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CLEMENT MANOR INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CLEMENT MANOR INC (EIN 39-1020547)
Tax period
2024-04-01 to 2024-12-31
Filed
2025-11-18
IRS object ID
202533229349301448
Schema version
2024v5.0
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)
Return2025-11-18T16:14:30-07:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-04-01TaxPeriodBeginDt

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)
PersonBarbara KanePersonNm
Person TitleDirector of FinancePersonTitleTxt
Phone4143211800PhoneNum
Signature2025-11-17SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDennis FergerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13939 S 92nd StreetAddressLine1Txt
CityGreenfieldCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53228ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,088,473GrossReceiptsAmt
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 Catholic healthcare and eldercare organization sponsored by the Franciscan Sisters of Christian Charity, committed to providing a continuum of care and fostering the highest potential for the well-being of each individual on our campus and in our communities through the values of respect, collaboration and quality service.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee315TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$102,867PYContributionsGrantsAmt
CY Contributions Grants$216,171CYContributionsGrantsAmt
PY Program Service Revenue$13,581,490PYProgramServiceRevenueAmt
CY Program Service Revenue$13,774,362CYProgramServiceRevenueAmt
PY Investment Income$37,022PYInvestmentIncomeAmt
CY Investment Income$77,045CYInvestmentIncomeAmt
PY Other Revenue-$3,027PYOtherRevenueAmt
CY Other Revenue$592CYOtherRevenueAmt
PY Total Revenue$13,718,352PYTotalRevenueAmt
CY Total Revenue$14,068,170CYTotalRevenueAmt
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$7,251,557PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,849,040CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,901,079PYOtherExpensesAmt
CY Other Expenses$6,173,619CYOtherExpensesAmt
PY Total Expenses$14,152,636PYTotalExpensesAmt
CY Total Expenses$14,022,659CYTotalExpensesAmt
PY Revenues Less Expenses-$434,284PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$45,511CYRevenuesLessExpensesAmt
Total Assets BOY$15,517,884TotalAssetsBOYAmt
Total Assets EOY$25,285,136TotalAssetsEOYAmt
Total Liabilities BOY$20,620,455TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,187,470TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,102,571NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,097,666NetAssetsOrFundBalancesEOYAmt
MissionClement Manor is a Catholic healthcare and eldercare organization sponsored by the Franciscan Sisters of Christian Charity. We are committed to providing a continuum of care and fostering the highest potential for the wellbeing of each individual on our campus and in our communities through deeply-rooted Franciscan values dedicated to enriching the life experience.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,589,323ExpenseAmt
Grant$0GrantAmt
Revenue$13,452,141RevenueAmt
DescClement Manor, Inc. operates a high-quality skilled nursing facility offering nursing services, social services, leisure activities as well as spiritual services. A significant number of residents receive care where payments received from governmental agencies are at a shortfall of costs. Clement Manor also provides an array of services to support the elderly in their own apartments while assuring the maximum level on independence.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$13,589,323TotalProgramServiceExpensesAmt
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
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 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 AccountYes (1)EscrowAccountInd
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 Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee315EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 Body0Form990ProvidedToGvrnBodyInd
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

FieldValueIRS element (for citing)
PersonKwasi Ofori-TanoPersonNm
Phone4143211800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13939 S 92nd streetAddressLine1Txt
CityGreenfieldCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53228ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Dennis Ferger
President / CEO400Yes (X)Yes (X)Yes (X)Yes (X)$287,033$0$0
Dinese Roberts
Registered Nurse400Yes (X)$174,499$0$0
Teresa Gatto
COO400Yes (X)Yes (X)$154,932$0$0
Trisha Atkinson
Director of Nursing40Yes (X)$134,728$0$0
Deborah Safford
Asst Director of Nursing400Yes (X)$112,891$0$0
Colleen Turner
Certified Nursing Assistant400Yes (X)$111,051$0$0
Kwasi Ofori-Tano
Controller400Yes (X)$104,277$0$0
Philip Dougherty Jr
Board Chair0.50Yes (X)Yes (X)$0$0$0
Ann Maher
Vice Chair0.50Yes (X)Yes (X)$0$0$0
John Heindel
Treasurer0.50Yes (X)Yes (X)$0$0$0
Sister Judeen Schulte
Secretary0.50Yes (X)Yes (X)$0$0$0
Krista Pankop
Board Member0.50Yes (X)$0$0$0
Cathleen Kelling
Board Member0.50Yes (X)$0$0$0
David Niles
Board Member0.50.5Yes (X)$0$0$0
Sister Julie Ann Sheahan
Board Member00Yes (X)$0$0$0
Sister Anne Turba
Board Member50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,079,411TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Select Rehabilitation LLC
PO Box 71985ChicagoIL60694Therapy Services$440,729
Reinhart Boerner Van Deuren SC
1000 N Water Street Suite 1700MilwaukeeWI53202Legal$105,672
Amergis Healthcare Staffing Inc
12558 Collections Center DrChicagoIL60693Agency staffing$104,166
