2023-11-06T14:11:30-06:00 2022-12-31 390758449 WIPFLI LLP PO BOX 12237 GREEN BAY WI 543072237 990 2022-01-01 390859107 AMERICAN LUTHERAN CHURCH-NORTHLAND SERVICES FOR THE ELDERLY AMER 7157320155 831 PINE BEACH ROAD MARINETTE WI 54143 DARRELL LANCOUR CEO 7157320155 2023-11-03 1 DARRELL LANCOUR 999009999 0 TERRI REXRODE CPA MST P00096513 9206620016 2023-10-30 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z LUTHERAN HOME LUTHERAN MANOR DARRELL LANCOUR 831 PINE BEACH ROAD MARINETTE WI 54143 7840796 0 X WWW.NORTHLANDLUTHERANWI.COM X 1917 WI PROVIDES SKILLED NURSING AND REHABILITATION SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. OFFERS 47 UNITS OF ASSISTED LIVING ARRANGEMENTS. COMMUNITY WIDE EMERGENCY RESPONSE SYSTEM. 4 4 174 4 0 0 15756 23123 8068862 7798595 504 1115 36703 17963 8121825 7840796 0 0 0 0 5053224 4460783 0 0 0 3987976 4289703 9041200 8750486 -919375 -909690 6079717 5076822 1848979 1775902 4230738 3300920 NORTHLAND LUTHERAN SERVICES FOR THE ELDERLY, INC. MISSION IS TO MEET THE SPIRITUAL, EMOTIONAL, SOCIAL NEEDS OF THOSE BEING SERVED. 0 0 6853280 0 7026549 LUTHER HOME, A SKILLED NURSING AND REHABILITATION FACILITY HAD AN AVERAGE OCCUPANCY RATE OF 75.5% IN 2022. ADMITTED A TOTAL OF 126 INDIVIDUALS AND DISCHARGED 127 INDIVIDUALS. LUTHER HOME'S MEDICAID WRITE-OFF IN 2022 WAS $804,371. 1006647 0 772046 LUTHER MANOR PROVIDES ASSISTED LIVING ARRANGEMENTS TO PERSONS NEEDING SERVICES, BUT WHO DO NOT NEED FULL NURSING CARE. SUPPORTIVE SERVICES INCLUDE DIETARY, HOUSEKEEPING, LAUNDRY, MEDICATION MANAGEMENT ALONG WITH SOCIAL AND SPIRITUAL NEEDS IN AN ENVIRONMENT THAT IS DEDICATED TO QUALITY OF LIFE. 7859927 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 24 0 174 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 7157320155 831 PINE BEACH ROAD MARINETTE WI 54143 CATHY CRAW CHAIRPERSON 0.50 0.50 X X 0 0 0 GAIL SIEGLAFF SECRETARY 0.50 X X 0 0 0 LINDA HACKERT TREASURER 0.50 X X 0 0 0 REV DAVID CHRISTENSON DIRECTOR AT LARGE 0.50 X 0 0 0 DARRELL LANCOUR CEO 20.00 26.00 X 87443 20201 4150 87443 20201 4150 0 0 0 0 GREENFIELD REHABILITATION AGENCY 3360 GATEWAY RD SUITE 100 BROOKFIELD WI 53045 REHABILITATION SERVICES 313196 1 23123 23123 NET PATIENT REVENUE 621610 7751571 7751571 RENTAL INCOME 531110 24000 24000 LIFELINE RENTALS 531110 23024 23024 7798595 1115 1115 17963 17963 17963 7840796 7798595 0 19078 X 90769 82600 8169 3757511 3419335 338176 26998 24568 2430 295046 268492 26554 290459 264318 26141 117924 117924 416 416 126487 126487 1597401 1405713 191688 43988 38709 5279 18483 16265 2218 154648 136090 18558 780745 780745 14241 14241 32744 32744 45731 45731 318134 318134 128020 128020 PROGRAM EXPENSES 721193 721193 NURSING SUPPLIES 132164 132164 BAD DEBT 26519 26519 30865 30865 8750486 7859927 890559 0 669060 335973 834 671 1236734 890092 52295 38513 15007 688 12029423 8218538 4105787 3810885 6079717 5076822 892103 940134 956876 835433 0 335 1848979 1775902 X 4230738 3300920 4230738 3300920 6079717 5076822 X -909690 -163 30115 -50080 X 0 0 0 X 15683 31484 13008 15756 23123 99054 10742508 10225369 9025348 8092862 7798595 45884682 10758191 10256853 9038356 8108618 7821718 45983736 0 0 0 45983736 40 59 846 504 1115 2564 40 59 846 504 1115 2564 58259 39350 2028527 12703 17963 2156802 10816490 10296262 11067729 8121825 7840796 48143102 0.95510 0.99520 0.00010 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34838 34838 8335520 5276392 3059128 3548104 2826877 721227 110961 115269 -4308 3810885 INTERCOMPANY PAYABLE 335 335 FORM 990, PART VI, SECTION A, LINE 6 NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC IS THE PARENT COMPANY TO NORTHLAND LUTHERAN SERVICES FOR THE ELDERLY INC AND IS THE SOLE MEMBER IF IT FORM 990, PART VI, SECTION A, LINE 7A NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC IS THE PARENT COMPANY TO NORTHLAND LUTHERAN SERVICES FOR THE ELDERLY INC AND AS THE SOLE MEMBER APPROVES ALL BOARD OF DIRECTORS TO NORTHLAND LUTHERAN SERVICES FOR THE ELDERLY FORM 990, PART VI, SECTION A, LINE 7B NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC IS THE PARENT COMPANY TO NORTHLAND LUTHERAN SERVICES FOR THE ELDERLY INC AND AS THE SOLE MEMBER ALL DECISIONS MADE BY THE ORGANIZATION MUST BE APPROVED BY THE SOLE MEMBER FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS DISTRIBUTED TO ALL DIRECTORS AND REVIEWED AT A REGULARLY SCHEDULED MEETING PRIOR TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH ALL BOARD MEMBERS. ALSO, A SURVEY IS MAILED TO ALL BOARD MEMBERS SPECIFICALLY ASKING EACH MEMBER TO SIGN A STATEMENT THAT DISCLOSES ANY POSSIBLE CONFLICT OF INTEREST SITUATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE CEO RECEIVES ANNUAL SURVEY INFORMATION FROM THE STATE ASSOCIATION MEMBERS. THE CEO REVIEWS SURVEY WITH THE EXECUTIVE COMMITTEE OF THE GOVERNING BOARD OF DIRECTORS, WHICH IS COMPRISED OF THE FOUR OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE THEN DETERMINES THE COMPENSATION OF THE CEO. THE CEO DETERMINES THE COMPENSATION OF KEY PERSONNEL. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION PROVIDES FINANCIAL STATEMENTS IN ITS ANNUAL REPORT TO THE CONGREGATIONAL OWNERS. IT ALSO MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON PROPER REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,405,713. MANAGEMENT AND GENERAL EXPENSES 191,688. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,597,401. FORM 990, PART XI, LINE 9: INTERCOMPANY TRANSFERS -50,080. NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 831 PINE BEACH ROAD MARINETTE WI 54143 391637677 MANAGEMENT SERVICES WI 501(C)(3) LINE 10 N/A 0 NORTHLAND LUTHERAN HOME HEALTH SERVICES INC 831 PINE BEACH ROAD MARINETTE WI 54143 391644145 HOME HEALTH SERVICES WI 501(C)(3) LINE 10 NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 1 NORTHLAND AFFORDABLE LIVING FOR THE ELDERLY INC 1520 46TH AVE MENOMINEE MI 49858 392031271 ELDERLY HOUSING MI 501(C)(3) LINE 10 NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 1 EDGEWOOD MANOR INC 831 PINE BEACH ROAD MARINETTE WI 54143 391483436 GROUP HOME FOR DEVELOPMENTALLY DISABLED WI 501(C)(3) LINE 10 NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 1 NORTHLAND LUTHERAN HOUSING FOR THE ELDERLY INC 1025 PINE BEACH ROAD MARINETTE WI 54143 391302221 ELDERLY HOUSING WI 501(C)(3) LINE 10 NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 1 MICHIGAN INTERFAITH HOUSING CORP INC 1220 9TH AVE MENOMINEE MI 49858 382292400 ELDERLY HOUSING MI 501(C)(3) LINE 10 NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 1 NORTHLAND TERRACE ESTATES INC 1200 NORTHLAND TERRACE LANE MARINETTE WI 54143 391564355 INDEPENDENT ELDERLY LIVING WI 501(C)(3) LINE 10 NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 1 NORTHLAND FOUNDATION INC 831 PINE BEACH ROAD MARINETTE WI 54143 391431787 INVESTMENT MANAGEMENT WI 501(C)(3) LINE 12A, I NORTHLAND LUTHERAN RETIREMENT COMMUNITY INC 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0