ST MARYS HOME FOR THE AGED INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HOME FOR THE AGED INC (EIN 39-0826123)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-02-25
- IRS object ID
- 201940569349301014
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-02-25T16:41:43-06:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 430352985 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KERBER ECK & BRAECKEL LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 SOUTH 84TH STREET STE 100 | AddressLine1Txt |
| City | MILWAUKEE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390826123 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HOME FOR THE AGEDINC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 9206847171 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1635 SOUTH 21ST STREET | AddressLine1Txt |
| City | MANITOWOC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 542205652 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANK SOLTYS | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 9206847171 | PhoneNum |
| Signature | 2019-02-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTIAN A SLAATS CPA | PreparerPersonNm |
| PTIN | P00963303 | PTIN |
| Phone | 4144561099 | PhoneNum |
| Preparation | 2019-02-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.84.173.86 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-02-13 | IPDt |
| IP Tm | 16:49:22 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A148DF30736686FDC157DC379C973C97BDE9118D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ADADB2DD02A527F4301A876B59E57089957AF4B5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FRANK SOLTYS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1635 SOUTH 21ST STREET | AddressLine1Txt |
| City | MANITOWOC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 542205652 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,485,956 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FELICIANVILLAGE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO CONTINUE THE HEALING MINISTRY OF JESUS WITH PARTICULAR ATTENTION TO THE NEEDS OF THE POOR, AS WE PROVIDE SKILLED NURSING CARE AND HOUSING FOR SENIORS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 388 | TotalEmployeeCnt |
| Total Volunteers | 133 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $360,036 | PYContributionsGrantsAmt |
| CY Contributions Grants | $259,992 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,356,239 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,181,484 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,785 | PYInvestmentIncomeAmt |
| CY Investment Income | $44,480 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,724,060 | PYTotalRevenueAmt |
| CY Total Revenue | $13,485,956 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,133,705 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,867,320 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $146,098 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,844,535 | PYOtherExpensesAmt |
| CY Other Expenses | $5,614,928 | CYOtherExpensesAmt |
| PY Total Expenses | $11,978,240 | PYTotalExpensesAmt |
| CY Total Expenses | $13,482,248 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$254,180 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,708 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $22,536,299 | TotalAssetsBOYAmt |
| Total Assets EOY | $30,011,908 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,783,450 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,339,398 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$5,247,151 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,672,510 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS A FACILITY THAT PROVIDES SKILLED NURSING, REHABILITATION AND ASSISTED LIVING, ST. MARY'S CONTINUES THE HEALING MINISTRY OF JESUS BY PROVIDING COMPASSIONATE CARE THAT SUPPORTS THE VALUES OF RESPECT FOR HUMAN DIGNITY, COMPASSION, TRANSFORMATION, SOLIDARITY WITH THE POOR AND JUSTICE AND PEACE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,107,280 | ExpenseAmt |
| Revenue | $13,181,484 | RevenueAmt |
