RONALD MCDONALD HOUSE MADISON INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- RONALD MCDONALD HOUSE MADISON INC (EIN 39-1655790)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-03
- IRS object ID
- 202302769349301615
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-03T16:18:15-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | 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 | 2022-01-01 | 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 | STEPHANIE HAYDEN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6082324660 | PhoneNum |
| Signature | 2023-10-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEPHANIE | PersonFirstNm |
| Person Last | HAYDEN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JASON STEPHENS CPA | PreparerPersonNm |
| PTIN | P01263225 | PTIN |
| Phone | 6082744020 | PhoneNum |
| Preparation | 2023-10-02 | 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 | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHANIE HAYDEN | 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 | $2,174,160 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 165 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,719,487 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,975,789 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,398 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $24,411 | CYProgramServiceRevenueAmt |
| PY Investment Income | $120,622 | PYInvestmentIncomeAmt |
| CY Investment Income | $112,403 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$37,066 | PYOtherRevenueAmt |
| CY Other Revenue | -$37,304 | CYOtherRevenueAmt |
| PY Total Revenue | $1,807,441 | PYTotalRevenueAmt |
| CY Total Revenue | $2,075,299 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $81,492 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $151,223 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $743,788 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $956,862 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $106,671 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $393,644 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $862,256 | PYOtherExpensesAmt |
| CY Other Expenses | $1,010,630 | CYOtherExpensesAmt |
| PY Total Expenses | $1,687,536 | PYTotalExpensesAmt |
| CY Total Expenses | $2,225,386 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $119,905 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$150,087 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,152,053 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,496,536 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $144,669 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $185,154 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,007,384 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,311,382 | 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 | $1,196,779 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $24,411 | RevenueAmt |
| Desc | HOUSE OPERATIONS -- THE ORGANIZATION OWNS AND OPERATES THE 31-BEDROOM, 46,000 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 25, AND 130 VOLUNTEERS. IN 2022, 793 FAMILIES WERE GUESTS OF THE HOUSE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $167,785 | 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 2022, THE RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL HAD 4,340 DAY VISITS AND 728 OVERNIGHT GUESTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $164,586 | ExpenseAmt |
| Grant | $151,223 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | CARE MOBILE -- THE ORGANIZATION PROVIDES FREE MEDICAL SERVICES TO CHILDREN THROUGH THE RONALD MCDONALD CARE MOBILE. THE CARE MOBILE OPERATES AT PUBLIC SCHOOLS WISCONSIN (BASED ON THE PERCENTAGE OF CHILDREN WHO QUALIFY FOR FREE OR REDUCED LUNCHES) 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 2022, THE RONALD MCDONALD CARE MOBILE VISITED 10 SCHOOLS, SEEING ALMOST 300 CHILDREN AND HELPED MORE THAN 270 CHILDREN IN NORTHERN ILLINOIS THROUGH 100 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 | $1,529,150 | 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 | Yes (1) | 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 | 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 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | STEPHANIE HAYDEN | 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 (15 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 |
| JASON SPEICH | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOANNE VACCARO | ||||||
| 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 | |
| SHAWN ARNESON | ||||||
| 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 | |
| BRIAN FLAD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHRIS ROTH | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SHANNON WENDRICKS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KELLY RUPPEL | ||||||
| EXECUTIVE DIRECTOR (THRU MID-DEC) | 40.00 | Yes (X) | $132,938 | $0 | $31,387 | |
| STEPHANIE HAYDEN | ||||||
| EXECUTIVE DIRECTOR (FROM NOV) | 40.00 | Yes (X) | $6,271 | $0 | $2,582 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $139,209 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $33,969 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $13,494 | FederatedCampaignsAmt |
| Fundraising | $387,905 | FundraisingAmt |
| All Other Contributions | $1,574,390 | AllOtherContributionsAmt |
| Noncash Contributions | $228,078 | NoncashContributionsAmt |
| Total Contributions | $1,975,789 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM FEES | Desc |
| Business | 624221 | BusinessCd |
| Total Revenue Column | $24,411 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,411 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $24,411 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $108,064 | TotalRevenueColumnAmt |
| Exclusion | $108,064 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $30,453 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $26,114 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,339 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,339 | TotalRevenueColumnAmt |
| Exclusion | $4,339 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $27,395 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $387,905 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $66,691 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$39,296 | TotalRevenueColumnAmt |
| Exclusion | -$39,296 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $4,801 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,801 | TotalRevenueColumnAmt |
