ST CLARAS MANOR: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ST CLARAS MANOR (EIN 26-3430115)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-10
IRS object ID
202333149349304518
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-10T12:29:14-08:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN371188139PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JM Abbott & Associates LtdBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1207 S McLean StAddressLine1Txt
CityLincolnCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN263430115EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST CLARAS MANOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTCLBusinessNameControlTxt
Phone2177351507PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 CASTLE MANOR DRAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR PAUL KASAPersonNm
Person TitlePresidentPersonTitleTxt
Signature2023-11-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDR PAULPersonFirstNm
Person LastKASAPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonClayton GeorgeCPAPreparerPersonNm
PTINP00052565PTIN
Phone2177351576PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR PAUL KASAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 CASTLE MANOR DRAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$10,225,047GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HERITAGEOFCARE.COM/LINCOLNWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionNURSING HOMEActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee171TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,422,999PYContributionsGrantsAmt
CY Contributions Grants$2,044,118CYContributionsGrantsAmt
PY Program Service Revenue$6,766,882PYProgramServiceRevenueAmt
CY Program Service Revenue$8,178,238CYProgramServiceRevenueAmt
PY Investment Income$1,726PYInvestmentIncomeAmt
CY Investment Income$752CYInvestmentIncomeAmt
PY Other Revenue$1,196PYOtherRevenueAmt
CY Other Revenue$1,939CYOtherRevenueAmt
PY Total Revenue$9,192,803PYTotalRevenueAmt
CY Total Revenue$10,225,047CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,662,286PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,589,983CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,206CYTotalFundraisingExpenseAmt
PY Other Expenses$5,031,337PYOtherExpensesAmt
CY Other Expenses$5,220,639CYOtherExpensesAmt
PY Total Expenses$8,693,623PYTotalExpensesAmt
CY Total Expenses$9,810,622CYTotalExpensesAmt
PY Revenues Less Expenses$499,180PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$414,425CYRevenuesLessExpensesAmt
Total Assets BOY$2,010,874TotalAssetsBOYAmt
Total Assets EOY$986,308TotalAssetsEOYAmt
Total Liabilities BOY$3,619,436TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,168,936TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,608,562NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,182,628NetAssetsOrFundBalancesEOYAmt
MissionNURSING HOMEMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$8,044,933ExpenseAmt
DescOPERATES NURSING HOME - 102 BEDS DURING 2022, 33,789 PATIENT DAYS OF SERVICE PROVIDEDDesc
Total Program Service Expenses$8,044,933TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document32IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee171EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHERITAGE OPERATIONS GROUP LLCPersonNm
Phone3098284361PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 W JEFFERSON SUITE 401AddressLine1Txt
CityBLOOMINGTONCityNm
State AbbreviationILStateAbbreviationCd
ZIP617023188ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DENNIS CARROLL
MEMBER1.000.00Yes (X)Yes (X)$0$0$0
TONI REIFSTECK
MEMBER1.000.00Yes (X)Yes (X)$0$0$0
CONNIE DEHNER
MEMBER1.000.00Yes (X)$0$0$0
PHIL DEHNER
MEMBER1.000.00Yes (X)$0$0$0
ELLEN BURBAGE
Secretary1.000.00Yes (X)$0$0$0
DR PAUL KASA
President1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HERITAGE OPERATIONS GROUP LLC
115 W JEFFERSON SUITE 401BLOOMINGTONIL61702MANAGEMENT$277,664
SELECT REHABILITATION INC
PO BOX 71985CHICAGOIL606941985THERAPY SVCS$389,580
SHIFTKEY LLC
5221 N OCONNOR BLVDIRVINGTX75039STAFFING$1,081,585
ESP PERSONNEL
72030 METROPLEX DRTHOUSAND PALMSCA92276STAFFING$159,443
WARD & ASSOCIATES HEALTH SERVICES
PO BOX 1464AUROAIL60507STAFFING$203,443
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K221266CntrctRcvdGreaterThan100KCnt
Related Organizations$765,820RelatedOrganizationsAmt
Government Grants$417,672GovernmentGrantsAmt
All Other Contributions$860,626AllOtherContributionsAmt
Total Contributions$2,044,118TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fees & Contracts Gov Agencies623000$4,898,289$4,898,289
NURSING HOME OPERATIONS623000$3,279,949$3,279,949
FieldValueIRS element (for citing)
