2020-11-20T06:32:45-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 1 BRONZE POINTE BELLEVILLE IL 62226 990 2019-01-01 370681517 ST PAUL'S HOME FOR THE AGED STPA 6182332095 7611 STATE LINE ROAD SUITE 301 KANSAS CITY MO 64114 ALLEN SCHARF CHAIRPERSON 6182332095 2020-11-18 1 JEFF PARKER P00970069 6182331200 2020-11-17 2019 2022-09-23 18:48:47Z X ALLEN SCHARF 7611 STATE LINE ROAD SUITE 301 KANSAS CITY MO 64114 10537386 0 X STPAULSSENIORCOMMUNITY.COM X 1926 IL ST PAUL'S HOME PROVIDES HOUSING AND CARE FOR THE ELDERLY FROM INDEPENDENT LIVING TO SKILLED NURSING CARE. X 10 10 301 0 0 0 0 0 10365021 10401577 2310 3820 66512 131989 10433843 10537386 0 0 0 0 5815808 5424897 0 0 0 7414853 7627327 13230661 13052224 -2796818 -2514838 25974661 0 29667146 0 -3692485 0 ST. PAUL'S SENIOR COMMUNITY IS DEDICATED TO EXCELLENCE IN CARE AND PROVIDING A COMPASSIONATE, HEALING ENVIRONMENT GUIDED BY OUR DEVOTION TO THOSE WE ARE CALLED TO SERVE. 0 0 10749087 10401577 NURSING AND SHELTER CARE ON A FULL-TIME BASIS FOR BOTH LONG AND SHORT TERM NEEDS, PRIMARILY TO ELDERLY PERSONS WHICH INCLUDE PRIVATE AND PUBLIC AID RESIDENTS TO MEET THEIR CONTINUOUS NEEDS. RESIDENTIAL CARE ON A FULL-TIME BASIS FOR ELDERLY PERSONS. THE FACILITY CONSISTS OF 53 INDEPENDENT LIVING APARTMENTS, 130 LICENSED SKILLED NURSING BEDS, INCLUDING 22 LICENSED SHELTER CARE LIVING BEDS, 42 MEDICARE AND 18 MEMORY CARE BEDS. 10749087 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 301 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X WALNUT CREEK MANAGEMENT CO 8164440900 7611 STATE LINE ROAD SUITE 301 KANSAS CITY MO 64114 BEVERLY BRIGHTWELL CO-CHAIR 1.00 X X 0 0 0 THOMAS MENTZER CO-CHAIR 1.00 X X 0 0 0 CARY SMITH DIRECTOR 1.00 X 0 0 0 BOB DECAMP DIRECTOR 1.00 X 0 0 0 ALLEN SCHARF CHAIRPERSON 1.00 0.20 X X 0 0 0 WAYNE CAUGHMAN DIRECTOR 1.00 X 0 0 0 PAM NICHOLSON SECRETARY 1.00 X X 0 0 0 LINDA STEINER DIRECTOR 1.00 X 0 0 0 JOHN COERS DIRECTOR 1.00 X 0 0 0 REV MICHELLE TORIGIAN DIRECTOR 1.00 X 0 0 0 TAMMY VONYEAST EXECUTIVE DIRECTOR (LEFT 4/19) 40.00 X 42385 0 0 AMY MERRITT EXECUTIVE DIRECTOR 40.00 X 70552 0 0 112937 0 0 0 0 0 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 60694 THERAPY 798951 WALNUT CREEK MANAGEMENT COMPANY 7611 STATE LINE ROAD KANSAS CITY MO 64114 MANAGEMENT SERVICES 642305 MATHIS MARIFIAN & RICHTER 23 PUBLIC SQUARE SUITE 300 BELLEVILLE IL 62220 LEGAL SERVICES 207178 ST ANDREWS MANAGEMENT SERVICE INC 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63130 PHONE/TECH SYSTEMS 156762 4 NURSING, SHELTER AND RESIDENTIAL 623000 10401577 10401577 10401577 3820 3820 OTHER MISC. REVENUE 623000 96365 96365 MEDICAL SUPPLY REVENUE 623000 26812 26812 MEALS REVENUE 561000 7387 7387 1425 1425 131989 10537386 10401577 0 135809 112937 112937 4203080 3857664 345416 719761 643324 76437 389119 347795 41324 482147 482147 204856 204856 13193 13193 1121979 900197 221782 9060 9060 1216596 1189837 26759 913667 276566 637101 30470 30470 894 894 1910820 1910820 1078111 1078111 164839 164228 611 BED TAX 210188 210188 BAD DEBT 137770 137770 MISCELLANEOUS 103542 4127 99415 CHARITABLE CARE 23157 23157 6038 5303 735 13052224 10749087 2303137 0 38313 18801 1336902 26497 186761 0 24205830 161557 0 25974661 0 3396336 18801 26252009 29667146 0 X -3692485 0 -3692485 0 25974661 0 X -2514838 6207323 X X 0 0 0 X 36000 250000 286000 7715794 10299330 10961978 10365021 10401577 49743700 7751794 10549330 10961978 10365021 10401577 50029700 0 141208 141208 141208 141208 49888492 1357 138 382 2310 3820 8007 1357 138 382 2310 3820 8007 357888 329761 158597 66512 131989 1044747 8111039 10879229 11120957 10433843 10537386 51082454 0.97660 0.97360 0.00020 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEALS - 2015 AMOUNT: $ 11,101. 