| Desc | ST. MARY'S EMPLOYS 388 PEOPLE IN DIRECT CARE AND SUPPORT RESPONSIBILITIES, REPRESENTING APPROXIMATELY 52,000 RESIDENT DAYS PER YEAR. CARE IS PROVIDED IN SKILLED NURSING AND ASSISTED LIVING. VOLUNTEERS PROVIDE MORE THAN 11,000HOURS OF SERVICE PER YEAR. SIGNIFICANT COMMUNITY SERVICE IS PROVIDED BY BOTH INDIVIDUALS SERVING ON BOARDS AND COMMITTEES AND BY THE ORGANIZATION'S SUPPORT OF VARIOUS EDUCATIONAL INSTITUTIONS AND CARE PROVIDERS IN THE COMMUNITY.DURING 2018 , ST MARY'S HOME PROVIDED IN EXCESS OF $3.5 MILLION IN UNREIMBURSED SERVICES FOR MEDICAID, FAMILY CARE, MEDICARE, AND MANAGED CARE RESIDENTS. IN ADDITION, ST. MARY'S PROVIDED TO THE PUBLIC AND ITS RESIDENTS, AT NO CHARGE, COMMUNITY EDUCATIONAL SEMINARS TO INCLUDE DEMENTIA EDUCATION INCLUDING VIRTUAL DEMENTIA TOURS, WELLNESS SEMINARS, AND EXERCISE CLASSES FOR BETTER BALANCE TO HELP REDUCE FALLS. MEMORY SCREENS WERE OFFERED FREE OF CHARGE IN ADDITION TO AN EMPLOYEE INVOLVED IN VARIOUS COMMUNITY ACTIVITIES FOR THE ALZHEIMER'S ASSOCIATION. TIME SPENT TO DEVELOP A DEMENTIA CLINIC IN THE COMMUNITY FOR THE INCREASED NUMBER OF ELDERLY IN MANITOWOC COUNTY.ALSO INCLUDED WERE THREE CERTIFIED NURSING ASSISTANT CLASSES WHICH PROVIDED TRAINING FOR 16 STUDENTS. ST. MARY'S PROVIDED A CLINICAL SITE FOR THOSE STUDENTS AS WELL AT LAKESHORE TECHNICAL COLLEGE STUDENTS. ESTIMATED COSTS TO PROVIDE THESE OPPORTUNITIES IS $49,075.FINALLY, HUNDREDS OF HOURS WERE DONATED TO AREA AGENCIES IN SUPPORT OF COMMUNITY ORGANIZATIONS AND EVENTS THAT BENEFIT RESIDENTS OF THE ENTIRE COUNTY. AMONG THE ORGANIZATIONS SUPPORTED THROUGH STAFF INVOLVEMENT ARE: AGING & DISABILITY RESOURCE CENTER, ROTARY - MANITOWOC & TWO RIVERS, LAKESHORE TECHNICAL COLLEGE, ST. FRANCIS OF ASSISI PARISH, YMCA - MANITOWOC/TWO RIVERS, MANITOWOC SENIOR CENTER, TWO RIVERS SENIOR CENTER, AURORA HEALTH CARE, HOLY FAMILY MEMORIAL, SALVATION ARMY CLINIC, SILVER LAKE COLLEGE, WOMEN IN MANAGEMENT, ALZHEIMER'S ASSOCIATION, HEALTHIEST MANITOWOC COUNTY 2020, CHAMBER OF MANITOWOC COUNTY, LAKESHORE HUMANE SOCIETY AND LEADING AGE - WISCONSIN. | Desc |
| Total Program Service Expenses | $12,107,280 | 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 | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 388 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 | 0 | QuidProQuoContributionsInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOANNE BARTZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9206847171 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1635 SOUTH 21ST STREET | AddressLine1Txt |
| City | MANITOWOC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 54220 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt |
|---|---|---|---|---|---|---|---|
| DAVID WARD | |||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $231,841 | $22,955 | ||
| SR ELAINE FRIGO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETSY BENZ | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY MAURER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JERILYN DIETZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN NICHOLS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT VOLLENDORF | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EDGAR HANSEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL ETHERIDGE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REV MATTHEW SAUER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JANE CURRAN-MEULI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DENNIS SWETLIK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR TRACY SHERMAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FRANK SOLTYS | |||||||
| CEO/PRESIDENT | 20.00 | $181,480 | $0 | $15,320 | Yes (X) | 20.00 | |
| JOANNE BARTZ | |||||||
| TREASURER | 20.00 | $68,881 | $0 | $18,428 | Yes (X) | 20.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $250,361 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $231,841 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $56,703 | 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 |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GREENFIELD REHAB AGENCY | |||||
| 19395 W CAPITOL DR SUITE 200 | BROOKFIELD | WI | 53045 | PATIENT THERAPY | $734,630 |
| SYSCO EASTERN WISCONSIN | |||||
| ONE SYSCO DRIVE | JACKSON | WI | 530379226 | FOOD SERVICE | $506,996 |
| ABM HEALTHCARE SUPPORT SERVICE | |||||
| PO BOX 935695 | ATLANTA | GA | 311935695 | DINING MANAGEMENT | $177,215 |
| OMNICARE INC | |||||
| DEPT 781668 PO BOX 78000 | DETROIT | MI | 482781668 | PHARMACY | $163,270 |
| GUNDERSON | |||||
| 41 MAIN STREET | MENASHA | WI | 549523198 | LAUNDRY | $151,171 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $37,950 | RelatedOrganizationsAmt |
| All Other Contributions | $222,042 | AllOtherContributionsAmt |
| Total Contributions | $259,992 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT CARE SERVICES | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $13,181,484 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,181,484 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,181,484 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,480 | TotalRevenueColumnAmt |
| Exclusion | $44,480 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,485,956 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,181,484 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $44,480 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,748 | TotalAmt |
