ST FRANCIS HOME INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ST FRANCIS HOME INC (EIN 34-1437965)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-02
- IRS object ID
- 201712759349300606
- Schema version
- 2016v3.0
- 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 | 2017-10-02T09:51:30-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | 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 | PO BOX 9184 | AddressLine1Txt |
| City | FARMINGTON HILLS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 483339184 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SEAN RILEY | PersonNm |
| Person Title | CEO/EXEC DIR/ADMINIS | PersonTitleTxt |
| Phone | 4194472723 | PhoneNum |
| Signature | 2017-07-11 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RYAN E SHULTZ CPA | PreparerPersonNm |
| PTIN | P01318447 | PTIN |
| Phone | 6142684400 | PhoneNum |
| Preparation | 2017-09-29 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | E098D37C81DCC429B29810E1DEE66A9307E2CFAB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 977CFCB9C685DC8DED6EB91A22541EBE6B77B20C | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SEAN RILEY | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,798,538 | 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 |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 298 | TotalEmployeeCnt |
| Total Volunteers | 67 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $739,538 | PYContributionsGrantsAmt |
| CY Contributions Grants | $209,167 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,025,866 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,187,968 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,929 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,008 | CYInvestmentIncomeAmt |
| PY Other Revenue | $493,242 | PYOtherRevenueAmt |
| CY Other Revenue | $394,395 | CYOtherRevenueAmt |
| PY Total Revenue | $11,263,575 | PYTotalRevenueAmt |
| CY Total Revenue | $10,798,538 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,163,782 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,234,693 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,197,963 | PYOtherExpensesAmt |
| CY Other Expenses | $4,014,022 | CYOtherExpensesAmt |
| PY Total Expenses | $10,361,745 | PYTotalExpensesAmt |
| CY Total Expenses | $10,248,715 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $901,830 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $549,823 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,246,605 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,663,955 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,458,660 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,321,754 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,787,945 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,342,201 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE FACILITIES FOR INDEPENDENT LIVING, CUSTODIAL CARE & INTERMEDIATE CARE FOR THE ELDERLY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $190,043 | ExpenseAmt |
| Revenue | $251,210 | 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 | $6,807,341 | ExpenseAmt |
| Revenue | $9,936,758 | 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 | $6,997,384 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | 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 | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 298 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | SEAN RILEY | PersonNm |
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 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 |
|---|---|---|---|---|---|---|---|
| TYLER WEBB | |||||||
| CHAIRPERSON | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SHELLIE MACK | |||||||
| VICE CHAIRPE | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SISTER MYRA ARNONE | |||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR DOMINIC FABRIZIO | |||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| REV JAN KUCERA | |||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRIAN FALTER | |||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ELEANOR ANDERSON | |||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JILL GRIFFIN | |||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| FRANCINE NEAL | |||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| REBECCA SHANK | |||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SISTER SARA ALDRIDGE | |||||||
| COMMUNITY MI | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JESSICA SHORT | |||||||
| EXEC DIR - A | 39.00 | 1.00 | Yes (X) | $119,283 | $0 | $0 | |
| SEAN RILEY | |||||||
| CEO/EXEC DIR | 39.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $119,283 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| TRINITY SENIOR SERVICES MANAGEMENT | ||||||
| 17410 COLLEGE PARKWAY STE 200 | LIVONIA | MI | 48152 | MANAGEMENT | $669,377 | |
| FABRIZIO CHIROPRACTIC & REHAB SERVIC | ||||||
| 676 MIAMI ST | TIFFIN | OH | 44883 | PHYSICAL & OCCU | $442,201 | SUITE A |
| ICP INC | ||||||
| 1815 W CP RD 54 | TIFFIN | OH | 44883 | PHARMACY | $198,043 | |
| CLOUSE CONSTRUCTION CORPORATION | ||||||
| 4385 W TWP RD 90 | NEW RIEGEL | OH | 44853 | CONSTRUCTION | $154,237 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $27,500 | RelatedOrganizationsAmt |
| All Other Contributions | $181,667 | AllOtherContributionsAmt |
| Total Contributions | $209,167 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE AND MEDICAID | 623000 | $6,135,549 | $6,135,549 |
| NURSING HOME REVENUE | 623000 | $3,801,209 | $3,801,209 |
| INDEPENDENT LIVING FEE | 531110 | $251,210 | $251,210 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,187,968 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,008 | TotalRevenueColumnAmt |
| Exclusion | $7,008 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $72,193 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $72,193 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,193 | TotalRevenueColumnAmt |
| Exclusion | $72,193 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MANAGEMENT FEE TO RELATIVES | $240,784 | $240,784 | |
| OTHER MISC INCOME | $28,981 | $28,981 | |
| CAFETERIA | $21,138 | $21,138 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,299 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,706 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $19,593 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $322,202 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,798,538 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,469,439 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $119,932 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,283 | TotalAmt |
| Program Services | $119,283 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,731,324 | TotalAmt |
| Program Services | $4,731,324 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,433 | TotalAmt |
| Management And General | $71,433 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $852,421 | TotalAmt |
| Management And General | $852,421 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,232 | TotalAmt |
| Management And General | $460,232 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,037 | TotalAmt |
| Management And General | $613,037 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $868 | TotalAmt |
| Management And General | $868 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,391 | TotalAmt |
| Management And General | $66,391 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $514,166 | TotalAmt |
| Program Services | $481,576 | ProgramServicesAmt |
| Management And General | $32,590 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,277 | TotalAmt |
| Management And General | $54,277 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,205 | TotalAmt |
| Management And General | $25,205 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,466 | TotalAmt |
| Program Services | $344,466 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,306 | TotalAmt |
| Management And General | $5,306 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,567 | TotalAmt |
| Program Services | $11,567 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,924 | TotalAmt |
| Program Services | $51,924 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,698 | TotalAmt |
| Program Services | $381,698 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,460 | TotalAmt |
| Management And General | $95,460 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $675,701 | $680,715 | -$5,014 |
| FRANCHISE FEES | $593,223 | $593,223 | |
| SUPPLIES - MEALS | $351,998 | $351,998 | |
| EQUIPMENT, REPAIR, MAINTE | $163,134 | $163,134 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,601 | TotalAmt |
| Program Services | $31,697 | ProgramServicesAmt |
| Management And General | $33,904 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,248,715 | TotalAmt |
| Program Services | $6,997,384 | ProgramServicesAmt |
| Management And General | $3,251,331 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,150 | BOYAmt |
| EOY | $1,650 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,450,536 | BOYAmt |
| EOY | $1,687,343 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,018,898 | BOYAmt |
| EOY | $989,500 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,400 | BOYAmt |
| EOY | $25,097 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,244 | BOYAmt |
| EOY | $70,562 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,096,947 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $11,998,199 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,968,633 | BOYAmt |
| EOY | $2,098,748 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,567 | BOYAmt |
| EOY | $207,105 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $551,177 | BOYAmt |
| EOY | $583,950 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,246,605 | BOYAmt |
| EOY | $5,663,955 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,089,790 | BOYAmt |
| EOY | $1,200,707 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,053,000 | BOYAmt |
| EOY | $916,578 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $315,870 | BOYAmt |
| EOY | $204,469 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,458,660 | BOYAmt |
| EOY | $2,321,754 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,634,575 | BOYAmt |
| EOY | $3,216,664 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,370 | BOYAmt |
| EOY | $75,537 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $50,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,787,945 | BOYAmt |
| EOY | $3,342,201 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,246,605 | BOYAmt |
| EOY | $5,663,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $549,823 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,433 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| 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 | $159,829 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $219,054 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $282,731 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $739,538 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $209,167 | CurrentTaxYearAmt |
| Total | $1,610,319 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,705,118 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,637,798 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,798,558 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,437,648 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,469,439 | CurrentTaxYearAmt |
| Total | $50,048,561 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $68,540 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $57,917 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,632 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,731 | CurrentTaxYearAmt |
| Total | $202,995 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,933,487 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,914,769 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,096,464 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,197,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,719,337 | CurrentTaxYearAmt |
| Total | $51,861,875 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $51,861,875 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,443 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $81,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $84,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,757 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,201 | CurrentTaxYearAmt |
| Total | $402,921 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $91,443 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $81,805 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $84,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,757 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,201 | CurrentTaxYearAmt |
| Total | $402,921 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,024,930 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,996,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,181,179 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,263,575 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,798,538 | CurrentTaxYearAmt |
| Total | $52,264,796 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99230 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99200 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| 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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,405 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $51,405 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.97270 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.02730 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,809,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,824,832 | DepreciationAmt |
| Book Value | $984,827 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,287,288 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,173,367 | DepreciationAmt |
| Book Value | $1,113,921 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,098,748 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PURCHASED NURSING HOME LICENSE | $318,378 |
| CONSTRUCTION IN PROCESS | $265,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $583,950 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART V, LINE 4 | ZAHN ENDOWMENT - INCOME TO BE UTILIZED AS ST. FRANCIS, HOME INC. SHALL DETERMINE, BUT ST FRANCIS HOME, INC. SHALL NOT EXPEND OR BORROW AGAINST OR FROM THE PRINCIPAL (EXCEPT AS ACCOUNTING PRINCIPAL MAY IN GIVEN YEARS BE INCLUDED IN THE AMOUNTS DISTRIBUTABLE FROM OTHER UNRESTRICTED ENDOWMENT FUNDS OF ST. FRANCIS HOME, INC UNDER ANY EXPENDITURE POLICY THAT ST. FRANCIS HOME, INC. MAY FOLLOW). |
| SCHEDULE D, PAGE 3, PART X | THE ORGANIZATION ANNUALLY EVALUATES WHETHER THERE ARE ANY UNCERTAINTIES IN INCOME TAX POSITIONS THAT MAY AFFECT COMBINED FINANCIAL STATEMENTS. MANAGEMENT DETERMINED THERE WERE NO MATERIAL UNCERTAIN TAX POSITIONS TAKEN BY THE ORGANIZATION IN THEIR TAX RETURNS. IRS FORM 990 FILING PERIODS FOR THE YEARS ENDED 2012 AND PRIOR ARE CLOSED. |
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 | COUNTY OF SENECA OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 346401331 | BondIssuerEIN |
| Bond Issued | 2005-09-01 | BondIssuedDt |
| Issue Price | $2,340,000 | IssuePriceAmt |
| Purpose | HOSPITAL CARE FACILITIES REFUNDING BONDS, SERIES 2005 | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Current Refunding | false | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | false | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | false | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | false | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | false | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K - ADDITIONAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | COUNTY OF SENECA, OHIO ON SEPTEMBER 1, 2005, ST FRANCIS HOME ISSUED COUNTY OF SENECA, HOSPITAL CARE FACILITIES REVENUE BONDS, SERIES 2005. THE 2005 BONDS WERE ISSUED AS A PRIVATE OFFERING WITH A BANK AND DO NOT REQUIRE A SUPPORTING LETTER OF CREDIT. THE 2005 BONDS BEAR INTEREST A FIXED RATE OF 3.99 PERCENT AND ARE DUE WITH ANNUAL PRINICPAL PAYMENTS OF 117,000 THROUGH FINAL MATURITY ON DECEMBER 1, 2024. | ExplanationTxt |
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 | BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $442,201 | 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION IS MANAGED BY TRINITY SENIOR SERVICES MANAGEMENT. TRINITY SENIOR SERVICES MANAGEMENT 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 | Yes (true) | 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 (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST FRANCIS VILLAS INC | ||
| O | $64,392 | FAIR MARKET VALUE |
| FRIEDMAN VILLAGE AT ST FRANCIS | ||
| O | $97,164 | FAIR MARKET VALUE |
| SISTERS OF ST FRANCIS | ||
| C | $27,500 | FAIR MARKET VALUE |