AMERICAN LUTHERAN HOMES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
AMERICAN LUTHERAN HOMES INC (EIN 39-0806814)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-21
IRS object ID
202122949349301337
Schema version
2020v4.1
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)
Return2021-10-21T15:23:19-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390806814EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LUTHERAN HOMES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAMERBusinessNameControlTxt
Phone7158323003PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 EAST ELM STREETAddressLine1Txt
CityMENOMONIECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54751ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY DUHRPersonNm
Person TitleCEOPersonTitleTxt
Phone7158323003PhoneNum
Signature2021-10-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAMYPersonFirstNm
Person LastDUHRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2021-10-17PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRAYMOND WEISSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 EAST ELM STREETAddressLine1Txt
CityMENOMONIECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54751ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,896,841GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMERICANLUTHERANHOMES.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1961FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionPROVIDE SKILLED AND INTERMEDIATE NURSING CARE FOR THE AGED AND DISABLED IN THE SURROUNDING AREAS UNDER OUR FAITH BASED SENIOR CARE PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee224TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$8,904PYContributionsGrantsAmt
CY Contributions Grants$694,638CYContributionsGrantsAmt
PY Program Service Revenue$7,666,803PYProgramServiceRevenueAmt
CY Program Service Revenue$7,149,523CYProgramServiceRevenueAmt
PY Investment Income$55,578PYInvestmentIncomeAmt
CY Investment Income$52,680CYInvestmentIncomeAmt
PY Other Revenue$17,721PYOtherRevenueAmt
CY Other Revenue-$48CYOtherRevenueAmt
PY Total Revenue$7,749,006PYTotalRevenueAmt
CY Total Revenue$7,896,793CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,547,741PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,770,930CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,071,380PYOtherExpensesAmt
CY Other Expenses$3,988,259CYOtherExpensesAmt
PY Total Expenses$7,619,121PYTotalExpensesAmt
CY Total Expenses$7,759,189CYTotalExpensesAmt
PY Revenues Less Expenses$129,885PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$137,604CYRevenuesLessExpensesAmt
Total Assets BOY$8,182,905TotalAssetsBOYAmt
Total Assets EOY$8,611,620TotalAssetsEOYAmt
Total Liabilities BOY$5,389,986TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,689,072TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,792,919NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,922,548NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIN RESPONSE TO THE GREAT COMMISSION OF OUR LORD, WE ENDEAVOR TO SHARE GOD'S LOVE IN WORD AND DEED. WE ATTEMPT TO PROVIDE A CHRISTIAN ATMOSPHERE WHICH, COMBINED WITH SUPPORTIVE SERVICES, ENHANCES THE LIVES OF ALL THOSE WHO ARE CONNECTED WITH IT. IN OUR MINISTRY, WE ENCOURAGE BOTH THOSE WE SERVE AND OUR EMPLOYEES TO RECOGNIZE THEIR INFINITE WORTH AND TO GROW TO REACH THEIR HIGHEST POTENTIAL AS GOD'S CHILDREN. IN FURTHERANCE OF THIS PURPOSE, WE DESIRE TO ESTABLISH QUALITY CARE IN A CHRISTIAN ATMOSPHERE BY: PROVIDING THE HIGHEST POSSIBLE QUALITY OF PHYSICAL, MENTAL AND SPIRITUAL CARE FOR THOSE ENTRUSTED TO US; BROADENING THE INTEREST AND ACTIVITIES OF THOSE IN OUR CARE THROUGH PROGRAMS AND VOLUNTEER ASSISTANCE; INVOLVING OUR CORPORATE CONGREGATIONS; AND ASSUMING A POSITION OF LEADERSHIP IN THE FIELD OF GERIATRICS BY EXTENDING OUR MINISTRY BEYOND NURSING HOME FACILITIES THROUGH THE CREATION OF PROGRAMS TO SERVE THE NEEDS OF THE ELDERLY IN OUR COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,722,727ExpenseAmt
Grant$0GrantAmt
Revenue$4,248,205RevenueAmt
