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ST ANNS HOME INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ST ANNS HOME INC (EIN 38-1872660)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201743189349307569
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-14T14:36:21-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1750 Trade Centre Way Ste 300AddressLine1Txt
CityPortageCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49002ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN381872660EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST ANN'S HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTANBusinessNameControlTxt
Phone6164537715PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12161 LEONARD STREET NWAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP495043829ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSISTER GABRIELA HILKEPersonNm
Person TitlePRESIDENT/TREASURERPersonTitleTxt
Phone6164537715PhoneNum
Signature2017-09-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCarol LaLonde CPAPreparerPersonNm
PTINP00181637PTIN
Phone2695674500PhoneNum
Preparation2017-09-20PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.59.56.31IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-22IPDt
IP Tm09:14:49IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id58F74DC53CB874483B207ADF23CD6921384352E9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSISTER GABRIELA HILKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12161 LEONARD STREET NWAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP495043829ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,144,158GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.stannshome.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionBASIC NURSING CARE- PROVIDING NURSING CARE AND MISCELLANEOUS SERVICES FOR THE RESIDENTS OF THE HOME. HOME FOR THE AGED - PROVIDED CARE AND LIVING QUARTERS AT THE HOME TO ELDERLY PERSONS IN THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee324TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$286,746PYContributionsGrantsAmt
CY Contributions Grants$309,063CYContributionsGrantsAmt
PY Program Service Revenue$9,597,048PYProgramServiceRevenueAmt
CY Program Service Revenue$9,550,819CYProgramServiceRevenueAmt
PY Investment Income$17,096PYInvestmentIncomeAmt
CY Investment Income$686CYInvestmentIncomeAmt
PY Other Revenue$217,590PYOtherRevenueAmt
CY Other Revenue$275,576CYOtherRevenueAmt
PY Total Revenue$10,118,480PYTotalRevenueAmt
CY Total Revenue$10,136,144CYTotalRevenueAmt
PY Grants And Similar Paid$500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,949,592PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,412,767CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$8,969PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$16,429CYTotalFundraisingExpenseAmt
PY Other Expenses$3,666,965PYOtherExpensesAmt
CY Other Expenses$3,672,177CYOtherExpensesAmt
PY Total Expenses$9,626,026PYTotalExpensesAmt
CY Total Expenses$10,084,944CYTotalExpensesAmt
PY Revenues Less Expenses$492,454PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$51,200CYRevenuesLessExpensesAmt
Total Assets BOY$8,410,485TotalAssetsBOYAmt
Total Assets EOY$9,280,130TotalAssetsEOYAmt
Total Liabilities BOY$465,124TotalLiabilitiesBOYAmt
Total Liabilities EOY$560,669TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,945,361NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,719,461NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION IS TO PROVIDE A LOVING AND SPIRITUAL COMMUNITY FOR OLDER ADULTS TO LIVE LIVES OF CARING AND WHOLENESS, INSPIRED BY OUR CARMELITE FOUNDATION OF FRATERNITY, SERVICE AND PRAYER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,124,021ExpenseAmt
Revenue$5,576,098RevenueAmt
DescBASIC NURSING CARE - PROVIDED NURSING CARE AND MISCELLANEOUS SERVICES FOR THE RESIDENTS OF THE HOME.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,652,475ExpenseAmt
Revenue$3,974,721RevenueAmt
DescHOME FOR THE AGED - PROVIDED CARE AND LIVING QUARTERS AT THE HOME TO ELDERLY PERSONS IN THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,776,496TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee324EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn 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 FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JONI LAHMANNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6164537715PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12161 LEONARD NWAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49504ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SISTER GABRIELA HILKE
PRESIDENT/TREASURER40.000.00Yes (X)Yes (X)$0$0$0
SISTER MARIE GIUSEPPE
VICE PRESIDENT/SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
SISTER M IMMACULATA OSTERHAUS
MEMBER1.000.00Yes (X)$0$0$0
SISTER MARY EMMANUAL APANITAS
MEMBER1.000.00Yes (X)$0$0$0
ROBERT SCHMIDT
EXECUTIVE DIRECTOR40.000.00Yes (X)$130,620$0$0
JONI LAHMANN
DIRECTOR OF FINANCE40.000.00Yes (X)$78,250$0$4,621
FieldValueIRS element (for citing)
Total Reportable Comp From Org$208,870TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$4,621TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHABCARE GROUP
PO BOX 503534ST LOUISMO63150REHABILITATION SERVICES$228,609
CREATIVE DINING SERVICES
1 ROYAL PARK DRIVEZEELANDMI49464DINING SERVICES$173,799
MARY FREE BED REHABILITATION HOSPITAL
235 WEALTHY ST SEGRAND RAPIDSMI49503REHABILITATION SERVICES$163,466
POST ASSOCIATES ARCHITECTS
40 PEARL ST NW STE 900GRAND RAPIDSMI49503ARCHITECTS$111,451
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Fundraising$6,500FundraisingAmt
All Other Contributions$302,563AllOtherContributionsAmt
Noncash Contributions$75,000NoncashContributionsAmt
Total Contributions$309,063TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BASIC NURSING CARE623000$5,576,098$5,576,098
HOME FOR THE AGED623000$3,974,721$3,974,721
FieldValueIRS element (for citing)
Total Program Service Revenue$9,550,819TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$266TotalRevenueColumnAmt
Exclusion$266ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$23,837RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$23,837RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,837TotalRevenueColumnAmt
Exclusion$23,837ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$420OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$420OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$420TotalRevenueColumnAmt
Exclusion$420ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$6,735FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$6,500ContriRptFundraisingEventAmt
Fundraising Direct Expenses$8,014FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,279TotalRevenueColumnAmt
Exclusion-$1,279ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
ADMISSION FEES623000$131,000$131,000
EMPLOYEE DAY CARE624410$72,478$72,478
RESIDENT BEAUTY SHOP812900$49,540$49,540
FieldValueIRS element (for citing)
Other Revenue Total$253,018OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,136,144TotalRevenueColumnAmt
Related Or Exempt Func Income$9,550,819RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$276,262ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$213,491TotalAmt
Program Services$106,746ProgramServicesAmt
Management And General$106,745ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,331,659TotalAmt
Program Services$4,771,630ProgramServicesAmt
Management And General$560,029ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$102,979TotalAmt
Program Services$102,979ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$764,638TotalAmt
Program Services$764,638ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$145,536TotalAmt
Management And General$145,536ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,281TotalAmt
Management And General$10,281ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,300TotalAmt
Management And General$22,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$777,774TotalAmt
Program Services$723,975ProgramServicesAmt
Management And General$53,799ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$109,466TotalAmt
Management And General$109,466ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$73,327TotalAmt
Management And General$73,327ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$357,763TotalAmt
Program Services$339,658ProgramServicesAmt
Management And General$18,105ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,606TotalAmt
Management And General$2,606ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,288TotalAmt
Program Services$9,929ProgramServicesAmt
Management And General$25,359ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$485,422TotalAmt
Program Services$485,422ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$73,310TotalAmt
Management And General$73,310ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$461,627$461,627
FOOD FOR RESIDENTS$415,993$415,993
QAAP$370,420$370,420
rEPAIRS & MAINTENANCE$148,482$130,542$17,940

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$182,582TotalAmt
Program Services$92,937ProgramServicesAmt
Management And General$73,216ManagementAndGeneralAmt
Fundraising$16,429FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,084,944TotalAmt
Program Services$8,776,496ProgramServicesAmt
Management And General$1,292,019ManagementAndGeneralAmt
Fundraising$16,429FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,624,428BOYAmt
EOY$1,826,371EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$49,901BOYAmt
EOY$49,901EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$784,988BOYAmt
EOY$671,193EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$28,415BOYAmt
EOY$30,070EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$142,715BOYAmt
EOY$176,078EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,303,352LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,236,970LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,590,665BOYAmt
EOY$6,066,382EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$25,033BOYAmt
EOY$27,329EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$154,340BOYAmt
EOY$391,542EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$41,264EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,410,485BOYAmt
EOY$9,280,130EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$465,124BOYAmt
EOY$493,635EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$67,034EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$465,124BOYAmt
EOY$560,669EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,839,607BOYAmt
