STRATEGY STUDIO / PUBLIC DATA EXPLORER

CLEMENT MANOR INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CLEMENT MANOR INC (EIN 39-1020547)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-04-29
IRS object ID
202101199349300820
Schema version
2019v5.2
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

FieldValueIRS element (for citing)
Return2021-04-29T10:09:20-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391020547EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLEMENT MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLEMBusinessNameControlTxt
Phone4143211800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13939 S 92ND STREETAddressLine1Txt
CityGREENFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53228ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANE LEPKOWSKIPersonNm
Person TitleCFOPersonTitleTxt
Phone4143211800PhoneNum
Signature2021-04-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY ANDERSONPreparerPersonNm
PTINP00188889PTIN
Phone6086628600PhoneNum
Preparation2021-04-29PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDIANE LEPKOWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13939 S 92ND STREETAddressLine1Txt
CityGREENFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53228ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,722,086GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CLEMENTMANOR.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionCLEMENT MANOR IS A NON-PROFIT ORGANIZATION SPONSORED BY THE SCHOOL SISTERS OF ST. FRANCIS AND IS DEEPLY ROOTED IN THE FRANCISCAN VALUE SYSTEM. CLEMENT MANOR'S RETIREMENT COMMUNITY OFFERS A FULL CONTINUUM OF SERVICES TO PROMOTE THE HEALTHY AGING OF CLIENTS IN THEIR FACILITIES AND THE COMMUNITY SINCE 1982, CLEMENT MANOR HAS STOOD BY THE VALUES OF RESPECT, COLLABORATION, AND QUALITY SERVICE, MAINTAINING A TRADITION OF SERVICE EXCELLENCE AND THE PURSUIT OF QUALITY. CLEMENT MANOR'S STAFF AND ADMINISTRATION ARE DEDICATED TO THE CLIENTS THEY SERVE, ALWAYS KEEPING THE FACILITY AT THE FOREFRONT OF IMPROVEMENTS IN THE LONG TERM CARE INDUSTRY TO ENSURE THE BEST CARE POSSIBLE. CLEMENT MANOR IS ALSO AN ASSOCIATE MEMBER OF THE BENEDICTINE HEALTH SYSTEM, A CATHOLIC HEALTH CARE ORGANIZATION WELL-KNOWN AND RESPECTED IN THE PROFESSION.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee343TotalEmployeeCnt
Total Volunteers110TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$203,895PYContributionsGrantsAmt
CY Contributions Grants$554,714CYContributionsGrantsAmt
PY Program Service Revenue$15,939,482PYProgramServiceRevenueAmt
CY Program Service Revenue$15,255,887CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$53,048CYInvestmentIncomeAmt
PY Other Revenue$34,007PYOtherRevenueAmt
CY Other Revenue-$165,426CYOtherRevenueAmt
PY Total Revenue$16,177,384PYTotalRevenueAmt
CY Total Revenue$15,698,223CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,679,387PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,338,440CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$20,154CYTotalFundraisingExpenseAmt
PY Other Expenses$6,769,196PYOtherExpensesAmt
CY Other Expenses$7,329,233CYOtherExpensesAmt
PY Total Expenses$16,448,583PYTotalExpensesAmt
CY Total Expenses$16,667,673CYTotalExpensesAmt
PY Revenues Less Expenses-$271,199PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$969,450CYRevenuesLessExpensesAmt
Total Assets BOY$15,443,236TotalAssetsBOYAmt
Total Assets EOY$21,207,841TotalAssetsEOYAmt
Total Liabilities BOY$18,118,879TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,852,934TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,675,643NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,645,093NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCLEMENT MANOR IS A HEALTHCARE ORGANIZATION SPONSORED BY THE SCHOOL SISTERS OF ST. FRANCIS THAT IS COMMITTED TO PROVIDING A CONTINUUM OF CARE AND FOSTERING THE HIGHEST POTENTIAL FOR WELL BEING OF EACH INDIVIDUAL ON OUR CAMPUSES AND IN OUR COMMUNITIES THROUGH THE VALUES OF RESPECT, COLLABORATION AND QUALITY SERVICE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,138,635ExpenseAmt
Revenue$14,857,502RevenueAmt
DescCLEMENT MANOR, INC. OPERATES A SKILLED NURSING FACILITY, A CONTINUING CARE FACILITY WHICH INCLUDES A RESIDENTIAL CARE APARTMENT COMPLEX, AND AN ADULT CARE CENTER. AS PART OF ITS CATHOLIC HERITAGE, CLEMENT MANOR IS DEDICATED TO PROVIDING BOTH SERVICES AND LEADERSHIP IN THE COMMUNITY FOR CARE OF THE POOR ALSO, CLEMENT MANOR, INC. PROVIDES CARE TO THE INDIGENT UNDER THE MEDICAID PROGRAM. THE COST NECESSARY TO PROVIDE CARE TO THESE RESIDENTS GENERALLY EXCEEDS MEDICAID REIMBURSEMENT. UNREIMBURSED CHARGES FOR THE MEDICAID RESIDENTS IN FISCAL 2020 WAS APPROXIMATELY $2,739,000. IN ADDITION, CLEMENT PROVIDED APPROXIMATELY $28,000 OF CHARITY CARE SERVICES TO THE NEEDY IN FISCAL 2020.Desc
