2014-11-14T10:35:09-06:00 2013-12-31 381357951 PLANTE & MORAN PLLC 1111 SUPERIOR AVENUE SUITE 1250 CLEVELAND OH 44114 990 2013-01-01 341931806 FRANCISCAN CARE CENTER FRAN 4198826582 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 JILL SCHLIEVERT CEO/PRESIDENT 4198826582 2014-11-12 1 JEREMY S HERMAN P00745789 2165231010 2013 2015-11-30 17:44:51Z JILL SCHLIEVERT 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 8270724 0 0928 X WWW.FCCSYLVANIA.ORG X 2000 OH DELIVER HEALTH CARE SERVICES TO THE ELDERLY AND THOSE IN NEED OF REHABILITATION IN A MANNER WHICH UPHOLDS THE MORAL, ETHICAL, AND RELIGIOUS DOCTRINES AND TEACHINGS OF THE ROMAN CATHOLIC CHURCH. 13 11 192 45 0 0 18820 16128 7954954 8196291 -101842 45170 18070 -979 7890002 8256610 0 33464 0 0 4048965 3866690 0 0 0 3488140 3812009 7537105 7712163 352897 544447 18291906 16996569 13994463 12016644 4297443 4979925 X FRANCISCAN CARE CENTER IS A RESIDENTIAL AND REHABILITATION FACILITY FOR THE CARE OF THE ELDERLY AND THOSE IN NEED OF EXTENSIVE REHABILITATION SERVICES. IN A COMPASSIONATE ENVIRONMENT, WE PROVIDE CARE THAT ENHANCES THE PERSON: MIND, BODY AND SPIRIT. COMMITTED TO WORKING TOGETHER, OUR SERVICE IS CHARACTERIZED BY MUTUAL TRUST AND RESPECT, EDUCATION AND LEADERSHIP, EFFICIENCY AND SERVICES, AND ACCESS AND QUALITY. 0 0 5588702 33464 8196593 DELIVER HEALTH CARE SERVICES TO THE ELDERLY AND THOSE IN NEED OF REHABILITATION IN A MANNER WHICH UPHOLDS THE MORAL AND RELIGIOUS DOCTRINES AND TEACHINGS OF THE ROMAN CATHOLIC CHURCH (334 RESIDENTS SERVED, FOR A TOTAL OF 32,718 RESIDENT DAYS OF CARE GIVEN) 5588702 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 20 0 1 192 1 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 OH X CATHY LONGACRE 4198826582 4111 N HOLLAND-SYLVANIA RD TOLEDO OH 43623 RICK RYAN PRESIDENT/CEO EX-OFFICIO 1.00 49.00 X X 0 387330 52736 DIANE RAUSCH-HUFFMAN CHAIRPERSON 1.00 10.00 X X 0 0 0 SISTER MARY THILL OSF SECRETARY/TREASURER 1.00 10.00 X X 0 0 0 REVEREND DAVID W NUSS VICE CHAIRPERSON 1.00 10.00 X X 0 0 0 DARLENE M MINNICK TRUSTEE 1.00 10.00 X 0 0 0 NICK P ULRICH TRUSTEE 1.00 10.00 X 0 0 0 DONALD L TURNER TRUSTEE 1.00 10.00 X 0 0 0 JAMES W POPE EX-OFFICIO 1.00 40.00 X 0 780789 72652 CHARLES J EVERETT TRUSTEE 1.00 10.00 X 0 0 0 TERESA FITZPATRICK TRUSTEE 1.00 10.00 X 0 0 0 GARY SCANLON TRUSTEE 1.00 10.00 X 0 0 0 CARL E MCGOOKEY TRUSTEE 1.00 10.00 X 0 0 0 JOHN NIENABER JR TRUSTEE 1.00 10.00 X 0 0 0 JILL SCHLIEVERT CEO/ADMINISTRATOR 40.00 0.00 X 0 94942 7662 CATHY LONGACRE CONTROLLER 20.00 20.00 X 92220 0 14651 92220 1263061 147701 0 0 1 0 CONCEPT REHAB 7150 GRANITE CIRCLE TOLEDO OH 43617 THERAPY SERVICES 829399 1 11618 4510 16128 PATIENT SERVICES 623000 8196291 8196291 8196291 45563 45563 7000 7393 -393 -393 -393 5440 11618 6721 -1281 -1281 ADMINISTRATIVE INCOME 561000 302 302 302 8256610 8196593 0 43889 X 33464 33464 59584 59584 2945441 2385801 559640 719127 515527 203600 142538 110470 32068 214017 23833 190184 8337 8337 23015 23015 911065 911065 82509 82509 1028577 852038 176539 78023 78023 230352 164756 65596 32967 28065 4902 141966 100490 41476 484329 342831 141498 34977 34977 FRANCHISE TAXES 414289 414289 PROVISION FOR BAD DEBTS 115143 115143 STAFF DEVELOPMENT 12443 5219 7224 7712163 5588702 2123461 0 650 650 5900087 825237 1056768 1094351 18862 18862 104276 34936 17075892 4213887 9112299 12862005 1763077 1746015 335887 414513 18291906 16996569 1864227 471713 14053 71971 9760000 9295000 2169573 2027061 186610 150899 13994463 12016644 X 4297443 4979925 4297443 4979925 18291906 16996569 544447 138035 0 X X 0 1 X 1 0 X 10025 21515 10925 18820 16128 77413 8123292 8316458 8279435 7954954 8196293 40870432 8133317 8337973 8290360 7973774 8212421 40947845 0 58521 85319 112121 180791 114017 550769 58521 85319 112121 180791 114017 550769 40397076 76348 54826 37886 26438 45563 241061 76348 54826 37886 26438 45563 241061 26491 19194 28942 144455 302 219384 8236156 8411993 8357188 8144667 8258286 41408290 0.97560 0.97730 0.00580 0.00590 X 1662389 1662389 14134297 3243135 10891162 1086250 865109 221141 192956 105643 87313 12862005 RESERVE INSURANCE CLAIMS 60069 THIRD PARTY SETTLEMENTS 60778 DUE TO AFFILIATES 30052 150899 X PART X, LINE 2: THE COMBINED GROUP CONSISTS MOSTLY OF NONPROFIT ORGANIZATIONS AFFILIATED WITH THE SISTERS. EACH NONPROFIT MEMBER OF THE COMBINED GROUP HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OR SECTION 501(A) OF THE INTERNAL REVENUE CODE. ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY, INC. IS A FOR-PROFIT CORPORATION AND FILES A FEDERAL INCOME TAX RETURN ON A SEPARATE-ENTITY BASIS. THERE IS PRESENTLY NO PREMIUM, INCOME, OR CAPITAL GAINS TAXES IMPOSED BY THE GOVERNMENT OF THE CAYMAN ISLANDS, AND IF ANY FORM OF TAXATION WERE TO BE ENACTED IN THE FUTURE, SFH ASSURANCE, LTD HAS BEEN GRANTED AN EXEMPTION UNTIL THE YEAR 2032. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES OR UNCERTAIN TAX POSITIONS AT DECEMBER, 31, 2013 OR 2012. GOLF OUTING 17058 11618 5440 6721 17058 11618 5440 6721 6721 -1281 0 FRANCISCAN LIVING COMMUNITIES 5942 RENAISSANCE PLACE SUITE A TOLEDO OH 43623 341892096 501(C)(3) 33464 FUNDING TO SUPPORT OPERATIONS 1 0 1 0 0 0 0 0 0 0 RICK RYAN PRESIDENT/CEO EX-OFFICIO 0 322340 0 32852 0 32138 0 26000 0 26736 0 440066 0 0 JAMES W POPE EX-OFFICIO 0 656090 0 0 0 124699 0 51000 0 21652 0 853441 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUAL PARTICIPATES IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN UNDER SECTION 457(F). CURRENT YEAR PAYMENTS, REPORTED IN PART II, COLUMN (B)(III), ARE SUMMARIZED BELOW: RICK RYAN $28,810 JAMES POPE $108,634 A VILLAGE OF BOTKINS OHIO HEALTHCARE REVENUE BONDS SERIES 2012 341931806 2012-03-01 9760000 REFINANCE/CONSTRUCTION PROJECT 0 0 0 A 9760000 150740 40933 4528327 5040000 2013 0 0 0 1 A 0 0 0 0 1 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE JANUARY 1, 2013, THE BOARD STRUCTURE FOR FRANCISCAN CARE CENTER CHANGED FROM A SEPARATE BOARD TO AN ADVISORY COMMITTEE WITHOUT VOTING RIGHTS. THE BOARD MEMBERS OF FRANCISCAN LIVING COMMUNITIES REPLACED THE PREVIOUS BOARD AND ASSUMED THE CORRESPONDING RIGHTS AND RESPONSIBILITIES. FORM 990, PART VI, SECTION A, LINE 6 FRANCISCAN LIVING COMMUNITIES IS THE SOLE MEMBER OF FRANCISCAN CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7A FRANCISCAN LIVING COMMUNITIES, AS THE SOLE MEMBER OF THE ORGANIZATION, HAS THE RESERVED POWERS TO ELECT THE TRUSTEES OF THE ORGANIZATION, AND TO ELECT AND REMOVE THE CHAIRPERSON AND PRESIDENT/CEO OF FRANCISCAN CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7B FRANCISCAN LIVING COMMUNITIES, AS THE SOLE MEMBER, HAS THE RESERVED POWERS TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF FRANCISCAN CARE CENTER. 