CLEMENT MANOR INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CLEMENT MANOR INC (EIN 39-1020547)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-01-31
- IRS object ID
- 201300319349300610
- Schema version
- 2011v1.2
- 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 C
- Schedule D
- Schedule G
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-01-31T08:34:18-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 12237 | AddressLine1 |
| City | GREEN BAY | City |
| State | WI | State |
| ZIP Code | 543072237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391020547 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLEMENT MANOR INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CLEM | NameControl |
| Phone | 4143211800 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3939 S 92ND ST | AddressLine1 |
| City | GREENFIELD | City |
| State | WI | State |
| ZIP Code | 53228 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DENNIS FERGER | Name |
| Title | CFO | Title |
| Phone | 4143211800 | Phone |
| Date Signed | 2013-01-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TERRI REXRODE CPA MST | Name |
| PTIN | P00096513 | PTIN |
| Phone | 9206620016 | Phone |
| Date Prepared | 2013-01-21 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DENNIS FERGER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3939 S 92ND ST | AddressLine1 |
| City | GREENFIELD | City |
| State | WI | State |
| ZIP Code | 53228 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 21767412 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1963 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | CLEMENT MANOR IS A NON-PROFIT ORGANIZATION SPONSORED BY THE SCHOOL SISTERS OF ST. FRANCIS AND IS DEEPLY ROOTED IN THE FRANCISCAN VALUE SYSTEM. CLEMENT MANOR'S RETIREMENT COMMUNITY OFFERS A FULL CONTINUUM OF SERVICES TO PROMOTE THE HEALTHY AGING OF CLIENTS IN THEIR FACILITIES AND THE COMMUNITY. SINCE 1982, CLEMENT MANOR HAS STOOD BY THE VALUES OF RESPECT, COLLABORATION, AND QUALITY SERVICE, MAINTAINING A TRADITION OF SERVICE EXCELLENCE AND THE PURSUIT OF QUALITY. CLEMENT MANOR'S STAFF AND ADMINISTRATION ARE DEDICATED TO THE CLIENTS THEY SERVE, ALWAYS KEEPING THE FACILITY AT THE FOREFRONT OF IMPROVEMENTS IN THE LONG TERM CARE INDUSTRY TO ENSURE THE BEST CARE POSSIBLE. CLEMENT MANOR IS ALSO AN ASSOCIATE MEMBER OF THE BENEDICTINE HEALTH SYSTEM, A CATHOLIC HEALTH CARE ORGANIZATION WELL-KNOWN AND RESPECTED IN THE PROFESSION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 110 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 105840 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 134694 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20519091 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 21525774 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 53297 | InvestmentIncomePriorYear |
| Investment Income Current Year | 28852 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 24436 | OtherRevenuePriorYear |
| Other Revenue Current Year | 21809 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20702664 | TotalRevenuePriorYear |
| Total Revenue Current Year | 21711129 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12383708 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 13079735 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 64029 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8097724 | OtherExpensePriorYear |
| Other Expenses Current Year | 8407704 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 20481432 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21487439 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 221232 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 223690 | RevenuesLessExpensesCY |
| Total Assets BOY | 20090273 | TotalAssetsBOY |
| Total Assets EOY | 19781076 | TotalAssetsEOY |
| Total Liabilities BOY | 20821915 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 20789614 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -731642 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -1008538 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | CLEMENT MANOR IS A HEALTHCARE ORGANIZATION SPONSORED BY THE SCHOOL SISTERS OF ST. FRANCIS THAT IS COMMITTED TO PROVIDING A CONTINUUM OF CARE AND FOSTERING THE HIGHEST POTENTIAL FOR WELL BEING OF EACH INDIVIDUAL ON OUR CAMPUSES AND IN OUR COMMUNITIES THROUGH THE VALUES OF RESPECT, COLLABORATION AND QUALITY SERVICE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 18524403 | Expense |
| Revenue | 21088776 | Revenue |
