RONALD MCDONALD HOUSE MADISON INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: RONALD MCDONALD HOUSE MADISON INC (EIN 39-1655790)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-09-15
IRS object ID: 202202589349301200
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule I
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-09-15T09:51:16-05:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390974031	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WEGNER CPAS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2921 LANDMARK PL STE 300	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	537134236	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391655790	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RONALD MCDONALD HOUSE CHARITIES	BusinessNameLine1Txt
Business Name Line2	OF MADISON INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	RONA	BusinessNameControlTxt
Phone	6082324660	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2716 MARSHALL CT	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	537052256	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KELLY RUPPEL	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	6082324660	PhoneNum
Signature	2022-09-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KELLY	PersonFirstNm
Person Last	RUPPEL	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JASON STEPHENS CPA	PreparerPersonNm
PTIN	P01263225	PTIN
Phone	6082744020	PhoneNum
Preparation	2022-09-07	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	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KELLY RUPPEL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2716 MARSHALL CT	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	537052256	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,976,796	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RMHCMADISON.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1989	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE PROVIDE A "HOME AWAY FROM HOME" FOR FAMILIES WHOSE CHILDREN (18 AND UNDER) ARE UNDERGOING TREATMENT AT MADISON AREA HEALTH CARE FACILITIES. THE HOUSE ALLOWS FAMILIES TO STAY TOGETHER DURING AN OFTEN VERY DIFFICULT TIME.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	170	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,334,645	PYContributionsGrantsAmt
CY Contributions Grants	$1,719,487	CYContributionsGrantsAmt
PY Program Service Revenue	$22,641	PYProgramServiceRevenueAmt
CY Program Service Revenue	$4,398	CYProgramServiceRevenueAmt
PY Investment Income	$127,862	PYInvestmentIncomeAmt
CY Investment Income	$120,622	CYInvestmentIncomeAmt
PY Other Revenue	$30,168	PYOtherRevenueAmt
CY Other Revenue	-$37,066	CYOtherRevenueAmt
PY Total Revenue	$1,515,316	PYTotalRevenueAmt
CY Total Revenue	$1,807,441	CYTotalRevenueAmt
PY Grants And Similar Paid	$46,618	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$81,492	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$841,312	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$743,788	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$233,430	CYTotalFundraisingExpenseAmt
PY Other Expenses	$864,984	PYOtherExpensesAmt
CY Other Expenses	$862,256	CYOtherExpensesAmt
PY Total Expenses	$1,752,914	PYTotalExpensesAmt
CY Total Expenses	$1,687,536	CYTotalExpensesAmt
PY Revenues Less Expenses	-$237,598	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$119,905	CYRevenuesLessExpensesAmt
Total Assets BOY	$15,608,124	TotalAssetsBOYAmt
Total Assets EOY	$16,152,053	TotalAssetsEOYAmt
Total Liabilities BOY	$64,858	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$144,669	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$15,543,266	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$16,007,384	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	RONALD MCDONALD HOUSE CHARITIES OF MADISON (RMHC-MADISON) CREATES, FINDS, AND SUPPORTS PROGRAMS THAT DIRECTLY IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN AND THEIR FAMILIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$971,931	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$4,398	RevenueAmt
