RONALD MCDONALD HOUSE MADISON INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
RONALD MCDONALD HOUSE MADISON INC (EIN 39-1655790)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-31
IRS object ID
201601529349300810
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-31T16:43:37-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390974031PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEGNER CPAS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12110 LUANN LNAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537133074ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391655790EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RONALD MCDONALD HOUSE CHARITIESBusinessNameLine1Txt
Business Name Line2OF MADISON INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlRONABusinessNameControlTxt
Phone6082324660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12716 MARSHALL CTAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537052256ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN HUDDLESTONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6082324660PhoneNum
Signature2016-05-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGLENN MILLER CPAPreparerPersonNm
PTINP00086726PTIN
Phone6082744020PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN HUDDLESTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12716 MARSHALL CTAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537052256ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,256,319GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RMHCMADISON.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionWE 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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee24TotalEmployeeCnt
Total Volunteers141TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,270,105PYContributionsGrantsAmt
CY Contributions Grants$1,258,642CYContributionsGrantsAmt
PY Program Service Revenue$103,201PYProgramServiceRevenueAmt
CY Program Service Revenue$59,973CYProgramServiceRevenueAmt
PY Investment Income$249,161PYInvestmentIncomeAmt
CY Investment Income$261,731CYInvestmentIncomeAmt
PY Other Revenue$97,181PYOtherRevenueAmt
CY Other Revenue-$1,376CYOtherRevenueAmt
PY Total Revenue$1,719,648PYTotalRevenueAmt
CY Total Revenue$1,578,970CYTotalRevenueAmt
PY Grants And Similar Paid$82,997PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$76,980CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$539,750PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$599,203CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$282,682CYTotalFundraisingExpenseAmt
PY Other Expenses$750,276PYOtherExpensesAmt
CY Other Expenses$808,112CYOtherExpensesAmt
PY Total Expenses$1,373,023PYTotalExpensesAmt
CY Total Expenses$1,484,295CYTotalExpensesAmt
PY Revenues Less Expenses$346,625PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$94,675CYRevenuesLessExpensesAmt
Total Assets BOY$6,878,094TotalAssetsBOYAmt
Total Assets EOY$6,761,786TotalAssetsEOYAmt
Total Liabilities BOY$112,342TotalLiabilitiesBOYAmt
Total Liabilities EOY$151,528TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,765,752NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,610,258NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionRONALD 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$739,660ExpenseAmt
Revenue$29,813RevenueAmt
DescTHE 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 141 VOLUNTEERS. IN 2015, OVER 1,101 FAMILIES WERE GUESTS OF THE HOUSE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$102,293ExpenseAmt
Grant$76,980GrantAmt
Revenue$30,160RevenueAmt
DescTHE 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 2015, THE RONALD MCDONALD CARE MOBILE HELPED 535 CHILDREN IN NORTHERN ILLINOIS THROUGH 1,032 DENTAL AND MEDICAL VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$177,389ExpenseAmt
DescRMHC-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 2015, THE RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL HAD 5,269 DAY VISITS AND 1,892 OVERNIGHT GUESTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,019,342TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee24EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSANDRA JANAGOLDPersonNm
Phone6082324660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12716 MARSHALL CTAddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537052256ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE LANDRY
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
TRACY YANDRY
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
KEITH BAUMGARTNER
SECRETARY2.00Yes (X)Yes (X)$0$0$0
JASPER D VACCARO
TREASURER2.00Yes (X)Yes (X)$0$0$0
KRISTIN POLYWACZ
DIRECTOR1.00Yes (X)$0$0$0
JERRY BROWN
DIRECTOR1.00Yes (X)$0$0$0
JIM MARTIN
DIRECTOR1.00Yes (X)$0$0$0
SHAWN ARNESON
DIRECTOR1.00Yes (X)$0$0$0
GUY BUCCIFERRO III
DIRECTOR1.00Yes (X)$0$0$0
STEVE HOFF
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE KELLY
DIRECTOR1.00Yes (X)$0$0$0
BILL SHAGER
DIRECTOR1.00Yes (X)$0$0$0
FARRAH RIFELJ
DIRECTOR1.00Yes (X)$0$0$0
MATT VAN NEST
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL WEBER
DIRECTOR1.00Yes (X)$0$0$0
KEVIN HUDDLESTON
EXECUTIVE DIRECTOR40.00Yes (X)$91,314$0$23,858
FieldValueIRS element (for citing)
Total Reportable Comp From Org$91,314TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$23,858TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$36,429FederatedCampaignsAmt
Fundraising$103,200FundraisingAmt
All Other Contributions$1,119,013AllOtherContributionsAmt
Noncash Contributions$174,117NoncashContributionsAmt
Total Contributions$1,258,642TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER PROGRAM SERVICES624190$30,160$30,160
ROOM DONATIONS624221$29,813$29,813
FieldValueIRS element (for citing)
Total Program Service Revenue$59,973TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,021TotalRevenueColumnAmt
Exclusion$84,021ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,830,274SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,652,564SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$177,710SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$177,710TotalRevenueColumnAmt
Exclusion$177,710ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$20,310FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$103,200ContriRptFundraisingEventAmt
Fundraising Direct Expenses$24,785FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,475TotalRevenueColumnAmt
Exclusion-$4,475ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,099GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,099TotalRevenueColumnAmt
Exclusion$3,099ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,578,970TotalRevenueColumnAmt
Related Or Exempt Func Income$59,973RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$260,355ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$76,980TotalAmt
Program Services$76,980ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$115,172TotalAmt
Program Services$74,575ProgramServicesAmt
Management And General$10,537ManagementAndGeneralAmt
Fundraising$30,060FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$381,968TotalAmt
Program Services$250,580ProgramServicesAmt
Management And General$36,329ManagementAndGeneralAmt
Fundraising$95,059FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$66,829TotalAmt
Program Services$41,093ProgramServicesAmt
Management And General$5,189ManagementAndGeneralAmt
Fundraising$20,547FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$35,234TotalAmt
Program Services$21,665ProgramServicesAmt
Management And General$2,736ManagementAndGeneralAmt
Fundraising$10,833FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,800TotalAmt
Management And General$19,800ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$30,099TotalAmt
Management And General$30,099ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,687TotalAmt
Fundraising$5,687FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,949TotalAmt
Fundraising$14,949FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$246,240TotalAmt
Program Services$182,854ProgramServicesAmt
Management And General$2,344ManagementAndGeneralAmt
Fundraising$61,042FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,246TotalAmt
Program Services$5,802ProgramServicesAmt
Management And General$451ManagementAndGeneralAmt
Fundraising$2,993FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$145,552TotalAmt
Program Services$110,412ProgramServicesAmt
Management And General$35,140ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,310TotalAmt
Program Services$41,068ProgramServicesAmt
Management And General$3,824ManagementAndGeneralAmt
Fundraising$7,418FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$45,108TotalAmt
Program Services$42,170ProgramServicesAmt
Management And General$627ManagementAndGeneralAmt
Fundraising$2,311FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$207,552TotalAmt
Program Services$151,140ProgramServicesAmt
Management And General$28,168ManagementAndGeneralAmt
Fundraising$28,244FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,243TotalAmt
Program Services$20,658ProgramServicesAmt
Management And General$2,328ManagementAndGeneralAmt
Fundraising$2,257FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,326TotalAmt
Program Services$345ProgramServicesAmt
Management And General$4,699ManagementAndGeneralAmt
Fundraising$1,282FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,484,295TotalAmt
Program Services$1,019,342ProgramServicesAmt
Management And General$182,271ManagementAndGeneralAmt
Fundraising$282,682FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$317,918BOYAmt
EOY$371,875EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$141,006BOYAmt
EOY$598EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$164,500BOYAmt
EOY$73,964EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,055BOYAmt
EOY$2,512EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$17,831BOYAmt
EOY$24,998EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,145,020LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,581,218LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,588,209BOYAmt
EOY$2,563,802EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,613,448BOYAmt
EOY$3,694,773EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$29,127BOYAmt
EOY$29,264EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,878,094BOYAmt
EOY$6,761,786EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$52,215BOYAmt
EOY$86,743EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$60,127BOYAmt
EOY$64,785EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,342BOYAmt
EOY$151,528EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,760,032BOYAmt
EOY$6,604,538EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,720BOYAmt
EOY$5,720EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,765,752BOYAmt
EOY$6,610,258EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,878,094BOYAmt
