2019-11-14T17:54:14-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2018-01-01 370681517 ST PAUL'S HOME FOR THE AGED STPA 6182332095 1021 WEST E STREET BELLEVILLE IL 62220 ALLEN SCHARF CHAIRPERSON 6182332095 2019-11-12 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2019-11-12 13:57:25 CS P E6BE2FC7BDF6415C53E2430FF741795AA272F00C 48943B999F87A455DDDAC2F617771C67E5F72438 2018 2020-04-17 16:48:07Z ALLEN SCHARF 1021 WEST E STREET BELLEVILLE IL 62220 10433843 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. 10 10 260 9 0 0 0 0 10961978 10365021 382 2310 158597 66512 11120957 10433843 0 0 0 0 5744683 5815808 0 0 0 7522911 7414853 13267594 13230661 -2146637 -2796818 27245112 25974661 28140779 29667146 -895667 -3692485 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 11805424 10365021 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. 11805424 1 0 0 0 0 0 0 0 1 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 1 1 0 0 1 1 0 260 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 X 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 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 VON YEAST EXECUTIVE DIRECTOR 39.00 1.00 X 0 0 0 0 0 0 0 0 0 0 ST ANDREW'S MANAGEMENT SERVICES 6633 DELMAR BLVD ST LOUIS MO 63130 MANAGEMENT SERVICES 732600 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 606809056 THERAPY 523913 OMNICARE INC DEPT 781668 PO BOX 78000 DETROIT MI 482781668 PHARMACY SERVICES 150291 3 NURSING, SHELTER AND RESIDENTIAL 623000 10365021 10365021 10365021 2310 2310 MEDICAL SUPPLY REVENUE 623000 58920 58920 MEALS REVENUE 561000 4084 4084 GUEST ROOM RENTALS 623000 3508 3508 66512 10433843 10365021 0 68822 16940 16940 4611992 4226782 385210 788692 720172 68520 398184 363591 34593 475275 475275 71370 71370 32766 32766 1213170 1031627 181543 94304 94304 1242825 1227600 15225 281485 280814 671 18845 18845 732 732 1823764 1823764 1368170 1368170 154406 154406 BAD DEBT 263738 263738 BED TAX 244172 244172 STATE LICENSE FEE 94218 94218 MISCELLANEOUS 22668 6370 16298 12945 12945 13230661 11805424 1425237 0 732182 38313 16811 18801 830773 1336902 26497 26497 154405 186761 32231349 8025519 25371645 24205830 112799 161557 27245112 25974661 1734137 3396336 101211 16918 18801 26288513 26252009 28140779 29667146 X -895667 -3692485 -895667 -3692485 27245112 25974661 -2796818 0 X X 0 0 0 X 36000 250000 286000 7419949 7715794 10299330 10961978 10365021 46762072 7419949 7751794 10549330 10961978 10365021 47048072 0 141208 141208 141208 141208 46906864 6491 1357 138 382 2310 10678 6491 1357 138 382 2310 10678 208460 357888 329761 158597 66512 1121218 7634900 8111039 10879229 11120957 10433843 48179968 0.97360 0.96820 0.00020 0.00110 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. TRANSPORTATION REVENUE - 2017 AMOUNT: $ 1,095. VENDING MACHINE REVENUE - 2015 AMOUNT: $ 1,852. 2016 AMOUNT: $ 1,263. 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. OTHER MISCELLANEOUS REVENUE - 2015 AMOUNT: $ 15,841. 2016 AMOUNT: $ 2,421. 2017 AMOUNT: $ 96,494. OTHER INCOME - 2014 AMOUNT: $ 208,460. GUEST ROOM RENTALS - 2018 AMOUNT: $ 3,508. 0 1 X 105793 105793 30155016 6811609 23343407 1970540 1213910 756630 24205830 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. FORM 990, PART VI, SECTION A, LINE 3 FOR A PORTION OF THE YEAR, THE ORGANIZATION HAD AN OPERATING MANAGEMENT AGREEMENT WITH ST. ANDREW'S MANAGEMENT SERVICES INC TO PROVIDE ADMINISTRATIVE AND OPERATIONAL LEADERSHIP FOR THIS FACILITY. THIS AGREEMENT HAD BEEN IN PLACE FOR MORE THAN TEN YEARS BEFORE IT WAS TERMINATED IN NOVEMBER 2018. THE ORGANIZATION SUBSEQUENTLY ENTERED INTO AN OPERATING MANAGEMENT AGREEMENT WITH TUTERA SENIOR LIVING & HEALTH CARE IN NOVEMBER 2018. IN 2018, THE EXECUTIVE DIRECTOR WAS PAID BY ST. ANDREW'S MANAGEMENT SERVICES, INC. FOR SERVICES AS EXECUTIVE DIRECTOR FOR THE ORGANIZATION. TAMMY VON YEAST WAS PAID $16,940. ALL EMPLOYEES ARE EMPLOYEES OF ST. PAUL'S HOME FOR THE AGED, EXCEPT FOR THIS INDIVIDUAL. 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 BEFORE THE AGREEMNENT WAS TERMINATED, ST ANDREWS MANAGEMENT SERVICES PROVIDED A COMPARATIVE REVIEW TO THE BOARD OF DIRECTORS. THE BOARD MAKES THE FINAL DECISION ON COMPENSATION FOR THE EXECUTIVE DIRECTOR. THE MOST RECENT REVIEW WAS CONDUCTED IN MARCH 2010. FOR THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES, SALARY INCREASES ARE BETWEEN 2 TO 3% AND ALL INCREASES ARE GIVEN ON JANUARY 1 OF EACH YEAR. ALL INFORMATION IS AVAILABLE ON THE ANNUAL OPERATING BUDGET, INCLUDING ANY APPLICABLE BONUS STRUCTURE (MARKETING ONLY). MOST RECENTLY, THE OPERATING BUDGET WAS REVIEWED AND APPROVED BY THE BOARD IN NOVEMBER 2018. 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 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 ST PAUL'S HOME FOUNDATION R 79631 INVOICE