2025-11-18T16:14:30-07:00 2024-12-31 990 2024-04-01 391020547 CLEMENT MANOR INC CLEM 4143211800 3939 S 92nd street Greenfield WI 53228 Barbara Kane Director of Finance 4143211800 2025-11-17 1 2024 2025-03-06 01:10:19Z Dennis Ferger 3939 S 92nd Street Greenfield WI 53228 14088473 0 X www.clementmanor.com X 1963 WI Clement Manor is a Catholic healthcare and eldercare organization sponsored by the Franciscan Sisters of Christian Charity, committed to providing a continuum of care and fostering the highest potential for the well-being of each individual on our campus and in our communities through the values of respect, collaboration and quality service. 11 8 315 15 0 0 102867 216171 13581490 13774362 37022 77045 -3027 592 13718352 14068170 0 0 0 0 7251557 7849040 0 0 0 6901079 6173619 14152636 14022659 -434284 45511 15517884 25285136 20620455 20187470 -5102571 5097666 Clement Manor is a Catholic healthcare and eldercare organization sponsored by the Franciscan Sisters of Christian Charity. We are committed to providing a continuum of care and fostering the highest potential for the wellbeing of each individual on our campus and in our communities through deeply-rooted Franciscan values dedicated to enriching the life experience. 0 0 13589323 0 13452141 Clement Manor, Inc. operates a high-quality skilled nursing facility offering nursing services, social services, leisure activities as well as spiritual services. A significant number of residents receive care where payments received from governmental agencies are at a shortfall of costs. Clement Manor also provides an array of services to support the elderly in their own apartments while assuring the maximum level on independence. 0 0 0 13589323 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15 0 1 315 1 0 0 0 0 0 0 0 0 X 11 8 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X Kwasi Ofori-Tano 4143211800 3939 S 92nd street Greenfield WI 53228 X Dennis Ferger President / CEO 40 0 X X X X 287033 0 0 Dinese Roberts Registered Nurse 40 0 X 174499 0 0 Teresa Gatto COO 40 0 X X 154932 0 0 Trisha Atkinson Director of Nursing 40 X 134728 0 0 Deborah Safford Asst Director of Nursing 40 0 X 112891 0 0 Colleen Turner Certified Nursing Assistant 40 0 X 111051 0 0 Kwasi Ofori-Tano Controller 40 0 X 104277 0 0 Philip Dougherty Jr Board Chair 0.5 0 X X 0 0 0 Ann Maher Vice Chair 0.5 0 X X 0 0 0 John Heindel Treasurer 0.5 0 X X 0 0 0 Sister Judeen Schulte Secretary 0.5 0 X X 0 0 0 Krista Pankop Board Member 0.5 0 X 0 0 0 Cathleen Kelling Board Member 0.5 0 X 0 0 0 David Niles Board Member 0.5 0.5 X 0 0 0 Sister Julie Ann Sheahan Board Member 0 0 X 0 0 0 Sister Anne Turba Board Member 5 0 X 0 0 0 1079411 0 0 8 0 1 0 Select Rehabilitation LLC PO Box 71985 Chicago IL 60694 Therapy Services 440729 Reinhart Boerner Van Deuren SC 1000 N Water Street Suite 1700 Milwaukee WI 53202 Legal 105672 Amergis Healthcare Staffing Inc 12558 Collections Center Dr Chicago IL 60693 Agency staffing 104166 3 0 0 54170 0 0 162001 0 216171 Resident Services Revenue 623000 12008716 12008716 0 0 Resident Administrative Revenue 623200 523645 523645 0 0 Dietary Sales 623000 496146 0 0 496146 Resident Fees 623000 249489 53366 0 196123 All other Program service revenue 623000 496366 42740 0 453626 0 0 0 0 13774362 77045 77045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20895 54170 20303 592 0 592 0 14068170 12705512 0 1146487 0 0 0 0 0 0 0 0 441966 220983 220983 0 0 0 0 0 5880088 5880088 0 0 150003 150003 0 0 922629 922629 0 0 454354 454354 0 0 5950 0 5950 0 105794 0 105794 0 0 0 0 0 0 0 0 0 0 0 100609 0 100609 0 38649 38649 0 0 1529747 1529747 0 0 1508 1508 0 0 0 0 0 0 0 0 0 0 591409 591409 0 0 0 0 0 0 813608 813608 0 0 297440 297440 0 0 Food 1140909 1140909 0 0 Medical supplies and services 713069 713069 0 0 Nonmedical Resident Supplies and Services 309835 309835 0 0 External Laundry 94426 94426 0 0 430666 430666 0 0 14022659 13589323 433336 0 3333381 1860077 0 0 0 0 857832 747492 0 0 0 0 0 0 165952 171237 185082 20052732 804299 9306490 19248433 0 1539809 0 101064 0 0 0 1669147 