2021-11-15T18:29:27-07:00 2020-12-31 990 2020-01-01 391029149 ST PAUL ELDER SERVICES INC STPA 9207666020 316 E 14TH STREET KAUKAUNA WI 54130 Amber Schroeder CFO 9207666020 2021-11-15 1 11 0 AAL2 X 2020 2022-09-23 18:48:47Z ST PAUL ELDER SERVICES INC 316 E 14TH STREET KAUKAUNA WI 54130 28724812 0 X WWW.STPAULELDERS.ORG X 1943 WI A CATHOLIC FRANCISCAN HEALTH CARE PROVIDER OFFERING SERVICES TO THE ELDERLY. WE WILL CONTINUE TO PROVIDE EXCELLENT CARE THROUGH THE EFFORTS OF DEDICATED STAFF, ENTHUSIASTIC VOLUNTEERS, AND GENEROUS CONTRIBUTORS. OUR MISSION AND MINISTRY FLOW FROM THE GOSPEL VALUES OF DIGNITY, COMPASSION, RESPECT, HOSPITALITY AND STEWARDSHIP. SERVICES THAT WE PROVIDE TO THE ELDERLY INCLUDE: SKILLED NURSING FACILITY (BOTH LONG-TERM AND SHORT-TERM REHABILITATION), ASSISTED LIVING, SPECIALIZED ALZHEIMER'S/DEMENTIA PROGRAMS, PALLIATIVE AND HOSPICE CARE, ADULT DAY CARE, LIFE ENRICHMENT SERVICES, IN-HOME NON-MEDICAL CARE, MEALS ON WHEELS AND TRANSPORTATION SERVICES. 12 11 664 200 0 0 224825 4701912 22834160 23100944 256826 641325 273645 263816 23589456 28707997 0 0 0 0 15061594 16380422 0 0 0 8413374 8852885 23474968 25233307 114488 3474690 38026684 41993977 19640719 19879425 18385965 22114552 WE ARE A CATHOLIC, FRANCISCAN SPONSORED COMMUNITY DEDICATED TO ENRICHING THE LIFE EXPERIENCE. 0 0 13693431 0 13998598 QUALITY NURSING CARE PROVIDED TO AN AVERAGE OF 120 RESIDENTS PER DAY IN A LICENSED SKILLED NURSING FACILITY, OFFERING NURSING SERVICES, SOCIAL SERVICES, THERAPY, LEISURE ACTIVITIES AS WELL AS SPIRTUAL SERVICES. A SIGNIFICANT NUMBER OF RESIDENTS RECEIVE CARE WHERE THE COSTS ARE PAID BY GOVERNMENTAL AGENCIES AND ARE AT A SHORTFALL OF COSTS. 6921353 0 8060641 ST. PAUL'S ASSISTED LIVING FACILITIES PROVIDED AN ARRAY OF SERVICES TO SUPPORT THE ELDERLY IN THEIR OWN APARTMENTS WHILE ASSURING THE MAXIMUM LEVEL OF INDEPENDENCE AND RESTRICTION. ADMISSION AND CONTINUED RESIDENCY IS CONSIDERED BASED ON NEED AND NOT ABILITY TO PAY. TENANTS ARE PROVIDED WITH MEAL SERVICE, ACTIVITIES, NURSING SUPPORT, AND TRANSPORTATION TO MEET THEIR DAILY NEEDS. 458308 0 537528 HOSPICE SERVICES OF ST. PAUL ELDER SERVICES, INC. ESTABLISHES A LINK WITH COMMUNITY RESOURCES TO MEET INDIVIDUALS NEEDS, SUPPORTS ALL BELIEF SYSTEMS, NURTURES THE GRIEVING PERSONS FOR AT LEAST 13 MONTHS AFTER THE PATIENT'S DEATH, PROVIDES EQUIPMENT AS MEDICALLY INDICATED BY THE HOSPICE TEAM AND PHYSICIAN, OFFERS RELAXING AND LOVING ENERGY THERAPY BY A CERTIFIED HEALTH TOUCH PRACTITIONER. PROVIDES HEALING MUSIC BY A CERTIFIED MUSIC PRACTITIONER, AND USES AROMATHERAPY TO HELP EASE PHYSICAL AMD EMOTIONAL SYMPTOMS. 1375057 0 504177 FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES: COMMUNITY OUTREACH PROGRAMS ARE OFFERED TO RESIDENTS IN THE COMMUNITY. THERE IS ADULT DAY SERVICES FOR THOSE THAT HAVE MILD DEMENTIA TO OFFER SUPPORT BOTH TO THE PROGRAM PARTICIPANT AS WELL AS THE FAMILY CARE GIVERS. HOME HELPER NON MEDICAL SERVICE IS OFFERED TO THE ELDERLY IN THE COMMUNITY WHICH CONSISTS OF CLEANING SERVICES, MEDICATION REMINDERS, TRANSPORTATION, BATHING AND HELP WITH OTHER DAILY LIVING NEEDS. 