2017-07-20T13:27:37-05:00 2016-09-30 390758449 Wipfli LLP 10000 Innovation Drive Suite 250 Milwaukee WI 532264837 990 2015-10-01 390806167 ST CAMILLUS HEALTH SYSTEM INC STCA 4142596333 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 JUSTIN MUNZEL Chief Financial Officer 4142598355 2017-07-12 1 Paul Daly CPA P00277674 4144319300 2017-07-11 2015 2021-01-29 14:40:06Z Kevin Schwab 10101 w wisconsin avenue wauwatosa WI 53226 8152596 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. 14 14 730 175 763385 0 624375 4110 7335627 7384662 4857 439 796873 763385 8761732 8152596 0 0 0 0 4764191 4954311 0 0 0 2927604 2734429 7691795 7688740 1069937 463856 31512236 52485912 29056560 50068345 2455676 2417567 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 7226173 0 7384662 MANAGEMENT SERVICES FOR AFFILIATED TAX EXEMPT ORGANIZATIONS 7226173 1 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 97 0 1 730 1 1 1 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X ST CAMILLUS HEALTH SYSTEM INC 4142581814 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 Br Mario Crivello MI board Member 40.00 1.00 X 0 0 0 Tom Deisinger board Member 1.00 1.00 X 0 0 0 Coreen Dicus-Johnson board Member 1.00 1.00 X 0 0 0 Kelly Gaglione Board Member 1.00 1.00 X 0 0 0 Nick Laubusch board Member 1.00 1.00 X 0 0 0 Rosemarie Matheus board Member 1.00 1.00 X 0 0 0 David Niles board Member 1.00 1.00 X 0 0 0 Mark E Slesar Finance Committee Chair 1.00 1.00 X 0 0 0 Judie Taylor board Member 1.00 1.00 X 0 0 0 Tom VanHimbergen Board Member 1.00 1.00 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 40.00 1.00 X X 0 0 0 Fr Leandro Blanco MI Treasurer 40.00 1.00 X X 0 0 0 Fr Richard O'Donnell MI Officer 20.00 1.00 X X 0 0 0 Rick L Johnson President & ceo 40.00 1.00 X 244628 0 18696 Marie D'Amico Secretary (Thru 01/16) 40.00 1.00 X 132531 0 13178 Kevin Schwab Chief Operating Officer 40.00 1.00 X 175732 0 16254 Justin Munzel Chief Financial Officer 40.00 1.00 X 112802 0 13257 Sandra Dugan Administrator of Skilled Nursing and Assisted Livi 40.00 1.00 X 128397 0 366 Beverly Harvey Director of Home Health 40.00 1.00 X 126004 0 3590 Richard Senk Director of Environmental Services 40.00 1.00 X 121140 0 4748 1041234 0 70089 7 0 1 0 MA Mortenson Company 17975 W Sarah Lane Brookfield WI 54045 Construction 3466313 Plunkett Raysich Architects LLP 209 South Water Street Milwaukee WI 53204 Architects 1620903 Humana Insurance Co PO Box 3024 Milwaukee WI 532013024 Health Insurance 1253622 VJS Construction Services W233 N2847 Roundy Circle West Pewaukee WI 53072 Construction 1076246 Reinhart Boerner Van Deuren SC PO Box 2965 Milwaukee WI 532012965 Attorney 415607 14 4110 4110 MANAGEMENT FEES 900099 6551761 6551761 Supporting Services 900099 832901 832901 7384662 439 439 Printing Revenue 323100 763385 763385 763385 8152596 7384662 763385 439 727078 690724 36354 3299553 3134575 164978 597671 567787 29884 330009 313509 16500 49985 11497 38488 46823 2341 44482 420353 399335 21018 194033 184331 9702 545688 518404 27284 218615 207684 10931 19996 18996 1000 11199 10639 560 60433 57411 3022 587491 558116 29375 38745 36808 1937 maintenance 394495 374772 19723 Dues & Subscriptions 27606 26226 1380 Catering Expense 3727 3541 186 115240 109477 5763 7688740 7226173 462567 0 1232562 4050121 53360 51953 17100 17526 183369 168121 38011384 16783732 7933681 21227652 22092164 26970539 31512236 52485912 1479117 6360237 251393 13622478 5119331 3909056 19452 0 22187267 26176574 29056560 50068345 X 2455676 2417567 2455676 2417567 31512236 52485912 X 463856 -501965 X 0 1 X 1 0 X X 3 ST CAMILLUS HEALTH CENTER INC 391079224 9 1 3163017 0 SAN CAMILLO INC 391487306 9 1 3340510 0 St CAMILLUS COMMUNITIES INC 391843041 9 1 48234 0 3 6551761 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 160961 160961 13447861 9498908 3948953 315556 242753 72803 7206196 6454094 752102 16880810 587977 16292833 21227652 Due from related party 21393292 Deferred financing cost 704819 RESTRICTED ESCROW ACCOUNT 4872428 26970539 Due to related party 25571352 Security Deposits 9645 interest rate swap 589132 Other Liabilities 6445 26176574 X X X X 0 0 0 0 0 0 0 0 0 Rick L Johnson President & ceo 227311 0 0 0 17317 0 11410 0 7286 0 263324 0 0 0 Kevin Schwab Chief Operating Officer 160376 0 10000 0 5356 0 9000 0 7254 0 191986 0 0 0 A wisconsin Health and Educational Facilities Authority 391337855 2010-12-13 5000000 Refinance 1998 Issue 0 0 0 A 1148673 5000000 94605 2272061 2633334 2012 1 0 1 1 A 0 0 0 0 0 0 0 A 1 0 0 0 0 0 A 1 Form 990, Part VI, Section B, line 11 The CEO, CFO, and controller review the 990 before it is filed with the IRS. 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. Form 990, Part VI, Section B, line 15 The board reviews salaries which are then compared to management resource association data. the organization also compares their salaries to other companies that are similar in nature via 990's. Form 990, Part VI, Section C, line 19 The organization does not make its governing documents or conflict of interest policy available to the public. Audited Financial statements are available for all residents to view. Form 990, Part XI, line 9: change in fair value of interest rate swap agreements -529,157. Net assets released from restrictions for operations 27,192. st camillus health center inc 10101 w wisconsin avenue wauwatosa WI 53226 391079224 health services WI 501(c)(3) 9 St Camillus Health System Inc 1 san camillo inc 10200 w bluemound road wauwatosa WI 53226 391487306 assisted living WI 501(c)(3) 9 St Camillus Health System Inc 1 order of st camillus foundation inc 10200 w bluemound road wauwatosa WI 53226 391925879 fund-raising support WI 501(c)(3) 11(b) St Camillus Health System Inc 1 st camillus communities inc 10101 w wisconsin avenue wauwatosa WI 53226 391843041 residential facilities WI 501(c)(3) 11(b) St Camillus Health System Inc 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 order of St Camillus Foundation Inc L 193890 st Camillus Health Center Inc L 3163017 san Camillo Inc L 3340510 san Camillo Inc J 530000