2015-11-13T10:47:25-06:00 2014-12-31 381357951 PLANTE & MORAN PLLC 1111 SUPERIOR AVE SUITE 1250 CLEVELAND OH 44114 990 2014-01-01 341931795 ROSARY CARE CENTER ROSA 4198243669 6832 CONVENT BLVD SYLVANIA OH 43560 JASON PHILLIPS CEO/ADMINISTRATOR 4198243669 2015-11-12 1 JEREMY S HERMAN P00745789 2165231010 2014 2016-02-25 16:41:14Z JASON PHILLIPS 6832 CONVENT BLVD SYLVANIA OH 43560 7895880 0 0928 X N/A X 2000 OH ROSARY CARE CENTER OPERATES A LICENSED NURSING FACILITY AND A LICENSED RESIDENTIAL CARE FACILITY PROVIDING CARE PRIMARILY TO MEMBERS OF RELIGIOUS ORDERS. BOTH THE NURSING FACILITY AND THE RESIDENTIAL CARE FACILITY ARE PRIMARILY 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 MEMBERS OF RELIGIOUS ORDERS 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. 6 5 164 40 0 0 1251548 3089415 4542214 4693939 6 0 93453 112526 5887221 7895880 0 0 0 0 2660293 2969964 0 0 0 2430811 2504825 5091104 5474789 796117 2421091 6694397 8782527 5045152 4712191 1649245 4070336 X ROSARY CARE CENTER OPERATES A LICENSED NURSING FACILITY AND A LICENSED RESIDENTIAL CARE FACILITY PROVIDING CARE PRIMARILY TO MEMBERS OF RELIGIOUS ORDERS. BOTH THE NURSING FACILITY AND THE RESIDENTIAL CARE FACILITY ARE PRIMARILY 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 MEMBERS OF RELIGIOUS ORDERS 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. 0 0 4285277 0 4693939 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. 116 INDIVIDUALS SERVED FOR A TOTAL OF 29,380 RESIDENTIAL DAYS OF CARE IN 2014. 4285277 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 15 0 1 164 1 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OH X CATHY LONGACRE 4198243600 6832 CONVENT BLVD SYLVANIA OH 43560 JAMES W POPE PRESIDENT (THROUGH OCTOBER 2014) 1.00 35.00 X X 0 1209729 53832 SR MARY JO MIKE CHAIRPERSON (THROUGH OCTOBER 2014) 1.00 2.00 X X 0 0 0 WILLY KUEHN VICE CHAIR (THROUGH OCTOBER 2014) 1.00 2.00 X X 0 0 0 SR MARY JON WAGNER PRESIDENT AND CHAIRPERSON 1.00 1.00 X X 0 0 0 SR SHARON DERIVAN SECRETARY (AS OF NOVEMBER 2014) 1.00 3.00 X X 0 0 0 GAYLE LAMPKOWSKI TREASURER (AS OF NOVEMBER 2014) 1.00 1.00 X X 0 191698 8374 SR NANCY LINENKUGEL SECRETARY (THROUGH OCTOBER 2014) 1.00 2.00 X X 0 0 0 SR MARY ANN GRZESKOWIAK TRUSTEE (THROUGH OCTOBER 2014) 1.00 2.00 X 0 0 0 SR SHARON DERIVAN TRUSTEE (THROUGH OCTOBER 2014) 1.00 4.00 X 0 0 0 DENNIS WOLTERS TRUSTEE (THROUGH OCTOBER 2014) 1.00 13.00 X 0 0 0 PATRICIA BIRCH TRUSTEE (THROUGH OCTOBER 2014) 1.00 2.00 X 0 0 0 LAURENCE HARKNESS TRUSTEE (THROUGH OCTOBER 2014) 1.00 2.00 X 0 0 0 CAROLYN SMELTZER TRUSTEE (THROUGH OCTOBER 2014) 1.00 2.00 X 0 0 0 ALLISON YOUNG TRUSTEE (THROUGH OCTOBER 2014) 1.00 2.00 X 0 0 0 SR THERESA DARGA TRUSTEE (AS OF NOVEMBER 2014) 1.00 2.00 X 0 0 0 SR PATRICIA GARDNER TRUSTEE (AS OF NOVEMBER 2014) 1.00 1.00 X 0 0 0 SR RACHEL NIJAKOWSKI TRUSTEE (AS OF NOVEMBER 2014) 1.00 41.00 X 0 56845 16100 JENI BELT TRUSTEE (AS OF NOVEMBER 2014) 1.00 1.00 X 0 0 0 CATHY LONGACRE CONTROLLER 20.00 20.00 X 0 89272 2500 JASON PHILLIPS EXECUTIVE DIRECTOR 40.00 0.00 X 0 94008 4455 0 1641552 85261 0 0 1 0 CONCEPT REHAB 7150 GRANITE CIRCLE 3200 TOLEDO OH 43617 REHABILITATION SERVICES 158134 UNITED REHAB 3949 SUNFOREST CT TOLEDO OH 43623 THERAPY SERVICES 142065 2 3077484 11931 3089415 MEDICARE AND MEDICAID 623000 3988563 3988563 COMMERCIAL/PRIVATE/OTH 623000 705376 705376 4693939 MEAL INCOME 623000 111993 111993 BEAUTY AND BARBER REVE 623000 533 