2015-11-02T09:00:17-06:00 2015-06-30 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2014-07-01 391501353 MARYHILL MANOR INC MARY 7152513172 501 MADISON AVENUE NIAGARA WI 54151 JOAN ROEHRIG ADMINISTRATOR/CEO 7152513172 2015-10-19 1 TERRI REXRODE CPA MST P00096513 9206620016 2015-10-19 2014 2016-04-25 22:37:26Z JOAN ROEHRIG 501 MADISON AVENUE NIAGARA WI 54151 5921546 0 0928 X MARYHILLMANOR.ORG X 1964 WI 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. 10 10 165 51 0 0 23051 7576 5478413 5906784 5597 4641 0 0 5507061 5919001 0 3200 0 0 3352426 3466305 0 0 0 1972334 2037010 5324760 5506515 182301 412486 4728433 4981659 2205459 2070647 2522974 2911012 X 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. 0 0 4750198 5846344 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. 34386 3200 58450 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. 4784584 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 8 0 165 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOAN ROEHRIG 7152513172 501 MADISON AVENUE NIAGARA WI 54151 JON PRYOR CHAIR 0.10 X X 0 0 0 HENRY 'HANK' MCROBERTS VICE CHAIR 0.10 X X 0 0 0 ALLYN THORNBERRY TREASURER 0.10 X X 0 0 0 LEILA CANAVERA SECRETARY 0.10 X X 0 0 0 MARY JEAN ELDRIDGE DIRECTOR 0.10 X 0 0 0 S REGINA PACIS MESERVEY DIRECTOR 0.10 X 0 0 0 PAUL BEAUCHAMP DIRECTOR 0.10 X 0 0 0 SR ROSEMARY HERRIGES DIRECTOR 0.10 X 0 0 0 DR ROBERT PULTZ DIRECTOR 0.10 X 0 0 0 LANA FRANTZ DIRECTOR 0.10 X 0 0 0 JOAN ROEHRIG ADMINISTRATOR/CEO 40.00 X 97893 0 20490 97893 0 20490 0 0 0 0 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 729028103 THERAPY 490971 SHOPKO RXCARE PO BOX 8758 CAROL STREAM IL 601978758 PHARMACY 109081 2 7576 7576 RESIDENT SERVICE REVEN 623000 5846344 5846344 BERNARDY MANOR REVENUE 900099 58450 58450 CAFETERIA AND VENDING 623000 1990 1990 5906784 6386 6386 800 2545 -1745 -1745 -1745 5919001 5904794 0 6631 X 3200 3200 118383 118383 2831973 2756744 75229 22102 20622 1480 255078 247589 7489 238769 222771 15998 1950 1950 13557 13557 30345 30345 565062 553845 11217 32715 259 32456 515457 482412 33045 46316 46316 153522 112883 40639 15857 12905 2952 75853 47863 27990 192657 119333 73324 141479 1775 139704 BED ASSESSMENTS 153000 153000 BAD DEBT EXPENSE 22371 22371 DUES AND SUBSCRIPTIONS 11909 1042 10867 SPONSORSHIP FEES 9270 9270 55690 25970 29720 5506515 4784584 721931 0 131507 111211 2297370 2586888 456614 493872 60421 73135 4853188 3154905 1764251 1698283 18270 18270 4728433 4981659 263057 268513 1825369 1681985 117033 120149 2205459 2070647 X 2504827 2892698 18147 18314 2522974 2911012 4728433 4981659 X 412486 -24448 X X 0 1 X 1 0 X 3018 4877 99624 23051 7576 138146 4884952 5133768 5717374 5476750 5904794 27117638 871 1839 1252 1663 1990 7615 4888841 5140484 5818250 5501464 5914360 27263399 0 211571 439046 650617 211571 439046 650617 26612782 12684 10220 8406 5597 6386 43293 12684 10220 8406 5597 6386 43293 4901525 5150704 5826656 5507061 5920746 27306692 0.97460 0.98980 0.00160 0.00200 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 134665 134665 3341739 2098944 1242795 1285230 985944 299286 91554 70017 21537 1698283 MINIMUM PENSION LIABILITY 120149 120149 5914001 0 5914001 5000 5000 5919001 5501515 0 5501515 5000 5000 5506515 PART XI, LINE 4B - OTHER ADJUSTMENTS: DONATION 5,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: DONATION 5,000. A WI HEALTH AND EDUCATIONAL FACILITIES AUTHORITY REVENUE BONDS SERIES 2012 391337855 NONEAVAIL 2012-10-17 2055000 RENOVATIONS AT NURSING HOME AND REFUNDING SEPTEMBER 30, 1999 BONDS 0 0 0 A 373015 2055000 1880461 41100 133439 2013 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 SCHEDULE K, PART III, LINE 3A 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. 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. BERNARDY MANOR LLC 600 JEFFERSON STREET NIAGARA WI 54151 463298402 ELDERLY INDEPENDENT LIVING WI 20001 342958 MARYHILL MANOR INC 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 SCHOOL SISTERS OF ST FRANCIS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0