MARYHILL MANOR INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MARYHILL MANOR INC (EIN 39-1501353)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2015-11-02
- IRS object ID
- 201533069349300218
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-02T09:00:17-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1Txt |
| City | GREEN BAY | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 543072237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391501353 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYHILL MANOR INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
| Phone | 7152513172 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 MADISON AVENUE | AddressLine1Txt |
| City | NIAGARA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54151 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOAN ROEHRIG | PersonNm |
| Person Title | ADMINISTRATOR/CEO | PersonTitleTxt |
| Phone | 7152513172 | PhoneNum |
| Signature | 2015-10-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TERRI REXRODE CPA MST | PreparerPersonNm |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | PhoneNum |
| Preparation | 2015-10-19 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOAN ROEHRIG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 MADISON AVENUE | AddressLine1Txt |
| City | NIAGARA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54151 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,921,546 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MARYHILLMANOR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | SKILLED NURSING HOME FOR THE ELDERLY. MARYHILL MANOR ("THE ORGANIZATION") IS AN AWARD-WINNING REHABILITATION AND SKILLED NURSING CENTER WHICH IS PROUD TO BE THE HANDS AND FACE OF THE SCHOOL SISTER'S MISSION OF COMPASSIONATE CARE. OUR EDUCATIONAL OUTREACH IS WELL RESPECTED, AND WE ARE A CLINICAL SITE FOR THE BAY COLLEGE WEST NURSING PROGRAM AND THE NORTHEAST WISCONSIN TECHNICAL COLLEGE FOR NIAGARA BASED PRACTICAL NURSING, NURSING ASSISTANT, AND DEMENTIA CARE CERTIFICATION COURSES.FOCUSED ON THE FUTURE, WE HAVE BEGUN THE JOURNEY INTO THE SOCIAL MODEL OF CARE. WHILE MAINTAINING OUR FOCUS ON THE PHYSICAL NEEDS OF OUR RESIDENTS, MARYHILL'S RESIDENTS DETERMINE THEIR OWN GOALS, AND THE TEAM COLLABORATES WITH EACH PERSON TO EMPOWER THEM TO THEIR HIGHEST LEVEL OF WELLNESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 165 | TotalEmployeeCnt |
| Total Volunteers | 51 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $23,051 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,576 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,478,413 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,906,784 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,597 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,641 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,507,061 | PYTotalRevenueAmt |
| CY Total Revenue | $5,919,001 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,200 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,352,426 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,466,305 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,972,334 | PYOtherExpensesAmt |
| CY Other Expenses | $2,037,010 | CYOtherExpensesAmt |
| PY Total Expenses | $5,324,760 | PYTotalExpensesAmt |
| CY Total Expenses | $5,506,515 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $182,301 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $412,486 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,728,433 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,981,659 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,205,459 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,070,647 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,522,974 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,911,012 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE A COMMUNITY FOCUSED PROVIDER OF REHABILITATIVE AND LONG TERM CARE SERVICES, ASSISTING OUR CLIENTS TO ACHIEVE THEIR GOALS IN AN ENVIRONMENT OF RESPECT AND COMPASSION WHICH PRESERVES THEIR INDIVIDUALITY. DEDICATED TO MEETING EACH PERSON'S SPIRITUAL, EMOTIONAL, AND PHYSICAL NEEDS THROUGH PROFESSIONAL AND TECHNICAL EXCELLENCE, WE PROMOTE THE HEALING MISSION OF THE SCHOOL SISTERS OF ST. FRANCIS AND THE CATHOLIC CHURCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,750,198 | ExpenseAmt |
| Revenue | $5,846,344 | RevenueAmt |
| Desc | MARYHILL MANOR, INC. IS A 75-BED NURSING HOME THAT PROVIDES SKILLED AND INTERMEDIATE CARE FOR ITS RESIDENTS. MARYHILL SERVES THE ELDERLY WITHOUT DISCRIMINATION FOR THE PURPOSE OF HEALTH CARE, CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC ENDEAVORS. THE PRIMARY INTEREST IS IN PROVIDING HIGH QUALITY CARE TO RESIDENTS, EDUCATION FOR STAFF, AND IMPROVEMENT IN COMMUNITY HEALTH. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $34,386 | ExpenseAmt |
| Grant | $3,200 | GrantAmt |
| Revenue | $58,450 | RevenueAmt |
| Desc | BERNARDY MANOR, LLC IS A 12-UNIT INDEPENDENT HOUSING FACILITY FOR THE ELDERLY SUBSIDIZED BY THE U.S. DEPARTMENT OF AGRICUTULRE LOCATED IN NIAGARA, WISCONSIN. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,784,584 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 165 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOAN ROEHRIG | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7152513172 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 MADISON AVENUE | AddressLine1Txt |
