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GERALD L IGNACE INDIAN HEALTH CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GERALD L IGNACE INDIAN HEALTH CENTER INC (EIN 39-1958089)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-07-02
IRS object ID
201841839349300349
Schema version
2016v3.0
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

FieldValueIRS element (for citing)
Return2018-07-02T12:46:44-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390747409PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1REILLY PENNER & BENTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11233 NORTH MAYFAIR ROAD SUITE 302AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP532263255ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391958089EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GERALD L IGNACE INDIAN HEALTH CENTERBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGERABusinessNameControlTxt
Phone4143839526PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 W HISTORIC MITCHELL STAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53204ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR LYLE A IGNACE MD MPHPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4143839526PhoneNum
Signature2018-06-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN MECHENICHPreparerPersonNm
PTINP00976753PTIN
Phone4142717800PhoneNum
Preparation2018-04-26PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR LYLE A IGNACE MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 W HISTORIC MITCHELL STAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53204ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,984,313GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GLIIHC.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE AND RELATED SERVICES PRIMARILY TO AMERICAN INDIANS RESIDING IN SOUTHEASTERN WISCONSIN. IT'S MISSION IS TO IMPROVE THE HEALTH, PEACE AND WELFARE OF MILWAUKEE'S URBAN INDIAN COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee62TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,606,148PYContributionsGrantsAmt
CY Contributions Grants$4,535,522CYContributionsGrantsAmt
PY Program Service Revenue$1,663,614PYProgramServiceRevenueAmt
CY Program Service Revenue$1,359,602CYProgramServiceRevenueAmt
PY Investment Income$1,458PYInvestmentIncomeAmt
CY Investment Income$19,943CYInvestmentIncomeAmt
PY Other Revenue$10,589PYOtherRevenueAmt
CY Other Revenue$20,669CYOtherRevenueAmt
PY Total Revenue$6,281,809PYTotalRevenueAmt
CY Total Revenue$5,935,736CYTotalRevenueAmt
PY Grants And Similar Paid$164,241PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$167,324CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,533,002PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,044,636CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,753,450PYOtherExpensesAmt
CY Other Expenses$2,927,099CYOtherExpensesAmt
PY Total Expenses$5,450,693PYTotalExpensesAmt
CY Total Expenses$6,139,059CYTotalExpensesAmt
PY Revenues Less Expenses$831,116PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$203,323CYRevenuesLessExpensesAmt
Total Assets BOY$4,469,832TotalAssetsBOYAmt
Total Assets EOY$5,292,773TotalAssetsEOYAmt
Total Liabilities BOY$664,345TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,690,609TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,805,487NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,602,164NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MEDICAL, MENTAL HEALTH AND RELATED SERVICES PRIMARILY TO AMERICAN INDIANS RESIDING IN SOUTHEASTERN WISCONSIN. MISSION IS TO IMPROVE THE HEALTH, PEACE AND WELFARE OF MILWAUKEE'S URBAN INDIAN COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,958,470ExpenseAmt
Grant$167,324GrantAmt
Revenue$1,359,602RevenueAmt
DescWE PROVIDE MEDICAL SERVICES AT OUR CLINIC LOCATION, REFERRALS FOR SPECIALTY CARE, LABORATORY SERVICES, MENTAL HEALTH, SUBSTANCE ABUSE, SOCIAL SERVICES, HEALTH EDUCATION, FAMILY PLANNING SERVICES & A DIABETES PROGRAM. WE ALSO PROVIDE ENABLING SERVICES SUCH AS PERSONAL CARE AND HOUSEHOLD ITEMS, CLOTHING, TRANSPORTATION FOR MEDICAL SERVICES, ASSISTANCE WITH MEDICAL PRESCRIPTIONS, CAREER ASSISTANCE AND SUPPORT GROUPS.Desc
Total Program Service Expenses$5,958,470TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee62EmployeeCnt
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 Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHERRIE DYETTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4143839526PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 W HISTORIC MITCHELL STREETAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53204ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEVE NINHAM
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
ANNE EGAN-WAUKAU
VICE CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
SIOBHAN KALMANSON MARKS
SECRETARY1.00Yes (X)$0$0$0
CANDICE ZIELINSKI
MEMBER1.00Yes (X)$0$0$0
SUSAN DAVIDS
MEMBER1.00Yes (X)$0$0$0
BRIAN PIERSON
MEMBER1.00Yes (X)$0$0$0
KIRK RITCHIE
MEMBER1.00Yes (X)$0$0$0
JAMIE KELLICUT
MEMBER1.00Yes (X)$0$0$0
MARK THIEL
MEMBER1.00Yes (X)$0$0$0
DR LYLE IGNACE
EXECUTIVE DIRECTOR40.00Yes (X)$178,989$0$24,830
EUGENE BRAAKSMA
EMPLOYEE40.00$101,366$0$29,863Yes (X)
PAUL GINKEL
EMPLOYEE40.00$108,343$0$19,824Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$388,698TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$74,517TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$4,107,805GovernmentGrantsAmt
All Other Contributions$427,717AllOtherContributionsAmt
Noncash Contributions$172,935NoncashContributionsAmt
Total Contributions$4,535,522TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLINICAL REVENUE624100$1,343,720$1,343,720
OTHER PROGRAM REVENUE624100$15,882$15,882
FieldValueIRS element (for citing)
Total Program Service Revenue$1,359,602TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,943TotalRevenueColumnAmt
Exclusion$19,943ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$8,478RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$8,478RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,478TotalRevenueColumnAmt
Exclusion$8,478ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$48,041FundraisingGrossIncomeAmt
Fundraising Direct Expenses$48,577FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$536TotalRevenueColumnAmt
Exclusion-$536ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$12,727TotalRevenueColumnAmt
Exclusion$12,727ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$12,727OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,935,736TotalRevenueColumnAmt
Related Or Exempt Func Income$1,359,602RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$40,612ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$167,324TotalAmt
Program Services$167,324ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$207,631TotalAmt
Program Services$186,868ProgramServicesAmt
Management And General$20,763ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,163,851TotalAmt
Program Services$2,147,356ProgramServicesAmt
Management And General$16,495ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$437,384TotalAmt
Program Services$436,833ProgramServicesAmt
Management And General$551ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$235,770TotalAmt
Program Services$232,211ProgramServicesAmt
Management And General$3,559ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,170TotalAmt
Program Services$11,853ProgramServicesAmt
Management And General$1,317ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,870TotalAmt
Program Services$18,280ProgramServicesAmt
Management And General$1,590ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$402,694TotalAmt
Program Services$387,131ProgramServicesAmt
Management And General$15,563ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$439TotalAmt
Management And General$439ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$217,619TotalAmt
Program Services$213,595ProgramServicesAmt
Management And General$4,024ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$557,592TotalAmt
Program Services$501,833ProgramServicesAmt
Management And General$55,759ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,605TotalAmt
Program Services$34,938ProgramServicesAmt
Management And General$667ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$30,959TotalAmt
Program Services$27,141ProgramServicesAmt
Management And General$3,818ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,780TotalAmt
Management And General$2,780ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$50,236TotalAmt
Program Services$45,362ProgramServicesAmt
Management And General$4,874ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$55,156TotalAmt
Program Services$54,206ProgramServicesAmt
Management And General$950ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$1,305,953$1,305,953
EQUIPMENT & SOFTWARE PU$57,273$56,607$666
BANK CHARGES & PAYROLL$32,008$28,848$3,160
EQUIP REPAIR AND MAINT$30,649$2,161$28,488

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$115,096TotalAmt
Program Services$99,970ProgramServicesAmt
Management And General$15,126ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,139,059TotalAmt
Program Services$5,958,470ProgramServicesAmt
Management And General$180,589ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$102,658BOYAmt
EOY$59,673EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$967,714BOYAmt
EOY$778,149EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$440,997BOYAmt
EOY$331,653EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,498,538BOYAmt
EOY$2,517,372EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$25,452BOYAmt
EOY$11,579EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$68,466BOYAmt
EOY$160,028EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,456,558LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$188,239LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$213,507BOYAmt
EOY$1,268,319EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$152,500BOYAmt
