RONALD MCDONALD HOUSE MADISON INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: RONALD MCDONALD HOUSE MADISON INC (EIN 39-1655790)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-05-09
IRS object ID: 201701299349302560
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule I
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-09T15:23:37-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390974031	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WEGNER CPAS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2110 LUANN LN	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	537133074	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391655790	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RONALD MCDONALD HOUSE CHARITIES	BusinessNameLine1Txt
Business Name Line2	OF MADISON INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	RONA	BusinessNameControlTxt
Phone	6082324660	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2716 MARSHALL CT	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	537052256	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KEVIN HUDDLESTON	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	6082324660	PhoneNum
Signature	2017-05-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GLENN MILLER CPA	PreparerPersonNm
PTIN	P00086726	PTIN
Phone	6082744020	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	97.91.110.18	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-05-09	IPDt
IP Tm	10:06:59	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	F5220C048E8F4764883E15D3AD23391DA5D6985E	AtSubmissionCreationDeviceId
At Submission Filing Device Id	38ADCCD4451C13DD10062D258D4F13D8E82D36F2	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KEVIN HUDDLESTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2716 MARSHALL CT	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	537052256	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$4,885,252	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RMHCMADISON.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	WE PROVIDE A "HOME AWAY FROM HOME" FOR FAMILIES WHOSE CHILDREN (18 AND UNDER) ARE UNDERGOING TREATMENT AT MADISON AREA HEALTH CARE FACILITIES. THE HOUSE ALLOWS FAMILIES TO STAY TOGETHER DURING AN OFTEN VERY DIFFICULT TIME.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	20	TotalEmployeeCnt
Total Volunteers	150	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,258,642	PYContributionsGrantsAmt
CY Contributions Grants	$1,238,790	CYContributionsGrantsAmt
PY Program Service Revenue	$59,973	PYProgramServiceRevenueAmt
CY Program Service Revenue	$99,957	CYProgramServiceRevenueAmt
PY Investment Income	$261,731	PYInvestmentIncomeAmt
CY Investment Income	$134,054	CYInvestmentIncomeAmt
PY Other Revenue	-$1,376	PYOtherRevenueAmt
CY Other Revenue	$4,481	CYOtherRevenueAmt
PY Total Revenue	$1,578,970	PYTotalRevenueAmt
CY Total Revenue	$1,477,282	CYTotalRevenueAmt
PY Grants And Similar Paid	$76,980	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$73,810	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$599,203	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$607,395	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$55,925	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$346,979	CYTotalFundraisingExpenseAmt
PY Other Expenses	$808,112	PYOtherExpensesAmt
CY Other Expenses	$809,473	CYOtherExpensesAmt
PY Total Expenses	$1,484,295	PYTotalExpensesAmt
CY Total Expenses	$1,546,603	CYTotalExpensesAmt
PY Revenues Less Expenses	$94,675	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$69,321	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,761,786	TotalAssetsBOYAmt
Total Assets EOY	$6,815,886	TotalAssetsEOYAmt
Total Liabilities BOY	$151,528	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$136,640	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,610,258	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,679,246	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	RONALD MCDONALD HOUSE CHARITIES OF MADISON (RMHC-MADISON) IS A NON-PROFIT, 501(C)(3) ORGANIZATION DEDICATED TO ADVANCING THE WELL-BEING AND HEALTH OF CHILDREN.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$735,779	ExpenseAmt
Revenue	$38,761	RevenueAmt
Desc	THE ORGANIZATION OWNS AND OPERATES THE 18-BEDROOM, 17,000 SQUARE FOOT RONALD MCDONALD HOUSE IN MADISON, WISCONSIN. THE HOUSE IS LOCATED WITHIN WALKING DISTANCE OF THE AMERICAN FAMILY CHILDREN'S HOSPITAL AND A FREE SHUTTLE SERVICE, OPERATED WITH VOLUNTEER DRIVERS, IS PROVIDED TO AND FROM ALL MADISON AREA HOSPITALS AND AFFILIATED CLINICS. THE FAMILIES OF CHILDREN MAY STAY IN THE HOUSE. THERE IS A SUGGESTED DONATION OF $10 PER NIGHT THAT IS WAIVED IF THE FAMILY CANNOT AFFORD IT. IN ADDITION TO A ROOM, THE FAMILIES ARE PROVIDED FOOD, LAUNDRY FACILITIES, AND ALL THE COMFORTS OF HOME. THE HOUSE IS STAFFED 24 HOURS PER DAY AND OPERATES 365 DAYS A YEAR UNDER THE MANAGEMENT OF A SMALL FULL-TIME STAFF, A PART-TIME STAFF OF TEN, AND 150 VOLUNTEERS. IN 2016, OVER 1,269 FAMILIES WERE GUESTS OF THE HOUSE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$149,746	ExpenseAmt
Revenue	$23,257	RevenueAmt
Desc	RMHC-MADISON MANAGES AND OPERATES A RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL IN MADISON. THE RONALD MCDONALD FAMILY ROOM IS A 3,500 SQUARE FOOT SPACE THAT PROVIDES EVERY AMENITY OF THE RONALD MCDONALD HOUSE ON A SMALLER SCALE TO FAMILIES WHO HAVE CHILDREN BEING TREATED AT ST. MARY'S HOSPITAL. THE FAMILY ROOM HAS A KITCHEN, DINING AREA, LAUNDRY FACILITIES, COMPUTER ROOM, CHILDREN'S LIBRARY, QUIET ROOM, LIVING ROOM AREA, AND 4 BEDROOMS WITH PRIVATE BATHROOMS FOR PARENTS WITH THE MOST CRITICALLY ILL CHILDREN. THE RONALD MCDONALD FAMILY ROOM IS OPEN FROM 9:00 AM TO 9:00 PM, 7 DAYS A WEEK. RMHC-MADISON PROVIDES A PAID MANAGER (30 HOURS A WEEK) AS WELL AS ENSURING THE SPACE IS FULLY STOCKED WITH FOOD AND OTHER SUPPLIES. A CADRE OF 60 VOLUNTEERS ALSO PROVIDES HELP IN OPERATIONS. THERE IS NO COST OR SUGGESTED DONATION FOR USE OF THIS SPACE. IN 2016, THE RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL HAD 6,065 DAY VISITS AND 1,879 OVERNIGHT GUESTS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$98,175	ExpenseAmt
Grant	$73,810	GrantAmt
Desc	THE ORGANIZATION PROVIDES FREE DENTAL AND MEDICAL SERVICES TO CHILDREN THROUGH THE RONALD MCDONALD CARE MOBILE. THE CARE MOBILE OPERATES AT PUBLIC SCHOOLS (BASED ON THE PERCENTAGE OF CHILDREN WHO QUALIFY FOR FREE OR REDUCED LUNCHES) IN FIVE COUNTIES IN NORTHERN ILLINOIS. SINCE ITS INCEPTION, THE CARE MOBILE HAS HELPED MORE THAN 19,000 CHILDREN PROVIDING SERVICES WORTH IN EXCESS OF $3.8 MILLION BY PROVIDING RESTORATIVE CARE FOR UNINSURED OR UNDERINSURED CHILDREN, AND OFFERS SEALANTS TO ANY CHILDREN WHO NEED THEM. IN 2016, THE RONALD MCDONALD CARE MOBILE VISITED 11 SCHOOLS, HELPED 789 CHILDREN IN NORTHERN ILLINOIS THROUGH 869 DENTAL AND MEDICAL VISITS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$47,333	ExpenseAmt
Revenue	$37,939	RevenueAmt

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$47,333	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$37,939	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,031,033	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	0	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	0	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	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	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	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	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	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	20	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	16	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	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	0	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	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SANDRA JANAGOLD	PersonNm
Phone	6082324660	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2716 MARSHALL CT	AddressLine1Txt
City	MADISON	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	537052256	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
TRACY LANDRY
PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
JASPER D VACCARO
VICE PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
BILL SHAGER
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
JIM MARTIN
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
SHAWN ARNESON
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JERRY BROWN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
GUY BUCCIFERRO III
DIRECTOR	1.00	Yes (X)		$0	$0	$0
STEVE HOFF
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MICHELLE KELLY MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
KATHY KOSTRIVAS
DIRECTOR	1.00	Yes (X)		$0	$0	$0
STEVE LANDRY
DIRECTOR	1.00	Yes (X)		$0	$0	$0
WENDY LOMMEN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
FARRAH RIFELJ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
NICK SHUTWELL
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MATT VAN NEST
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MICHAEL WEBER
DIRECTOR	1.00	Yes (X)		$0	$0	$0
KEVIN HUDDLESTON
EXECUTIVE DIRECTOR	40.00		Yes (X)	$93,810	$0	$24,050

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$93,810	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$24,050	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$16,000	FederatedCampaignsAmt
Fundraising	$95,645	FundraisingAmt
All Other Contributions	$1,127,145	AllOtherContributionsAmt
Noncash Contributions	$222,523	NoncashContributionsAmt
Total Contributions	$1,238,790	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROOM DONATIONS	624221	$38,761	$38,761
RENTAL INCOME	531120	$37,939	$37,939
OTHER PROGRAM SERVICES	624190	$23,257	$23,257

Field	Value	IRS element (for citing)
Total Program Service Revenue	$99,957	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$97,201	TotalRevenueColumnAmt
Exclusion	$97,201	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,419,589	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,382,736	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$36,853	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,853	TotalRevenueColumnAmt
Exclusion	$36,853	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$19,578	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$95,645	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$19,746	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$168	TotalRevenueColumnAmt
Exclusion	-$168	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$5,592	GamingGrossIncomeAmt
Gaming Direct Expenses	$599	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,993	TotalRevenueColumnAmt
Exclusion	$4,993	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$4,545	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$4,889	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$344	TotalRevenueColumnAmt
Exclusion	-$344	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,477,282	TotalRevenueColumnAmt
Related Or Exempt Func Income	$99,957	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$138,535	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$73,810	TotalAmt
Program Services	$73,810	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$117,860	TotalAmt
Program Services	$75,045	ProgramServicesAmt
Management And General	$11,642	ManagementAndGeneralAmt
Fundraising	$31,173	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$388,452	TotalAmt
Program Services	$248,812	ProgramServicesAmt
Management And General	$37,294	ManagementAndGeneralAmt
Fundraising	$102,346	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,129	TotalAmt
Program Services	$15,629	ProgramServicesAmt
Management And General	$2,753	ManagementAndGeneralAmt
Fundraising	$6,747	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$40,168	TotalAmt
Program Services	$24,983	ProgramServicesAmt
Management And General	$4,400	ManagementAndGeneralAmt
Fundraising	$10,785	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$35,786	TotalAmt
Program Services	$22,258	ProgramServicesAmt
Management And General	$3,920	ManagementAndGeneralAmt
Fundraising	$9,608	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$12,725	TotalAmt
Management And General	$12,725	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$55,925	TotalAmt
Fundraising	$55,925	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$16,353	TotalAmt
Management And General	$16,353	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,858	TotalAmt
Management And General	$9,010	ManagementAndGeneralAmt
Fundraising	$2,848	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,887	TotalAmt
Fundraising	$3,887	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$250,156	TotalAmt
Program Services	$187,904	ProgramServicesAmt
Management And General	$1,847	ManagementAndGeneralAmt
Fundraising	$60,405	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,471	TotalAmt
Program Services	$12,286	ProgramServicesAmt
Management And General	$1,832	ManagementAndGeneralAmt
Fundraising	$7,353	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$143,927	TotalAmt
Program Services	$112,868	ProgramServicesAmt
Management And General	$30,563	ManagementAndGeneralAmt
Fundraising	$496	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$15,206	TotalAmt
Program Services	$14,552	ProgramServicesAmt
Management And General	$275	ManagementAndGeneralAmt
Fundraising	$379	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$13,845	TotalAmt
Program Services	$8,368	ProgramServicesAmt
Management And General	$1,647	ManagementAndGeneralAmt
Fundraising	$3,830	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$47,333	TotalAmt
Program Services	$47,333	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$227,490	TotalAmt
Program Services	$160,505	ProgramServicesAmt
Management And General	$28,982	ManagementAndGeneralAmt
Fundraising	$38,003	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$28,382	TotalAmt
Program Services	$23,166	ProgramServicesAmt
Management And General	$1,418	ManagementAndGeneralAmt
Fundraising	$3,798	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	FundraisingFundraisingAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
NEWSLETTER	$6,912	$6,912
SUBSCRIPTION/MEMBERSHIP	$5,519	$1,460	$3,514	$545

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,409	TotalAmt
Management And General	$3,385	ManagementAndGeneralAmt
Fundraising	$1,024	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,546,603	TotalAmt
Program Services	$1,031,033	ProgramServicesAmt
Management And General	$168,591	ManagementAndGeneralAmt
Fundraising	$346,979	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$371,875	BOYAmt
EOY	$294,683	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$598	BOYAmt
EOY	$599	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,964	BOYAmt
EOY	$70,746	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,512	BOYAmt
EOY	$3,615	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$24,998	BOYAmt
EOY	$33,158	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,270,604	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,808,708	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,563,802	BOYAmt
EOY	$2,461,896	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,694,773	BOYAmt
EOY	$3,951,189	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,264	BOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,761,786	BOYAmt
EOY	$6,815,886	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$86,743	BOYAmt
EOY	$96,968	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$64,785	BOYAmt
EOY	$39,672	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$151,528	BOYAmt
EOY	$136,640	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,604,538	BOYAmt
EOY	$6,656,526	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,720	BOYAmt
EOY	$22,720	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,610,258	BOYAmt
EOY	$6,679,246	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,761,786	BOYAmt
EOY	$6,815,886	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$69,321	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$138,309	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
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)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,114,693	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$991,060	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,270,105	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,229,442	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,238,790	CurrentTaxYearAmt
Total	$5,844,090	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,114,693	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$991,060	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,270,105	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,229,442	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,238,790	CurrentTaxYearAmt
Total	$5,844,090	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$184,890	SubstantialContributorsTotAmt
Public Support Total170	$5,659,200	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$92,269	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$143,934	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$92,078	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$84,021	CurrentTaxYearMinus1YearAmt
Current Tax Year	$97,201	CurrentTaxYearAmt
Total	$509,503	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$92,928	CurrentTaxYearMinus2YearsAmt
Current Tax Year	$4,481	CurrentTaxYearAmt
Total	$97,409	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$6,451,002	TotalSupportAmt
Gross Receipts Rltd Activities	$363,492	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.87730	PublicSupportCY170Pct
Public Support PY170	0.87940	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,264	BeginningYearBalanceAmt
Grants Or Scholarships	$29,264	GrantsOrScholarshipsAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,127	BeginningYearBalanceAmt
Investment Earnings Or Losses	$137	InvestmentEarningsOrLossesAmt
End Year Balance	$29,264	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,217	BeginningYearBalanceAmt
Investment Earnings Or Losses	$910	InvestmentEarningsOrLossesAmt
End Year Balance	$29,127	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,352	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,865	InvestmentEarningsOrLossesAmt
End Year Balance	$28,217	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,001	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,351	InvestmentEarningsOrLossesAmt
End Year Balance	$24,352	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$516,004	OtherCostOrOtherBasisAmt
Book Value	$516,004	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,735,069	OtherCostOrOtherBasisAmt
Depreciation	$1,253,484	DepreciationAmt
Book Value	$1,481,585	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,019,531	OtherCostOrOtherBasisAmt
Depreciation	$555,224	DepreciationAmt
Book Value	$464,307	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,461,896	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$1,748,800	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$138,308	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$124,329	DonatedServicesAndUseFcltsAmt
Other Revenue	-$16,353	OtherRevenueAmt
Revenue Not Reported	$246,284	RevenueNotReportedAmt
Revenue Subtotal	$1,502,516	RevenueSubtotalAmt
Other Revenues Not Included	-$25,234	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$25,234	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,477,282	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,679,812	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$124,328	DonatedServicesUseFcltsAmt
Other Expenses Included	$25,234	OtherExpensesIncludedAmt
Expenses Not Reported	$149,562	ExpensesNotReportedAmt