DescTHE PRIMARY ACTIVITY OF THE ORGANIZATION IS TO PROVIDE SKILLED AND INTERMEDIATE NURSING CARE FOR THE AGED AND DISABLED OF THE SURROUNDING AREA. THE ORGANIZATION SERVES THE MONDOVI, WISCONSIN COMMUNITY BY OPERATING A 35-BED SKILLED NURSING FACILITY AND 38-UNIT COMMUNITY BASED RESIDENTIAL FACILITY (CBRF). THE MONDOVI SKILLED NURSING FACILITY PROVIDED 9,414 DAYS OF RESIDENT CARE IN 2020. THE CBRF PROVIDED 8,112 DAYS OF RESIDENT CARE IN 2020. THE FACILITY OFFERS SKILLED NURSING CARE IN BOTH SHORT-TERM REHABILITATION PROGRAMS AND LONG-TERM CARE RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE IV THERAPY CARE, WOUND CARE, BARIATRIC CARE, PAIN MANAGEMENT, PHYSICAL THERAPY, SPEECH THERAPY, AND OCCUPATIONAL THERAPY. THE MONDOVI FACILITY ALSO OFFERS OUTPATIENT THERAPY PROGRAMS TO PROVIDE EXTENDED THERAPY SERVICES TO AREA COMMUNITY MEMBERS IN NEED OF PHYSICAL REHABILITATION PROGRAMS ON AN OUTPATIENT BASIS AND TO RESIDENTS WHO DISCHARGE FROM THE FACILITY BUT REQUIRE ONGOING THERAPY ON AN OUTPATIENT BASIS. THE MAJORITY OF THE LONG-TERM CARE RESIDENTS AT THE MONDOVI PROGRAM ARE ALSO MEDICAID PROGRAM BENEFICIARIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,967,497ExpenseAmt
Grant$0GrantAmt
Revenue$2,901,318RevenueAmt
DescTHE PRIMARY ACTIVITY OF THE ORGANIZATION IS TO PROVIDE SKILLED NURSING CARE FOR THE AGED AND DISABLED OF THE SURROUNDING AREA. THE ORGANIZATION SERVES THE MENOMONIE, WISCONSIN AREA COMMUNITY BY OPERATING A 37-BED SKILLED NURSING FACILITY. THE MENOMONIE NURSING FACILITY PROVIDED 9,742 RESIDENT DAYS OF CARE IN 2020. THE FACILITY OFFERS SKILLED NURSING CARE IN BOTH SHORT-TERM REHABILITATION PROGRAMS AND FOR LONG-TERM CARE RESIDENTS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE IV THERAPY CARE, WOUND CARE, PAIN MANAGEMENT, PHYSICAL THERAPY, SPEECH THERAPY, AND OCCUPATIONAL THERAPY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$6,690,224TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee224EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KELLY LARSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7158323003PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13410 SKY PARK BLVDAddressLine1Txt
CityEAU CLAIRECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54701ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
RAYMOND WEISS
CEO1.5039.00Yes (X)$0$0$0
BRYAN BESSA
CHRO1.5039.00Yes (X)$0$0$0
ARDYTH BRENNER
PRESIDENT1.501.00Yes (X)$0$0$0Yes (X)
KRIS JENSON
VICE PRESIDENT1.501.00Yes (X)$0$0$0Yes (X)
KATHY POSPISHIL
SECRETARY1.501.00Yes (X)$0$0$0Yes (X)
LINDA LARSON
TREASURER1.501.00Yes (X)$0$0$0Yes (X)
LARRY KUESTER
BOARD MEMBER1.501.00$0$0$0Yes (X)
RITA LEE
BOARD MEMBER1.501.00$0$0$0Yes (X)
SHARON MILLER
BOARD MEMBER1.501.00$0$0$0Yes (X)
BARB PIPER
BOARD MEMBER1.501.00$0$0$0Yes (X)
BARB VADNAIS
BOARD MEMBER1.501.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MIDWEST PHYSICAL THERAPY
1731 17TH AVEBLOOMERWI54724THERAPY SERVICES$389,904
GRACE LUTHERAN COMMUNITIES
3410 SKY PARK BLVDEAU CLAIREWI54738MANAGEMENT SERVICES$202,478
SPECIALIZED MEDICAL STAFFING
13797 210TH AVEBLOOMERWI54724STAFFING AGENCY$185,859
MEDICAL STAFFING SOLUTIONS
PO BOX 101RICE LAKEWI54868STAFFING AGENCY$145,477
ONE STAFF MEDICAL
PO BOX 3544OMAHANE68103STAFFING AGENCY$134,777
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$6,708FundraisingAmt
Government Grants$676,283GovernmentGrantsAmt
All Other Contributions$11,647AllOtherContributionsAmt
Total Contributions$694,638TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT REVENUE623000$6,502,768$6,502,768
SENIOR MEALS PROGRAMS624200$555,294$555,294
OTHER RESIDENT REVENUE623000$65,725$65,725
RESIDENT TRANSPORTATIO624100$25,736$25,736
FieldValueIRS element (for citing)
Total Program Service Revenue$7,149,523TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,508TotalRevenueColumnAmt
Exclusion$5,508ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$47,172SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$47,172SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,172TotalRevenueColumnAmt
Exclusion$47,172ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$6,708ContriRptFundraisingEventAmt
