2017-02-13T11:05:10-06:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2015-07-01 410871261 ST WILLIAM'S LIVING CENTER STWI 2183384671 212 WEST SOO STREET PARKERS PRAIRIE MN 56361 TIM KELLY ADMINISTRATOR 2183384671 2017-02-13 1 EMILY SCHEEVEL P01814921 6123764500 2015 2021-01-29 14:40:06Z X TIM KELLY 212 WEST SOO STREET PARKERS PRAIRIE MN 56361 6063718 0 X WWW.STWILLIAMSLIVINGCENTER.COM X 1963 MN TO PROVIDE NURSING HOME AND ASSISTED LIVING CARE FOR THE ELDERLY AND DISABLED. 7 7 159 30 0 0 4098 62929 4996816 5507406 39275 25308 0 13185 5040189 5608828 0 0 0 0 2893823 3526221 0 0 0 1795679 1665399 4689502 5191620 350687 417208 7229217 7551622 1075780 986927 6153437 6564695 X THE MISSION OF ST. WILLIAM'S LIVING CENTER IS TO PROVIDE A BROAD CONTINUUM OF CARE TO MEET THE NEEDS OF OUR COMMUNITY. WE DO SO UNDER THE GUIDANCE OF CATHOLIC HEALTH CARE PHILOSOPHY. OUR SERVICES ARE OF THE HIGHEST QUALITY AND DESIGNED TO PROMOTE DIGNITY, WELL-BEING AND INDEPENDENCE. 0 0 3540631 0 4186117 NURSING HOME: ST. WILLIAMS CENTER OPERATES A 53 BED NURSING HOME WHICH PROVIDES INDIVIDUALIZED CARE SERVICES THAT ARE DEVELOPED THROUGH CARE CONFERENCING WHERE EVERY ASPECT OF DAILY LIVING IS EXPLORED. THE SERVICES PROVIDED BY THE SKILLED NURSING HOME ARE MEDICAL SERVICES, 24 HOUR NURSING SERVICES, REHABILITATION SERVICES, CHAPLAIN SERVICES, DIETETIC AND NUTRITIONAL SERVICES, PHARMACEUTICAL SERVICES, LAUNDRY, HOUSEKEEPING, MEDICATION ADMINISTRATION, AND AUDIOLOGY SERVICES. THE NURSING HOME ALSO HAS A BEAUTY SHOP, COMMUNITY ROOM, MUSIC EVENTS, AND VARIOUS ACTIVITIES FOR RESIDENTS. 395395 0 446631 ASSISTED LIVING: ST. WILLIAMS LIVING CENTER ALSO OPERATIONS A 14 UNIT ASSISTED LIVING CENTER. THIS INCLUDES 3 MEALS SERVED DAILY, BUILDING AND GROUNDS MAINTENANCE, WEEKLY LIGH HOUSEKEEPING FOR LINEN AND TRASH REMOVAL, GROUP SOCIAL AND RECREATIONAL ACTIVITIES, HOME CARE PROVIDER STAFF AVAILABLE 24 HOURS A DAY, AND WIRELESS EMERGENCY CALL SYSTEMS. THEY ALSO PROVIDE THE FOLLOWING OPTIONAL SERVICES: MEDICATION ASSISTANCE, ASSISTANCE WITH PERSONAL CARE NEED IN BATHING, AMBULATION, OR DRESSING, PERSONAL LAUNDRY, HOUSEKEEPING, APPOINTMENT ARRANGEMENTS, SKIN AND WOUND CARE, AND REHABILITATION THERAPIES. 86270 0 783179 FOSTER CARE: ST WILLIAMS HAS A FOSTER CARE AND COMMUNITY SUPPORT PROGRAM FOR THE HOUSING AND TRAINING OF ELIGIBLE ADULTS IN AN ATTEMPT TO DEVELOP SKILLS TO ACHIEVE INDEPENDENT LIVING STATUS. 1327 0 91479 ADULT RESIDENTAL MENTAL HEALTH SERVICES 1327 0 91479 4023623 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 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 1 0 0 0 1 11 0 159 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 0 0 1 0 0 0 MN X TIM KELLY 2183384671 PO BOX 30 PARKERS PRAIRIE MN 56361 RICK GAPPA PRESIDENT 2.00 X X 1325 0 0 DAVID VASKE VICE PRESIDENT 2.00 X X 1558 0 0 VIOLA DORN SECRETARY 2.00 X X 1675 0 0 DAWN JAKUBIEC DIRECTOR 2.00 X 1325 0 0 JUDY KLEIN DIRECTOR 2.00 X 1855 0 0 MIKE LIBBY DIRECTOR 2.00 X 1773 0 0 FR PETER VANDERWEYST DIRECTOR 2.00 X 1475 0 0 TIM KELLY ADMINISTRATOR 40.00 X 89120 0 3679 100106 0 3679 0 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY SERVICES 229205 1 13094 49835 62929 NURSING HOME 623000 3925263 3925263 FOSTER CARE 623000 783179 783179 ASSISTED LIVING 623000 446631 446631 PHYSICAL THERAPY 623000 260854 260854 MENTAL HEALTH CARE 623000 91479 91479 5507406 41883 41883 438315 454890 -16575 -16575 -16575 MEALS/VENDING 900099 9736 9736 MISCELLANEOUS 900099 3449 3449 13185 5608828 5507406 0 38493 109796 109796 2931218 2391270 539948 80954 66628 14326 193571 152649 40922 210682 165884 44798 34524 34524 11380 11380 267254 267254 21719 21719 101435 33679 67756 242254 214846 27408 8646 8646 52793 20792 32001 26334 26334 220538 220538 40476 40476 FOOD EXPENSE 199494 199494 MEDICAL SUPPLIES 193824 193824 MCH SURCHARGE 152715 152715 EQUIPMENT 79955 29955 50000 12058 12058 5191620 4023623 1167997 0 397554 524984 1632317 1645892 376734 534242 52400 31448 8631938 5055051 3523037 3576887 1239105 1232415 8070 5754 7229217 7551622 301883 348388 4328 2914 769569 635625 1075780 986927 X 6153437 6564695 6153437 6564695 7229217 7551622 417208 -5950 0 X 0 1 X 0 0 X 1550 950 3375 4098 62929 72902 4161156 4251132 4402378 4996816 5507406 23318888 4162706 4252082 4405753 5000914 5570335 23391790 0 664393 664393 664393 664393 22727397 29944 31327 32274 39275 41883 174703 29944 31327 32274 39275 41883 174703 13185 13185 4192650 4283409 4438027 5040189 5625403 23579678 0.96390 0.99260 0.00740 0.00740 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEALS/VENDING MISCELLANEOUS 0 1 X 290616 290616 6583772 3989931 2593841 1757550 1065120 692430 3576887 X 5591498 -5950 -5950 5597448 11380 11380 5608828 5180240 0 5180240 11380 11380 5191620 PART IV, LINE 2B: THE ORGANIZATION HOLDS A SEPARATE CHECKING ACCOUNTING IN WHICH RESIDENTS MAY DEPOSIT MONEY. EACH RESIDENT MAY ACCESS THEIR MONEY UPON REQUEST. PART X, LINE 2: THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION IS REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS ANUALLY. THE ORGANIZATION HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING THE ANNUAL 990 FILING REQUIREMENT, AND AS SUCH, DO NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS FIVE MEMBERS: THE BISHOP AND VICAR GENERAL OF THE DIOCESE OF ST. CLOUD, MINNESOTA, AND THE PASTOR AND TWO TRUSTEES OF ST. WILLIAM'S CATHOLIC CHURCH IN PARKERS PRAIRIE, MINNESOTA. FORM 990, PART VI, SECTION A, LINE 7A THE PASTOR OF ST. WILLIAM'S CATHOLIC CHURCH IN PARKERS PRAIRIE, MINNESOTA, IS AUTOMATICALLY DESIGNATED AS A VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS. THE OTHER SIX MEMBERS ARE ELECTED BY THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS MAY ONLY BE AMENDED BY MAJORITY VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS REVIEWED BY THE ADMINISTRATOR AND MAILED TO ALL BOARD MEMBERS PRIOR TO FILING. IT WILL BE REVIEWED AND APPROVED BY THE BOARD AT THE NEXT MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATOR'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE PROCESS INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS AND CONTEMPORANEOUS SUBSTANTIATION, BUT DOES NOT INCLUDE COMPARABILITY DATA. THE LAST REVIEW OCCURRED IN JULY 2016. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AT THE OFFICE OF THE ORGANIZATION. ROMAN CATHOLIC DIOCESE OF SAINT CLOUD 214 3RD AVENUE SOUTH ST CLOUD MN 56301 410693981 CHURCH MN 501(C)(3) LINE 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0