| Exclusion | $4,801 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $3,247 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $6,056 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,809 | TotalRevenueColumnAmt |
| Exclusion | -$2,809 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,075,299 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,411 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $75,099 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,223 | TotalAmt |
| Program Services | $151,223 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,120 | TotalAmt |
| Program Services | $136,591 | ProgramServicesAmt |
| Management And General | $27,317 | ManagementAndGeneralAmt |
| Fundraising | $18,212 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,377 | TotalAmt |
| Program Services | $334,467 | ProgramServicesAmt |
| Management And General | $124,757 | ManagementAndGeneralAmt |
| Fundraising | $159,153 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,566 | TotalAmt |
| Program Services | $29,841 | ProgramServicesAmt |
| Management And General | $10,421 | ManagementAndGeneralAmt |
| Fundraising | $8,304 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,329 | TotalAmt |
| Program Services | $26,320 | ProgramServicesAmt |
| Management And General | $12,993 | ManagementAndGeneralAmt |
| Fundraising | $11,016 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,470 | TotalAmt |
| Program Services | $34,208 | ProgramServicesAmt |
| Management And General | $10,672 | ManagementAndGeneralAmt |
| Fundraising | $12,590 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,632 | TotalAmt |
| Management And General | $29,632 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,671 | TotalAmt |
| Fundraising | $106,671 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,945 | TotalAmt |
| Management And General | $14,945 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,575 | TotalAmt |
| Program Services | $23,351 | ProgramServicesAmt |
| Management And General | $13,268 | ManagementAndGeneralAmt |
| Fundraising | $9,956 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,176 | TotalAmt |
| Management And General | $556 | ManagementAndGeneralAmt |
| Fundraising | $13,620 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $242,084 | TotalAmt |
| Program Services | $190,754 | ProgramServicesAmt |
| Management And General | $10,611 | ManagementAndGeneralAmt |
| Fundraising | $40,719 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,659 | TotalAmt |
| Program Services | $17,402 | ProgramServicesAmt |
| Management And General | $5,770 | ManagementAndGeneralAmt |
| Fundraising | $6,487 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,953 | TotalAmt |
| Program Services | $127,240 | ProgramServicesAmt |
| Management And General | $2,476 | ManagementAndGeneralAmt |
| Fundraising | $1,237 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267 | TotalAmt |
| Program Services | $163 | ProgramServicesAmt |
| Management And General | $49 | ManagementAndGeneralAmt |
| Fundraising | $55 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,562 | TotalAmt |
| Program Services | $8,899 | ProgramServicesAmt |
| Management And General | $16,032 | ManagementAndGeneralAmt |
| Fundraising | $3,631 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,470 | TotalAmt |
| Program Services | $301,068 | ProgramServicesAmt |
| Management And General | $20,402 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,328 | TotalAmt |
| Program Services | $39,428 | ProgramServicesAmt |
| Management And General | $1,950 | ManagementAndGeneralAmt |
| Fundraising | $1,950 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FAMILY SUPPORT SERVICES | Desc |
| Total | $108,195 | TotalAmt |
| Program Services | $108,195 | ProgramServicesAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $784 | TotalAmt |
| Management And General | $741 | ManagementAndGeneralAmt |
| Fundraising | $43 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,225,386 | TotalAmt |
| Program Services | $1,529,150 | ProgramServicesAmt |
| Management And General | $302,592 | ManagementAndGeneralAmt |
| Fundraising | $393,644 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,301 | BOYAmt |
| EOY | $386,421 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,978 | BOYAmt |
| EOY | $141,879 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,480 | BOYAmt |
| EOY | $46,464 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,473,293 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,057,601 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,706,976 | BOYAmt |
| EOY | $10,415,692 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,865,682 | BOYAmt |
| EOY | $4,121,998 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,382 | BOYAmt |
| EOY | $366,610 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,254 | BOYAmt |
| EOY | $17,472 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,152,053 | BOYAmt |
| EOY | $15,496,536 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,924 | BOYAmt |
| EOY | $141,923 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,245 | BOYAmt |
| EOY | $31,981 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,500 | BOYAmt |
| EOY | $11,250 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,669 | BOYAmt |
| EOY | $185,154 | 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 | $16,007,384 | BOYAmt |
| EOY | $15,161,382 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $150,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,007,384 | BOYAmt |
| EOY | $15,311,382 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,152,053 | BOYAmt |
| EOY | $15,496,536 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$150,087 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$555,915 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $10,000 | 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 | $4,921,551 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,870,900 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,334,645 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,719,487 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,975,789 | CurrentTaxYearAmt |
| Total | $11,822,372 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,921,551 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,870,900 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,334,645 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,719,487 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,975,789 | CurrentTaxYearAmt |
