STRATEGY STUDIO / PUBLIC DATA EXPLORER

RONALD MCDONALD HOUSE CHARITIES OF MARSHFIELD INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
RONALD MCDONALD HOUSE CHARITIES OF MARSHFIELD INC (EIN 93-0833012)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-14
IRS object ID
201211359349300221
Schema version
2011v1.2
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)
Timestamp2012-05-14T08:03:11-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390912608EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HAWKINS ASH BAPTIE AND CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1101 WEST 29TH STREET SUITE 101AddressLine1
CityMARSHFIELDCity
StateWIState
ZIP Code544495250ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930833012EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RONALD MCDONALD HOUSE CHARITIESBusinessNameLine1
Business Name Line2OF MARSHFIELD INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlRONANameControl
Phone7153875899Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1803 WEST NORTH STREETAddressLine1
CityMARSHFIELDCity
StateWIState
ZIP Code54449ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRONALD L FISHName
TitleTREASURERTitle
Phone7153875899Phone
Date Signed2012-05-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMATTHEW P ECKELBERG CPAName
PTINP00583770PTIN
Phone7153871131Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRONALD L FISHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1803 WEST NORTH STREETAddressLine1
CityMARSHFIELDCity
StateWIState
ZIP Code54449ZIPCode
FieldValueIRS element (for citing)
Gross Receipts790582GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RMHC-MARSHFIELD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION SUPPORTS THE WELL BEING OF CHILDREN, INCLUDING(A) PROVIDING TEMPORARY LODGING PRIMARILY FOR SERIOUSLY ILL CHILDREN AND THEIR FAMILIES WHILE RECEIVING TREATMENT IN OR VISITING A HOSPITAL OR SIMILAR TREATMENT FACILITY AND (B) MAKING CONTRIBUTIONS AND GRANTS, THROUGH THE PARTNERSHIP WITH CHILDREN'S MIRACLE NETWORK, TO OTHER NONPROFIT ORGANIZATIONS THAT ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES AND WHICH ENGAGE IN WHOLE OR IN PART IN (I)EDUCATING CHILDREN OR (II)PROVIDING FOR THE ESSENTIAL NEEDS OF CHILDREN OR (III)CARRYING ON RESEARCH AS TO PHYSICAL AND MENTAL DISEASES AND OTHER DISORDERS, OR THE DIAGNOSIS, PREVENTION, AND TREATMENT THEREOF.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year233467ContributionsGrantsPriorYear
Contributions Grants Current Year301160ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10247ProgramServiceRevenuePriorYear
Program Service Revenue CY8927ProgramServiceRevenueCY
Investment Income Prior Year761InvestmentIncomePriorYear
Investment Income Current Year36652InvestmentIncomeCurrentYear
Other Revenue Prior Year7153OtherRevenuePriorYear
Other Revenue Current Year5965OtherRevenueCurrentYear
Total Revenue Prior Year251628TotalRevenuePriorYear
Total Revenue Current Year352704TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year17500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year121816SalariesEtcPriorYear
Salaries Etc Current Year126128SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year9742TotalFundrsngExpCurrentYear
Other Expense Prior Year175152OtherExpensePriorYear
Other Expenses Current Year155970OtherExpensesCurrentYear
Total Expenses Prior Year314468TotalExpensesPriorYear
Total Expenses Current Year299098TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-62840RevenuesLessExpensesPriorYear
Revenues Less Expenses CY53606RevenuesLessExpensesCY
Total Assets BOY1730837TotalAssetsBOY
Total Assets EOY1724126TotalAssetsEOY
Total Liabilities BOY13504TotalLiabilitiesBOY
Total Liabilities EOY21287TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1717333NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1702839NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION SUPPORTS THE WELL BEING OF CHILDREN, INCLUDING(A) PROVIDING TEMPORARY LODGING PRIMARILY FOR SERIOUSLY ILL CHILDREN AND THEIR FAMILIES WHILE RECEIVING TREATMENT IN OR VISITING A HOSPITAL OR SIMILAR TREATMENT FACILITY AND (B) MAKING CONTRIBUTIONS AND GRANTS, THROUGH THE PARTNERSHIP WITH CHILDREN'S MIRACLE NETWORK, TO OTHER NONPROFIT ORGANIZATIONS THAT ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES AND WHICH ENGAGE IN WHOLE OR IN PART IN (I)EDUCATING CHILDREN OR (II)PROVIDING FOR THE ESSENTIAL NEEDS OF CHILDREN OR (III)CARRYING ON RESEARCH AS TO PHYSICAL AND MENTAL DISEASES AND OTHER DISORDERS OF CHILDREN, OR THE DIAGNOSIS, PREVENTION, AND TREATMENT THEREOF.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense245103Expense
Grants17000Grants
Revenue10638Revenue
