2022-08-04T14:11:15-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2021-01-01 390790565 OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC OAKW 6082304456 6165 MINERAL POINT ROAD MADISON WI 53705 LINDA JOHNSON CHIEF FINANCIAL OFFICER 6082304456 2022-08-04 1 LINDA JOHNSON 999009999 KIMBERLY ANDERSON CPA P00188889 6086628600 2022-08-04 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z LINDA JOHNSON 6165 MINERAL POINT ROAD MADISON WI 53705 14695232 0 X WWW.OAKWOODVILLAGE.NET X 1948 WI OAKWOOD IS A LUTHERAN CHURCH SPONSORED ORGANIZATION WHOSE MISSION IS TO SERVE AGING ADULTS. 11 11 1003 63 0 0 778373 1075542 13796700 13522355 0 0 1106603 97335 15681676 14695232 0 0 0 0 9199898 12416415 0 0 0 7663356 6942883 16863254 19359298 -1181578 -4664066 26090792 65944381 25429113 69155878 661679 -3211497 OAKWOOD IS A LUTHERAN MINISTRY SERVING GENERATIONS OF AGING ADULTS, ENCOURAGING INDIVIDUALITY, WORTH AND WELL-BEING THROUGHOUT LIFE. 0 0 11190264 7177158 HEBRON OAKS IS A 70 BED SKILLED NURSING FACILITY, PROVIDING NURSING SERVICES, THERAPY SERVICES, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT, AND LIFE ENRICHMENT ACTIVITIES. DURING 2021, THERE WERE 16,338 CENSUS DAYS OF CARE FOR THESE RESIDENTS. PAYER SOURCES FOR THESE RESIDENT DAYS INCLUDE PRIVATE PAY, MEDICARE, MANAGED CARE, AND MEDICAID. SOME OF THESE PAYER SOURCES DO NOT COVER THE FULL COST OF CARE. HOUSEKEEPING, LAUNDRY, PLANT OPERATIONS/MAINTENANCE, PHARMACY AND REHABILITATION SERVICES ARE ALSO PROVIDED AS PART OF THE OVERALL SERVICES RENDERED. RESIDENTS WHO ARE NOT ELIGIBLE FOR PUBLIC ASSISTANCE AND ARE UNABLE TO PAY MAY BE SUBSIDIZED INTERNALLY. 4252074 3909559 COVENANT OAKS IS A 40 BED DEMENTIA-SPECIFIC ASSISTED LIVING FACILITY. DURING 2021, THERE WERE 13,567 CENSUS DAYS OF CARE FOR THESE RESIDENTS. PAYER SOURCES FOR THESE RESIDENTS INCLUDE PRIVATE PAY AND LIMITED MEDICAID-TYPE PROGRAMS. RESIDENTS WHO ARE NOT ELIGIBLE FOR PUBLIC ASSISTANCE AND ARE UNABLE TO PAY MAY BE SUBSIDIZED INTERNALLY. THE SERVICES PROVIDED INCLUDE NURSING, RESIDENT ASSISTANCE, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT, LIFE ENRICHMENT ACTIVITIES AND PASTORAL CARE. 1791443 2532973 OAKWOOD PHARMACY IS A FULL SERVICE PHARMACY PROVIDING PRESCRIPTION FULFILLMENT, MEDICATION MANAGEMENT, AND RESIDENT CONSULTING SERVICES TO ALL OAKWOOD RESIDENTS. 17233781 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 1 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 1 0 0 0 1 100 0 1003 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LINDA JOHNSON 6082304456 6165 MINERAL POINT ROAD MADISON WI 53705 MARJE MURRAY CHAIR 2.00 6.00 X X 0 0 0 CALVIN WILLIAMS VICE CHAIR 2.00 2.00 X X 0 0 0 TOM HANSON TREASURER 2.00 2.00 X X 0 0 0 RICHARD ROSSMILLER SECRETARY 2.00 X X 0 0 0 DAN STEIN DIRECTOR 2.00 2.00 X 0 0 0 CLIFFORD STRELOW DIRECTOR 2.00 2.00 X 0 0 0 BARBARA GESSNER DIRECTOR 2.00 2.00 X 0 0 0 JOY GANDER DIRECTOR 2.00 X 0 0 0 TOM RIVERS DIRECTOR 2.00 2.00 X 0 0 0 PEDER MOREN DIRECTOR 2.00 2.00 X 0 0 0 JOYCE BROMLEY DIRECTOR 2.00 X 0 0 0 STAN YORK DIRECTOR 2.00 X 0 0 0 REGINALD HISLOP III PRESIDENT/CEO 10.00 30.00 X 315564 0 15424 LINDA JOHNSON CHIEF FINANCIAL OFFICER 10.00 30.00 X 191228 0 21793 JEFFERY HACKEL CHIEF PEOPLE OFFICER 10.00 30.00 X 191228 0 14891 KEITH VANLANDUYT VP OF MARKETING 6.00 34.00 X 160630 0 12471 JULIE HOLDEN VP OF CAMPUS OPERATIONS THROUGH MARCH 20.00 20.00 X 47409 0 6557 TRACY HEAD PHARMACIST 10.00 30.00 X 128172 0 24309 ANGELA STUDNICKA PHARMACY DIRECTOR 10.00 30.00 X 155526 0 25709 MUSA SUWAREH CNA/RA 40.00 0.00 X 164313 0 10783 JENNIFER MAINA VP OF CLINICAL EXCELLENCE 10.00 30.00 X 145502 0 17484 KIMBERLY GOCHANOUR EXECUTIVE DIRECTOR 0.00 40.00 X 134361 0 10996 1633933 0 160417 21 0 1 0 COYLE CARPET ONE LLC 250 W BELTLINE HWY MADISON WI 53713 CARPETING INSTALLATION 432512 BRIGHTSTAR S AND J HOME CARE LLC 3240 UNIVERSITY AVE SUITE 3A MADISON WI 53705 NURSING STAFFING AGENCY 323815 PLEX CAPITAL LLC 11184 ANTIOCH RD STE 126 OVERLAND PARK KS 66210 NURSING STAFFING AGENCY 276575 OMNI TECHNOLOGIES LLC 900 OREGON CENTER DRIVE OREGON WI 53575 TECHNOLOGY INSTALLATION 185774 GFL SOLID WASTE MIDWEST LLC 3301 BENSEN DR SUITE 601 RALEIGH NC 27609 WASTE MANAGEMENT 162962 10 1075542 1075542 NET SERVICE FEES 812900 13521219 13521219 AMORTIZATION OF ENTRANCE FEES 812900 1136 1136 13522355 MISCELLANEOUS 900099 97335 97335 97335 14695232 13619690 0 0 240479 216431 24048 10233090 9209781 1023309 278594 250735 27859 1011286 910158 101128 652966 587669 65297 31012 31012 56079 56079 546578 542391 4187 110196 99176 11020 394253 354828 39425 346326 311693 34633 658730 592857 65873 3407 3066 341 185393 166854 18539 1150259 1035233 115026 80207 72186 8021 PHARMACY 1803599 1623239 180360 OPERATING AND MEDICAL S 575174 517656 57518 DINING FOOD COST 518230 466407 51823 DEBT EXTINGUISHMENT 210019 210019 273421 273421 19359298 17233781 2125517 0 38076085 11446940 5899072 924647 761114 342590 559158 416687 748483 36771490 18928900 12256902 17842590 0 378067 703026 1679812 26090792 65944381 3355080 5571468 14943750 43550679 7130283 20033731 25429113 69155878 X 87926 -4053319 573753 841822 661679 -3211497 26090792 65944381 X -4664066 790890 X 0 1 X 1 0 X 503105 551892 521560 778373 1075542 3430472 15991786 16814965 15986807 13796700 13522355 76112613 16494891 17366857 16508367 14575073 14597897 79543085 30825 71553 26222 128600 0 30825 71553 26222 128600 79414485 18336 22638 40974 18336 22638 40974 12382 18876 57396 1106603 97335 1292592 16525609 17408371 16565763 15681676 14695232 80876651 0.98190 0.98340 0.00050 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 573753 9926 231129 -27014 841822 634432 4120 100315 165114 573753 481880 9317 183591 40356 634432 0.69188 0.17753 0.13059 0 1 1 2365527 2365527 18335153 13930628 4404525 388418 325410 63008 6223854 4649652 1574202 9458538 23210 9435328 17842590 ASSET RETIREMENT OBLIGATION 229632 SHORT TERM LEASE OBLIGATION 820919 DUE TO RELATED PARTY 18983180 20033731 PART V, LINE 4: THE FUNDS ARE HELD BY OAKWOOD FOUNDATION FOR PROGRAMS INTENDING TO PROVIDE CONTINUING CARE, EDUCATION, PASTORAL CARE, AND GENERAL PURPOSES. EUROPE 0 0 INVESTMENTS 1445635 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 34884 NORTH AMERICA 0 0 INVESTMENTS 894892 0 0 0 0 0 0 2375411 0 2375411 1 0 1 0 0 0 PART III ACCOUNTING METHOD: X X X X 0 0 0 0 0 0 0 0 0 REGINALD HISLOP III PRESIDENT/CEO 315564 0 0 0 0 0 0 0 15424 0 330988 0 0 0 LINDA JOHNSON CHIEF FINANCIAL OFFICER 191228 0 0 0 0 0 6637 0 15156 0 213021 0 0 0 JEFFERY HACKEL CHIEF PEOPLE OFFICER 191228 0 0 0 0 0 0 0 14891 0 206119 0 0 0 ANGELA STUDNICKA PHARMACY DIRECTOR 155526 0 0 0 0 0 7735 0 17974 0 181235 0 0 0 MUSA SUWAREH CNA/RA 164313 0 0 0 0 0 0 0 10783 0 175096 0 0 0 KEITH VANLANDUYT VP OF MARKETING 160630 0 0 0 0 0 11764 0 707 0 173101 0 0 0 JENNIFER MAINA VP OF CLINICAL EXCELLENCE 145502 0 0 0 0 0 2450 0 15034 0 162986 0 0 0 TRACY HEAD PHARMACIST 128172 0 0 0 0 0 6365 0 17944 0 152481 0 0 0 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97712JEE9 2021-12-29 119835145 REFUND SERIES 2018, 2016 BONDS AND FUND NEW FACILITY 0 0 0 A 119835145 6065541 5000 2373305 79380755 32010544 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS INCLUDE 37 CHURCHES IN DANE COUNTY, WISCONSIN FORM 990, PART VI, SECTION A, LINE 7A MEMBER CHURCHES HAVE DELEGATES WHO ARE ABLE TO VOTE TO ELECT MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS INITIALLY REVIEWED BY THE FINANCE/AUDIT COUNCIL WITH THE ASSISTANCE OF THEIR INDEPENDENT ACCOUNTANT FOR COMMENT. THE RETURN IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISCUSSED IN BOARD ORIENTATIONS AND IS SENT TO ALL MEMBERS IN THEIR "NEW BOARD MEMBER PACKETS, AND ANNUALLY IN THE "UPDATE PACKET AND IS SENT TO ALL MEMBERS. EACH YEAR ALL PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT FORM 990, PART VI, SECTION B, LINE 15 IT IS THE POLICY OF THE COMPANY TO REVIEW THE COMPENSATION PACKAGE OF THE CHIEF EXECUTIVE OFFICER (CEO) AS PART OF AN ANNUAL PERFORMANCE EVALUATION PROCESS. BI-ANNUALLY, THE VICE PRESIDENT OF HUMAN RESOURCES USES AN INDEPENDENT AGENCY TO CONDUCT A COMPARABILITY REVIEW USING DATA FROM REGIONAL ORGANIZATIONS WITH SIMILAR BUDGET SIZE. THIS MARKET ANALYSIS WAS LAST PERFORMED IN 2021. THE BENCHMARK DATA IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD. THE DECISIONS, PROCESS FOR DECISION MAKING AND COMMITTEE MEMBERS ARE ALL DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES THE FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST. 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 VALUE OF SWAP 522,821. CHANGE IN INVESTMENT IN FOUNDATION 268,069. FORM 990, PART V, LINE 2A ALL EMPLOYEES RESIDE IN OAKWOOD VILLAGE UNIVERSITY WOODS HOMES. EMPLOYEES CHARGE THEIR TIME TO THE ENTITY THAT THEY ARE PERFORMING SERVICES IN. OAKWOOD ACQUISITIONS LLC 6165 MINERAL POINT RD MADISON WI 53705 LAND HOLDING COMPANY WI 0 2365522 OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC 6165 MINERAL POINT RD MADISON WI 53705 237401541 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 9 OAKWOOD LUTHERAN SENIOR MINISTRIES INC 0 OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS INC 6165 MINERAL POINT RD MADISON WI 53705 391966790 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 9 OAKWOOD LUTHERAN SENIOR MINISTRIES INC 0 OAKWOOD VILLAGE PRAIRIE RIDGE HOMES INC 6165 MINERAL POINT RD MADISON WI 53705 391966791 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 9 OAKWOOD LUTHERAN SENIOR MINISTRIES INC 0 OAKWOOD FOUNDATION INC 6201 MINERAL POINT RD MADISON WI 53705 391398037 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 7 OAKWOOD LUTHERAN SENIOR MINISTRIES INC 0 OAKWOOD LUTHERAN SENIOR MINISTRIES INC 6201 MINERAL POINT RD MADISON WI 53705 831096645 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 1 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0