| Management And General | $148,748 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,034,229 | TotalAmt |
| Program Services | $5,425,205 | ProgramServicesAmt |
| Management And General | $518,604 | ManagementAndGeneralAmt |
| Fundraising | $90,420 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,282,769 | TotalAmt |
| Program Services | $1,125,034 | ProgramServicesAmt |
| Management And General | $139,059 | ManagementAndGeneralAmt |
| Fundraising | $18,676 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $401,574 | TotalAmt |
| Program Services | $351,256 | ProgramServicesAmt |
| Management And General | $44,620 | ManagementAndGeneralAmt |
| Fundraising | $5,698 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,967 | TotalAmt |
| Program Services | $564 | ProgramServicesAmt |
| Management And General | $12,394 | ManagementAndGeneralAmt |
| Fundraising | $9 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,088 | TotalAmt |
| Management And General | $52,088 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $862,415 | TotalAmt |
| Program Services | $862,415 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,207 | TotalAmt |
| Program Services | $91,633 | ProgramServicesAmt |
| Management And General | $6,373 | ManagementAndGeneralAmt |
| Fundraising | $201 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,241 | TotalAmt |
| Program Services | $196,830 | ProgramServicesAmt |
| Management And General | $38,580 | ManagementAndGeneralAmt |
| Fundraising | $8,831 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,008 | TotalAmt |
| Management And General | $24,008 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,812 | TotalAmt |
| Program Services | $498,469 | ProgramServicesAmt |
| Management And General | $59,564 | ManagementAndGeneralAmt |
| Fundraising | $6,779 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,875 | TotalAmt |
| Program Services | $12,495 | ProgramServicesAmt |
| Management And General | $8,238 | ManagementAndGeneralAmt |
| Fundraising | $1,142 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,086 | TotalAmt |
| Program Services | $28,419 | ProgramServicesAmt |
| Management And General | $3,254 | ManagementAndGeneralAmt |
| Fundraising | $413 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788,340 | TotalAmt |
| Program Services | $762,594 | ProgramServicesAmt |
| Management And General | $23,325 | ManagementAndGeneralAmt |
| Fundraising | $2,421 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,241,492 | TotalAmt |
| Program Services | $1,220,063 | ProgramServicesAmt |
| Management And General | $18,568 | ManagementAndGeneralAmt |
| Fundraising | $2,861 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,229 | TotalAmt |
| Program Services | $106,776 | ProgramServicesAmt |
| Management And General | $11,221 | ManagementAndGeneralAmt |
| Fundraising | $1,232 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| RESIDENT CARE SERVICES | $683,300 | $681,075 | $2,183 | $42 |
| FOOD SERVICE | $536,810 | $531,748 | $4,888 | $174 |
| HR/FINANCE SERVICES | $207,736 | $185,413 | $20,910 | $1,413 |
| BAD DEBT | $24,000 | $24,000 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,322 | TotalAmt |
| Program Services | $3,291 | ProgramServicesAmt |
| Management And General | $92,245 | ManagementAndGeneralAmt |
| Fundraising | $5,786 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,482,248 | TotalAmt |
| Program Services | $12,107,280 | ProgramServicesAmt |
| Management And General | $1,228,870 | ManagementAndGeneralAmt |
| Fundraising | $146,098 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,188 | BOYAmt |
| EOY | $2,072,410 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,307 | BOYAmt |
| EOY | $265,334 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $69,850 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $803,572 | BOYAmt |
| EOY | $906,776 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,730 | BOYAmt |
| EOY | $232,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $45,897,885 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,641,567 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,472,527 | BOYAmt |
| EOY | $26,256,318 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $188,975 | BOYAmt |
| EOY | $208,318 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,536,299 | BOYAmt |
| EOY | $30,011,908 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,247,456 | BOYAmt |
| EOY | $1,557,316 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,037 | BOYAmt |
| EOY | $10,427 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,526,957 | BOYAmt |
| EOY | $25,771,655 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,783,450 | BOYAmt |
