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ST CLARAS MANOR: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ST CLARAS MANOR (EIN 26-3430115)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-08
IRS object ID
201723129349302882
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)
Return2017-11-08T13:11:22-08:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JM Abbott & Associates LtdBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1207 S McLean StAddressLine1Txt
CityLincolnCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN263430115EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST CLARAS MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTCLBusinessNameControlTxt
Phone2177351507PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 FIFTH STREETAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCLYDE REYNOLDSPersonNm
Person TitlePresidentPersonTitleTxt
Signature2017-11-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonClayton GeorgeCPAPreparerPersonNm
PTINP00052565PTIN
Phone2177351576PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$5,201,080GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HERITAGEOFCARE.COM/LINCOLNWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionNURSING HOMEActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee120TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$8,780PYContributionsGrantsAmt
CY Contributions Grants$7,341CYContributionsGrantsAmt
PY Program Service Revenue$5,860,277PYProgramServiceRevenueAmt
CY Program Service Revenue$5,192,266CYProgramServiceRevenueAmt
PY Investment Income$7,847PYInvestmentIncomeAmt
CY Investment Income$1,464CYInvestmentIncomeAmt
PY Other Revenue$135PYOtherRevenueAmt
CY Other Revenue$9CYOtherRevenueAmt
PY Total Revenue$5,877,039PYTotalRevenueAmt
CY Total Revenue$5,201,080CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,220,290PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,958,826CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,801CYTotalFundraisingExpenseAmt
PY Other Expenses$2,922,568PYOtherExpensesAmt
CY Other Expenses$2,894,957CYOtherExpensesAmt
PY Total Expenses$6,142,858PYTotalExpensesAmt
CY Total Expenses$5,853,783CYTotalExpensesAmt
PY Revenues Less Expenses-$265,819PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$652,703CYRevenuesLessExpensesAmt
Total Assets BOY$2,275,810TotalAssetsBOYAmt
Total Assets EOY$1,740,514TotalAssetsEOYAmt
Total Liabilities BOY$411,751TotalLiabilitiesBOYAmt
Total Liabilities EOY$529,158TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,864,059NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,211,356NetAssetsOrFundBalancesEOYAmt
MissionNURSING HOMEMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,173,151ExpenseAmt
Revenue$5,192,266RevenueAmt
DescOPERATES NURSING HOME - 140 BEDSDURING 2016, 28,221 PATIENT DAYS OF SERVICE PROVIDEDDesc
Total Program Service Expenses$5,173,151TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee120EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHERITAGE OPERATIONS GROUP LLCPersonNm
Phone3098284361PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 W JEFFERSON SUITE 401AddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP617023188ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CLYDE REYNOLDS
President1.000.00Yes (X)Yes (X)$0$0$0
DR DENNIS CARROLL
Vice President1.000.00Yes (X)Yes (X)$0$0$0
TONI REIFSTECK
Treasurer1.000.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HERITAGE OPERATIONS GROUP LLC
115 W JEFFERSON SUITE 401BLOOMINGTONIL61702MANAGEMENT$394,907
ST CLARAS SENIOR SERVICES INC
200 FIFTH STREETLINCOLNIL62656RENT$459,900
MEDICAL STAFFING NETWORK
1057 W MAIN STDECATURIL62522STAFFING$182,599
SELECT REHABILITATION INC
PO BOX 809056CHICAGOIL606809056REHAB SERVICES$508,789
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$7,341AllOtherContributionsAmt
Total Contributions$7,341TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fees & Contracts Gov Agencies623000$3,321,012$3,321,012
NURSING HOME OPERATIONS623000$1,871,254$1,871,254
FieldValueIRS element (for citing)
Total Program Service Revenue$5,192,266TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,464TotalRevenueColumnAmt
Exclusion$1,464ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescACTIVITY FUND, VEND & MISDesc
Business721000BusinessCd
Total Revenue Column$9TotalRevenueColumnAmt
Related Or Exempt Func Income$9RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$9OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,201,080TotalRevenueColumnAmt
Related Or Exempt Func Income$5,192,275RelatedOrExemptFuncIncomeAmt
Exclusion$1,464ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,373,829TotalAmt
Program Services$2,233,901ProgramServicesAmt
Management And General$138,378ManagementAndGeneralAmt
Fundraising$1,550FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$24,336TotalAmt
Program Services$22,995ProgramServicesAmt
Management And General$1,326ManagementAndGeneralAmt
Fundraising$15FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$361,700TotalAmt
Program Services$341,770ProgramServicesAmt
Management And General$19,709ManagementAndGeneralAmt
Fundraising$221FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$198,961TotalAmt
Program Services$182,431ProgramServicesAmt
Management And General$16,333ManagementAndGeneralAmt
Fundraising$197FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$256,499TotalAmt
Management And General$256,499ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$546TotalAmt
Management And General$546ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,329TotalAmt
Management And General$9,329ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$131,133TotalAmt
Program Services$61,284ProgramServicesAmt
Management And General$69,077ManagementAndGeneralAmt
Fundraising$772FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,365TotalAmt
Management And General$30,365ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,599TotalAmt
Management And General$8,599ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$78,375TotalAmt
Program Services$45,257ProgramServicesAmt
Management And General$33,118ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$571,772TotalAmt
Program Services$566,054ProgramServicesAmt
Management And General$5,718ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,059TotalAmt
Program Services$4,059ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,292TotalAmt
Program Services$5,292ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$149,687TotalAmt
Program Services$144,808ProgramServicesAmt
Management And General$4,833ManagementAndGeneralAmt
