RONALD MCDONALD HOUSE CHARITIES OF MARSHFIELD INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- RONALD MCDONALD HOUSE CHARITIES OF MARSHFIELD INC (EIN 93-0833012)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-06
- IRS object ID
- 201122189349300102
- Schema version
- 2010v3.4
- 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) |
|---|---|---|
| Timestamp | 2011-08-06T09:04:54-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWKINS ASH BAPTIE AND CO LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 WEST 29TH STREET | AddressLine1 |
| City | MARSHFIELD | City |
| State | WI | State |
| ZIP Code | 54449 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 930833012 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD MCDONALD HOUSE CHARITIES | BusinessNameLine1 |
| Business Name Line2 | OF MARSHFIELD INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RONA | NameControl |
| Phone | 7153875899 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 803 WEST NORTH STREET | AddressLine1 |
| City | MARSHFIELD | City |
| State | WI | State |
| ZIP Code | 54449 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RONALD L FISH | Name |
| Title | TREASURER | Title |
| Phone | 7153875899 | Phone |
| Date Signed | 2011-08-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MATTHEW P ECKELBERG CPA | Name |
| Phone | 7153871131 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RONALD L FISH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 803 WEST NORTH STREET | AddressLine1 |
| City | MARSHFIELD | City |
| State | WI | State |
| ZIP Code | 54449 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 800442 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RMHC-MARSHFIELD.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | THE 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 Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 10 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 201200 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 234996 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13299 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 10247 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 20368 | InvestmentIncomePriorYear |
| Investment Income Current Year | -1573 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5247 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7153 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 240114 | TotalRevenuePriorYear |
| Total Revenue Current Year | 250823 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 17500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 17500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 115563 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 121816 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 8284 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 146650 | OtherExpensePriorYear |
| Other Expenses Current Year | 175152 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 279713 | TotalExpensesPriorYear |
| Total Expenses Current Year | 314468 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -39599 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -63645 | RevenuesLessExpensesCY |
| Total Assets BOY | 1643766 | TotalAssetsBOY |
| Total Assets EOY | 1704169 | TotalAssetsEOY |
| Total Liabilities BOY | 20834 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13504 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1622932 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1690665 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 263500 | Expense |
| Grants | 17500 | Grants |
| Revenue | 12038 | Revenue |
| Description | RONALD 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 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 359 NEW FAMILIES AND 48 RETURNING FAMILIES FOR A TOTAL OF 407 FAMILIES IN 2010. THESE FAMILIES USED THE HOUSE FOR A TOTAL OF 601 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 TELEPHONE CARDS, PAPER PRODUCTS, FOOD AND BEVERAGES, CLEANING SUPPLIES, AND LAUNDRY SERVICES TO BE USED BY THE FAMILIES WHILE THEY ARE A GUEST AT THE RONALD MCDONALD HOUSE. | Description |
| Total Program Service Expense | 263500 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 10 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANDRA ZYGARLICKE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7153875899 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 803 W NORTH STREET | AddressLine1 |
| City | MARSHFIELD | City |
| State | WI | State |
| ZIP Code | 54449 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| CAROL ADLER | ||||||
| PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| PAMELA ACKER | ||||||
| VICE PRESIDENT | 1.00 | X | X | 0 | 0 | 0 |
| CAROL WILLFAHRT | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| RON FISH | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| BRAD SULLIVAN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PATTI SHAFTO-CARLSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| HEIDI GIESE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOE DOLEZAL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JIM BARTELT | ||||||
| FINANCIAL ADVISOR | 1.00 | X | 0 | 0 | 0 | |
| LISA ROY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ELIZABETH KRACHT | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LINDSEY RUMAGE-SAFFORD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SANDRA ZYGARLICKE | ||||||
| HOUSE DIRECTOR | 40.00 | X | 42312 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 42312 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 3516 | FundraisingEvents |
| All Other Contributions | 231480 | AllOtherContributions |
| Noncash Contributions | 61393 | NoncashContributions |
| Total Contributions | 234996 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ROOM REVENUE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 10247 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10247 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 10247 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12172 | TotalRevenueColumn |
| Exclusion | $12,172 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 535874 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 541938 | Securities |
| Other | 7681 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -6064 | Securities |
| Other | -7681 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -13745 | TotalRevenueColumn |
| Exclusion | -$13,745 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 5362 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 3516 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 0 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5362 | TotalRevenueColumn |
| Exclusion | $5,362 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROMOTIONAL ITEMS | Description |
| Business Code | 453220 | BusinessCode |
| Total Revenue Column | 1791 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1791 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1791 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 250823 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12038 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,789 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17500 | Total |
| Program Services | 17500 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42312 | Total |
| Program Services | 33849 | ProgramServices |
| Management And General | 6347 | ManagementAndGeneral |
| Fundraising | 2116 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70847 | Total |
| Program Services | 69113 | ProgramServices |
| Management And General | 1734 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8657 | Total |
| Program Services | 7876 | ProgramServices |
| Management And General | 619 | ManagementAndGeneral |
| Fundraising | 162 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12270 | Total |
| Management And General | 12270 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8912 | Total |
| Program Services | 3565 | ProgramServices |
| Management And General | 891 | ManagementAndGeneral |
| Fundraising | 4456 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6439 | Total |
| Program Services | 4500 | ProgramServices |
| Management And General | 1003 | ManagementAndGeneral |
| Fundraising | 936 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20833 | Total |
| Program Services | 20833 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 273 | Total |
| Program Services | 109 | ProgramServices |
| Management And General | 137 | ManagementAndGeneral |
| Fundraising | 27 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16748 | Total |
| Management And General | 16748 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20359 | Total |
| Program Services | 20359 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10801 | Total |
| Program Services | 10801 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| DONATED SUPPLIES | 58696 | 55174 | 2935 | 587 |
| REPAIRS & MAINTENANCE | 17710 | 17710 | ||
| DUES, SUBSCRIPTIONS & L | 1007 | 1007 | ||
| AWARDS | 634 | 634 | ||
| MISCELLANEOUS | 470 | 470 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 314468 | Total |
| Program Services | 263500 | ProgramServices |
| Management And General | 42684 | ManagementAndGeneral |
| Fundraising | 8284 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28319 | BOY |
| EOY | 19775 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314675 | BOY |
| EOY | 211977 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10452 | BOY |
| EOY | 1825 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6975 | BOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 783581 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 640791 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151162 | BOY |
| EOY | 142790 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1132183 | BOY |
| EOY | 1327802 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1643766 | BOY |
| EOY | 1704169 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20834 | BOY |
| EOY | 13504 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20834 | BOY |
| EOY | 13504 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 177126 | BOY |
| EOY | 164909 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 945806 | BOY |
| EOY | 1025756 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 500000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1622932 | BOY |
| EOY | 1690665 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1643766 | BOY |
| EOY | 1704169 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -63645 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 131378 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 176870 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 151362 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 235224 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 201200 | CurrentTaxYearMinus1Year |
| Current Tax Year | 234996 | CurrentTaxYear |
| Total | 999652 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 176870 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 151362 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 235224 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 201200 | CurrentTaxYearMinus1Year |
| Current Tax Year | 234996 | CurrentTaxYear |
| Total | 999652 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 6156 | AmountsSubstContributorsTotal |
| Public Support Total170 | 993496 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 59267 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 88688 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 67332 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20368 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12172 | CurrentTaxYear |
| Total | 247827 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15908 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 23002 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5823 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2320 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5362 | CurrentTaxYear |
| Total | 52415 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1299894 | TotalSupport |
| Gross Receipts From Admissions Etc | 78097 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.76430 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.73190 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1445806 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 143037 | InvestmentEarningsOrLosses |
| Other Expenditures | 57500 | OtherExpenditures |
| Administrative Expenses | 5587 | AdministrativeExpenses |
| End Of Year Balance | 1525756 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1181420 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 279254 | InvestmentEarningsOrLosses |
| Other Expenditures | 10000 | OtherExpenditures |
| Administrative Expenses | 4868 | AdministrativeExpenses |
| End Of Year Balance | 1445806 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1502723 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -310846 | InvestmentEarningsOrLosses |
| Other Expenditures | 5000 | OtherExpenditures |
| Administrative Expenses | 5457 | AdministrativeExpenses |
| End Of Year Balance | 1181420 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.33000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.67000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 670424 | OtherCostOrOtherBasis |
| Depreciation | 547693 | Depreciation |
| Book Value | 122731 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28065 | OtherCostOrOtherBasis |
| Depreciation | 18091 | Depreciation |
| Book Value | 9974 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 85092 | OtherCostOrOtherBasis |
| Depreciation | 75007 | Depreciation |
| Book Value | 10085 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 142790 | TotalOfBookValueLandBuildings |
| Total Revenue | 250823 | TotalRevenue |
| Total Expenses | 314468 | TotalExpenses |
| Excess Or Deficit For Year | -63645 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 131378 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 131378 | TotalAdjustments |
| Excess Or Deficit Per FS | 67733 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 398801 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 131378 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 16600 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 147978 | RevenueNotRptdF990 |
| Revenue Subtotal | 250823 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 250823 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 331068 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 16600 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 16600 | ExpensesNotRptdF990 |
| Expenses Subtotal | 314468 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 314468 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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: | UNDER U.S. GAAP, THE ORGANIZATION ADOPTED THE PROVISIONS RELATING TO "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" ON JANUARY 1, 2009. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE FINANCIAL STATEMENTS. AS OF BOTH THE DATE OF ADOPTION, AND AS OF DECEMBER 31, 2010 AND 2009, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO. 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 2007 AND STATE EXAMINATIONS FOR YEARS BEFORE 2006. |
| PART X, LINE 2: UNDER U.S. GAAP, THE ORGANIZATION ADOPTED THE PROVISIONS RELATING TO "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES" ON JANUARY 1, 2009. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE FINANCIAL STATEMENTS. AS OF BOTH THE DATE OF ADOPTION, AND AS OF DECEMBER 31, 2010 AND 2009, THE UNRECOGNIZED TAX BENEFIT ACCRUAL WAS ZERO. 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 2007 AND STATE EXAMINATIONS FOR YEARS BEFORE 2006. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAINT JOSEPH'S CHILDREN'S HOSPITAL-CHILDREN'S MIRACLE NETWORK | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 611 ST JOSEPH AVE | AddressLine1 |
| City | MARSHFIELD | City |
| State | WI | State |
| ZIP Code | 54449 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 391684957 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 16500 | AmountOfCashGrant |
| Purpose Of Grant | TO IMPROVE THE HEALTHCARE OF CHILDREN AGES 0-18 IN OUR 17 COUNTY AREA. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER INFORMATION: | Identifier |
| Return Reference | PART IV: | ReturnReference |
| Explanation | PART 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 61393 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | DONOR-DECLARED VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD RELIES ON THE HOUSE DIRECTOR, PRESIDENT, AND TREASURER TO REVIEW THE FORM 990 BEFORE IT IS FILED. | |
| THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 131,378. | FORM 990, PART XI, LINE 5: |
| THE EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY OVER THE AUDIT AND THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | FORM 990, PART XII, LINE 2C |