ST FRANCIS HOME INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ST FRANCIS HOME INC (EIN 34-1437965)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-03
- IRS object ID
- 202043089349302529
- Schema version
- 2019v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-03T16:34:10-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 571184737 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FABRIZIO & SHULTZ LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3620 N HIGH ST STE 309 | AddressLine1Txt |
| City | COLUMBUS | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43214 | 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 | 341437965 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST FRANCIS HOME INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STFR | BusinessNameControlTxt |
| Phone | 4194472723 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 182 ST FRANCIS AVE | AddressLine1Txt |
| City | TIFFIN | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44883 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SISTER SARA ALDRIDGE | PersonNm |
| Person Title | CHAIRPERSON | PersonTitleTxt |
| Phone | 4194472723 | PhoneNum |
| Signature | 2020-10-20 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RYAN E SHULTZ CPA | PreparerPersonNm |
| PTIN | P01318447 | PTIN |
| Phone | 6142684400 | PhoneNum |
| Preparation | 2020-10-29 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 52.38.98.93 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-03 | IPDt |
| IP Tm | 16:34:10 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F1E2D6ADFA3461CCA4246B4825CA913809B82CD1 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F4CAE1EF7454098FD4620A8685074F36D647BC8E | 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 | SISTER SARA ALDRIDGE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 ST FRANCIS AVE | AddressLine1Txt |
| City | TIFFIN | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44883 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,990,607 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STFRANCISTIFFIN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE FACILITIES FOR INDEPENDENT LIVING, CUSTODIAL CARE & INTERMEDIATE CARE FOR THE ELDERLY. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 229 | TotalEmployeeCnt |
| Total Volunteers | 55 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $374,398 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,342 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,037,301 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,763,721 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,839 | PYInvestmentIncomeAmt |
| CY Investment Income | -$2,011,650 | CYInvestmentIncomeAmt |
| PY Other Revenue | $499,558 | PYOtherRevenueAmt |
| CY Other Revenue | $246,868 | CYOtherRevenueAmt |
| PY Total Revenue | $10,916,096 | PYTotalRevenueAmt |
| CY Total Revenue | $16,281 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,118,830 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $931,827 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,010,100 | PYOtherExpensesAmt |
| CY Other Expenses | $708,646 | CYOtherExpensesAmt |
| PY Total Expenses | $11,128,930 | PYTotalExpensesAmt |
| CY Total Expenses | $1,640,473 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$212,834 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,624,192 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,064,327 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,855,963 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,786,346 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $185,533 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,277,981 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,670,430 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE FACILITIES FOR INDEPENDENT LIVING, CUSTODIAL CARE & INTERMEDIATE CARE FOR THE ELDERLY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $30,183 | ExpenseAmt |
| Revenue | $37,951 | RevenueAmt |
| Desc | INDEPENDENT LIVING FACILITY FOR ELDERLY RESIDENTS WITH 31 UNITS OF APARTMENT-LIVING COMPLEX KNOWN AS ELIZABETH SCHAEFER APARTMENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,168,448 | ExpenseAmt |
| Revenue | $1,725,770 | RevenueAmt |
| Desc | SKILLED NURSING FACILITY FOR THE ELDERLY. DURING THE YEAR, IT OPERATED WITH 132 SKILLED-NURSING BEDS AND 16 ASSISTED-LIVING BEDS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,198,631 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 23 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 229 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SISTER SARA ALDRIDGE | PersonNm |
| Phone | 4194472723 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 ST FRANCIS AVE | AddressLine1Txt |
| City | TIFFIN | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44883 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (5 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 |
|---|---|---|---|---|---|---|---|
| SISTER SARA ALDRIDGE | |||||||
| CHAIRPERSON | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SISTER MYRA ARNONE | |||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| SISTER LEANNE KERSCHNER | |||||||
| TREASURER | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SISTER MARY KUHLMAN | |||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |
| SISTER ROZANNE SWOPE | |||||||
| V CHAIRPERSO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FABRIZIO CHIROPRACTIC & REHAB SERVIC | |||||
| 1560 W MARKET ST | TIFFIN | OH | 44883 | PHYSICAL & OCCU | $108,746 |
| MEDICAL STAFFING NETWORK | |||||
| PO BOX 840292 | DALLAS | TX | 752840292 | STAFFING | $101,058 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $17,342 | AllOtherContributionsAmt |
| Total Contributions | $17,342 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE AND MEDICAID | 623000 | $1,141,719 | $1,141,719 |
| NURSING HOME REVENUE | 623000 | $584,051 | $584,051 |
