2022-07-29T11:46:46-05:00 2021-12-31 390758449 WIPFLI LLP 170 NORTH RADNOR-CHESTER ROAD SUITE 200 RADNOR PA 19087 990 2021-01-01 391531532 HARWOOD PLACE INC HARW 4142566800 7500 W NORTH AVENUE WAUWATOSA WI 53213 KATHRYN CAVERS PRESIDENT & CEO 4142566800 2022-07-29 1 KATHRYN CAVERS 999009999 SOLOMON MARDAKHAEV P01806552 6105653930 2022-07-29 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z KATHRYN CAVERS 7500 W NORTH AVENUE WAUWATOSA WI 53213 9674065 0 X WWW.THELUTHERANHOME.ORG X 1988 DE HARWOOD PLACE PROVIDES ASSISTED LIVING AND INDEPENDENT LIVING. 17 17 137 30 0 0 97681 104377 8065259 8289153 17351 147256 0 0 8180291 8540786 1972969 0 0 0 3464711 3418964 0 0 0 4403075 4615510 9840755 8034474 -1660464 506312 17541401 17919656 33341274 32851539 -15799873 -14931883 HARWOOD PLACE, INC. IS DEDICATED TO SERVING OLDER ADULTS AND ENRICHING THE LIVES OF THOSE WE TOUCH BY PROVIDING COMPASSIONATE AND LOVING CARE. 0 0 4935748 6133973 RETIREMENT HOUSING - HARWOOD LEASES 170 INDEPENDENT LIVING APARTMENTS THAT ARE ALL LICENSED AS RCAC'S. THE APARTMENTS RANGE IN SQUARE FOOTAGE WITH ONE OR TWO BEDROOM OPTIONS. SERVICES OFFERED INCLUDE A WELLNESS CENTER, RESTAURANT, GIFT SHOP, EXTRACURRICULAR ACTIVITIES, MEAL PLAN, HOUSEKEEPING SERVICES, LAUNDRY ROOMS, GUEST ROOMS, IN-HOUSE BEAUTY SHOP, CHAPEL SERVICES, AND RCAC SERVICES. DURING THE YEAR HARWOOD AVERAGED 153 LEASED APARTMENTS. 1233937 2155180 COMMUNITY BASED RESIDENTIAL FACILITY - HARWOOD HAS A 32 UNIT CBRF FOR FRAIL ELDERLY NOT NEEDING NURSING HOME SERVICES YET BUT UNABLE TO LIVE INDEPENDENTLY. THE SERVICES OFFERED ARE 24HOUR NURSING SERVICES, 3 MEALS PER DAY, HOUSEKEEPING, AND LAUNDRY SERVICES. THE CBRF RESIDENTS ALSO HAVE ACCESS TO THE WELLNESS CENTER, IN-HOUSE BEAUTY SHOP, CHAPEL SERVICES, AND EXTRACURRICULAR ACTIVITIES. APPROXIMATELY 31 UNITS WERE FILLED DURING THE YEAR. 6169685 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 137 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X HENRIK CLAUSEN 4142566800 7500 W NORTH AVENUE WAUWATOSA WI 53213 KATIE SANDERS CHAIRPERSON 1.00 1.00 X X 0 0 0 TIM REARDON VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 BEN KEBBEKUS TREASURER 1.00 1.00 X X 0 0 0 JAN TEUSCHER SECRETARY 1.00 1.00 X X 0 0 0 JIM DENOR DIRECTOR 1.00 1.00 X 0 0 0 DIANE EHN DIRECTOR 1.00 1.00 X 0 0 0 MARILOU GONZALES DIRECTOR 1.00 1.00 X 0 0 0 AARON HOLTEBECK DIRECTOR 1.00 1.00 X 0 0 0 GARY MUELLER DIRECTOR 1.00 1.00 X 0 0 0 HARRIET PEDERSEN DIRECTOR 1.00 1.00 X 0 0 0 RON PHILLEO DIRECTOR 1.00 1.00 X 0 0 0 DIANA RAASCH DIRECTOR 1.00 1.00 X 0 0 0 PAUL ROSENBERG DIRECTOR 1.00 1.00 X 0 0 0 DAVE SANDSTROM DIRECTOR 1.00 1.00 X 0 0 0 DAVID