Desc	HOUSE OPERATIONS -- THE ORGANIZATION OWNS AND OPERATES THE 31-BEDROOM, 48,000 SQUARE FOOT RONALD MCDONALD HOUSE IN MADISON, WISCONSIN. THE HOUSE IS LOCATED WITHIN WALKING DISTANCE OF THE UNIVERSITY OF WISCONSIN CHILDREN'S HOSPITAL AND A FREE SHUTTLE SERVICE, OPERATED WITH VOLUNTEER DRIVERS, IS PROVIDED TO AND FROM ALL MADISON AREA HOSPITALS AND AFFILIATED CLINICS. THE FAMILIES OF SERIOUSLY ILL CHILDREN MAY STAY IN THE HOUSE FOR FREE. FAMILIES ARE ASKED IF THEY WANT TO GIVE A $10 PER NIGHT SUGGESTED DONATION. IN ADDITION TO A ROOM, THE FAMILIES ARE PROVIDED FOOD, LAUNDRY FACILITIES, AND ALL THE COMFORTS OF HOME. THE HOUSE IS STAFFED 24 HOURS PER DAY AND OPERATES 365 DAYS A YEAR UNDER THE MANAGEMENT OF A SMALL FULL-TIME STAFF, A PART-TIME STAFF OF 16, AND 170 VOLUNTEERS. IN 2021, 729 FAMILIES WERE GUESTS OF THE HOUSE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$140,872	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	ST. MARY'S FAMILY ROOM -- RMHC-MADISON MANAGES AND OPERATES A RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL IN MADISON. THE RONALD MCDONALD FAMILY ROOM IS A 3,500 SQUARE FOOT SPACE THAT PROVIDES EVERY AMENITY OF THE RONALD MCDONALD HOUSE ON A SMALLER SCALE TO FAMILIES WHO HAVE CHILDREN BEING TREATED AT ST. MARY'S HOSPITAL. THE FAMILY ROOM HAS A KITCHEN, DINING AREA, LAUNDRY FACILITIES, COMPUTER ROOM, CHILDREN'S LIBRARY, QUIET ROOM, LIVING ROOM AREA, AND 4 BEDROOMS WITH PRIVATE BATHROOMS FOR PARENTS WITH THE MOST CRITICAL CHILDREN. THE RONALD MCDONALD FAMILY ROOM IS OPEN FROM 9:00 AM TO 9:00 PM, 7 DAYS A WEEK. RMHC-MADISON PROVIDES A PAID MANAGER, FOUR PART-TIME SUPERVISORS FOR THE WEEKENDS, AND MORE THAN 60 VOLUNTEERS TO RUN THE PROGRAM. THE SPACE IS ALWAYS FULLY STOCKED WITH FOOD AND OTHER SUPPLIES. THERE IS NO COST OR SUGGESTED DONATION FOR USE OF THIS SPACE. IN 2021, THE RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL HAD 0 DAY VISITS AND 868 OVERNIGHT GUESTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$82,391	ExpenseAmt
Grant	$81,492	GrantAmt
Revenue	$0	RevenueAmt
Desc	CARE MOBILE -- THE ORGANIZATION PROVIDES FREE DENTAL AND MEDICAL SERVICES TO CHILDREN THROUGH THE RONALD MCDONALD CARE MOBILE. THE CARE MOBILE OPERATES AT PUBLIC SCHOOLS IN WISCONSIN (BASED ON THE PERCENTAGE OF CHILDREN WHO QUALIFY FOR FREE OR REDUCED LUNCHES) AND IN FIVE COUNTIES IN NORTHERN ILLINOIS. SINCE ITS INCEPTION, THE CARE MOBILE HAS HELPED MORE THAN 20,000 CHILDREN PROVIDING SERVICES WORTH IN EXCESS OF $4 MILLION BY PROVIDING RESTORATIVE CARE FOR UNINSURED OR UNDERINSURED CHILDREN, AND OFFERS SEALANTS TO ANY CHILDREN IN THOSE SCHOOLS WHO NEED THEM. IN 2021, THE RONALD MCDONALD CARE MOBILE VISITED 10 SCHOOLS, SEEING ALMOST 300 CHILDREN AND HELPED MORE THAN 270 CHILDREN IN NORTHERN ILLINOIS THROUGH 100 DENTAL AND MEDICAL DAYS OF CARE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	RMHC-MADISON HAS ENTERED INTO A LICENSE AGREEMENT WITH RONALD MCDONALD HOUSE CHARITIES (RMHC-GLOBAL). UNDER THE AGREEMENT, WHEN RMHC-GLOBAL HOLDS A FUNDRAISER OR SPECIAL EVENT ON RMHC-MADISON'S BEHALF, RMHC-GLOBAL TAKES 25% OF THE FUNDS AND THEN REMITS THE REMAINDER TO RMHC-MADISON.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,195,194	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	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	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	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	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	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	Yes (1)	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	4	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
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	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NANETTE THOMPSON	PersonNm
Phone	6082324660	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2716 MARSHALL CT	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	537052256	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
NICK SHUTWELL
PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
SHAWN ARNESON
VICE PRESIDENT	8.00	Yes (X)	Yes (X)	$15,000	$0	$0
JASON SPEICH
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
KATHY KOSTRIVAS RNC-OB
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
MARY BASEL
DIRECTOR	1.00	Yes (X)		$0	$0	$0
AMBER BUCCIFERRO
DIRECTOR	1.00	Yes (X)		$0	$0	$0
WENDY LOMMEN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
SHANNON DEAN MD
DIRECTOR (THRU SEPT)	1.00	Yes (X)		$0	$0	$0
JOANNE VACCARO
DIRECTOR	1.00	Yes (X)		$0	$0	$0
KYLE NONDORF
DIRECTOR	1.00	Yes (X)		$0	$0	$0
HEIDI KLOSTER MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
KELLY RUPPEL
EXECUTIVE DIRECTOR	40.00		Yes (X)	$56,579	$0	$13,042

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$71,579	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$13,042	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$26,391	FederatedCampaignsAmt
Fundraising	$287,398	FundraisingAmt
Government Grants	$149,899	GovernmentGrantsAmt
All Other Contributions	$1,255,799	AllOtherContributionsAmt
Noncash Contributions	$151,467	NoncashContributionsAmt
Total Contributions	$1,719,487	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM FEES	Desc
Business	624221	BusinessCd
Total Revenue Column	$4,398	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,398	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$4,398	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$80,143	TotalRevenueColumnAmt
Exclusion	$80,143	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$140,479	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$100,000	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$40,479	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,479	TotalRevenueColumnAmt
Exclusion	$40,479	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$8,247	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$287,398	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$67,413	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$59,166	TotalRevenueColumnAmt
Exclusion	-$59,166	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$4,472	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,472	TotalRevenueColumnAmt
Exclusion	$4,472	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$1,706	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,942	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$236	TotalRevenueColumnAmt
Exclusion	-$236	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,864	TotalRevenueColumnAmt
Exclusion	$17,864	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,864	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,807,441	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,398	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$83,556	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$81,492	TotalAmt
Program Services	$81,492	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$84,621	TotalAmt
Program Services	$60,081	ProgramServicesAmt
Management And General	$12,693	ManagementAndGeneralAmt
Fundraising	$11,847	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$513,900	TotalAmt
Program Services	$257,233	ProgramServicesAmt
Management And General	$119,351	ManagementAndGeneralAmt
Fundraising	$137,316	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$31,748	TotalAmt
Program Services	$19,713	ProgramServicesAmt
Management And General	$6,648	ManagementAndGeneralAmt
Fundraising	$5,387	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,348	TotalAmt
Program Services	$37,494	ProgramServicesAmt
Management And General	$12,622	ManagementAndGeneralAmt
Fundraising	$10,232	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$53,171	TotalAmt
Program Services	$29,516	ProgramServicesAmt
Management And General	$11,320	ManagementAndGeneralAmt
Fundraising	$12,335	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$14,450	TotalAmt
Management And General	$14,450	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$16,130	TotalAmt
Management And General	$16,130	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,305	TotalAmt
Program Services	$13,061	ProgramServicesAmt
Management And General	$27,383	ManagementAndGeneralAmt
Fundraising	$13,861	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$18,383	TotalAmt
Fundraising	$18,383	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$103,720	TotalAmt
Program Services	$92,859	ProgramServicesAmt
Management And General	$5,979	ManagementAndGeneralAmt
Fundraising	$4,882	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,580	TotalAmt
Program Services	$11,354	ProgramServicesAmt
Management And General	$4,795	ManagementAndGeneralAmt
Fundraising	$5,431	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$133,117	TotalAmt
Program Services	$128,204	ProgramServicesAmt
Management And General	$3,622	ManagementAndGeneralAmt
Fundraising	$1,291	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$99	TotalAmt
Fundraising	$99	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,262	TotalAmt
Program Services	$3,570	ProgramServicesAmt
Management And General	$1,984	ManagementAndGeneralAmt
Fundraising	$1,708	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$324,113	TotalAmt
Program Services	$295,424	ProgramServicesAmt
Management And General	$19,983	ManagementAndGeneralAmt
Fundraising	$8,706	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$39,914	TotalAmt
Program Services	$36,010	ProgramServicesAmt
Management And General	$1,952	ManagementAndGeneralAmt
Fundraising	$1,952	FundraisingAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	FAMILY SUPPORT SERVICES	Desc
Total	$108,150	TotalAmt
Program Services	$108,150	ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,033	TotalAmt
Program Services	$21,033	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,687,536	TotalAmt
Program Services	$1,195,194	ProgramServicesAmt
Management And General	$258,912	ManagementAndGeneralAmt
Fundraising	$233,430	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$341,636	BOYAmt
EOY	$836,301	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,006,930	BOYAmt
EOY	$375,978	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,807	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$30,086	BOYAmt
EOY	$37,480	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$12,448,473	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,741,497	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$11,004,953	BOYAmt
EOY	$10,706,976	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,072,721	BOYAmt
EOY	$3,865,682	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$87,933	BOYAmt
EOY	$326,382	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,058	BOYAmt
EOY	$3,254	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,608,124	BOYAmt
EOY	$16,152,053	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,918	BOYAmt
EOY	$56,924	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$22,940	BOYAmt
EOY	$20,245	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$67,500	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,858	BOYAmt
EOY	$144,669	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	$15,543,266	BOYAmt
EOY	$16,007,384	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,543,266	BOYAmt
EOY	$16,007,384	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,608,124	BOYAmt
EOY	$16,152,053	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$119,905	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$341,844	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$2,369	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,070,518	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,921,551	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,870,900	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,334,645	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,719,487	CurrentTaxYearAmt
Total	$14,917,101	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,070,518	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,921,551	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,870,900	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,334,645	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,719,487	CurrentTaxYearAmt
Total	$14,917,101	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,469,721	SubstantialContributorsTotAmt
Public Support Total170	$13,447,380	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$141,624	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$125,799	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$84,259	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$74,982	CurrentTaxYearMinus1YearAmt
Current Tax Year	$80,143	CurrentTaxYearAmt
Total	$506,807	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$15,423,908	TotalSupportAmt
Gross Receipts Rltd Activities	$681,757	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.87190	PublicSupportCY170Pct
Public Support PY170	0.88100	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

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 D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,897,136	OtherCostOrOtherBasisAmt
Book Value	$1,897,136	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,001,379	OtherCostOrOtherBasisAmt
Depreciation	$1,437,440	DepreciationAmt
Book Value	$8,563,939	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$549,958	OtherCostOrOtherBasisAmt
Depreciation	$304,057	DepreciationAmt
Book Value	$245,901	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$10,706,976	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	REFUNDABLE ADVANCE	Desc
Amt	$67,500	Amt

Field	Value	IRS element (for citing)
Total Liability	$67,500	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$2,456,613	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$341,844	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$254,103	DonatedServicesAndUseFcltsAmt
Other Revenue	-$16,130	OtherRevenueAmt
Revenue Not Reported	$579,817	RevenueNotReportedAmt
Revenue Subtotal	$1,876,796	RevenueSubtotalAmt
Other Revenues Not Included	-$69,355	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$69,355	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,807,441	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,992,495	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$251,734	DonatedServicesUseFcltsAmt
Other Expenses Included	$69,355	OtherExpensesIncludedAmt
Expenses Not Reported	$321,089	ExpensesNotReportedAmt
Expenses Subtotal	$1,671,406	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$16,130	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$16,130	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,687,536	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	INVESTMENT MANAGEMENT FEES REPORTED ON FORM 990, PART IX, LINE 11F -16,130.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B -67,413. COST OF GOODS SOLD REPORTED ON FORM 990, PART VIII, LINE 10B -1,942.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B 67,413. COST OF GOODS SOLD REPORTED ON FORM 990, PART VIII, LINE 10B 1,942.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF OUTING - RMHC CLASSIC	Event1Nm
Gross Receipts Event1	$213,435	GrossReceiptsEvent1Amt
Charitable Contri Event1	$206,313	CharitableContriEvent1Amt
Gross Revenue Event1	$7,122	GrossRevenueEvent1Amt
Cash Prizes Event1	$515	CashPrizesEvent1Amt
Rent Facility Costs Event1	$20,325	RentFacilityCostsEvent1Amt
Other Direct Expenses Event1	$21,702	OtherDirectExpensesEvent1Amt
Event2	GOLF OUTING - ROCK VALLEY	Event2Nm
Gross Receipts Event2	$82,210	GrossReceiptsEvent2Amt
Charitable Contri Event2	$81,085	CharitableContriEvent2Amt
Gross Revenue Event2	$1,125	GrossRevenueEvent2Amt
Cash Prizes Event2	$7,445	CashPrizesEvent2Amt
Rent Facility Costs Event2	$11,456	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$5,970	OtherDirectExpensesEvent2Amt
Gross Receipts Total	$295,645	GrossReceiptsTotalAmt
Charitable Contributions Tot	$287,398	CharitableContributionsTotAmt
Gross Revenue Total Events	$8,247	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$7,960	CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$31,781	RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events	$27,672	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$67,413	DirectExpenseSummaryEventsAmt
Net Income Summary	-$59,166	NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCYHEALTH DEVELOPMENT FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2400 N ROCKTON AVE	AddressLine1Txt
City	ROCKFORD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	611033655	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	363197918	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$81,492	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	MEDICAL CARE SERVICES FOR UNDERPRIVILEGED CHILDREN	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PARTNERS WITH MERCYHEALTH DEVELOPMENT FOUNDATION, INC. TO PROVIDE MEDICAL CARE SERVICES ABOARD THE ORGANIZATION'S CARE MOBILE. MERCYHEALTH DEVELOPMENT FOUNDATION, INC. SUBMITS QUARTERLY INVOICES TO THE ORGANIZATION. THESE INVOICES DETAIL ITS EXPENSES FOR OPERATING THE CARE MOBILE, AND THE ORGANIZATION PAYS EXACTLY ONE-HALF OF THOSE EXPENSES UP TO AN ANNUAL CAP $116,000. THE ORGANIZATION'S EXECUTIVE DIRECTOR REVIEWS THE QUARTERLY INVOICES AND THEN FORWARDS THEM TO THE ORGANIZATION'S BUSINESS MANAGER WHO ENTERS THE EXPENSE DATA INTO THE ACCOUNTING SYSTEM AND PREPARES CHECKS FOR PAYMENT. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES CHECKS FOR PAYMENT, SIGNS THEM, AND RETURNS THEM TO THE BUSINESS MANAGER WHO MAILS THEM TO THE RECIPIENT.	ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	7	ContributionCnt
Noncash Contributions Rpt F990	$69,384	NoncashContributionsRptF990Amt
Method Of Determining Revenues	QUOTED MARKET PRICES	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	40	ContributionCnt
Noncash Contributions Rpt F990	$21,429	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	TOYS, QUILTS, SUPPLIES & MAINTENANCE, AND GUEST SERVICES	112	$60,232	COST/SELLING PRICE
Yes (X)	BUILDING & OFFICE EQUIPMENT	5	$422	COST/SELLING PRICE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE PREPARED FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, PRESIDENT, AND BUSINESS MANAGER BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, ALL DIRECTORS COMPLETE AND SIGN A STATEMENT THAT DISCLOSES INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE DIRECTORS COLLECTIVELY REVIEW THE COMPLETED FORMS, WHICH ARE KEPT AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ANY DIRECTOR WITH A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15A	THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY ANNUALLY CONDUCTS A REVIEW OF THE EXECUTIVE DIRECTOR, REVIEWS COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR AGENCIES, AND RECOMMENDS A COMPENSATION LEVEL THAT IS THEN APPROVED BY THE ENTIRE GOVERNING BODY DURING THE ANNUAL BUDGETING PROCESS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MADE ITS GOVERNING DOCUMENTS (EXCEPT FOR THE CONTINGENCY PLAN AND THE HOUSE OPERATIONS MANUAL) AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL STATEMENTS WERE INCLUDED IN THE ORGANIZATION'S ANNUAL REPORT THAT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE.
FORM 990, PART V, LINE 2A	RONALD MCDONALD HOUSE CHARITIES OF MADISON, INC. LEASES EMPLOYEES FROM A PROFESSIONAL EMPLOYMENT ORGANIZATION, THE EMPLOYER GROUP INC. THE EMPLOYEES ARE CONSIDERED COMMON LAW EMPLOYEES OF RONALD MCDONALD HOUSE CHARITIES OF MADISON, INC., HOWEVER, THE EMPLOYER GROUP INC. IS THE EMPLOYER OF RECORD AND EMPLOYEES GET THEIR W2S FROM THE EMPLOYER GROUP INC.