EOY$6,761,786EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$94,675ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$250,169NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,395,568CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,114,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$991,060CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,270,105CurrentTaxYearMinus1YearAmt
Current Tax Year$1,229,442CurrentTaxYearAmt
Total$6,000,868TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,395,568CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,114,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$991,060CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,270,105CurrentTaxYearMinus1YearAmt
Current Tax Year$1,229,442CurrentTaxYearAmt
Total$6,000,868TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$210,000SubstantialContributorsTotAmt
Public Support Total170$5,790,868PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$79,128CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$92,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$143,934CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,078CurrentTaxYearMinus1YearAmt
Current Tax Year$84,021CurrentTaxYearAmt
Total$491,430TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$92,928CurrentTaxYearMinus1YearAmt
Total$92,928TotalAmt
FieldValueIRS element (for citing)
Total Support$6,585,226TotalSupportAmt
Gross Receipts Rltd Activities$318,483GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87940PublicSupportCY170Pct
Public Support PY1700.87820PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,998BeginningYearBalanceAmt
Investment Earnings Or Losses-$997InvestmentEarningsOrLossesAmt
End Year Balance$22,001EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$467,026OtherCostOrOtherBasisAmt
Book Value$467,026BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,735,069OtherCostOrOtherBasisAmt
Depreciation$1,154,322DepreciationAmt
Book Value$1,580,747BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$942,925OtherCostOrOtherBasisAmt
Depreciation$426,896DepreciationAmt
Book Value$516,029BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,563,802TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,406,579TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$250,169NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$83,092DonatedServicesAndUseFcltsAmt
Other Revenue-$30,099OtherRevenueAmt
Revenue Not Reported-$197,176RevenueNotReportedAmt
Revenue Subtotal$1,603,755RevenueSubtotalAmt
Other Revenues Not Included-$24,785OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$24,785RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,578,970TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,562,073TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$83,092DonatedServicesUseFcltsAmt
Other Expenses Included$24,785OtherExpensesIncludedAmt
Expenses Not Reported$107,877ExpensesNotReportedAmt
Expenses Subtotal$1,454,196ExpensesSubtotalAmt
Investment Expenses Not Incld2$30,099InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$30,099ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,484,295TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF OUTINGEvent1Nm
Gross Receipts Event1$123,510GrossReceiptsEvent1Amt
Charitable Contri Event1$103,200CharitableContriEvent1Amt
Gross Revenue Event1$20,310GrossRevenueEvent1Amt
Cash Prizes Event1$1,271CashPrizesEvent1Amt
Non Cash Prizes Event1$845NonCashPrizesEvent1Amt
Rent Facility Costs Event1$10,224RentFacilityCostsEvent1Amt
Food And Beverage Event1$6,860FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$5,585OtherDirectExpensesEvent1Amt
Gross Receipts Total$123,510GrossReceiptsTotalAmt
Charitable Contributions Tot$103,200CharitableContributionsTotAmt
Gross Revenue Total Events$20,310GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,271CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$845NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$10,224RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$6,860FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$5,585OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$24,785DirectExpenseSummaryEventsAmt
Net Income Summary-$4,475NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD MEMORIAL DEVELOPMENT FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP611033655ZIPCd
FieldValueIRS element (for citing)
Recipient EIN363197918RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$76,980CashGrantAmt
Purpose Of GrantDENTAL CARE SERVICES FOR UNDERPRIVILEGED CHILDRENPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$56,826NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution450ContributionCnt
Noncash Contributions Rpt F990$41,165NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)DONATION BOXES1$65,462COST/SELLING PRICE
Yes (X)HOUSE MAINTENANCE SUPPLIES120$10,044COST/SELLING PRICE
Yes (X)FAMILY ROOM SUPPLIES35$620COST/SELLING PRICE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS IN COLUMN (B).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 IS NOT REVIEWED BY THE GOVERNING BODY BEFORE IT IS FILED WITH THE IRS, HOWEVER IT IS REVIEWED BY THE EXECUTIVE DIRECTOR, BOARD PRESIDENT, AND BUSINESS MANAGER PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY, 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 15ATHE 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 19THE 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.

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