CLEMENT MANOR INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CLEMENT MANOR INC (EIN 39-1020547)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-12
IRS object ID
201200729349300200
Schema version
2010v3.4
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)
Timestamp2012-03-12T04:56:22-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 12237AddressLine1
CityGREEN BAYCity
StateWIState
ZIP Code543072237ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391020547EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CLEMENT MANOR INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCLEMNameControl
Phone4143211800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13939 S 92ND STAddressLine1
CityGREENFIELDCity
StateWIState
ZIP Code53228ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENNIS FERGERName
TitleCFOTitle
Phone4143211800Phone
Date Signed2012-03-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRI REXRODE CPA MSTName
Phone9206620016Phone
Date Prepared2012-03-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS FERGERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13939 S 92ND STAddressLine1
CityGREENFIELDCity
StateWIState
ZIP Code53228ZIPCode
FieldValueIRS element (for citing)
Gross Receipts20765692GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1963YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionCLEMENT 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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees427TotalNbrEmployees
Total Nbr Volunteers107TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year167007ContributionsGrantsPriorYear
Contributions Grants Current Year105840ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20052276ProgramServiceRevenuePriorYear
Program Service Revenue CY20519091ProgramServiceRevenueCY
Investment Income Prior Year288983InvestmentIncomePriorYear
Investment Income Current Year53297InvestmentIncomeCurrentYear
Other Revenue Prior Year22997OtherRevenuePriorYear
Other Revenue Current Year24436OtherRevenueCurrentYear
Total Revenue Prior Year20531263TotalRevenuePriorYear
Total Revenue Current Year20702664TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12093118SalariesEtcPriorYear
Salaries Etc Current Year12383708SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year61023TotalFundrsngExpCurrentYear
Other Expense Prior Year8030708OtherExpensePriorYear
Other Expenses Current Year8097724OtherExpensesCurrentYear
Total Expenses Prior Year20123826TotalExpensesPriorYear
Total Expenses Current Year20481432TotalExpensesCurrentYear
Revenues Less Expenses Prior Year407437RevenuesLessExpensesPriorYear
Revenues Less Expenses CY221232RevenuesLessExpensesCY
Total Assets BOY21455396TotalAssetsBOY
Total Assets EOY20090273TotalAssetsEOY
Total Liabilities BOY23011616TotalLiabilitiesBOY
Total Liabilities EOY20821915TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1556220NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-731642NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCLEMENT 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense17670081Expense
Revenue20101098Revenue
DescriptionCLEMENT 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 2011 WAS APPROXIMATELY $2,964,000IN ADDITION CLEMENT PROVIDED APPROXIMATELY $39,000 OF CHARITY CARE SERVICES TO THE NEEDY IN FISCAL 2010.Description
Total Program Service Expense17670081TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees427NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DENNIS FERGER AND DIANE LEPKOWSKIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4143211800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13939 SOUTH 92ND STREETAddressLine1
CityGREENFIELDCity
StateWIState
ZIP Code53228ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
THOMAS M GAZZANA
BOARD MEMBER0.30X000
KRISTY A NIELSEN PHD
VICE-CHAIR0.30X000X
SISTER JUDEEN SCHULTE
SECRETARY0.30X000X
WILLIAM BAZEN
TREASURER0.30X000X
THOMAS R ALLEN
BOARD MEMBER0.30X000
SISTER HELEN BUTZLER
BOARD MEMBER0.30X000
PATRICE BARTELME
BOARD MEMBER0.30X000
LINDA SCHEIBLE
BOARD MEMBER0.30X000
SISTER MARY YANNY
BOARD MEMBER0.30X000
STEVE SKORONSKI
CHAIR0.30X000X
JODIE LANE
BOARD MEMBER0.30X000
RICHARD RAU
CEO40.00X252386028441X
KEVIN NITKA
BOARD MEMBER0.30X000
SISTER CAROL GRANDLICH
BOARD MEMBER0.30X000
DENNIS FERGER
CFO/ADMINISTRATOR40.00183263027407X
LINDA STRUHAR
DIR OF NRSG40.00113155021832X
FieldValueIRS element (for citing)
Total Reportable Comp From Org548804TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation77680TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHABCARE GROUP
7733 FORSYTH BLVDST LOUISMO63105THERAPY SERVICES1344922
ROESCHEN INTERMED PHARMACY
3433 DOUGLAS AVERACINEWI53402PHARMACY SERVICES388834
EPPSTEIN UHEN
333 E CHICAGO STMILWAUKEEWI53202ARCHITECTS159936
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events49836FundraisingEvents
All Other Contributions56004AllOtherContributions
Total Contributions105840TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
RESIDENT SERVICE REVEN6230001904016119040161
RESIDENT ADMINISTRATIV623000662705662705
DAYCARE REVENUE623000288854288854
MISCELLANEOUS RESIDENT623000215158$215,158
BEAUTY/BARBER SHOP REV623000117474$117,474

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column194739TotalRevenueColumn
Related Or Exempt Function Income109378RelatedOrExemptFunctionIncome
Exclusion$85,361ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue20519091TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column53297TotalRevenueColumn
Exclusion$53,297ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real18549Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real18549Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18549TotalRevenueColumn
Exclusion$18,549ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events42277GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events49836CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses42277FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory26638GrossSalesOfInventory
Cost Of Goods Sold20751CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5887TotalRevenueColumn
Exclusion$5,887ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20702664TotalRevenueColumn
Related Or Exempt Function Income20101098RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$495,726ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total491497Total
Management And General491497ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9402232Total
Program Services8445692ProgramServices
Management And General904955ManagementAndGeneral
Fundraising51585Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total314724Total
Program Services274709ProgramServices
Management And General40015ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1477285Total
Program Services1311652ProgramServices
Management And General165633ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total697970Total
Program Services599198ProgramServices
Management And General95232ManagementAndGeneral
Fundraising3540Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total58730Total
Management And General58730ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25170Total
Management And General25170ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2133527Total
Program Services1831605ProgramServices
Management And General301922ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2064801Total
Program Services1666349ProgramServices
Management And General398239ManagementAndGeneral
Fundraising213Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1583777Total
Program Services1583777ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total24044Total
Program Services20641ProgramServices
Management And General3403ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29084Total
Program Services24968ProgramServices
Management And General4116ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1242993Total
Program Services1242993ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total168232Total
Management And General168232ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS663898565029931845685
BAD DEBT EXPENSE103468103468

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20481432Total
Program Services17670081ProgramServices
Management And General2750328ManagementAndGeneral
Fundraising61023Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4005544BOY
EOY1966469EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1155177BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1561855BOY
EOY1396579EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY81518BOY
EOY77049EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY172465BOY
EOY73527EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis29830112LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16177783LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11292920BOY
EOY13652329EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2743068BOY
EOY2494302EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY442849BOY
EOY430018EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21455396BOY
EOY20090273EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2307693BOY
EOY2031813EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY15529937BOY
EOY14615437EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5173986BOY
EOY4174665EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23011616BOY
EOY20821915EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1556220BOY
EOY-731642EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1556220BOY
EOY-731642EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21455396BOY
EOY20090273EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses221232ReconcilationRevenueExpenses
Reconcilation Other Changes603346ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205988CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years184194CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years313577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year167007CurrentTaxYearMinus1Year
Current Tax Year105840CurrentTaxYear
Total976606Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17641940CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18481049CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18665627CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19635797CurrentTaxYearMinus1Year
Current Tax Year20101098CurrentTaxYear
Total94525511Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years504040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year480416CurrentTaxYearMinus1Year
Current Tax Year486908CurrentTaxYear
Total1471364Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17847928CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18665243CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19483244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20283220CurrentTaxYearMinus1Year
Current Tax Year20693846CurrentTaxYear
Total96973481Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5000CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years5001CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5000CurrentTaxYearMinus1Year
Current Tax Year5000CurrentTaxYear
Total20001Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5000CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years5001CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5000CurrentTaxYearMinus1Year
Current Tax Year5000CurrentTaxYear
Total20001Total
FieldValueIRS element (for citing)
Public Support Total50996953480PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years261886CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years260140CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years181252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117811CurrentTaxYearMinus1Year
Current Tax Year71846CurrentTaxYear
Total892935Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years261886CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years260140CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years181252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year117811CurrentTaxYearMinus1Year
Current Tax Year71846CurrentTaxYear
Total892935Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18109814CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18925383CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19664496CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20401031CurrentTaxYearMinus1Year
Current Tax Year20765692CurrentTaxYear
Total97866416Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99070PublicSupportPercentage509
Prior Year Support Percentage0.98920PriorYearSupportPercentage
Investment Income Percentage0.00910InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01080PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,697OtherActivitiesAmount
Total Lobbying Expenditures IIB2697TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationPORTION OF DUES PAID TO AHCA, WHCA, AND WICAL EXPENDED FOR LOBBYING PURPOSES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis416932OtherCostOrOtherBasis
Book Value416932BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis21324478OtherCostOrOtherBasis
Depreciation13425079Depreciation
Book Value7899399BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4449200OtherCostOrOtherBasis
Depreciation2573578Depreciation
Book Value1875622BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3639502OtherCostOrOtherBasis
Depreciation179126Depreciation
Book Value3460376BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13652329TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
BOND INTEREST FUND282805F
BOND PRINCIPAL FUND604167F
1998 DEBT SERVICE RESERVE FUND1607330F
FieldValueIRS element (for citing)
Total Of Book Value Securities2494302TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DEFERRED REVENUE FROM ADVANCE FEES$3,552,419
ADDITIONAL PENSION LIABILITY$514,196
DEFERRED COMPENSATION$108,050
FieldValueIRS element (for citing)
Total Of Amounts4174665TotalOfAmounts
Total Revenue20702664TotalRevenue
Total Expenses20481432TotalExpenses
Excess Or Deficit For Year221232ExcessOrDeficitForYear
Net Unrealized GL On Investments-6327NetUnrealizedGLOnInvestments
Other$609,673OtherAmount
Total Adjustments603346TotalAdjustments
Excess Or Deficit Per FS824578ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt20723415TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal20723415RevenueSubtotal
Other Revenues Not Included-20751OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-20751RevenueNotRptdOnFinStmt
Total Revenue Per Form99020702664TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20502183TotExpensesEtcAuditedFinclStmt
Other Expenses Included20751OtherExpensesIncluded
Expenses Not Rptd F99020751ExpensesNotRptdF990
Expenses Subtotal20481432ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020481432TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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. TAX RETURNS FOR THE YEARS ENDED 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:EXCESS UNFUNDED PENSION OBLIGATION 609,673.
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVENTORY COST OF GOODS SOLD -20,751.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:INVENTORY COST OF GOODS SOLD 20,751.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event177345GrossReceiptsEvent1
Charitable Contributions Event135068CharitableContributionsEvent1
Gross Revenue Event142277GrossRevenueEvent1
Other Direct Expenses Event142277OtherDirectExpensesEvent1
Name Of Event2HOLIDAY BAZAARNameOfEvent2
Gross Receipts Event213937GrossReceiptsEvent2
Charitable Contributions Event213937CharitableContributionsEvent2
Gross Receipts Total91282GrossReceiptsTotal
Charitable Contributions Total49005CharitableContributionsTotal
Gross Revenue Total Events42277GrossRevenueTotalEvents
Other Direct Expenses Total Events42277OtherDirectExpensesTotalEvents
Direct Expense Summary Events42277DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD RAU
192580035517024289037210247200280827000
DENNIS FERGER
146737016828019698015470258600210670000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE 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 CFO 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 11ONCE 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.
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 12C
THE EXECUTIVE COMMITTEE 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 EXECUTIVE COMMITTEE 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 B, LINE 15
THE ORGANIZATION WILL MAKE THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -6,327. EXCESS UNFUNDED PENSION OBLIGATION 609,673. TOTAL TO FORM 990, PART XI, LINE 5: 603,346.FORM 990, PART XI, LINE 5:
OVERSIGHT OF AUDITTHE SCHOOL SISTERS OF ST. FRANCIS AND THE FINANCE COMMITTEE OF THE BOARD SELECT THE COMPANY THAT PERFORMS THE AUDIT AND THE FINANCE COMMITTEE OF THE BOARD OVERSEES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
SCHOOL SISTERS OF ST FRANCIS
1501 S LAYTON BLVDMILWAUKEEWI53215391594407RELIGIOUS ORDERWI501(C)(3)1N/A0
MARYHILL MANOR
501 MADISON AVENUENIAGARAWI54151391501353NURSING HOMEWI501(C)(3)9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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