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$54,170FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$162,001AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$216,171TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Resident Services Revenue623000$12,008,716$12,008,716$0$0
Resident Administrative Revenue623200$523,645$523,645$0$0
Dietary Sales623000$496,146$0$0$496,146
Resident Fees623000$249,489$53,366$0$196,123
All other Program service revenue623000$496,366$42,740$0$453,626

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,774,362TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,045TotalRevenueColumnAmt
Related Or Exempt Func Income$77,045RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$20,895FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$54,170ContriRptFundraisingEventAmt
Fundraising Direct Expenses$20,303FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$592TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$592ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,068,170TotalRevenueColumnAmt
Related Or Exempt Func Income$12,705,512RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,146,487ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$441,966TotalAmt
Program Services$220,983ProgramServicesAmt
Management And General$220,983ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,880,088TotalAmt
Program Services$5,880,088ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$150,003TotalAmt
Program Services$150,003ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$922,629TotalAmt
Program Services$922,629ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$454,354TotalAmt
Program Services$454,354ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,950TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,950ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$105,794TotalAmt
Program Services$0ProgramServicesAmt
Management And General$105,794ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$100,609TotalAmt
Program Services$0ProgramServicesAmt
Management And General$100,609ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$38,649TotalAmt
Program Services$38,649ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,529,747TotalAmt
Program Services$1,529,747ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,508TotalAmt
Program Services$1,508ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$591,409TotalAmt
Program Services$591,409ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$813,608TotalAmt
Program Services$813,608ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$297,440TotalAmt
Program Services$297,440ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Food$1,140,909$1,140,909$0$0
Medical supplies and services$713,069$713,069$0$0
Nonmedical Resident Supplies and Services$309,835$309,835$0$0
External Laundry$94,426$94,426$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$430,666TotalAmt
Program Services$430,666ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,022,659TotalAmt
Program Services$13,589,323ProgramServicesAmt
Management And General$433,336ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,333,381BOYAmt
EOY$1,860,077EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$857,832BOYAmt
EOY$747,492EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$165,952BOYAmt
EOY$171,237EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$185,082BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,052,732LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$804,299LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,306,490BOYAmt
EOY$19,248,433EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,539,809EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$101,064EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,669,147BOYAmt
EOY$1,617,024EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,517,884BOYAmt
EOY$25,285,136EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,867,367BOYAmt
EOY$1,978,994EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$584,304BOYAmt
EOY$427,565EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,097,304BOYAmt
EOY$14,797,844EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,071,480BOYAmt
EOY$2,983,067EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,620,455BOYAmt
EOY$20,187,470EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$5,102,571BOYAmt
EOY$5,097,666EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$5,102,571BOYAmt
EOY$5,097,666EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,517,884BOYAmt
EOY$25,285,136EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$45,511ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$45,511NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$10,200,237OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
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$3,294,508CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,461,496CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$130,378CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$114,978CurrentTaxYearMinus1YearAmt
Current Tax Year$100CurrentTaxYearAmt
Total$5,001,460TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,672,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,616,172CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,581,725CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,455,360CurrentTaxYearMinus1YearAmt
Current Tax Year$13,031,442CurrentTaxYearAmt
Total$68,357,654TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$205,862CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$908,733CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$961,531CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,126,130CurrentTaxYearMinus1YearAmt