| City | NIAGARA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54151 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JON PRYOR | ||||||
| CHAIR | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HENRY 'HANK' MCROBERTS | ||||||
| VICE CHAIR | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ALLYN THORNBERRY | ||||||
| TREASURER | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LEILA CANAVERA | ||||||
| SECRETARY | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY JEAN ELDRIDGE | ||||||
| DIRECTOR | 0.10 | Yes (X) | $0 | $0 | $0 | |
| S REGINA PACIS MESERVEY | ||||||
| DIRECTOR | 0.10 | Yes (X) | $0 | $0 | $0 | |
| PAUL BEAUCHAMP | ||||||
| DIRECTOR | 0.10 | Yes (X) | $0 | $0 | $0 | |
| SR ROSEMARY HERRIGES | ||||||
| DIRECTOR | 0.10 | Yes (X) | $0 | $0 | $0 | |
| DR ROBERT PULTZ | ||||||
| DIRECTOR | 0.10 | Yes (X) | $0 | $0 | $0 | |
| LANA FRANTZ | ||||||
| DIRECTOR | 0.10 | Yes (X) | $0 | $0 | $0 | |
| JOAN ROEHRIG | ||||||
| ADMINISTRATOR/CEO | 40.00 | Yes (X) | $97,893 | $0 | $20,490 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $97,893 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $20,490 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AEGIS THERAPIES INC | |||||
| PO BOX 8103 | FORT SMITH | AR | 729028103 | THERAPY | $490,971 |
| SHOPKO RXCARE | |||||
| PO BOX 8758 | CAROL STREAM | IL | 601978758 | PHARMACY | $109,081 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $7,576 | AllOtherContributionsAmt |
| Total Contributions | $7,576 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| RESIDENT SERVICE REVEN | 623000 | $5,846,344 | $5,846,344 | |
| BERNARDY MANOR REVENUE | 900099 | $58,450 | $58,450 | |
| CAFETERIA AND VENDING | 623000 | $1,990 | $1,990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,906,784 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,386 | TotalRevenueColumnAmt |
| Exclusion | $6,386 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $800 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,545 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,745 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,745 | TotalRevenueColumnAmt |
| Exclusion | -$1,745 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,919,001 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,904,794 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,631 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,200 | TotalAmt |
| Program Services | $3,200 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,383 | TotalAmt |
| Management And General | $118,383 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,831,973 | TotalAmt |
| Program Services | $2,756,744 | ProgramServicesAmt |
| Management And General | $75,229 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,102 | TotalAmt |
| Program Services | $20,622 | ProgramServicesAmt |
| Management And General | $1,480 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,078 | TotalAmt |
| Program Services | $247,589 | ProgramServicesAmt |
| Management And General | $7,489 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,769 | TotalAmt |
| Program Services | $222,771 | ProgramServicesAmt |
| Management And General | $15,998 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,950 | TotalAmt |
| Management And General | $1,950 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,557 | TotalAmt |
| Management And General | $13,557 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,345 | TotalAmt |
| Management And General | $30,345 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,062 | TotalAmt |
| Program Services | $553,845 | ProgramServicesAmt |
| Management And General | $11,217 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,715 | TotalAmt |
| Program Services | $259 | ProgramServicesAmt |
| Management And General | $32,456 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,457 | TotalAmt |
| Program Services | $482,412 | ProgramServicesAmt |
| Management And General | $33,045 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,316 | TotalAmt |
| Management And General | $46,316 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,522 | TotalAmt |
| Program Services | $112,883 | ProgramServicesAmt |
| Management And General | $40,639 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,857 | TotalAmt |
| Program Services | $12,905 | ProgramServicesAmt |
| Management And General | $2,952 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,853 | TotalAmt |
| Program Services | $47,863 | ProgramServicesAmt |
| Management And General | $27,990 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,657 | TotalAmt |
| Program Services | $119,333 | ProgramServicesAmt |
| Management And General | $73,324 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,479 | TotalAmt |
| Program Services | $1,775 | ProgramServicesAmt |
| Management And General | $139,704 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BED ASSESSMENTS | $153,000 | $153,000 | |
| BAD DEBT EXPENSE | $22,371 | $22,371 | |
| DUES AND SUBSCRIPTIONS | $11,909 | $1,042 | $10,867 |
| SPONSORSHIP FEES | $9,270 | $9,270 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,690 | TotalAmt |
| Program Services | $25,970 | ProgramServicesAmt |
| Management And General | $29,720 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,506,515 | TotalAmt |
| Program Services | $4,784,584 | ProgramServicesAmt |
