ST CLARAS MANOR: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ST CLARAS MANOR (EIN 26-3430115)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-16
IRS object ID
202203209349302105
Schema version
2021v4.1
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)
Return2022-11-16T07:45:00-08:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

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
Signature2022-11-16SignatureDt
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

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)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDON PEASLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 CASTLE MANOR DRAddressLine1Txt
CityLINCOLNCityNm
State AbbreviationILStateAbbreviationCd
ZIP62656ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,192,803GrossReceiptsAmt
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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee148TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$474,132PYContributionsGrantsAmt
CY Contributions Grants$2,422,999CYContributionsGrantsAmt
PY Program Service Revenue$6,914,962PYProgramServiceRevenueAmt
CY Program Service Revenue$6,766,882CYProgramServiceRevenueAmt
PY Investment Income$3,335PYInvestmentIncomeAmt
CY Investment Income$1,726CYInvestmentIncomeAmt
PY Other Revenue$1,646PYOtherRevenueAmt
CY Other Revenue$1,196CYOtherRevenueAmt
PY Total Revenue$7,394,075PYTotalRevenueAmt
CY Total Revenue$9,192,803CYTotalRevenueAmt
PY Grants And Similar Paid$250PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,536,000PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,662,286CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,832CYTotalFundraisingExpenseAmt
PY Other Expenses$3,382,133PYOtherExpensesAmt
CY Other Expenses$5,031,337CYOtherExpensesAmt
PY Total Expenses$7,918,383PYTotalExpensesAmt
CY Total Expenses$8,693,623CYTotalExpensesAmt
PY Revenues Less Expenses-$524,308PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$499,180CYRevenuesLessExpensesAmt
Total Assets BOY$1,444,116TotalAssetsBOYAmt
Total Assets EOY$2,010,874TotalAssetsEOYAmt
Total Liabilities BOY$3,621,858TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,619,436TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,177,742NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$1,608,562NetAssetsOrFundBalancesEOYAmt
MissionNURSING HOMEMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,713,647ExpenseAmt
DescOPERATES NURSING HOME - 100 BEDS DURING 2021, 29,942 PATIENT DAYS OF SERVICE PROVIDEDDesc
Total Program Service Expenses$7,713,647TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
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 ContriYes (true)DeductibleNonCashContriInd
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 Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee148EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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
DON PEASLEY
Vice President1.000.00Yes (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$387,602
SELECT REHABILITATION INC
PO BOX 71985CHICAGOIL606941985THERAPY SVCS$567,859
SHIFTKEY LLC
5221 N OCONNOR BLVDIRVINGTX75039$857,026
ESP PERSONNEL
72030 METROPLEX DRTHOUSAND PALMSCA92276$286,842
BRIGHTSTAR CARE OF SPRINGFIELD
801 S MACARTHUR BLVDSPRINGFIELDIL62704$230,834
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$820,411GovernmentGrantsAmt
All Other Contributions$1,602,588AllOtherContributionsAmt
Noncash Contributions$765,820NoncashContributionsAmt
Total Contributions$2,422,999TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fees & Contracts Gov Agencies623000$4,082,382$4,082,382
NURSING HOME OPERATIONS623000$2,684,500$2,684,500
FieldValueIRS element (for citing)
Total Program Service Revenue$6,766,882TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,726TotalRevenueColumnAmt
Exclusion$1,726ExclusionAmt

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$1,196TotalRevenueColumnAmt
Related Or Exempt Func Income$1,196RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,196OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,192,803TotalRevenueColumnAmt
Related Or Exempt Func Income$6,768,078RelatedOrExemptFuncIncomeAmt
Exclusion$1,726ExclusionAmt

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$2,899,790TotalAmt
Program Services$2,712,020ProgramServicesAmt
Management And General$185,176ManagementAndGeneralAmt
Fundraising$2,594FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,742TotalAmt
Program Services$21,268ProgramServicesAmt
Management And General$1,454ManagementAndGeneralAmt
Fundraising$20FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$503,600TotalAmt
Program Services$470,990ProgramServicesAmt
Management And General$32,159ManagementAndGeneralAmt
Fundraising$451FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$236,154TotalAmt
Program Services$228,385ProgramServicesAmt
Management And General$7,665ManagementAndGeneralAmt
Fundraising$104FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$337,727TotalAmt
Management And General$337,727ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,113TotalAmt
Management And General$8,113ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,258TotalAmt
Management And General$10,258ManagementAndGeneralAmt

