2017-08-30T07:35:59-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2016-01-01 370681517 ST PAUL'S HOME FOR THE AGED C/O ST ANDREW'S MANAGEMENT SRVC STPA 6182332095 1021 WEST E STREET BELLEVILLE IL 62220 KRISTINE MUELLER CHAIRPERSON 6182332095 2017-08-08 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2017-08-08 14:08:14 CD P EDB8695E9EB8D1B1256E5787CF57F3C4FB87078F DAA26B888D1B87F8EA804A4E21495CBD647384A2 2016 2021-01-29 14:40:06Z TAMMY VON YEAST 1021 WEST E STREET BELLEVILLE IL 62220 10879229 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 10 218 10 0 0 36000 250000 7715794 10299330 -218853 -2494 357888 329761 7890829 10876597 0 0 0 0 4835785 5369409 0 0 0 4733157 6607879 9568942 11977288 -1678113 -1100691 30346622 29464428 27721966 27940344 2624656 1524084 ST PAUL'S HOME PROVIDES HOUSING AND CARE FOR THE ELDERLY FROM INDEPENDENT LIVING TO SKILLED NURSING CARE. 0 0 10209872 10299330 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, 134 LICENSED SKILLED NURSING BEDS, INCLUDING 26 LICENSED SHELTER CARE LIVING BEDS, 42 MEDICARE AND 18 MEMORY CARE BEDS. 10209872 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 10 0 218 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 1 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 6633 DELMAR BLVD ST LOUIS MO 63130 X STEVE SUESS CHAIRPERSON 1.00 0.20 X X 0 0 0 BOB DECAMP DIRECTOR 1.00 X 0 0 0 KRISTINE MUELLER VICE CHAIRPERSON 1.00 X X 0 0 0 BETTY LEPPARD SECRETARY 1.00 X X 0 0 0 REV ANDREW KRAMER DIRECTOR 1.00 X 0 0 0 BEVERLY BRIGHTWELL TREASURER 1.00 X X 0 0 0 MARGARET LOWERY DIRECTOR 1.00 X 0 0 0 AL SCHARF DIRECTOR 1.00 X 0 0 0 CRAIG BRETHAUER DIRECTOR 1.00 X 0 0 0 JASON KARSTENS DIRECTOR 1.00 X 0 0 0 SHARRILL KRUEP EXECUTIVE DIRECTOR 39.00 1.00 X 0 0 0 0 0 0 0 0 0 0 OMNICARE INC DEPT 781668 PO BOX 78000 DETROIT MI 482781668 PHARMACY SERVICES 685676 ST ANDREW'S MANAGEMENT SERVICES 6633 DELMAR BLVD ST LOUIS MO 63130 MANAGEMENT SERVICES 516023 SELECT REHABILITATION INC PO BOX 809056 CHICAGO IL 606809056 THERAPY 171107 3 250000 250000 NURSING AND SHELTER CARE REVENUES 623000 8973734 8973734 RESIDENTIAL CARE REVENUES 623000 1325596 1325596 10299330 138 138 2632 -2632 -2632 -2632 TERMINATION OF UNEMPLOYMENT TRUST 623000 160533 160533 ADMIN SUPPORT INCOME 623000 120000 120000 MEDICAL SUPPLY REVENUE 623000 36298 36298 12930 12930 329761 10876597 10299330 0 327267 98098 98098 4257556 3642056 615500 630059 526835 103224 383696 320834 62862 516023 516023 41872 41872 34383 34383 731809 731809 79607 79607 938890 896208 42682 229144 94620 134524 358707 357831 876 5185 2979 2206 2107 2107 1551804 1551804 1171299 1171299 157371 155421 1950 BAD DEBT 509784 509784 STATE LICENSE FEE 221314 221314 MISCELLANEOUS 50849 27078 23771 DUES AND SUBSCRIPTIONS 7494 7494 237 237 11977288 10209872 1767416 0 692594 826941 45470 77335 1512695 1559746 19403 18954 119601 125196 32157569 5618568 26983820 26539001 30064 30183 562795 0 380180 287072 30346622 29464428 2086410 935751 0 332170 24503 17234 25587253 26624204 23800 30985 27721966 27940344 X 2624656 1524084 2624656 1524084 30346622 29464428 -1100691 119 0 X X 0 1 X 1 0 X 1500280 36000 250000 1786280 8057717 7566761 7419949 7715794 10299330 41059551 8057717 9067041 7419949 7751794 10549330 42845831 0 141208 141208 141208 141208 42704623 945 41557 6491 1357 138 50488 945 41557 6491 1357 138 50488 180469 252157 208460 357888 329761 1328735 8239131 9360755 7634900 8111039 10879229 44225054 0.96560 0.97080 0.00110 0.00120 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEALS - 2015 AMOUNT: $ 11,101. 2016 AMOUNT: $ 9,246. VENDING MACHINE REVENUE - 2015 AMOUNT: $ 1,852. 2016 AMOUNT: $ 1,263. ADMIN SUPPORT INCOME - 2015 AMOUNT: $ 168,000. 2016 AMOUNT: $ 120,000. TERMINATION OF UNEMPLOYMENT TRUST - 2015 AMOUNT: $ 127,048. 2016 AMOUNT: $ 160,533. MEDICAL SUPPLY REVENUE - 2015 AMOUNT: $ 34,046. 2016 AMOUNT: $ 36,298. OTHER MISCELLANEOUS REVENUE - 2015 AMOUNT: $ 15,841. 2016 AMOUNT: $ 2,421. OTHER INCOME - 2012 AMOUNT: $ 180,469. 2013 AMOUNT: $ 252,157. 2014 AMOUNT: $ 208,460. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 105793 105793 29265162 4436092 24829070 875890 386639 489251 1910724 795837 1114887 26539001 RESIDENT DEPOSITS 30985 30985 X 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. 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 TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 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 2016, SHARRILL KRUEP, EXECUTIVE DIRECTOR, WAS PAID $98,098 BY ST. ANDREW'S MANAGEMENT SERVICES, INC. FOR HER SERVICES AS EXECUTIVE DIRECTOR FOR THE ORGANIZATION. ALL EMPLOYEES ARE EMPLOYEES OF ST. PAUL'S HOME FOR THE AGED, EXCEPT FOR THIS INDIVIDUAL. FORM 990, PART VI, SECTION A, LINE 4 THE NUMBER OF DIRECTORS MAY BE SET FROM TIME TO TIME BY ACTION OF THE BOARD OF DIRECTORS, BUT IN NO EVENT SHALL THE NUMBER OF DIRECTORS BE LESS THAN SEVEN (7) OR MORE THAN FIFTEEN (15). 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 2016. 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 SERVICES IL 501(C)(3) LINE 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 ST PAUL'S HOME FOUNDATION L 120000 BOOK VALUE