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GERALD L IGNACE INDIAN HEALTH CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
GERALD L IGNACE INDIAN HEALTH CENTER INC (EIN 39-1958089)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-06-20
IRS object ID
201711719349300316
Schema version
2015v3.0
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)
Return2017-06-20T09:46:40-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390747409PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11233 NORTH MAYFAIR ROAD SUITE 302AddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP532263255ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391958089EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GERALD L IGNACE INDIAN HEALTH CENTER IBusinessNameLine1Txt
Business Name Line2GLIIHCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlGERABusinessNameControlTxt
Phone4143839526PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR LYLE A IGNACE MD MPHPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4143839526PhoneNum
Signature2017-06-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRIAN MECHENICHPreparerPersonNm
PTINP00976753PTIN
Phone4142717800PhoneNum
Preparation2017-06-12PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 W HISTORIC MITCHELL STAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53204ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,323,930GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GLIIHC.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE AND RELATED SERVICES PRIMARILY TO AMERICAN INDIANS RESIDING IN SOUTHEASTERN WISCONSIN. IT'S MISSION IS TO IMPROVE THE HEALTH, PEACE AND WELFARE OF MILWAUKEE'S URBAN INDIAN COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee52TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,936,702PYContributionsGrantsAmt
CY Contributions Grants$4,606,148CYContributionsGrantsAmt
PY Program Service Revenue$1,581,458PYProgramServiceRevenueAmt
CY Program Service Revenue$1,663,614CYProgramServiceRevenueAmt
PY Investment Income$1,370PYInvestmentIncomeAmt
CY Investment Income$1,458CYInvestmentIncomeAmt
PY Other Revenue$31,840PYOtherRevenueAmt
CY Other Revenue$10,589CYOtherRevenueAmt
PY Total Revenue$5,551,370PYTotalRevenueAmt
CY Total Revenue$6,281,809CYTotalRevenueAmt
PY Grants And Similar Paid$207,511PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$164,241CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,282,493PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,533,002CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,925,129PYOtherExpensesAmt
CY Other Expenses$2,753,450CYOtherExpensesAmt
PY Total Expenses$4,415,133PYTotalExpensesAmt
CY Total Expenses$5,450,693CYTotalExpensesAmt
PY Revenues Less Expenses$1,136,237PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$831,116CYRevenuesLessExpensesAmt
Total Assets BOY$3,646,762TotalAssetsBOYAmt
Total Assets EOY$4,469,832TotalAssetsEOYAmt
Total Liabilities BOY$301,406TotalLiabilitiesBOYAmt
Total Liabilities EOY$664,345TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,345,356NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,805,487NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MEDICAL, MENTAL HEALTH AND RELATED SERVICES PRIMARILY TO AMERICAN INDIANS RESIDING IN SOUTHEASTER WISCONSIN. MISSION IS TO IMPROVE THE HEALTH, PEACE AND WELFARE OF MILWAUKEE'S URBAN INDIAN COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,204,882ExpenseAmt
Grant$164,241GrantAmt
Revenue$1,659,864RevenueAmt
DescWE PROVIDE MEDICAL SERVICES AT OUR CLINIC LOCATION, REFERRALS FOR SPECIALTY CARE, LABORATORY SERVICES, MENTAL HEALTH, SUBSTANCE ABUSE, SOCIAL SERVICES, HEALTH EDUCATION, FAMILY PLANNING SERVICES & A DIABETES PROGRAM. WE ALSO PROVIDE ENABLING SERVICES SUCH AS PERSONAL CARE AND HOUSEHOLD ITEMS, CLOTHING, TRANSPORTATION FOR MEDICAL SERVICES, ASSISTANCE WITH MEDICAL PRESCRIPTIONS, CAREER ASSISTANCE AND SUPPORT GROUPS.Desc
Total Program Service Expenses$5,204,882TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee52EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE NINHAM
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
ANNE EGAN-WAUKAU
VICE CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
JESSE WAUKAU
TREASURER1.00Yes (X)$0$0$0
SIOBHAN KALMANSON MARKS
SECRETARY1.00Yes (X)$0$0$0
CANDICE ZIELINSKI
MEMBER1.00Yes (X)$0$0$0
SUSAN DAVIDS
MEMBER1.00Yes (X)$0$0$0
BRIAN PIERSON
MEMBER1.00Yes (X)$0$0$0
KARL LUSIS
MEMBER1.00Yes (X)$0$0$0
KIRK RITCHIE
MEMBER1.00Yes (X)$0$0$0
DR LYLE IGNACE
EXECUTIVE DIRECTOR40.00Yes (X)$173,561$0$27,021
FieldValueIRS element (for citing)
Total Reportable Comp From Org$173,561TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$27,021TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$4,322,827GovernmentGrantsAmt
All Other Contributions$283,321AllOtherContributionsAmt
Noncash Contributions$164,241NoncashContributionsAmt
Total Contributions$4,606,148TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLINICAL REVENUE624100$1,655,418$1,655,418
OTHER PROGRAM REVENUE624100$8,196$8,196
FieldValueIRS element (for citing)
Total Program Service Revenue$1,663,614TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,458TotalRevenueColumnAmt
Exclusion$1,458ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$44,336FundraisingGrossIncomeAmt
Fundraising Direct Expenses$42,121FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,215TotalRevenueColumnAmt
Exclusion$2,215ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$8,374TotalRevenueColumnAmt
Exclusion$8,374ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,374OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,281,809TotalRevenueColumnAmt
Related Or Exempt Func Income$1,663,614RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,047ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$164,241TotalAmt
Program Services$164,241ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$205,575TotalAmt
Program Services$185,018ProgramServicesAmt
Management And General$20,557ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,732,122TotalAmt
Program Services$1,715,496ProgramServicesAmt
Management And General$16,626ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$595,305TotalAmt
Program Services$587,422ProgramServicesAmt
Management And General$7,883ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,472TotalAmt
Program Services$5,695ProgramServicesAmt
Management And General$777ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$20,162TotalAmt
Program Services$19,154ProgramServicesAmt
Management And General$1,008ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$208,105TotalAmt
Program Services$194,943ProgramServicesAmt
Management And General$13,162ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,342TotalAmt
Management And General$11,342ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$201,439TotalAmt
Program Services$197,052ProgramServicesAmt
Management And General$4,387ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$468,770TotalAmt
Program Services$412,518ProgramServicesAmt
Management And General$56,252ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,211TotalAmt
Program Services$28,673ProgramServicesAmt
Management And General$538ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,951TotalAmt
Program Services$13,285ProgramServicesAmt
Management And General$666ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$39,484TotalAmt
Program Services$34,746ProgramServicesAmt
Management And General$4,738ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,282TotalAmt
Program Services$47,250ProgramServicesAmt
Management And General$1,032ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$1,174,965$1,174,965
EQUIPMENT & SOFTWARE PU$340,905$307,981$32,924
MOVING EXPENSES$42,808$42,808
BANK CHARGES & PAYROLL$32,084$28,283$3,801