DescriptionRONALD MCDONALD HOUSE CHARITIES'(RMHC) MISSION IS TO LIFT CHILDREN AND FAMILIES TO A BETTER TOMORROW. THE RONALD MCDONALD HOUSE IS THE CORNERSTONE PROGRAM OF RMHC BUT CAN ONLY HELP TEN FAMILIES AT A TIME. TO MEET THE BROADER MISSION OF THE ORGANIZATION, RMHC PARTNERED WITH CHILDREN'S MIRACLE NETWORK TO PROVIDE SMALL GRANTS TO NONPROFITS IN CENTRAL WISCONSIN. MONEY USED FOR GRANT MAKING COMES FROM SPECIAL PROMOTIONS HELD BY OUR LOCAL MCDONALD'S FRANCHISEES, SPECIAL DESIGNATED FUNDRAISING ACTIVITIES AND A MATCHING GRANT ACCOUNT FUNDED BY THE NATIONAL CHAPTER OF RMHC IN OAK BROOK, ILLINOIS. RMHC OF MARSHFIELD OPERATES A HOUSE PROVIDING TEMPORARY LODGING TO FAMILIES OF SERIOUSLY ILL CHILDREN WHILE THOSE CHILDREN ARE PATIENTS AT THE MARSHFIELD CLINIC/ST. JOSEPH'S HOSPITAL. FAMILIES OF SERIOUSLY ILL CHILDREN ARE ALLOWED TO STAY IN THE HOUSE FOR A DONATION OF $5 PER NIGHT PER FAMILY. NO FAMILY IS TURNED AWAY BECAUSE OF A LACK OF FUNDS. THE HOUSE PROVIDED A "HOME AWAY FROM HOME" FOR 311 NEW FAMILIES AND 53 RETURNING FAMILIES FOR A TOTAL OF 364 FAMILIES IN 2011. THESE FAMILIES USED THE HOUSE FOR A TOTAL OF 569 VISITS. THE HOUSE IS STAFFED BY 20+ VOLUNTEERS ON A REGULAR BASIS WHO ASSIST THE FAMILIES WITH MEALS, OFFICE ASSISTANCE, LIGHT HOUSEKEEPING AND OTHER MAINTENANCE. THE HOUSE RECEIVES MANY IN-KIND DONATIONS SUCH AS PAPER PRODUCTS, FOOD AND BEVERAGES, AND CLEANING AND LAUNDRY SUPPLIES TO BE USED BY THE FAMILIES WHILE THEY ARE A GUEST AT THE RONALD MCDONALD HOUSE.Description
Total Program Service Expense245103TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
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 Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees10NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SANDRA ZYGARLICKEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7153875899TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1803 W NORTH STREETAddressLine1
CityMARSHFIELDCity
StateWIState
ZIP Code54449ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CAROL ADLER
PRESIDENT1.00XX000
PAMELA ACKER
VICE PRESIDENT1.00XX000
CAROL WILLFAHRT
SECRETARY1.00XX000
RON FISH
TREASURER2.00XX000
PATTI SHAFTO-CARLSON
DIRECTOR1.00X000
HEIDI GIESE
DIRECTOR1.00X000
JOE DOLEZAL
DIRECTOR1.00X000
JIM BARTELT
FINANCIAL ADVISOR1.00X000
LISA ROY
DIRECTOR1.00X000
ELIZABETH KRACHT
DIRECTOR1.00X000
LINDSEY RUMAGE-SAFFORD
DIRECTOR1.00X000
SANDRA ZYGARLICKE
HOUSE DIRECTOR32.00X3696700
FieldValueIRS element (for citing)
Total Reportable Comp From Org36967TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE BOSON COMPANY INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12613 W VETERANS PARKWAYAddressLine1
CityMARSHFIELDCity
StateWIState
ZIP Code54449ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesKITCHEN REMODELDescriptionOfServices
Compensation210376Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events7690FundraisingEvents
All Other Contributions293470AllOtherContributions
Noncash Contributions37653NoncashContributions
Total Contributions301160TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionROOM REVENUEDescription
Business Code624100BusinessCode
Total Revenue Column8927TotalRevenueColumn
Related Or Exempt Function Income8927RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8927TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column19789TotalRevenueColumn
Exclusion$19,789ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities454741Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities433485Securities
Other4393Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities21256Securities
Other-4393Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16863TotalRevenueColumn
Exclusion$16,863ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events4254GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events7690CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column4254TotalRevenueColumn
Exclusion$4,254ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPROMOTIONAL ITEMSDescription
Business Code453220BusinessCode
Total Revenue Column1711TotalRevenueColumn
Related Or Exempt Function Income1711RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1711TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column352704TotalRevenueColumn
Related Or Exempt Function Income10638RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$40,906ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total17000Total
Program Services17000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total36967Total
Program Services29574ProgramServices
Management And General5545ManagementAndGeneral
Fundraising1848Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total80198Total
Program Services78245ProgramServices
Management And General1953ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8963Total
Program Services8175ProgramServices
Management And General642ManagementAndGeneral
Fundraising146Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14857Total
Management And General14857ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total12552Total
Program Services5095ProgramServices
Management And General1243ManagementAndGeneral
Fundraising6214Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7202Total
Program Services4967ProgramServices
Management And General1128ManagementAndGeneral
Fundraising1107Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23841Total
Program Services23841ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total681Total
Program Services272ProgramServices