| Management And General | $721,931 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,507 | BOYAmt |
| EOY | $111,211 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,297,370 | BOYAmt |
| EOY | $2,586,888 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $456,614 | BOYAmt |
| EOY | $493,872 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,421 | BOYAmt |
| EOY | $73,135 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,853,188 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,154,905 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,764,251 | BOYAmt |
| EOY | $1,698,283 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,270 | BOYAmt |
| EOY | $18,270 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,728,433 | BOYAmt |
| EOY | $4,981,659 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,057 | BOYAmt |
| EOY | $268,513 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,825,369 | BOYAmt |
| EOY | $1,681,985 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,033 | BOYAmt |
| EOY | $120,149 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,205,459 | BOYAmt |
| EOY | $2,070,647 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,504,827 | BOYAmt |
| EOY | $2,892,698 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,147 | BOYAmt |
| EOY | $18,314 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,522,974 | BOYAmt |
| EOY | $2,911,012 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,728,433 | BOYAmt |
| EOY | $4,981,659 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $412,486 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$24,448 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,018 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,877 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $99,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,051 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,576 | CurrentTaxYearAmt |
| Total | $138,146 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,884,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,133,768 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,717,374 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,476,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,904,794 | CurrentTaxYearAmt |
| Total | $27,117,638 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $871 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,252 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,663 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,990 | CurrentTaxYearAmt |
| Total | $7,615 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,888,841 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,140,484 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,818,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,501,464 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,914,360 | CurrentTaxYearAmt |
| Total | $27,263,399 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $211,571 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $439,046 | CurrentTaxYearAmt |
| Total | $650,617 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $211,571 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $439,046 | CurrentTaxYearAmt |
| Total | $650,617 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $26,612,782 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,684 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,220 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,406 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,597 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,386 | CurrentTaxYearAmt |
| Total | $43,293 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,684 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,220 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,406 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,597 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,386 | CurrentTaxYearAmt |
| Total | $43,293 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,901,525 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,150,704 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,826,656 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,507,061 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,920,746 | CurrentTaxYearAmt |
| Total | $27,306,692 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97460 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98980 | PublicSupportPY509Pct |
| Investment Income CY | 0.00160 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00200 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $134,665 | OtherCostOrOtherBasisAmt |
| Book Value | $134,665 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,341,739 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,098,944 | DepreciationAmt |
| Book Value | $1,242,795 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,285,230 | OtherCostOrOtherBasisAmt |
| Depreciation | $985,944 | DepreciationAmt |
| Book Value | $299,286 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,554 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,017 | DepreciationAmt |
| Book Value | $21,537 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,698,283 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MINIMUM PENSION LIABILITY | Desc |
| Amt | $120,149 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $120,149 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $5,914,001 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,914,001 | RevenueSubtotalAmt |
| Other Revenues Not Included | $5,000 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $5,000 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,919,001 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,501,515 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,501,515 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $5,000 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $5,000 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,506,515 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DONATION 5,000. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DONATION 5,000. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WI HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS SERIES 2012 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 391337855 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2012-10-17 | BondIssuedDt |
| Issue Price | $2,055,000 | IssuePriceAmt |
| Purpose | RENOVATIONS AT NURSING HOME AND REFUNDING SEPTEMBER 30, 1999 BONDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $373,015 | RetiredAmt |
| Total Proceeds | $2,055,000 | TotalProceedsAmt |
| Refunding Escrow | $1,880,461 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $41,100 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $133,439 | CapitalExpendituresAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART III, LINE 3A | FormAndLineReferenceDesc |
| Explanation | MARYHILL MANOR HAS MANAGEMENT AND SERVICE CONTRACTS IN PLACE BUT BELIEVES THEY FALL WITHIN SAFE HARBORS OF 97-13 AND DO NOT RESULT IN PRIVATE BUSINESS USE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION IS OWNED BY THE SCHOOL SISTERS OF ST. FRANCIS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SCHOOL SISTERS OF ST. FRANCIS MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE SCHOOL SISTERS OF ST. FRANCIS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY: APPROVE ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS; APPROVE ANY SUBSIDIARY, APPROVE ANY MANAGEMENT SERVICES CONTRACT; DESIGNATE THE AUDITING FIRM; APPROVE DEBT OBLIGATIONS OVER A THRESHOLD THEY ESTABLISH; APPROVE REORGANIZATIONS; APPROVE MAJOR FUND DRIVES; APPROVE PURCHASE, SALE, LEASE, OR TRANSFER OF REAL ESTATE; AND APPROVE COMPENSATION AND FRINGE BENEFITS FOR THE PRESIDENT. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF DIRECTORS HAS GIVEN THE CEO AND BUSINESS OFFICE MANAGER AUTHORITY TO REVIEW FORM 990. PRIOR TO FILING, THE BOARD OF DIRECTORS WILL BE PROVIDED A COPY OF FORM 990 EITHER BY MAIL OR E-MAIL AND THEY ARE TO ACKNOWLEDGE RECEIPT OF FORM 990 VIA E-MAIL OR TELEPHONE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, OFFICER, AND EMPLOYEE IS FAMILIARIZED WITH THE CONFIDENTIALITY/CONFLICT OF INTEREST POLICY DURING ORIENTATION PRIOR TO ASSUMING THEIR DUTIES OR TERMS OF THE OFFICE. WHENEVER A CONFLICT OF INTEREST IS OR MAY BE INVOLVED, THE FACTS ARE TO BE PROMPTLY DISCLOSED. IF AN EMPLOYEE HAS A CONFLICT, THE FACTS SHOULD BE KNOWN BY THE CEO. IF A DIRECTOR HAS A CONFLICT, THE FACTS SHOULD BE KNOWN BY THE PRESIDENT OF THE BOARD OF DIRECTORS AND THE DIRECTOR SHALL REFRAIN FROM VOTING ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE TEAM CALLS A MEETING TO PERFORM THE CEO'S PERFORMANCE EVALUATION. THE EXECUTIVE TEAM IS WITHOUT CONFLICT OF INTEREST AND THEY DETERMINE WHAT PROGRESS SHE HAS MADE ON HER GOALS FOR THE YEAR AND HOW SHE HAS ACCOMPLISHED THEM. THEY USE COMPARATIVE SURVEYS (WASHA) TO DETERMINE HOW MUCH OF AN INCREASE IS ACCEPTABLE AND DOCUMENT ALL OF THIS INFORMATION IN HER FILE. |
| FORM 990, PART VI, SECTION C, LINE 19 | MARYHILL MANOR, INC. PROVIDES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 540,582. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 540,582. MAINTENANCE AND BUILDING MANAGER: PROGRAM SERVICE EXPENSES 9,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,623. TRANSPORTATION SERVICES: PROGRAM SERVICE EXPENSES 3,640. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,640. OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,217. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,217. |
| FORM 990, PART XI, LINE 9: | CHANGE IN MINIMUM PENSION OBLIGATION -24,448. |
| FORM 990, PART XI, LINE 2C | THE BOARD OF DIRECTORS AND SCHOOL SISTERS OF ST. FRANCIS SELECT THE COMPANY TO DO THE AUDIT. THE BOARD OF DIRECTORS OVERSEE THE AUDIT. THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERNARDY MANOR LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 JEFFERSON STREET | AddressLine1Txt |
| City | NIAGARA | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54151 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463298402 | EIN |
| Primary Activities | ELDERLY INDEPENDENT LIVING | PrimaryActivitiesTxt |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Total Income | $20,001 | TotalIncomeAmt |
| End Of Year Assets | $342,958 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYHILL MANOR INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SCHOOL SISTERS OF ST FRANCIS | |||||||||||
| 1501 S LAYTON BLVD | MILWAUKEE | WI | 53215 | 391594407 | RELIGIOUS ORDER | WI | 501(C)(3) | 1 | N/A | 0 | |
| CLEMENT MANOR INC | |||||||||||
| 3939 S 92ND ST | GREENFIELD | WI | 53228 | 391020547 | NURSING HOME | WI | 501(C)(3) | 9 | Yes (1) | SCHOOL SISTERS OF ST FRANCIS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |