2019-11-01T08:43:42-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2018-01-01 370909113 APARTMENT COMMUNITY OF OUR LADY OF THE SNOWS APAR 6183946400 726 COMMUNITY DRIVE BELLEVILLE IL 62223 JEFF BAKER EXECUTIVE DIRECTOR 3149254300 2019-10-23 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2019-10-23 09:21:13 CD P C295692FC755D544774FE10B7A8A39D33D425111 971A8EAD25932F411DD256B5E237B6EBEA5F4AEB 2018 2020-03-31 21:24:44Z THE ESQUILINE JEFF BAKER 726 COMMUNITY DRIVE BELLEVILLE IL 62223 9769933 0 X WWW.THEESQUILINE.ORG X 1966 IL THE ESQUILINE: A LIFE PLAN COMMUNITY AT THE SHRINE IS AN AWARD-WINNING FAITH-BASED LIFE PLAN (CONTINUING CARE RETIREMENT) COMMUNITY DEDICATED TO THE PURSUIT OF ACTIVE RETIREMENT LIVING AND WELLNESS IN BODY, MIND AND SPIRIT. 10 10 209 10 0 0 1068277 97910 8323782 8428254 498530 840541 107220 125644 9997809 9492349 0 0 0 0 5350602 5533508 0 0 0 3275865 3289529 8626467 8823037 1371342 669312 28117204 27403041 2909871 2980762 25207333 24422279 THE ESQUILINE IS AN AWARD-WINNING FAITH-BASED LIFE PLAN COMMUNITY DEDICATED TO THE PURSUIT OF ACTIVE LIVING AND WELLNESS IN BODY, MIND AND SPIRIT IN THE NEXT CHAPTER OF YOUR LIFE. WE OFFER INDEPENDENT LIVING, ASSISTED LIVING, AND SKILLED NURSING CARE FOR SENIORS. 0 0 7717177 8580642 THE ESQUILINE PROVIDES HEALTH CARE AND OTHER RELATED SERVICES TO THE ELDERLY. RETIREMENT COMMUNITY APTS OCCUPIED = 85, SKILLED NURSING DAYS = 19,515, SHELTER CARE DAYS = 9,926. -152388 THE ORGANIZATION PROVIDES ASSISTANCE TO RESIDENTS WHO HAVE FINANCIAL DIFFICULTIES PAYING FOR SERVICES PROVIDED. KEY ELEMENTS USED TO DETERMINE ELIGIBILITY INCLUDED A RESIDENTS DEMONSTRATED INABILITY TO PAY BASED ON FINANCIAL ASSETS AND INCOME. DURING THE YEARS ENDED DECEMBER 31, 2018 AND 2017, THE ORGANIZATION UTILIZED BOARD-DESIGNATED INVESTMENTS IN THE AMOUNT OF $152,388 AND $144,349, RESPECTIVELY, TO FUND THE COST OF PROVIDING CHARITY CARE. THIS ASSISTANCE IS REPORTED AS AN OFFSET TO REVENUE. 7717177 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 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 1 14 0 209 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 6183946400 726 COMMUNITY DRIVE BELLEVILLE IL 62223 THOMAS VERNIER CHAIRPERSON 1.00 X X 0 0 0 GERALD HARMAN VICE-CHAIRPERSON 1.00 X X 0 0 0 SR MILDRED GROSS ASC SECRETARY (TERM ENDED 10/18) 1.00 X X 0 0 0 REV JIM BROBST OMI DIRECTOR 1.00 X 0 0 0 CHERYL BRUNSMANN DIRECTOR 1.00 X 0 0 0 REV JAMES CHAMBERS OMI DIRECTOR 1.00 X 0 0 0 HEIDI DODD SECRETARY 1.00 X X 0 0 0 REV ARTHUR FLORES OMI DIRECTOR 1.00 X 0 0 0 REV ALLEN MAES OMI DIRECTOR 1.00 X 0 0 0 RON STEPHENS DIRECTOR 1.00 X 0 0 0 MICHAEL WENZEL DIRECTOR 1.00 X 0 0 0 BARBARA PROSSER PRESIDENT 40.00 X 123578 0 30670 123578 0 30670 1 0 1 0 PARIC CORP 77 WEST PORT PLAZA SUITE 250 ST LOUIS MO 63146 GENERAL CONTRACTING 362671 RLPS 250 VALLEY BROOKE DR LANCASTER PA 17601 ARCHITECTURE 302509 VARSITY MARKETING LLC 532 NORTH FRONT STREET SUITE 200 WORMLEYSBURG PA 17043 PROJECT MARKETING/DIRECTION 234063 3 97910 97910 RESIDENT SERVICES 623000 8321726 8321726 AMORTIZATION OF MEMBER 623000 106528 106528 8428254 272465 272465 845660 277584 568076 568076 568076 919 0 919 919 EMPLOYEE & RESIDENT GU 623000 62299 62299 OTHER OPERATING REVENU 623000 23266 23266 TELEPHONE CHARGES 623000 12503 12503 26657 26657 124725 9492349 8428254 0 966185 154248 154248 4316043 3937293 378750 59927 53146 6781 686463 635992 50471 316827 280979 35848 28808 28808 179017 99661 79356 123869 123869 470544 376625 93919 68957 68111 846 603765 596412 7353 33562 33562 850355 839922 10433 80102 80102 FOOD 514913 514913 REPAIRS & MAINTENANCE 161778 155774 6004 PROVIDER TAX 111126 111126 NURSING HOME LICENSE FE 31208 31208 31525 16015 15510 8823037 7717177 1105860 