2018-11-15T15:19:08-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2017-01-01 370681517 ST PAUL'S HOME FOR THE AGED C/O ST ANDREW'S MANAGEMENT SRVC STPA 6182332095 1021 WEST E STREET BELLEVILLE IL 62220 ALLEN SCHARF CHAIRPERSON 6182332095 2018-11-12 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2018-11-12 12:15:14 CS P 623AF3ECE4A3668C62189EBF18041AA444D0AF2F 59AF7F7AE0AD7FB228FE1884CD01039D19CBB9C6 2017 2019-02-21 02:37:17Z TAMMY VON YEAST 1021 WEST E STREET BELLEVILLE IL 62220 11120957 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. 9 9 315 9 0 0 250000 0 10299330 10961978 -2494 382 329761 158597 10876597 11120957 0 0 0 0 5369409 5744683 0 0 0 6607879 7522911 11977288 13267594 -1100691 -2146637 29464428 27245112 27940344 28140779 1524084 -895667 ST PAUL'S HOME PROVIDES HOUSING AND CARE FOR THE ELDERLY FROM INDEPENDENT LIVING TO SKILLED NURSING CARE. 0 0 11834249 10961978 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. 11834249 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 8 0 315 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X ST ANDREW'S MANAGEMENT SRVC 3147260111 1001 CRAIG ROAD SUITE 200 ST LOUIS MO 63146 X KRISTINE MUELLER CHAIRPERSON 1.00 0.20 X X 0 0 0 BEVERLY BRIGHTWELL VICE CHAIRPERSON 1.00 X X 0 0 0 BETTY LEPPARD SECRETARY 1.00 X X 0 0 0 THOMAS MENTZER DIRECTOR 1.00 X 0 0 0 CARY SMITH DIRECTOR 1.00 X 0 0 0 JASON KARSTENS DIRECTOR 1.00 X 0 0 0 BOB DECAMP DIRECTOR 1.00 X 0 0 0 ALLEN SCHARF DIRECTOR / CURRENT CHAIRPERSON 1.00 X X 0 0 0 REV ROBERT KOEPCKE DIRECTOR 1.00 X 0 0 0 STEVE SUESS CHAIRPERSON (TERM ENDED) 1.00 0.20 X X 0 0 0 CRAIG BRETHAUER DIRECTOR (TERM ENDED) 1.00 X 0 0 0 MARGARET LOWERY DIRECTOR (TERM ENDED) 1.00 X 0 0 0 TAMMY VONYEAST EXECUTIVE DIRECTOR 39.00 1.00 X 0 0 0 SHARRILL KRUEP EXECUTIVE DIRECTOR (TERM ENDED) 39.00 1.00 X 0 0 0 0 0 0 0 0 0 0 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 606809056 THERAPY 885269 ST ANDREW'S MANAGEMENT SERVICES 6633 DELMAR BLVD ST LOUIS MO 63130 MANAGEMENT SERVICES 550878 OMNICARE INC DEPT 781668 PO BOX 78000 DETROIT MI 482781668 PHARMACY SERVICES 145649 3 NURSING AND SHELTER CARE REVENUES 623000 9585900 9585900 RESIDENTIAL CARE REVENUES 623000 1376078 1376078 10961978 382 382 OTHER MISC. REVENUE 623000 96494 96494 MEDICAL SUPPLY REVENUE 623000 50720 50720 MEALS REVENUE 561000 7348 7348 4035 4035 158597 11120957 10961978 0 158979 214481 214481 4237053 4140439 96614 892727 830339 62388 400422 372439 27983 550878 550878 36005 36005 34444 34444 1049496 1049496 70866 70866 971150 953815 17335 239222 239222 378837 377289 1548 9249 9249 4582 4582 1639024 1639024 1200008 1200008 BAD DEBT 1036587 1036587 STATE LICENSE FEE 234813 234813 MISCELLANEOUS 56359 56359 DUES AND SUBSCRIPTIONS 11391 11391 13267594 11834249 1433345 0 826941 732182 77335 16811 1559746 830773 18954 26497 125196 154405 32182464 6810819 26539001 25371645 30183 287072 112799 29464428 27245112 935751 1734137 332170 101211 17234 16918 26624204 26288513 30985 0 27940344 28140779 X 1524084 -895667 1524084 -895667 29464428 27245112 X -2146637 -149614 -123500 X X 0 0 0 X 1500280 36000 250000 1786280 7566761 7419949 7715794 10299330 10961978 43963812 9067041 7419949 7751794 10549330 10961978 45750092 0 141208 141208 141208 141208 45608884 41557 6491 1357 138 382 49925 41557 6491 1357 138 382 49925 252157 208460 357888 329761 158597 1306863 9360755 7634900 8111039 10879229 11120957 47106880 0.96820 0.96560 0.00110 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. 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. OTHER MISCELLANEOUS REVENUE - 2015 AMOUNT: $ 15,841. 2016 AMOUNT: $ 2,421. 2017 AMOUNT: $ 96,494. OTHER INCOME - 2013 AMOUNT: $ 252,157. 2014 AMOUNT: $ 208,460. 0 1 X 105793 105793 29259810 5377175 23882635 894659 431602 463057 1922202 1002042 920160 25371645 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 THE ORGANIZATION HAS AN OPERATING MANAGEMENT AGREEMENT WITH ST. ANDREW'S MANAGEMENT SERVICES INC TO PROVIDE ADMINISTRATIVE AND OPERATIONAL LEADERSHIP FOR THIS FACILITY. THIS AGREEMENT HAS BEEN IN PLACE FOR MORE THAN TEN YEARS. IN 2017, THE EXECUTIVE DIRECTOR WAS PAID BY ST. ANDREW'S MANAGEMENT SERVICES, INC. FOR SERVICES AS EXECUTIVE DIRECTOR FOR THE ORGANIZATION. SHERRILL KRUEP WAS PAID $41,423 UNTIL HER TERM ENDED, AND TAMMY VONYEAST WAS PAID $59,164. ALL EMPLOYEES ARE EMPLOYEES OF ST. PAUL'S HOME FOR THE AGED, EXCEPT FOR THESE INDIVIDUALS. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY ST ANDREW'S MANAGEMENT SERVICES 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 ST ANDREWS MANAGEMENT SERVICES PROVIDES 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 2017. 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: EQUITY TRANSFER -123,500. 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 123500 BOOK VALUE