Current Tax Year$866,413CurrentTaxYearAmt
Total$4,068,669TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,173,325CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,986,401CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,673,634CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,696,468CurrentTaxYearMinus1YearAmt
Current Tax Year$13,897,955CurrentTaxYearAmt
Total$77,427,783TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$77,427,783PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,579CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,732CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37,022CurrentTaxYearMinus1YearAmt
Current Tax Year$77,045CurrentTaxYearAmt
Total$150,678TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,579CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,732CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37,022CurrentTaxYearMinus1YearAmt
Current Tax Year$77,045CurrentTaxYearAmt
Total$150,678TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,174,904CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,992,133CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,702,934CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,733,490CurrentTaxYearMinus1YearAmt
Current Tax Year$13,975,000CurrentTaxYearAmt
Total$77,578,461TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99806PublicSupportCY509Pct
Public Support PY5090.9987PublicSupportPY509Pct
Investment Income CY0.00194InvestmentIncomeCYPct
Investment Income PY0.0017InvestmentIncomePYPct
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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,596,400OtherCostOrOtherBasisAmt
Book Value$3,596,400BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$12,688,116OtherCostOrOtherBasisAmt
Depreciation$477,062DepreciationAmt
Book Value$12,211,054BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,688,779OtherCostOrOtherBasisAmt
Depreciation$315,615DepreciationAmt
Book Value$3,373,164BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$79,437OtherCostOrOtherBasisAmt
Depreciation$11,622DepreciationAmt
Book Value$67,815BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$19,248,433TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Bond reserve funds$1,429,993
Leased assets right of use$187,031
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,617,024TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Resident deposits$342,537
Operating and Financing Lease Liabilities$198,864
Reserve for founders fees$2,441,666
FieldValueIRS element (for citing)
Total Liability$2,983,067TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Clement Manor Golf ClassicEvent1Nm
Gross Receipts Event1$75,065GrossReceiptsEvent1Amt
Charitable Contri Event1$54,170CharitableContriEvent1Amt
Gross Revenue Event1$20,895GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$5,984RentFacilityCostsEvent1Amt
Food And Beverage Event1$7,540FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$6,779OtherDirectExpensesEvent1Amt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Gross Receipts Total$75,065GrossReceiptsTotalAmt
Charitable Contributions Tot$54,170CharitableContributionsTotAmt
Gross Revenue Total Events$20,895GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$5,984RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$7,540FoodAndBeverageTotalEventsAmt
Entertainment Total Events$0EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$6,779OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$20,303DirectExpenseSummaryEventsAmt
Net Income Summary$592NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
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$222,162BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$43,626BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$4,458DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$7,296NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$277,542TotalCompensationFilingOrgAmt
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 FacilitiesBusinessNameLine1Txt
Business Name Line2AuthorityBusinessNameLine2Txt
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
CUSIP97712DW40CUSIPNum
Bond Issued2019-07-31BondIssuedDt
Issue Price$16,514,438IssuePriceAmt
PurposeRefund Series 2013A tax-exempt bonds. Construct new building wing.PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$910,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$16,386,941TotalProceedsAmt
In Reserve Fund$1,059,075InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$330,289IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$4,539,216CapitalExpendituresAmt
Other Spent Proceeds$8,738,483OtherSpentProceedsAmt
Unspent$1,273,720UnspentAmt
Substantial Completion2022SubstantialCompletionYr
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
Private Bus Use By Others0PrivateBusUseByOthersPct
Private Bus Concerning UBI0PrivateBusConcerningUBIPct
Total Private Business Use0TotalPrivateBusinessUsePct
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 YetYes (1)RebateNotDueYetInd
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 ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 4On April 1, 2024, Franciscan Sisters of Christian Charity Sponsored Ministries, Inc. acquired Clement Manor from the School Sisters of St. Francis and became the sole member of Clement Manor. Concurrently, sponsorship of Clement Manor transferred from the School Sisters of St. Francis to Holy Family Convent of the Franciscan Sisters of Christian Charity. Clement Manor's bylaws were amended to acknowledge new reserved powers, fiscal year end, and dissolution provisions.