Total Program Service Expenses$13,138,635TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee343EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DIANE LEPKOWSKIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4143211800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13939 SOUTH 92ND STREETAddressLine1Txt
CityGREENFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53228ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DENNIS FERGER
PRESIDENT/CEO40.00Yes (X)$213,636$0$14,595
DIANE LEPKOWSKI
CFO40.00Yes (X)$114,854$0$15,095
ROBERTA BANACH
DIRECTOR OF NURSING40.00$106,250$0$3,000Yes (X)
AMY KESLER
VICE CHAIR0.30Yes (X)$0$0$0Yes (X)
SISTER JUDEEN SCHULTE
BOARD SECRETARY0.30Yes (X)$0$0$0Yes (X)
PHIL DOUGHERTY JR
BOARD CHAIR0.30Yes (X)$0$0$0Yes (X)
KRISTA PANKOP
BOARD TREASURER0.30Yes (X)$0$0$0Yes (X)
ANN MAHER
BOARD MEMBER0.30$0$0$0Yes (X)
KEVIN NITKA
BOARD MEMBER0.30$0$0$0Yes (X)
WENDY PROVOST
BOARD MEMBER0.30$0$0$0Yes (X)
SISTER CAROL GRANDLICH
BOARD MEMBER0.30$0$0$0Yes (X)
ALISSA KARL
BOARD MEMBER0.30$0$0$0Yes (X)
SISTER ELIZABETH SCHMITZ
BOARD MEMBER0.30$0$0$0Yes (X)
SUSAN SAJDAK
BOARD MEMBER0.30$0$0$0Yes (X)
MEGHAN FROEHLICH
BOARD MEMBER0.30$0$0$0Yes (X)
JAMES SAJDAK
BOARD MEMBER0.30$0$0$0Yes (X)
DR CRHISTOPHER SCHULTE
BOARD MEMBER THROUGH 11/190.30$0$0$0Yes (X)
SABRINA BORO
BOARD MEMBER THROUGH 11/190.30$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$434,740TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$32,690TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHABCARE GROUP
7733 FORSYTH BLVDST LOUISMO63105THERAPY SERVICES$767,787
OVERLAND ROOFING & REMODELING
PO BOX 321246FRANKLINWI53132ROOFING$258,520
ROESCHEN INTERMED PHARMACY
3433 DOUGLAS AVERACINEWI53402PHARMACY SERVICES$257,403
CLIFTONLARSONALLEN
PO BOX 775351CHICAGOIL60690FINANCIAL SERVICES$141,571
ARAMARK UNIFORM SERVICES
25259 NETWORK PLACECHICAGOIL60673LAUNDRY SERVICES$131,837
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$25,017FundraisingAmt
Government Grants$453,713GovernmentGrantsAmt
All Other Contributions$75,984AllOtherContributionsAmt
Total Contributions$554,714TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
RESIDENT SERVICE REVENUE623000$13,327,817$13,327,817
RESIDENT ADMINISTRATIVE SERVICE R623000$1,156,865$1,156,865
MISCELLANEOUS RESIDENT SERVICES623000$284,179$284,179
DAYCARE REVENUE623000$283,738$283,738
RESIDENT FEES623000$152,293$89,082$63,211

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,995TotalRevenueColumnAmt
Exclusion$50,995ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,255,887TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,048TotalRevenueColumnAmt
Exclusion$53,048ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,760RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,760RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,760TotalRevenueColumnAmt
Exclusion$8,760ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$39,604FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$25,017ContriRptFundraisingEventAmt
Fundraising Direct Expenses$18,858FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,746TotalRevenueColumnAmt
Exclusion$20,746ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$6,483GrossSalesOfInventoryAmt
Cost Of Goods Sold$5,005CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,478TotalRevenueColumnAmt
Exclusion$1,478ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLOSS FROM DEBT REFINANCINGDesc
Business900099BusinessCd
Total Revenue Column-$196,410TotalRevenueColumnAmt
Exclusion-$196,410ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$196,410OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,698,223TotalRevenueColumnAmt
Related Or Exempt Func Income$14,857,502RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$286,007ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$328,492TotalAmt
Program Services$164,246ProgramServicesAmt
Management And General$164,246ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,231,042TotalAmt
Program Services$5,531,167ProgramServicesAmt
Management And General$1,699,875ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$169,215TotalAmt
Program Services$129,436ProgramServicesAmt
Management And General$39,779ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,064,190TotalAmt
Program Services$798,972ProgramServicesAmt
Management And General$265,218ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$545,501TotalAmt
Program Services$410,614ProgramServicesAmt
Management And General$134,887ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,185TotalAmt