| Total | $11,822,372 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $244,853 | SubstantialContributorsTotAmt |
| Public Support Total170 | $11,577,519 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $125,799 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $84,259 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $74,982 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $80,143 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $108,064 | CurrentTaxYearAmt |
| Total | $473,247 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $12,295,619 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $565,920 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94160 | PublicSupportCY170Pct |
| Public Support PY170 | 0.87190 | 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 | $10,004,952 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,708,814 | DepreciationAmt |
| Book Value | $8,296,138 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $571,205 | OtherCostOrOtherBasisAmt |
| Depreciation | $348,787 | DepreciationAmt |
| Book Value | $222,418 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,415,692 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REFUNDABLE ADVANCE | Desc |
| Amt | $11,250 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,250 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,702,001 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$555,915 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $124,815 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | -$14,945 | OtherRevenueAmt |
| Revenue Not Reported | -$446,045 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,148,046 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$72,747 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$72,747 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,075,299 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,398,003 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $114,815 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $72,747 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $187,562 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,210,441 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $14,945 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $14,945 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,225,386 | 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 -14,945. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B -66,691. COST OF GOODS SOLD REPORTED ON FORM 990, PART VIII, LINE 10B -6,056. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B 66,691. COST OF GOODS SOLD REPORTED ON FORM 990, PART VIII, LINE 10B 6,056. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRUESENSE MARKETING | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 502 KEYSTONE DR | AddressLine1Txt |
| City | WARRENDALE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15086 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | CONTRIBUTION SOLICITATION | ActivityTxt |
| Fundraiser Control Of Funds | Yes (1) | FundraiserControlOfFundsInd |
| Gross Receipts | $137,987 | GrossReceiptsAmt |
| Retained By Contractor | $106,671 | RetainedByContractorAmt |
| Net To Organization | $31,316 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $137,987 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $106,671 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $31,316 | TotalNetToOrganizationAmt |
| Licensed States | WI | LicensedStatesCd |
| Licensed States | IL | LicensedStatesCd |
| Licensed States | MN | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING - RMHC CLASSIC | Event1Nm |
| Gross Receipts Event1 | $318,250 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $307,750 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $10,500 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $750 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $1,396 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $26,661 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $20,842 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING - ROCK VALLEY | Event2Nm |
| Gross Receipts Event2 | $97,050 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $80,155 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $16,895 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $4,400 | CashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $8,968 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $3,674 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $415,300 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $387,905 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $27,395 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $5,150 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $1,396 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $35,629 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $24,516 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $66,691 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$39,296 | 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 | $151,223 | 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 PLUS REPAIR AND MAINTENANCE COSTS. 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | KELLY RUPPEL | PersonNm |
| Title | EXECUTIVE DIRECTOR (THRU MID-DEC) | TitleTxt |
| Base Compensation Filing Org | $132,938 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $10,811 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $20,576 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $164,325 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $20,425 | 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 | 269 | ContributionCnt |
| Noncash Contributions Rpt F990 | $110,746 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST/SELLING PRICE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | TOYS, QUILTS, SUPPLIES & MAINTENANCE, AND GUEST SERVICES | 187 | $57,515 | COST/SELLING PRICE |
| Yes (X) | AUCTION ITENS | 74 | $32,115 | COST/SELLING PRICE |
| Yes (X) | FAMILY ROOM SUPPLIES | 17 | $4,600 | COST/SELLING PRICE |
| Yes (X) | PAPER | 11 | $2,473 | COST/SELLING PRICE |
| Yes (X) | BUILDING & OFFICE EQUIPMENT | 6 | $204 | 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, DIRECTOR OF ADMINSTRATION, FINANCE COMMITTEE, AND BOARD OF DIRECTORS 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. |
Comments