| INDEPENDENT LIVING FEE | 531110 | $37,951 | $37,951 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,763,721 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,083 | TotalRevenueColumnAmt |
| Exclusion | $4,083 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,815 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,815 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,815 | TotalRevenueColumnAmt |
| Exclusion | $9,815 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $249,591 | SecuritiesAmt |
| Other | $709,002 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $229,538 | SecuritiesAmt |
| Other | $2,744,788 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,053 | SecuritiesAmt |
| Other | -$2,035,786 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,015,733 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$2,015,733 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| OTHER INCOME | $181,041 | $181,041 |
| MANAGEMENT FEE TO RELATIVES | $47,414 | $47,414 |
| OTHER MISC INCOME | $4,833 | $4,833 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,765 | TotalRevenueColumnAmt |
| Exclusion | $3,765 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $237,053 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,281 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$18,724 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $17,663 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $747,659 | TotalAmt |
| Program Services | $747,659 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,049 | TotalAmt |
| Management And General | $14,049 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,804 | TotalAmt |
| Management And General | $191,804 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$21,685 | TotalAmt |
| Management And General | -$21,685 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,336 | TotalAmt |
| Management And General | $14,336 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,303 | TotalAmt |
| Management And General | $1,303 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,947 | TotalAmt |
| Management And General | $31,947 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,164 | TotalAmt |
| Program Services | $89,164 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,896 | TotalAmt |
| Management And General | $18,896 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,374 | TotalAmt |
| Management And General | $2,374 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,538 | TotalAmt |
| Program Services | $109,538 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,697 | TotalAmt |
| Management And General | $1,697 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,519 | TotalAmt |
| Program Services | $2,519 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,997 | TotalAmt |
| Program Services | $4,997 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,150 | TotalAmt |
| Program Services | $60,150 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,305 | TotalAmt |
| Management And General | $11,305 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $143,910 | $133,612 | $10,298 |
| FRANCHISE FEES | $99,453 | $99,453 | |
| SUPPLIES - MEALS | $56,660 | $56,660 | |
| EQUIPMENT, REPAIR, MAINTE | $43,703 | $43,703 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,694 | TotalAmt |
| Program Services | $7,289 | ProgramServicesAmt |
| Management And General | $9,405 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,640,473 | TotalAmt |
| Program Services | $1,198,631 | ProgramServicesAmt |
| Management And General | $441,842 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,650 | BOYAmt |
| EOY | $1,650 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,707,021 | BOYAmt |
| EOY | $1,717,915 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $528,745 | BOYAmt |
| EOY | $136,398 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,373 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,112 | BOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,051,297 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,675 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,454 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,064,327 | BOYAmt |
| EOY | $1,855,963 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,099,286 | BOYAmt |
| EOY | $185,533 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $687,060 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,786,346 | BOYAmt |
| EOY | $185,533 | 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 | $2,980,383 | BOYAmt |
| EOY | $1,422,832 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,598 | BOYAmt |
| EOY | $247,598 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,277,981 | BOYAmt |
| EOY | $1,670,430 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,064,327 | BOYAmt |
| EOY | $1,855,963 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,624,192 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $16,641 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | 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 | $739,538 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $209,167 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $236,022 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $374,398 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,342 | CurrentTaxYearAmt |
| Total | $1,576,467 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,437,648 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,469,439 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,544,953 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,455,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,997,009 | CurrentTaxYearAmt |
| Total | $43,904,379 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,632 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $40,731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,479 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,143 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,765 | CurrentTaxYearAmt |
| Total | $95,750 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,197,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,719,337 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,795,454 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,845,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,018,116 | CurrentTaxYearAmt |
| Total | $45,576,596 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $45,576,596 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,757 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $79,201 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $87,150 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,608 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,898 | CurrentTaxYearAmt |
| Total | $316,614 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $65,757 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $79,201 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $87,150 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,608 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,898 | CurrentTaxYearAmt |
| Total | $316,614 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,263,575 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,798,538 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,882,604 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,916,479 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,032,014 | CurrentTaxYearAmt |
| Total | $45,893,210 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99310 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99280 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DOMINIC FABRIZIO | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FORMER B MEMBER | RelationshipDescriptionTxt |
| Transaction | $108,746 | TransactionAmt |
| Transaction | SEE BELOW | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: DOMINIC FABRIZIO (B) DESCRIPTION OF TRANSACTION: PURCHASED REHABILITATION SERVICES FROM FABRIZIO CHIROPRACTIC AND REHABILITATION SERVICES, INC. AT FAIR VALUE. | ExplanationTxt |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | ASSET SALE | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2019-02-28 | DistributionDt |
| Fair Market Value Of Asset | $709,002 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | BOOK VALUE | MethodOfFMVDeterminationTxt |
| EIN | 832533222 | EIN |
| Person | CSJI-TIFFIN INC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 E LINCOLN STREET | AddressLine1Txt |
| City | WITCHITA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67218 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N | FormAndLineReferenceDesc |
| Explanation | ON FEBRUARY 28, 2019 ST. FRANCIS SENIOR MINISTRIES (SFSM) EXECUTED AN ASSET SALE IN WHICH ALL FIXED ASSETS WERE SOLD TO CSJ INITIATIVES, INC (CSJI). CSJI AND SFSM ENTERED INTO AN OPERATIONS TRANSFER AGREEMENT ON JANUARY 1, 2019. UPON CLOSING CSJI WAS TO DEFEASE THE BONDS PAYABLE TO THE COUNTY OF SENECA, HOSPITAL CARE FACILITIES REVENUE REFUNDING BONDS, SERIES 2005 AND ALL RESIDENT FUNDS AND DEPOSITS WERE TRANSFERRED TO CSJI. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 3 | ON FEBRUARY 28, 2019 ST. FRANCIS SENIOR MINISTIRES (SFSM) EXECUTED AN ASSET SALE IN WHICH ALL FIXED ASSETS WERE SOLD TO CSJ INITIATIVES, INC. CSJI AND SFSM ENTERED INTO AN OPERATIONS TRANSFER AGREEMENT ON JANUARY 1, 2019. |
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION WAS MANAGED BY CSJI-TIFFIN, INC FROM JANUARY - FEBRUARY OF 2019. DURING THAT TIME CSJI-TIFFIN, INC MANAGE AND OPERATE THE CAMPUS CONSISTENT WITH ALL APPLICABLE FEDERAL, STATE AND LOCAL LAWS, RULES AND REGULATIONS RELATED TO THE SERVICES PROVIDED IN THE CONTINUUM. SUPERVISE AND MANAGE THE DAY-TO-DAY OPERATION OF THE CAMPUS ON BEHALF OF THE OWNER. IMPLEMENT POLICIES AND PROCEDURES ESTABLISHED BY MANAGER AND APPROVED BY OWNER. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE SOLE CORPORATE MEMBERS OF THE ORGANIZATION ARE THE COMMUNITY MINISTER AND FOUR MEMBERS OF GENERAL COUNCIL OF THE SISTERS OF ST. FRANCIS OF PENANCE AND CHARITY OF TIFFIN, OHIO (SISTERS OF ST. FRANCIS). |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE ORGANIZATION'S CHAIR OF THE BOARD IS ELECTED BY THE SISTERS OF ST. FRANCIS. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE ORGANIZATION'S ANNUAL BUDGET AND OTHER MAJOR DECISIONS REQUIRE AN APPROVAL FROM THE COMMUNITY MINISTER AND SISTERS OF ST. FRANCIS, SOLE MEMBERS OF ST. FRANCIS HOME, INC. |
| FORM 990, PAGE 6, PART VI, LINE 11B | EACH MEMBER OF THE BOARD RECEIVES AN ELECTRONIC COPY OF THE 990 FOR REVIEW. ANY QUESTIONS OR CONCERNS THAT ARISE FROM THE REVIEW OF THE 990 FROM THE BOARD WILL BE DISCUSSED AND RESOLVED APPROPRIATELY. |
| FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST ANNUALLY. THE GOVERNING BODY ADDRESSES THOSE CONFLICTS AS NEEDED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, A COMPARISON IS DONE TO SALARIES FOR COMPARABLE POSITIONS. SALARIES ARE REVIEWED AND APPROVED BY THE MEMBERS OF SISTERS OF ST. FRANCIS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | CEO AND HUMAN RESOURCE DEPARTMENT REVIEW SALARIES OF ALL KEY EMPLOYEES ANNUALLY WITH COMPARABLE SALARY RANGE FOR OTHER FACILITIES IN THE REGION |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE KEPT ON SITE AND MADE AVAILABLE FOR PUBLIC VIEWING UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| ST FRANCIS VILLAS INC | ||||||||||
| 182 ST FRANCIS AVE | TIFFIN | OH | 44883 | 341628903 | OPERATION | OH | 501C3 | 10 | SISTERS OF | Yes (true) |
| ST FRANCIS SENIOR MINISTRIES DAY C | ||||||||||
| 182 ST FRANCIS AVE | TIFFIN | OH | 44883 | 203401507 | PROVIDE DA | OH | 501C3 | 10 | SISTERS OF | Yes (true) |
| SISTERS OF ST FRANCIS | ||||||||||
| 200 ST FRANCIS AVE | TIFFIN | OH | 44883 | 344428986 | SISTERS OF | OH | 501C3 | 1 | SISTERS OF | false |
| FRIEDMAN VILLAGE AT ST FRANCIS | ||||||||||
| 175 ST FRANCIS AVE | TIFFIN | OH | 44883 | 264425817 | PROVIDE IN | OH | 501C3 | 10 | SISTERS OF | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST FRANCIS VILLAS INC | ||
| O | $10,614 | FAIR MARKET VALUE |
| FRIEDMAN VILLAGE AT ST FRANCIS | ||
| O | $22,464 | FAIR MARKET VALUE |