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ObjectId: 201923189349307302 - Submission: 2019-11-14
TIN: 34-1832698
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
18
Open to Public Inspection
Name of the organization
SISTERS OF CHARITY FOUNDATION OF CLEVELAND
Employer identification number
34-1832698
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
Sisters of Charity Foundation of SC (SCFSC)
2711 Middleburg Drive
Suite 115
Columbia
,
SC
29204
57-0708391
Charitable Org
SC
501(c)(3)
12a
SCHS
Yes
(2)
Sisters of Charity Foundation of Canton (CAF)
400 Market Ave N
Suite 300
Canton
,
OH
44702
34-1832697
Charitable Org
OH
501(c)(3)
12a
SCHS
Yes
(3)
SOC of St Augustine Health System (SCHS)
2475 E 22nd Street
Cleveland
,
OH
44115
34-1379356
Charitable Org
OH
501(c)(3)
12a
N/A
No
(4)
Sisters of Charity of St Augustine
5232 Broadview Road
Richfield
,
OH
44286
34-0714763
Religious Order
OH
501(c)(3)
1
N/A
No
(5)
Healthy Learners
2749 Laurel Street
Columbia
,
SC
29204
57-1127197
Charitable Org
SC
501(c)(3)
12a
SCHS
Yes
(6)
Early Childhood Resource Center
1718 Cleveland Ave NW
Canton
,
OH
44703
34-0714462
Charitable Org
OH
501(c)(3)
12a
CAF
Yes
(7)
Joseph's Home
2412 Community College Avenue
Cleveland
,
OH
44115
34-1901676
Charitable Org
OH
501(c)(3)
10
SCHS
Yes
(8)
South Carolina Center for Fathers and Families
2711 Middleburg Drive
Suite 111
Columbia
,
SC
29204
36-4506347
Charitable Org
SC
501(c)(3)
7
SCFSC
Yes
(9)
Regina Health Center
5232 Broadview Road
Richfield
,
OH
44286
34-1722394
Retirement Home
OH
501(c)(3)
10
SCHS
Yes
(10)
Mercy Medical Center (MMC)
1320 Mercy Drive NW
Canton
,
OH
44708
34-1893439
Hospital
OH
501(c)(3)
3
SCHS
Yes
(11)
St Vincent Charity Medical Center (SVCMC)
2351 E 22nd Street
Cleveland
,
OH
44115
34-0714756
Hospital
OH
501(c)(3)
3
SCHS
Yes
(12)
St Vincent Charity Development Foundation
2351 East 22nd Street
Cleveland
,
OH
44115
27-1602445
Charitable Org
OH
501(c)(3)
12a
SCVMC
Yes
(13)
Mercy Development Foundation
1320 Mercy Drive NW
Canton
,
OH
44708
35-2408321
Charitable Org
OH
501(c)(3)
12a
MMC
Yes
(14)
Light of Hearts Villa
283 Union Street
Bedford
,
OH
44146
34-1619270
Retirement Home
OH
501(c)(3)
12a
SCHS
Yes
(15)
SCPH Legacy Corp
2475 East 22nd Street
Cleveland
,
OH
44115
57-0314409
Charitable Org
SC
501(c)(3)
12a
SCHS
Yes
(16)
Providence Hospitals Development Foundation
2475 East 22nd Street
Cleveland
,
OH
44115
27-1140183
Charitable Org
SC
501(c)(3)
12a
SCPH
Yes
(17)
St John Hospital
2475 E 22nd Street
Cleveland
,
OH
44115
34-0714504
Charitable Org
OH
501(c)(3)
12a
SCHS
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Page 2
Schedule R (Form 990) 2018
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
Mercy Professionals Care Corp
1330 Mercy Drive NW
Suite 301
Canton
,
OH
44708
34-1873008
Medical Services
OH
MMC
C
100 %
Yes
(2)
St Vincent Medical Group
2351 E 22nd Street
Cleveland
,
OH
44115
34-1634990
Medical Services
OH
SVCMC
C
100 %
Yes
(3)
SCHS Insurance Co Ltd
62 Forum Lane
3rd Floor
Grand Cayman
KY1-1203
CJ
98-0679825
Insurance
CJ
SCHS
C
100 %
Yes
Schedule R (Form 990) 2018
Page 3
Schedule R (Form 990) 2018
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2018
Page 4
Schedule R (Form 990) 2018
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2018
Page 5
Schedule R (Form 990) 2018
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2018
Additional Data
Software ID:
18007995
Software Version:
v1.00