ST PAUL ELDER SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST PAUL ELDER SERVICES INC (EIN 39-1029149)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201303189349303220
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T11:24:54-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391029149 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST PAUL ELDER SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STPA | NameControl |
| Phone | 9207666020 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 316 E 14TH STREET | AddressLine1 |
| City | KAUKAUNA | City |
| State | WI | State |
| ZIP Code | 54130 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SONDRA NORDER | Name |
| Title | COO | Title |
| Phone | 9207666020 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CORY RUTLEDGE | Name |
| PTIN | P01329381 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | SONDRA NORDER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 316 E 14TH STREET | AddressLine1 |
| City | KAUKAUNA | City |
| State | WI | State |
| ZIP Code | 54130 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 15462417 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STPAULELDERS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1943 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | A CATHOLIC FRANCISCAN HEALTH CARE PROVIDER OFFERING SERVICES TO THE ELDERLY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 458 | TotalNbrEmployees |
| Total Nbr Volunteers | 235 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 159130 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 100349 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15001631 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15007487 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 136870 | InvestmentIncomePriorYear |
| Investment Income Current Year | 139815 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 228179 | OtherRevenuePriorYear |
| Other Revenue Current Year | 193096 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15525810 | TotalRevenuePriorYear |
| Total Revenue Current Year | 15440747 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10473879 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9664664 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5042506 | OtherExpensePriorYear |
| Other Expenses Current Year | 5226150 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 15516385 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14890814 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9425 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 549933 | RevenuesLessExpensesCY |
| Total Assets BOY | 18698453 | TotalAssetsBOY |
| Total Assets EOY | 18706433 | TotalAssetsEOY |
| Total Liabilities BOY | 8974922 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8245663 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9723531 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10460770 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | WE ARE A CATHOLIC FRANCISCAN - SPONSORED COMMUNITY DEDICATED TO ENRICHING THE LIFE EXPERIENCE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 9511475 | Expense |
| Grants | 0 | Grants |
| Revenue | 10558841 | Revenue |
| Description | QUALITY NURSING CARE PROVIDED TO AN AVERAGE OF 125 RESIDENTS PER DAY IN A LICENSED SKILLED NURSING FACILITY. OFFER NURSING SERVICES, SOCIAL SERVICES, THERAPY, LEISURE ACTIVITIES AS WELL AS SPIRTUAL. A SIGNIFICANT NUMBER OF RESIDENTS RECEIVE CARE WHERE THE COSTS ARE PAID BY GOVERNMENTAL AGNECIES AND ARE AT A SHORTFALL OF COSTS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2862498 | Expense |
| Grants | 0 | Grants |
| Revenue | 3177705 | Revenue |
| Description | ST. PAUL VILLA IS AN 89 UNIT ASSISTED LIVING FACILITY PROVIDING AN ARRAY OF SERVICES TO SUPPORT THE ELDERLY IN THEIR OWN APARTMENTS WHILE ASSURING THE MAXIMUM LEVEL OF INDEPENDENCE AND RESTRICTION. ADMISSION AND CONTINUED RESIDENCY IS CONSIDERED BASED ON NEED AND NOT ABILITY TO PAY. TENANTS ARE PROVIDED WITH MEAL SERVICE, ACTIVITIES, NURSING SUPPORT, AND TRANSPORTATION TO MEET THEIR DAILY NEEDS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 721234 | Expense |
| Grants | 0 | Grants |
| Revenue | 800654 | Revenue |
| Description | HOSPICE SERVICES OF ST. PAUL ELDER SERVICES, INC. ESTABLISHES A LINK WITH COMMUNITY RESOURCES TO MEET INDIVIDUAL NEEDS, SUPPORTS ALL BELIEF SYSTEMS, NURTURES THE GRIEVING PERSONS FOR AT LEAST 13 MONTHS AFTER THE PATIENT'S DEATH, PROVIDES EQUIPMENT AS MEDICALLY INDICATED BY THE HOSPICE TEAM AND PHYSICIAN, OFFERS RELAXING AND LOVING ENERGY THERAPY BY A CERTIFIED HEALTH TOUCH PRACTITIONER, PROVIDES HEALING MUSIC BY A CERTIFIED MUSIC PRACTITIONER, AND USES AROMATHERAPY TO HELP EASE PHYSICAL AND EMOTIONAL SYMPTOMS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 423638 | Expense |
| Grants | 0 | Grants |
| Revenue | 470287 | Revenue |
| Description | COMMUNITY OUTREACH PROGRAMS ARE OFFERED TO RESIDENTS IN THE COMMUNITY. THERE IS ADULT DAY SERVICES FOR THOSE THAT HAVE MILD DEMENTIA TO OFFER SUPPORT BOTH TO THE PROGRAM PARTICIPANT WAS WELL AS THE FAMILY CARE GIVERS. HOME HELPER NON MEDICAL SERVICE IS OFFERED TO THE ELDERLY IN THE COMMUNITY WHICH CONSISTS OF CLEANING SERVICES, MEDICATION REMINDERS, TRANSPORTATION, BATHING, AND OTHER DAILY LIVING SKILL HELP. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 423638 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 470287 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 13518845 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 11 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 458 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIAN HERMAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9207666020 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 316 E 14TH STREET | AddressLine1 |
| City | KAUKAUNA | City |
| State | WI | State |
| ZIP Code | 54130 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JAMES FETT | |||||||
| CEO/EXECUTIVE DIRECTOR/SECRETARY | 40.00 | X | X | 154022 | 0 | 0 | |
| TOM BERGHUIS | |||||||
| CHAIRMAN | 0.50 | X | X | 0 | 0 | 0 | |
| TOM VERHAGEN | |||||||
| VICE CHAIR | 0.50 | X | X | 0 | 0 | 0 | |
| DAVE VANDER ZANDEN | |||||||
| TREASURER | 0.50 | X | X | 0 | 0 | 0 | |
| CAROL FRANK | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| SR EMY BETH FURRER | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| EVELYN HARTWIG | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| SR ANNE MARIE LOM | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| DR JACK MEYER | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| SR ELIZABETH ANN MILLER | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| KITTY PEETERS | |||||||
| BOARD MEMBER | 0.50 | X | 0 | 0 | 0 | ||
| SONDRA NORDER | |||||||
| COO | 40.00 | X | 115238 | 0 | 0 | ||
| JOSEPH SCHERWINSKI | |||||||
| CFO | 40.00 | X | 29365 | 0 | 0 | ||
| VICKI GILBERT | |||||||
| CFO | 40.00 | X | 44000 | 0 | 0 | ||
| LISA NEBEL | |||||||
| DIRECTOR OF REHAB SERVICES | 40.00 | 107392 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 450017 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HEALTHCARE SERVICES GROUP | |||||
| 3220 TILLMAN DRIVE SUITE 300 | BENSALEM | PA | 19020 | HOUSEKEEPING/LAUNDRY SERVICES | 461257 |
| HOLY FAMILY CONVENT OF FRANCISCAN SISTER | |||||
| 2409 S ALVERNO ROAD | MANITOWOC | WI | 54220 | SISTER SERVICES (DIRECTOR OF ADMISSIONS/ | 126122 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| All Other Contributions | 100349 | AllOtherContributions |
| Total Contributions | 100349 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NURSING & RESIDENTIAL | 623000 | 13736546 | 13736546 |
| HOSPICE | 621990 | 800654 | 800654 |
| COMMUNITY OUTREACH | 621990 | 470287 | 470287 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15007487 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122015 | TotalRevenueColumn |
| Exclusion | $122,015 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17800 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 17800 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17800 | TotalRevenueColumn |
| Exclusion | $17,800 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 16355 | GrossSalesOfInventory |
| Cost Of Goods Sold | 21670 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5315 | TotalRevenueColumn |
| Exclusion | -$5,315 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| COFFEE SHOP REVENUE | 900099 | 81490 | $81,490 |
| MISCELLANEOUS | 900099 | 60021 | $60,021 |
| CATERING/MEALS REVENUE | 900099 | 50900 | $50,900 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6000 | TotalRevenueColumn |
| Exclusion | $6,000 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 198411 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15440747 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15007487 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $332,911 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342625 | Total |
| Management And General | 342625 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7629685 | Total |
| Program Services | 7063002 | ProgramServices |
| Management And General | 566683 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 103011 | Total |
| Program Services | 91262 | ProgramServices |
| Management And General | 11749 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 898873 | Total |
| Program Services | 796349 | ProgramServices |
| Management And General | 102524 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 690470 | Total |
| Program Services | 654648 | ProgramServices |
| Management And General | 35822 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83040 | Total |
| Program Services | 83040 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 974 | Total |
| Management And General | 974 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22485 | Total |
| Management And General | 22485 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 291098 | Total |
| Program Services | 216967 | ProgramServices |
| Management And General | 74131 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66723 | Total |
| Program Services | 59169 | ProgramServices |
| Management And General | 7554 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 322229 | Total |
| Program Services | 238363 | ProgramServices |
| Management And General | 83866 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3483 | Total |
| Management And General | 3483 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1074120 | Total |
| Program Services | 1026879 | ProgramServices |
| Management And General | 47241 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86061 | Total |
| Program Services | 82160 | ProgramServices |
| Management And General | 3901 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65 | Total |
| Program Services | 65 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 213364 | Total |
| Program Services | 213364 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 845316 | Total |
| Program Services | 845316 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66570 | Total |
| Program Services | 34770 | ProgramServices |
| Management And General | 31800 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES | 667986 | 667986 |
| FOOD COSTS | 501959 | 501959 |
| LAUNDRY AND HOUSEKEEPIN | 450255 | 450255 |
| MEDICAL ASSESSMENTS | 346700 | 346700 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183722 | Total |
| Program Services | 146591 | ProgramServices |
| Management And General | 37131 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14890814 | Total |
| Program Services | 13518845 | ProgramServices |
| Management And General | 1371969 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3682 | BOY |
| EOY | 487 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2480301 | BOY |
| EOY | 2906302 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2195 | BOY |
| EOY | 1530 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1723462 | BOY |
| EOY | 1587029 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41081 | BOY |
| EOY | 33778 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 176191 | BOY |
| EOY | 105560 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 22130350 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11636401 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10788460 | BOY |
| EOY | 10493949 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2930088 | BOY |
| EOY | 3231668 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106794 | BOY |
| EOY | 95294 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 446199 | BOY |
| EOY | 250836 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18698453 | BOY |
| EOY | 18706433 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1131436 | BOY |
| EOY | 1019117 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7802427 | BOY |
| EOY | 7178561 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41059 | BOY |
| EOY | 47985 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8974922 | BOY |
| EOY | 8245663 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8827934 | BOY |
| EOY | 9478540 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82613 | BOY |
| EOY | 63499 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 812984 | BOY |
| EOY | 918731 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9723531 | BOY |
| EOY | 10460770 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18698453 | BOY |
| EOY | 18706433 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 549933 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 187306 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 157938 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 96200 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 90941 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 159130 | CurrentTaxYearMinus1Year |
| Current Tax Year | 100349 | CurrentTaxYear |
| Total | 604558 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13390483 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13497008 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14124679 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15001631 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15007487 | CurrentTaxYear |
