ST MONICAS SENIOR LIVING: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ST MONICAS SENIOR LIVING (EIN 39-1137868)
- Tax period
- 2023-04-01 to 2024-03-31
- Filed
- 2025-02-13
- IRS object ID
- 202530449349301018
- Schema version
- 2023v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-02-13T11:15:32-06:00 | ReturnTs |
| Tax Period End | 2024-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390974031 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEGNER CPAS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2921 LANDMARK PLACE SUITE 300 | AddressLine1Txt |
| City | MADISON | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 537133074 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391137868 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MONICA'S SENIOR LIVING INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMO | BusinessNameControlTxt |
| Phone | 2626395050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3920 N GREEN BAY RD | AddressLine1Txt |
| City | RACINE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53404 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANY LICHTER | PersonNm |
| Person Title | ADMINISTRATOR | PersonTitleTxt |
| Phone | 2626395050 | PhoneNum |
| Signature | 2025-02-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENNY TARKOWSKI CPA | PreparerPersonNm |
| PTIN | P00634290 | PTIN |
| Phone | 6082744020 | PhoneNum |
| Preparation | 2025-02-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHANY LICHTER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3920 N GREEN BAY RD | AddressLine1Txt |
| City | RACINE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53404 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,388,946 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMONICASSENIORLIVING.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1968 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | IN THE SPIRIT OF OUR FOUNDERS, THE SISTERS OF ST. RITA, WE PROVIDE A COMPASSIONATE, SAFE, LOVING FAMILY HOME ENVIRONMENT THAT RESPECTS THE DIGNITY OF ALL RESIDENTS. WE STRIVE TO MEET THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF EACH RESIDENT AND SUPPORT THEIR FAMILIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 234 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $262,050 | PYContributionsGrantsAmt |
| CY Contributions Grants | $370,243 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,254,703 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $7,803,658 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$98,836 | PYInvestmentIncomeAmt |
| CY Investment Income | $195,211 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$10,096 | PYOtherRevenueAmt |
| CY Other Revenue | -$7,338 | CYOtherRevenueAmt |
| PY Total Revenue | $7,407,821 | PYTotalRevenueAmt |
| CY Total Revenue | $8,361,774 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $105,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,046,003 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,460,264 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $87,023 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,416,573 | PYOtherExpensesAmt |
| CY Other Expenses | $2,525,196 | CYOtherExpensesAmt |
| PY Total Expenses | $7,567,576 | PYTotalExpensesAmt |
| CY Total Expenses | $7,985,460 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$159,755 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $376,314 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,700,629 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,056,900 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,499,265 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,308,187 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,201,364 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,748,713 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IN THE SPIRIT OF OUR FOUNDERS, THE SISTERS OF ST. RITA, WE PROVIDE A COMPASSIONATE, SAFE, LOVING FAMILY HOME ENVIRONMENT THAT RESPECTS THE DIGNITY OF ALL RESIDENTS. WE STRIVE TO MEET THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF EACH RESIDENT AND SUPPORT THEIR FAMILIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,917,293 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,803,658 | RevenueAmt |
| Desc | ST. MONICA'S IS NESTLED ON 42 ACRES ALONG THE ROOT RIVER IN RACINE, WISCONSIN. WITHIN OUR WALLS AND GROUNDS WE SERVE RESIDENTS IN PROVIDING A SENSE OF CALM, SECURITY AND ENJOYMENT. THE STAFF INCLUDES PROFESSIONAL, LICENSED CAREGIVERS, DEDICATED TO TREATING EVERY RESIDENT LIKE FAMILY AND ENGAGING EACH IN FRUITFUL, INTERESTING ACTIVITY. THROUGH OUR CORE VALUES, ST. MONICA'S IS RACINE'S PREMIER PROVIDER OF SENIOR LIVING SERVICES, CONTINUALLY ENHANCING THE RANGE OF QUALITY COMPASSIONATE CARE AND ACTIVITIES THROUGH INNOVATION, EMPLOYEE INVESTMENT, AND COMMUNITY MEMBER ENGAGEMENT. | Desc |
| Total Program Service Expenses | $6,917,293 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 234 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANY LICHTER | PersonNm |
| Phone | 2626395050 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3920 N GREEN BAY RD | AddressLine1Txt |
| City | RACINE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53404 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SR ANGELICA SUMMER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $16,579 | $0 | $744 | |||
| TOM LEUENBERGER | ||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DR MICHEAL RANDOLPH | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SHAWN OLLEY | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOSEPH MALLER | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DAVID EASLEY | ||||||||
| PAST CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | 1.00 | |
| SR JANA ANNE AKAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LAMONTE BOHMAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAN DEBAKER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| MANEEKA DECKER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHANIE FOLK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RAY JOHNSON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHAD KUCIK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HEIDI LANGE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| REBECCA MASON | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR KEVIN MCCABE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FRANK MILLER JR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SR CLARE MARIE ROHUTNY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RONALD SCHULZ | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| STEPHANY LICHTER | ||||||||
| ADMINISTRATOR | 40.00 | $123,540 | $0 | $15,582 | Yes (X) | 1.00 | ||
| DEBRA MULDER | ||||||||
| REGISTERED NURSE | 40.00 | $100,162 | $0 | $858 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $240,281 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $17,184 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10401 WEST INNOVATION DRIVE | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | ACCOUNTING/STRATEGIC PLANNING | ServicesDesc |