1617024 15517884 25285136 1867367 1978994 0 0 584304 427565 15097304 14797844 0 0 0 0 0 0 0 0 3071480 2983067 20620455 20187470 X -5102571 5097666 0 0 -5102571 5097666 15517884 25285136 X 45511 -45511 0 0 0 10200237 X 0 1 X 1 0 X 3294508 1461496 130378 114978 100 5001460 13672955 13616172 15581725 12455360 13031442 68357654 205862 908733 961531 1126130 866413 4068669 0 0 0 0 17173325 15986401 16673634 13696468 13897955 77427783 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77427783 1579 5732 29300 37022 77045 150678 0 0 0 0 0 0 1579 5732 29300 37022 77045 150678 0 0 0 0 0 0 0 0 0 0 0 0 17174904 15992133 16702934 13733490 13975000 77578461 0.99806 0.9987 0.00194 0.0017 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 3596400 3596400 0 12688116 477062 12211054 0 0 0 0 0 3688779 315615 3373164 0 79437 11622 67815 19248433 Bond reserve funds 1429993 Leased assets right of use 187031 1617024 0 Resident deposits 342537 Operating and Financing Lease Liabilities 198864 Reserve for founders fees 2441666 2983067 Clement Manor Golf Classic 75065 54170 20895 0 0 5984 7540 0 6779 0 0 75065 54170 20895 0 0 5984 7540 0 6779 20303 592 X X X 0 0 0 0 0 0 0 0 0 Dennis Ferger President / CEO 222162 0 43626 0 0 0 4458 0 7296 0 277542 0 0 0 A Wisconsin Health and Educational Facilities Authority 391337855 97712DW40 2019-07-31 16514438 Refund Series 2013A tax-exempt bonds. Construct new building wing. 0 0 0 A 910000 0 16386941 1059075 0 0 330289 0 0 4539216 8738483 1273720 2022 1 0 1 1 A 0 0 0 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 Form 990, Part VI, Section A, Line 4 On April 1, 2024, Franciscan Sisters of Christian Charity Sponsored Ministries, Inc. acquired Clement Manor from the School Sisters of St. Francis and became the sole member of Clement Manor. Concurrently, sponsorship of Clement Manor transferred from the School Sisters of St. Francis to Holy Family Convent of the Franciscan Sisters of Christian Charity. Clement Manor's bylaws were amended to acknowledge new reserved powers, fiscal year end, and dissolution provisions. Form 990, Part VI, Section A, Line 6 Franciscan Sisters of Christian Charity Sponsored Ministries, Inc is the sole member of Clement Manor. Form 990, Part VI, Section A, Line 7a The Clement Manor board of directors recommends new and returning board members to its sole member, Franciscan Sisters of Christian Charity Sponsored Ministries, for approval. Form 990, Part VI, Section A, Line 7b THE FOLLOWING TRANSACTIONS SHALL BE AUTHORIZED ONLY BY VOTE OF THE MEMBER OF THE CORPORATION, WHICH VOTE SHALL BE TAKEN ONLY AFTER CONSIDERING THE ADVICE OF THE BOARD OF DIRECTORS OF CLLEMENT MANOR,INC. ANY ACTION TAKEN BY THE MEMBER ON ANY OF THESE MATTERS SHALL BE IMMEDIATELY COMMUNICATED TO THE BOARD OF DIRECTORS OF CLEMENT MANOR INC. A) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE OR LEASE OF REAL ESTATE BY OR TO THE CORPORATION FOR WHICH IT WAS AND IS FORMED AND EXISTS. B) APPROVAL OF BORROWING OUTSIDE THE LIMITS ESTABLISHED BY THE MEMBER RESOLUTION. C) APPROVAL OF PURCHASE, MORTGAGE OR SALE OF REAL ESTATE OR LEASE OF REAL ESTATE BY OR TO THE CORPORATION FOR LONGER THAN ONE YEAR. D) REQUIREMENT OF A CERTIFIED AUDIT OF CORPORATE FUNDS AT ANY TIME AND APPROVAL OF THE FISCAL AUDITOR OF THE CORPORATION ANNUALLY. E) APPROVAL OF ALL INSURANCE CARRIERS AND INSURANCE COVERAGE FOR THE CORPORATION. F) REVIEW AND APPROVAL OF CAPITAL AND OPERATION BUDGETS. G) APPOINTMENT, EVALUATION OR DISCHARGE OF THE PRESIDENT/CEO OF CLEMENT MANOR, INC. H) APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS. I) APPROVAL OF THE CREATION AND DISSOLUTION OF THE CORPORATION OR ANY SUBSIDIARY CORPORATIONS, AS WELL AS APPROVAL OF ANY MERGER, CONSOLIDATION, AFFILIATION, JOINT VENTURE OR OTHER FORM OF CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OF WHICH THIS CORPORATION IS A MEMBER OF CONTROLLING SHAREHOLDER. J) AMENDMENT OF ARTICLES OF INCORPORATION AND BY LAWS OF THE CORPORATION. K) IMPLEMENTATION OF APPOINTMENT, SALARY NEGOTIATION AND REASSIGNMENT PROCESS FOR FRANCISCAN SISTER PERSONNEL