GOOD SHEPHERD HOME LTD: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SHEPHERD HOME LTD (EIN 39-1319766)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-05-08
- IRS object ID
- 202401299349300320
- Schema version
- 2023v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-08T07:34:16-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391319766 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SHEPHERD SERVICES LTD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 9208336856 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 607 E BRONSON RD | AddressLine1Txt |
| City | SEYMOUR | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54165 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAYLA PIEHL | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9208336856 | PhoneNum |
| Signature | 2024-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CAYLA | PersonFirstNm |
| Person Last | PIEHL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2024-05-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CAYLA PIEHL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 607 E BRONSON RD | AddressLine1Txt |
| City | SEYMOUR | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54165 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,965,808 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | GOODSHEPHERDSERVICES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE CARE FOR THE ELDERLY, CHILDREN, AND DISABLED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 245 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $496,112 | PYContributionsGrantsAmt |
| CY Contributions Grants | $324,784 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,219,749 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,476,109 | CYProgramServiceRevenueAmt |
| PY Investment Income | $102,875 | PYInvestmentIncomeAmt |
| CY Investment Income | $69,784 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,701 | PYOtherRevenueAmt |
| CY Other Revenue | $17,128 | CYOtherRevenueAmt |
| PY Total Revenue | $8,831,437 | PYTotalRevenueAmt |
| CY Total Revenue | $9,887,805 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,667,241 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,651,818 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $200 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,680,025 | PYOtherExpensesAmt |
| CY Other Expenses | $2,776,694 | CYOtherExpensesAmt |
| PY Total Expenses | $9,347,266 | PYTotalExpensesAmt |
| CY Total Expenses | $9,428,512 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$515,829 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $459,293 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,455,978 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,554,060 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,343,352 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,831,858 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,112,626 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,722,202 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GOOD SHEPHERD SERVICES IS A FAITH-BASED CAMPUS THAT PROVIDES HEALTH AND SOCIAL SERVICES TO THOSE WE SERVE INCLUDING OUR COMMUNITY. WE ARE DEDICATED TO SERVING THOSE ENTRUSTED TO US WITH DIGNITY, RESPECT AND COMPASSION, IN A SAFE AND WELCOMING ENVIRONMENT. WE STRIVE TO PROVIDE EXTRAORDINARY CARE, WHILE CREATING MOMENTS OF JOY AND A SENSE OF BELONGING. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,157,798 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $4,379,792 | RevenueAmt |
| Desc | 50 BED NURSING HOME PROVIDING SKILLED NURSING SERVICES TO THE ELDERLY, DISABLED, AMONG OTHER POPULATIONS. GOOD SHEPHERD SERVICES IS A FAITH-BASED CAMPUS THAT PROVIDES HEALTH AND SOCIAL SERVICES TO THOSE WE SERVE INCLUDING OUR COMMUNITY. WE ARE DEDICATED TO SERVING THOSE ENTRUSTED TO US WITH DIGNITY, RESPECT AND COMPASSION, IN A SAFE AND WELCOMING ENVIRONMENT. WE STRIVE TO PROVIDE EXTRAORDINARY CARE, WHILE CREATING MOMENTS OF JOY AND A SENSE OF BELONGING. TO ENSURE RESIDENT CHOICE IN THEIR DAILY LIVES WE HAVE ASSIMILATED THE FOLLOWING PROGRAMS, A "NO WAKE" PROGRAM, DAILY WELLNESS CLASSES, BUFFET DINING, EXTENDED DINING HOURS, 24 HOUR ALA CARTE DINING, A RESIDENT DIRECTED ACTIVITY PROGRAM CALLED "COME SEE" (LITERALLY, AS WHATEVER IS GOING ON CAN CHANGE ON RESIDENT DIRECTION AT ANY TIME). WE ENCOURAGE RESIDENTS TO MAINTAIN THEIR SOCIAL LIVES.OUR MEMORY CARE VILLAGE SUPPORTS THE CARE OF APPROXIMATELY 16 OLDER ADULTS WITH COGNITIVE IMPAIRMENTS. CEDAR LANE PROVIDES 11 PRIVATE ROOMS WITH PRIVATE BATHROOM AND SHOWER AREA FOR OUR RESIDENTS WHO COME TO STAY WITH US FOR A SHORT REHABILITATION STAY. OUR ENVIRONMENT ALSO HAS HAD MANY OTHER UPGRADES IN RECENT YEARS INCLUDING SPA BATHROOMS, LARGE ACTIVITY AREA CALLED THE FRIENDSHIP ROOM, UPGRADES TO SHARED SPACES INCLUDING FIREPLACES AND WARM, COMFORTABLE SEATING. WE CONTINUE TO PROVIDE EXCELLENT CARE AS NOTED BY OUR CONSISTENT EXCELLENT STATE NURSING HOME SURVEYS AND POSITIVE QUALITY INDICATOR TRENDS. WE HAVE CONSISTENTLY MAINTAINED A 5-STAR RATING AWARDED BY CMS. GOOD SHEPHERD HOME HAS BEEN AWARDED "BEST NURSING HOME" BY US NEWS AND WORLD REPORT MANY TIMES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,586,398 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,975,244 | RevenueAmt |
| Desc | THE MEADOW WOOD APARTMENTS PROVIDE FOUR TWO-BEDROOM AND 32 ONE-BEDROOM APARTMENTS FOR COMMUNITY MEMBERS IN NEED OF ASSISTED LIVING SERVICES. THROUGHOUT 2023, MEADOW WOOD RENDERED SERVICES TO 54 TENANTS. DURING 2023, MEADOW WOOD HAD 18 ADMISSIONS AND 16 DISCHARGES, 11 OF WHICH WERE ADMITTED TO THE NURSING HOME OR CBRF, THUS SUPPORTING THE CONTINUITY OF SERVICE CONCEPT WITHIN THE ORGANIZATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $809,654 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $847,091 | RevenueAmt |
| Desc | GOOD SHEPHERD CHILDREN'S CENTER SERVES CHILDREN FROM 6 WEEKS TO 11 YEARS OLD. FAMILIES ARE ABLE TO ENROLL THEIR CHILDREN FULL TIME AND PART TIME IN THE CENTER AND IN A BEFORE AND/OR AFTER SCHOOL PROGRAM. IN 2023, 115 CHILDREN WERE ENROLLED IN OUR CENTER. GOOD SHEPHERD CHILDREN'S CENTER DOES PARTICIPATE IN THE WISCONSIN DEPARTMENT OF CHILDREN AND FAMILIES' YOUNG STAR PROGRAM. THE YOUNG STAR PROGRAM IS A 5 STAR QUALITY RATING AND IMPROVEMENT SYSTEM FOR CHILD CARE PROVIDERS. IT BASES A CHILD CARE CENTER'S RATING ON LEARNING ENVIRONMENT & CURRICULUM, EDUCATION, HEALTH AND WELLBEING OF THE CHILD AND BUSINESS & PROFESSIONAL PRACTICES. THE CHILDREN'S CENTER CONTINUES THE 3K PROGRAM THAT WAS ESTABLISHED IN 2017. THE PROGRAM TEACHES IMPORTANT SOCIAL SKILLS AND PROVIDES A VARIETY OF LEARNING AND PLAY EXPERIENCES. THE PROGRAM RUNS ON MORNINGS FOUR DAYS A WEEK AND HAD 20 CHILDREN ENROLLED IN 2023. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $778,720 | $0 | $929,387 | FOREST GLEN CBRF OFFERS 20 APARTMENTS TO THOSE OLDER ADULTS THAT REQUIRE SUPERVISION OR ASSISTANCE. FOREST GLEN HAS ONE AND TWO BEDROOM APARTMENTS AVAILABLE. FOREST GLEN PROVIDES MEDICAL MANAGEMENT, PERSONAL CARE, HOUSEKEEPING, LAUNDRY, ACTIVITIES, APARTMENT AND DINING SERVICES FOR A MONTHLY FLAT FEE. EACH APARTMENT PROVIDES A BEDROOM AREA, A LIVING AREA AND A PRIVATE BATH WITH SHOWER. IN 2023, FOREST GLEN RENDERED SERVICES TO 32 RESIDENTS. FOREST GLEN ENDED THE YEAR WITH AN AVERAGE CENSUS OF 18.35. |
| $752,871 | $0 | $851,104 | THE SHEPHERDS INN OFFERS 20 APARTMENTS TO THOSE OLDER ADULTS THAT REQUIRE SUPERVISION OR ASSISTANCE. THE INN HAS ONE AND TWO BEDROOM APARTMENTS AVAILABLE. THE SHEPHERDS INN PROVIDES MEDICAL MANAGEMENT, PERSONAL CARE, HOUSEKEEPING, LAUNDRY, ACTIVITIES, APARTMENT AND DINING SERVICES FOR A MONTHLY FLAT FEE. EACH APARTMENT PROVIDES A BEDROOM AREA, A LIVING AREA AND A PRIVATE BATH WITH SHOWER. IN 2023, THE SHEPHERDS INN RENDERED SERVICES TO 26 RESIDENTS. THE SHEPHERDS INN ENDED THE YEAR WITH AN AVERAGE CENSUS OF 18.04. |
| $205,934 | $0 | $284,656 | GOOD SHEPHERD SERVICES REHAB CLINIC OFFERS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES TO THOSE THAT LIVE IN OUR RESIDENTIAL PROGRAMS AND TO THE COMMUNITY ON AN OUTPATIENT BASIS. A TOTAL OF 130 PEOPLE WERE RENDERED SERVICES IN 2023. 75 WERE MEDICARE PART A AND INSURANCE INPATIENT RESIDENTS, 22 WERE MEDICARE PART B INPATIENT RESIDENTS AND 33 WERE OUTPATIENT CLIENTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,737,525 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $2,065,147 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $8,291,375 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 245 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAWN GILLIAM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9208336856 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 607 BRONSON ROAD | AddressLine1Txt |
| City | SEYMOUR | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54165 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| LISA RICKERT | ||||||