0 1220 1220 9598016 9573422 38416 45480 24399 28934 42297 52540 24474803 15480591 8237000 8994212 10092582 8617709 83274 89524 28117204 27403041 539206 875988 49000 5184 6578 2365481 2049196 2909871 2980762 X 25207333 24422279 25207333 24422279 28117204 27403041 669312 -1454366 0 X 0 1 X 0 0 X 225420 287571 277373 1068277 97910 1956551 8196584 8123768 8119932 8323782 8428254 41192320 919 919 8422004 8411339 8397305 9392059 8527083 43149790 0 0 0 43149790 60399 41749 153282 84843 272465 612738 60399 41749 153282 84843 272465 612738 108989 136977 121038 107220 124725 598949 8591392 8590065 8671625 9584122 8924273 44361477 0.97270 0.97670 0.01380 0.00980 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: EMPLOYEE GUEST MEALS - 2014 AMOUNT: $ 58,354. 2015 AMOUNT: $ 61,651. 2016 AMOUNT: $ 61,236. 2017 AMOUNT: $ 57,902. 2018 AMOUNT: $ 62,299. BEAUTY SHOP - 2014 AMOUNT: $ 4,306. 2015 AMOUNT: $ 4,204. 2016 AMOUNT: $ 4,200. 2017 AMOUNT: $ 3,857. 2018 AMOUNT: $ 3,504. LAUNDRY - 2014 AMOUNT: $ 6,797. 2015 AMOUNT: $ 5,368. 2016 AMOUNT: $ 6,498. 2017 AMOUNT: $ 8,219. 2018 AMOUNT: $ 10,290. TELEPHONE - 2014 AMOUNT: $ 13,448. 2015 AMOUNT: $ 11,921. 2016 AMOUNT: $ 11,228. 2017 AMOUNT: $ 12,570. 2018 AMOUNT: $ 12,503. OTHER OPERATING REVENUE - 2014 AMOUNT: $ 26,084. 2015 AMOUNT: $ 53,833. 2016 AMOUNT: $ 16,611. 2017 AMOUNT: $ 8,247. 2018 AMOUNT: $ 23,266. CARPORT WHEELCHAIR RENTAL - 2016 AMOUNT: $ 9,395. 2017 AMOUNT: $ 9,122. 2018 AMOUNT: $ 10,682. TRANSPORTATION - 2016 AMOUNT: $ 3,562. 2017 AMOUNT: $ 3,082. 2018 AMOUNT: $ 2,181. PHARMACY COMMISSION - 2016 AMOUNT: $ 6,797. 2017 AMOUNT: $ 3,020. COUNTRY STORE - 2016 AMOUNT: $ 1,511. 2017 AMOUNT: $ 1,201. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 37810 37810 20243382 12955632 7287750 437662 286685 150977 2632681 2238274 394407 1123268 1123268 8994212 REFUNDABLE FEES 1390500 DEFERRED MEMBERSHIP FEES 308461 ASSET RETIREMENT OBLIGATION 350235 2049196 X 8037983 -1454366 -1454366 9492349 0 9492349 8823037 0 8823037 0 8823037 PART IV, LINE 2B: THE ORGANIZATION IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE ORGANIZATION HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE ACCOUNTS AND THE DISTRIBUTION OF FUNDS FOR RESIDENTS AND GUARDIANS. PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS NEEDING TO BE RECORDED OR DISCLOSED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 0 0 BARBARA PROSSER PRESIDENT 105092 0 0 0 18486 0 0 0 30670 0 154248 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS MADE UP OF OFFICERS OF THE CORPORATION AND ADMINISTRATORS ARE MEMBERS OF THE COMMITTEE. THEY ARE AUTHORIZED TO ACT ON BEHALF ON THE BOARD. ALL OTHER COMMITTEES ARE AUTHORIZED TO ADVISE THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B DRAFT COPIES OF THE FORM 990 ARE EMAILED TO ALL BOARD MEMBERS TO REVIEW BEFORE THE TAX RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD AND DIRECTORS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. THIS POLICY STATES THE PROCEDURES FOR DISCLOSING A POTENTIAL CONFLICT OF INTEREST. AN INTERESTED PERSON MUST DISCLOSE HIS/HER INTEREST TO THE BOARD. THE BOARD THEN DETERMINES IF AN INTEREST EXISTS. IF AN INTEREST EXISTS, THE BOARD THEN INVESTIGATES ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. IF A PERSON OF INTEREST IS SUSPECTED OF FAILING TO DISCLOSE A POSSIBLE CONFLICT OF INTEREST, THEY WILL THEN BE GIVEN AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. THE BOARD WILL THEN DETERMINE IF THE MEMBER HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST. IF THE MEMBER KNOWINGLY FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 WAGE SURVEYS ARE PERFORMED ANNUALLY AND REVIEWED WHEN DETERMINING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.