2021-05-11T10:54:22-05:00 2020-06-30 450250958 Eide Bailly LLP 1545 Associates Dr Ste 101 Dubuque IA 520022299 990 2019-07-01 510141775 Stonehill Franciscan Services STON 5635577180 3485 Windsor Avenue Dubuque IA 520011312 Gretchen Brown President/CEO 5635577180 2021-05-11 1 Carmen Krantz CPA P00031958 5635561790 2021-05-06 2019 2022-09-23 18:48:47Z Gretchen Brown 3485 Windsor Avenue Dubuque IA 520011312 32684244 0 0928 X www.stonehilldbq.com X 1985 IA Provide quality residential, respite, and health services for older adults 15 14 563 150 0 0 303209 5317519 22061493 22874095 -4248 -49402 811 983 22361265 28143195 6566 0 0 0 13676290 14696992 0 0 0 7213863 7646804 20896719 22343796 1464546 5799399 25519907 39246253 10516053 18500339 15003854 20745914 X We, the Stonehill Franciscan Services community, in the spirit of St. Francis, offer a continuum of quality lifetime care in a dignified atmosphere. 0 0 20771934 22874095 The purpose of the organization is to operate a nursing home and an independent and assisted living facility which provides retirement housing for senior citizens. Stonehill Franciscan Services exists to enable seniors to enjoy an outstanding quality of life. The support services are designed to promote independence and compliment the efforts of family caregivers. Throughout the year each of the ministries provided unreimbursed care to the public for a community benefit total of approximately $928,126.The campus provides a complete continuum of care designed to create quality of life for residents with every level of need. Staff members bring a high degree of personal commitment to the task of caring for each individual. Medical therapy services include physical therapy, occupational therapy, and speech therapy.Assisi Village gives every resident the closeness to others that adds greatly to overall quality of life, without giving up personal space and a feeling of independence.Assisi Village's well-structured and supervised daily activities are a welcome alternative to staying at home. 20771934 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 27 0 1 563 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Susan Feldmann 5636909630 3485 Windsor Avenue Dubuque IA 52001 Gretchen Brown President/CEO 40.00 X X 248012 0 25775 Peggy Stockel VP of Operations 40.00 X 170442 0 4025 Susan Feldmann CFO-Secretary/Treasurer 40.00 X 167680 0 13380 Karla Waldbillig VP of Human Resources 40.00 X 150063 0 30420 John McDermott Chair 0.50 X X 0 0 0 Rob Apel Vice Chair 0.50 X X 0 0 0 Jeff Mozena Director - as of Aug 2019 0.50 X 0 0 0 Jodie McDermott Director - as of Aug 2019 0.50 X 0 0 0 Dana Bullock Director - as of Oct 2019 0.50 X 0 0 0 Sr Carol Ann Berte Director - as of Dec 2019 0.50 X 0 0 0 Randy Ambrosy Director - as of Jan 2020 0.50 X 0 0 0 Sr Brenda Whestone Director - as of Jun 2020 0.50 X 0 0 0 Dave Davis Director - as of Jun 2020 0.50 X 0 0 0 Kim Budde Director 0.50 X 0 0 0 Dave Spahn Director 0.50 X 0 0 0 Lynn Osterhaus Director 0.50 X 0 0 0 Sr Camilla Hemann Director 0.50 X 0 0 0 Sr Jean Beringer Director 0.50 X 0 0 0 Sr Lila Hellman Director - until Oct 2019 0.50 X 0 0 0 Sr Kathy Knipper Director - until Apr 2020 0.50 X 0 0 0 736197 0 73600 4 0 0 0 Conlon Construction PO Box 3400 Dubuque IA 520043400 Construction 3301920 Aegis Therapies PO Box 936653 Altanta GA 311936653 Therapy services 1279607 Straka Johnson 3555 Digital Drive Dubuque IA 52003 Architect 924330 Select Rehabilitation LLC PO Box 71985 Chicago IL 606941985 Therapy services 416853 Miller Construction 13110 Kane Street Dubuque IA 52001 Construction 225804 6 73255 5244264 5317519 Resident Service Revenue 623000 22623796 22623796 Gym Memberships 713940 96299 96299 Amortization of Advance Fees 900099 94963 94963 59037 59037 22874095 68622 68622 1487 0 1487 1487 1487 4422198 4536526 3696 -114328 -3696 -118024 -118024 323 827 -504 -504 28143195 22874095 0 -48419 487676 487676 11692666 11159958 532708 269535 263441 6094 1376793 1284849 91944 870322 794675 75647 18984 1733 17251 29800 29800 2156703 1990120 166583 72263 49072 23191 519218 459990 59228 52463 39582 12881 658688 654269 4419 42072 27884 14188 4481 4481 237593 237593 1763342 1763342 108585 84418 24167 Food 687446 687446 Medical supplies 610737 610737 Repairs and maintenance 280780 275400 5380 Bad Debt Expense 229225 229225 174424 153719 20705 22343796 20771934 1571862 0 1100 1100 2134568 9992660 1496127 1251183 61241 86303 37343 61581 45020920 22410426 16978292 22610494 4809542 5242932 1694 25519907 39246253 1409633 1772007 120629 1125975 7644742 8894908 15849 2455400 1325200 4252049 10516053 18500339 X 15003854 20745914 15003854 20745914 25519907 39246253 5799399 -57339 0 X 0 1 X 1 0 X 647581 489030 947543 303209 5317519 7704882 20708448 21470499 21660606 22061493 22874095 108775141 21356029 21959529 22608149 22364702 28191614 116480023 0 0 0 116480023 72708 10827 43537 145482 70109 342663 72708 10827 43537 145482 70109 342663 21428737 21970356 22651686 22510184 28261723 116822686 0.99710 0.99750 0.00290 0.00250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 