2020-02-14T15:22:02-06:00 2019-03-31 390974031 WEGNER CPAS LLP 2921 LANDMARK PLACE SUITE 300 MADISON WI 537133074 990 2018-04-01 391137868 ST MONICA'S SENIOR LIVING INC STMO 2626395050 3920 N GREEN BAY RD RACINE WI 53404 LORETTA BAXTER ADMINISTRATOR 2626395050 2020-02-14 1 JENNY TARKOWSKI CPA P00634290 6082744020 66.222.124.178 2020-02-14 14:22:03 CS P 50C9C09D56ED613F9D7879BDC11063DCF385CB9F BB9037E3AA85FAE4E129294E83CD7747F0718998 2018 2020-11-06 18:47:13Z LORETTA BAXTER 3920 N GREEN BAY RD RACINE WI 53404 5928723 0 X WWW.STMONICASSENIORLIVING.COM X 1968 WI IN THE SPIRIT OF OUR FOUNDERS, THE SISTERS OF ST. RITA, WE PROVIDE A COMPASSIONATE, SAFE, LOVING FAMILY HOME ENVIRONMENT THAT RESPECTS THE DIGNITY OF ALL RESIDENTS. WE STRIVE TO MEET THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF EACH RESIDENT AND SUPPORT THEIR FAMILIES. 18 16 206 16 0 0 244907 191148 4213264 5654708 43310 68148 4732 2225 4506213 5916229 0 0 0 0 2806467 3506068 0 0 1575 1552962 2128138 4359429 5634206 146784 282023 13058612 12352491 7217632 6285111 5840980 6067380 X IN THE SPIRIT OF OUR FOUNDERS, THE SISTERS OF ST. RITA, WE PROVIDE ACOMPASSIONATE, SAFE, LOVING FAMILY HOME ENVIRONMENT THAT RESPECTS THEDIGNITY OF ALL RESIDENTS. WE STRIVE TO MEET THE PHYSICAL, EMOTIONAL,SOCIAL AND SPIRITUAL NEEDS OF EACH RESIDENT AND SUPPORT THEIR FAMILIES. 0 0 4869181 5654708 ST. MONICA'S IS NESTLED ON 42 ACRES ALONG THE ROOT RIVER IN RACINE,WISCONSIN. WITHIN OUR WALLS AND GROUNDS WE SERVE 94 RESIDENTS;PROVIDING A SENSE OF CALM, SECURITY AND ENJOYMENT. THE STAFF INCLUDESPROFESSIONAL, LICENSED CAREGIVERS, DEDICATED TO TREATING EVERY RESIDENTLIKE FAMILY AND ENGAGING EACH IN FRUITFUL, INTERESTING ACTIVITY. 4869181 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 206 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 WI X LORETTA BAXTER 2626395050 3920 N GREEN BAY RD RACINE WI 53404 DR KEVIN MCCABE CHAIR 1.00 X X 0 0 0 MARY JO SULLIVAN PAST CHAIR 1.00 X X 0 0 0 LAMONTE BOHMAN VICE CHAIR 1.00 X X 0 0 0 DAN DEBAKER TREASURER 1.00 X X 0 0 0 MARY WYANT SECRETARY 1.00 X X 0 0 0 VICTOR ERATO DIRECTOR 1.00 X 0 0 0 ST ANGELICA SUMMER DIRECTOR 1.00 X 15006 0 3889 SUSAN BOLAND DIRECTOR 1.00 X 0 0 0 JILL HELLER DIRECTOR 1.00 X 0 0 0 MANEEKA DECKER DIRECTOR 1.00 X 0 0 0 EDWARD DEMEULENAERE DIRECTOR 1.00 X 0 0 0 DAVID EASLEY DIRECTOR 1.00 X 0 0 0 RICHARD KREUL DIRECTOR 1.00 X 0 0 0 RAY JOHNSON DIRECTOR 1.00 X 0 0 0 CHAD KUCIK DIRECTOR 1.00 X 0 0 0 RON SCHULZ DIRECTOR 1.00 X 0 0 0 PAIGE WESLASKI DIRECTOR 1.00 X 0 0 0 SR CLARE MARIE DIRECTOR 40.00 X 15768 0 3557 LORETTA BAXTER ADMINISTRATOR 40.00 X 104560 0 13220 135334 0 20666 1 0 0 0 0 17116 174032 191148 RENTAL INCOME 623110 4961298 4961298 PERSONAL SERVICES INCO 812199 671166 671166 22244 22244 5654708 68148 68148 14719 17116 12494 2225 2225 5916229 5654708 0 70373 153806 50437 103099 270 2707913 2474539 232181 1193 44221 39600 4621 361276 312779 48497 238852 213334 25406 112 3841 3841 13700 13700 6167 6167 169223 118380 50843 50483 8966 41517 187993 151181 36812 413552 371868 41684 2463 2199 264 55276 44528 10748 328549 292935 35614 425672 379529 46143 130668 116504 14164 FOOD 269235 269235 HOUSING ALLOWANCE 38522 38522 32794 23167 9627 5634206 4869181 763450 1575 883341 566763 49471 4240 55340 62395 52368 47650 14526109 4664943 10262459 9861166 1755633 1810277 13058612 12352491 305974 363258 4099 39278 6907559 5882575 7217632 6285111 X 5735241 5927281 105739 140099 5840980 6067380 13058612 12352491 X 282023 16194 -71817 X 0 1 X 0 0 X 42450 162808 1037896 244907 191148 1679209 2953862 3219121 3553808 4213264 5654708 19594763 5738 14400 14264 17298 14719 66419 3002050 3396329 4605968 4475469 5860575 21340391 0 0 0 21340391 78416 30532 35498 43310 68148 255904 78416 30532 35498 43310 68148 255904 3080466 3426861 4641466 4518779 5928723 21596295 0.98820 0.98490 0.01180 0.01460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 222990 222990 12945897 4012333 8933564 69053 58570 10483 1288169 594040 694129 9861166 5938750 16194 -6167 10027 5928723 -12494 -12494 5916229 5712350 71817 12494 84311 5628039 6167 6167 5634206 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES REPORTED ON FORM 990, PART IX, LINE 11F -6,167. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B -12,494. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B 12,494. GOLF OUTING 31835 17116 14719 9332 3162 31835 17116 14719 9332 3162 12494 2225 FORM 990, PART VI, SECTION B, LINE 11B THE PREPARED FORM 990 IS PRESENTED AT A MEETING OF THE GOVERNING BODY BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT -71,817.