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$212,720TotalAmt
Program Services$90,381ProgramServicesAmt
Management And General$120,775ManagementAndGeneralAmt
Fundraising$1,564FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$43,007TotalAmt
Management And General$43,007ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,169TotalAmt
Management And General$8,169ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$158,903TotalAmt
Program Services$67,400ProgramServicesAmt
Management And General$91,503ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$811,818TotalAmt
Program Services$793,195ProgramServicesAmt
Management And General$18,623ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,550TotalAmt
Management And General$3,550ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,540TotalAmt
Program Services$1,211ProgramServicesAmt
Management And General$329ManagementAndGeneralAmt

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$217,461TotalAmt
Program Services$207,857ProgramServicesAmt
Management And General$9,505ManagementAndGeneralAmt
Fundraising$99FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CONTRACTUAL SERVICES$1,698,587$1,698,587
SUPPLIES$489,984$489,984
PHYSICAL/OCCUPATIONAL THERAPY$487,142$487,142
FOOD$226,472$226,472

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$315,886TotalAmt
Program Services$218,755ProgramServicesAmt
Management And General$97,131ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,693,623TotalAmt
Program Services$7,713,647ProgramServicesAmt
Management And General$975,144ManagementAndGeneralAmt
Fundraising$4,832FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$540,172BOYAmt
EOY$469,879EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$811,209BOYAmt
EOY$509,447EOYAmt

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$72,810BOYAmt
EOY$96,682EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,675BOYAmt
EOY$17,327EOYAmt

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)
EOY$917,289EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,444,116BOYAmt
EOY$2,010,874EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,288,121BOYAmt
EOY$2,675,531EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,333,737BOYAmt
EOY$943,905EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,621,858BOYAmt
EOY$3,619,436EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,177,742BOYAmt
EOY-$1,608,562EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,177,742BOYAmt
EOY-$1,608,562EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,444,116BOYAmt
EOY$2,010,874EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$499,180ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$70,000NetUnrlzdGainsLossesInvstAmt
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$4,915CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,190CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,742CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$474,129CurrentTaxYearMinus1YearAmt
Current Tax Year$2,422,999CurrentTaxYearAmt
Total$2,910,975TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,509,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,735,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,908,037CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,914,964CurrentTaxYearMinus1YearAmt
Current Tax Year$6,766,882CurrentTaxYearAmt
Total$31,835,016TotalAmt

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$5,514,462CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,742,776CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,909,779CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,389,093CurrentTaxYearMinus1YearAmt
Current Tax Year$9,189,881CurrentTaxYearAmt
Total$34,745,991TotalAmt

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$34,745,991PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,960CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,742CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,336CurrentTaxYearMinus1YearAmt
Current Tax Year$1,726CurrentTaxYearAmt
Total$26,753TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,960CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,742CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,336CurrentTaxYearMinus1YearAmt
Current Tax Year$1,726CurrentTaxYearAmt
Total$26,753TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,309CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,414CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,646CurrentTaxYearMinus1YearAmt
Current Tax Year$1,196CurrentTaxYearAmt
Total$8,064TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,528,921CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,747,827CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,917,182CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,394,075CurrentTaxYearMinus1YearAmt
Current Tax Year$9,192,803CurrentTaxYearAmt
Total$34,780,808TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99900PublicSupportCY509Pct
Public Support PY5090.99890PublicSupportPY509Pct
Investment Income CY0.00080InvestmentIncomeCYPct
Investment Income PY0.00090InvestmentIncomePYPct
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 Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
GIFT TRANSFERRED IN$900,000
INSURANCE COMPANY$17,289
FieldValueIRS element (for citing)
Total Book Value Other Assets$917,289TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DEFERRED GRANT REVENUE$202,487
DUE TO ST. CLARA'S SENIOR SERVICES$730,647
REFUNDABLE ADVANCES$10,771
FieldValueIRS element (for citing)
Total Liability$943,905TotalLiabilityAmt
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 2016 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 M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$765,820NoncashContributionsRptF990Amt
Method Of Determining RevenuesAUCTIONMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyHERITAGE 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, Line 11b: Form 990 Review ProcessMANAGEMENT REVIEWS THE 990. THE BOARD REVIEWS AND APPROVES THE AUDIT FROM WHICH THE 990 WAS PREPARED.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsIF THERE IS A CONFLICT OF INTEREST, THE BOARD MEMBER WILL ABSTAIN FROM DISCUSSION/VOTING ON THE AFFECTED ISSUE.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBOARD REVIEWS OTHER AREA NURSING HOMES AND INDUSTRY STANDARDS FOR COMPUTING COMPENSATION.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE 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$13,623,673AMT GUARANTEED
ST CLARAS SENIOR SERVICES INC
e$730,647AMT LOANED
ST CLARAS SENIOR SERVICES INC
k$680,730LESS THAN FMV
ST CLARAS SENIOR SERVICES INC
p$3,135,943COST OF PAYROLL
ST CLARAS SENIOR SERVICES INC
s$34,744CY FUNDS BORROW

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