Form 990, Part VI, Section A, Line 6Franciscan Sisters of Christian Charity Sponsored Ministries, Inc is the sole member of Clement Manor.
Form 990, Part VI, Section A, Line 7aThe Clement Manor board of directors recommends new and returning board members to its sole member, Franciscan Sisters of Christian Charity Sponsored Ministries, for approval.
Form 990, Part VI, Section A, Line 7bTHE FOLLOWING TRANSACTIONS SHALL BE AUTHORIZED ONLY BY VOTE OF THE MEMBER OF THE CORPORATION, WHICH VOTE SHALL BE TAKEN ONLY AFTER CONSIDERING THE ADVICE OF THE BOARD OF DIRECTORS OF CLLEMENT MANOR,INC. ANY ACTION TAKEN BY THE MEMBER ON ANY OF THESE MATTERS SHALL BE IMMEDIATELY COMMUNICATED TO THE BOARD OF DIRECTORS OF CLEMENT MANOR INC. A) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE OR LEASE OF REAL ESTATE BY OR TO THE CORPORATION FOR WHICH IT WAS AND IS FORMED AND EXISTS. B) APPROVAL OF BORROWING OUTSIDE THE LIMITS ESTABLISHED BY THE MEMBER RESOLUTION. C) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE OR LEASE OF REAL ESTATE BY OR TO THE CORPORATION FOR LONGER THAN ONE YEAR. D) REQUIREMENT OF A CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME AND APPROVAL OF THE FISCAL AUDITOR OF THE CORPORATION ANNUALLY. E) APPROVAL OF ALL INSURANCE CARRIERS AND INSURANCE COVERAGE FOR THE CORPORATION. F) REVIEW AND APPROVAL OF CAPITAL AND OPERATION BUDGETS. G) APPOINTMENT, EVALUATION OR DISCHARGE OF THE PRESIDENT/CEO OF CLEMENT MANOR, INC. H) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS. I) APPROVAL OF THE CREATION AND DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY CORPORATIONS, AS WELL AS APPROVAL OF ANY MERGER, CONSOLIDATION, AFFILIATION, JOINT VENTURE OR OTHER FORM OF CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OF WHICH THIS CORPORATION IS A MEMBER OF CONTROLLING SHAREHOLDER. J) AMENDMENT OF ARTICLES OF INCORPORATION AND BY LAWS OF THE CORPORATION. K) IMPLEMENTATION OF APPOINTMENT, SALARY NEGOTIATION AND REASSIGNMENT PROCESS FOR FRANCISCAN SISTER PERSONNEL WITHIN THE CORPORATION. M) THE POWERS STATED ABOVE AND ALL OTHER POWERS NOT DELEGATED IN THESE BY LAWS ARE RESERVED TO THE MEMBERS, BUT THE MEMBER DOES HEREBY DELEGATE TO THE BOARD OF DIRECTORS THE AUTHORITY TO OPERATE THE CORPORATION AS SET FORTH IN ARTICLE III, SECTION 8 OF THESE BY LAWS.
Form 990, Part VI, Section B, Line 11bThe Form 990 is reviewed and by the CEO and CFO and then provided to the board of directors electronically within 30 days of filing with the IRS.
Form 990, Part VI, Section B, Line 12cEACH OFFICER AND CERTAIN ASSOCIATES AND VOLUNTEERS ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURES RELATED TO THE POTENTIAL CONFLICT. THE PRESIDENT RENDERS A DECISION REGARDING WHAT ACTION IS PROHIBITED OR ALLOWED RELATIVE TO THE CONFLICT OF INTEREST. DISCLOSURES AND DECISIONS AR REPORTED TO THE BOARD OF DIRECTORS
Form 990, Part VI, Section B, Line 15THE CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND THE PRESIDENT OF SPONSORED MINISTRIES. IT IS BASED IN PART ON THE CEO'S PERFORMANCE AND ATTAINMENT OF GOALS SET FORTH FOR HIM/HER. COMPARABILITY DATA FROM LEADING AGE WISCONSIN IS USED WITH SPECIFIC COMPARISONS MADE TO ORGANIZATIONS THREE DIFFERENT WAYS: WITH SIMILAR SIZE, SIMILAR ANNUAL REVENUE AND SIMILAR GEOGRAPHIC LOCATION. THE EXECUTIVE COMMITTEE OF THE BOARD MEETS IN CLOSED SESSION TO DETERMINE ANNUAL CEO COMPENSATION AND MEMORIALIZES THE DELIBERATION AND DISCUSSION IN WRITING IN THE FORM OF A LETTER TO THE CEO. THE CEO'S SALARY HAS BEEN REVIEWED AND APPROVED BY THE SPONSORED MINISTRIES, BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF SPES. THE SALARIES OF THE SPES EXECUTIVE TEAM MEMBERS ARE DETERMINED BASED ON COMPARABILITY DATA FROM LEADING AGE WISCONSIN, WITH SPECIFIC COMPARISONS MADE TO ORGANIZATIONS THREE DIFFERENT WAYS: WITH SIMILAR PERFORMANCE, WITH INCREASES BEING GIVEN BASED ON MERIT AND ACHIEVEMENT OF EXPECTED PERFORMANCE. THE CEO OF THE ORGANIZATION AND DIRECTOR OF HUMAN RESOURCES DETERMINE FINAL COMPENSATION AMOUNTS. KEY EMPLOYEE SALARIES ARE ALSO DISCLOSED TO AND REVIEWED BY THE BOARD OF DIRECTORS. SALARY DECISIONS ARE DOCUMENTED VIA PERFORMANCE EVALUATION AND LETTERS TO EMPLOYEES THAT ANNOUNCE THEIR NEW SALARIES.
Form 990, Part VI, Section C, Line 19The organization will make its governing documents, conflict of interest policy, and financial statements available upon request.
Form 990, Part XI, Line 9Due to the acquisition of Clement Manor by its new member on April 1, 2024 the balance sheet was reset to current fair market value.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Franciscan Sisters of Christian Charity Sponsored Ministries Inc
2413 S Alverno RoadManitowocWI54220391530622Health CareWI501(c)(3)Line 1Holy Family Convent of the Franciscan Sisters of Christian Charity0
Holy Family Convent of the Franciscan Sisters of Christian Charity Inc
2409 S Alverno RoadManitowocWI54220390806395Health CareWI501(c)(3)Line 10N/A
Franciscan Care Services Inc
430 N Monitor StreetWest PointNE68788470486026Health CareNE501(c)(3)Line 3Franciscan Sisters of Christian Charity Sponsored Ministries Inc0
Good Samaritan Medical Center
800 Forest AvenueZanesvilleOH43701314379479Health care property holdingOH401(c)(3)Line 1Holy Family Convent of the Franciscan Sisters of Christian Charity0
St Joseph's Elder Services Inc
540 E Washington StreetWest PointNE68788714879204Skilled Nursing and Assisted LivingNE501(c)(3)Franciscan Sisters of Christian Charity Sponsored Ministries0
St Paul Elder Services Inc
316 E 14th StreetKaukaunaWI54130391029149Skilled Nursing and Assisted LivingWI501(c)(3)Line 10Franciscan Sisters of Christian Charity Sponsored Ministries0
The Franciscan Center Inc
6751 Calumet AvenueKaukaunaWI54220932455812Music and PerformanceWI501(c)(3)Line 10Franciscan Sisters of Christian Charity Sponsored Ministries Inc
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Franciscan Sisters of Christian Charity Sponsored Ministries Inc
p$86,357Actual invoices
Franciscan Sisters of Christian Charity Sponsored Ministries Inc
m$45,738Management contract