2023-08-11T16:32:59-05:00 2022-09-30 390758449 WIPFLI LLP 170 N RADNOR-CHESTER RD SUITE 200 RADNOR PA 19087 990 2021-10-01 391079224 ST CAMILLUS HEALTH CENTER INC STCA 4142596333 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 CHRISTOPHER CHERNEY CHIEF FINANCIAL OFFICER 4142596333 2023-08-03 1 CHRISTOPHER CHERNEY 999009999 SOLOMON MARDAKHAEV P01806552 6105653930 2023-08-03 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SHANNON ANGELL 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 24398548 0 0928 X WWW.STCAM.COM X 1923 WI BY PROVIDING SERVICES TO THE POOR, THE SICK AND THE ELDERLY WITH A SENSE OF COMPASSION AND LOVE, ST. CAMILLUS OFFERS HOPE AND MEANING TO THOSE WHO ARE SUFFERING, COMFORT AND SECURITY TO THOSE WHO ARE AGING, AND SERENITY TO THOSE WHO ARE DYING, TAKING INTO ACCOUNT EACH PERSON'S INNATE DIGNITY, UNIQUE NEEDS, AND GOD-GIVEN RIGHTS. 10 10 0 20 0 0 2289 19946 23320975 24378471 0 131 0 0 23323264 24398548 0 0 0 0 12247673 12100181 0 0 0 13467091 13410222 25714764 25510403 -2391500 -1111855 17344882 16525918 41302693 41571345 -23957811 -25045427 X BY PROVIDING SERVICES TO THE POOR, THE SICK AND THE ELDERLY WITH A SENSE OF COMPASSION AND LOVE, ST. CAMILLUS OFFERS HOPE AND MEANING TO THOSE WHO ARE SUFFERING, COMFORT AND SECURITY TO THOSE WHO ARE AGING, AND SERENITY TO THOSE WHO ARE DYING, TAKING INTO ACCOUNT EACH PERSON'S INNATE DIGNITY, UNIQUE NEEDS, AND GOD-GIVEN RIGHTS. 0 0 7239851 0 7069756 SKILLED NURSING FACILITIES - ST. CAMILLUS HEALTH CENTER PROVIDES IN-HOUSE NURSING SERVICES TO ITS RESIDENTS. 5265347 0 6094618 MEMORY CARE FACILITY - A 72-UNIT ASSISTED LIVING FACILITY PROVIDING ASSISTANCE WITH DAILY LIVING ACTIVITIES AND OTHER HEALTH RELATED SERVICES TO SENIOR RESIDENTS. 4826568 0 5363264 ASSISTED LIVING FACILITY - A 76-UNIT ASSISTED LIVING FACILITY PROVIDING ASSISTANCE WITH DAILY LIVING ACTIVITIES AND OTHER HEALTH RELATED SERVICES TO SENIOR RESIDENTS. 4607179 0 5850833 HOME HEALTH CARE AGENCY - ST. CAMILLUS HOME CARE AGENCY OFFERS NURSING SERVICES, PRIVATE DUTY AND HOSPICE SERVICES TO THE RESIDENTS OF THE INDEPENDENT LIVING FACILITY, ASSISTED LIVING FACILITY AND TO OTHER COMMUNITY RESIDENTS IN NEED. 4607179 0 5850833 21938945 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X CHRISTOPHER CHERNEY 4142596333 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 JUSTIN MUNZEL CHIEF FINANCIAL OFFICER (THRU JUNE 2022) 1.00 43.00 X 0 215414 17469 KEVIN SCHWAB FORMER CHIEF EXECUTIVE OFFICER 0.00 0.00 X 0 208036 23250 SHANNON ANGELL CHIEF EXECUTIVE OFFICER 1.00 41.00 X 0 208969 8198 JULIANNE LEVERITT ADMINISTRATOR OF INDEPENDENT LIVING 30.00 10.00 X 0 141849 6302 LEE ANNE YOUNG DIRECTOR OF HOME CARE 30.00 10.00 X 0 140057 8977 PAMELA LOVELESS DIR. ORG. & PROFESSIONAL DEVELOPMENT 1.00 41.00 X 0 119915 9284 GESE HEGEMAN DIRECTOR OF HUMAN RESOURCES 1.00 41.00 X 0 