Management And General$6,185ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,889TotalAmt
Management And General$25,889ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,708,584TotalAmt
Program Services$1,230,309ProgramServicesAmt
Management And General$478,275ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,716,657TotalAmt
Program Services$1,397,122ProgramServicesAmt
Management And General$319,535ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$396,623TotalAmt
Program Services$396,623ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,699TotalAmt
Program Services$2,018ProgramServicesAmt
Management And General$681ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$33,280TotalAmt
Program Services$25,046ProgramServicesAmt
Management And General$8,234ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$454,876TotalAmt
Program Services$454,876ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,828,140TotalAmt
Program Services$1,828,140ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$201,711TotalAmt
Management And General$201,711ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MISCELLANEOUS$676,907$492,384$164,369$20,154
LEASES$237,657$237,657
BAD DEBT EXPENSE$40,025$40,025

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,667,673TotalAmt
Program Services$13,138,635ProgramServicesAmt
Management And General$3,508,884ManagementAndGeneralAmt
Fundraising$20,154FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,819,740BOYAmt
EOY$5,630,615EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$972,519BOYAmt
EOY$741,053EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$120,423BOYAmt
EOY$134,997EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$253,641BOYAmt
EOY$42,202EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,339,748LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$29,529,023LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,276,913BOYAmt
EOY$10,810,725EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,848,249EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,443,236BOYAmt
EOY$21,207,841EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,935,824BOYAmt
EOY$3,485,472EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,673,872BOYAmt
EOY$15,934,977EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,466,217BOYAmt
EOY$92,880EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$863,773BOYAmt
EOY$270,893EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,179,193BOYAmt
EOY$5,068,712EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,118,879BOYAmt
EOY$24,852,934EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,675,643BOYAmt
EOY-$3,645,093EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,675,643BOYAmt
EOY-$3,645,093EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,443,236BOYAmt
EOY$21,207,841EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$969,450ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$169,785CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$148,424CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$102,945CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$203,895CurrentTaxYearMinus1YearAmt
Current Tax Year$554,714CurrentTaxYearAmt
Total$1,179,763TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,323,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,674,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,585,442CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,565,348CurrentTaxYearMinus1YearAmt
Current Tax Year$14,857,502CurrentTaxYearAmt
Total$88,005,868TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$429,992CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$478,073CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$691,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$406,552CurrentTaxYearMinus1YearAmt
Current Tax Year$425,614CurrentTaxYearAmt
Total$2,431,886TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,922,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,300,909CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,380,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,175,795CurrentTaxYearMinus1YearAmt
Current Tax Year$15,837,830CurrentTaxYearAmt
Total$91,617,517TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$91,617,517PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,012CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,410CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,700CurrentTaxYearMinus1YearAmt
Current Tax Year$61,808CurrentTaxYearAmt
Total$120,778TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,012CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,410CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,700CurrentTaxYearMinus1YearAmt