Management And General341ManagementAndGeneral
Fundraising68Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total16001Total
Management And General16001ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19823Total
Program Services19823ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total7735Total
Program Services6988ProgramServices
Management And General747ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DONATED SUPPLIES35929337741796359
REPAIRS & MAINTENANCE1528115281
DUES, SUBSCRIPTIONS & L993993
AWARDS724724

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total351Total
Program Services351ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total299098Total
Program Services245103ProgramServices
Management And General44253ManagementAndGeneral
Fundraising9742Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19775BOY
EOY27139EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY211977BOY
EOY213229EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis985646LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec643264LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY142790BOY
EOY342382EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY438275BOY
EOY344905EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY889527BOY
EOY770433EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY28493BOY
EOY26038EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1730837BOY
EOY1724126EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13504BOY
EOY21287EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13504BOY
EOY21287EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY164909BOY
EOY349086EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1052424BOY
EOY853753EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY500000BOY
EOY500000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1717333BOY
EOY1702839EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1730837BOY
EOY1724126EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses53606ReconcilationRevenueExpenses
Reconcilation Other Changes-68100ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years151362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years235224CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years201200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year234996CurrentTaxYearMinus1Year
Current Tax Year301160CurrentTaxYear
Total1123942Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years151362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years235224CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years201200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year234996CurrentTaxYearMinus1Year
Current Tax Year301160CurrentTaxYear
Total1123942Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total4693AmountsSubstContributorsTotal
Public Support Total1701119249PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years88688CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years67332CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20368CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12172CurrentTaxYearMinus1Year
Current Tax Year19789CurrentTaxYear
Total208349Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23002CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5823CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2320CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5362CurrentTaxYearMinus1Year
Current Tax Year4254CurrentTaxYear
Total40761Total
FieldValueIRS element (for citing)
Total Support1373052TotalSupport
Gross Receipts From Admissions Etc73111GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.81520PublicSupportPertcentage170
Public Support Pertcent Prior Year0.76430PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: NET FUNDRAISING REVENUEGeneralExplanation

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 Balance1525756BeginningOfYearBalance
Investment Earnings Or Losses-21424InvestmentEarningsOrLosses
Other Expenditures170000OtherExpenditures
Administrative Expenses6062AdministrativeExpenses
End Of Year Balance1328270EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1445806BeginningOfYearBalance
Investment Earnings Or Losses143037InvestmentEarningsOrLosses
Other Expenditures57500OtherExpenditures
Administrative Expenses5587AdministrativeExpenses
End Of Year Balance1525756EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1181420BeginningOfYearBalance
Investment Earnings Or Losses279254InvestmentEarningsOrLosses
Other Expenditures10000OtherExpenditures
Administrative Expenses4868AdministrativeExpenses
End Of Year Balance1445806EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1502723BeginningOfYearBalance
Investment Earnings Or Losses-310846InvestmentEarningsOrLosses
Other Expenditures5000OtherExpenditures
Administrative Expenses5457AdministrativeExpenses
End Of Year Balance1181420EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.38000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.62000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis890539OtherCostOrOtherBasis
Depreciation559517Depreciation