| Compensation | $167,274 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $36,748 | FundraisingAmt |
| Government Grants | $64,668 | GovernmentGrantsAmt |
| All Other Contributions | $268,827 | AllOtherContributionsAmt |
| Noncash Contributions | $4,988 | NoncashContributionsAmt |
| Total Contributions | $370,243 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RENTAL INCOME | 623110 | $6,365,772 | $6,365,772 |
| PERSONAL CARE SERVICES | 812199 | $1,399,042 | $1,399,042 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $38,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $38,844 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $7,803,658 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,534 | TotalRevenueColumnAmt |
| Exclusion | $81,534 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,117,999 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,004,322 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $113,677 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,677 | TotalRevenueColumnAmt |
| Exclusion | $113,677 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $15,512 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $36,748 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $22,850 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,338 | TotalRevenueColumnAmt |
| Exclusion | -$7,338 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,361,774 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,803,658 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $187,873 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,527 | TotalAmt |
| Program Services | $103,405 | ProgramServicesAmt |
| Management And General | $35,701 | ManagementAndGeneralAmt |
| Fundraising | $21,421 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,342,116 | TotalAmt |
| Program Services | $4,188,929 | ProgramServicesAmt |
| Management And General | $102,832 | ManagementAndGeneralAmt |
| Fundraising | $50,355 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,247 | TotalAmt |
| Program Services | $58,218 | ProgramServicesAmt |
| Management And General | $3,097 | ManagementAndGeneralAmt |
| Fundraising | $932 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,271 | TotalAmt |
| Program Services | $515,198 | ProgramServicesAmt |
| Management And General | $24,021 | ManagementAndGeneralAmt |
| Fundraising | $6,052 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,103 | TotalAmt |
| Program Services | $334,053 | ProgramServicesAmt |
| Management And General | $10,628 | ManagementAndGeneralAmt |
| Fundraising | $5,422 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,024 | TotalAmt |
| Management And General | $3,024 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,807 | TotalAmt |
| Management And General | $157,807 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,800 | TotalAmt |
| Management And General | $21,800 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,782 | TotalAmt |
| Program Services | $155,897 | ProgramServicesAmt |
| Management And General | $44,604 | ManagementAndGeneralAmt |
| Fundraising | $2,281 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,189 | TotalAmt |
| Management And General | $26,189 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,496 | TotalAmt |
| Program Services | $249,599 | ProgramServicesAmt |
| Management And General | $53,897 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $462,771 | TotalAmt |
| Program Services | $330,541 | ProgramServicesAmt |
| Management And General | $132,230 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,834 | TotalAmt |
| Program Services | $2,335 | ProgramServicesAmt |
| Management And General | $456 | ManagementAndGeneralAmt |
| Fundraising | $43 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,594 | TotalAmt |
| Program Services | $37,650 | ProgramServicesAmt |
| Management And General | $846 | ManagementAndGeneralAmt |
| Fundraising | $98 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,652 | TotalAmt |
| Program Services | $135,462 | ProgramServicesAmt |
| Management And General | $54,190 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $447,262 | TotalAmt |
| Program Services | $319,337 | ProgramServicesAmt |
| Management And General | $127,925 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,880 | TotalAmt |
| Program Services | $172,052 | ProgramServicesAmt |
| Management And General | $68,828 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD | $292,905 | $291,636 | $1,269 |
| HOUSING ALLOWANCE AND S | $68,047 | $68,047 | |
| BAD DEBT EXPENSE | $8,000 | $8,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,153 | TotalAmt |
| Program Services | $22,981 | ProgramServicesAmt |
| Management And General | $35,753 | ManagementAndGeneralAmt |
| Fundraising | $419 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,985,460 | TotalAmt |
| Program Services | $6,917,293 | ProgramServicesAmt |
| Management And General | $981,144 | ManagementAndGeneralAmt |
| Fundraising | $87,023 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,587 | BOYAmt |
| EOY | $86,984 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $451,676 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $6,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,418 | BOYAmt |
| EOY | $107,372 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,081 | BOYAmt |
| EOY | $64,506 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,690,925 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,444,050 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,181,980 | BOYAmt |
| EOY | $9,246,875 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,733,312 | BOYAmt |
| EOY | $2,849,784 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,187 | BOYAmt |
| EOY | $66,649 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,064 | BOYAmt |
| EOY | $177,054 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,700,629 | BOYAmt |
| EOY | $13,056,900 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,070 | BOYAmt |
| EOY | $552,466 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,851 | BOYAmt |
| EOY | $8,430 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,861,519 | BOYAmt |
| EOY | $4,617,113 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,825 | BOYAmt |
| EOY | $130,178 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,499,265 | BOYAmt |
| EOY | $5,308,187 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,993,585 | BOYAmt |
| EOY | $7,599,584 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,779 | BOYAmt |
| EOY | $149,129 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,201,364 | BOYAmt |
| EOY | $7,748,713 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,700,629 | BOYAmt |
| EOY | $13,056,900 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $376,314 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $171,035 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $129,093 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $832,155 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $248,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $262,050 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $370,243 | CurrentTaxYearAmt |
| Total | $1,841,855 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,143,277 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,185,608 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,987,326 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,254,703 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,803,658 | CurrentTaxYearAmt |
| Total | $34,374,572 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,578 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,036 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,200 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,698 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,512 | CurrentTaxYearAmt |
| Total | $57,024 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,282,948 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,027,799 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,245,840 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,527,451 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,189,413 | CurrentTaxYearAmt |
| Total | $36,273,451 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,025 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $111,815 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,386 | CurrentTaxYearAmt |
| Total | $137,226 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,025 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $111,815 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,386 | CurrentTaxYearAmt |
| Total | $137,226 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $36,136,225 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87,873 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $118,824 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,534 | CurrentTaxYearAmt |
| Total | $424,330 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87,873 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,838 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $118,824 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $81,534 | CurrentTaxYearAmt |
| Total | $424,330 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,370,821 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,089,637 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,364,664 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,601,712 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,270,947 | CurrentTaxYearAmt |
| Total | $36,697,781 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98470 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98440 | PublicSupportPY509Pct |
| Investment Income CY | 0.01160 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01200 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $274,590 | OtherCostOrOtherBasisAmt |
| Book Value | $274,590 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,742,163 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,315,995 | DepreciationAmt |
| Book Value | $8,426,168 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $135,100 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,278 | DepreciationAmt |
| Book Value | $101,822 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,539,072 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,094,777 | DepreciationAmt |
| Book Value | $444,295 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,246,875 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| COMMUNITY FEE DEPOSITS | $71,000 |
| FINANCE LEASE LIABILITY | $58,569 |
| DUE TO ARISE PHYSICAL THERAPY, INC. | $609 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $130,178 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $52,260 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $36,748 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $15,512 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $15,512 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $7,338 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $52,260 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $36,748 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $15,512 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $15,512 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,338 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $22,850 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$7,338 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE PREPARED FORM 990 IS PRESENTED AT A MEETING OF THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS AND OFFICERS ANNUALLY COMPLETE AND SIGN A STATEMENT DISCLOSING INTERESTS THAT COULD GIVE RISE TO CONFLICTS. ANY PERSON WITH A POTENTIAL CONFLICT OF INTEREST MUST LEAVE THE MEETING OF THE GOVERNING BODY OR COMMITTEE WHILE THE REMAINING DIRECTORS VOTE ON WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST DOES EXIST, THE DIRECTOR OR OFFICER WITH THE CONFLICT OF INTEREST IS PROHIBITED FROM DISCUSSING AND VOTING ON THE POTENTIAL TRANSACTIONS INVOLVING THE INTERESTED PARTY. THE ORGANIZATION WILL ALSO LOOK FOR OTHER POSSIBLE ALTERNATIVES TO AVOID THE CONFLICT OF INTEREST ALL TOGETHER. IF IT IS NOT POSSIBLE TO AVOID THE CONFLICT OF INTEREST, THE GOVERNING BODY WILL VOTE ON WHETHER OR NOT IT IS FAIR AND REASONABLE TO ENTER INTO THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION COMMITTEE, WHICH IS COMPRISED OF INDEPENDENT PERSONS, CONDUCTS A PERFORMANCE EVALUATION OF THE ADMINISTRATOR AND IS AUTHORIZED TO DETERMINE COMPENSATION ISSUES. THE COMPENSATION COMMITTEE USES COMPARABLE DATA FROM SURVEYS FROM SIMILAR ORGANIZATIONS. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING FOR DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT ARE MADE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 3840 GBR LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3920 N GREEN BAY RD | AddressLine1Txt |
| City | RACINE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53404 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 372118859 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MONICA'S SENIOR LIVING INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARISE PHYSICAL THERAPY INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3920 N GREEN BAY ROAD SUITE 150 | AddressLine1Txt |
| City | RACINE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53404 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 862396597 | EIN |
| Primary Activities | PHYSICAL THERAPY | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 10 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MONICA'S SENIOR LIVING INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |