ST JOSEPHS ELDER SERVICES INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPHS ELDER SERVICES INC (EIN 81-4879204)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-16
- IRS object ID
- 202332899349301038
- Schema version
- 2022v5.0
- 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) |
|---|---|---|
| Return | 2023-10-16T14:51:17-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18081 BURT ST STE 200 | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 680224722 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 814879204 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH'S ELDER SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 4023721118 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 540 E WASHINGTON ST | AddressLine1Txt |
| City | WEST POINT | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68788 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAM PROKOPEC | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 4023721118 | PhoneNum |
| Signature | 2023-10-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SAM | PersonFirstNm |
| Person Last | PROKOPEC | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WENDY R COOLEY CPA | PreparerPersonNm |
| PTIN | P01523804 | PTIN |
| Phone | 4023302660 | PhoneNum |
| Preparation | 2023-10-16 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SAM PROKOPEC | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 540 E WASHINGTON ST | AddressLine1Txt |
| City | WEST POINT | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68788 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,637,073 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SJESWP.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2017 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | ST. JOSEPH'S ELDER SERVICES (SJES) IS COMMITTED TO CARING FOR OUR ELDERS WITH DIGNITY, RESPECT, AND CHRISTIAN VALUES THROUGH THE HEALING MINISTRY OF JESUS CHRIST BY SHARING OUR PASSION FOR IMPROVING THEIR QUALITY OF LIFE THROUGH INNOVATIVE HEALTHCARE, ONE PERSON, ONE FAMILY, AND ONE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 151 | TotalEmployeeCnt |
| Total Volunteers | 55 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $410,736 | PYContributionsGrantsAmt |
| CY Contributions Grants | $707,949 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,593,034 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,929,124 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $6,003,770 | PYTotalRevenueAmt |
| CY Total Revenue | $7,637,073 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,965,559 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,597,758 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,204,742 | PYOtherExpensesAmt |
| CY Other Expenses | $4,272,404 | CYOtherExpensesAmt |
| PY Total Expenses | $7,170,301 | PYTotalExpensesAmt |
| CY Total Expenses | $8,870,162 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,166,531 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,233,089 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,811,362 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,312,334 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $636,503 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,369,485 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,174,859 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,942,849 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF ST. JOSEPH'S ELDER SERVICE (SJES) IS TO LIVE AND PROMOTE THE HEALING MISSION OF JESUS CHRIST. WE DO THIS THROUGH OUR COMMITMENT TO A CHRISTIAN ETHIC AND SPIRITUAL GROWTH BY RESPECTING ALL STAGES IN LIFE AND PROVIDING COMPASSIONATE CARE FOR THE POOR, ELDERLY, AND THOSE IN NEED. SJES IS RESPONSIVE TO THOSE SERVED BY TREATING ALL WITH RESPECT, DEMONSTRATING ADAPTABILITY AND FLEXIBILITY TO CARES, AND DEDICATION TO SERVICE EXCELLENCE. SJES PRACTICES STEWARDSHIP BY MANAGING FISCAL AND HUMAN RESOURCES WITH HONESTY AND INTEGRITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,936,723 | ExpenseAmt |
| Revenue | $6,929,124 | RevenueAmt |
| Desc | ST. JOSEPH'S ELDER SERVICE (SJES) PROVIDES QUALITY CARE IN A 54-BED SKILLED NURSING FACILITY. SERVICES OFFERED ARE NURSING CARE, SOCIAL SERVICES, THREE NUTRITIOUS MEALS PER DAY, THERAPY, LEISURE ACTIVITIES, AS WELL AS SPIRITUAL CARE. A NUMBER OF RESIDENTS RECEIVE FINANCIAL ASSISTANCE THROUGH GOVERNMENTAL FUNDING AND ARE A SHORTFALL OF COVERING COSTS OF CARE. SJES ALSO PROVIDES ASSISTED LIVING TO RESIDENTS IN THEIR APARTMENTS, WHILE ENCOURAGING THEIR MAXIMUM LEVEL OF INDEPENDENCE. SERVICES OFFERED IN THE ASSISTED LIVING INCLUDE NURSING SUPPORT, LEISURE ACTIVITIES, THREE DELICIOUS AND NUTRITIOUS MEALS PER DAY, TRANSPORTATION, SPIRITUAL CARE, AND SOCIAL SERVICES. MEMORY CARE IS ALSO AVAILABLE BASED ON ASSESSED NEED. THESE SERVICES ARE OFFERED BASED ON NEED AND MULTIPLE RESIDENTS RECEIVE GOVERNMENT ASSISTANCE. | Desc |
| Total Program Service Expenses | $7,936,723 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 151 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAM PROKOPEC EXECUTIVE DIRECTOR | PersonNm |
| Phone | 4023721118 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 540 E WASHINGTON STREET | AddressLine1Txt |
| City | WEST POINT | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68788 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SAM PROKOPEC | ||||||||
| EXECUTIVE DIRECTOR | 45.00 | 0.00 | Yes (X) | Yes (X) | $123,462 | $0 | $32,906 | |
| BRIAN REIMERS | ||||||||
| BOARD CHAIR | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DIANE FALK | ||||||||
| TREASURER | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DIANE WHITE | ||||||||
| SECRETARY | 0.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVE STEFFENSMEIER | ||||||||
| BOARD MEMBER THRU 3/2022 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SISTER JOY ROSE | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIM ROLF | ||||||||
| BOARD MEMBER THRU 3/2022 | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL KREIKEMEIER | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HEATH GRAYBEAL | ||||||||
| BOARD MEMBER | 0.50 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TINA VOELKER | ||||||||
| NURSING | 42.00 | 0.00 | $115,913 | $0 | $28,387 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $239,375 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $61,293 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SHIFTKEY LLC | |||||
| 5221 N OCONNOR BLVD 1400 | IRVING | TX | 75039 | AGENCY STAFFING | $413,016 |
| PRIME TIME HEALTHCARE | |||||
| 15380 WEIR ST | OMAHA | NE | 68137 | AGENCY STAFFING | $200,985 |
| FUSION MEDICAL STAFFING LLC | |||||
| 11808 GRANT ST SUITE 100 | OMAHA | NE | 68164 | AGENCY STAFFING | $191,045 |
| FRANCISCAN HEALTHCARE | |||||
| 430 N MONITOR ST | WEST POINT | NE | 68788 | THERAPY SERVICES | $139,527 |
| SOURCE MEDICAL STAFFING | |||||
| 4509 S 143RD ST STE 12-13 | OMAHA | NE | 68137 | AGENCY STAFFING | $107,865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $107,381 | GovernmentGrantsAmt |
| All Other Contributions | $600,568 | AllOtherContributionsAmt |
| Total Contributions | $707,949 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RESIDENT SERVICE REVEN | 623000 | $6,851,743 | $6,851,743 |
| MEALS ON WHEELS | 624210 | $69,614 | $69,614 |
| VENDING/GIFT SHOP REVE | 459420 | $1,071 | $1,071 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,696 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,696 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,929,124 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,637,073 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,929,124 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,368 | TotalAmt |
| Program Services | $32,906 | ProgramServicesAmt |
| Management And General | $123,462 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,597,208 | TotalAmt |
| Program Services | $3,339,767 | ProgramServicesAmt |
| Management And General | $257,441 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,706 | TotalAmt |
| Program Services | $564,706 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,476 | TotalAmt |
| Program Services | $255,780 | ProgramServicesAmt |
| Management And General | $23,696 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,376 | TotalAmt |
| Management And General | $10,376 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,487,905 | TotalAmt |
| Program Services | $1,250,411 | ProgramServicesAmt |
| Management And General | $237,494 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,155 | TotalAmt |
| Management And General | $13,155 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,403 | TotalAmt |
| Program Services | $232,410 | ProgramServicesAmt |
| Management And General | $13,993 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,391 | TotalAmt |
| Program Services | $401,382 | ProgramServicesAmt |
| Management And General | $30,009 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,454 | TotalAmt |
| Program Services | $8,044 | ProgramServicesAmt |
| Management And General | $2,410 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,237 | TotalAmt |
| Management And General | $20,237 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $864,127 | TotalAmt |
| Program Services | $846,844 | ProgramServicesAmt |
| Management And General | $17,283 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,980 | TotalAmt |
| Program Services | $153,980 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD | $353,377 | $353,377 | |
| MEDICAL SUPPLIES | $282,820 | $282,820 | |
| MISCELLANEOUS | $120,046 | $76,792 | $43,254 |
| MINOR EQUIPMENT | $82,205 | $78,829 | $3,376 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,928 | TotalAmt |
| Program Services | $58,675 | ProgramServicesAmt |
| Management And General | $137,253 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,870,162 | TotalAmt |
| Program Services | $7,936,723 | ProgramServicesAmt |
| Management And General | $933,439 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,069 | BOYAmt |
| EOY | $241,294 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,090 | BOYAmt |
| EOY | $1 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,588 | BOYAmt |
| EOY | $208,290 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,406 | BOYAmt |
| EOY | $24,471 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,297 | BOYAmt |
| EOY | $34,744 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,827,280 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,101,906 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,526,961 | BOYAmt |
| EOY | $9,725,374 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,951 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $78,160 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,811,362 | BOYAmt |
| EOY | $10,312,334 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $636,503 | BOYAmt |
| EOY | $919,485 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $450,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $636,503 | BOYAmt |
| EOY | $1,369,485 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,174,859 | BOYAmt |
| EOY | $8,920,183 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $22,666 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,174,859 | BOYAmt |
| EOY | $8,942,849 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,811,362 | BOYAmt |
| EOY | $10,312,334 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,233,089 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $34 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $1,045 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,730,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $710,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $988,583 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $410,736 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $707,949 | CurrentTaxYearAmt |
| Total | $16,548,010 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $290,195 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,111,902 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,497,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,593,034 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,929,124 | CurrentTaxYearAmt |
| Total | $22,422,253 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,020,937 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,821,902 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,486,581 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,003,770 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,637,073 | CurrentTaxYearAmt |
| Total | $38,970,263 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,730,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $700,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $34,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $670,465 | CurrentTaxYearAmt |
| Total | $15,135,586 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,730,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $700,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $34,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $670,465 | CurrentTaxYearAmt |
| Total | $15,135,586 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $23,834,677 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,527 | CurrentTaxYearMinus3YearsAmt |
| Total | $2,527 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,527 | CurrentTaxYearMinus3YearsAmt |
| Total | $2,527 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,020,937 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,824,429 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,486,581 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,003,770 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,637,073 | CurrentTaxYearAmt |
| Total | $38,972,790 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $222,696 | OtherCostOrOtherBasisAmt |
| Book Value | $222,696 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,890,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,342,069 | DepreciationAmt |
| Book Value | $7,548,710 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,575,486 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,650,997 | DepreciationAmt |
| Book Value | $1,924,489 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $138,319 | OtherCostOrOtherBasisAmt |
| Depreciation | $108,840 | DepreciationAmt |
| Book Value | $29,479 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,725,374 | TotalBookValueLandBuildingsAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAM PROKOPEC | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $82,962 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $25,500 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $15,000 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $32,906 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $156,368 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO ACCOMPLISH THOSE TASKS ASSIGNED BY THE BOARD OF DIRECTORS AND TO TRANSACT THE ESSENTIAL BUSINESS OF THE BOARD, PROVIDED THAT NO ACTION TAKEN AT MEETINGS SHALL BE IN CONFLICT WITH BOARD POLICIES. SPECIAL COMMITTEES MAY BE APPOINTED AND SHALL HAVE ONLY SUCH POWER TO ACT AS MAY BE SPECIFICALLY CONFERRED BY THE CHAIRMAN OF THE BOARD OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THIS CORPORATION IS FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., A WISCONSIN CORPORATION ("THE MEMBER"). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., SHALL APPOINT THE BOARD OF DIRECTORS AND MAY REMOVE A DIRECTOR AT ANY TIME. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., A WISCONSIN NON-STOCK, NON PROFIT CORPORATION HAS THE FOLLOWING RESERVED POWERS OVER ST. JOSEPH'S ELDER SERVICES, INC.: A) APPROVAL OF THE PHILOSOPHY, MISSION AND VALUES STATEMENTS OF THE CORPORATION. B) AMENDMENT OF ARTICLES OF INCORPORATION AND BY-LAWS OF THE CORPORATION. C) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS. D) APPROVAL OF THE CREATION AND DISSOLUTION OF THIS 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 THE MEMBER OR CONTROLLING SHAREHOLDER. E) APPOINTMENT, EVALUATION AND DISCHARGE OF THE PRESIDENT OF THE CORPORATION. F) APPROVAL OF BORROWING IN EXCESS OF THE LIMIT ESTABLISHED BY THE MEMBER. G) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE, OR LEASE OF REAL ESTATE, BY OR TO THE CORPORATION FOR LONGER THAN ONE YEAR. H) IMPLEMENTATION OF SPONSOR APPOINTMENT, SALARY NEGOTIATION, AND REASSIGNMENT PROCESSES FOR FRANCISCAN SISTER PERSONNEL WITHIN THIS CORPORATION. I) APPROVAL OF CAPITAL AND OPERATING BUDGETS. J) REQUIREMENT OF A CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME AND APPROVAL OF THE FISCAL AUDITOR OF THE CORPORATION ANNUALLY. K) APPROVAL OF ALL INSURANCE CARRIERS AND INSURANCE COVERAGE FOR THE CORPORATION. L) APPROVAL OF LONG-RANGE OR STRATEGIC PLANS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 WILL BE REVIEWED AND APPROVED BY THE ADMINISTRATOR. FOLLOWING THE REVIEW OF THE FORM 990 BY THE ADMINISTRATOR, COPIES WILL BE PROVIDED TO THE BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON AN ANNUAL BASIS, EACH DIRECTOR WILL EXECUTE AND DELIVER TO SJES A DISCLOSURE REGARDING CONFLICT OF INTEREST. AT ANY TIME DURING THE YEAR IF A NEW CONFLICT ARISES, THE CORPORATE COMPLIANCE OFFICER SHALL BE NOTIFIED AND A NEW DISCLOSURE FORM IS FILED WITH THE CORPORATE COMPLIANCE OFFICER. BEFORE ANY ACTION IS TAKEN AT ANY BOARD OF DIRECTORS MEETING, THE BOARD SHALL IDENTIFY WHETHER ANY DIRECTOR (INSIDER) HAS A FINANCIAL INTEREST IN THE MATTER BEING ACTED ON (THE ARRANGEMENT). BASED ON THE FACTS SURROUNDING THE CONFLICT, THE BOARD SHALL DETERMINE IF IT RESULTS IN A TRUE CONFLICT OF INTEREST. ALL CONFLICTS OF INTEREST AND POTENTIAL CONFLICTS OF INTEREST SHALL BE DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPARABLE DATA IS REVIEWED TO DETERMINE COMPENSATION FOR BOTH THE ADMINISTRATOR AND CERTIFIED NURSING OFFICER. THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR BOTH. |
| FORM 990, PART VI, SECTION C, LINE 19 | SJES MAKES ALL DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,349. MANAGEMENT AND GENERAL EXPENSES 237,494. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,843. AGENCY STAFFING CLINICAL: PROGRAM SERVICE EXPENSES 1,245,062. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,245,062. |
| FORM 990, PART XII, LINE 2C: | AN INDEPENDENT BOARD MEMBER OF ST. JOSEPH'S ELDER SERVICES REPRESENTS THE ORGANIZATION ON ITS MEMBER'S SYSTEM AUDIT COMMITTEE. THE SYSTEM AUDIT COMMITTEE IS COMPOSED OF ONE INDEPENDENT BOARD MEMBER OF THE MEMBER AND ONE INDEPENDENT BOARD MEMBER OF EACH RELATED ORGANIZATION. THE COMMITTEE'S PURPOSE IS TO ASSIST IN THE ASSURANCE OF THE QUALITY AND INTEGRITY OF THE FINANCIAL REPORTS. SPECIFIC RESPONSIBILITIES OF THE COMMITTEE INCLUDE REVIEWING AND RECOMMENDING THE SELECTION OF THE INDEPENDENT AUDITORS, DISCUSSING THE SCOPE AND PLAN OF THE ENGAGEMENT WITH THE AUDITORS, AND REVIEWING THE ANNUAL REPORTS AND REQUIRED COMMUNICATIONS PROVIDED BY THE AUDITORS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES | ||||||||||
| 2413 SOUTH ALVERNO ROAD | MANITOWOC | WI | 54220 | 391530622 | HEALTHCARE MINISTRY | WI | 501(C)(3) | LINE 1 | NONE | 0 |
| HOLY FAMILY CONVENT OF THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY | ||||||||||
| 2409 SOUTH ALVERNO ROAD | MANITOWOC | WI | 54220 | 390808523 | HEALTH CARE AND HIGHER EDUCATION | WI | 501(C)(3) | LINE 1 | NONE | 0 |
| FRANCISCAN CARE SERVICES INC | ||||||||||
| 430 NORTH MONITOR STREET | WEST POINT | NE | 68788 | 470486026 | HEALTH CARE | NE | 501(C)(3) | LINE 3 | NONE | 0 |
| GOOD SAMARITAN MEDICAL CENTER | ||||||||||
| 800 FOREST AVENUE | ZANESVILLE | OH | 43701 | 314379479 | HOLDING COMPANY | OH | 501(C)(3) | LINE 1 | NONE | 0 |
| ST PAUL ELDER SERVICES INC | ||||||||||
| 316 EAST 14TH STREET | KAUKAUNA | WI | 54130 | 391029149 | ELDER CARE | WI | 501(C)(3) | LINE 10 | NONE | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |