2024-05-15T11:43:54-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2022-07-01 263031098 ST ELIZABETH MANOR INC STEL 6088764000 111 COMMERCIAL DR FOOTVILLE WI 53537 NICOLE CHWALA CFO 6088764000 2024-05-11 1 NICOLE CHWALA 999009999 0 KIMBERLY ANDERSON P00188889 6086628600 2024-05-10 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z NICOLE CHWALA 111 COMMERCIAL DR FOOTVILLE WI 53537 2714593 0 X ILLUMINUS.US X 2008 WI OUR MISSION IS TO CREATE A BETTER LIFE FOR THE COMMUNITIES WE SERVE THROUGH HOSPITALITY, COMPASSION AND LOVE THROUGH OUR DEVOTION TO CHRIST. 5 5 111 7 0 0 46663 1855 2923473 2712611 105 127 -2551 0 2967690 2714593 2408 2447 0 0 1008712 1049831 0 0 0 1875890 1997696 2887010 3049974 80680 -335381 626177 453493 422767 585464 203410 -131971 OUR MISSION IS TO CREATE A BETTER LIFE FOR THE COMMUNITIES WE SERVE THROUGH HOSPITALITY, COMPASSION AND LOVE THROUGH OUR DEVOTION TO CHRIST. 0 0 2448611 2447 2712611 ST. ELIZABETH MANOR IS A NOT-FOR-PROFIT, COMMUNITY BASED RESIDENTIAL FACILITY SERVING PERSONS OF ALL FAITHS. WE MINISTER TO THE SPIRITUAL, PHYSICAL, AND EMOTIONAL NEEDS OF THE ELDERLY AND OTHER INDIVIDUALS. ST. ELIZABETH MANOR ALSO SPECIALIZES IN MEMORY CARE FOR THOSE WITH ALZHEIMER'S AND OTHER FORMS OF DEMENTIA. OUR SPECIALIZED ALMA CARE WING WAS ESTABLISHED IN 2013 AND IS MEANT TO PROVIDE A SAFE AND LOVING ENVIRONMENT FOR THOSE IN NEED. 2448611 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 111 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ILLUMINUS INC 9202064926 1045 HILL STREET WATERTOWN WI 53098 X MOTHER MARIE JULIE SAEGAERT PRESIDENT 1.00 2.00 X X 0 0 0 MOTHER MARY DAVID RIQUIER VICE PRESIDENT/TREASURER 1.00 2.00 X X 0 0 0 MOTHER MARIE CHRISTINA VAN BE SECRETARY 1.00 2.00 X X 0 0 0 MOTHER MARY JUDE LAZARUS DIRECTOR 1.00 2.00 X 0 0 0 MOTHER MARY MARK ORSULAK DIRECTOR 1.00 2.00 X 0 0 0 0 0 0 0 0 0 0 ILLUMINIOUS INC 1045 HILL STREET WATERTOWN WI 53098 MANAGEMENT SEVICES 369582 NEW HORIZON FOODS 1100 N SWIFT ROAD ADDISON IL 60101 FOOD SERVICE PROVIDER 366865 SYMBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 THERAPY SERVICES 219113 ZEAL CLINICAL STAFFING 500 E MILWAUKEE ST JANESVILLE WI 53545 CONTRACTED NURSING 196829 LEADERSTAT 1322 MANNING PKWY POWELL OH 43065 CONTRACTED NURSING AND ADMINSTRATION 168080 7 1855 1855 RESIDENT INCOME 623000 2616760 2616760 OTHER PROGRAM SERVICES 623000 95851 95851 2712611 127 127 2714593 2712611 0 127 2447 2447 940514 902269 38245 42492 42492 66825 66825 294126 294126 105855 105855 31875 31875 190312 190312 22916 22916 9798 9798 70395 70395 226853 226853 88584 174 88410 9698 9698 71376 65727 5649 RESIDENT CARE SUPPLIES 848482 848482 BAD DEBT EXPENSE 16521 16521 DUES AND SUBSCRIPTIONS 10884 10884 STAFF APPRECIATION 21 21 3049974 2448611 601363 0 20323 120030 311253 5937 37375 479887 104865 626177 453493 285028 498892 53464 720 3017 83555 83555 422767 585464 X 203410 -131971 203410 -131971 626177 453493 -335381 0 X 0 0 0 X X 1 SISTERS OF CHARITY OF OUR LADY MOTHER 061440634 1 1 0 2448611 1 0 2448611 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 X 0 UNEMPLOYMENT RESERVE FUND 49928 MANAGEMENT FEE ESCROW 36991 DUE FROM AFFILIATES 17946 104865 PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS ON BEHALF OF INDIVIDUAL RESIDENTS FOR THEIR EXPENSES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE ORGANIZATION'S ACCOUNTING TEAM AND APPROVED BY THE CFO. A COPY OF THE 990 IS PROVIDED TO EACH BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL DIRECTORS AND OFFICERS COMPLETE AND SIGN A STATEMENT THAT PROVIDES INFORMATION REGARDING THEIR INTERESTS AND THOSE OF THEIR FAMILY MEMBERS THAT COULD GIVE RISE TO CONFLICTS. THE MEMBERS OF THE GOVERNING BODY MAKE DETERMINATIONS OF WHETHER A CONFLICT EXISTS AND REVIEW ACTUAL CONFLICTS. ANY PERSON WITH A CONFLICT IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SISTERS OF CHARITY OF OUR LADY MOTHER OF THE CHURCH 109 S ATWOOD AVE JANESVILLE WI 53545 391205444 PROVIDE QUALITY HEALTHCARE WI 501(C)(3) LINE 1 N/A 0 SISTERS OF CHARITY OF OUR LADY 54 WEST MAIN STREET BALTIC CT 06330 061440634 RELIGIOUS CT 501(C)(3) LINE 1 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0