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 AN ELECTRONIC 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 EVERY YEAR, EACH BOARD MEMBER, DEPARTMENT DIRECTOR, AND KEY EMPLOYEE IS GIVEN A QUESTIONNAIRE TO BE FILLED OUT AND SENT TO THE EXECUTIVE DIRECTOR. THE FORM IS REVIEWED AND ACTIONS ARE TAKEN IF A CONFLICT IS IDENTIFIED. A "DESIGNATED PERSON" MEANS ANY MEMBER OF THE BOARD OF THE CORPORATION, ANY MEMBER OF A COMMITTEE OF THE CORPORATION THAT IS AUTHORIZED TO APPROVE TRANSACTIONS OR ASSERT CLAIMS ON BEHALF OF THE CORPORATION, ANY OFFICER OF THE CORPORATION, AND ANY EMPLOYEE OR AGENT OF THE CORPORATION WHO IS AUTHORIZED TO APPROVE TRANSACTIONS OF ASSERT CLAIMS ON BEHALF OF THE CORPORATION. ANY DESIGNATED PERSON WHO HAS A CONFLICT OF INTEREST SHALL DISCLOSE THE CONFLICT OF INTEREST WHEN IT ARISES, AND BEFORE ACTION ON THE TRANSACTION OR CLAIM IN QUESTION. CONFLICTS OF INTEREST INVOLVING THE PRESIDENT OR MEMBERS OF THE BOARD OF THE CORPORATION SHALL BE REPORTED TO THE BOARD, AND CONFLICTS OF INTEREST CONCERNING OTHER DESIGNATED PERSONS SHALL BE REPORTED TO THE PRESIDENT, IN WHICH CASE THE PRESIDENT WILL MAKE THE CONFLICT OF INTEREST KNOWN TO THE BOARD AND ANY APPLICABLE COMMITTEE AT THE NEXT REGULARLY SCHEDULED MEETING. A DESIGNATED PERSON WHO HAS A CONFLICT OF INTEREST ARISING OUT OF OR RELATED TO A TRANSACTION OR CLAIM SHALL BE EXCUSED FROM THE BOARD OR COMMITTEE MEETING BEFORE ANY DELIBERATIONS OR VOTING CONCERNING THE AUTHORIZATION OF THE TRANSACTION OR ASSERTION OF THE CLAIM. FORM 990, PART VI, SECTION B, LINE 15A THE CEO/ADMINISTRATOR'S COMPENSATION IS PAID BY A RELATED ORGANIZATION, FRANCISCAN LIVING COMMUNITIES. ANNUALLY, AN OUTSIDE CONSULTANT IS HIRED TO COMPLETE AN EXECUTIVE COMPENSATION ANALYSIS FOR THE POSITION OF EXECUTIVE DIRECTOR. THE ANALYSIS COMPARES COMPENSATION OF SIMILARLY QUALIFIED PERSONS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. DURING AN EXECUTIVE SESSION AT A BOARD MEETING, THE BOARD, EXCLUDING THE PRESIDENT, REVIEWS THE ANALYSIS AND THE PRESIDENT'S PERFORMANCE APPRAISAL AND DETERMINES FAIR COMPENSATION FOR THE PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, 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, PART IX, LINE 11G MEDICAL CONTRACT LABOR: PROGRAM SERVICE EXPENSES 911,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 911,065. FORM 990, PART XII, LINE 2C: THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PRIOR YEAR. FORM 990, SCHEDULE R, PART II: THE RELATED TAX EXEMPT ORGANIZATIONS ARE ALL MEMBERS OF GROUP EXEMPTION # 0928. ST LEONARD LIMITED PARTNERSHIP (MERGED WITH JBR LLC IN 2013) 88 EAST BROAD STREET 1800 CENTERVILLE OH 45458 311481761 LOW INCOME RENTAL RESIDENTIAL OH N/A ALLIANCE HEALTH PROVIDERS OF BRAZOS VALLEY 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 PHYSICIAN HOSPITAL ORGANIZATION TX N/A C 1 ST LEONARD CENTER 1 INC (DISOLVED IN 2013) 8100 CLYO ROAD CENTERVILLE OH 45458 311481764 LOW INCOME RENTAL RESIDENTIAL OH N/A C 1 SFH ASSURANCE LTD SUITE 6 GRAND PAVILION COMMERICAL GRAND CAYMAN KY1- CJ 981056892 INSURANCE CJ N/A C 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0