2023-11-15T13:11:28-07:00 2022-12-31 990 2022-01-01 391029149 ST PAUL ELDER SERVICES INC STPA 9207666020 316 E 14TH STREET KAUKAUNA WI 54130 Amber Schroeder CFO 9207666020 2023-11-15 1 1 11 0 AAL2 X 2022 2023-04-26 12:10:37Z Sondra Norder 316 E 14th Street Kaukauna WI 54130 25432659 0 X WWW.STPAULELDERS.ORG X 1943 WI A CATHOLIC FRANCISCAN HEALTH CARE PROVIDER OFFERING SERVICES TO THE ELDERLY. WE WILL CONTINUE TO PROVIDE EXCELLENT CARE THROUGH THE EFFORTS OF DEDICATED STAFF, ENTHUSIASTIC VOLUNTEERS, AND GENEROUS CONTRIBUTORS. OUR MISSION AND MINISTRY FLOW FROM THE GOSPEL VALUES OF DIGNITY, COMPASSION, RESPECT, HOSPITALITY AND STEWARDSHIP. SERVICES THAT WE PROVIDE TO THE ELDERLY INCLUDE: SKILLED NURSING FACILITY (BOTH LONG-TERM AND SHORT-TERM REHABILITATION), ASSISTED LIVING, SPECIALIZED ALZHEIMER'S/DEMENTIA PROGRAMS, PALLIATIVE AND HOSPICE CARE, ADULT DAY CARE, LIFE ENRICHMENT SERVICES, IN-HOME NON-MEDICAL CARE, MEALS ON WHEELS AND TRANSPORTATION SERVICES. 12 11 524 104 0 0 1592706 69745 23371300 24642100 665033 430174 290450 266268 25919489 25408287 0 0 0 0 16377110 16953452 0 0 0 8193017 9547550 24570127 26501002 1349362 -1092715 41952287 37636971 17725866 15759618 24226421 21877353 WE ARE A CATHOLIC, FRANCISCAN SPONSORED COMMUNITY DEDICATED TO ENRICHING THE LIFE EXPERIENCE. 0 0 13690795 13981559 QUALITY NURSING CARE PROVIDED TO AN AVERAGE OF 110 RESIDENTS PER DAY IN A LICENSED SKILLED NURSING FACILITY, OFFERING NURSING SERVICES, SOCIAL SERVICES, THERAPY, LEISURE ACTIVITIES AS WELL AS SPIRTUAL SERVICES. A SIGNIFICANT NUMBER OF RESIDENTS RECEIVE CARE WHERE THE COSTS ARE PAID BY GOVERNMENTAL AGENCIES AND ARE AT A SHORTFALL OF COSTS. 8071594 9002901 ST. PAUL'S ASSISTED LIVING FACILITIES PROVIDED 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. 504274 793590 HOSPICE SERVICES OF ST. PAUL ELDER SERVICES, INC. ESTABLISHES A LINK WITH COMMUNITY RESOURCES TO MEET INDIVIDUALS 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 AMD EMOTIONAL SYMPTOMS. 1218661 616632 FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES: 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 AS 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 HELP WITH OTHER DAILY LIVING NEEDS. 1218661 0 616632 23485324 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 63 0 1 524 1 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 WI X St Paul Elder Services Inc 9207666020 316 E 14TH STREET KAUKAUNA WI 54130 X SONDRA NORDER PRESIDENT/CEO/SECRETARY 40 0 X X X 356322 0 0 BECKY REICHELT EXECUTIVE VICE PRESIDENT 40 0 X X 173425 0 0 LAURA WEBER Director of Nursing 40 0 X 130730 0 0 Janel Konkel Director of Community Based Services 40 0 X 130656 0 0 Megan Mashl Administrator 40 0 X 129953 0 0 NOELLE HAUSER OCCUPATIONAL THERAPIST 40 0 X 124613 0 0 Corey Tienor Senior Director of Support Services 40 0 X 115980 0 0 AMBER SCHROEDER CFO 40 0 X 114390 0 0 TREVOR FRANK CHAIR 0.5 0 X 0 0 0 NICOLE BRADY Vice Chair 0.5 0 X 0 0 0 KELLI CLUSSMAN BOARD MEMBER 0.5 0 X 0 0 0 CHARLES SCHMALZ TREASURER 0.5 0 X 0 0 0 JACKIE ABEL BOARD MEMBER 0.5 0 X 0 0 0 SR CHARLEEN ACKER BOARD MEMBER 0.5 0 X 0 0 0 MARK DUERWAECHTER BOARD MEMBER 0.5 0 X 0 0 0 Clay Eiting Board Member 0.5 0 X 0 0 0 MICHAEL GAGE BOARD MEMBER 0.5 0 X 0 0 0 PAT HIETPAS BOARD MEMBER 0.5 0 X 0 0 0 SR DOROTHY WAGNER BOARD MEMBER 0.5 0 X 0 0 0 1276069 0 0 10 0 1 0 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING AND LAUNDRY SERVICES 787334 Maxim Healthcare Staffing Services 12558 Collections Center Drive Chicago IL 60693 Care Staffing 355759 PARASOL ALLIANCE LLC 5620 N KEDVALE AVE CHICAGO IL 60646 INFORMATION TECHNOLOGY 334044 SES GROUP 76 HOMESTEAD TRAIL GRAFTON WI 53024 HVAC SERVICE 270755 Band Box Clean 1207 Superior Ave Tomah WI 54660 Laundry 151760 7 0 0 0 0 20300 49445 0 69745 Skilled Nursing 623110 13981559 13981559 0 0 Assisted Living Services 623311 9002901 9002901 0 0 Hospice 621990 793590 793590 0 0 Community Outreach 621990 864050 864050 0 0 0 0 0 0 24642100 430174 430174 0 0 0 0 0 0 0 0 0 0 33600 0 21963 0 11637 0 11637 11637 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9186 2409 6777 6777 0 0 Catering and Meals 900099 45363 45363 0 0 Miscellaneous 900099 202491 202491 0 0 0 0 0 0 247854 25408287 25338542 0 0 0 0 0 0 0 0 0 0 470712 0 470712 0 0 0 0 0 13034697 12307383 727314 0 204750 186587 18163 0 2191522 1997118 194404 0 1051771 958471 93300 0 164408 27000 137408 0 20910 0 20910 0 57160 0 57160 0 0 0 0 0 0 0 0 0 0 0 709842 708942 900 0 99416 0 99416 0 190873 58362 132511 0 592019 0 592019 0 0 0 0 0 1299409 1293112 6297 0 125627 115215 10412 0 0 0 0 0 0 0 0 0 528911 528911 0 0 0 0 0 0 1504536 1504536 0 0 254059 252763 1296 0 Medical and Therapy Supplies 945875 945875 0 0 Housekeeping and Laundry 954024 954024 0 0 Dietary 887497 887497 0 0 Licenses 413175 413175 0 0 799809 346353 453456 0 26501002 23485324 3015678 0 3000 3000 4632342 2867386 -250 -4798 1979341 1742036 0 0 0 0 0 143936 103890 -58917 157001 39324179 18197673 21960497 21126506 12184550 10613552 903044 848167 0 0 91326 83016 113418 97215 41952287 37636971 2246558 1981547 0 0 0 0 9283135 8543826 0 0 6145051 5136505 0 0 51122 97740 17725866 15759618 X 21677109 19493930 2549312 2383423 24226421 21877353 41952287 37636971 -1092715 -1256353 0 0 0 0 X 0 1 X 1 1 1 X 2109091 224825 4701912 1497774 69745 8603347 19995802 22834160 23865216 23292485 24416476 114404139 0 0 0 0 0 0 0 0 0 22104893 23058985 28567128 24790259 24486221 123007486 0 0 0 0 0 0 0 0 0 0 0 0 123007486 236074 236553 887722 665033 430174 2455556 0 0 0 236074 236553 887722 665033 430174 2455556 0 0 0 218341 273645 133369 180500 202491 1008346 22559308 23569183 29588219 25635792 25118886 126471388 0.97261 0.97183 0.01942 0.02002 X Schedule A, Part III, Line 12 Miscellaneous income not related to programs, meals, or investments RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1690964 15782 0 0 0 0 1706746 1525732 165232 0 0 0 0 1690964 1367741 157991 0 0 0 0 1525732 1249512 118229 0 0 0 0 1367741 1242931 87751 -81170 0 0 0 1249512 0 1 0 1 0 671736 0 671736 28159104 0 12108066 16051038 0 0 0 0 10433339 0 6089607 4343732 60000 0 0 60000 21126506 0 Resident Deposits 97740 97740 Schedule D, Part V, Line 4 TO SUPPORT ST PAUL ELDER SERVICE'S MISSION TO CARE FOR THE ELDERLY AND VULNERABLE. X X X 0 0 0 0 0 0 0 0 0 SONDRA NORDER PRESIDENT/CEO/SECRETARY 303363 0 52959 0 0 0 0 0 0 0 356322 0 0 0 BECKY REICHELT EXECUTIVE VICE PRESIDENT 166925 0 6500 0 0 0 0 0 0 0 173425 0 0 0 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2014-12-19 2499000 SEE PART VI 0 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712DYN0 2017-08-11 1993200 SEE PART VI 1 0 0 C WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2014-12-19 7000000 See Part VI 0 0 0 A 1206567 0 2499000 0 0 0 75800 0 0 0 0 0 2006 1 0 1 1 B 96000 1897200 1993200 0 0 0 27000 0 0 0 0 0 2009 1 0 1 1 C 1959000 0 7000000 0 0 0 0 0 0 7000000 0 0 2016 0 0 1 1 A 0 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 1 1 BMO HARRIS BANK 8 1 0 0 0 1 A 1 B 1 C 1 Schedule K, Part I, Column f-12/19/2014 2,499,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES THE PURPOSE OF THIS BOND WAS TO REFUND WHEFA SERIES 2003B ISSUED 9/9/2003 Schedule K, Part I, Column f-08/11/2017 1,993,200 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES THE PURPOSE OF THE BOND WAS TO REFUND SERIES ISSUED 4/26/2007 Schedule K, Part I, Column f-12/19/2014 7,000,000 WISCONSIN HEALTH AND EDUCATIONAL CONSTRUCTION OF A 24-UNIT COMMUNITY BASED RESIDENTIAL FACILITY, CONSTRUCTION OF A 13-BED ADDITION IN A SKILLED NURSING FACILITY, IMPROVEMENTS TO A SKILLED NURSING FACILITY, AND CERTAIN COSTS OF ISSUANCE. Schedule K, Part II, Line 7-12/19/2014 2,499,000 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES ISSUANCE COSTS INCLUDED $5,800 FOR THIS ISSUANCE AND $70,000 FOR A CONTEMPORANEOUSLY DATED $7 MILLION CONSTRUCTION AND RENOVATRION ISSUE. Form 990, Part VI, Section A, Line 6 THE MEMBER OF ST PAUL ELDER SERVICES, INC IS FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC Form 990, Part VI, Section A, Line 7a THE DIRECTORS ARE APPROVED 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 PURCHASE, MORTGAGE OR SALE OF REAL ESTATE OR LEASE OF REAL ESTATE BY OR TO 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 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 OPERATION 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 THE 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. 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 11b THE FORM 990 IS PREPARED BY THE CFO, REVIEWED BY THE CEO AND FINANCE COMMITTEE CHAIR THEN PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY WITHIN 30 DAYS OF 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 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 AR 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 SPONSORED MINISTRIES. IT IS BASED IN PART ON THE CEO'S PERFORMANCE AND ATTAINMENT OF GOALS SET FORTH FOR HIM/HER. COMPARABILITY DATA FROM LEADING AGE WISCONSIN IS 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. THE SALARIES OF THE SPES EXECUTIVE TEAM MEMBERS ARE DETERMINED BASED ON COMPARABILITY DATA FROM LEADING AGE WISCONSIN, WITH SPECIFIC COMPARISONS MADE TO ORGANIZATIONS THREE DIFFERENT WAYS: WITH SIMILAR PERFORMANCE, WITH INCREASES BEING GIVEN BASED ON MERIT AND ACHIEVEMENT OF EXPECTED PERFORMANCE. THE CEO OF THE ORGANIZATION AND 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 EVALUATION AND LETTERS TO EMPLOYEES THAT ANNOUNCE THEIR NEW SALARIES. Form 990, Part VI, Section C, Line 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST TO THE CFO. Form 990, Part VI, Section C, Line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST TO THE CFO. FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC 2413 S ALVERNO ROAD MANITOWOC WI 54220 391530622 HEALTH CARE WI 501(C)(3) LINE 1 HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY 0 HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY 2409 SOUTH ALVERNO ROAD MANITOWOC WI 54220 390808523 HEALTH CARE WI 501(c)(3) LINE 1 N/A 0 FRANCISCAN CARE SERVICES INC 430 NORTH MONITOR STREET WEST POINT NE 68788 470486026 HEALTH CARE NE 501(c)(3) LINE 3 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC 0 GOOD SAMARITIAN MEDICAL CENTER 800 FOREST AVENUE ZANESVILLE OH 43701 314379479 HEALTHCARE PROPERTY HOLDING COMPANY OH 501(c)(3) Line 1 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC 0 ST JOSEPH'S ELDER SERVICES INC 540 East Washington Street West Point NE 68788 814879204 Skilled Nursing Home AND ASSISTED LIVING NE 501(c)(3) Line 10 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC ST FRANCIS SERVICES LLC 420 N MOLITOR WEST POINT NE 68788 852622665 PHARMACY NE N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC l 116880 Management Contract HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY l 101868 Contracted Amount HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY p 750529 Actual Invoices FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC p 1747427 Actual invoices Received approved form 8868 for extension