2021-08-04T14:54:50-05:00 2020-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2020-01-01 391531532 HARWOOD PLACE INC HARW 4142566800 7500 W NORTH AVENUE WAUWATOSA WI 53213 KATHRYN CAVERS PRESIDENT & CEO 4142566800 2021-07-29 1 KATHRYN CAVERS 999009999 CHLOE CHIUMINATTO P01924323 4144319300 2021-07-29 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KATHRYN CAVERS 7500 W NORTH AVENUE WAUWATOSA WI 53213 10269238 0 X WWW.THELUTHERANHOME.ORG X 1988 DE HARWOOD PLACE PROVIDES ASSISTED LIVING AND INDEPENDENT LIVING. 13 13 140 73 0 0 30682 97681 8009856 8065259 227126 17351 0 0 8267664 8180291 28083 1972969 0 0 3065766 3464711 0 0 0 4331227 4403075 7425076 9840755 842588 -1660464 19506860 17541401 34394496 33341274 -14887636 -15799873 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 6281079 1972969 5948510 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 157 LEASED APARTMENTS. 1601068 0 2116749 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. 7882147 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 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 140 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X LUE HANG 4142566800 7500 W NORTH AVENUE WAUWATOSA WI 53213 KATHY CAVERS PRESIDENT & CEO (BEG. APRIL) 16.00 24.00 X 0 179116 24690 LUE HANG VICE PRESIDENT OF FINANCE & CFO 16.00 24.00 X 0 128513 28719 LINDSEY KRIETE VICE PRESIDENT OF HUMAN RESOURCES 7.00 33.00 X 0 121061 11838 HEIDI MAYER FOUNDATION EXECUTIVE DIRECTOR 1.00 40.00 X 0 108319 22136 MARA HENNINGSEN VICE PRESIDENT & COO (THRU DEC.) 40.00 X 121912 0 5726 MARY SWOBODA VICE PRESIDENT OF SUPPORT SERVICES 1.00 40.00 X 0 108908 10659 MILA RUBIO NURSE SUPERVISOR 1.00 40.00 X 0 113209 9863 MARY HUMPHREY REGISTERED NURSE 1.00 40.00 X 0 112128 9571 SCOTT MCFADDEN PRESIDENT & CEO (THRU MAY) 16.00 24.00 X 0 91565 6966 AMY HARTWIG CHAIRPERSON (THRU APRIL) 1.00 1.00 X X 0 0 0 KATIE SANDERS CHAIRPERSON (BEG. APRIL) 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 RON PHILLEO DIRECTOR 1.00 1.00 X 0 0 0 DENNIS POLLARD DIRECTOR (THRU APRIL) 1.00 1.00 X 0 0 0 DAVE RAYSICH DIRECTOR (THRU APRIL) 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 121912 962819 130168 1 0 1 0 CATALYST CONSTRUCTION 833 E MICHIGAN STREET SUITE 1000 MILWAUKEE WI 53202 CONSTRUCTION SERVICES 469498 A & A CONTRACTORS 1323 W WATERFORD AVENUE ST FRANCIS WI 53235 RENOVATION SERVICES 351603 RED STONE ENTERPRISES 2069 S 92ND STREET WEST ALLIS WI 53227 APARTMENT RENOVATION SERVICES 226797 BUTTERS FETTING COMPANY INC 1669 SOUTH 1ST STREET MILWAUKEE WI 53204 MECHANICAL SERVICES 126016 PARKING LOT MAINTENANCE INC W225 N3178 DUPLAINVILLE ROAD PEWAUKEE WI 53072 PARKING LOT MAINTENANCE SERVICES 113806 6 87993 9688 97681 NET RESIDENT SERVICE REVENUE 623000 7083315 7083315 AMORTIZATION OF ENTRANCE FEES 623000 376432 376432 605512 605512 8065259 147253 147253 1959045 2088947 -129902 -129902 -129902 8180291 8065259 0 17351 1972969 1972969 127638 127638 2764053 2242759 521294 27851 21644 6207 338546 267543 71003 206623 160572 46051 589236 589236 16167 16167 18967 18967 341148 324122 17026 18932 18932 165895 1668 164227 584514 438792 145722 5219 5219 470746 470746 1537839 1460947 76892 78664 78664 RAW FOOD 401862 401862 EQUIPMENT MAINTENANCE 108358 108358 SUPPLIES 14330 14330 51198 10165 41033 9840755 7882147 1958608 0 118650 80530 373880 59252 17709 11445 42215665 29820643 12661470 12395022 6285460 4946001 49691 49151 19506860 17541401 1013565 476265 1448735 1372487 11623133 10983588 20304206 20105998 4857 402936 34394496 33341274 X -14889297 -15800273 1661 400 -14887636 -15799873 19506860 17541401 X -1660464 749488 -1261 X 0 1 X 1 0 X 59180 6266 5676 30682 97681 199485 7758762 7729201 8007494 8009856 8065259 39570572 7817942 7735467 8013170 8040538 8162940 39770057 0 0 0 39770057 61421 97795 177927 175838 147253 660234 61421 97795 177927 175838 147253 660234 7879363 7833262 8191097 8216376 8310193 40430291 0.98370 0.98620 0.01630 0.01380 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1153911 1153911 36170404 25947253 10223151 4889850 3873390 1016460 1500 1500 12395022 DUE TO LUTHERAN HOME FOUNDATION, INC. 2124 DUE TO THE LUTHERAN HOME, INC. 400812 402936 8910812 749488 -18967 730521 8180291 0 8180291 9821788 0 9821788 18967 18967 9840755 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES -18,967. 1 LUTHERAN HOME FOUNDATION INC 7500 W NORTH AVENUE WAUWATOSA WI 53213 391478794 501(C)(3) 1972969 GENERAL SUPPORT 1 0 PART I, LINE 2: THE PRESIDENT AND CEO HAS OVERSIGHT OF THE AFFILIATED ORGANIZATION RECEIVING GRANTS AND MONITORS THE USE OF FUNDS. 0 0 0 0 0 0 0 0 0 KATHY CAVERS PRESIDENT & CEO (BEG. APRIL) 0 179116 0 0 0 0 0 5579 0 19111 0 203806 0 0 LUE HANG VICE PRESIDENT OF FINANCE & CFO 0 128513 0 0 0 0 0 4104 0 24615 0 157232 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 1374104 12500000 11367759 132241 2003 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 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. 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. -1,261. THE LUTHERAN HOME INC 7500 W NORTH AVENUE WAUWATOSA WI 53213 390807205 NURSING HOME WI 501(C)(3) LINE 10 LUTHERANLIVING SERVICES INC 1 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