2011-11-15T08:17:24-05:00 2010-12-31 ERNST & YOUNG US LLP 41 S HIGH ST 1100 HUNTINGTON CTR COLUMBUS OH 43215 990 2010-01-01 346895492 FRANCISCAN SERVICES SELF INS TRUST FUND FRAN 4198828373 6832 CONVENT BLVD SYLVANIA OH 43537 ROBERT TRACZ 2011-11-14 6142245678 2010 2016-03-07 17:11:31Z James W Pope 6832 Convent Blvd Sylvania OH 43560 74229158 false X N/A X 1987 OH The self insurance program provides professional liability malpractice and comprehensive general liability insurance coverage on a group basis. 11 9 0 0 0 0 0 0 5023878 1735856 -676203 2812719 12407 0 4360082 4548575 0 0 0 0 0 0 0 0 0 3286451 9645388 3286451 9645388 1073631 -5096813 44018325 42890534 3826013 8219731 40192312 34670803 The Self Insurance Program provides professional liability MALPRACTICE AND COMPREHENSIVE GENERAL LIABILITY INSURANCE COVERAGE ON A GROUP BASIS TO FRANCISCAN SERVICES CORPORATION AND ITS AFFILIATES, ALL TAX-EXEMPT 501(C)(3) ORGANIZATIONS. false false 8823589 1735856 TO PROVIDE PROFESSIONAL AND COMPREHENSIVE LIABILITY INSURANCE FUND FOR RELATED TAX-EXEMPT ORGANIZATIONS. 8823589 true false false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false true true false true 51 0 true 0 false false false false false false false false false false X 11 9 false false false false true false true true true false false true false false true false false false OH X Robert Tracz 4198828373 6832 Convent Blvd Sylvania OH 43560 X Sister Mary Jo Mike OSF 1.0 X 0 0 0 Willy F Kuehn 1.0 X 0 0 0 Sister Laureen M Painter OSF 1.0 X 0 0 0 Steven L Salman 1.0 X X 0 0 0 Sister Mary Ann Grzeskowiak OSF 1.0 X 0 0 0 Sisten Nancy Linenkugel OSF 1.0 X X 0 0 0 Patricia C Birch 1.0 X 0 0 0 John L Hall MD 1.0 X X 0 0 0 James W Pope 1.0 X X 0 225923 14552 William R Waters 1.0 X X 0 622280 257170 Dennis Wolters 1.0 X 0 0 0 KeyTrust Company of Ohio NA 1.0 X 0 0 0 John W OConnell 1.0 X 0 636607 406576 0 1484810 678298 0 false true false WHITEHURST HARKNESS BREES CHENG P 5113 Southwest Parkway Ste 150 AUSTIN TX 78735 LEGAL SERVICES 1210000 DAVIS WILKERSON PO BOX 2283 SAN ANTONIO TX 78249 LEGAL SERVICES 280257 CATHOLIC HEALTH INITIATIVES 3400 OLYMPIC BLVD SUITE 400 TEXARKANA KY 41018 LEGAL SERVICES 100000 2 0 Insurance Premiums 525100 1735856 1735856 1735856 1905131 0 1905131 0 0 70588171 69680583 907588 907588 907588 0 0 0 0 4548575 1735856 0 2812719 0 0 0 0 0 0 0 0 0 0 100000 100000 590876 590876 0 0 0 237997 237997 483802 483802 0 0 0 0 0 0 0 0 0 0 0 1789569 1789569 PROVISION FOR INSUR CLAIMS 6443144 6443144 9645388 8823589 821799 0 398532 3792877 0 5304349 5228917 618931 470660 32756680 36680472 1380757 0 164731 111953 44018325 42890534 15000 24084 3811013 8195647 3826013 8219731 X 40192312 34670803 40192312 34670803 44018325 42890534 X -5096813 -424696 X X false true true X false X X X false false false Franciscan Services Corporation 341412964 01 true true true 1735856 1 1735856 THE ORGANIZATION IS ORGANIZED FOR THE PURPOSE OF SUPPORTING HOSPITAL, EDUCATIONAL, AND CHARITABLE ENTITIES SPONSORED BY THE SISTERS OF ST FRANCIS OF THE CONGREGATION OF OUR LADY OF LOURDS OF SYLVANIA, OH. X X X X false true false false false false false false false James W Pope 0 191837 0 0 0 34086 0 0 0 14552 0 240475 