SINENSE DIRECTOR 1.00 1.00 X 0 0 0 KRIS SURMA DIRECTOR 1.00 1.00 X 0 0 0 SONJA WILLIAMS DIRECTOR 1.00 1.00 X 0 0 0 KATHY CAVERS PRESIDENT & CEO 16.00 24.00 X 0 205648 17369 LUE HANG VP OF FINANCE & CFO (THRU SEP) 16.00 24.00 X 0 103617 4118 HENRIK CLAUSEN VP OF FINANCE & CFO (BEG. NOV) 16.00 24.00 X 0 12385 0 SHERI POLCZYNSKI EXECUTIVE DIRECTOR (BEG. JAN) 16.00 24.00 X 94733 0 1741 MARY SWOBODA VP OF SUPPORT SERVICES 1.00 40.00 X 0 109732 9178 CAREY BARTLETT VP OF CLIENT RELATIONS 16.00 24.00 X 0 100179 15826 ANGELINE CAIN DIRECTOR OF NURSING 1.00 40.00 X 0 103938 16200 MILA RUBIO NURSE SUPERVISOR 1.00 40.00 X 0 113079 7652 MARY HUMPHREY REGISTERED NURSE 1.00 40.00 X 0 102192 7377 94733 850770 79461 0 0 1 0 A & A CONTRACTORS 1323 W WATERFORD AVENUE ST FRANCIS WI 53235 RENOVATION SERVICES 328338 MARED MECHANICAL CONTRACTORS CORP W128 N8600 OLD ORCHARD ROAD MENOMONEE FALLS WI 53051 MECHANICAL SERVICES 235421 RED STONE ENTERPRISES 2069 S 92ND STREET WEST ALLIS WI 53227 APARTMENT RENOVATION SERVICES 202850 CLEARPATH CONNECTIONS 1251-1253 E WISCONSIN AVENUE PEWAUKEE WI 53072 TECHNOLOGY SERVICES 108010 4 100968 3409 104377 NET RESIDENT SERVICE REVENUE 623000 7138234 7138234 AMORTIZATION OF ENTRANCE FEES 623000 454444 454444 696475 696475 8289153 158362 158362 1122173 1133279 -11106 -11106 -11106 8540786 8289153 0 147256 96474 96474 2752078 2284200 467878 26766 22873 3893 335217 268968 66249 208429 167237 41192 553045 553045 16000 16000 18967 18967 486752 462431 24321 31562 31562 164187 1282 162905 633421 455888 177533 6258 6258 391818 391818 1661489 1578415 83074 78782 78782 RAW FOOD 418627 418627 EQUIPMENT MAINTENANCE 66970 66970 SUPPLIES 33750 33750 53882 50976 2906 8034474 6169685 1864789 0 80530 585675 59252 44649 11445 12585 43251287 31443497 12395022 11807790 4946001 5413807 49151 55150 17541401 17919656 476265 474816 1372487 1476076 10983588 10212563 20105998 20300872 402936 387212 33341274 32851539 X -15800273 -14932183 400 300 -15799873 -14931883 17541401 17919656 X 506312 361778 -100 X 0 1 X 1 0 X 6266 5676 30682 97681 104377 244682 7729201 8007494 8009856 8065259 8289153 40100963 7735467 8013170 8040538 8162940 8393530 40345645 0 0 0 40345645 97795 177927 175838 147253 158362 757175 97795 177927 175838 147253 158362 757175 7833262 8191097 8216376 8310193 8551892 41102820 0.98160 0.98370 0.01840 0.01630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1153911 1153911 37043797 27359315 9684482 5044427 4084182 960245 9152 9152 11807790 DUE TO THE LUTHERAN HOME, INC. 387212 387212 8883597 361778 361778 8521819 18967 18967 8540786 8015507 0 8015507 18967 18967 8034474 PART IV, LINE 2B: THE ACCOUNTS THAT THE HARWOOD PLACE IS A CUSTODIAN FOR ARE RESERVATION DEPOSITS, REFUNDABLE ENTRANCE FEES AND RESIDENT TRUST FUNDS. WHEN THE RESIDENT MOVES OUT, THE RESERVATION DEPOSIT AND REFUNDABLE ENTRANCE FEES ARE GIVEN BACK TO THEM. THE RESIDENT TRUST FUNDS ARE FOR RESIDENTS TO USE AS THEY WISH FOR PERSONAL EXPENSES. 0 0 0 0 0 0 0 0 0 KATHY CAVERS PRESIDENT & CEO 0 205648 0 0 0 0 0 5579 0 11790 0 223017 0 0 PART I, LINE 3 THE ORGANIZATION RELIES ON THE LUTHERAN HOME, INC., A RELATED 501(C)(3) ORGANIZATION, TO ESTABLISH THE COMPENSATION FOR ITS OFFICERS. THE LUTHERAN HOME, INC. BOARD OF DIRECTOR'S HUMAN RESOURCE COMMITTEE USES AN INDUSTRY SPECIFIC SALARY SURVEY AND OTHER CURRENT COMPENSATION DEEMED COMPARABLE AND NECESSARY TO ESTABLISH CURRENT COMPENSATION. A PUBLIC FINANCE AUTHORITY 273866124 2018-10-30 12500000 TO REFINANCE EXISTING BONDS 2002 SERIES AND 2012 SERIES 0 0 0 A 12500000 11367759 132241 2003 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 6 LUTHERAN LIVING SERVICES, INC., A WISCONSIN NONPROFIT CORPORATION RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, IS THE SOLE STOCKHOLDER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A FOR SO LONG AS LUTHERANLIVING SERVICES, INC. IS THE SOLE STOCKHOLDER OF THE CORPORATION, THE BOARD OF DIRECTORS SHALL BE COMPRISED OF THOSE INDIVIDUALS ON AN EX OFFICIO BASIS WHO SERVE FROM TIME TO TIME AS DIRECTORS OF LUTHERANLIVING SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7B THE BY-LAWS MAY BE ALTERED, AMENDED OR REPEALED AND NEW BY-LAWS MAY BE ADOPTED BY THE STOCKHOLDERS. THE BOARD OF DIRECTORS MAY ALSO ALTER, AMEND OR REPEAL THE BY-LAWS; BUT NO BY-LAW ADOPTED BY THE STOCKHOLDERS SHALL BE AMENDED OR REPEALED BY THE BOARD OF DIRECTORS IF THE BY-LAW SO ADOPTED SO PROVIDES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR ITS REVIEW AND APPROVAL PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. COPIES ARE MADE AVAILABLE TO ANY MEMBER OF THE BOARD UPON THEIR REQUEST. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR DURING THE FIRST BOARD MEETING OF THE YEAR, ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM, WHICH IS TURNED INTO THE PRESIDENT/CEO OF THE COMPANY. BOARD MEMBERS ARE EXCUSED FROM VOTING ON MATTERS WHERE A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF LUTHERAN HOME FOUNDATION, INC. -100. THE LUTHERAN HOME INC 7500 W NORTH AVENUE WAUWATOSA WI 53213 390807205 NURSING HOME WI 501(C)(3) LINE 10 LUTHERANLIVING SERVICES INC 0 LUTHERANLIVING SERVICES INC 7500 W NORTH AVENUE WAUWATOSA WI 53213 391477207 STRATEGIC PLANNING & DEVELOPMENT WI 501(C)(3) LINE 10 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0