Book Value331022BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis28065OtherCostOrOtherBasis
Depreciation21721Depreciation
Book Value6344BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis67042OtherCostOrOtherBasis
Depreciation62026Depreciation
Book Value5016BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings342382TotalOfBookValueLandBuildings

Other Securities OtherSecurities (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
DAVIS NY VENTURE FD INC CL Y136366F
DODGE AND COX STOCK FD105373F
AM FDS GROWTH FD OF AMERICA CL F1108572F
HARBOR CAPITAL APPRECIATION FD137448F
ASSOCIATED INTERMEDIATE TERM BOND FUND (PT)140487F
ASSOCIATED SHORT TERM BOND FUND (PT)142187F
FieldValueIRS element (for citing)
Total Of Book Value Securities770433TotalOfBookValueSecurities
Total Revenue352704TotalRevenue
Total Expenses299098TotalExpenses
Excess Or Deficit For Year53606ExcessOrDeficitForYear
Net Unrealized GL On Investments-68100NetUnrealizedGLOnInvestments
Total Adjustments-68100TotalAdjustments
Excess Or Deficit Per FS-14494ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt303609TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-68100NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities19005DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990-49095RevenueNotRptdF990
Revenue Subtotal352704RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990352704TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt318103TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities19005DonatedServicesUseOfFacilities
Expenses Not Rptd F99019005ExpensesNotRptdF990
Expenses Subtotal299098ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990299098TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:PART V, LINE 4: THE PRINCIPLE OR PERMANENT ENDOWMENT OF $500,000 MUST BE KEPT IN A PERPETUAL ENDOWMENT FUND. THE INCOME EARNED BY THIS ENDOWMENT IS TO BE USED FOR HOUSE OPERATING EXPENSES AS APPROVED BY THE BOARD OF DIRECTORS. ANY UNUSED INVESTMENT EARNINGS ARE REINVESTED AND INCLUDED IN THE TERM ENDOWMENT UNTIL APPROPRIATED FOR EXPENDITURE BY THE BOARD.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION IS A NONPROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE WHEREBY ONLY UNRELATED BUSINESS INCOME, AS DEFINED BY SECTION 509 (A)(1) OF THE CODE, IS SUBJECT TO FEDERAL INCOME TAX. THE ORGANIZATION CURRENTLY HAS NO UNRELATED BUSINESS INCOME. THE ORGANIZATION IS ALSO EXEMPT FROM WISCONSIN INCOME TAXES PURSUANT TO SIMILAR TAX LAWS OF THE STATE OF WISCONSIN. U.S. GAAP REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011 AND 2010, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION WILL RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IF INCURRED. THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008 AND STATE EXAMINATIONS FOR YEARS BEFORE 2007.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SAINT JOSEPH'S CHILDREN'S HOSPITAL-CHILDREN'S MIRACLE NETWORKBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1611 ST JOSEPH AVEAddressLine1
CityMARSHFIELDCity
StateWIState
ZIP Code54449ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient391684957EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant16000AmountOfCashGrant
Purpose Of GrantTO IMPROVE THE HEALTHCARE OF CHILDREN AGES 0-18 IN OUR 17 COUNTY AREA.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
ExplanationPART I, LINE 2: THE ORGANIZATION PARTNERS WITH SAINT JOSEPH'S HOSPITAL-CHILDREN'S MIRACLE NETWORK TO OFFER GRANTS TO OTHER NONPROFIT ORGANIZATIONS THAT ARE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC, OR EDUCATIONAL PURPOSES AND WHICH ENGAGE IN WHOLE OR IN PART IN (1)EDUCATING CHILDREN, (2)PROVIDING FOR THE ESSENTIAL NEEDS OF CHILDREN OR (3)CARRYING ON RESEARCH AS TO PHYSICAL AND MENTAL DISEASES AND OTHER DISORDERS OF CHILDREN, OR THE DIAGNOSIS, PREVENTION AND TREATMENT THEREOF. THE ORGANIZATION'S BOARD OF DIRECTORS PROVIDES A GRANT TO THE CHILDREN'S MIRACLE NETWORK. THE CHILDREN'S MIRACLE NETWORK THEN COMPILES AND PRESENTS A LIST OF POTENTIAL GRANTEES TO THE ORGANIZATION'S BOARD WHO APPROVES THE GRANTS. CHILDREN'S MIRACLE NETWORK IS THEN RESPONSIBLE FOR DISBURSING THE GRANT FUNDS AND FOR FOLLOWING UP WITH THE GRANTEE TO ENSURE THAT THE GRANT FUNDS WERE USED FOR THE PURPOSE GRANTED.Explanation

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99037653NoncashContribsRptdF990
Method Of Determining RevenuesDONOR-DECLARED VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE BOARD RELIES ON THE HOUSE DIRECTOR, PRESIDENT, AND TREASURER TO REVIEW THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, BOARD MEMBERS AND KEY EMPLOYEES ARE GIVEN PAPERWORK TO UPDATE THEIR CONFLICT OF INTEREST STATEMENTS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS USES GUIDELINES ESTABLISHED BY RONALD MCDONALD HOUSE CHARITIES, GLOBAL, INC. FOR HOUSE DIRECTOR PERFORMANCE APPRAISAL AND COMPENSATION INCREASES.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSS ON INVESTMENTS -68,100. TOTAL TO FORM 990, PART XI, LINE 5: -68,100.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY OVER THE AUDIT AND THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.