Total Program Service Revenue$8,178,238TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$752TotalRevenueColumnAmt
Exclusion$752ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescACTIVITY FUND, VEND & MISDesc
Business721000BusinessCd
Total Revenue Column$1,939TotalRevenueColumnAmt
Related Or Exempt Func Income$1,939RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,939OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,225,047TotalRevenueColumnAmt
Related Or Exempt Func Income$8,180,177RelatedOrExemptFuncIncomeAmt
Exclusion$752ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,880,600TotalAmt
Program Services$3,598,271ProgramServicesAmt
Management And General$279,974ManagementAndGeneralAmt
Fundraising$2,355FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$21,270TotalAmt
Program Services$20,231ProgramServicesAmt
Management And General$1,026ManagementAndGeneralAmt
Fundraising$13FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$368,678TotalAmt
Program Services$216,967ProgramServicesAmt
Management And General$151,486ManagementAndGeneralAmt
Fundraising$225FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$319,435TotalAmt
Program Services$297,159ProgramServicesAmt
Management And General$21,994ManagementAndGeneralAmt
Fundraising$282FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$402,211TotalAmt
Management And General$402,211ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$22,958TotalAmt
Management And General$22,958ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,871TotalAmt
Management And General$15,871ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$352,127TotalAmt
Program Services$151,535ProgramServicesAmt
Management And General$198,312ManagementAndGeneralAmt
Fundraising$2,280FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,628TotalAmt
Management And General$21,628ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,283TotalAmt
Management And General$4,283ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$138,639TotalAmt
Program Services$46,777ProgramServicesAmt
Management And General$91,862ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$867,425TotalAmt
Program Services$847,526ProgramServicesAmt
Management And General$19,899ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,764TotalAmt
Management And General$5,764ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$392TotalAmt
Program Services$269ProgramServicesAmt
Management And General$123ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$210,187TotalAmt
Program Services$203,196ProgramServicesAmt
Management And General$6,940ManagementAndGeneralAmt
Fundraising$51FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTUAL SERVICES$1,237,632$1,237,632
SUPPLIES$480,585$480,585
PHYSICAL/OCCUPATIONAL THERAPY$412,746$412,746
LICENSES & FEES$357,289$357,289

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$690,902TotalAmt
Program Services$532,039ProgramServicesAmt
Management And General$158,863ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,810,622TotalAmt
Program Services$8,044,933ProgramServicesAmt
Management And General$1,760,483ManagementAndGeneralAmt
Fundraising$5,206FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$250BOYAmt
EOY$250EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$469,879BOYAmt
EOY$380,340EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$509,447BOYAmt
EOY$500,881EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$96,682BOYAmt
EOY$45,978EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,327BOYAmt
EOY$17,143EOYAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$917,289BOYAmt
EOY$41,716EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,010,874BOYAmt
EOY$986,308EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,675,531BOYAmt
EOY$1,254,877EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$943,905BOYAmt
EOY$914,059EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,619,436BOYAmt
EOY$2,168,936EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,608,562BOYAmt
EOY-$1,182,628EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,608,562BOYAmt
EOY-$1,182,628EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,010,874BOYAmt
EOY$986,308EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$414,425ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$11,509NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,742CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$474,129CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,422,999CurrentTaxYearMinus1YearAmt
Current Tax Year$1,193,662CurrentTaxYearAmt
Total$4,099,722TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,735,586CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,908,037CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,914,964CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,766,882CurrentTaxYearMinus1YearAmt