533 112526 7895880 4693939 0 112526 2364731 2058912 305819 471180 407898 63282 134053 123196 10857 117396 19708 97688 1225 1225 15044 15044 265783 265783 3319 3319 738655 621138 117517 55322 55322 609358 225103 384255 13568 3145 10423 70634 55009 15625 201955 157281 44674 64462 64462 FRANCHISE TAXES 335104 335104 PROVISION FOR BAD DEBTS 13000 13000 5474789 4285277 1189512 0 959161 3039800 549093 484443 27628 27628 36142 162025 5297251 1049532 4373798 4247719 225133 219280 523442 601632 6694397 8782527 534962 429696 4325812 4175000 184378 107495 5045152 4712191 X 1649245 4070336 1649245 4070336 6694397 8782527 2421091 0 X 0 0 0 X 3089415 3089415 4693939 4693939 7783354 7783354 0 128009 128009 128009 128009 7655345 112526 112526 7895880 7895880 0.96950 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4148921 258033 3890888 329863 161292 168571 818467 630207 188260 4247719 DUE FROM AFFILIATES 16062 DEFERRED FINANCING FEES 93760 CERTIFICATE OF NEED - NET OF AMORTIZATION 491810 601632 DUE TO AFFILIATES 57334 COST SETTLEMENTS PAYABLE 50161 107495 0 0 0 0 0 0 0 0 0 JAMES W POPE PRESIDENT (THROUGH OCTOBER 2014) 0 680651 0 373556 0 155522 0 29600 0 24232 0 1263561 0 0 GAYLE LAMPKOWSKI TREASURER (AS OF NOVEMBER 2014) 0 191698 0 0 0 0 0 7474 0 900 0 200072 0 0 PART I, LINE 3 JAMES POPE IS COMPENSATED BY SYLVANIA FRANCISCAN HEALTH (WHICH WAS THE MEMBER OF ROSARY CARE CENTER THROUGH 10/31/14) AND CATHOLIC HEALTH INITIATIVES, WHICH USE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE COMPENSATION. A CITY OF SYLVANIA OHIO HEALTH CARE REVENUE BONDS SERIES 2012 341931795 2012-03-28 4395000 CONSTRUCTION 0 0 0 A 4395000 169245 43949 101714 3994666 2013 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 1 1 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 4 ROSARY CARE CENTER AMENDED ITS CODE OF REGULATIONS EFFECTIVE 11/1/14 TO SUBSTITUTE SYLVANIA FRANCISCAN MINISTRIES AS THE MEMBER (FROM SYLVANIA FRANCISCAN HEALTH). 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 11 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 THE OPERATOR, WHICH PRIOR TO 11/1/14 WAS A RELATED ORGANIZATION, FRANCISCAN LIVING COMMUNITIES, AND THE CONTROLLER'S COMPENSATION IS PAID BY FRANCISCAN CARE CENTER. THE OPERATOR CONDUCTS THE ANNUAL EVALUATION OF THE ADMINISTRATOR/CEO OF ROSARY CARE CENTER WITH INPUT FROM THE OWNER 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. SYLVANIA FRANCISCAN MINISTRIES 6832 CONVENT BLVD SYLVANIA OH 43560 473544114 RELIGIOUS OH 501(C)(3) LINE 1 SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC 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 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 1 FRANCISCAN PROPERTIES INC 6832 CONVENT BLVD SYLVANIA OH 43560 341412966 SENIOR HOUSING OH 501(C)(3) LINE 9 SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC 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 1 SOPHIA CENTER INC 6832 CONVENT BLVD SYLVANIA OH 43560 341761656 MENTAL HEALTH OH 501(C)(3) LINE 9 SISTERS OF ST FRANCIS OF SYLVANIA OHIO INC 1 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 SISTERS OF ST FRANCIS C 333391 ACTUAL AMOUNT RECEIVED SYLVANIA FRANCISCAN HEALTH C 2744093 ACTUAL AMOUNT RECEIVED FRANCISCAN LIVING COMMUNITIES P 67968 ACTUAL AMOUNT PAID FRANCISCAN LIVING COMMUNITIES Q 128375 ACTUAL AMOUNT PAID SISTERS OF ST FRANCIS P 428365 ACTUAL AMOUNT PAID SISTERS OF ST FRANCIS K 157800 ACTUAL AMOUNT PAID