2016-08-09T13:27:49-05:00 2015-09-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2014-10-01 391079224 ST CAMILLUS HEALTH CENTER INC STCA 4142596333 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 JUSTIN MUNZEL CHIEF FINANCIAL OFFICER 4142598355 2016-08-08 1 PAUL DALY CPA P00277674 4144319300 2016-08-08 2014 2016-12-15 16:53:06Z KEVIN SCHWAB 10101 W WISCONSIN AVE WAUWATOSA WI 53226 18107273 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. 12 12 0 20 0 0 0 17588 16456798 18089685 -482 0 0 0 16456316 18107273 0 0 0 0 7762813 8571034 0 0 0 9642001 10035593 17404814 18606627 -948498 -499354 21617283 21108316 36303275 36378203 -14685992 -15269887 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 9441001 0 10672914 SKILLED NURSING FACILITIES - ST. CAMILLUS HEALTH CENTER PROVIDES IN-HOUSE NURSING SERVICES TO ITS RESIDENTS. 2240238 0 2532556 HOME HEALTH CARE AGENCY - ST. CAMILLUS HEALTH CENTER OFFERS NURSING SERVICES TO THE RESIDENTS OF THE INDEPENDENT LIVING FACILITY, ASSISTED LIVING FACILITY AND TO OTHER COMMUNITY RESIDENTS IN NEED. 4320458 0 4884215 ASSISTED LIVING FACILITY - A 76-UNIT ASSISTED LIVING FACILITY PROVIDING ASSISTANCE WITH DAILY LIVING ACTIVITIES AND OTHER HEALTH RELATED SERVICES TO SENIOR RESIDENTS. 16001697 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 1 0 0 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 X 12 12 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X ST CAMILLUS HEALTH CARE CENTER 4142581814 10101 W WISCONSIN AVE WAUWATOSA WI 53226 BR MARIO CRIVELLO MI BOARD OF DIRECTOR 40.00 X 0 0 0 NICK LAUBUSCH BOARD OF DIRECTOR 1.00 X 0 0 0 MARK E SLESAR BOARD OF DIRECTOR 1.00 X 0 0 0 ROSEMARIE MATHEUS BOARD OF DIRECTOR 1.00 X 0 0 0 JUDIE TAYLOR BOARD OF DIRECTOR 1.00 X 0 0 0 DAVID NILES BOARD OF DIRECTOR 1.00 X 0 0 0 COREEN DICUS-JOHNSON BOARD OF DIRECTOR 1.00 X 0 0 0 FR PEDRO TRAMONTIN MI VICE CHAIRPERSON 40.00 X X 0 0 0 TOM DEISINGER BOARD OF DIRECTOR 1.00 X 0 0 0 FRANCIS WIESNER CHAIRPERSON 1.00 X X 0 0 0 FR LEANDRO BLANCO MI TREASURER 40.00 X X 0 0 0 FR RICHARD O'DONNELL MI BOARD OF DIRECTOR 20.00 X X 0 0 0 RICK L JOHNSON CEO 40.00 X 0 249019 26701 KEVIN SCHWAB COO 40.00 X 0 174440 24079 MARIE D'AMICO SECRETARY 40.00 X 0 128227 21585 DAVID TANCK ADMINISTRATOR-SKILLED NURS & AL 40.00 X 105274 0 20266 RICHARD SENK ENVIRONMENTAL SERVICES DIRECTOR 40.00 X 114718 0 21314 219992 551686 113945 2 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY PROVIDER 1317886 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 FOOD SERVICE 339911 DIERKS WAUKESHA WHOLESALE FOODS PO BOX 0469 WAUKESHA WI 531870469 FOOD SERVICE 311212 BAY TOWEL INC PO BOX 12115 GREEN BAY WI 543072115 LAUNDRY SERVICES 239832 OMNICARE INC PO BOX 78000 DETROIT MI 482781668 PHARMACY 214281 7 17588 17588 NET PATIENT SERVICES 623000 15047669 15047669 MONTHLY SERVICE FEES 623000 1871734 1871734 OTHER SUPPORT SERVICES 623000 1170282 1170282 18089685 18107273 18089685 0 0 X 7236805 6223652 1013153 796414 684916 111498 537815 462521 75294 2821622 2426595 395027 41014 35272 5742 338068 290738 47330 2164648 1861597 303051 11070 9520 1550 938233 806880 131353 1232023 1059540 172483 15392 13237 2155 561 482 79 514743 442679 72064 891867 767006 124861 125987 108349 17638 RAW FOOD / GROCERIES 526858 453098 73760 DUES & SUBSCRIPTIONS 161268 138690 22578 MAINTENANCE 128813 110779 18034 BAD DEBT EXPENSE 72000 61920 10080 51426 44226 7200 18606627 16001697 2604930 0 800 800 1383966 1522875 31599 51733 81816 66867 33453704 16126629 17994479 17327075 2124623 2138966 21617283 21108316 647976 641476 11040000 10455000 24615299 25281727 36303275 36378203 X -14685992 -15269887 -14685992 -15269887 21617283 21108316 X -499354 -84541 X 0 1 X 1 0 X 18173 122416 17588 158177 14781188 14700852 16103654 16456798 18089685 80132177 14799361 14823268 16103654 16456798 18107273 80290354 0 0 0 80290354 2081 23 6 2110 2081 23 6 2110 14801442 14823291 16103660 16456798 18107273 80292464 1.00000 0.99970 0.00000 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 61278 61278 25842732 9549629 16293103 20219 18963 1256 7153219 6237105 916114 376256 320932 55324 17327075 RESIDENT FUNDS HELD FOR SAFE KEEPING 7689 DUE FROM RELATED PARTY 2131277 2138966 RESIDENT FUNDS HELD FOR SAFE KEEPING 5315 DUE TO RELATED PARTY 24042321 REFUNDABLE ENTRANCE FEES 77868 INTEREST SWAP 1156223 25281727 X X X X X 0 0 0 0 0 0 0 0 0 RICK L JOHNSON CEO 0 226543 0 22000 0 476 0 11423 0 15278 0 275720 0 0 KEVIN SCHWAB COO 0 157342 0 17025 0 73 0 8750 0 15329 0 198519 0 0 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 2012-02-29 12655000 REFINANCE 1995 BONDS 0 0 0 A 2200000 12655000 80801 12574199 1 0 1 1 A 0 0 0 0 0 0 0 A 1 1 1 US BANK 0 0 0 0 0 A 1 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 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, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,861,597. MANAGEMENT AND GENERAL EXPENSES 303,051. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,164,648. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -96,776. NET ASSETS RELEASED FROM RESTRICTIONS FOR OPERATIONS 12,235. ST CAMILLUS HEALTH SYSTEM INC 10101 W WISCONSIN AVENUE WAUWATOSA WI 53226 390806167 ADMINISTRATIVE AND MANAGEMENT SERVICES WI 501(C)(3) 11(B) N/A 0 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 0 SAN CAMILLO INC 10200 W BLUEMOUND ROAD WAUWATOSA WI 53226 391487306 ASSISTED LIVING WI 501(C)(3) 9 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) 11(B) ST CAMILLUS HEALTH SYSTEM INC 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1