1375057 0 504177 22448149 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 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 0 0 0 1 40 0 1 664 1 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X St Paul Elder Services Inc 9207666020 316 E 14TH STREET KAUKAUNA WI 54130 SONDRA NORDER PRESIDENT/CEO/SECRETARY 40 0 X X 283767 0 0 BECKY REICHELT EXECUTIVE VICE PRESIDENT 40 0 X 151432 0 0 LISA NEBEL DIRECTOR OF REHAB SERVICES 40 0 X 134614 0 0 NOELLE HAUSER OCCUPATIONAL THERAPIST 40 0 X 119026 0 0 BRIAN HERMAN CFO 40 0 X 113869 0 0 LAURA WEBER PHYSICAL THERAPIST 40 0 X 113280 0 0 HANNAH SCHMIDT PHYSICAL THERAPIST 40 0 X 112465 0 0 ANDREW SCHMIDT CHAIR 0.5 0 X X 0 0 0 TREVOR FRANK VICE CHAIRMAN 0.5 0 X X 0 0 0 SR DOROTHY WAGNER BOARD MEMBER 0.5 0 X 0 0 0 SR MARY KAYE WINKLER BOARD MEMBER 0.5 0 X 0 0 0 KELLI CLUSSMAN BOARD MEMBER 0.5 0 X 0 0 0 JACKIE ABEL BOARD MEMBER 0.5 0 X 0 0 0 SR CHARLEEN ACKER BOARD MEMBER 0.5 0 X 0 0 0 MARK DUERWAECHTER BOARD MEMBER 0.5 0 X 0 0 0 NICOLE BRADY BOARD MEMBER 0.5 0 X 0 0 0 MICHAEL GAGE BOARD MEMBER 0.5 0 X 0 0 0 PAT HIETPAS BOARD MEMBER 0.5 0 X 0 0 0 LANCE GOETZMAN TREASURER 0.5 0 X X 0 0 0 1028453 0 0 10 0 1 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING AND LAUNDRY SERVICES 751503 OAKRIDGE GARDENS 1700 MIDWAY RD MENASHA WI 54952 CARE STAFF 309067 PARASOL ALLIANCE LLC 5620 N KEDVALE AVE CHICAGO IL 60646 INFORMATION TECHNOLOGY 245248 SES GROUP 76 HOMESTEAD TRAIL GRAFTON WI 53024 HVAC SERVICE 138538 4 0 0 0 0 4407681 294231 0 4701912 SKILLED NURSING 623110 13998598 13998598 0 0 ASSISTED LIVING SERVICES 923110 8060641 8060641 0 0 HOSPICE 621990 537528 537528 0 0 COMMUNITY OUTREACH 621990 504177 504177 0 0 0 0 0 0 23100944 633825 0 0 633825 0 0 0 0 0 0 0 0 30771 0 12866 0 17905 0 17905 0 0 17905 0 7500 0 0 0 7500 7500 0 0 7500 0 0 0 0 0 0 0 0 0 0 0 0 5881 3949 1932 0 0 1932 COFFEE SHOP REVENUE 900099 40925 0 0 40925 CATERING AND MEALS 900099 69685 0 0 69685 MISCELLANEOUS 900099 133369 0 0 133369 0 0 0 0 243979 28707997 23100944 0 905141 0 0 0 0 0 0 0 0 397637 0 397637 0 0 0 0 0 12367916 11665820 702096 0 179000 163579 15421 0 2474986 2261770 213216 0 960883 878104 82779 0 88403 27000 61403 0 11748 0 11748 0 107868 0 107868 0 0 0 0 0 0 0 0 0 0 0 455433 449033 6400 0 99386 0 99386 0 209674 81867 127807 0 553012 0 553012 0 0 0 0 0 1027913 1012436 15477 0 59548 58116 1432 0 0 0 0 0 0 0 0 0 555291 555291 0 0 0 0 0 0 1532225 1532225 0 0 123823 123168 655 0 MEDICAL SUPPLIES 845035 845035 0 0 LAUNDRY AND HOUSEKEEPING 808579 808579 0 0 FOOD COSTS 820688 820688 0 0 MEDICAL ASSESSMENTS - LICENSES 415958 415958 0 0 1138301 749480 388821 0 25233307 22448149 2785158 0 1000 3000 4795898 7327867 7495 8186 1922585 1936973 0 0 0 67864 132683 220198 210565 38692074 15603746 22557553 23088328 6666786 7342125 1513319 1699901 0 0 124125 114729 149861 129620 38026684 41993977 2234986 2916392 0 0 0 0 17347111 16920411 0 0 0 0 58622 42622 19640719 19879425 X 16626587 20067620 1759378 2046932 18385965 22114552 38026684 41993977 3474690 253897 0 0 0 0 X 0 1 X 1 0 X 187355 165169 2109091 224825 4701912 7388352 17735633 19438796 19995802 22834160 23865216 103869607 0 0 0 0 0 0 17922988 19603965 22104893 23058985 28567128 111257959 0 0 0 0 0 0 0 0 0 0 111257959 227112 407873 236074 236553 887722 1995334 0 0 227112 407873 236074 236553 887722 1995334 0 0 93188 185046 218341 273645 133369 903589 18243288 20196884 22559308 23569183 29588219 114156882 0.97461 0.97477 0.01748 0.01477 X Schedule A, Part III, Line 12 OTHER MISCELLANEOUS INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1367741 157991 0 0 0 0 1525732 1249512 118229 0 0 0 0 1367741 1242931 87751 -81170 0 0 0 1249512 1081567 66673 94691 0 0 0 1242931 1258090 63767 6258 246548 0 0 1081567 0 1 0 1 0 0 671736 671736 0 28256928 10764034 17492894 0 0 0 0 0 9735849 4839712 4896137 0 27561 0 27561 23088328 0 ADMISSION FEES AND SECURITY DEPOSITS 42622 42622 X 28961894 253897 0 0 0 253897 28707997 0 0 0 28707997 25233307 0 0 0 0 0 25233307 0 0 0 25233307 Schedule D, Part V, Line 4 The purpose of St Paul Elder Service's endowment fund is to provide financial support on an ongoing basis to meting the continuing operational needs of St. Paul's entities and community programs and to support program development and new ventures. Schedule D, Part X, Line 2 The Internal Revenue Service ruled the Company is exempt from federal income taxes under Section 501(c)3 of the Internal Revenue Code and accordingly, no tax provision is reflected in the financial statements. X X X 0 0 0 0 0 0 0 0 0 SONDRA NORDER PRESIDENT/CEO/SECRETARY 240567 0 43200 0 0 0 0 0 0 0 283767 0 249277 0 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2014-12-19 2499000 SEE PART VI 0 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DYN0 2017-08-11 1993200 SEE PART VI 0 0 0 C WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2014-12-19 7000000 See Part VI 0 0 0 A 629792 0 2499000 0 0 0 75800 0 0 0 0 0 2006 1 0 1 1 B 96000 0 1993200 0 0 0 27000 0 0 0 0 0 2009 1 0 1 1 C 1269000 0 7000000 0 0 0 0 0 0 7000 0 0 2016 0 0 1 1 A 0 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 1 1 BMO HARRIS BANK 8 1 0 0 0 1 A 1 B 1 C 1 Schedule K, Part I, Column f-12/19/2014 2,499,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES THE PURPOSE OF THIS BOND WAS TO REFUND WHEFA SERIES 2003B ISSUED 9/9/2003 Schedule K, Part I, Column f-08/11/2017 1,993,200 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES THE PURPOSE OF THE BOND WAS TO REFUND SERIES ISSUED 4/26/2007 Schedule K, Part I, Column f-12/19/2014 7,000,000 WISCONSIN HEALTH AND EDUCATIONAL CONSTRUCTION OF A 24-UNIT COMMUNITY BASED RESIDENTIAL FACILITY, CONSTRUCTION OF A 13-BED ADDITION IN A SKILLED NURSING FACILITY, IMPROVEMENTS TO A SKILLED NURSING FACILITY, AND CERTAIN COSTS OF ISSUANCE. Schedule K, Part II, Line 7-12/19/2014 2,499,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES ISSUANCE COSTS INCLUDED $5,800 