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MARYHILL MANOR INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MARYHILL MANOR INC (EIN 39-1501353)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-01
IRS object ID
201333059349300833
Schema version
2012v2.1
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)
Timestamp2013-11-01T11:47:17-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code543072237ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391501353EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARYHILL MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMARYNameControl
Phone7152513172Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1501 MADISON AVENUEAddressLine1
CityNIAGARACity
StateWIState
ZIP Code54151ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOAN ROEHRIGName
TitleADMINISTRATOR/CEOTitle
Phone7152513172Phone
Date Signed2013-10-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRI REXRODE CPA MSTName
PTINP00096513PTIN
Phone9206620016Phone
Date Prepared2013-10-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOAN ROEHRIGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1501 MADISON AVENUEAddressLine1
CityNIAGARACity
StateWIState
ZIP Code54151ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5826656GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteMARYHILLMANOR.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionSKILLED 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees161TotalNbrEmployees
Total Nbr Volunteers51TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4877ContributionsGrantsPriorYear
Contributions Grants Current Year99624ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5135607ProgramServiceRevenuePriorYear
Program Service Revenue CY5718626ProgramServiceRevenueCY
Investment Income Prior Year10220InvestmentIncomePriorYear
Investment Income Current Year7448InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5150704TotalRevenuePriorYear
Total Revenue Current Year5825698TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3116327SalariesEtcPriorYear
Salaries Etc Current Year3295941SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1831438OtherExpensePriorYear
Other Expenses Current Year2074169OtherExpensesCurrentYear
Total Expenses Prior Year4947765TotalExpensesPriorYear
Total Expenses Current Year5370110TotalExpensesCurrentYear
Revenues Less Expenses Prior Year202939RevenuesLessExpensesPriorYear
Revenues Less Expenses CY455588RevenuesLessExpensesCY
Total Assets BOY4275235TotalAssetsBOY
Total Assets EOY4725986TotalAssetsEOY
Total Liabilities BOY2414512TotalLiabilitiesBOY
Total Liabilities EOY2390784TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1860723NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2335202NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4396281Expense
Revenue5717374Revenue
DescriptionMARYHILL 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.Description
Total Program Service Expense4396281TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees161NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOAN ROEHRIGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7152513172TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1501 MADISON AVENUEAddressLine1
CityNIAGARACity
StateWIState
ZIP Code54151ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JON PRYOR
CHAIR0.10XX000
HENRY 'HANK' MCROBERTS
VICE CHAIR0.10XX000
ALLYN THORNBERRY
TREASURER0.10XX000
LEILA CANAVERA
SECRETARY0.10XX000
MARY JEAN ELDRIDGE
DIRECTOR0.10X000
S REGINA PACIS MESERVEY
DIRECTOR0.10X000
TIM LONDON
DIRECTOR0.10X000
PAUL BEAUCHAMP
DIRECTOR0.10X000
STEVE FEIRA
FORMER DIRECTOR0.10X000
SR ROSEMARY HERRIGES
DIRECTOR0.10X000
DR ROBERT PULTZ
DIRECTOR0.10X000
SHAWN STAPLES
DIRECTOR0.10X000
JOAN ROEHRIG
ADMINISTRATOR/CEO40.00X90900014427
FieldValueIRS element (for citing)
Total Reportable Comp From Org90900TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation14427TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPIES INC
PO BOX 8103FORT SMITHAR729028103THERAPY375647
SHOPKORX CARE
3701 E EVERGREEN DRIVE STE 1000APPLETONWI549137409PHARMACY142522
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions99624AllOtherContributions
Total Contributions99624TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
RESIDENT SERVICE REVEN62300057146745714674
TESTING AND SCREENING62300027002700
OTHER REVENUES6230001252$1,252
FieldValueIRS element (for citing)
Total Program Service Revenue5718626TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8406TotalRevenueColumn
Exclusion$8,406ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other958Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-958Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-958TotalRevenueColumn
Exclusion-$958ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5825698TotalRevenueColumn
Related Or Exempt Function Income5717374RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,700ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total105327Total
Management And General105327ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2705105Total
Program Services2448199ProgramServices
Management And General256906ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total45309Total
Program Services45309ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total198432Total
Program Services190636ProgramServices
Management And General7796ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total241768Total
Program Services225750ProgramServices
Management And General16018ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6698Total
Management And General6698ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31255Total
Management And General31255ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total623400Total
Program Services612009ProgramServices
Management And General11391ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total25576Total
Program Services55ProgramServices
Management And General25521ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total449629Total
Program Services417487ProgramServices
Management And General32142ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total44465Total
Management And General44465ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total141296Total
Program Services103026ProgramServices
Management And General38270ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total15096Total
Program Services11682ProgramServices
Management And General3414ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total93459Total
Program Services58973ProgramServices
Management And General34486ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total175273Total
Program Services82904ProgramServices
Management And General92369ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total128622Total
Program Services1525ProgramServices
Management And General127097ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BED ASSESSMENTS153000153000
LOSS ON REFINANCING6719967199
MISCELLANEOUS43091915233939
BAD DEBT EXPENSE3479634796

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total41314Total
Program Services1778ProgramServices
Management And General39536ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5370110Total
Program Services4396281ProgramServices
Management And General973829ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY722792BOY
EOY789957EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1502537BOY
EOY1884119EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY408631BOY
EOY446026EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY85095BOY
EOY53813EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4377060LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2843259LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1463017BOY
EOY1533801EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY93163BOY
EOY18270EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4275235BOY
EOY4725986EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY284280BOY