Current Tax Year$61,808CurrentTaxYearAmt
Total$120,778TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,939,953CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,315,757CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,395,452CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,187,495CurrentTaxYearMinus1YearAmt
Current Tax Year$15,899,638CurrentTaxYearAmt
Total$91,738,295TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99870PublicSupportCY509Pct
Public Support PY5090.99920PublicSupportPY509Pct
Investment Income CY0.00130InvestmentIncomeCYPct
Investment Income PY0.00080InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$939OtherActivitiesAmt
Total Lobbying Expenditures$939TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPORTION OF DUES PAID TO AHCA, WICAL, AND WHCA EXPENDED FOR LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$416,932OtherCostOrOtherBasisAmt
Book Value$416,932BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,114,878OtherCostOrOtherBasisAmt
Depreciation$22,692,574DepreciationAmt
Book Value$8,422,304BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,562,090OtherCostOrOtherBasisAmt
Depreciation$6,597,290DepreciationAmt
Book Value$1,964,800BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$245,848OtherCostOrOtherBasisAmt
Depreciation$239,159DepreciationAmt
Book Value$6,689BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,810,725TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBOND ESCROW FUNDSDesc
Book Value$3,848,249BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$3,848,249TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED REVENUE FROM ADVANCE FEESDesc
Amt$5,068,712Amt
FieldValueIRS element (for citing)
Total Liability$5,068,712TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,703,228TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$15,703,228RevenueSubtotalAmt
Other Revenues Not Included-$5,005OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$5,005RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,698,223TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,672,678TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,005OtherExpensesIncludedAmt
Expenses Not Reported$5,005ExpensesNotReportedAmt
Expenses Subtotal$16,667,673ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,667,673TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES A CORPORATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CORPORATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS AT JUNE 30, 2020 AND 2019.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVENTORY COST OF GOODS SOLD -5,005.
PART XII, LINE 2D - OTHER ADJUSTMENTS:INVENTORY COST OF GOODS SOLD 5,005.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$63,033GrossReceiptsEvent1Amt
Charitable Contri Event1$25,017CharitableContriEvent1Amt
Gross Revenue Event1$38,016GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$17,814RentFacilityCostsEvent1Amt
Food And Beverage Event1$0FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$1,045OtherDirectExpensesEvent1Amt
Gross Receipts Total$63,033GrossReceiptsTotalAmt
Charitable Contributions Tot$25,017CharitableContributionsTotAmt
Gross Revenue Total Events$38,016GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$17,814RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$1,045OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,859DirectExpenseSummaryEventsAmt
Net Income Summary$19,157NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDENNIS FERGERPersonNm
TitlePRESIDENT/CEOTitleTxt
Base Compensation Filing Org$199,617BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$14,019OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$1,547DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$13,048NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$228,231TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
Bond Issued2019-07-24BondIssuedDt
Issue Price$16,650,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of IssuerYes (1)OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$16,264,688TotalProceedsAmt
In Reserve Fund$1,059,075InReserveFundAmt
Issuance Costs From Proceeds$107,376IssuanceCostsFromProceedsAmt
Capital Expenditures$2,011,628CapitalExpendituresAmt
Other Spent Proceeds$10,663,718OtherSpentProceedsAmt
Unspent$2,422,891UnspentAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, BOND ISSUES:(F) DESCRIPTION OF PURPOSE: THE FUNDS WERE USED TO REFUND THE DEBT OBLIGATIONS WITH TCF BANK (SERIES 2013A TAX-EXEMPT BONDS, CONSTRUCTION TERM LOAN AND LINE OF CREDIT) AND TO PAY FOR CONSTRUCTION OF A NEW BUILDING WING AND CAPITAL IMPROVEMENTS AS THEY COME UP.
SCHEDULE K, PART II, LINE 3 DIFFERENCE FROM ISSUE PRICE:THE ISSUE PRICE INCLUDES $135,562.05 OF ORIGINAL ISSUE DISCOUNT, $249,750 OF UNDERWRITER'S DISCOUNT

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION IS A SPONSORED MINISTRY OF THE SCHOOL SISTERS OF ST FRANCIS OF ST JOSEPH'S CONVENT, MILWAUKEE, WISCONSIN, INC US PROVINCE (SSSF U.S. PROVINCE). THE ELECTED LEADERS OF THE SSSF U.S. PROVINCE AND ITS TREASURER SERVE AS CORPORATE MEMBERS AND EXERCISE CONTROL OF THIS SUBSIDIARY CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE CURRENT BOARD MEMBERS RECRUIT, ELECT, AND VOTE FOR NEW BOARD MEMBERS AND THE FINAL VOTE IS FROM THE SCHOOL SISTERS OF ST FRANCIS.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD DOES MAKE SOME DECISIONS WITHOUT APPROVAL, HOWEVER, CERTAIN ITEMS REQUIRE FINAL APPROVAL BY THE SCHOOL SISTERS OF ST FRANCIS (SSSF). THE SSSF HAVE THE POWER TO SAFEGUARD THE PURPOSES OF THE CORPORATION AND TO ANNUALLY MEET WITH THE BOARD OF DIRECTORS AND REVIEW THE FUNCTION OF THE BOARD AND THE OPERATIONS OF THE CORPORATION IN ACCORD WITH THE SSSF PHILOSOPHY, VALUES AND HERITAGE. TO APPOINT MEMBERS TO THE BOARD OF DIRECTORS. TO SAFEGUARD ALL ACTIVITIES IN ACCORDANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH SERVICES AS PROMULGATED BY THE NATIONAL CONFERENCE OF CATHOLIC BISHOPS. TO APPROVE THE STATEMENTS OF PHILOSOPHY AND MISSION OF THE CORPORATION. TO AMEND, RESTATE, OR MODIFY THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE CORPORATION. TO APPROVE THE BYLAWS OF ALL ORGANIZATIONS UNDER THE AUSPICES OF THE CORPORATION. TO APPOINT AND TERMINATE THE CEO OF THE CORPORATION, AS RECOMMENDED BY THE BOARD OF DIRECTORS. TO APPROVE CAPITAL AND OPERATING BUDGETS FOR THE CORPORATION. TO APPROVE ANY CONTRACT UNDERTAKEN WITH A MANAGEMENT FIRM FOR GENERAL ADMINISTRATION SERVICES OR FULL OPERATION OF THE CORPORATION. TO APPROVE THE AUDITING FIRM REQUIRED FOR INSTITUTIONS SPONSORED BY SSSF. TO APPROVE ALL MAJOR (OVER $250,000) DEBT OBLIGATION INCURRED BY THE CORPORATION. TO APPROVE ALL MAJOR FUND DRIVES AND THE ESTABLISHMENT OF ENDOWMENTS TO HOLD EXCLUSIVE AUTHORITY FOR THE DISSOLUTION, SALE PLEDGE, TRANSFER OR OTHER DISPOSITION OF THE ASSETS OF THE CORPORATION OR ITS MERGER WITH ANOTHER CORPORATION. TO APPOINT ONE SSSF TO SERVE ON ANY CEO SELECTION COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11BONCE CLEMENT MANOR RECEIVES THE COMPLETED FORM 990, THEY SEND A COPY TO THE EXECUTIVE COMMITTEE OF THEIR BOARD OF DIRECTORS. IT IS THEN DISCUSSED AND APPROVED AT A BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CCLEMENT MANOR HAS ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES SIGN THE CONFLICT OF INTEREST STATEMENTS ANNUALLY, DISCLOSING ALL CONFLICTS OF INTEREST. CONFLICT OF INTEREST POLICY: DIRECTORS, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS SHALL NOT DIVULGE OR COMMUNICATE TO ANY PERSON(S) ANY CONFIDENTIAL INFORMATION OF ANY KIND CONCERNING ANY MATTERS AFFECTING OR RELATING TO THE BUSINESS OF CLEMENT MANOR AND ITS PARTICIPATING ORGANIZATIONS. IF ONE IS NOT SURE IF INFORMATION IS CONFIDENTIAL, SUCH PERSON SHOULD REQUEST A DETERMINATION BY THE BOARD, THE CHAIRPERSON OF THE BOARD OR THE PRESIDENT, CEO OR ADMINISTRATOR. TRANSACTIONS INVOLVING CONFLICTS OF INTEREST INCLUDE BUT ARE NOT LIMITED TO: 1. THE SALE, PURCHASE, LEASE OR RENTAL OF ANY PROPERTY OR OTHER ASSET, 2. EMPLOYMENT OR RENDITION OF SERVICES, PERSONAL OR OTHERWISE, 3. THE AWARD OF