Expenses Subtotal	$1,530,250	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$16,353	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$16,353	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,546,603	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE INCOME FROM THE ENDOWMENT FUNDS CAN BE USED TO SUPPORT THE HOUSE'S GENERAL OPERATIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	INVESTMENT MANAGEMENT FEES REPORTED ON FORM 990, PART IX, LINE 11F -16,353.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B -19,746. DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 9B -599. COST OF GOODS SOLD REPORTED ON FORM 990, PART VIII, LINE 10B -4,889.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B 19,746. DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 9B 599. COST OF GOODS SOLD REPORTED ON FORM 990, PART VIII, LINE 10B 4,889.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MCDONALD SCHAEFER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	342 N WATER ST STE 600	AddressLine1Txt
City	MILWAUKEE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	532025715	ZIPCd

Field	Value	IRS element (for citing)
Activity	CAPITAL CAMPAIGN	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$17,000	GrossReceiptsAmt
Retained By Contractor	$55,925	RetainedByContractorAmt
Net To Organization	$17,000	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$17,000	TotalGrossReceiptsAmt
Total Retained By Contractors	$55,925	TotalRetainedByContractorsAmt
Total Net To Organization	$17,000	TotalNetToOrganizationAmt
Licensed States	WI	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF OUTING - RMHC CLASSIC	Event1Nm
Gross Receipts Event1	$115,223	GrossReceiptsEvent1Amt
Charitable Contri Event1	$95,645	CharitableContriEvent1Amt
Gross Revenue Event1	$19,578	GrossRevenueEvent1Amt
Cash Prizes Event1	$1,858	CashPrizesEvent1Amt
Non Cash Prizes Event1	$381	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$9,532	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$6,218	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$1,757	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$115,223	GrossReceiptsTotalAmt
Charitable Contributions Tot	$95,645	CharitableContributionsTotAmt
Gross Revenue Total Events	$19,578	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$1,858	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$381	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$9,532	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$6,218	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$1,757	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$19,746	DirectExpenseSummaryEventsAmt
Net Income Summary	-$168	NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2400 N ROCKTON AVE	AddressLine1Txt
City	ROCKFORD	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	611033655	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	363197918	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$73,500	CashGrantAmt
Purpose Of Grant	DENTAL CARE SERVICES FOR UNDERPRIVILEGED CHILDREN	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PARTNERS WITH ROCKFORD HEALTH SYSTEMS TO PROVIDE MEDICAL AND DENTAL SERVICES ABOARD THE ORGANIZATION'S CARE MOBILE. ROCKFORD HEALTH SYSTEMS SUBMITS QUARTERLY INVOICES TO THE ORGANIZATION. THESE INVOICES DETAIL ITS EXPENSES FOR OPERATING THE CARE MOBILE, AND THE ORGANIZATION PAYS EXACTLY ONE-HALF OF THOSE EXPENSES UP TO AN ANNUAL CAP $73,500. THE ORGANIZATION'S EXECUTIVE DIRECTOR REVIEWS THE QUARTERLY INVOICES AND THEN FORWARDS THEM TO THE ORGANIZATION'S BUSINESS MANAGER WHO ENTERS THE EXPENSE DATA INTO THE ACCOUNTING SYSTEM AND PREPARES CHECKS FOR PAYMENT. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES CHECKS FOR PAYMENT, SIGNS THEM, AND RETURNS THEM TO THE BUSINESS MANAGER WHO MAILS THEM TO THE RECIPIENT.	ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$122,588	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	337	ContributionCnt
Noncash Contributions Rpt F990	$39,433	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST/SELLING PRICE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	DONATION BOXES	3	$51,325	COST/SELLING PRICE
Yes (X)	HOUSE MAINTENANCE SUPPLIES	122	$8,903	COST/SELLING PRICE
Yes (X)	FAMILY ROOM SUPPLIES	3	$274	COST/SELLING PRICE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE PREPARED FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, PRESIDENT, AND BUSINESS MANAGER BEFORE THE RETURN IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, ALL DIRECTORS COMPLETE AND SIGN A STATEMENT THAT DISCLOSES INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE DIRECTORS COLLECTIVELY REVIEW THE COMPLETED FORMS, WHICH ARE KEPT AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ANY DIRECTOR WITH A CONFLICT OF INTEREST IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15A	THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY ANNUALLY CONDUCTS A REVIEW OF THE EXECUTIVE DIRECTOR, REVIEWS COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR AGENCIES, AND RECOMMENDS A COMPENSATION LEVEL THAT IS THEN APPROVED BY THE ENTIRE GOVERNING BODY DURING THE ANNUAL BUDGETING PROCESS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (EXCEPT FOR THE CONTINGENCY PLAN AND THE HOUSE OPERATIONS MANUAL) AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL STATEMENTS ARE INCLUDED IN THE ORGANIZATION'S ANNUAL REPORT THAT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE.