RONALD MCDONALD HOUSE MADISON INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
RONALD MCDONALD HOUSE MADISON INC (EIN 39-1655790)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-07-15
IRS object ID
201401989349300710
Schema version
2013v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-07-15T09:36:30-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390974031PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEGNER CPAS LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12110 LUANN LNAddressLine1
CityMADISONCity
StateWIState
ZIP Code537133074ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391655790EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RONALD MCDONALD HOUSE CHARITIES OF MADISON INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlRONABusinessNameControlTxt
Phone6082324660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12716 MARSHALL CTAddressLine1
CityMADISONCity
StateWIState
ZIP Code537052256ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN HUDDLESTONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6082324660PhoneNum
Signature2014-07-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGLENN MILLER CPAPreparerPersonNm
PTINP00086726PTIN
Phone6082744020PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN HUDDLESTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12716 MARSHALL CTAddressLine1
CityMADISONCity
StateWIState
ZIP Code537052256ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$4,616,958GrossReceiptsAmt
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 Employee17TotalEmployeeCnt
Total Volunteers180TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,114,693PYContributionsGrantsAmt
CY Contributions Grants$991,060CYContributionsGrantsAmt
PY Program Service Revenue$52,737PYProgramServiceRevenueAmt
CY Program Service Revenue$47,624CYProgramServiceRevenueAmt
PY Investment Income$116,841PYInvestmentIncomeAmt
CY Investment Income$423,134CYInvestmentIncomeAmt
PY Other Revenue$4,108PYOtherRevenueAmt
CY Other Revenue$387CYOtherRevenueAmt
PY Total Revenue$1,288,379PYTotalRevenueAmt
CY Total Revenue$1,462,205CYTotalRevenueAmt
PY Grants And Similar Paid$193,963PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$79,175CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$453,671PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$465,019CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$117,024CYTotalFundraisingExpenseAmt
PY Other Expenses$594,837PYOtherExpensesAmt
CY Other Expenses$617,190CYOtherExpensesAmt
PY Total Expenses$1,242,471PYTotalExpensesAmt
CY Total Expenses$1,161,384CYTotalExpensesAmt
PY Revenues Less Expenses$45,908PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$300,821CYRevenuesLessExpensesAmt
Total Assets BOY$6,250,426TotalAssetsBOYAmt
Total Assets EOY$6,657,166TotalAssetsEOYAmt
Total Liabilities BOY$144,922TotalLiabilitiesBOYAmt
Total Liabilities EOY$135,216TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,105,504NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,521,950NetAssetsOrFundBalancesEOYAmt
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$671,795ExpenseAmt
Revenue$33,671RevenueAmt
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 SERIOUSLY ILL CHILDREN MAY STAY IN THE HOUSE FOR A FEE. 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 180 VOLUNTEERS. IN 2013, OVER 1,200 FAMILIES WERE GUESTS OF THE HOUSE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$111,334ExpenseAmt
Grant$77,854GrantAmt
Revenue$13,953RevenueAmt
DescTHE ORGANIZATION PROVIDES FREE DENTAL AND MEDICAL SERVICES TO CHILDREN THROUGH THE RONALD MCDONALD CARE MOBILE. THE CARE MOBILE OPERATES 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 2013, THE RONALD MCDONALD CARE MOBILE SERVED 954 CHILDREN IN NORTHERN ILLINOIS THROUGH 1,078 DENTAL AND MEDICAL VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$183,833ExpenseAmt
Grant$1,321GrantAmt
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. THE RONALD MCDONALD FAMILY ROOM AT ST. MARY'S HOSPITAL SERVED 1,611 GUESTS WHO MADE 4,304 VISITS IN 2013.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$966,962TotalProgramServiceExpensesAmt
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee17EmployeeCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 CTAddressLine1
CityMADISONCity
StateWIState
ZIP Code537052256ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RANDY BANKS
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
STEVE LANDRY
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
JILL FOLEY
SECRETARY2.00Yes (X)Yes (X)$0$0$0
KIRT SOUKUP
TREASURER2.00Yes (X)Yes (X)$0$0$0
JOAN BEGLINGER
DIRECTOR1.00Yes (X)$0$0$0
JERRY BROWN
DIRECTOR1.00Yes (X)$0$0$0
GUY BUCCIFERRO III
DIRECTOR1.00Yes (X)$0$0$0
DICK FEMRITE
DIRECTOR1.00Yes (X)$0$0$0
LORRIE GORICHS
DIRECTOR1.00Yes (X)$0$0$0
STEVE HOFF
DIRECTOR1.00Yes (X)$0$0$0
MICHELLE KELLY
DIRECTOR1.00Yes (X)$0$0$0
JEFF POLTAWSKY
DIRECTOR1.00Yes (X)$0$0$0
FARRAH RIFELJ
DIRECTOR1.00Yes (X)$0$0$0
MATT VAN NEST
DIRECTOR1.00Yes (X)$0$0$0
TRACY YANDRY
DIRECTOR1.00Yes (X)$0$0$0
KEVIN HUDDLESTON
EXECUTIVE DIRECTOR40.00Yes (X)$87,360$0$15,280
FieldValueIRS element (for citing)
Total Reportable Comp From Org$87,360TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$15,280TotalOtherCompensationAmt
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$29,058FederatedCampaignsAmt
Fundraising$72,444FundraisingAmt
All Other Contributions$889,558AllOtherContributionsAmt
Noncash Contributions$65,702NoncashContributionsAmt
Total Contributions$991,060TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ROOM DONATIONS624221$33,671$33,671
OTHER PROGRAM SERVICES624190$13,953$13,953
FieldValueIRS element (for citing)
Total Program Service Revenue$47,624TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$143,934TotalRevenueColumnAmt
Exclusion$143,934ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,368,783SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,089,583SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$279,200SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$279,200TotalRevenueColumnAmt
Exclusion$279,200ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$62,098FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$72,444ContriRptFundraisingEventAmt
Fundraising Direct Expenses$65,170FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,072TotalRevenueColumnAmt
Exclusion-$3,072ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,459GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,459TotalRevenueColumnAmt
Exclusion$3,459ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,462,205TotalRevenueColumnAmt
Related Or Exempt Func Income$47,624RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$423,521ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$79,175TotalAmt
Program Services$79,175ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$102,640TotalAmt
Program Services$80,367ProgramServicesAmt
Management And General$9,507ManagementAndGeneralAmt
Fundraising$12,766FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$279,011TotalAmt
Program Services$220,562ProgramServicesAmt
Management And General$25,102ManagementAndGeneralAmt
Fundraising$33,347FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,592TotalAmt
Program Services$10,798ProgramServicesAmt
Management And General$1,574ManagementAndGeneralAmt
Fundraising$2,220FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,971TotalAmt
Program Services$30,319ProgramServicesAmt
Management And General$4,419ManagementAndGeneralAmt
Fundraising$6,233FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$27,805TotalAmt
Program Services$20,576ProgramServicesAmt
Management And General$2,999ManagementAndGeneralAmt
Fundraising$4,230FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,550TotalAmt
Management And General$10,550ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,478TotalAmt
Program Services$19,081ProgramServicesAmt
Management And General$9,703ManagementAndGeneralAmt
Fundraising$13,694FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$62,026TotalAmt
Program Services$38,011ProgramServicesAmt
Fundraising$24,015FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$139,573TotalAmt
Program Services$125,606ProgramServicesAmt
Management And General$1,808ManagementAndGeneralAmt
Fundraising$12,159FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,455TotalAmt
Program Services$6,871ProgramServicesAmt
Management And General$896ManagementAndGeneralAmt
Fundraising$2,688FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$112,916TotalAmt
Program Services$112,916ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$397TotalAmt
Program Services$104ProgramServicesAmt
Management And General$203ManagementAndGeneralAmt
Fundraising$90FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,975TotalAmt
Program Services$5,629ProgramServicesAmt
Management And General$2,015ManagementAndGeneralAmt
Fundraising$2,331FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$38,835TotalAmt
Program Services$38,835ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$157,420TotalAmt
Program Services$155,137ProgramServicesAmt
Management And General$703ManagementAndGeneralAmt
Fundraising$1,580FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$23,851TotalAmt
Program Services$21,765ProgramServicesAmt
Management And General$1,703ManagementAndGeneralAmt
Fundraising$383FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,714TotalAmt
Program Services$1,210ProgramServicesAmt
Management And General$6,216ManagementAndGeneralAmt
Fundraising$1,288FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,161,384TotalAmt
Program Services$966,962ProgramServicesAmt
Management And General$77,398ManagementAndGeneralAmt
Fundraising$117,024FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$35,490BOYAmt
EOY$6,813EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$583,147BOYAmt
EOY$556,654EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$165,030BOYAmt
EOY$153,706EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,586BOYAmt
EOY$4,912EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,113BOYAmt
EOY$16,186EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,010,276LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,189,138LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,899,077BOYAmt
EOY$1,821,138EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,535,631BOYAmt
EOY$4,069,540EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$24,352BOYAmt
EOY$28,217EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,250,426BOYAmt
EOY$6,657,166EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,441BOYAmt
EOY$44,188EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$118,481BOYAmt
EOY$91,028EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$144,922BOYAmt
EOY$135,216EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,098,537BOYAmt
EOY$6,515,605EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,967BOYAmt
EOY$6,345EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,105,504BOYAmt
EOY$6,521,950EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,250,426BOYAmt
EOY$6,657,166EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$300,821ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$115,625NetUnrlzdGainsLossesInvstAmt
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$1,078,485CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,112,312CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,395,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,114,693CurrentTaxYearMinus1YearAmt
Current Tax Year$991,060CurrentTaxYearAmt
Total$5,692,118TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,078,485CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,112,312CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,395,568CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,114,693CurrentTaxYearMinus1YearAmt
Current Tax Year$991,060CurrentTaxYearAmt
Total$5,692,118TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$221,262SubstantialContributorsTotAmt
Public Support Total170$5,470,856PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$76,521CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$94,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79,128CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92,269CurrentTaxYearMinus1YearAmt
Current Tax Year$143,934CurrentTaxYearAmt
Total$486,591TotalAmt
FieldValueIRS element (for citing)
Total Support$6,178,709TotalSupportAmt
Gross Receipts Rltd Activities$276,430GrossReceiptsRltdActivitiesAmt
Public Support CY1700.88540PublicSupportCY170Pct
Public Support PY1700.91720PublicSupportPY170Pct
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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,998BeginningYearBalanceAmt
Investment Earnings Or Losses-$997InvestmentEarningsOrLossesAmt
End Year Balance$22,001EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,150BeginningYearBalanceAmt
Investment Earnings Or Losses$1,848InvestmentEarningsOrLossesAmt
End Year Balance$22,998EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$20,000ContributionsAmt
Investment Earnings Or Losses$1,150InvestmentEarningsOrLossesAmt
End Year Balance$21,150EndYearBalanceAmt
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$222,406OtherCostOrOtherBasisAmt
Book Value$222,406BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,087,792OtherCostOrOtherBasisAmt
Depreciation$898,803DepreciationAmt
Book Value$1,188,989BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$700,078OtherCostOrOtherBasisAmt
Depreciation$290,335DepreciationAmt
Book Value$409,743BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,821,138TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,700,544TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$115,625NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$57,544DonatedServicesAndUseFcltsAmt
Revenue Not Reported$173,169RevenueNotReportedAmt
Revenue Subtotal$1,527,375RevenueSubtotalAmt
Other Revenues Not Included-$65,170OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$65,170RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,462,205TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,284,098TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$57,544DonatedServicesUseFcltsAmt
Other Expenses Included$65,170OtherExpensesIncludedAmt
Expenses Not Reported$122,714ExpensesNotReportedAmt
Expenses Subtotal$1,161,384ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,161,384TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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 4B - OTHER ADJUSTMENTS:DIRECT EXPENSES ON FORM 990, PAGE 9, PART VIII, LINE 8A
PART XII, LINE 2D - OTHER ADJUSTMENTS:DIRECT EXPENSES ON FORM 990, PAGE 9, PART VIII, LINE 8A

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1Amt
Gross Receipts Event1$134,542GrossReceiptsEvent1Amt
Charitable Contri Event1$72,444CharitableContriEvent1Amt
Gross Revenue Event1$62,098GrossRevenueEvent1Amt
Cash Prizes Event1$2,600CashPrizesEvent1Amt
Rent Facility Costs Event1$20,478RentFacilityCostsEvent1Amt
Food And Beverage Event1$64FoodAndBeverageEvent1Amt
Entertainment Event1$9,443EntertainmentEvent1Amt
Other Direct Expenses Event1$32,585OtherDirectExpensesEvent1Amt
Gross Receipts Total$134,542GrossReceiptsTotalAmt
Charitable Contributions Tot$72,444CharitableContributionsTotAmt
Gross Revenue Total Events$62,098GrossRevenueTotalEventsAmt
Cash Prizes Total Events$2,600CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$20,478RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$64FoodAndBeverageTotalEventsAmt
Entertainment Total Events$9,443EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$32,585OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$65,170DirectExpenseSummaryEventsAmt
Net Income Summary-$3,072NetIncomeSummaryAmt

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 FOUNDATIONBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 N ROCKTON AVEAddressLine1
CityROCKFORDCity
StateILState
ZIP Code611033655ZIPCode
FieldValueIRS element (for citing)
Recipient EIN363197918RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$77,531CashGrantAmt
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 THE ROCKFORD HEALTH SYSTEMS TO PROVIDE MEDICAL AND DENTAL SERVICES ABOARD THE ORGANIZATION'S CARE MOBILE. THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES CHECKS FOR PAYMENT, AN OFFICER OF THE GOVERNING BODY SIGNS THEM, AND THEY ARE RETURNED TO THE BUSINESS MANAGER WHO MAILS THEM TO THE RESPECTIVE HOSPITALS. ROCKFORD HEALTH SYSTEMS SUBMITS QUARTERLY INVOICES TO THE ORGANIZATION. THESE INVOICES DETAIL THEIR EXPENSES FOR OPERATING THE CARE MOBILE, AND THE ORGANIZATION PAYS EXACTLY ONE-HALF OF THOSE EXPENSES UP TO AN ANNUAL CAP $73,500 FOR ROCKFORD HEALTH SYSTEMS. 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 RESPECTIVE HOSPITALS.ExplanationTxt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution220ContributionCnt
Noncash Contributions Rpt F990$11,337NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)HOUSE MAINTEN210$52,887COST/SELLING PRICE
Yes (X)FAMILY ROOM S12$1,478COST/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 11THE PREPARED FORM 990 IS REVIEWED BY THE PRESIDENT AND THE TREASURER OF THE GOVERNING BODY AND APPROVED BY THE MEMBERS OF THE ORGANIZATION'S EXECUTIVE COMMITTEE BEFORE THE RETURN IS FILED 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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