0 0 John W OConnell 0 545905 0 0 0 90702 0 386839 0 19737 0 1043183 0 37833 William R Waters 0 327564 0 0 0 294716 0 223632 0 33538 0 879450 0 43634 Supplemental Compensation Information JOHN O'CONNELL AND WILLIAM WATERS RECEIVED A PAYMENT FROM THE FSC SERP. JOHN O'CONNELL'S TOTAL PAYMENT WAS $37,833. WILLIAM WATER'S TOTAL PAYMENT WAS $124,542. WHICH INCLUDED A TAX GROSS UP OF $80,908. MR. O'CONNELL AND MR. WATERS PARTICIPATE IN A SERP. THE CURRENT YEAR CONTRIBUTIONS WERE $337,242 AND $194,999 RESPECTIVELY. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6 THE FRANCISCAN SERVICES SELF INSURANCE TRUST HAS FRANCISCAN SERVICES CORPORATION AS ITS MEMBER ORGANIZATION. DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL FORM 990, PART VI, QUESTION 7B ONLY A CHANGE IN BUSINESS PURPOSES. DESCRIPTION OF THE PROCESS USED BY MGT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11A THE FORM 990 WAS MADE AVAILABLE FOR ALL BOARD MEMBERS TO REVIEW PRIOR TO ITS FILING WITH A FOLLOW-UP DISCUSSION WITHIN THE BOARD TO OCCUR AT ITS NOVEMBER 16, 2011 BOARD MEETING. DOCUMENT RETENTION, WHISTLEBLOWER AND CONFLICT OF INTEREST POLICIES FORM 990, PART VI, QUESTIONS 12, 13, & 14 FRANCISCAN SERVICES CORP SELF INSURANCE HAS A DOCUMENT RETENTION POLICY, BUT IT DOES NOT YET HAVE A WHISTLEBLOWER POLICY OR A FORMAL CONFLICT OF INTEREST POLICY THAT HAS BEEN ADOPTED BY THE BOARD. THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF DRAFTING THE LATTER TWO POLICIES SO THAT THEY WILL BE IN PLACE BY NEXT YEAR. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C ALL BOARD MEMBERS COMPLETE THE FORM AND THEN THEY ARE REVIEWED FOR ANY POTENTIAL CONFLICTS. BOARD MEMBERS STATE THAT THEY WILL REPORT IMMEDIATELY IN WRITING, ANY CONFLICT OF INTEREST THAT ARISES IN THE FUTURE. IN ADDITION, ALL BOARD MEMBERS COMPLETE AN ANNUAL QUESTIONAIRE ADDRESSING BUSINESS AND FAMILY RELATIONSHIPS AMONG BOARD MEMBERS, OFFICERS, KEY EMPLOYEES AND BETWEEN SUCH INDIVIDUALS AND THE ORGANIZATION. THE PRESIDENT/CEO REVIEWS ANY CONFLICTS AND MEMBERS ABSTAIN FROM VOTING AND LEAVE THE ROOM DURING VOTING IF A TRANSACTION IS A CONFLICT. AVAILABILITY OF GOV DOCS & FINANCIAL STATEMENTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THEY ARE AVAILABLE AT OUR OFFICE UPON REQUEST. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, QUESTION 5 CHANGES CONSIST OF: UNREALIZED GAINS ON INVESTMENTS $ 956,061 TRANSFER OF INVESTMENT TO FRANCISCAN SERVICES CORPORATION $(1,380,757) ----------- $( 424,696) HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:James W Pope TITLE:President (As Of 8/2010) HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:William R Waters TITLE:Treasurer HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John W OConnell TITLE:Former President HOURS:40 TRINITY HEALTH SERVICES CORP 700 MEDICAL PARKWAY BRENHAM TX 77833 742605157 HOLDING COMP TX 501(c)(3) 11a FSC ST JOSEPH SERVICES CORPORATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742455161 GOVERNANCE TX 501(c)(3) 11-TYPE I FSC ST JOSEPH REGIONAL HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 741282696 HEALTH CARE TX 501(c)(3) 3 SJSC BURLESON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742759890 HEALTH