| Total | 71021288 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13548421 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13593208 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14215620 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15160761 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15107836 | CurrentTaxYear |
| Total | 71625846 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 71625846 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 56987 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus2 Years | 104512 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 132770 | CurrentTaxYearMinus1Year |
| Current Tax Year | 122015 | CurrentTaxYear |
| Total | 416284 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 56987 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus2 Years | 104512 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 132770 | CurrentTaxYearMinus1Year |
| Current Tax Year | 122015 | CurrentTaxYear |
| Total | 416284 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 248729 | CurrentTaxYearMinus1Year |
| Current Tax Year | 214766 | CurrentTaxYear |
| Total | 463495 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13605408 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 13593208 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14320132 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15542260 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15444617 | CurrentTaxYear |
| Total | 72505625 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98790 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00570 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 812984 | BeginningOfYearBalance |
| Contributions | 68155 | Contributions |
| Investment Earnings Or Losses | 37594 | InvestmentEarningsOrLosses |
| End Of Year Balance | 918733 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 732660 | BeginningOfYearBalance |
| Contributions | 80779 | Contributions |
| Investment Earnings Or Losses | -455 | InvestmentEarningsOrLosses |
| End Of Year Balance | 812984 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 631067 | BeginningOfYearBalance |
| Contributions | 57528 | Contributions |
| Investment Earnings Or Losses | 44065 | InvestmentEarningsOrLosses |
| End Of Year Balance | 732660 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 497404 | BeginningOfYearBalance |
| Contributions | 67646 | Contributions |
| Investment Earnings Or Losses | 66017 | InvestmentEarningsOrLosses |
| End Of Year Balance | 631067 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 498373 | BeginningOfYearBalance |
| Contributions | 140631 | Contributions |
| Investment Earnings Or Losses | -141600 | InvestmentEarningsOrLosses |
| End Of Year Balance | 497404 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 502921 | OtherCostOrOtherBasis |
| Book Value | 502921 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14801526 | OtherCostOrOtherBasis |
| Depreciation | 5984864 | Depreciation |
| Book Value | 8816662 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6825903 | OtherCostOrOtherBasis |
| Depreciation | 5651537 | Depreciation |
| Book Value | 1174366 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10493949 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 3231668 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3231668 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LIABILITIES | $43,029 |
| 457 PLAN LIABILITY | $4,956 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 47985 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 15263613 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 41360 | OtherRevenues |
| Revenue Not Rptd F990 | 41360 | RevenueNotRptdF990 |
| Revenue Subtotal | 15222253 | RevenueSubtotal |
| Other Revenues Not Included | 218494 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 218494 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 15440747 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 14912484 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 21670 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 21670 | ExpensesNotRptdF990 |
| Expenses Subtotal | 14890814 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 14890814 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT FUND WAS ESTABLISHED TO GENERATE INTEREST TO BE USED TO COVER COST OF CARE TO THE FRAIL AND ELDERLY WHO CANNOT AFFORD TO PAY FOR CARE. IT CAN BE USED AFTER THE FUND REACHES $1.3 MILLION. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE INTERNAL REVENUE SERVICE HAS RULED THAT THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY IF THE COMPANY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANY AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURIDICTIONS;HOWEVER,THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2008. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTION 41,360. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | UNRESTRICTED CONTRIBUTIONS 9,948. TEMPORARILY RESTRICTED CONTRIBUTIONS 22,246. PERMANENTLY RESTRICTED CONTRIBUTIONS 68,155. UNRESTRICTED INVESTMENT INCOME 122,015. GIFT SHOP PURCHASES -21,670. REALIZED GAIN ON INVESTMENT 17,800. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | GIFT SHOP PURCHASES 21,670. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JAMES FETT | NamePerson |
| Title | CEO/EXECUTIVE DIRECTOR/SECRETARY | Title |
| Base Compensation Filing Org | 148358 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 5664 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 154022 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| A | 391337855 | 97710VPE2 | 2003-09-23 | 3078000 | SEE PART VI | 0 | 0 | 0 |
| WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | ||||||||
| B | 391337855 | 97710VPE2 | 2007-04-26 | 3176000 | SEE PART VI | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 489000 | 3078000 | 76000 | 3003000 | 2006 | 0 | 0 | 1 | 1 | ||
| B | 258000 | 3176000 | 34000 | 2009 | 1 | 1 | 1 | 1 | 250000 | 1501000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE K PART IV, ARBITRAGE, LINE 2C | DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2012 ISSUER NAME: WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/01/2012 |
| SCHEDULE K, PART I, COLUMN F | DESCRIPTION OF PURPOSE: SEE PART VI | PART I-LINE A(F): THE PURPOSE OF THE BOND ISSUE WERE 1.) THE CONSTRUCTION, RENOVATION, AND EQUIPPING OF A PORTION OF THE COSTS OF A 89-UNIT ASSISTED LIVING FACILITY AND RELATED IMPROVEMENTS, INCLUDING PARKING AND SITE IMPROVEMENTS AND 2.) THE CURRENT REFUNDING OF THE HOUSING AUTHORITY OF THE CITY OF KAUKAUNA, WISCONSIN, REVENUE REFUNDING BONDS SERIES 1993A. PART I-LINE B(F): THE PURPOSE OF THE BOND ISSUE WAS ADVANCE REFUNDING OF A PORTION OF THE WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THIS COMMITTEE SHALL CONSIST OF THE OFFICERS OF THE BOARD OF DIRECTORS. THE IMMEDIATE PAST BOARD CHAIRPERSON SHALL ALSO SERVE ON THE COMMITTEE FOR A TWO-YEAR TERM. THIS COMMITTEE SHALL HAVE THE AUTHORITY TO ACCOMPLISH THESE TASKS ASSIGNED TO IT BY THE BOARD OF DIRECTORS AND TO TRANSACT THE ESSENTIAL BUSINESS OF THE BOARD THAT CANNOT AWAIT A REGULAR OR SPECIAL MEETING OF THE BOARD, PROVIDED THAT NO ACTION TAKEN AT SUCH MEETINGS SHALL BE IN CONFLICT WITH THE EXPRESSED POLICIES OF THE BOARD OR THE AUTHORITY GRANTED THIS COMMITTEE BY THE BOARD OR BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBER OF ST. PAUL ELDER SERVICES, INC. SHALL BE THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS ARE APPOINTED BY THE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING TRANSACTIONS SHALL BE AUTHORIZED ONLY BY VOTE OF THE MEMBER OF THE CORPORATION, WHICH VOTE SHALL BE TAKEN ONLY AFTER CONSIDERING THE ADVICE OF THE BOARD OF DIRECTORS OF ST. PAUL ELDER SERVICES, INC. ANY ACTION TAKEN BY THE MEMBER ON ANY OF THESE MATTERS SHALL BE IMMEDIATELY COMMUNICATED TO THE BOARD OF DIRECTORS OF ST. PAUL ELDER SERVICES, INC. A) APPROVAL OF THE PHILOSOPHY, OBJECTIVES AND PURPOSES OF THE CORPORATION FOR WHICH IT WAS AND IS FORMED AND EXISTS. B) APPROVAL OF BORROWING OUTSIDE THE LIMITS ESTABLISHED BY THE MEMBER RESOLUTION. C) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE OR LEASE OF REAL ESTATE BY OR TO THE CORPORATION FOR LONGER THAN ONE (1) YEAR. D) REQUIREMENT OF A CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME AND APPROVAL OF THE FISCAL AUDITOR OF THE CORPORATION ANNUALLY. E) APPROVAL OF ALL INSURANCE CARRIERS AND INSURANCE COVERAGE FOR THE CORPORATION. F) REVIEW AND APPROVAL OF CAPITAL AND OPERATING BUDGETS. G) APPOINTMENT, EVALUATION OR DISCHARGE OF THE PRESIDENT/CEO OF ST. PAUL ELDER SERVICES, INC. H) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS. I) APPROVAL OF THE CREATION AND DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY CORPORATIONS, AS WELL AS APPROVAL OF ANY MERGER, CONSOLIDATION, AFFILIATION, JOINT VENTURE OR OTHER FORM OF CORPORATE REORGANIZATION OF THIS CORPORATION OR ANY SUBSIDIARY OF WHICH THIS CORPORATION IS A MEMBER OF CONTROLLING SHAREHOLDER. J) AMENDMENT OF ARTICLES OF INCORPORATION AND BY LAWS OF THE CORPORATION. K) IMPLEMENTATION OF APPOINTMENT, SALARY NEGOTIATION AND REASSIGNMENT PROCESS FOR FRANCISCAN SISTER PERSONNEL WITHIN THE CORPORATION OR ANY SUBSIDIARY CORPORATION. L) APPROVAL OF LONG-RANGE PLANS OR STRATEGIC DIRECTIONS