| Description | CLEMENT MANOR, INC. OPERATES A SKILLED NURSING FACILITY, A CONTINUING CARE FACILITY WHICH INCLUDES A RESIDENTIAL CARE APARTMENT COMPLEX, AND AN ADULT AND CHILD CARE CENTER. AS PART OF ITS CATHOLIC HERITAGE, CLEMENT MANOR IS DEDICATED TO PROVIDING BOTH SERVICES AND LEADERSHIP IN THE COMMUNITY FOR CARE OF THE POOR.ALSO, CLEMENT MANOR, INC. PROVIDES CARE TO THE INDIGENT UNDER THE MEDICAID PROGRAM. THE COST NECESSARY TO PROVIDE CARE TO THESE RESIDENTS GENERALLY EXCEEDS MEDICAID REIMBURSEMENT. UNREIMBURSED CHARGES FOR THE MEDICAID RESIDENTS IN FISCAL 2012 WAS APPROXIMATELY $2,942,000IN ADDITION CLEMENT PROVIDED APPROXIMATELY $61,000 OF CHARITY CARE SERVICES TO THE NEEDY IN FISCAL 2012. | Description |
| Total Program Service Expense | 18524403 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 46 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 436 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENNIS FERGER AND DIANE LEPKOWSKI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4143211800 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3939 SOUTH 92ND STREET | AddressLine1 |
| City | GREENFIELD | City |
| State | WI | State |
| ZIP Code | 53228 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| THOMAS M GAZZANA | |||||||
| BOARD MEMBER | 0.30 | X | 0 | 0 | 0 | ||
| KRISTY A NIELSON PHD | |||||||
| VICE-CHAIR | 0.30 | X | 0 | 0 | 0 | X | |
| SISTER JUDEEN SCHULTE | |||||||
| SECRETARY | 0.30 | X | 0 | 0 | 0 | X | |
| WILLIAM BAZAN | |||||||
| TREASURER | 0.30 | X | 0 | 0 | 0 | X | |
| THOMAS R ALLEN | |||||||
| BOARD MEMBER | 0.30 | X | 0 | 0 | 0 | ||
| SISTER HELEN BUTZLER | |||||||
| BOARD MEMBER | 0.30 | X | 0 | 0 | 0 | ||
| PATRICE BARTELME | |||||||
| BOARD MEMBER | 0.30 | X | 0 | 0 | 0 | ||
| SISTER MARY YANNY | |||||||
| BOARD MEMBER | 0.30 | X | 0 | 0 | 0 | ||
| STEPHEN SKORONSKI | |||||||
| CHAIR | 0.30 | X | 0 | 0 | 0 | X | |
| JODIE LANE | |||||||
| BOARD MEMBER | 0.30 | X | 0 | 0 | 0 | ||
| RICHARD RAU | |||||||
| CEO | 40.00 | X | 237506 | 0 | 22723 | X | |
| KEVIN NITKA | |||||||
| BOARD MEMBER | 0.30 | X | 0 | 0 | 0 | ||
| SISTER CAROL GRANDLICH | |||||||
| BOARD MEMBER | 0.30 | X | 0 | 0 | 0 | ||
| DENNIS FERGER | |||||||
| CFO/ADMINISTRATOR | 40.00 | 187320 | 0 | 30474 | X | ||
| LINDA STRUHAR | |||||||
| DIR OF NRSG | 40.00 | 113253 | 0 | 17267 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 538079 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 70464 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| REHABCARE GROUP | |||||
| 7733 FORSYTH BLVD | ST LOUIS | MO | 63105 | THERAPY SERVICES | 1327481 |
| ROESCHEN INTERMED PHARMACY | |||||
| 3433 DOUGLAS AVE | RACINE | WI | 53402 | PHARMACY SERVICES | 446151 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Fundraising Events | 55212 | FundraisingEvents |
| All Other Contributions | 79482 | AllOtherContributions |
| Total Contributions | 134694 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| RESIDENT SERVICE REVEN | 623000 | 19691293 | 19691293 | |
| RESIDENT ADMINISTRATIV | 623000 | 968557 | 968557 | |
| DAYCARE REVENUE | 623000 | 331588 | 331588 | |
| MISCELLANEOUS RESIDENT | 623000 | 238164 | $238,164 | |
| BEAUTY/BARBER SHOP REV | 623000 | 110171 | $110,171 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 186001 | TotalRevenueColumn |
| Related Or Exempt Function Income | 97338 | RelatedOrExemptFunctionIncome |
| Exclusion | $88,663 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 21525774 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28852 | TotalRevenueColumn |
| Exclusion | $28,852 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 15329 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 15329 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15329 | TotalRevenueColumn |
| Exclusion | $15,329 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 36709 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 55212 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 36709 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 26054 | GrossSalesOfInventory |
| Cost Of Goods Sold | 19574 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6480 | TotalRevenueColumn |
| Exclusion | $6,480 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21711129 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21088776 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $487,659 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 479324 | Total |
| Management And General | 479324 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9931394 | Total |
| Program Services | 8898700 | ProgramServices |
| Management And General | 980825 | ManagementAndGeneral |
| Fundraising | 51869 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319992 | Total |
| Program Services | 273517 | ProgramServices |
| Management And General | 46475 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1606293 | Total |