EOY$8,377,564EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$105,754BOYAmt
EOY$341,897EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,945,361BOYAmt
EOY$8,719,461EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,410,485BOYAmt
EOY$9,280,130EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$51,200ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,008NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$718,892OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
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$255,543CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$238,593CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$546,726CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$286,746CurrentTaxYearMinus1YearAmt
Current Tax Year$309,063CurrentTaxYearAmt
Total$1,636,671TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,248,685CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,421,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,017,569CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,597,048CurrentTaxYearMinus1YearAmt
Current Tax Year$9,550,819CurrentTaxYearAmt
Total$46,836,000TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,504,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,660,472CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,564,295CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,883,794CurrentTaxYearMinus1YearAmt
Current Tax Year$9,859,882CurrentTaxYearAmt
Total$48,472,671TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$48,472,671PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,674CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,360CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,163CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,222CurrentTaxYearMinus1YearAmt
Current Tax Year$24,103CurrentTaxYearAmt
Total$33,522TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,674CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,360CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,163CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,222CurrentTaxYearMinus1YearAmt
Current Tax Year$24,103CurrentTaxYearAmt
Total$33,522TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$144,889CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$149,885CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$193,769CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$217,590CurrentTaxYearMinus1YearAmt
Current Tax Year$259,753CurrentTaxYearAmt
Total$965,886TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,651,791CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,812,717CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,760,227CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,103,606CurrentTaxYearMinus1YearAmt
Current Tax Year$10,143,738CurrentTaxYearAmt
Total$49,472,079TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97980PublicSupportCY509Pct
Public Support PY5090.98000PublicSupportPY509Pct
Investment Income CY0.00070InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2012 Amount: $ 144,889. 2013 Amount: $ 149,885. 2014 Amount: $ 193,769. 2015 Amount: $ 217,590. 2016 Amount: $ 253,018. FUNDRAISING EVENT REVENUE - 2016 Amount: $ 6,735.ExplanationTxt

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)
Other Cost Or Other Basis$464,789OtherCostOrOtherBasisAmt
Book Value$464,789BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,816,404OtherCostOrOtherBasisAmt
Depreciation$7,267,243DepreciationAmt
Book Value$4,549,161BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$339,525OtherCostOrOtherBasisAmt
Depreciation$271,604DepreciationAmt
Book Value$67,921BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,274,530OtherCostOrOtherBasisAmt
Depreciation$1,698,123DepreciationAmt
Book Value$576,407BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$408,104OtherCostOrOtherBasisAmt
Book Value$408,104BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,066,382TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED THIRD-PARTY PAYOR SETTLEMENTSDesc
Amt$67,034Amt
FieldValueIRS element (for citing)
Total Liability$67,034TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$10,931,316TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,008NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$109,460DonatedServicesAndUseFcltsAmt
Other Revenue$673,690OtherRevenueAmt
Revenue Not Reported$787,158RevenueNotReportedAmt
Revenue Subtotal$10,144,158RevenueSubtotalAmt
Other Revenues Not Included-$8,014OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$8,014RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,136,144TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,166,177TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$109,460DonatedServicesUseFcltsAmt
Other Expenses Included$8,014OtherExpensesIncludedAmt
Expenses Not Reported$117,474ExpensesNotReportedAmt
Expenses Subtotal$10,048,703ExpensesSubtotalAmt
Other Expenses Not Included$36,241OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$36,241ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,084,944TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:equity transfers from carmelite sisters 673,690.
Part XI, Line 4b - Other Adjustments:FUNDRAISING EVENT EXPENSES -8,014.
Part XII, Line 2d - Other Adjustments:FUNDRAISING EVENT EXPENSES 8,014.