| EOY | $27,339,398 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,863,781 | BOYAmt |
| EOY | $1,942,394 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,348 | BOYAmt |
| EOY | $256,464 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $424,282 | BOYAmt |
| EOY | $473,652 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$5,247,151 | BOYAmt |
| EOY | $2,672,510 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,536,299 | BOYAmt |
| EOY | $30,011,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,708 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$22,319 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $7,938,272 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $211,614 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $229,679 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $172,932 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $360,036 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $259,992 | CurrentTaxYearAmt |
| Total | $1,234,253 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,866,805 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,181,449 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,439,281 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,356,239 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,181,484 | CurrentTaxYearAmt |
| Total | $58,025,258 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,078,419 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,411,128 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,612,213 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,716,275 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,441,476 | CurrentTaxYearAmt |
| Total | $59,259,511 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $59,259,511 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,519 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,883 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,785 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,480 | CurrentTaxYearAmt |
| Total | $66,301 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,519 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,883 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,785 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $44,480 | CurrentTaxYearAmt |
| Total | $66,301 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,080,053 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,421,647 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,614,096 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,724,060 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,485,956 | CurrentTaxYearAmt |
| Total | $59,325,812 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99890 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99960 | PublicSupportPY509Pct |
| Investment Income CY | 0.00110 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00040 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $424,282 | BeginningYearBalanceAmt |
| Contributions | $33,773 | ContributionsAmt |
| Investment Earnings Or Losses | $15,597 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $473,652 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $285,410 | BeginningYearBalanceAmt |
| Contributions | $123,918 | ContributionsAmt |
| Investment Earnings Or Losses | $14,954 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $424,282 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $261,533 | BeginningYearBalanceAmt |
| Contributions | $24,128 | ContributionsAmt |
| Investment Earnings Or Losses | -$251 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $285,410 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $217,882 | BeginningYearBalanceAmt |
| Contributions | $34,250 | ContributionsAmt |
| Investment Earnings Or Losses | $9,401 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $261,533 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $127,793 | BeginningYearBalanceAmt |
| Contributions | $88,532 | ContributionsAmt |
| Investment Earnings Or Losses | $1,557 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $217,882 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $593,771 | OtherCostOrOtherBasisAmt |
| Book Value | $593,771 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,491,274 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,902,580 | DepreciationAmt |
| Book Value | $24,588,694 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,812,840 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,738,987 | DepreciationAmt |
| Book Value | $1,073,853 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,256,318 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $14,868,847 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$22,319 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,405,210 | OtherRevenueAmt |
| Revenue Not Reported | $1,382,891 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,485,956 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,485,956 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,856,726 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,374,478 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,374,478 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,482,248 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,482,248 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION HOLDS CASH ON BEHALF OF CERTAIN RESIDENTS IN A SEPERATE CHECKING ACCOUNT, WHICH IS USED TO PAY FOR THE RESIDENTS' INCIDENTAL EXPENSES. |
| PART V, LINE 4: | THE HOME ESTABLISHED THE ST. MARY'S HOME ENDOWMENT FUND AS A PERMANENTLY RESTRICTED PERPETUAL ENDOWMENT FUND TO PROVIDE SUPPORT TO THE CHARITABLE MISSIONS OF ST. MARY'S AT FELICIAN VILLAGE, THE COURT AT FELICIAN VILLAGE, THE VILLA AT FELICIAN VILLAGE AND THE GARDENS AT FELICIAN VILLAGE. THE ENDOWMENT CONSISTS OF INVESTMENTS ESTABLISHED TO FUND ITS MISSIONS AND IS DONOR-RESTRICTED. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. |
| PART X, LINE 2: | ST. MARY'S HOME FOR THE AGED, INC., IS A NOT FOR PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE CODE. THE HOME FOLLOWS THE ACCOUNTING STANDARDS FOR UNCERTAINTY IN INCOME TAXES. THESE STANDARDS REQUIRE ENTITIES TO DISCLOSE IN THEIR FINANCIAL STATEMENTS THE NATURE OF ANY UNCERTAINTIES IN THEIR TAX POSITION. AREAS THAT THE INTERNAL REVENUE SERVICE AND STATE TAX AUTHORITIES CONSIDER WHEN EXAMINING TAX AND INFORMATION RETURNS OF A TAX-EXEMPT ENTITY INCLUDE, BUT ARE NOT LIMITED TO, TAX-EXEMPT STATUS AND THE EXISTENCE AND AMOUNT OF UNRELATED BUSINESS INCOME. THE HOME DOES NOT BELIEVE THAT IT HAS ANY UNCERTAIN TAX POSITIONS WITH RESPECT TO THESE OR OTHER MATTERS, AND HAS NOT RECORDED ANY UNRECOGNIZED TAX BENEFITS OR LIABILITY FOR PENALTIES OR INTEREST. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FELICIAN VILLAGE, INC. REVENUE 7/1/18 TO 12/31/18 MERGER DATE 1,405,210. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FELICIAN VILLAGE, INC. EXPENSES 7/1/18 TO 12/31/18 MERGER DATE 1,374,478. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID WARD | ||||||||||||||
| DIRECTOR | $0 | $231,841 | $0 | $0 | $0 | $0 | $0 | $15,303 | $0 | $7,652 | $0 | $254,796 | $0 | $0 |
| FRANK SOLTYS | ||||||||||||||
| CEO/PRESIDENT | $181,480 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,320 | $0 | $196,800 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS A CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CORPORATE MEMBER (FELICIAN SERVICES, INC.) HOLDS RESERVED POWERS IN ELECTING MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE CORPORATE MEMBER (FELICIAN SERVICES, INC.) HOLDS RESERVED POWERS REGARDING SPECIFIC DECISIONS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, FORM 990 WAS DISTRIBUTED VIA EMAIL TO EACH DIRECTOR FOR REVIEW AND COMMENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS OR TRUSTEES AND KEY EMPLOYEES MUST PROVIDE WRITTEN DISCLOSURE REGARDING INTERESTS THAT COULD GIVE RISE TO CONFLICT DURING THE ANNUAL BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CORPORATE MEMBER (FELICIAN SERVICES, INC.) OBTAINED COMPARABILITY DATA IN DETERMINING COMPENSATION OF THE CEO AND TOP MANAGEMENT OFFICIALS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE UPON WRITTEN REQUEST TO THE CONTACT LISTED IN PART VI, SECTION C, LINE 20. |
| FORM 990, PART XI, LINE 9: | NET ASSETS RECEIVED AS A RESULT OF A MERGER WITH FELICIAN VILLAGE, INC 7,938,272. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FELICIAN SERVICES INC | |||||||||||
| 3800 W PETERSON AVENUE | CHICAGO | IL | 60659 | 363685438 | SOLE CORPORATE MEMBER OF NON-PROFIT RELIGIOUS SPONSORED ENTITIES | IL | 501(C)(3) | LINE 1 | CONGREGATION OF THE SISTERS OF ST FELIX OF CANTALICE | 0 | |
| FELICIAN VILLAGE INC | |||||||||||
| 1635 SOUTH 21ST STREET | MANITOWOC | WI | 542205652 | 391601952 | INDEPENDENT LIVING HOUSING AND SUPPORT SERVICES FOR SENIORS | WI | 501(C)(3) | LINE 10 | FELICIAN SERVICES INC | 0 | |
| FELICIAN SISTERS OF NORTH AMERICA INC | |||||||||||
| 871 MERCER ROAD | BEAVER FALLS | PA | 05010 | 271282473 | RELIGIOUS CONGREGATION | PA | 501(C)(3) | LINE 1 | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II, COLUMN A | FormAndLineReferenceDesc |
| Explanation | THE REPORTING ORGANIZATION AND ALL RELATED ORGANIZATIONS OF THE CONGREGATION OF THE SISTERS OF ST. FELIX OF CANTALICE ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY. | ExplanationTxt |
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