| Program Services | 1373000 | ProgramServices |
| Management And General | 233293 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 742732 | Total |
| Program Services | 634860 | ProgramServices |
| Management And General | 103804 | ManagementAndGeneral |
| Fundraising | 4068 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11793 | Total |
| Management And General | 11793 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25363 | Total |
| Management And General | 25363 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2103680 | Total |
| Program Services | 1798148 | ProgramServices |
| Management And General | 305532 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2289547 | Total |
| Program Services | 1854846 | ProgramServices |
| Management And General | 434677 | ManagementAndGeneral |
| Fundraising | 24 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1581702 | Total |
| Program Services | 1581702 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31500 | Total |
| Program Services | 26925 | ProgramServices |
| Management And General | 4575 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42082 | Total |
| Program Services | 35970 | ProgramServices |
| Management And General | 6112 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1386623 | Total |
| Program Services | 1386623 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170492 | Total |
| Management And General | 170492 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MISCELLANEOUS | 686922 | 582112 | 96742 | 8068 |
| BAD DEBT EXPENSE | 78000 | 78000 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21487439 | Total |
| Program Services | 18524403 | ProgramServices |
| Management And General | 2899007 | ManagementAndGeneral |
| Fundraising | 64029 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1966469 | BOY |
| EOY | 1723192 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1396579 | BOY |
| EOY | 1671279 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77049 | BOY |
| EOY | 80261 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73527 | BOY |
| EOY | 88584 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 30824849 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17529682 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13652329 | BOY |
| EOY | 13295167 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2494302 | BOY |
| EOY | 2518100 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430018 | BOY |
| EOY | 404493 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20090273 | BOY |
| EOY | 19781076 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2031813 | BOY |
| EOY | 2378058 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14615437 | BOY |
| EOY | 13900937 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4174665 | BOY |
| EOY | 4510619 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20821915 | BOY |
| EOY | 20789614 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -731642 | BOY |
| EOY | -1008538 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -731642 | BOY |
| EOY | -1008538 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20090273 | BOY |
| EOY | 19781076 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 223690 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -500586 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 184194 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 313577 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 167007 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 105840 | CurrentTaxYearMinus1Year |
| Current Tax Year | 134694 | CurrentTaxYear |
| Total | 905312 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18481049 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18665627 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19635797 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20101098 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21088776 | CurrentTaxYear |
| Total | 97972347 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 504040 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 480416 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 486908 | CurrentTaxYearMinus1Year |
| Current Tax Year | 499761 | CurrentTaxYear |
| Total | 1971125 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18665243 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19483244 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20283220 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20693846 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21723231 | CurrentTaxYear |
| Total | 100848784 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 5001 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5000 | CurrentTaxYear |
| Total | 20001 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 5001 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5000 | CurrentTaxYear |
| Total | 20001 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 100828783 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 260140 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 181252 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 117811 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71846 | CurrentTaxYearMinus1Year |
| Current Tax Year | 44181 | CurrentTaxYear |
| Total | 675230 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 260140 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 181252 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 117811 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 71846 | CurrentTaxYearMinus1Year |
| Current Tax Year | 44181 | CurrentTaxYear |
| Total | 675230 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18925383 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19664496 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20401031 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20765692 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21767412 | CurrentTaxYear |
| Total | 101524014 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99320 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99070 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00670 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00910 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $2,801 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2801 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | PORTION OF DUES PAID TO AHCA, WHCA, AND WICAL EXPENDED FOR LOBBYING PURPOSES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 416932 | OtherCostOrOtherBasis |
| Book Value | 416932 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25365321 | OtherCostOrOtherBasis |
| Depreciation | 14318550 | Depreciation |
| Book Value | 11046771 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4820765 | OtherCostOrOtherBasis |
| Depreciation | 3011229 | Depreciation |
| Book Value | 1809536 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 221831 | OtherCostOrOtherBasis |
| Depreciation | 199903 | Depreciation |
| Book Value | 21928 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13295167 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED REVENUE FROM ADVANCE FEES | $3,476,927 |
| ADDITIONAL PENSION LIABILITY | $926,943 |
| DEFERRED COMPENSATION | $106,749 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4510619 | TotalOfAmounts |
| Total Revenue | 21711129 | TotalRevenue |
| Total Expenses | 21487439 | TotalExpenses |
| Excess Or Deficit For Year | 223690 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -6224 | NetUnrealizedGLOnInvestments |
| Other | -$494,362 | OtherAmount |
| Total Adjustments | -500586 | TotalAdjustments |
| Excess Or Deficit Per FS | -276896 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 21730703 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 21730703 | RevenueSubtotal |
| Other Revenues Not Included | -19574 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -19574 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 21711129 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 21507013 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 19574 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 19574 | ExpensesNotRptdF990 |
| Expenses Subtotal | 21487439 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 21487439 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CORPORATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS AT JUNE 30, 2012 AND 2011. TAX RETURNS FOR THE YEARS ENDED 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | UNFUNDED PENSION OBLIGATION -494,362. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVENTORY COST OF GOODS SOLD -19,574. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | INVENTORY COST OF GOODS SOLD 19,574. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF OUTING | NameOfEvent1 |
| Gross Receipts Event1 | 78807 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 42098 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 36709 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 36709 | OtherDirectExpensesEvent1 |
| Name Of Event2 | HOLIDAY BAZAAR | NameOfEvent2 |
| Gross Receipts Event2 | 12254 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 12254 | CharitableContributionsEvent2 |
| Gross Receipts Total | 91061 | GrossReceiptsTotal |
| Charitable Contributions Total | 54352 | CharitableContributionsTotal |
| Gross Revenue Total Events | 36709 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 36709 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 36709 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD RAU | |||||||||||||
| 187930 | 0 | 24144 | 0 | 25432 | 0 | 2279 | 0 | 20444 | 0 | 260229 | 0 | 0 | 0 |
| DENNIS FERGER | |||||||||||||
| 157278 | 0 | 18550 | 0 | 11492 | 0 | 1547 | 0 | 28927 | 0 | 217794 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | THE CORPORATION ALSO SPONSORS A DEFERRED COMPENSATION PROGRAM COVERING THE CHIEF EXECUTIVE OFFICER - RICHARD RAU. INVESTMENTS, INCLUDED IN ASSETS LIMITED AS TO USE, AND CORRESPONDING LIABILITIES TOTALING 106,749 AND 108,050 AT JUNE 30, 2012 AND 2011, RESPECTIVELY ARE INCLUDED IN THE BALANCE SHEET. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION IS OWNED BY THE SCHOOL SISTER'S OF ST. FRANCIS. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE CURRENT BOARD MEMBERS RECRUIT, ELECT, AND VOTE FOR NEW BOARD MEMBERS AND THE FINAL VOTE IS FROM THE SCHOOL SISTERS OF ST. FRANCIS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD DOES MAKE SOME DECISIONS WITHOUT APPROVAL, HOWEVER, CERTAIN ITEMS REQUIRE FINAL APPROVAL BY THE SCHOOL SISTERS OF ST. FRANCIS (SSSF). THE SSSF HAVE THE POWER: TO SAFEGUARD THE PURPOSES OF THE CORPORATION AND TO ANNUALLY MEET WITH THE BOARD OF DIRECTORS AND REVIEW THE FUNCTION OF THE BOARD AND THE OPERATIONS OF THE CORPORATION IN ACCORD WITH THE SSSF PHILOSOPHY, VALUES AND HERITAGE. TO APPOINT MEMBERS TO THE BOARD OF DIRECTORS. TO SAFEGUARD ALL ACTIVITIES IN ACCORDANCE WITH THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH SERVICES AS PROMULGATED BY THE NATIONAL CONFERENCE OF CATHOLIC BISHOPS. TO APPROVE THE STATEMENTS OF PHILOSOPHY AND MISSION OF THE CORPORATION TO AMEND, RESTATE, OR MODIFY THE ARTICLES OF INCORPORATIONS AND THE BYLAWS OF THE CORPORATION. TO APPROVE BYLAWS OF ALL ORGANIZATIONS UNDER THE AUSPICES OF THE CORPORATION. TO APPOINT AND TERMINATE THE CEO OF THE CORPORATION, AND BE CONSULTED PRIOR TO THE APPOINTMENT OF OTHER ADMINISTRATORS. TO APPROVE CAPITAL AND OPERATING BUDGETS FOR THE CORPORATION. TO APPROVE ANY CONTRACT UNDERTAKEN WITH A MANAGEMENT FIRM FOR GENERAL ADMINISTRATION SERVICES OR FULL OPERATION OF THE CORPORATION. TO DESIGNATE THE AUDITING FIRM REQUIRED FOR INSTITUTIONS SPONSORED BY SSSF. TO APPROVE ALL MAJOR (OVER $250,000) DEBT OBLIGATION INCURRED BY THE CORPORATION. TO APPROVE ALL MAJOR FUND DRIVES AND THE ESTABLISHMENT OF ENDOWMENTS. TO HOLD EXCLUSIVE AUTHORITY FOR THE DISSOLUTION, SALE PLEDGE, TRANSFER OR OTHER DISPOSITION OF THE ASSETS OF THE CORPORATION OR ITS MERGER WITH ANOTHER CORPORATION. TO APPOINT ONE SSSF TO SERVE ON ANY CEO SELECTION COMMITTEE. TO APPROVE THE COMPENSATION AND FRINGE BENEFITS PROGRAM FOR THE CEO. | |
| FORM 990, PART VI, SECTION B, LINE 11 | ONCE CLEMENT MANOR RECEIVES THE COMPLETED 990, THEY WILL SEND A COPY TO THE EXECUTIVE COMMITTEE OF THEIR BOARD OF DIRECTORS. IT WILL THEN BE DISCUSSED AND APPROVED AT A BOARD MEETING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | CLEMENT MANOR HAS ALL OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES SIGN THE CONFLICT OF INTEREST STATEMENTS ANNUALLY, DISCLOSING ALL CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO, CFO AND OTHER KEY MANAGEMENT STAFF REVIEWS ALL EMPLOYEES WAGES AND THE BOARD COMPENSATION COMMITTEE REVIEWS THE CEO'S SALARY WITHOUT CONFLICT OF INTEREST. CLEMENT MANOR HAS ESTABLISHED WAGE RANGES FOR EVERY POSITION. EVERY YEAR, THEY COMPARE THE JOB RANGES TO A WAGE SURVEY THAT WAHSA PUTS TOGETHER. CLEMENT MANOR'S GOAL IS TO REMAIN AROUND THE 75TH PERCENTILE OF THE SURVEY. IF THEY ARE BELOW, THE CEO, CFO, AND OTHER KEY MANAGEMENT STAFF DECIDES IF THEY NEED TO INCLUDE AN ADJUSTMENT TO THE WAGE RANGE. THEY THEN INCLUDE THE FISCAL IMPACT IN THE BUDGET TO BE APPROVED BY THE BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION WILL MAKE THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -6,224. UNFUNDED PENSION OBLIGATION -494,362. TOTAL TO FORM 990, PART XI, LINE 5: -500,586. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 2C | THE FINANCE COMMITTEE OF THE BOARD APPROVE THE AUDITING FIRM FOR THE CORPORATION AND ANY OF ITS AFFILIATED ENTITIES, AND ACCEPT THE AUDIT REPORT. THIS PROCESS HAS CHANGED FROM THE PRIOR YEAR. | OVERSIGHT OF AUDIT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE SCHOOL SISTERS OF ST FRANCIS OF ST JOSEPH'S CONVENT | |||||||||||
| 1501 S LAYTON BLVD | MILWAUKEE | WI | 53215 | 390806266 | RELIGIOUS ORDER | WI | 501(C)(3) | 1 | N/A | 0 | |
| MARYHILL MANOR | |||||||||||
| 501 MADISON AVENUE | NIAGARA | WI | 54151 | 391501353 | NURSING HOME | WI | 501(C)(3) | 9 | 0 | SCHOOL SISTERS OF ST FRANCIS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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