CARE TX 501(c)(3) 3 SJSC MADISON ST JOSEPH HEALTH CENTER 2801 FRANCISCAN DRIVE BRYAN TX 77802 742761145 HEALTH CARE TX 501(c)(3) 3 SJSC ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742847594 NURSING CARE TX 501(c)(3) 9 SJSC BURLESON ST JOSEPH MANOR 2801 FRANCISCAN DRIVE BRYAN TX 77802 742913931 NURSING CARE TX 501(c)(3) 9 SJSC ST JOSEPH FOUNDATION 2801 FRANCISCAN DRIVE BRYAN TX 77802 742351158 FUND RAISING TX 501(c)(3) 11-TYPE I SJSC ST JOSEPH PHYSICIAN ASSOCIATES 2801 FRANCISCAN DRIVE BRYAN TX 77802 203159302 PHY PRACTICE TX 501(c)(3) 3 SJSC FRANCISCAN SHELTERS DBA BETHANY HOUSE 6832 CONVENT BLVD SYLVANIA OH 43560 341612437 D.V SHELTER OH 501(c)(3) 1 FSC SOPHIA CENTER 6832 CONVENT BLVD SYLVANIA OH 43560 341761656 MENTAL HLTH OH 501(c)(3) 9 FSC TRINITY COMMUNITY MEDICAL CENTER 700 MEDICAL PARKWAY BRENHAM TX 77833 742519752 HOSPITAL TX 501(c)(3) 3 THSC SISTERS OF ST FRANCIS 6832 CONVENT BLVD SYLVANIA OH 43560 344450609 RELIGIOUS OH 501(c)(3) RELIGIOUS NA FRANCISCAN SERVICES CORP 6832 CONVENT BLVD SYLVANIA OH 43560 341412964 CHURCH ORG OH 501(c)(3) 1 NA FRANCISCAN LIVING COMMUNITIES 6832 CONVENT BLVD SYLVANIA OH 43560 341892096 MGT SUPPORT OH 501(c)(3) 11-TYPE I FSC ST LEONARD 8100 CLYO RD CENTERVILLE OH 45458 341940863 LT CARE FCLT OH 501(c)(3) 9 FLC ST LEONARD FOUNDATION 8100 CLYO RD CENTERVILLE OH 45458 320102715 FUND RAISING OH 501(c)(3) 7 FLC PROVIDENCE CARE CENTER 2025 HAYES AVE SANDUSKY OH 44870 341658625 LT CARE FCLT OH 501(c)(3) 9 FLC THE COMMONS OF PROVIDENCE 5000 PROVIDENCE DR SANDUSKY OH 44870 341826097 ASSISTED LIV OH 501(c)(3) 9 PCC PROVIDENCE RESIDENTIAL COMM CORP 5055 PROVIDENCE DR SANDUSKY OH 44870 341896807 INDEPNDT LIV OH 501(c)(3) 9 PCC Providence Care Centers 2023 HAYES AVE SANDUSKY OH 44870 341826099 FIN SUPPORT OH 501(c)(3) 7 FLC TRINITY CARE CENTER 400 E SAYLES BRENHAM TX 77833 742663229 LT CARE FCLT TX 501(c)(3) 9 THSC MADONNA MANOR 2344 AMSTERDAM RD VILLA HILLS KY 41017 610654635 LT CARE FCLT KY 501(c)(3) 9 FLC FRANCISCAN CARE CENTER SYLVANIA 4111 HOLLAND SYLVANIA RD TOLEDO OH 43623 341931806 LT CARE FCLT OH 501(c)(3) 9 FLC ST CLARE COMMONS 6832 CONVENT BLVD SYLVANIA OH 43560 270163752 LT CARE FCLT OH 501(c)(3) 9 FLC ROSARY CARE CENTER 6832 CONVENT BLVD SYLVANIA OH 43560 341931795 LT CARE FCLT OH 509(A)(3) 9 FLC FRANCISCAN PROPERTIES INC 6832 CONVENT BLVD SYLVANIA OH 43560 341412966 SR HOUSING OH 501(C)(3) 9 FLC TRINITY HEALTH SERVICES FOUNDATION 700 MEDICAL PARKWAY BRENHAM TX 77833 742460815 FUND RAISING TX 501(c)(3) 7 THSC ST LEONARD CENTER LIMITED PARTNERSHIP 88 E BROAD STREET STE 1800 COLUMBUS OH 43215 311481761 LOW INCOME RENT OH NA INVEST false true ALLIANCE HLTH PROVIDERS OF BRAZOS VALLEY 2801 FRANCISCAN DRIVE BRYAN TX 77802 742466914 PHYS HOSP ORG TX NA C TAU ENTERPRISES 2801 FRANCISCAN DRIVE BRYAN TX 77802 742544009 OFFICE BLDG RENT TX NA C ST JOSEPH PHYSICIAN ALLIANCE 2801 FRANCISCAN DRIVE BRYAN TX 77802 742764039 COORD EMPL INSUR TX NA C ST LEONARD CENTER 1 INC 8100 CLYO ROAD CENTERVILLE OH 45458 311481764 LOW INCOME RENT OH NA C false false false false false false false false false false false true false false false false false false ST JOSEPH HEALTH SYSTEM K 3695922 FRANCISCAN LIVING COMMUNITIES K 208763