Part XII, Line 4b - Other Adjustments:STRATEGIC PLANNING EXPENSES 36,241.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$49,916NoncashContributionsRptF990Amt
Method Of Determining RevenuesEXCHANGE MEANMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Column (b):FormAndLineReferenceDesc
ExplanationTHE AMOUNT LISTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bTHE ORGANIZATION DOES NOT PROVIDE A DRAFT COPY OF THE 990 TO THE GOVERNING BODY BEFORE ITS SUBMISSION; HOWEVER, THE 990 IS REVIEWED BY THE ADMINISTRATOR PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cTHE CONFLICT OF INTEREST POLICY COVERS ALL DIRECTORS, OFFICERS AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS THAT HAS A DIRECT OR INDIRECT FINANCIAL INTEREST WITH THE HOME. THE CONFLICT OF INTEREST POLICY IS PROVIDED TO EVERY DIRECTOR ON AN ANNUAL BASIS, AND THE DIRECTOR MUST SUBMIT A WRITTEN STATEMENT ACKNOWLEDGING RECEIPT OF THE POLICY, UNDERSTANDING, AGREEMENT, AND APPLICATION OF THE POLICY. THE HOME'S ACTIVITIES ARE REVIEWED PERIODICALLY TO ENSURE THE HOME IS OPERATING IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES. WHEN A CONFLICT OF INTEREST IS DETERMINED TO EXIST THE BOARD OR COMMITTEE SHALL MEET WITHOUT THE PRESENCE OF THE INTERESTED PARTY. THE INTERESTED PARTY MAY MAKE A PRESENTATION TO THE BOARD OR COMMITTEE, AND THE BOARD OR COMMITTEE THEN DETERMINES WHETHER THERE HAS BEEN A CONFLICT OF INTEREST, OR WHETHER A NON-INTERESTED PERSON TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION OF ARRANGEMENT THAT IS A CONFLICT OF INTEREST. THE ISSUE IS THEN DECIDED BY A MAJORITY VOTING WITHOUT THE INTERESTED PERSON AFTER DETERMINING IF THE HOME IS ABLE TO OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH ANOTHER DISINTERESTED PARTY. ANY INTERESTED PARTY THAT VIOLATES THE CODE OF CONDUCT POLICY IS SUBJECT TO APPROPRIATE DISCIPLINE, UP TO AND INCLUDING REMOVAL FROM OFFICE.
Form 990, Part VI, Section B, line 15COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS APPROVED BY THE PRESIDENT OF THE GOVERNING BOARD AND TWO ADVISORY BOARD MEMBERS. COMPENSATION IS DETERMINED BY REVIEWING THE FORM 990 RETURNS OF OTHER LOCAL NURSING HOMES AND BY REFERENCE TO A SALARY SURVEY FROM THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING. COMPENSATION OF THE FINANCIAL DIRECTOR IS APPROVED BY THE ADVISORY BOARD BASED ON PREDETERMINED PAY SCALES ALSO APPROVED BY THE ADVISORY BOARD. IN ADDITION TO THE SCALE, MERIT INCREASES MAY ALSO BE GIVEN. THE MOST RECENT YEAR THIS PROCESS WAS UNDERTAKEN WAS 2016.
Form 990, Part VI, Section C, line 19THE ORGANIZATION DOES NOT PROVIDE GOVERNING DOCUMENTS, CONFLICT OF INTEREST, AND FINANCIAL STATEMENTS TO THE PUBLIC.
Form 990, Part XI, line 9:CHANGE IN INVESTMENT IN EMMANUEL HOSPICE 237,202. equity transfer from carmelite sisters 481,690.
FORM 990, PART XII, LINE 2C:OVERSIGHT OF FINANCIAL STATEMENT review IS PERFORMED BY THE ADVISORY BOARD AND THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CARMELITE SISTERS OF THE DIVINE HEART OF JESUS OF WI
1230 KAVANAUGH PLMILWAUKEEWI53213396048667CHURCHWI501(c)(3)Line 1N/A0
EMMANUEL HOSPICE
2161 LEONARD ST NWGRAND RAPIDSMI49504454485835HOSPICE CAREMI501(c)(3)Line 10Yes (1)ST ANN'S HOME INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
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 FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CARMELITE SISTERS OF THE DIVINE HEART OF JESUS OF WI
B$192,000CASH
CARMELITE SISTERS OF THE DIVINE HEART OF JESUS OF WI
C$673,690CASH