122396 3126 MELISSA CURRAN CONTROLLER 1.00 43.00 X 0 109731 9443 THOMAS O'BRIEN CHIEF FINANCIAL OFFICER (FROM JULY 2022) 1.00 43.00 X 0 0 0 FRANCIS WIESNER CHAIRPERSON OF THE BOARD 1.00 1.00 X X 0 0 0 FR PEDRO TRAMONTIN MI VICE CHAIR OF THE BOARD 1.00 43.00 X X 0 0 0 FR LEANDRO BLANCO MI TREASURER 1.00 43.00 X X 0 0 0 STACY BARNES DIRECTOR 1.00 1.00 X 0 0 0 BR MARIO CRIVELLO MI DIRECTOR (THRU AUG 2022) 1.00 2.00 X 0 0 0 MARGO FRANKLIN DIRECTOR 1.00 1.00 X 0 0 0 KELLY GAGLIONE DIRECTOR (THRU NOV 2021) 1.00 1.00 X 0 0 0 NICK LAUBUSCH DIRECTOR 1.00 1.00 X 0 0 0 DR RAUL MATEO DIRECTOR 1.00 1.00 X 0 0 0 FR AGUSTIN OROSA DIRECTOR 1.00 43.00 X 0 0 0 KEN ROBERTSON DIRECTOR 1.00 1.00 X 0 0 0 JUDIE TAYLOR DIRECTOR 1.00 1.00 X 0 0 0 0 1266367 86049 0 1 1 0 GILBANE BUILDING COMPANY 101 WEST PLEASANT STREET 104 MILWAUKEE WI 53212 GENERAL CONTRACTOR 2231852 PARASOL ALLIANCE LLC 557 FOREST VIEW ROAD LINDENHURST IL 60046 IT SERVICES 308130 FAVORITE HEALTHCARE STAFFING INC PO BOX 26225 OVERLAND PARK KS 66225 TEMPORARY STAFFING 263460 TOP TECHS TEMPORARIES 150 N SUNNYSLOPE RD SUITE 215 BROOKFIELD WI 53005 TEMPORARY STAFFING 260848 WEINGARTH PAINTING LLC 714 EAST LOCUST STREET MILWAUKEE WI 53212 ENV ENVIRONMENTAL SERVICES 252600 5 19946 19946 RESIDENT SERVICE REVENUE 623000 12298573 12298573 MONTHLY SERVICE FEE REVENUE 623000 11549814 11549814 SUPPORT SERVICE REVENUE 623990 530084 530084 24378471 131 131 24398548 24378471 0 131 10343027 8895003 1448024 1048748 901923 146825 708406 609229 99177 4916126 4227868 688258 16015 13773 2242 9252 7957 1295 1740000 1496400 243600 17061 14672 2389 1176701 1011963 164738 3285464 2825499 459965 50713 43613 7100 2306 1983 323 911705 784066 127639 198351 170582 27769 RAW FOOD & GROCERIES 686719 590578 96141 DUES & SUBSCRIPTIONS 157487 135439 22048 REPAIRS & MAINTENANCE 86470 74364 12106 BAD DEBT EXPENSE 64357 55347 9010 91495 78686 12809 25510403 21938945 3571458 0 1050 1050 1345053 1326258 76405 78475 74701 0 34084640 21229252 13607852 12855388 2239821 2264747 17344882 16525918 1343046 846339 39959647 40725006 41302693 41571345 X -23957811 -25045427 -23957811 -25045427 17344882 16525918 X -1111855 24239 X 0 1 X 1 0 X 2500 7436 2620 2289 19946 34791 21377799 24169974 25730558 23320975 24378471 118977777 21380299 24177410 25733178 23323264 24398417 119012568 0 0 0 119012568 1 131 132 1 131 132 21380299 24177410 25733179 23323264 24398548 119012700 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61278 61278 26509668 14612088 11897580 20219 20219 0 7493475 6596945 896530 12855388 DUE FROM RELATED PARTY 2240315 RESIDENT FUNDS HELD FOR SAFEKEEPING 1222 ROU LEASE ASSET 23210 2264747 DUE FROM RELATED PARTY 40499841 REFUNDABLE ENTRANCE FEES 171500 RESIDENT FUNDS HELD FOR SAFEKEEPING 1146 CONTRACT LIABILITY FROM NONREFUNDABLE ENTRANCE FEES 52519 40725006 24422787 24239 24239 24398548 0 24398548 25510403 0 25510403 0 25510403 PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 24,239. 0 0 0 0 0 0 0 0 0 JUSTIN MUNZEL CHIEF FINANCIAL OFFICER (THRU JUNE 2 0 208824 0 6590 0 0 0 9750 0 7719 0 232883 0 0 KEVIN SCHWAB FORMER CHIEF EXECUTIVE OFFICER 0 208036 0 0 0 0 0 19142 0 4108 0 231286 0 0 SHANNON ANGELL CHIEF EXECUTIVE OFFICER 0 197235 0 11734 0 0 0 4258 0 3940 0 217167 0 0 PART I, LINE 3 THE TOP MANAGEMENT OFFICIAL IS COMPENSATED BY ST. CAMILLUS HEALTH SYSTEM, INC., A RELATED ORGANIZATION OF ST. CAMILLUS HEALTH CENTER, INC. ST. CAMILLUS HEALTH SYSTEM, INC. ESTABLISHED THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL USING COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND THE APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE METHOD. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION HAS A SINGLE CLASS OF MEMBERS AND THE SOLE MEMBER OF THAT CLASS IS ST. CAMILLUS HEALTH SYSTEM, INC., A WISCONSIN NONSTOCK CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER, ST. CAMILLUS HEALTH SYSTEM, INC., ELECTS THE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS SHALL NOT TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OF THE MEMBER: TO DEFINE THE PHILOSOPHY, MISSION AND PURPOSE OF THE CORPORATION AND TO ADOPT, AMEND OR REPEAL ANY STATEMENTS OF MISSION OR PHILOSOPHY FOR THE CORPORATION; TO ADOPT, APPROVE, RESTATE, REVISE, OR AMEND THESE AMENDED AND RESTATED ARTICLES OF INCORPORATION AND THE BY-LAWS OF THE CORPORATION; TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE THE DIRECTORS OF THE CORPORATION AND DETERMINE THE NUMBER (WHICH MAY NOT BE LESS THAN THREE) OF SUCH DIRECTORS; TO AUTHORIZE OR MAKE OTHER DECISIONS RELATING TO THE TRANSFER OR SALE OF OR CREATION OF AN ENCUMBRANCE (E.G. MORTGAGE, PLEDGE OR GRANT OF SECURITY INTEREST) UPON FIXED ASSETS OF THE CORPORATION WITH A VALUE IN EXCESS OF $500,000; TO AUTHORIZE THE INCURRENCE BY THE CORPORATION OF DEBT FOR MONEY BORROWED IN AMOUNTS IN EXCESS OF $500,000; TO ADOPT AMEND OR REPEAL ANY PLAN OF DISSOLUTION, CONSOLIDATION OR MERGER OF THE CORPORATION, ANY CONTRACT OR AGREEMENT FOR THE MANAGEMENT OF THE CORPORATION OR ANY SALE OR LEASE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; TO CREATE, ACQUIRE, SELL, PURCHASE, DISSOLVE OR MAKE OTHER DISPOSITION OF ANY ENTITY OWNED OR CONTROLLED OR TO BE OWNED OR CONTROLLED BY THE CORPORATION OR ANY OWNERSHIP INTEREST IN ANY SUCH ENTITY; TO APPROVE ANY ACTIONS OR EXERCISE ANY POWER RESERVED TO THE CORPORATION AS A MEMBER OR SHAREHOLDER OF ANOTHER ENTITY; TO APPROVE THE INITIAL ELECTION BY THE BOARD OF DIRECTORS OF THE CHIEF EXECUTIVE OFFICER AND THE CHIEF OPERATING OFFICER OF THE CORPORATION (BUT NOT SUBSEQUENT RE-ELECTIONS OF THOSE PERSONS TO SERVE CONSECUTIVE TERMS IN SUCH RESPECTIVE OFFICES) AND TO REMOVE THE CHIEF EXECUTIVE OFFICER AND THE CHIEF OPERATING OFFICER OF THE CORPORATION WHETHER OR NOT SUCH REMOVAL IS APPROVED BY THE BOARD OF DIRECTORS; AND TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION AND TO DETERMINE THE TERM OF THE PRESIDENT'S APPOINTMENT, SUCH TERM NOT TO EXCEED THREE YEARS. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND CONTROLLER REVIEW THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. A COPY IS KEPT ON HAND FOR PUBLIC VIEWING. FORM 990, PART VI, SECTION B, LINE 12C THE PARTIES THAT ARE INVOLVED ARE ASKED TO DISCLOSE ANY CHANGES THAT WOULD IMPACT THE POLICY. NO CONTRACT OR OTHER TRANSACTION BETWEEN THIS CORPORATION AND ONE OR MORE OF ITS DIRECTORS OR ANY OTHER CORPORATION, FIRM, ASSOCIATION, OR ENTITY IN WHICH ONE OR MORE OF ITS DIRECTORS ARE DIRECTORS OR OFFICERS OR HAS A MATERIAL FINANCIAL INTEREST, SHALL BE EITHER VOID OR VOIDABLE BECAUSE OF SUCH RELATIONSHIP OR INTEREST OR BECAUSE SUCH DIRECTOR OR DIRECTORS ARE PRESENT AT THE MEETING OF THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF WHICH AUTHORIZES, APPROVES OR RATIFIES SUCH CONTRACT OR TRANSACTION OR BECAUSE HIS OR THEIR VOTES ARE COUNTED FOR SUCH PURPOSE, IF (1) THE FACT OF SUCH RELATIONSHIP OR INTEREST IS DISCLOSED OR KNOWN TO THE BOARD OF DIRECTORS OR COMMITTEE WHICH AUTHORIZES, APPROVES OR RATIFIES THE CONTRACT OR TRANSACTION BY A VOTE OR CONSENT SUFFICIENT FOR THE PURPOSE WITHOUT COUNTING THE VOTES OR CONSENTS OF SUCH INTERESTED DIRECTORS; OR (2) THE FACT OF SUCH RELATIONSHIP OR INTEREST IS DISCLOSED OR KNOWN TO THE MEMBERS ENTITLED TO VOTE AND THEY AUTHORIZE, APPROVE OR RATIFY SUCH CONTRACT OR TRANSACTION BY VOTE OR WRITTEN CONSENT; OR (3) THE CONTRACT OR TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION. COMMON OR INTERESTED DIRECTORS MAY BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM AT A MEETING OF THE BOARD OF DIRECTORS OR A COMMITTEE THEREOF WHICH AUTHORIZES, APPROVES OR RATIFIES SUCH CONTRACT OR TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. AUDITED FINANCIAL STATEMENTS ARE PUT IN THE RESIDENT LIBRARY AND AVAILABLE TO PROSPECTIVE RESIDENTS. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 24,239. ST CAMILLUS HEALTH SYSTEM INC 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 390806167 ADMINISTRATIVE AND MANAGEMENT SERVICES WI 501(C)(3) LINE 12B, II N/A 0 ST CAMILLUS COMMUNITIES INC 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 391843041 RESIDENTIAL FACILITIES WI 501(C)(3) LINE 12B, II ST CAMILLUS HEALTH SYSTEM INC 0 SAN CAMILLO INC 10200 W BLUEMOUND ROAD WAUWATOSA WI 53226 391843041 ASSISTED LIVING WI 501(C)(3) LINE 10 ST CAMILLUS HEALTH SYSTEM INC 0 ORDER OF ST CAMILLUS FOUNDATION INC 10200 W BLUEMOUND ROAD WAUWATOSA WI 53226 391925879 FUND-RAISING SUPPORT WI 501(C)(3) LINE 12B, II ST CAMILLUS HEALTH SYSTEM INC 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0