EOY$166,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,469,832BOYAmt
EOY$5,292,773EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$656,597BOYAmt
EOY$1,190,913EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,748BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$499,696EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$664,345BOYAmt
EOY$1,690,609EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,805,487BOYAmt
EOY$3,552,164EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$50,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,805,487BOYAmt
EOY$3,602,164EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,469,832BOYAmt
EOY$5,292,773EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$203,323ReconcilationRevenueExpnssAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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 D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$719,221OtherCostOrOtherBasisAmt
Depreciation$55,514DepreciationAmt
Book Value$663,707BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$737,337OtherCostOrOtherBasisAmt
Depreciation$132,725DepreciationAmt
Book Value$604,612BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,268,319TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,935,736TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$5,935,736RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,935,736TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,139,059TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$6,139,059ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$6,139,059TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXED ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. GENERALLY, FOR UNITED STATES FEDERAL INCOME TAXES, THE ORGANIZATION IS ONLY SUBJECT TO EXAMINATION FOR THE CURRENT YEAR'S TAX RETURN AND THE PRECEDING THREE YEARS' RETURNS. GENERALLY, FOR WISCONSIN INCOME TAXES, THE ORGANIZATION IS ONLY SUBJECT TO EXAMINATIONS FOR CURRENT YEARS' TAX RETURN AND THE PRECEDING FOUR YEARS' RETURNS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$48,041GrossReceiptsEvent1Amt
Gross Revenue Event1$48,041GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,376NonCashPrizesEvent1Amt
Rent Facility Costs Event1$18,948RentFacilityCostsEvent1Amt
Entertainment Event1$2,698EntertainmentEvent1Amt
Other Direct Expenses Event1$25,555OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$48,041GrossReceiptsTotalAmt
Gross Revenue Total Events$48,041GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,376NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$18,948RentFcltyCostsTotalEventsAmt
Entertainment Total Events$2,698EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$25,555OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$48,577DirectExpenseSummaryEventsAmt
Net Income Summary-$536NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCLOTHING AND HOUSEHOLD GOODSGrantTypeTxt
Recipient2500RecipientCnt
Non Cash Assistance$167,324NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceCLOTHING, HOUSEHOLD GOODS AND PERSONAL CARE ITEMS.NonCashAssistanceDesc

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
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)
PersonDR LYLE IGNACEPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$178,989BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$24,830NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$203,819TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$167,584NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$4,322NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescTELEVISIONSDesc
Contribution2ContributionCnt
Noncash Contributions Rpt F990$1,029NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE AND PRESENTED TO THE BOARD BY THE TREASURER.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST IS MONITORED BY THE BOARD PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS, USING NON-PROFIT COMPENSATION SURVEY, AN ANNUAL EMPLOYEE REVIEW, AND SALARY STUDY. FINAL APPROVAL OF THE DECISION IS MADE BY THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19ALL REQUESTS ARE MADE THROUGH THE EXECUTIVE ASSISTANT WHO THEN CONFERS WITH THE EXECUTIVE DIRECTOR. COPIES OF THESE DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST.
FORM 990, PART XI, LINE 2C:THE PROCESS FOR THE OVERSIGHT OF THE AUDIT HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PHOENIX MITCHELL LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11818 N FARWELL AVENUEAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesOWNERSHIP OF BUILDING THE ORGANIZATION RENTSPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Predominant Income TypeRENTPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.25000OwnershipPct
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 OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PHOENIX MITCHELL LLC
F$18,000AMOUNT RECEIVED
PHOENIX MITCHELL LLC
K$406,000FMV
PHOENIX MITCHELL LLC
P$76,353FMV