OF THE CORPORATION. M) THE POWERS STATED ABOVE AND ALL OTHER POWERS NOT DELEGATED IN THESE BY LAWS ARE RESERVED TO THE MEMBERS, BUT THE MEMBER DOES HEREBY DELEGATE TO THE BOARD OF DIRECTORS THE AUTHORITY TO OPERATE THE CORPORATION AS SET FORTH IN ARTICLE III, SECTION 8 OF THESE BY LAWS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM, THEN REVIEWED BY THE CEO AND CFO, AND THEN PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH OFFICER AND CERTAIN ASSOCIATES AND VOLUNTEERS ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. EACH POTENTIAL CONFLICT IS DISCLOSED TO THE PRESIDENT OR CORPORATE INTEGRITY OFFICER WHO REVIEWS ALL DOCUMENTS AND DISCLOSURES RELATED TO THE POTENTIAL CONFLICT. THE PRESIDENT RENDERS A DECISION REGARDING WHAT ACTION IS PROHIBITED OR ALLOWED RELATIVE TO THE CONFLICT OF INTEREST. DISCLOSURES AND DECISIONS ARE REPORTED TO THE BOARD OF DIRECTORS VIA THE CORPORATE INTEGRITY SEMI-ANNUAL EXECUTIVE SUMMARY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND THE PRESIDENT OF THE SPONSORED MINISTRIES. IT IS BASED IN PART ON THE CEO'S PERFORMANCE AND ATTAINMENT OF GOALS SET FORTH FOR HIM/HER. COMPARABILITY DATA FROM LEADINGAGE WISCONSIN WAS USED, WITH SPECIFIC COMPARISONS MADE TO ORGANIZATIONS THREE DIFFERENT WAYS: WITH SIMILAR SIZE, SIMILAR ANNUAL REVENUE, AND SIMILAR GEOGRAPHIC LOCATION. THE EXECUTIVE COMMITTEE OF THE BOARD MEETS IN CLOSED SESSION TO DETERMINE ANNUAL CEO COMPENSATION AND MEMORIALIZES THE DELIBERATION AND DISCUSSION IN WRITING IN THE FORM OF A LETTER TO THE CEO. THE CEO'S SALARY HAS BEEN REVIEWED AND APPROVED BY THE SPONSORED MINISTRIES' BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF SPES, EACH YEAR HISTORICALLY AS WELL. THE SALARIES OF THE SPES EXECUTIVE TEAM MEMBERS ARE DETERMINED BASED ON COMPARABILITY DATA FROM LEADINGAGE WISCONSIN, WITH SPECIFIC COMPARISONS MADE BETWEEN SIMILAR POSITIONS AT ORGANIZATIONS WITH SIMILAR SIZE, SIMILAR ANNUAL REVENUE, AND SIMILAR GEOGRAPHIC REGION. EXECUTIVE TEAM SALARIES ARE ALSO BASED ON PERFORMANCE, WITH INCREASES BEING GIVEN BASED ON MERIT AND ACHIEVEMENT OF EXPECTED PERFORMANCE. THE CEO OF THE ORGANIZATION AND THE DIRECTOR OF HUMAN RESOURCES DETERMINE FINAL COMPENSATION AMOUNTS. KEY EMPLOYEE SALARIES ARE ALSO DISCLOSED TO AND REVIEWED BY THE BOARD OF DIRECTORS. SALARY DECISIONS ARE DOCUMENTED VIA PERFORMANCE EVALUATIONS AND LETTERS TO EMPLOYEES THAT ANNOUNCE THEIR NEW SALARIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC | ||||||||||
| 1415 S RAPIDS RD | MANITOWOC | WI | 54220 | 391530622 | HEALTH CARE & HIGHER LEARNING | WI | 501(C)(3) | LINE 1 | HOLY FAMILY CONVENT OF FRANCISCAN SISTERS OF CHRISTIAN CHARITY | 0 |
| GOOD SAMARITAN MEDICAL CENTER | ||||||||||
| 800 FOREST AVE | ZANESVILLE | OH | 43701 | 314379479 | HEALTHCARE PROPERTY HOLDING COMPANY | OH | 501(C)(3) | LINE 3 | FSCC SPONSORED MINISTRIES INC | 0 |
| FRANCISCANS CARE SERVICES INC | ||||||||||
| 430 MONITOR STREET | WEST POINTE | NE | 68788 | 470486026 | HOSPITAL | NE | 501(C)(3) | LINE 3 | FSCC SPONSORED MINISTRIES INC | 0 |
| HOLY FAMILY MEMORIAL | ||||||||||
| 2300 WESTERN AVE PO BOX 2170 | MANITOWOC | WI | 54221 | 390806395 | HOSPITAL | WI | 501(C)(3) | LINE 3 | FSCC SPONSORED MINISTRIES INC | 0 |
| HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY | ||||||||||
| 2409 SOUTH ALVERNO ROAD | MANITOWOC | WI | 54220 | 390808523 | HEALTH CARE & HIGHER LEARNING | WI | 501(C)(3) | LINE 3 | FSCC SPONSORED MINISTRIES INC | 0 |
| SILVER LAKE COLLEGE OF HE HOLY FAMILY INC | ||||||||||
| 2406 SOUTH ALVERNO ROAD | MANITOWOC | WI | 54220 | 390980974 | HIGHER EDUCATION | WI | 501(C)(3) | LINE 2 | FSCC SPONSORED MINISTRIES INC | 0 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTH END HOME MEDICAL | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3310 CALUMET AVENUE | AddressLine1 |
| City | MANITOWOC | City |
| State | WI | State |
| ZIP Code | 54220 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391868808 | EIN |
| Primary Activity | HOME MEDICAL EQUIPMENT | PrimaryActivity |
| Legal Domicile State | WI | LegalDomicileState |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY FAMILY HEALTH SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3310 CALUMET AVE | AddressLine1 |
| City | MANITOWOC | City |
| State | WI | State |
| ZIP Code | 54220 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391572253 | EIN |
| Primary Activity | PHARMACY | PrimaryActivity |
| Legal Domicile State | WI | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC | ||
| M | 83040 | MANAGEMENT CONTRACT |
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC | ||
| O | 156197 | MANAGEMENT CONTRACT |
| HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY | ||
| O | 362522 | MANAGEMENT CONTRACT |