560 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,606,678 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | ROSARY CARE CENTER OPERATES A LICENSED NURSING FACILITY AND A LICENSED RESIDENTIAL CARE FACILITY. THE NURSING FACILITY IS OPEN TO BOTH RETIRED MEMBERS OF RELIGIOUS ORDERS AND RETIRED LAY PERSONS. THE RESIDENTIAL CARE FACILITY IS OCCUPIED BY RETIRED MEMBERS OF THE SISTERS OF ST. FRANCIS. ROSARY CARE CENTER PROVIDES SKILLED NURSING CARE AND PERSONAL CARE SERVICES IN BOTH FACILITIES TO SICK, INFIRM, CONVALESCENT AND AGED PATIENTS UNDER THE DIRECTION OF PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.THE SISTERS OF ST. FRANCIS CONTROL ROSARY CARE CENTER THROUGH SYLVANIA FRANCISCAN MINISTRIES, AN OHIO NONPROFIT CORPORATION WHICH ACTS AS THE PARENT OF ROSARY CARE CENTER. THE CONGREGATIONAL MINISTER AND MEMBERS OF THE GENERAL COUNCIL ARE THE MEMBERS OF SYLVANIA FRANCISCAN MINISTRIES AND APPOINT SYLVANIA FRANCISCAN MINISTRIES BOARD OF TRUSTEES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 141 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $184,549 | PYContributionsGrantsAmt |
| CY Contributions Grants | $585,259 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,714,327 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,021,394 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$29,389 | PYInvestmentIncomeAmt |
| CY Investment Income | $25 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,869,487 | PYTotalRevenueAmt |
| CY Total Revenue | $7,606,678 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,906,023 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,059,452 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,174,973 | PYOtherExpensesAmt |
| CY Other Expenses | $3,353,320 | CYOtherExpensesAmt |
| PY Total Expenses | $7,080,996 | PYTotalExpensesAmt |
| CY Total Expenses | $7,412,772 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$211,509 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $193,906 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,272,956 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,330,594 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,269,115 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,132,847 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,003,841 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,197,747 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ROSARY CARE CENTER OPERATES A LICENSED NURSING FACILITY AND A LICENSED RESIDENTIAL CARE FACILITY. THE NURSING FACILITY IS OPEN TO BOTH RETIRED MEMBERS OF RELIGIOUS ORDERS AND RETIRED LAY PERSONS. THE RESIDENTIAL CARE FACILITY IS OCCUPIED BY RETIRED MEMBERS OF THE SISTERS OF ST. FRANCIS. ROSARY CARE CENTER PROVIDES SKILLED NURSING CARE AND PERSONAL CARE SERVICES IN BOTH FACILITIES TO SICK, INFIRM, CONVALESCENT AND AGED PATIENTS UNDER THE DIRECTION OF PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS.THE SISTERS OF ST. FRANCIS CONTROL ROSARY CARE CENTER THROUGH SYLVANIA FRANCISCAN MINISTRIES, AN OHIO NONPROFIT CORPORATION WHICH ACTS AS THE PARENT OF ROSARY CARE CENTER. THE CONGREGATIONAL MINISTER AND MEMBERS OF THE GENERAL COUNCIL ARE THE MEMBERS OF SYLVANIA FRANCISCAN MINISTRIES AND APPOINT SYLVANIA FRANCISCAN MINISTRIES BOARD OF TRUSTEES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,916,736 | ExpenseAmt |
| Revenue | $7,021,394 | RevenueAmt |
| Desc | DELIVER HEALTH CARE SERVICES TO THE ELDERLY VOWED RELIGIOUS AND OTHERS IN NEED OF ASSISTED LIVING, LONG-TERM OR REHABILITATIVE SERVICES IN A MANNER THAT UPHOLDS THE MORAL, ETHICAL AND RELIGIOUS DOCTRINES AND TEACHINGS OF THE ROMAN CATHOLIC CHURCH. 145 INDIVIDUALS SERVED FOR A TOTAL OF 30,943 RESIDENTIAL DAYS OF CARE IN 2019. | Desc |
| Total Program Service Expenses | $5,916,736 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 141 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JASON PHILLIPS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4198243600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6832 CONVENT BLVD | AddressLine1Txt |
| City | SYLVANIA | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43560 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| GAYLE LAMPKOWSKI | |||||||
| TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $181,899 | $9,299 |
| SR RACHEL NIJAKOWSKI | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $32,000 | $15,178 | |
| SR THERESA DARGA | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| SR SHANNON SCHREIN | |||||||
| TRUSTEE | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| JENI BELT | |||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JUDITH LANZINGER | |||||||
| TRUSTEE (BEG. 08/17) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SR JOY BARKER | |||||||
| TRUSTEE (BEG. 03/19) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SR VALERIE GRONDIN | |||||||
| TRUSTEE (BEG. 03/19) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SR MARY JON WAGNER | |||||||
| PRESIDENT AND CHAIRPERSON | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SR SHARON DERIVAN | |||||||
| SECRETARY | 1.00 | 20.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $213,899 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $24,477 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CONCEPT REHAB | |||||
| 7150 GRANITE CIRCLE 3200 | TOLEDO | OH | 43617 | REHABILITATION SERVICES | $564,143 |
| CHI LIVING COMMUNITIES | |||||
| 5942 RENAISSANCE PLACE SUITE A | TOLEDO | OH | 43623 | MANAGEMENT SERVICES | $239,921 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $578,679 | RelatedOrganizationsAmt |
| All Other Contributions | $6,580 | AllOtherContributionsAmt |
| Noncash Contributions | $157,800 | NoncashContributionsAmt |
| Total Contributions | $585,259 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| COMMERCIAL/PRIVATE/OTH | 623000 | $4,805,576 | $4,805,576 |
| MEDICARE AND MEDICAID | 623000 | $2,215,818 | $2,215,818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,021,394 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $25 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $25 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25 | TotalRevenueColumnAmt |
| Exclusion | $25 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,606,678 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,021,394 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,058,722 | TotalAmt |
| Program Services | $2,725,779 | ProgramServicesAmt |
| Management And General | $332,943 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,548 | TotalAmt |
| Program Services | $60,195 | ProgramServicesAmt |
| Management And General | $7,353 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $693,515 | TotalAmt |
| Program Services | $618,026 | ProgramServicesAmt |
| Management And General | $75,489 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,667 | TotalAmt |
| Program Services | $213,579 | ProgramServicesAmt |
| Management And General | $26,088 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,968 | TotalAmt |
| Program Services | $15,442 | ProgramServicesAmt |
| Management And General | $240,526 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,025 | TotalAmt |
| Management And General | $19,025 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,190 | TotalAmt |
| Management And General | $6,190 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990 | TotalAmt |
| Management And General | $990 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,527 | TotalAmt |
| Program Services | $561,527 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,972 | TotalAmt |
| Program Services | $7,972 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,496 | TotalAmt |
| Program Services | $597,686 | ProgramServicesAmt |
| Management And General | $123,810 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,179 | TotalAmt |
| Management And General | $70,179 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $657,088 | TotalAmt |
| Program Services | $207,472 | ProgramServicesAmt |
| Management And General | $449,616 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,059 | TotalAmt |
| Program Services | $20,614 | ProgramServicesAmt |
| Management And General | $1,445 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,513 | TotalAmt |
| Program Services | $113,411 | ProgramServicesAmt |
| Management And General | $26,102 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,731 | TotalAmt |
| Program Services | $132,285 | ProgramServicesAmt |
| Management And General | $30,446 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,834 | TotalAmt |
| Management And General | $85,834 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| FRANCHISE FEES | $359,694 | $359,694 |
| PROVISION FOR BAD DEBT | $283,054 | $283,054 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,412,772 | TotalAmt |
| Program Services | $5,916,736 | ProgramServicesAmt |
| Management And General | $1,496,036 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450 | BOYAmt |
| EOY | $449 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,309 | BOYAmt |
| EOY | $365,488 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,779 | BOYAmt |
| EOY | $711,444 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,664 | BOYAmt |
| EOY | $11,463 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,474 | BOYAmt |
| EOY | $47,556 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,054,954 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,508,241 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,666,072 | BOYAmt |
| EOY | $3,546,713 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,021,034 | BOYAmt |
| EOY | $1,016,820 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,174 | BOYAmt |
| EOY | $630,661 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,272,956 | BOYAmt |
| EOY | $6,330,594 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $514,487 | BOYAmt |
| EOY | $577,550 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,971 | BOYAmt |
| EOY | $162,303 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,505,000 | BOYAmt |
| EOY | $3,345,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,657 | BOYAmt |
| EOY | $47,994 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,269,115 | BOYAmt |
| EOY | $4,132,847 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,003,841 | BOYAmt |
| EOY | $2,197,747 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,003,841 | BOYAmt |
| EOY | $2,197,747 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,272,956 | BOYAmt |
| EOY | $6,330,594 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $193,906 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $963,315 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $334,226 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $879,070 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $184,549 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $585,259 | CurrentTaxYearAmt |
| Total | $2,946,419 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,963,250 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,436,105 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,324,398 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,714,327 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,021,394 | CurrentTaxYearAmt |
| Total | $29,459,474 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,926,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,770,331 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,203,468 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,898,876 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,606,653 | CurrentTaxYearAmt |
| Total | $32,405,893 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $334,543 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $793,954 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $736,425 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,004,789 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $496,880 | CurrentTaxYearAmt |
| Total | $3,366,591 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $334,543 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $793,954 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $736,425 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,004,789 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $496,880 | CurrentTaxYearAmt |
| Total | $3,366,591 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $29,039,302 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $127,405 | CurrentTaxYearMinus4YearsAmt |
| Total | $127,405 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,053,970 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,770,331 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,203,468 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,898,876 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,606,653 | CurrentTaxYearAmt |
| Total | $32,533,298 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.89260 | PublicSupportCY509Pct |
| Public Support PY509 | 0.90140 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $990 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $990 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | OHIO HEALTH CARE ASSOCIATION MEMBERSHIP DUES - 21.08% | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,194,083 | OtherCostOrOtherBasisAmt |
| Depreciation | $835,412 | DepreciationAmt |
| Book Value | $3,358,671 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $217,098 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,932 | DepreciationAmt |
| Book Value | $45,166 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $643,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $500,897 | DepreciationAmt |
| Book Value | $142,876 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,546,713 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| NON-PATIENT RECEIVABLE | $588,817 |
| RESIDENT TRUST ACCOUNTS (CASH) | $33,359 |
| ACCRUED Y-E PAYROLL DEDUCTIONS | $8,485 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $630,661 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| RESIDENT TRUST ACCOUNTS (CASH) | $33,359 |
| DUE TO AFFILIATES | $14,635 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $47,994 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GAYLE LAMPKOWSKI | PersonNm |
| Title | TREASURER | TitleTxt |
| Base Compensation Filing Org | $0 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $181,899 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $7,175 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $2,124 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $0 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $191,198 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF SYLVANIA OHIO HEALTH CARE REVENUE BONDS SERIES 2012 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 341931795 | BondIssuerEIN |
| Bond Issued | 2012-03-28 | BondIssuedDt |
| Issue Price | $4,395,000 | IssuePriceAmt |
| Purpose | CONSTRUCTION | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,050,000 | RetiredAmt |
| Total Proceeds | $4,395,000 | TotalProceedsAmt |
| In Reserve Fund | $169,245 | InReserveFundAmt |
| Capitalized Interest | $43,949 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $101,714 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $3,994,666 | CapitalExpendituresAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: CITY OF SYLVANIA, OHIO HEALTH CARE REVENUE BONDS, SERIES 2012 DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2018 | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | CONTRIBUTED RENT INCOME | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $157,800 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE BOARD CONTRACTS WITH A MANAGEMENT COMPANY, CHI LIVING COMMUNITIES, TO MANAGE DAILY OPERATIONS OF THE FACILITY. HOWEVER, THE BOARD STILL MAINTAINS ULTIMATE OVERSIGHT OF ROSARY CARE CENTER. THE COMPENSATION PAID FOR MANAGEMENT DUTIES DURING 2019 TOTALED $239,921. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERSHIP OF THE CORPORATION CONSISTS OF ONE (1) CLASS AND THE ONLY MEMBER OF THE CORPORATION SHALL BE SYLVANIA FRANCISCAN MINISTRIES, AN OHIO NON-PROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE RESERVED POWERS EXERCISABLE BY THE MEMBER ALONE - ACTION BY SYLVANIA FRANCISCAN MINISTRIES IN ITS CAPACITY AS SOLE MEMBER OF THE CORPORATION SHALL BE REQUIRED, AND SHALL BE SUFFICIENT TO ELECT THE TRUSTEES OF THE CORPORATION AS PROVIDED IN THE CODE OF REGULATIONS, AND TO REMOVE THEM AT WILL, WITH OR WITHOUT CAUSE AS PROVDED IN THE CODE OF REGULATIONS; AND TO ELECT AND REMOVE THE CHAIRPERSON AND THE PRESIDENT OF THE CORPORATION AS PROVIDED IN THE CODE OF REGULATIONS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE RESERVED POWERS EXERCISABLE BY THE MEMBER ALONE-ACTION BY THE MEMBER OF THE CORPORATION SHALL BE REQUIRED AND SHALL BE SUFFICIENT: A) TO ADOPT OR CHANGE THE PHILOSOPHY, OBJECTIVES, PURPOSES OR ETHICAL OR RELIGIOUS STANDARDS OF THE CORPORATION AND OF ORGANIZATIONS CONTROLLED BY THE CORPORATION; B)TO REMOVE THE TRUSTEES AT WILL, WITH OR WITHOUT CAUSE AS PROVIDED IN ARTICLE V, SECTION 2; C) TO ELECT, APPOINT AND REMOVE ANY OFFICER AND CHAIRPERSON OF ANY COMMITTEE OF THE CORPORATION; D) TO AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND THE CODE OF REGULATIONS OF THE CORPORATION AS PROVIDED IN ARTICLE XII; E) TO DISSOLVE OR TERMINATE THE EXISTENCE OF THE CORPORATION OR TO REVOKE ANY PROCEEDING FOR ITS VOLUNTARY DISSOLUTION AND TO DETERMINE THE DISTRIBUTION OF ASSETS UPON ANY APPROVED DISSOLUTION OR TERMINATION IN ACCORDANCE WITH THE ARTICLES OF INCORPORATION; F) TO SATISFY ALL REQUIREMENTS APPLICABLE TO NONPROFIT CORPORATIONS UNDER STATE LAW; G) TO TAKE ANY ACTION NECESSARY TO CONFORM THE PURPOSES AND ACTIVITIES OF THE CORPORATION AND OF ORGANIZATIONS CONTROLLED BY THE CORPORATION WITH THE TRADITIONS, TEACHINGS AND CANON LAW OF THE ROMAN CATHOLIC CHURCH AS THEY MAY BE IN EFFECT FROM TIME TO TIME; H) TO APPROVE ANY TRANSACTION, AGREEMENT, ARRANGEMENT OR CLAIM TO WHICH THE CORPORATION IS A PARTY THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST AS DEFINED IN ARTICLE IX; I) TO APPROVE ANY MERGER OR CONSOLIDATION OF THE CORPORATION AND ANY SALE OF SUBSTANTIALLY ALL OF ITS ASSETS; J) TO AUTHORIZE THE CREATION OF ANY SUBSIDIARY ORGANIZATION OR THE AFFILIATION OF THE CORPORATION WITH ANY OTHER ENTITY FOR THE PURPOSE OF THE JOINT CONDUCT OF BUSINESS OR OTHER PROGRAMS, WHETHER IN THE FORM OF PARTICIPATION IN A CORPORATION, PARTNERSHIP, JOINT VENTURE, CO TENANCY OR ANY OTHER FORM OF OWNERSHIP OR CONTROL; K)TO APPROVE THE CONVEYANCE OF REAL PROPERTY OR THE GRANTING OF MORTGAGES OR TRUST DEEDS OR THE CREATION OF OTHER LIENS UPON ANY REAL PROPERTY OWNED BY THE CORPORATION; L) TO APPROVE CONVEYING ANY TANGIBLE PERSONAL PROPERTY, INCURRING ANY DEBT OR SERIES OF DEBTS, GUARANTEEING OF ANY DEBT OR SERIES OF DEBTS, OR THE GRANTING OF ANY SECURITY INTEREST OR OTHER LIEN IN THE PROPERTY OF THE CORPORATION IN EXCESS OF THE AMOUNT PRESCRIBED FROM TIME TO TIME BY THE MEMBER; M) TO APPROVE ANY CAPITAL EXPENDITURE OR GRANT, OR SERIES OF CAPITAL EXPENDITURES OR GRANTS IN EXCESS OF THE AMOUNT PRESCRIBED FROM TIME TO TIME BY THE MEMBER; N) TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND RELATED ORGANIZATIONS; O) TO APPROVE THE ADDITION OR TERMINATION OF SERVICES; P) TO APPROVE THE CORPORATION'S AUDITOR; Q) TO APPROVE THE CORPORATION'S STRATEGIC PLAN; R) TO APPROVE THE POWER OF APPROVAL RESERVED BY THE CORPORATION OVER ACTIONS OF THE GOVERNING BODIES OF ITS SUBSIDIARY ORGANIZATIONS OR AFFILIATED ENTITIES; AND S) TO APPROVE ANY OTHER ACT FOR WHICH MEMBERSHIP APPROVAL IS REQUIRED UNDER APPLICABLE CANON OR CIVIL LAW, THE ARTICLES OF INCORPORATION, OR THIS CODE OF REGULATIONS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE GOVERNING BODY RECEIVES A 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 CEO/ADMINISTRATOR. 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 CONFLICT OF INTEREST. THE COVERED PERSONS ARE TO RECUSE FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ADMINISTRATOR'S COMPENSATION IS PAID BY CHI LIVING COMMUNITIES, THE MANAGEMENT COMPANY. CHI LIVING COMMUNITIES CONDUCTS THE ANNUAL EVALUATION OF THE ADMINISTRATOR/CEO OF ROSARY CARE CENTER TO DETERMINE THE ANNUAL COMPENSATION BASED ON PERFORMANCE AND COMPARISON TO OTHER SIMILAR ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS OF ROSARY CARE CENTER, 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, SCHEDULE R, PART II | THE RELATED TAX EXEMPT ORGANIZATIONS ARE ALL MEMBERS OF GROUP EXEMPTION # 0928. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SYLVANIA FRANCISCAN MINISTRIES (SFM) | ||||||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 473544114 | RELIGIOUS | OH | 501(C)(3) | LINE 1 | SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC | Yes (1) |
| SISTERS OF ST FRANCIS FOUNDATION | ||||||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 473539212 | RELIGIOUS | OH | 501(C)(3) | LINE 1 | SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC | Yes (1) |
| LOURDES UNIVERSITY | ||||||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 341226547 | HIGHER EDUCATION | OH | 501(C)(3) | LINE 2 | SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC | Yes (1) |
| FRANCISCAN PROPERTIES INC | ||||||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 341412966 | SENIOR HOUSING | OH | 501(C)(3) | LINE 10 | SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC | Yes (1) |
| FRANCISCAN SHELTERS | ||||||||||
| PO BOX 5930 | TOLEDO | OH | 436130930 | 341612437 | DOMESTIC VIOLENCE SHELTER | OH | 501(C)(3) | LINE 7 | SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC | Yes (1) |
| SOPHIA CENTER INC | ||||||||||
| 6832 CONVENT BLVD | SYLVANIA | OH | 43560 | 341761656 | MENTAL HEALTH | OH | 501(C)(3) | LINE 10 | SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SISTERS OF ST FRANCIS | ||
| C | $21,999 | ACTUAL AMOUNT RECEIVED |
| SISTERS OF ST FRANCIS | ||
| P | $395,379 | ACTUAL AMOUNT PAID |
| SISTERS OF ST FRANCIS | ||
| L | $734,020 | ACTUAL AMOUNT PAID |
| SISTERS OF ST FRANCIS | ||
| L | $55,295 | ACTUAL AMOUNT PAID |
| SISTERS OF ST FRANCIS | ||
| K | $157,800 | FMV |
| SISTERS OF ST FRANCIS | ||
| E | $160,000 | AMOUNT GUARANTEED |
| SISTERS OF ST FRANCIS | ||
| O | $75,962 | ACTUAL AMOUNT PAID |
| SISTERS OF ST FRANCIS | ||
| C | $157,800 | AMOUNT DONATED BY RELATED ORG |
| SISTERS OF ST FRANCIS | ||
| C | $134,540 | ACTUAL AMOUNT PAID |
| SISTERS OF ST FRANCIS | ||
| C | $264,340 | AMOUNT DONATED BY RELATED ORG |