EOY275950EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1945000BOY
EOY1962716EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY185232BOY
EOY152118EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2414512BOY
EOY2390784EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1840192BOY
EOY2317737EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY20531BOY
EOY17465EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1860723BOY
EOY2335202EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4275235BOY
EOY4725986EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses455588ReconcilationRevenueExpenses
Reconcilation Other Changes18891ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7833CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1375CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3018CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4877CurrentTaxYearMinus1Year
Current Tax Year99624CurrentTaxYear
Total116727Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4636115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4597684CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4884952CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5133768CurrentTaxYearMinus1Year
Current Tax Year5717374CurrentTaxYear
Total24969893Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7664CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years871CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1839CurrentTaxYearMinus1Year
Current Tax Year1252CurrentTaxYear
Total12828Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4651612CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4600261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4888841CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5140484CurrentTaxYearMinus1Year
Current Tax Year5818250CurrentTaxYear
Total25099448Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50925099448PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19148CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15786CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10220CurrentTaxYearMinus1Year
Current Tax Year8406CurrentTaxYear
Total66244Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19148CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15786CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12684CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10220CurrentTaxYearMinus1Year
Current Tax Year8406CurrentTaxYear
Total66244Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4670760CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4616047CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4901525CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5150704CurrentTaxYearMinus1Year
Current Tax Year5826656CurrentTaxYear
Total25165692Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99740PublicSupportPercentage509
Prior Year Support Percentage0.97730PriorYearSupportPercentage
Investment Income Percentage0.00260InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00430PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance20531BeginningOfYearBalance
Contributions4624Contributions
Other Expenditures7690OtherExpenditures
End Of Year Balance17465EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance28180BeginningOfYearBalance
Contributions4877Contributions
Other Expenditures12526OtherExpenditures
End Of Year Balance20531EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance26942BeginningOfYearBalance
Contributions3018Contributions
Other Expenditures1780OtherExpenditures
End Of Year Balance28180EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance30098BeginningOfYearBalance
Contributions1375Contributions
Other Expenditures4531OtherExpenditures
End Of Year Balance26942EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance23268BeginningOfYearBalance
Contributions7833Contributions
Other Expenditures1003OtherExpenditures
End Of Year Balance30098EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis105165OtherCostOrOtherBasis
Book Value105165BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3010750OtherCostOrOtherBasis
Depreciation1864624Depreciation
Book Value1146126BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis89286OtherCostOrOtherBasis
Depreciation60345Depreciation
Book Value28941BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1171859OtherCostOrOtherBasis
Depreciation918290Depreciation
Book Value253569BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1533801TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMINIMUM PENSION LIABILITYDescription
Amount$152,118Amount
FieldValueIRS element (for citing)
Total Of Amounts152118TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt5753875TotRevenueEtcAuditedFinclStmt
Other Revenues-67199OtherRevenues
Revenue Not Rptd F990-67199RevenueNotRptdF990
Revenue Subtotal5821074RevenueSubtotal
Other Revenues Not Included4624OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4624RevenueNotRptdOnFinStmt
Total Revenue Per Form9905825698TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5302911TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal5302911ExpensesSubtotal
Other Expenses Not Included67199OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt67199ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905370110TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ORGANIZATION INTENDS TO USE ENDOWMENT FUNDS FOR THEIR DESIGNATED PURPOSES INCLUDING FACILITY EXPENSES, RESIDENT ACTIVITES, CONTINUING EDUCATION, LANDSCAPING, AND OTHERS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MARYHILL RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR RECOGNIZED TAX BENEFITS. FEDERAL AND STATE INCOME TAX RETURNS FOR 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON REFINANCING -67,199.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS 3,644. SPECIAL EVENT REVENUE 980.
PART XII, LINE 4B - OTHER ADJUSTMENTS:LOSS ON REFINANCING 67,199.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WHEFA REVENUE BONDS SERIES 2012BusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN391337855IssuerEIN
CUSIP NumberNONEAVAILCUSIPNumber
Date Issued2012-10-17DateIssued
Issue Price2055000IssuePrice
Description Of PurposeREFUNDINGDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds2055000TotalProceeds
Refunding Escrow1880461RefundingEscrow
Issuance Costs From Proceeds41100IssuanceCostsFromProceeds
Capital Expenditures133439CapitalExpenditures
Year Of Subst Completion2013YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs0WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION IS OWNED BY THE SCHOOL SISTERS OF ST. FRANCIS.
FORM 990, PART VI, SECTION A, LINE 7ATHE SCHOOL SISTERS OF ST. FRANCIS MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BTHE 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 11THE 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 12CMARYHILL MANOR HAS AN ANNUAL BOARD OF DIRECTOR'S MEETING IN WHICH THEY DISCUSS CORPORATE COMPLIANCE AND CONFLICT OF INTEREST. AT THIS TIME THEY HAVE THE BOARD OF DIRECTORS SIGN AND RETURN A COPY OF THE CONFLICT OF INTEREST POLICY. THE SAME IS DONE FOR THE LEADERSHIP GROUP AT MARYHILL. THE SIGNED FORMS ARE KEPT ON FILE IN THE BUSINESS OFFICE.
FORM 990, PART VI, SECTION B, LINE 15THE 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 19MARYHILL MANOR, INC. PROVIDES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 612,009. MANAGEMENT AND GENERAL EXPENSES 11,391. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 623,400.OTHER FEES
FORM 990, PART XI, LINE 9:CHANGE IN MINIMUM PENSION OBLIGATION 18,891.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE 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.OVERSIGHT OF THE AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SCHOOL SISTERS OF ST FRANCIS
1501 S LAYTON BLVDMILWAUKEEWI53215391594407RELIGIOUS ORDERWI501(C)(3)1N/A0
CLEMENT MANOR
3939 S 92ND STGREENFIELDWI53228391020547NURSING HOMEWI501(C)(3)90SCHOOL SISTERS OF ST FRANCIS
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg