2025-10-15T09:38:23-05:00 2024-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2024-01-01 814879204 ST JOSEPH'S ELDER SERVICES INC STJO 4023721118 540 E WASHINGTON ST WEST POINT NE 68788 SAMUEL PROKOPEC EXECUTIVE DIRECTOR 4023721118 2025-10-15 1 1 WENDY R COOLEY CPA P01523804 4023302660 2025-10-15 2024 2025-03-06 01:10:19Z SAMUEL PROKOPEC 540 E WASHINGTON ST WEST POINT NE 68788 8876689 0 0928 X WWW.SJESWP.COM X 2017 NE TO LIVE AND PROMOTE THE HEALING MISSION OF JESUS CHRIST. 7 6 164 50 0 0 318314 157459 8040486 8719054 1491 176 236299 0 8596590 8876689 0 0 0 0 5380281 5784742 0 0 0 3821433 4160882 9201714 9945624 -605124 -1068935 9577238 9221866 1238211 1951774 8339027 7270092 X 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. 0 0 8810972 8719054 ST. JOSEPH'S ELDER SERVICE (SJES) PROVIDES QUALITY CARE IN A 54-BED SKILLED NURSING FACILITY. SERVICES OFFERED ARE NURSING CARE, SOCIAL SERVICES, NUTRITIOUS AND DELICIOUS MEALS, THERAPY, LEISURE ACTIVITIES, AS WELL AS SPIRITUAL CARE. A NUMBER OF RESIDENTS RECEIVE FINANCIAL ASSISTANCE THROUGH GOVERNMENTAL FUNDING, WHICH DOES NOT FULLY COVER THE COSTS OF CARE. SJES ALSO PROVIDES ASSISTED LIVING APARTMENTS AND OFFERS AN ARRAY OF SERVICES TO SUPPORT THE ELDERLY WHILE ASSURING THEIR MAXIMUM LEVEL OF INDEPENDENCE. SUCH SERVICES INCLUDE NURSING SUPPORT, LEISURE ACTIVITIES, NUTRITIOUS AND DELICIOUS MEALS, TRANSPORTATION, SPIRITUAL CARE, AND SOCIAL SERVICES. MULTIPLE RESIDENTS RECEIVE GOVERNMENT ASSISTANCE. 8810972 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 15 0 1 164 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X SAMUEL PROKOPEC EXECUTIVE DIRECTOR 4023721118 540 E WASHINGTON STREET WEST POINT NE 68788 SAMUEL PROKOPEC EXECUTIVE DIRECTOR 45.00 0.00 X X 154390 0 41241 BRIAN REIMERS BOARD CHAIR 0.50 0.00 X X 0 0 0 DIANE FALK TREASURER 0.50 0.00 X X 0 0 0 DIANE WHITE SECRETARY 0.50 0.00 X X 0 0 0 SISTER JOY ROSE BOARD MEMBER 0.50 0.00 X 0 0 0 WILLIAM KREIKEMEIER BOARD MEMBER 0.50 0.00 X 0 0 0 HEATH GRAYBEAL BOARD MEMBER 0.50 0.00 X 0 0 0 KELLY JOHNSON CHIEF NURSING OFFICER 40.00 0.00 X 106822 0 39602 TINA VOELKER NURSING 40.00 0.00 X 145961 0 38808 TERESA POWLEY NURSING 40.00 0.00 X 109027 0 4533 LORI PERSSON CNA 40.00 0.00 X 109197 0 14662 625397 0 138846 5 0 1 0 PRIME TIME HEALTHCARE PO BOX 3544 OMAHA NE 681030544 AGENCY STAFFING 307080 FUSION WORKFORCE SOLUTIONS LLC PO BOX 30131 OMAHA NE 681031231 AGENCY STAFFING 238564 FRANCISCAN HEALTHCARE 430 N MONITOR ST WEST POINT NE 68788 THERAPY AND LAB SERVICES, EXEC COACHING, 181330 TRI-STATE NURSING PO BOX 206912 DALLAS TX 753208912 AGENCY STAFFING 125786 SOURCE MEDICAL STAFFING LLC 4506 143RD STREET OMAHA NE 68137 AGENCY STAFFING 119931 7 14652 50806 92001 157459 RESIDENT SERVICE REVEN 623000 8651945 8651945 MEALS ON WHEELS 624210 41373 41373 VENDING/GIFT SHOP REVE 459420 8421 8421 17315 17315 8719054 176 176 8876689 8719054 0 176 X 196131 165253 30878 4318511 3800504 518007 929042 929042 341058 299379 41679 9800 9800 1410579 1176829 233750 22220 22220 240747 220553 20194 449597 419528 30069 19724 9370 10354 10466 2699 7767 29190 29190 881723 881723 182022 182022 FOOD 430927 430927 MEDICAL SUPPLIES 216394 216394 QUALITY ASSURANCE BED 111746 111746 MINOR EQUIPMENT 88025 68423 19602 57722 8326 49396 9945624 8810972 1134652 0 181999 384384 810 232075 372627 23983 22730 37858 17493 14260084 5851763 9020471 8408321 80042 16311 9577238 9221866 833093 1021774 405118 0 930000 1238211 1951774 X 8339027 7270092 8339027 7270092 9577238 9221866 -1068935 0 X X 0 1 X 1 0 X 988583 410736 707949 318314 157459 2583041 5497998 5593034 6929124 8040486 8719054 34779696 6486581 6003770 7637073 8358800 8876513 37362737 34500 670465 172866 79782 957613 1104759 1400708 2505467 34500 670465 1277625 1480490 3463080 33899657 1491 176 1667 1491 176 1667 236299 236299 6486581 6003770 7637073 8596590 8876689 37600703 0.90160 0.91290 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 222696 222696 9985549 3477707 6507842 3908043 2241540 1666503 143796 132516 11280 8408321 RELATED PARTY PABALE 930000 930000 X X 0 0 0 0 0 0 0 0 0 SAMUEL PROKOPEC EXECUTIVE DIRECTOR 127784 0 26606 0 0 0 1980 0 39761 0 196131 0 0 0 TINA VOELKER NURSING 139272 0 6689 0 0 0 4973 0 34176 0 185110 0 0 0 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 EXECUTIVE DIRECTOR AND CERTIFIED NURSING OFFICER. THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. 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 FEES: PROGRAM SERVICE EXPENSES 113,417. MANAGEMENT AND GENERAL EXPENSES 233,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 347,167. AGENCY STAFFING: PROGRAM SERVICE EXPENSES 1,063,412. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,063,412. 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. FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES 2413 SOUTH ALVERNO ROAD MANITOWOC WI 54220 391530622 HEALTHCARE MINISTRY WI 501(C)(3) LINE 1 SEE LINE 2 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 N/A 0 FRANCISCAN CARE SERVICES INC 430 NORTH MONITOR STREET WEST POINT NE 68788 470486026 HEALTH CARE NE 501(C)(3) LINE 3 SEE LINE 1 0 GOOD SAMARITAN MEDICAL CENTER 800 FOREST AVENUE ZANESVILLE OH 43701 314379479 HOLDING COMPANY OH 501(C)(3) LINE 1 SEE LINE 1 0 ST PAUL ELDER SERVICES INC 316 EAST 14TH STREET KAUKAUNA WI 54130 391029149 ELDER CARE WI 501(C)(3) LINE 10 SEE LINE 1 0 THE FRANCISCAN CENTER 6751 CALUMET AVENUE MANITOWOC WI 54220 932455812 EDUCATION AND PERFORMANCE WI 501(C)(3) LINE 10 SEE LINE 1 0 CLEMENT MANOR 3939 S 92ND STREET GREENFIELD WI 53228 391020547 ELDER CARE WI 501(C)(3) LINE 10 SEE LINE 1 0 0 0 1 0 1 0 0 0 0 0 1 0 0 1 1 1 1 0 0