375750 375750 32568818 19081741 13487077 4366287 2848574 1517713 7710065 480111 7229954 22610494 Refundable advance fees 480813 Stonehill Benevolent Foundation contribution in advance 203775 Construction accounts payable 1805070 Estimated Third-Party Payor Settlements 1762391 4252049 X 28086683 -57339 827 -56512 28143195 0 28143195 22344623 827 827 22343796 0 22343796 Part IV, Line 2b: We have a resident trust fund. Residents can deposit funds into that account and make withdrawals as requested. Once a resident has passed we refund that money to the resident/family. Part X, Line 2: Management believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and, as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense, if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Cost of Goods Sold for Juice Bar 827. Part XII, Line 2d - Other Adjustments: Cost of Goods Sold for Juice Bar 827. 1 Part I, Line 2: Stonehill Benevolent Foundation provides a donation to Stonehill Franciscan Services to be used specifically for employee hardship assistance. The Executive team of Stonehill Franciscan Services determines who receives the assistance. Almost all of the time the assistance is paid directly to the organization the employee owes money. Examples are repairs or utility payments. The Board of Directors voted to delegate the approval and disbursement of funds to the management group to due the quick turnaround needed and going through the Board would be a longer process. X X X 0 0 0 0 0 0 0 0 0 Gretchen Brown President/CEO 223012 0 25000 0 0 0 7499 0 18366 0 273877 0 0 0 Peggy Stockel VP of Operations 151667 0 18750 0 25 0 3697 0 417 0 174556 0 0 0 Susan Feldmann CFO-Secretary/Treasurer 148630 0 18750 0 300 0 4587 0 8883 0 181150 0 0 0 Karla Waldbillig VP of Human Resources 139763 0 10000 0 300 0 4489 0 26021 0 180573 0 0 0 A Dubuque County Iowa 426004597 2011-09-07 4187167 Refund bonds issued 8/21/2008 0 0 0 B Iowa Finance Authority 521699886 000000000 2019-12-23 11959100 Refund bonds issued 9/7/2011 Series 2011A and expansion of facilities. 0 0 0 A 2923670 4187167 4187167 1 0 1 1 B 11959100 237314 5801107 5920679 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 0 1 0 0 0 1 A 1 B 1 Date Rebate Computation Performed Issuer Name: Dubuque County, Iowa Date the Rebate Computation was Performed: 11/07/2016 Schedule K, Part I, Line 11: The amount reported on Part I, Line 11 is the amount of bond proceeds used to refund the prior bonds issued in 2008. Schedule K, Part II, Line 1: The amount reported on Part II, line 1 represents the cumulative amount of principal repaid on the Revenue Notes as of June 30, 2020. Form 990, Part VI, Section A, line 1 The Board of Directors may, by resolution, create an Executive Committee. The Executive Committee consists of the officers of the corporation and the President/CEO of the facility. This committee has and may exercise all powers of the Board of Directors between meetings of the Board of Directors. The committee must report all its rulings to the Board of Directors at the next regular or special meeting of the Board. The Executive Committee does not have the authority of the Board of Directors to amend the Articles of Incorporation, adopt a plan of merger or consolidation, recommend to the Directors the sale, lease, exchange or other disposition of all or substantially all of the property and assets of the corporation, unless in the normal course of business, dissolution of the corporation, or amending the Bylaws. Form 990, Part VI, Section B, line 11b A copy of the Form 990 is reviewed by the entire Board before it is filed. The President/CEO and CFO review the 990. Form 990, Part VI, Section B, line 12c Stonehill Franciscan Services has conflict of interest policies completed each year by all Board members thus monitoring any potential conflicts. The Board Chairperson reviews the statements and follows up on any potential conflicts. Any actual or potential duality or conflict of interest including but not limited to ownership or control of any entity that contracts with the Stonehill Franciscan Services for any products or services shall be disclosed to the other members of the Board and made a matter of record in the minutes when the subject of such interest becomes a matter of Board action. When a conflict arises, the Board member is not allowed to vote on the issue and may be excused from the meeting. Form 990, Part VI, Section B, line 15 The President/CEO's compensation is determined by the Executive Committee of the Board with salary adjustment recommendations based on an annual performance evaluation and comparability data. The CFO's compensation is determined by the President/CEO with approval by the Board of Directors with salary adjustment recommendations based on an annual performance evaluation and comparability data. The Organization documents and provides substantiation for their compensation process. The process is completed yearly. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon written request.