Current Tax Year$8,178,238CurrentTaxYearAmt
Total$34,503,707TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,742,776CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,909,779CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,389,093CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,189,881CurrentTaxYearMinus1YearAmt
Current Tax Year$9,371,900CurrentTaxYearAmt
Total$38,603,429TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$38,603,429PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,742CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,989CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,336CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,726CurrentTaxYearMinus1YearAmt
Current Tax Year$752CurrentTaxYearAmt
Total$13,545TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,742CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,989CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,336CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,726CurrentTaxYearMinus1YearAmt
Current Tax Year$752CurrentTaxYearAmt
Total$13,545TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,309CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,646CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,196CurrentTaxYearMinus1YearAmt
Current Tax Year$1,939CurrentTaxYearAmt
Total$9,504TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,747,827CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,917,182CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,394,075CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,192,803CurrentTaxYearMinus1YearAmt
Current Tax Year$9,374,591CurrentTaxYearAmt
Total$38,626,478TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99940PublicSupportCY509Pct
Public Support PY5090.99900PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00080InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DHHS PENALTIES$81,259
DUE TO ST. CLARA'S SENIOR SERVICES$832,800
FieldValueIRS element (for citing)
Total Liability$914,059TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationNOTE F TO THE AUDITED FINANCIAL STATEMENTS READS AS FOLLOWS: THE NURSING HOME IS CHARTERED AS AN ILLINOIS NOT-FOR-PROFIT CORPORATION AND IS EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE NURSING HOME IS REQUIRED TO FILE FEDERAL AND STATE INFORMATIONAL RETURNS. WITH LIMITED EXCEPTIONS, THE NURSING HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATION FOR ANY YEARS EARLIER THAN 2019 FOR FEDERAL AND STATE PURPOSES. MANAGEMENT HAS PERFORMED ITS EVALUATION OF ALL OTHER INCOME TAX POSITIONS TAKEN ON ALL OPEN INFORMATIONAL RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE ARE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATING TO UNCERTAIN INCOME TAX PROVISIONS IN THE ACCOMPANYING FINANCIAL STATEMENTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 3HERITAGE OPERATIONS GROUP, LLC INDEPENDENTLY MANAGES ST. CLARA'S FOR A MANAGEMENT FEE. THIS INCLUDES EMPLOYING THE DIRECTOR; PAYING PAYROLL AND BILLS; INVOICING RESIDENTS, ETC.
Form 990, Part VI, Section B, Line 11bMANAGEMENT REVIEWS THE 990. THE BOARD REVIEWS AND APPROVES THE AUDIT FROM WHICH THE 990 WAS PREPARED.
Form 990, Part VI, Section B, Line 12cIF THERE IS A CONFLICT OF INTEREST, THE BOARD MEMBER WILL ABSTAIN FROM DISCUSSION/VOTING ON THE AFFECTED ISSUE.
Form 990, Part VI, Section B, Line 15aBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Section B, Line 15bBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Section C, Line 19THE DOCUMENTS ARE HELD IN THE NURSING HOME BUSINESS OFFICE, WHICH IS OPEN DURING NORMAL BUSINESS HOURS.
PAGE 1, LINE 5, NUMBER OF EMPLOYEES AND PART V, LINE 2AST. CLARA'S SENIOR SERVICES, INC., A SUPPORTING ORGANIZATION, IS THE EMPLOYER OF ALL EMPLOYEES OF ST. CLARA'S MANOR, INC AND FILES ALL RELATED PAYROLL FORMS. ST. CLARA'S MANOR, INC. REIMBURSES ST. CLARA'S SENIOR SERVICES, INC. FOR ALL EMPLOYEE COSTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST CLARAS SENIOR SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 FIFTH STREETAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd
FieldValueIRS element (for citing)
EIN376075710EIN
Primary ActivitiesSUPPORTING ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusTYPE IIIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST CLARAS SENIOR SERVICES INC
c$765,820PPP LOAN TRANSF
ST CLARAS SENIOR SERVICES INC
d$12,328,105AMT GUARANTEED
ST CLARAS SENIOR SERVICES INC
e$832,800AMT LOANED
ST CLARAS SENIOR SERVICES INC
k$680,730LESS THAN FMV
ST CLARAS SENIOR SERVICES INC
p$4,589,984COST OF PAYROLL
ST CLARAS SENIOR SERVICES INC
s$102,153CY FUNDS BORROW

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