FOR THIS ISSUANCE AND $70,000 FOR A CONTEMPORANEOUSLY DATED $7 MILLION CONSTRUCTION AND RENOVATRION ISSUE. Form 990, Part VI, Section A, Line 6 THE MEMBER OF ST PAUL ELDER SERVICES, INC IS FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC Form 990, Part VI, Section A, Line 7a THE DIRECTORS ARE APPROVED BY THE MEMBER Form 990, Part VI, Section A, Line 7b THE FOLLOWING TRANSACTIONS SHALL BE AUTHORIZED ONLY BY VOTE OF THE MEMBER OF THE CORPORATION, WHICH VOTE SHALL BE TAKEN ONLY AFTER CONSIDERING THE ADVICE OF THE BOARD OF DIRECTORS OF ST. PAUL ELDER SERVICES, INC. ANY ACTION TAKEN BY THE MEMBER ON ANY OF THESE MATTERS SHALL BE IMMEDIATELY COMMUNICATED TO THE BOARD OF DIRECTORS OF ST. PAUL ELDER SERVICES, INC. A) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE OR LEASE OF REAL ESTATE BY OR TO THE CORPORATION FOR WHICH IT WAS AND IS FORMED AND EXISTS. B) APPROVAL OF BORROWING OUTSIDE THE LIMITS ESTABLISHED BY THE MEMBER RESOLUTION. C) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE OR LEASE OF REAL ESTATE BY OR TO THE CORPORATION FOR LONGER THAN ONE YEAR. D) REQUIREMENT OF A CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME AND APPROVAL OF THE FISCAL AUDITOR OF THE CORPORATION ANNUALLY. E) APPROVAL OF ALL INSURANCE CARRIERS AND INSURANCE COVERAGE FOR THE CORPORATION. F) REVIEW AND APPROVAL OF CAPITAL AND OPERATION BUDGETS. G) APPOINTMENT, EVALUATION OR DISCHARGE OF THE PRESIDENT/CEO OF ST. PAUL ELDER SERVICES, INC. H) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS. I) APPROVAL OF THE CREATION AND DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY CORPORATIONS, AS WELL AS APPROVAL OF ANY MERGER, CONSOLIDATION, AFFILIATION, JOINT VENTURE OR OTHER FORM OF CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OF WHICH THIS CORPORATION IS A MEMBER OF CONTROLLING SHAREHOLDER. J) AMENDMENT OF ARTICLES OF INCORPORATION AND BY LAWS OF THE CORPORATION. K) IMPLEMENTATION OF APPOINTMENT, SALARY NEGOTIATION AND REASSIGNMENT PROCESS FOR FRANCISCAN SISTER PERSONNEL WITHIN THE CORPORATION. M) THE POWERS STATED ABOVE AND ALL OTHER POWERS NOT DELEGATED IN THESE BY LAWS ARE RESERVED TO THE MEMBERS, BUT THE MEMBER DOES HEREBY DELEGATE TO THE BOARD OF DIRECTORS THE AUTHORITY TO OPERATE THE CORPORATION AS SET FORTH IN ARTICLE III, SECTION 8 OF THESE BY LAWS. Form 990, Part VI, Section B, Line 11b THE FORM 990 IS PREPARED BY THE CFO, REVIEWED BY THE CEO AND FINANCE COMMITTEE CHAIR THEN PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Section B, Line 12c EACH OFFICER AND CERTAIN ASSOCIATES AND VOLUNTEERS ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURES RELATED TO THE POTENTIAL CONFLICT. THE PRESIDENT RENDERS A DECISION REGARDING WHAT ACTION IS PROHIBITED OR ALLOWED RELATIVE TO THE CONFLICT OF INTEREST. DISCLOSURES AND DECISIONS AR REPORTED TO THE BOARD OF DIRECTORS VIA THE CORPORATE INTEGRITY SEMI ANNUAL EXECUTIVE SUMMARY. Form 990, Part VI, Section B, Line 15 THE CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND THE PRESIDENT OF SPONSORED MINISTRIES. IT IS BASED IN PART ON THE CEO'S PERFORMANCE AND ATTAINMENT OF GOALS SET FORTH FOR HIM/HER. COMPARABILITY DATA FROM LEADING AGE WISCONSIN IS USED WITH SPECIFIC COMPARISONS MADE TO ORGANIZATIONS THREE DIFFERENT WAYS: WITH SIMILAR SIZE, SIMILAR ANNUAL REVENUE AND SIMILAR GEOGRAPHIC LOCATION. THE EXECUTIVE COMMITTEE OF THE BOARD MEETS IN CLOSED SESSION TO DETERMINE ANNUAL CEO COMPENSATION AND MEMORIALIZES THE DELIBERATION AND DISCUSSION IN WRITING IN THE FORM OF A LETTER TO THE CEO. THE CEO'S SALARY HAS BEEN REVIEWED AND APPROVED BY THE SPONSORED MINISTRIES, BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF SPES. THE SALARIES OF THE SPES EXECUTIVE TEAM MEMBERS ARE DETERMINED BASED ON COMPARABILITY DATA FROM LEADING AGE WISCONSIN, WITH SPECIFIC COMPARISONS MADE TO ORGANIZATIONS THREE DIFFERENT WAYS: WITH SIMILAR PERFORMANCE, WITH INCREASES BEING GIVEN BASED ON MERIT AND ACHIEVEMENT OF EXPECTED PERFORMANCE. THE CEO OF THE ORGANIZATION AND DIRECTOR OF HUMAN RESOURCES DETERMINE FINAL COMPENSATION AMOUNTS. KEY EMPLOYEE SALARIES ARE ALSO DISCLOSED TO AND REVIEWED BY THE BOARD OF DIRECTORS. SALARY DECISIONS ARE DOCUMENTED VIA PERFORMANCE EVALUATION AND LETTERS TO EMPLOYEES THAT ANNOUNCE THEIR NEW SALARIES. Form 990, Part VI, Section C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST TO THE CFO. FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC 2413 S ALVERNO ROAD MANITOWOC WI 54220 391530622 HEALTH CARE WI 501(C)(3) LINE 1 HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY 0 HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY 2409 SOUTH ALVERNO ROAD MANITOWOC WI 54220 390808523 HEALTH CARE WI 501(c)(3) LINE 1 N/A 0 FRANCISCAN CARE SERVICES INC 430 NORTH MONITOR STREET WEST POINT NE 68788 470486026 HEALTH CARE NE 501(c)(3) LINE 3 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC 0 HOLY FAMILY MEMORIAL INC 2300 WESTERN AVENUE MANITOWOC WI 54220 390806395 HEALTH CARE WI 501(c)(3) LINE 3 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC 0 GOOD SAMARITIAN MEDICAL CENTER 800 FOREST AVENUE ZANESVILLE OH 43701 314379479 HEALTHCARE PROPERTY HOLDING COMPANY OH 501(c)(3) Line 1 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC 0 ST JOSEPH'S ELDER SERVICES INC 540 East Washington Street West Point NE 68788 814879204 Skilled Nursing Home AND ASSISTED LIVING NE 501(c)(3) Line 10 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC HOLY FAMILY COLLEGE 2406 SOUTH ALVERNO ROAD MANITOWOC WI 54220 390980974 HIGHER EDUCATION WI 501(c)(3) LINE 2 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC 0 HOLY FAMILY HEALTH SERVICES 1650 S 41ST STREET MANITOWOC WI 54220 391572253 PHARMACY WI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC m 116679 MANAGEMENT CONTRACT FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC p 48927 ACTUAL INVOICES HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY p 374800 ACTUAL INVOICES HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY m 113732 CONTRACTED AMOUNT