| PRESIDENT | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PAT KLASS | ||||||
| VICE PRESIDENT | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LORRIE JACOBETTI | ||||||
| TREASURER | 0.25 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LAURA BRILL | ||||||
| BOARD MEMBER | 0.25 | Yes (X) | $0 | $0 | $0 | |
| ASHLEY LYMAN | ||||||
| BOARD MEMBER | 0.25 | Yes (X) | $0 | $0 | $0 | |
| WANDA MARCEILLE | ||||||
| BOARD MEMBER | 0.25 | Yes (X) | $0 | $0 | $0 | |
| PASTOR TY STONEBURNER | ||||||
| BOARD MEMBER | 0.25 | Yes (X) | $0 | $0 | $0 | |
| JOEL WALTERS | ||||||
| BOARD MEMBER | 0.25 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH CAPTAIN | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $185,400 | $0 | $16,854 | |
| DAWN GILLIAM | ||||||
| FINANCE DIRECTOR | 40.00 | Yes (X) | $105,066 | $0 | $16,293 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $290,466 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $33,147 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GEMINO HEALTHCARE FBO MJCARE | |||||
| PO BOX 6584 | CAROL STREAM | IL | 601976584 | CONTRACTED THERAPY SERVICES | $190,209 |
| MAXIM HEALTHCARE STAFFING SERVICES | |||||
| 12558 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | CONTRACTED NURSING STAFF | $101,086 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $271,219 | GovernmentGrantsAmt |
| All Other Contributions | $53,565 | AllOtherContributionsAmt |
| Total Contributions | $324,784 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NURSING HOME | 623000 | $4,379,792 | $4,379,792 |
| MEADOW WOOD | 623000 | $1,975,244 | $1,975,244 |
| FOREST GLEN | 623000 | $929,387 | $929,387 |
| SHEPHERD'S INN | 623000 | $851,104 | $851,104 |
| CHILD CARE CENTER | 624410 | $847,091 | $847,091 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $493,491 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $284,656 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $208,835 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,476,109 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,501 | TotalRevenueColumnAmt |
| Exclusion | $56,501 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $95,131 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $78,003 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,128 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,128 | TotalRevenueColumnAmt |
| Exclusion | $17,128 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,283 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,283 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,283 | TotalRevenueColumnAmt |
| Exclusion | $13,283 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,887,805 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,267,274 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $295,747 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,613 | TotalAmt |
| Program Services | $16,181 | ProgramServicesAmt |
| Management And General | $307,432 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,588,943 | TotalAmt |
| Program Services | $5,225,571 | ProgramServicesAmt |
| Management And General | $363,372 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,803 | TotalAmt |
| Program Services | $28,803 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,502 | TotalAmt |
| Program Services | $278,502 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,957 | TotalAmt |
| Program Services | $405,439 | ProgramServicesAmt |
| Management And General | $26,518 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,567 | TotalAmt |
| Management And General | $4,567 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,515 | TotalAmt |
| Management And General | $30,515 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $725 | TotalAmt |
| Management And General | $725 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,332 | TotalAmt |
| Management And General | $14,332 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,937 | TotalAmt |
| Program Services | $378,361 | ProgramServicesAmt |
| Management And General | $9,576 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,056 | TotalAmt |
| Program Services | $2,881 | ProgramServicesAmt |
| Management And General | $33,175 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,574 | TotalAmt |
| Program Services | -$6,850 | ProgramServicesAmt |
| Management And General | $52,424 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,787 | TotalAmt |
| Program Services | $29,278 | ProgramServicesAmt |
| Management And General | $89,509 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,002 | TotalAmt |
| Program Services | $401,002 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,204 | TotalAmt |
| Program Services | $1,017 | ProgramServicesAmt |
| Management And General | $187 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,529 | TotalAmt |
| Program Services | $16,237 | ProgramServicesAmt |
| Management And General | $292 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,751 | TotalAmt |
| Program Services | $61,570 | ProgramServicesAmt |
| Management And General | $11,181 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,918 | TotalAmt |
| Program Services | $489,395 | ProgramServicesAmt |
| Management And General | $109,523 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,543 | TotalAmt |
| Program Services | $57,335 | ProgramServicesAmt |
| Management And General | $62,208 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DIETARY EXPENSE | $768,579 | $768,579 | |
| ROOM TAX ASSESSMENT | $102,000 | $102,000 | |
| DUES AND SUBSCRIPTIONS | $22,253 | $947 | $21,306 |
| BAD DEBTS | $16,254 | $16,254 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,168 | TotalAmt |
| Program Services | $18,873 | ProgramServicesAmt |
| Management And General | $95 | ManagementAndGeneralAmt |
| Fundraising | $200 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,428,512 | TotalAmt |
| Program Services | $8,291,375 | ProgramServicesAmt |
| Management And General | $1,136,937 | ManagementAndGeneralAmt |
| Fundraising | $200 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $408,972 | BOYAmt |
| EOY | $751,137 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,008 | BOYAmt |
| EOY | $109,021 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $473,526 | BOYAmt |
| EOY | $664,292 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,566 | BOYAmt |
| EOY | $29,878 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,101 | BOYAmt |
| EOY | $39,889 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,286,543 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,956,827 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,703,557 | BOYAmt |
| EOY | $4,329,716 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,728,340 | BOYAmt |
| EOY | $1,625,335 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,908 | BOYAmt |
| EOY | $4,792 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,455,978 | BOYAmt |
| EOY | $7,554,060 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $728,007 | BOYAmt |
| EOY | $786,163 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,907 | BOYAmt |
| EOY | $4,792 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,610,438 | BOYAmt |
| EOY | $1,040,903 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,343,352 | BOYAmt |
| EOY | $1,831,858 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,092,626 | BOYAmt |
| EOY | $5,702,202 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $20,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,112,626 | BOYAmt |
| EOY | $5,722,202 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,455,978 | BOYAmt |
| EOY | $7,554,060 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $459,293 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $150,283 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $52,678 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,287,723 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,438,471 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $496,112 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $324,784 | CurrentTaxYearAmt |
| Total | $3,599,768 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,163,317 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,975,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,355,891 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,979,758 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,267,274 | CurrentTaxYearAmt |
| Total | $40,741,755 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $332,166 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $149,430 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202,278 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $239,991 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $208,835 | CurrentTaxYearAmt |
| Total | $1,132,700 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,548,161 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,412,668 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,996,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,715,861 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,800,893 | CurrentTaxYearAmt |
| Total | $45,474,223 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,781 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $268,076 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $176,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $151,979 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $336,160 | CurrentTaxYearAmt |
| Total | $1,066,586 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,781 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $268,076 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $176,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $151,979 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $336,160 | CurrentTaxYearAmt |
| Total | $1,066,586 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $44,407,637 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $131,774 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $122,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125,975 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $135,948 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $151,632 | CurrentTaxYearAmt |
| Total | $668,075 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $131,774 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $122,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125,975 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $135,948 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $151,632 | CurrentTaxYearAmt |
| Total | $668,075 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,679,935 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,535,414 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,122,615 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,851,809 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,952,525 | CurrentTaxYearAmt |
| Total | $46,142,298 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96240 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96620 | PublicSupportPY509Pct |
| Investment Income CY | 0.01450 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01420 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $725 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $725 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PART OF LEADING AGE (STATE AND NATIONAL ASSOCIATION DUES) GOES TOWARDS LOBBYING EFFORTS FOR LTC. LEADINGAGE MAINTAINS RELATIONSHIPS ACROSS WASHINGTON, DC AND THE STATE OF WISCONSIN, TO ENSURE THAT POLICYMAKERS UNDERSTAND HOW TO BEST CRAFT AND SUPPORT LEGISLATION AND REGULATION TO SUPPORT AGING SERVICES, OLDER ADULTS, AND FAMILIES ACROSS THE COUNTRY. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,289 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,289 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $299 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $299 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $199 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $199 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $111 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $111 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,567 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,567 | OtherExpendituresAmt |
| End Year Balance | $20,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $162,776 | OtherCostOrOtherBasisAmt |
| Book Value | $162,776 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,296,363 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,224,250 | DepreciationAmt |
| Book Value | $3,072,113 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,827,404 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,732,577 | DepreciationAmt |
| Book Value | $1,094,827 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,329,716 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $10,101,759 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $150,283 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $150,283 | RevenueNotReportedAmt |
| Revenue Subtotal | $9,951,476 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $14,332 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$78,003 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$63,671 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $9,887,805 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,492,183 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $78,003 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $78,003 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,414,180 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $14,332 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $14,332 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,428,512 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION HAS RESIDENT FUNDS HELD IN TRUST. RESIDENTS' FUNDS HELD IN TRUST CONSIST OF AMOUNTS ON DEPOSIT WITH THE FACILITY BY RESIDENTS FOR SAFEKEEPING. THESE FUNDS CAN BE WITHDRAWN AT ANY TIME BY THE RESIDENTS. |
| PART V, LINE 4: | DURING 1993, A PERMANENTLY RESTRICTED ENDOWMENT WAS CREATED FROM A SINGLE DONATION OF $20,000. THE EARNINGS FROM THIS ENDOWMENT ARE RESTRICTED FOR THE USE OF THE BENEFIT OF THE RESIDENTS OF GOOD SHEPHERD. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EXPENSE ALLOCATED TO RENTAL INCOME -78,003. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSE ALLOCATED TO RENTAL INCOME 78,003. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBORAH CAPTAIN | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $182,221 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $3,179 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $1,873 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $14,981 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $202,254 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION'S MEMBERSHIP CONSISTS OF CHURCH CONGREGATIONS IN THE GENERAL GEOGRAPHIC AREA OF THE CITY OF SEYMOUR, OUTAGAMIE COUNTY, WISCONSIN, HAVING VOTED TO PARTICIPATE OR WHO MAY IN THE FUTURE, ON INVITATION, VOTE TO PARTICIPATE. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS SHALL ELECT THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS SHALL ELECT THE BOARD OF DIRECTORS, APPROVE THE ARTICLES OF INCORPORATION OR RESTATEMENTS THEREOF, APPROVE ANY SALE OF MORE THAN ONE-HALF (1/2) OF THE CORPORATE ASSETS OR ANY OTHER CORPORATE ACTION CONSTITUTING A CORPORATE REORGANIZATION, INCLUDING A MERGER OR DISSOLUTION OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR SHALL SIGN AND CERTIFY THAT THE IRS FORM 990 IS ACCURATE AND COMPLETE. THE FINANCE COMMITTEE SHALL DELEGATE THE REVIEW AND APPROVAL OF THE IRS FORM 990 ANNUAL TAX FILING PRIOR TO SUBMISSION TO THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD. ALSO, DIRECTORS, OFFICERS, COMMITTEE MEMBERS AND MANAGEMENT EMPLOYEES MUST COMPLETE ANNUALLY A CONFIDENTIALITY POLICY AGREEMENT & CORPORATE INTEGRITY POLICIES STATEMENT. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE INDIVIDUAL INVOLVED WITH THE CONFLICT WILL RECUSE HIM/HERSELF FROM THE BOARD VOTE AND RESOLUTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTOR IS HIRED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS HIRES AN INDEPENDENT AGENCY TO HELP WITH THE RECRUITING, INTERVIEWING AND COMPILING THE BENEFIT PACKAGE FOR THIS POSITION. ONCE HIRED, AN ANNUAL REVIEW/EVALUATION IS DONE BY THE BOARD OF DIRECTORS AND AN ANNUAL INCREASE IS AGREED UPON BY USING THE MOST CURRENT LEADING AGE NURSING HOME SALARY & BENEFITS REPORT. ANNUALLY, THE BOARD MAY ASK AN INDEPENDENT AGENCY TO EVALUATE THE COMPENSATION PACKAGE FOR THIS POSITION. THE BOARD (ONLY THOSE WITHOUT CONFLICT) VOTE ON THE ABOVE COMPENSATION AND THE DECISION IS DOCUMENTED. OTHER KEY EMPLOYEES' SALARIES ARE REVIEWED ON AN ANNUAL BASIS (INDIVIDUALLY THROUGHOUT THE YEAR) BY THE EXECUTIVE DIRECTOR. INCREASES ARE DETERMINED BY USING THE MOST CURRENT WAHSA/AAHSA NURSING HOME SALARY & BENEFITS REPORT. SALARY CHANGES ARE APPROVED BY THE BOARD OF DIRECTORS DURING THE BUDGET PROCESS, AND THE DECISION IS DOCUMENTED. SALARIES FOR KEY EMPLOYEES ARE ONLY CHANGED DURING THE BUDGET PROCESS, WHICH THE BOARD OF DIRECTORS MUST APPROVE (THOSE WITHOUT CONFLICT) AND THE DECISION IS DOCUMENTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOOD SHEPHERD SERVICES, LTD WILL ALLOW PUBLIC ACCESS TO IRS FORM 990. THIS ACCESS WILL BE PROVIDED IN A MANNER CONSISTENT WITH THE CURRENT IRS REGULATIONS SECTION 301.6104 (D). THE ORGANIZATION BELIEVES CERTAIN GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS ARE A PART OF THE ORGANIZATION THAT IS NOT AVAILABLE FOR PUBLIC VIEWING. |
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