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$115,470TotalAmt
Program Services$88,160ProgramServicesAmt
Management And General$27,310ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,450,693TotalAmt
Program Services$5,204,882ProgramServicesAmt
Management And General$245,811ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,330BOYAmt
EOY$102,658EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$887,326BOYAmt
EOY$967,714EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$121,705BOYAmt
EOY$440,997EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,897,932BOYAmt
EOY$2,498,538EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,507BOYAmt
EOY$25,452EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$67,651BOYAmt
EOY$68,466EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$353,010LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$139,503LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$166,311BOYAmt
EOY$213,507EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$468,000BOYAmt
EOY$152,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,646,762BOYAmt
EOY$4,469,832EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$295,289BOYAmt
EOY$656,597EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,117BOYAmt
EOY$7,748EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$301,406BOYAmt
EOY$664,345EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,107,107BOYAmt
EOY$3,805,487EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$238,249BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,345,356BOYAmt
EOY$3,805,487EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,646,762BOYAmt
EOY$4,469,832EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$831,116ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$323,000NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$47,986PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,793OtherCostOrOtherBasisAmt
Depreciation$41,582DepreciationAmt
Book Value$59,211BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$252,217OtherCostOrOtherBasisAmt
Depreciation$97,921DepreciationAmt
Book Value$154,296BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$213,507TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,958,810TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$323,000NetUnrealizedGainsInvstAmt
Revenue Not Reported-$323,000RevenueNotReportedAmt
Revenue Subtotal$6,281,810RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$6,281,810TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,450,693TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,450,693ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,450,693TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$44,336GrossReceiptsEvent1Amt
Gross Revenue Event1$44,336GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,900NonCashPrizesEvent1Amt
Rent Facility Costs Event1$12,000RentFacilityCostsEvent1Amt
Food And Beverage Event1$9,975FoodAndBeverageEvent1Amt
Entertainment Event1$5,914EntertainmentEvent1Amt
Other Direct Expenses Event1$12,332OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$44,336GrossReceiptsTotalAmt
Gross Revenue Total Events$44,336GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,900NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$12,000RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,975FoodAndBeverageTotalEventsAmt
Entertainment Total Events$5,914EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$12,332OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$42,121DirectExpenseSummaryEventsAmt
Net Income Summary$2,215NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCLOTHING AND HOUSEHOLD GOODSGrantTypeTxt
Recipient2500RecipientCnt
Non Cash Assistance$164,241NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceCLOTHING, HOUSEHOLD GOODS AND PERSONAL CARE ITEMS.NonCashAssistanceDesc

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonDR LYLE IGNACEPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$173,561BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$27,021NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$200,582TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$164,241NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

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