Fundraising$46FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PHYSICAL/OCCUPATIONAL THERAPY$517,082$517,082
SUPPLIES$381,112$381,112
CONTRACTUAL SERVICES$239,826$239,826
FOOD$233,005$233,005

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$278,276TotalAmt
Program Services$194,275ProgramServicesAmt
Management And General$84,001ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,853,783TotalAmt
Program Services$5,173,151ProgramServicesAmt
Management And General$677,831ManagementAndGeneralAmt
Fundraising$2,801FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$252BOYAmt
EOY$249EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$891,800BOYAmt
EOY$97,524EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$841,100BOYAmt
EOY$1,111,292EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$32,427BOYAmt
EOY$16,952EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$46,918BOYAmt
EOY$19,052EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$463,313BOYAmt
EOY$495,445EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,275,810BOYAmt
EOY$1,740,514EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$411,751BOYAmt
EOY$529,158EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$411,751BOYAmt
EOY$529,158EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,864,059BOYAmt
EOY$1,211,356EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,864,059BOYAmt
EOY$1,211,356EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,275,810BOYAmt
EOY$1,740,514EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$652,703ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$70,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,697CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,780CurrentTaxYearMinus1YearAmt
Current Tax Year$7,341CurrentTaxYearAmt
Total$99,818TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,079,479CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,290,107CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,219,881CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,860,276CurrentTaxYearMinus1YearAmt
Current Tax Year$5,192,266CurrentTaxYearAmt
Total$30,642,009TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,079,479CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,360,107CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,233,578CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,869,056CurrentTaxYearMinus1YearAmt
Current Tax Year$5,199,607CurrentTaxYearAmt
Total$30,741,827TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$30,741,827PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,028CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,971CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,847CurrentTaxYearMinus1YearAmt
Current Tax Year$1,464CurrentTaxYearAmt
Total$67,958TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,028CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,971CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,847CurrentTaxYearMinus1YearAmt
Current Tax Year$1,464CurrentTaxYearAmt
Total$67,958TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$764CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$374CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$437CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$135CurrentTaxYearMinus1YearAmt
Current Tax Year$9CurrentTaxYearAmt
Total$1,719TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,090,891CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,396,509CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,245,986CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,877,038CurrentTaxYearMinus1YearAmt
Current Tax Year$5,201,080CurrentTaxYearAmt
Total$30,811,504TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99770PublicSupportCY509Pct
Public Support PY5090.99710PublicSupportPY509Pct
Investment Income CY0.00220InvestmentIncomeCYPct
Investment Income PY0.00230InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM ST. CLARA'S SENIOR SERVICESDesc
Book Value$495,445BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$495,445TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,201,080TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$5,201,080RevenueSubtotalAmt
Total Revenue Per Form990$5,201,080TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,853,783TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$5,853,783ExpensesSubtotalAmt
Total Expenses Per Form990$5,853,783TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationNOTE E TO THE AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS: THE NURSING HOME IS CHARTERED AS AN ILLINOIS NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE NURSING HOME IS REQUIRED TO FILE FEDERAL AND STATE INFORMATIONAL RETURNS. WITH LIMITED EXCEPTIONS, THE NURSING HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR ANY YEARS EARLIER THAN 2013 FOR FEDERAL AND STATE PURPOSES. MANAGEMENT HAS PERFORMED ITS EVALUATION OF ALL OTHER INCOME TAX POSITIONS TAKEN ON ALL OPEN INFORMATIONAL RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE ARE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATING TO UNCERTAIN INCOME TAX PROVISIONS IN THE ACCOMPANYING FINANCIAL STATEMENTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyHERITAGE OPERATIONS GROUP, LLC INDEPENDENTLY MANAGES ST. CLARA'S FOR A MANAGEMENT FEE. THIS INCLUDES EMPLOYING THE DIRECTOR; PAYING PAYROLL AND BILLS; INVOICING RESIDENTS, ETC.
Form 990, Part VI, Line 11b: Form 990 Review ProcessMANAGEMENT REVIEWS THE 990. THE BOARD REVIEWS AND APPROVES THE AUDIT FROM WHICH THE 990 WAS PREPARED.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsIF THERE IS A CONFLICT OF INTEREST, THE BOARD MEMBER WILL ABSTAIN FROM DISCUSSION/VOTING ON THE AFFECTED ISSUE.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE DOCUMENTS ARE HELD IN THE NURSING HOME BUSINESS OFFICE, WHICH IS OPEN DURING NORMAL BUSINESS HOURS.
PAGE 1, LINE 5, NUMBER OF EMPLOYEES AND PART V, LINE 2AST. CLARA'S SENIOR SERVICES, INC., A SUPPORTING ORGANIZATION, IS THE EMPLOYER OF ALL EMPLOYEES OF ST. CLARA'S MANOR, INC AND FILES ALL RELATED PAYROLL FORMS. ST. CLARA'S MANOR, INC. REIMBURSES ST. CLARA'S SENIOR SERVICES, INC. FOR ALL EMPLOYEE COSTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST CLARAS SENIOR SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 FIFTH STREETAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd
FieldValueIRS element (for citing)
EIN376075710EIN
Primary ActivitiesSUPPORTING ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusTYPE IIIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST CLARAS SENIOR SERVICES INC
d$495,445AMT OF LOAN
ST CLARAS SENIOR SERVICES INC
k$459,900LESS THAN FMV
ST CLARAS SENIOR SERVICES INC
p$2,537,407COST OF EXP