Fundraising Direct Expenses$48FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$48TotalRevenueColumnAmt
Exclusion-$48ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,896,793TotalRevenueColumnAmt
Related Or Exempt Func Income$7,149,523RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$52,632ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,241,475TotalAmt
Program Services$3,163,390ProgramServicesAmt
Management And General$78,085ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$39,078TotalAmt
Program Services$37,935ProgramServicesAmt
Management And General$1,143ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$251,301TotalAmt
Program Services$243,949ProgramServicesAmt
Management And General$7,352ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$239,076TotalAmt
Program Services$232,082ProgramServicesAmt
Management And General$6,994ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$202,478TotalAmt
Management And General$202,478ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,157TotalAmt
Management And General$4,157ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$36,490TotalAmt
Management And General$36,490ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$19,338TotalAmt
Management And General$19,338ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,544,283TotalAmt
Program Services$1,294,924ProgramServicesAmt
Management And General$249,359ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$67,630TotalAmt
Management And General$67,630ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$77,602TotalAmt
Program Services$75,608ProgramServicesAmt
Management And General$1,994ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$123,879TotalAmt
Management And General$123,879ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$201,921TotalAmt
Program Services$201,921ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$26,132TotalAmt
Program Services$25,578ProgramServicesAmt
Management And General$554ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$11,878TotalAmt
Program Services$5,146ProgramServicesAmt
Management And General$6,732ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$136,355TotalAmt
Program Services$136,355ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$407,528TotalAmt
Program Services$407,528ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$76,708TotalAmt
Management And General$76,708ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$721,337$700,860$20,477
STATE NURSING HOME ASSE$146,880$146,880
REPAIRS AND MAINTENANCE$58,892$56,858$2,034
BAD DEBT EXPENSE$34,245$34,245

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$90,526TotalAmt
Program Services$73,845ProgramServicesAmt
Management And General$16,681ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,759,189TotalAmt
Program Services$6,690,224ProgramServicesAmt
Management And General$1,068,965ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,500EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$357,693BOYAmt
EOY$1,251,419EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$665,925BOYAmt
EOY$475,078EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$48,005BOYAmt
EOY$81,283EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$61,312BOYAmt
EOY$20,300EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,941,337LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,283,888LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,028,500BOYAmt
EOY$4,657,449EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,678,522BOYAmt
EOY$1,710,561EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$340,448BOYAmt
EOY$413,030EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,182,905BOYAmt
EOY$8,611,620EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$638,016BOYAmt
EOY$532,180EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$349,362BOYAmt
EOY$358,049EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,402,608BOYAmt
EOY$4,162,843EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$636,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,389,986BOYAmt
EOY$5,689,072EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,792,919BOYAmt
EOY$2,921,417EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$1,131EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,792,919BOYAmt
EOY$2,922,548EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,182,905BOYAmt
EOY$8,611,620EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$137,604ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,463NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$6,512OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,541CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,874CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,749CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,904CurrentTaxYearMinus1YearAmt
Current Tax Year$694,638CurrentTaxYearAmt
Total$768,706TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,872,642CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,738,531CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,393,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,677,803CurrentTaxYearMinus1YearAmt
Current Tax Year$7,149,523CurrentTaxYearAmt
Total$36,832,114TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,981CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,821CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,828CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,879CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$80,509TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,971,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,759,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,410,192CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,696,586CurrentTaxYearMinus1YearAmt
Current Tax Year$7,844,161CurrentTaxYearAmt
Total$37,681,329TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$37,681,329PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,492CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,450CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$168CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$170CurrentTaxYearMinus1YearAmt
Current Tax Year$5,508CurrentTaxYearAmt
Total$17,788TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,492CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,450CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$168CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$170CurrentTaxYearMinus1YearAmt
Current Tax Year$5,508CurrentTaxYearAmt
Total$17,788TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,976,656CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,765,676CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,410,360CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,696,756CurrentTaxYearMinus1YearAmt
Current Tax Year$7,849,669CurrentTaxYearAmt
Total$37,699,117TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99950PublicSupportCY509Pct
Public Support PY5090.99960PublicSupportPY509Pct
Investment Income CY0.00050InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$5,100OtherActivitiesAmt
Total Lobbying Expenditures$5,100TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationAMERICAN LUTHERAN HOMES, INC. PAYS ANNUAL ASSOCIATION DUES TO LEADINGAGE WISCONSIN. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATION MATERIALS AND STAFFING TRAINING AND DEVELOPMENT. A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL INDUSTRY ENVIRONMENT.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,629OtherCostOrOtherBasisAmt
Book Value$22,629BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,676,228OtherCostOrOtherBasisAmt
Depreciation$4,499,372DepreciationAmt
Book Value$4,176,856BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,242,480OtherCostOrOtherBasisAmt
Depreciation$3,784,516DepreciationAmt
Book Value$457,964BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,657,449TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPPP LOAN PAYABLEDesc
Amt$636,000Amt
FieldValueIRS element (for citing)
Total Liability$636,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$7,868,349TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,463NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,463RevenueNotReportedAmt
Revenue Subtotal$7,869,812RevenueSubtotalAmt
Investment Expenses Not Incld$19,338InvestmentExpensesNotIncldAmt
Other Revenues Not Included$7,643OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$26,981RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,896,793TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,739,851TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,739,851ExpensesSubtotalAmt
Investment Expenses Not Incld2$19,338InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$19,338ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,759,189TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:AMERICAN LUTHERAN COMMUNITY SERVICES, INC. (AUTUMN VILLAGE) PREVIOUSLY TRANSFERRED $300,000 TO AMERICAN LUTHERAN HOMES, INC. THESE FUNDS WERE TRANSFERRED FOR THE PURPOSE OF ALH INVESTING THE FUNDS ON BEHALF OF AUTUMN VILLAGE. THE FUNDS ARE NOT SEGREGATED AND ARE POOLED FOR BOTH ORGANIZATION WITHIN ALH'S INVESTMENT PORTFOLIO. IT WAS AGREED THAT AUTUMN VILLAGE IS ENTITLED TO ITS APPROXIMATE SHARE OF THE INVESTMENT EARNINGS OR LOSS FROM THE POOLED INVESTMENT PROGRAM AND THE LIABILITY RELATED TO AMOUNTS HELD FOR INVESTMENT FOR AUTUMN VILLAGE IS ADJUSTED IN THE ACCOMPANYING BALANCE SHEETS BASED ON THE CHANGE IN APPROXIMATE SHARE OF THE FAIR VALUE OF ASSETS HELD FOR INVESTMENT.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CONTRIBUTIONS TO RESTRICTED NET ASSETS 1,131. INCREASE IN INVESTMENT HELD BY RELATED PARTY 6,512.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3AMERICAN LUTHERAN HOMES, INC. HAS ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH GRACE LUTHERAN FOUNDATION, INC. (GRACE), A NON-PROFIT, RELIGIOUS BASED SENIOR HEALTHCARE SERVICES ORGANIZATION BASED IN EAU CLAIRE, WISCONSIN. UNDER THIS AGREEMENT, GRACE PROVIDES GENERAL ADMINISTRATIVE, CONSULTING, ACCOUNTING, HUMAN RESOURCES, AND FACILITY MANAGEMENT SERVICES TO AMERICAN LUTHERAN HOMES. UNDER THE MANAGEMENT AGREEMENT, GRACE IS ALSO RESPONSIBLE FOR THE SELECTION AND REVIEW OF THE ADMINISTRATORS OF AMERICAN LUTHERAN HOMES, INC. THE AMOUNT PAID FOR THESE SERVICES IS SHOWN ON THE STATEMENT OF FUNCTIONAL EXPENSES.
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERS OF THE ORGANIZATION ARE THE PASTORS AND CONGREGATIONS THAT BELONG TO THE AMERICAN LUTHERAN CHURCH AND SPONSOR THE ACTIVITIES OF THE AMERICAN LUTHERAN HOMES, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD MEMBERS ARE ELECTED BY THE CONGREGATIONS OF THE SPONSORING CHURCHES AND AT A MINIMUM MUST INCLUDE THE PASTOR OF ONE OF THESE CONGREGATIONS.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS ON THE CHANGES IN THE STRUCTURE OF THE AMERICAN LUTHERAN HOMES ORGANIZATION OR GOVERNING DOCUMENTS MUST BE APPROVED BY THE AMERICAN LUTHERAN CHURCH.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 WAS PROVIDED TO THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE SUBMISSION OF THE RETURN. THE FORM 990 WAS ALSO REVIEWED BY MANAGEMENT PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ANNUALLY REVIEWS UPDATED CONFLICT OF INTEREST STATEMENTS FROM MEMBERS OF THE BOARD OF DIRECTORS. ANY NOTED CONFLICTS ARE DISCUSSED, AND DURING THE YEAR, IF CONFLICTS ARE NOTED DURING VOTES, THOSE CONFLICTING MEMBERS ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15AMERICAN LUTHERAN HOME, INC.'S EXECUTIVE LEVEL EMPLOYEES AND KEY EMPLOYEES ARE PROVIDED UNDER THE MANAGEMENT SERVICES AGREEMENT WITH GRACE LUTHERAN FOUNDATION, INC. (A NOT-FOR PROFIT ORGANIZATION WHICH SPECIALIZES IN SKILLED NURSING, LONG-TERM CARE, AND HOUSING SERVICES FOR ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY). THE CONTRACT TERMS ARE RENEWED EVERY FIVE YEARS. THE BOARD OF DIRECTORS OF AMERICAN LUTHERAN HOMES, INC. REVIEWS THE CONTRACT TERMS TO ENSURE THAT QUALITY SERVICES ARE BEING ACHIEVED AT THE LOWEST POSSIBLE COST FOR THE PROGRAMS BEING PROVIDED. THE BOARD ALSO CONSULTS WITH OTHER WISCONSIN NURSING HOME ASSOCIATION MEMBERS TO ENSURE THAT THE AMOUNTS BEING PAID ARE CONSISTENT FOR ADMINISTRATIVE SERVICES OF THOSE PAID THROUGHOUT THE REGION.
FORM 990, PART VI, SECTION C, LINE 19AMERICAN LUTHERAN HOMES, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS BUSINESS LOCATION.
FORM 990, PART VII, SECTION A:EXPLANATION FOR HOURS WORKED BY OFFICERS: RAYMOND WEISS (CEO) AND BRYAN BESSA (CHRO) ARE EMPLOYED BY THE MANAGEMENT SERVICES ORGANIZATION, GRACE LUTHERAN FOUNDATION, INC., AND AS SUCH A PART OF THEIR DUTIES IS TO PROVIDE MANAGEMENT AND OVERSIGHT TO ALL OF THE HEALTHCARE AND HOUSING SERVICES OF GRACE LUTHERAN FOUNDATION, INC., CHIPPEWA VALLEY ECUMENICAL HOUSING ASSOCIATION, AMERICAN LUTHERAN HOMES, INC., AND AMERICAN LUTHERAN COMMUNITY SERVICES, INC. (AUTUMN VILLAGE), WHICH ARE ALL NON-PROFIT RELIGIOUS BASED ORGANIZATIONS WHO PROVIDE CARE AND HOUSING TO THOSE IN NEED. THE AVERAGE AMOUNT OF TIME DEVOTED TO AUTUMN VILLAGE AS NOTED IN PART VII OF THE FORM 990 INCLUDES AN APPROXIMATE AMOUNT OF TIME DEVOTED EACH WEEK TO THE AMERICAN LUTHERAN HOMES ORGANIZATIONS WHICH INCLUDES AUTUMN VILLAGE, HOWEVER THESE INDIVIDUALS OFTEN WORK WELL IN EXCESS OF THE AMOUNT OF HOURS LISTED IN ORDER TO SUPPORT AND FURTHER THE MISSION OF THE ORGANIZATIONS AS NOTED. EXPLANATION FOR HOURS WORKED BY BOARD MEMBERS: ALL MEMBERS OF AUTUMN VILLAGE'S BOARD OF DIRECTORS SERVE ON THE BOARD OF AMERICAN LUTHERAN HOMES, INC. MATTERS INVOLVING THESE ENTITIES ARE RESOLVED DURING REGULARLY SCHEDULED MEETINGS OF AMERICAN LUTHERAN HOME, INC.'S BOARD; AS SUCH, NO ADDITIONAL TIME HAS BEEN ALLOCATED TO THE ADDITIONAL RELATED ORGANIZATION.
FORM 990, PART IX, LINE 11GNURSING SERVICES: PROGRAM SERVICE EXPENSES 543,184. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 543,184. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 360,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 360,138. QUALITY ASSURANCE SERVICES: PROGRAM SERVICE EXPENSES 37,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,333. RESIDENT MEALS SERVICES: PROGRAM SERVICE EXPENSES 236,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 236,227. CONSULTANT SERVICES: PROGRAM SERVICE EXPENSES 31,030. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,030. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 164,705. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,705. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 87,012. MANAGEMENT AND GENERAL EXPENSES 84,654. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,666.
FORM 990, PART XI, LINE 9:INCREASE IN INVESTMENT HELD BY RELATED PARTY -6,512.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LUTHERAN COMMUNITY SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 ELM STREETAddressLine1Txt
CityMENOMONIECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54751ZIPCd
FieldValueIRS element (for citing)
EIN391819072EIN
Primary ActivitiesASSISTED LIVING FACILITYPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LUTHERAN HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LUTHERAN COMMUNITY SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeQTransactionTypeTxt
Involved$272,310InvolvedAmt
Method Of Amount DeterminationCASH VALUEMethodOfAmountDeterminationTxt

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