2016 AMOUNT: $ 9,246. 2017 AMOUNT: $ 7,348. 2018 AMOUNT: $ 4,084. 2019 AMOUNT: $ 7,387. TRANSPORTATION REVENUE - 2017 AMOUNT: $ 1,095. VENDING MACHINE REVENUE - 2015 AMOUNT: $ 1,852. 2016 AMOUNT: $ 1,263. 2019 AMOUNT: $ 1,225. ADMIN SUPPORT INCOME - 2015 AMOUNT: $ 168,000. 2016 AMOUNT: $ 120,000. 2017 AMOUNT: $ 2,940. TERMINATION OF UNEMPLOYMENT TRUST - 2015 AMOUNT: $ 127,048. 2016 AMOUNT: $ 160,533. MEDICAL SUPPLY REVENUE - 2015 AMOUNT: $ 34,046. 2016 AMOUNT: $ 36,298. 2017 AMOUNT: $ 50,720. 2018 AMOUNT: $ 58,920. 2019 AMOUNT: $ 26,812. OTHER MISCELLANEOUS REVENUE - 2015 AMOUNT: $ 15,841. 2016 AMOUNT: $ 2,421. 2017 AMOUNT: $ 96,494. 2019 AMOUNT: $ 96,365. GUEST ROOM RENTALS - 2018 AMOUNT: $ 3,508. 2019 AMOUNT: $ 200. 0 1 X 0 PART IV, LINE 2B: THE HOME MAINTAINS SAVINGS ACCOUNTS ON BEHALF OF CERTAIN RESIDENTS. THE HOME ACTS AS TRUSTEE OF THESE FUNDS WHICH ARE MAINTAINED FOR THE PERSONAL USE OF THOSE RESIDENTS. THE FUNDS ARE EXPENDED AT THE DIRECTION OF THE RESIDENTS. BUILDING AND LAND 2019-12-01 9760000 APPRAISAL 842335428 TI - BELLEVILLE LLC 7611 STATE LINE RD STE 301 KANSAS CITY MO 64114 PARTNERSHIP BUILDING AND LAND 2019-12-01 5490000 APPRAISAL 843675511 ST PAUL'S PROPERTY LLC 7611 STATE LINE RD STE 301 KANSAS CITY MO 64114 PARTNERSHIP CLOSING COSTS ON SALE OF PROPERTY 2019-12-01 1053052 SETTLEMENT STATEMENT - REAL ESTATE TAXES, COMMISSIONS, AND OTHER FEES 842335428 TI - BELLEVILLE LLC 7611 STATE LINE RD STE 301 KANSAS CITY MO 64114 PARTNERSHIP CLOSING COSTS ON SALE OF PROPERTY 2019-12-01 592341 SETTLEMENT STATEMENT - REAL ESTATE TAXES, COMMISSIONS, AND OTHER FEES 843675511 ST PAUL'S PROPERTY LLC 7611 STATE LINE RD STE 301 KANSAS CITY MO 64114 PARTNERSHIP 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS AN OPERATING MANAGEMENT AGREEMENT WITH TUTERA SENIOR LIVING & HEALTH CARE TO PROVIDE ADMINISTRATIVE AND OPERATIONAL LEADERSHIP FOR THIS FACILITY. THIS AGREEMENT HAS BEEN IN PLACE SINCE NOVEMBER 2018. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY THE MANAGEMENT COMPANY FOR ACCURACY AND MADE AVAILABLE TO THE BOARD OF DIRECTORS OF ST PAUL'S HOME. THE FINAL FORM 990 IS MAILED TO THE CHAIRMAN OF THE BOARD OF DIRECTORS FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL CONFLICT OF INTEREST POLICY LETTERS ARE SENT AS A STANDARD PART OF OUR FINANCIAL AUDIT AT YEAR END. THE LETTERS ARE ADDRESSED TO CURRENT AND FORMER BOARD MEMBERS AND/OR EMPLOYEES. ALL FORMS ARE REVIEWED, CHECKED FOR COMPLETENESS AND ASSURED ALL ARE RECEIVED. ALL LETTERS ARE KEPT AS DOCUMENTATION OF COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS SHALL NOT LESS THAN ANNUALLY REVIEW EMPLOYEE COMPENSATION AND BENEFIT PROGRAMS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS TO PURCHASER 6,207,323. FORM 990, PART XII, LINE 2C THE PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEAR. ST PAUL'S HOME FOUNDATION 1021 WEST E STREET BELLEVILLE IL 62220 364133767 FUNDRAISING IL 501(C)(3) LINE 12A, I ST PAUL'S HOME FOR THE AGED 1 ST PAUL'S UNITED CHURCH OF CHRIST 115 WEST E STREET BELLEVILLE IL 62220 370684694 CHURCH IL 501(C)(3) LINE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0