WITHIN THE CORPORATION. M) THE POWERS STATED ABOVE AND ALL OTHER POWERS NOT DELEGATED IN THESE BY LAWS ARE RESERVED TO THE MEMBERS, BUT THE MEMBER DOES HEREBY DELEGATE TO THE BOARD OF DIRECTORS THE AUTHORITY TO OPERATE THE CORPORATION AS SET FORTH IN ARTICLE III, SECTION 8 OF THESE BY LAWS. Form 990, Part VI, Section B, Line 11b The Form 990 is reviewed and by the CEO and CFO and then provided to the board of directors electronically within 30 days of filing with the IRS. Form 990, Part VI, Section B, Line 12c EACH OFFICER AND CERTAIN ASSOCIATES AND VOLUNTEERS ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURES RELATED TO THE POTENTIAL CONFLICT. THE PRESIDENT RENDERS A DECISION REGARDING WHAT ACTION IS PROHIBITED OR ALLOWED RELATIVE TO THE CONFLICT OF INTEREST. DISCLOSURES AND DECISIONS AR REPORTED TO THE BOARD OF DIRECTORS Form 990, Part VI, Section B, Line 15 THE CEO'S COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND THE PRESIDENT OF SPONSORED MINISTRIES. IT IS BASED IN PART ON THE CEO'S PERFORMANCE AND ATTAINMENT OF GOALS SET FORTH FOR HIM/HER. COMPARABILITY DATA FROM LEADING AGE WISCONSIN IS USED WITH SPECIFIC COMPARISONS MADE TO ORGANIZATIONS THREE DIFFERENT WAYS: WITH SIMILAR SIZE, SIMILAR ANNUAL REVENUE AND SIMILAR GEOGRAPHIC LOCATION. THE EXECUTIVE COMMITTEE OF THE BOARD MEETS IN CLOSED SESSION TO DETERMINE ANNUAL CEO COMPENSATION AND MEMORIALIZES THE DELIBERATION AND DISCUSSION IN WRITING IN THE FORM OF A LETTER TO THE CEO. THE CEO'S SALARY HAS BEEN REVIEWED AND APPROVED BY THE SPONSORED MINISTRIES, BOARD OF DIRECTORS, WHO ARE INDEPENDENT OF SPES. THE SALARIES OF THE SPES EXECUTIVE TEAM MEMBERS ARE DETERMINED BASED ON COMPARABILITY DATA FROM LEADING AGE WISCONSIN, WITH SPECIFIC COMPARISONS MADE TO ORGANIZATIONS THREE DIFFERENT WAYS: WITH SIMILAR PERFORMANCE, WITH INCREASES BEING GIVEN BASED ON MERIT AND ACHIEVEMENT OF EXPECTED PERFORMANCE. THE CEO OF THE ORGANIZATION AND DIRECTOR OF HUMAN RESOURCES DETERMINE FINAL COMPENSATION AMOUNTS. KEY EMPLOYEE SALARIES ARE ALSO DISCLOSED TO AND REVIEWED BY THE BOARD OF DIRECTORS. SALARY DECISIONS ARE DOCUMENTED VIA PERFORMANCE EVALUATION AND LETTERS TO EMPLOYEES THAT ANNOUNCE THEIR NEW SALARIES. Form 990, Part VI, Section C, Line 19 The organization will make its governing documents, conflict of interest policy, and financial statements available upon request. Form 990, Part XI, Line 9 Due to the acquisition of Clement Manor by its new member on April 1, 2024 the balance sheet was reset to current fair market value. Franciscan Sisters of Christian Charity Sponsored Ministries Inc 2413 S Alverno Road Manitowoc WI 54220 391530622 Health Care WI 501(c)(3) Line 1 Holy Family Convent of the Franciscan Sisters of Christian Charity 0 Holy Family Convent of the Franciscan Sisters of Christian Charity Inc 2409 S Alverno Road Manitowoc WI 54220 390806395 Health Care WI 501(c)(3) Line 1 N/A 0 Franciscan Care Services Inc 430 N Monitor Street West Point NE 68788 470486026 Health Care NE 501(c)(3) Line 3 Franciscan Sisters of Christian Charity Sponsored Ministries Inc 0 Good Samaritan Medical Center 800 Forest Avenue Zanesville OH 43701 314379479 Health care property holding OH 401(c)(3) Line 1 Holy Family Convent of the Franciscan Sisters of Christian Charity 0 St Joseph's Elder Services Inc 540 E Washington Street West Point NE 68788 714879204 Skilled Nursing and Assisted Living NE 501(c)(3) Franciscan Sisters of Christian Charity Sponsored Ministries 0 St Paul Elder Services Inc 316 E 14th Street Kaukauna WI 54130 391029149 Skilled Nursing and Assisted Living WI 501(c)(3) Line 10 Franciscan Sisters of Christian Charity Sponsored Ministries 0 The Franciscan Center Inc 6751 Calumet Avenue Kaukauna WI 54220 932455812 Music and Performance WI 501(c)(3) Line 10 Franciscan Sisters of Christian Charity Sponsored Ministries Inc 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 Franciscan Sisters of Christian Charity Sponsored Ministries Inc p 86357 Actual invoices Franciscan Sisters of Christian Charity Sponsored Ministries Inc m 45738 Management contract