ANY GRANT, CONTRACT, OR SUBCONTRACT, OR 4. THE INVESTMENT OR DEPOSIT OF ANY FUNDS OF THE CORPORATION. THIS PROHIBITION SHALL NOT, HOWEVER, PREVENT THE DISCLOSURE OF CONFIDENTIAL INFORMATION TO AN OFFICER OR DIRECTOR OR AN ORGANIZATION THAT CONTROLS CLEMENT MANOR. CONFLICT OF INTEREST PROCEDURES: 1. EVERY DIRECTOR, OFFICER, AND EMPLOYEE IS FAMILIARIZED WITH THE CONFIDENTIALITY POLICY DURING THEIR ORIENTATION PERIOD OR PRIOR TO ASSUMING THEIR DUTIES OR TERMS OF OFFICE, 2. WHENEVER A DIRECTOR, OFFICER, OR EMPLOYEE FEELS THAT A CONFLICT OF INTEREST SITUATION IS OR MAY BE INVOLVED, THE FACTS ARE TO BE PROMPTLY DISCLOSED A) IN THE CASE OF AN EMPLOYEE THE FACTS SHOULD BE KNOWN TO THE CHIEF EXECUTIVE OFFICER, B) IN THE CASE OF A DIRECTOR THE FACTS SHOULD BE KNOWN TO THE PRESIDENT OF THE BOARD OF DIRECTORS. THEREAFTER THE DIRECTOR SHALL REFRAIN FROM DISCUSSING OR VOTING ON THE PARTICULAR TRANSACTION IN WHICH HE HAS AN INTEREST OR OTHERWISE ATTEMPTING TO EXERT ANY INFLUENCE ON THE CORPORATION, ITS BOARD OF DIRECTORS, OR ITS COMMITTEES, TO AFFECT ITS DECISION TO PARTICIPATE IN SUCH TRANSACTION. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, AND THE ABSTENTION FROM DISCUSSION AND VOTING ON THE PARTICULAR TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15THE CEO, CFO AND OTHER KEY MANAGEMENT STAFF REVIEW ALL EMPLOYEES' WAGES AND THE BOARD COMPENSATION COMMITTEE REVIEWS THE CEO'S SALARY WITHOUT CONFLICT OF INTEREST. CLEMENT MANOR HAS ESTABLISHED WAGE RANGES FOR EVERY POSITION. EVERY YEAR, THEY COMPARE THE JOB RANGES TO A WAGE SURVEY THAT LEADING AGE PUTS TOGETHER. CLEMENT MANOR'S GOAL IS TO REMAIN AROUND THE 75TH PERCENTILE OF THE SURVEY. IF THEY ARE BELOW, THE CEO, CFO, AND OTHER KEY MANAGEMENT STAFF DECIDE IF THEY NEED TO INCLUDE AN ADJUSTMENT TO THE WAGE RANGE. THEY THEN INCLUDE THE FISCAL IMPACT IN THE BUDGET TO BE APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL MAKE THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GNURSING SERVICES: PROGRAM SERVICE EXPENSES 291,439. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 291,439. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 614,885. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 614,885. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 15,010. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,010. RELIGIOUS SERVICES: PROGRAM SERVICE EXPENSES 3,709. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,709. CLEANING/LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 98,525. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,525. MAINTENANCE: PROGRAM SERVICE EXPENSES 206,741. MANAGEMENT AND GENERAL EXPENSES 429,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 636,606. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,510. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,510. DATA PROCESSING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,900.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
THE SCHOOL SISTERS OF ST FRANCIS OF ST JOSEPH'S CONVENT
1515 S LAYTON BLVDMILWAUKEEWI53215390806266RELIGIOUS ORDERWI501(C)(3)LINE 1N/A0
MARYHILL MANOR
501 MADISON AVENUENIAGARAWI54151391501353NURSING HOMEWI501(C)(3)LINE 100US PROVINCE OF THE SCHOOL SISTERS OF ST FRANCIS
OUR LADY OF THE ANGELS
3995 S 92ND STREETGREENFIELDWI53228271566571RELIGIOUS ORDERWI501(C)(3)LINE 10US PROVINCE OF THE SCHOOL SISTERS OF ST FRANCIS AND CENTRAL PACIFIC PROV
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd