RONALD MCDONALD HOUSE MADISON INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- RONALD MCDONALD HOUSE MADISON INC (EIN 39-1655790)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-05
- IRS object ID
- 201143099349300304
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-05T11:28:13-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEGNER CPA'S LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2110 LUANN LN | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537133098 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391655790 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD MCDONALD HOUSE CHARITIES OF MADISON INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RONA | NameControl |
| Phone | 6082324660 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2716 MARSHALL CT | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537052256 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN HUDDLESTON | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 6082324660 | Phone |
| Date Signed | 2011-11-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GLENN MILLER CPA | Name |
| Phone | 6082744020 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KEVIN HUDDLESTON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2716 MARSHALL CT | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537052256 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4142590 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RMHCMADISON.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | WE PROVIDE A "HOME AWAY FROM HOME" FOR FAMILIES WHOSE CHILDREN (18 AND UNDER) ARE UNDERGOING TREATMENT AT MADISON AREA HEALTH CARE FACILITIES. THE HOUSE ALLOWS FAMILIES TO STAY TOGETHER DURING AN OFTEN VERY DIFFICULT TIME. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 16 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1064801 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1112312 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 50407 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 46973 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -108299 | InvestmentIncomePriorYear |
| Investment Income Current Year | 44842 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7311 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3776 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1014220 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1207903 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 176000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 176000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 357557 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 367315 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 126943 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 445498 | OtherExpensePriorYear |
| Other Expenses Current Year | 522416 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 979055 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1065731 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 35165 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 142172 | RevenuesLessExpensesCY |
| Total Assets BOY | 6049120 | TotalAssetsBOY |
| Total Assets EOY | 6108540 | TotalAssetsEOY |
| Total Liabilities BOY | 290365 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 47622 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5758755 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6060918 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | RONALD MCDONALD HOUSE CHARITIES OF MADISON (RMHC-MADISON) IS A NON-PROFIT, 501(C)(3) ORGANIZATION DEDICATED TO ADVANCING THE WELL-BEING AND HEALTH OF CHILDREN. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 684516 | Expense |
| Revenue | 46973 | Revenue |
| Description | THE ORGANIZATION OWNS AND OPERATES THE 18-BEDROOM, 17,000 SQUARE FOOT RONALD MCDONALD HOUSE IN MADISON, WISCONSIN. THE HOUSE IS LOCATED WITHIN WALKING DISTANCE OF THE UNIVERSITY OF WISCONSIN 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 NOMINAL $10 PER NIGHT SUGGESTED DONATION. THE SUGGESTED DONATION 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 10, AND 150 VOLUNTEERS. IN 2010, 1,251 FAMILIES WERE GUESTS OF THE HOUSE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 198124 | Expense |
| Grants | 176000 | Grants |
| Description | THE ORGANIZATION PROVIDES FREE DENTAL AND MEDICAL SERVICES TO CHILDREN THROUGH THE RONALD MCDONALD CARE MOBILE. THE CARE MOBILE VISITS PUBLIC SCHOOLS IN DANE COUNTY, WISCONSIN, ALL WITH HIGH NUMBERS OF CHILDREN WHO QUALIFY FOR FREE OR REDUCED LUNCH. SINCE ITS INCEPTION, THE CARE MOBILE HAS HELPED MORE THAN 15,000 CHILDREN PROVIDING SERVICES WORTH IN EXCESS OF $3.5 MILLION BY PROVIDING RESTORATIVE CARE FOR UNINSURED OR UNDERINSURED CHILDREN, AND OFFERS SEALANTS TO ANY CHILDREN IN THOSE SCHOOLS WHO NEED THEM. IN THE 2010-2011 SCHOOL YEAR, 3,541 CHILDREN WERE SCREENED IN 9 DANE COUNTY SCHOOLS WITH 996 RECEIVING SEALANTS, FLUORIDE VARNISHES, AND RESTORATIVE CARE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 882640 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | 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 | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | 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 | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | 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 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 16 | 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 | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DEBRA GRIMM | NamePerson |
| Telephone Number | 6082324660 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2716 MARSHALL CT | AddressLine1 |
| City | MADISON | City |
| State | WI | State |
| ZIP Code | 537052256 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| KEITH BAUMGARTNER | ||||||
| PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| CARRIE BENNETT-BARNDT | ||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 0 | 0 |
| SHEILA BOOTHBY STEVENS | ||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 |
| KIRT SOUKUP | ||||||
| TREASURER | 2.00 | X | X | 0 | 0 | 0 |
| RANDY BANKS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JOAN BEGLINGER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JAN CLARK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JIM CONWAY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JILL FOLEY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| FRED FRANK | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JEFF POLTAWSKY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DICK FEMRITE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KEVIN HUDDLESTON | ||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 80340 | 0 | 13496 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 80340 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 13496 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 1112312 | AllOtherContributions |
| Noncash Contributions | 146535 | NoncashContributions |
| Total Contributions | 1112312 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ROOM DONATIONS | 624221 | 34590 | 34590 |
| OTHER PROGRAM SERVICES | 624190 | 12383 | 12383 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 46973 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 94739 | TotalRevenueColumn |
| Exclusion | $94,739 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2557527 | Securities |
| Other | 327263 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2552462 | Securities |
| Other | 382225 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5065 | Securities |
| Other | -54962 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -49897 | TotalRevenueColumn |
| Exclusion | -$49,897 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 3776 | GrossSalesOfInventory |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3776 | TotalRevenueColumn |
| Exclusion | $3,776 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1207903 | TotalRevenueColumn |
| Related Or Exempt Function Income | 46973 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $48,618 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176000 | Total |
| Program Services | 176000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93836 | Total |
| Program Services | 75068 | ProgramServices |
| Management And General | 9384 | ManagementAndGeneral |
| Fundraising | 9384 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222361 | Total |
| Program Services | 184910 | ProgramServices |
| Management And General | 20041 | ManagementAndGeneral |
| Fundraising | 17410 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12159 | Total |
| Program Services | 10226 | ProgramServices |
| Management And General | 962 | ManagementAndGeneral |
| Fundraising | 971 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15802 | Total |
| Program Services | 13845 | ProgramServices |
| Management And General | 968 | ManagementAndGeneral |
| Fundraising | 989 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23157 | Total |
| Program Services | 19476 | ProgramServices |
| Management And General | 1832 | ManagementAndGeneral |
| Fundraising | 1849 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10 | Total |
| Management And General | 10 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10957 | Total |
| Program Services | 1169 | ProgramServices |
| Management And General | 9788 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1178 | Total |
| Program Services | 883 | ProgramServices |
| Fundraising | 295 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210197 | Total |
| Program Services | 129842 | ProgramServices |
| Management And General | 1331 | ManagementAndGeneral |
| Fundraising | 79024 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8809 | Total |
| Program Services | 6919 | ProgramServices |
| Management And General | 226 | ManagementAndGeneral |
| Fundraising | 1664 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96152 | Total |
| Program Services | 95586 | ProgramServices |
| Management And General | 298 | ManagementAndGeneral |
| Fundraising | 268 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2711 | Total |
| Program Services | 2307 | ProgramServices |
| Management And General | 117 | ManagementAndGeneral |
| Fundraising | 287 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5867 | Total |
| Program Services | 5038 | ProgramServices |
| Management And General | 395 | ManagementAndGeneral |
| Fundraising | 434 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37936 | Total |
| Program Services | 37936 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 125833 | Total |
| Program Services | 103433 | ProgramServices |
| Management And General | 9227 | ManagementAndGeneral |
| Fundraising | 13173 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18423 | Total |
| Program Services | 16575 | ProgramServices |
| Management And General | 1539 | ManagementAndGeneral |
| Fundraising | 309 | Fundraising |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS EXPENSES | Description |
| Total | 4343 | Total |
| Program Services | 3427 | ProgramServices |
| Management And General | 30 | ManagementAndGeneral |
| Fundraising | 886 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1065731 | Total |
| Program Services | 882640 | ProgramServices |
| Management And General | 56148 | ManagementAndGeneral |
| Fundraising | 126943 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 584558 | BOY |
| EOY | 503240 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 474615 | BOY |
| EOY | 5619 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 375583 | BOY |
| EOY | 221030 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10472 | BOY |
| EOY | 14009 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8393 | BOY |
| EOY | 3913 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2837884 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 836110 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1480072 | BOY |
| EOY | 2001774 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3094277 | BOY |
| EOY | 3335957 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21150 | BOY |
| EOY | 22998 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6049120 | BOY |
| EOY | 6108540 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17288 | BOY |
| EOY | 17041 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22277 | BOY |
| EOY | 30581 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250800 | BOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 290365 | BOY |
| EOY | 47622 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5384912 | BOY |
| EOY | 5890163 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 373843 | BOY |
| EOY | 170370 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 385 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5758755 | BOY |
| EOY | 6060918 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6049120 | BOY |
| EOY | 6108540 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 142172 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 159991 | ReconcilationOtherChanges |
| 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 Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1028162 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1398131 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 800081 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1078485 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1112312 | CurrentTaxYear |
| Total | 5417171 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1028162 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1398131 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 800081 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1078485 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1112312 | CurrentTaxYear |
| Total | 5417171 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 5417171 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 102230 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 153775 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 153961 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 76521 | CurrentTaxYearMinus1Year |
| Current Tax Year | 94739 | CurrentTaxYear |
| Total | 581226 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 5998397 | TotalSupport |
| Gross Receipts From Admissions Etc | 279138 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.90310 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.90130 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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 D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 21150 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1848 | InvestmentEarningsOrLosses |
| End Of Year Balance | 22998 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 20000 | Contributions |
| Investment Earnings Or Losses | 1150 | InvestmentEarningsOrLosses |
| End Of Year Balance | 21150 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 222406 | OtherCostOrOtherBasis |
| Book Value | 222406 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2044649 | OtherCostOrOtherBasis |
| Depreciation | 594480 | Depreciation |
| Book Value | 1450169 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 570829 | OtherCostOrOtherBasis |
| Depreciation | 241630 | Depreciation |
| Book Value | 329199 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2001774 | TotalOfBookValueLandBuildings |
| Total Revenue | 1207903 | TotalRevenue |
| Total Expenses | 1065731 | TotalExpenses |
| Excess Or Deficit For Year | 142172 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 159991 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 159991 | TotalAdjustments |
| Excess Or Deficit Per FS | 302163 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1493698 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 159991 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 125804 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 285795 | RevenueNotRptdF990 |
| Revenue Subtotal | 1207903 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1207903 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1191535 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 125804 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 125804 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1065731 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1065731 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | THE INCOME FROM THE ENDOWMENT FUNDS CAN BE USED TO SUPPORT THE HOUSE'S GENERAL OPERATIONS. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF WISCONSIN FOUNDATION | |||||||
| 1848 UNIVERSITY AVE | MADISON | WI | 537264090 | 390743975 | 501(C)(3) | 110054 | DENTAL CARE SERVICES FOR UNDERPRIVILEGED CHILDREN |
| ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION | |||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 611033655 | 363197918 | 501(C)(3) | 65946 | DENTAL CARE SERVICES FOR UNDERPRIVILEGED CHILDREN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATION PARTNERS WITH THE AMERICAN FAMILY CHILDREN'S HOSPITAL AND ROCKFORD HEALTH SYSTEMS TO PROVIDE MEDICAL AND DENTAL SERVICES ABOARD THE ORGANIZATION'S CARE MOBILE. THE AMERICAN FAMILY CHILDREN'S HOSPITAL AND ROCKFORD HEALTH SYSTEMS SUBMIT 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 OF $136,500 FOR THE AMERICAN FAMILY CHILDREN'S HOSPITAL AND $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. | Explanation |
Schedule M IRS990ScheduleM
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 195 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 27585 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST/SELLING PRICE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | OFFICE EQUIPMENT | 3 | 14277 | COST/SELLING PRICE |
| X | HOUSE MAINTENANCE | 6 | 51952 | COST/SELLING PRICE |
| X | CAPITAL EQUIPMENT | 6 | 52721 | COST/SELLING PRICE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN COLUMN (B). | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 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. | |
| ANNUALLY, ALL BOARD OF 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 12C | |
| THE EXECUTIVE COMMITTEE OF THE GOVERNING BODY ANNUALLY CONDUCTS A REVIEW OF THE EXECUTIVE DIRECTOR, REVIEWS COMPENSATION DATA FOR COMPARABLE POSITIONS AT SIMILAR AGENCIES, AND RECOMMENDS A COMPENSATION LEVEL THAT IS THEN APPROVED BY THE ENTIRE GOVERNING BODY DURING THE ANNUAL BUDGETING PROCESS. | FORM 990, PART VI, SECTION B, LINE 15A | |
| THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (EXCEPT FOR THE CONTINGENCY PLAN AND THE HOUSE OPERATIONS MANUAL) AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. ANNUAL FINANCIAL STATEMENTS ARE INCLUDED IN THE ORGANIZATION'S ANNUAL REPORT THAT IS AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 159,991. | FORM 990, PART XI, LINE 5: |
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