2020-09-10T16:30:49-05:00 2019-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2019-01-01 390845016 LUTHERAN HOMES OF OCONOMOWOC INC LUTH 2625678341 PO BOX 208 OCONOMOWOC WI 53066 JOAN BIRR CFO 2625678341 2020-09-09 1 CHLOE CHIUMINATTO P01924323 4144319300 2020-09-09 184.59.22.73 2020-09-09 13:46:07 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 CC322FB1B7FC8ED290785ACCB7D2994D8745AEAD 2019 2020-11-19 02:30:22Z JOAN BIRR PO BOX 208 OCONOMOWOC WI 53066 26659316 0 X WWW.LHO.ORG X 1939 WI REFLECTING CHRIST'S LOVE, WE PROVIDE HOMES AND RESOURCES FOR SENIORS AS A CONTINUING CARE RETIREMENT COMMUNITY AND PROVIDER OF COMMUNITY BASED SERVICES. 13 13 524 300 72272 -13429 96265 46828 22570128 23152019 394583 661746 213247 213946 23274223 24074539 0 0 0 0 13279806 13382812 0 0 13346 8701768 8112597 21981574 21495409 1292649 2579130 69549958 72197175 33940226 33678370 35609732 38518805 X REFLECTING CHRIST'S LOVE, WE PROVIDE HOMES AND RESOURCES FOR SENIORS AS A CONTINUING CARE RETIREMENT COMMUNITY AND PROVIDER OF COMMUNITY BASED SERVICES. 0 0 10653197 0 13439768 NURSING HOME CARE: OPERATION OF A SKILLED NURSING FACILITY AND REHABILITATION CENTER. PROVIDED 36,074 DAYS OF SKILLED NURSING SERVICES AND REHABILITATION. MAJORITY OF MEDICARE CLIENTS REHAB AND RETURN HOME TO THE COMMUNITY. 3155270 0 4300466 PROVIDE INDEPENDENT LIVING ACCOMMODATIONS FOR SENIORS THROUGH 141 UNITS ACROSS A FULL RANGE OF APARTMENT SIZES AND COSTS. 2201430 0 3187581 PROVIDE ASSISTED LIVING HOUSING AND SERVICES TO INDIVIDUALS ON AN A LA CARTE BASIS IN ORDER TO PRESERVE INDEPENDENCE AND CONSERVE THE RESIDENTS' ASSETS. 2027014 0 2224204 PROVIDE COMMUNITY OUTREACH PROGRAMS THROUGH OUR LIFE ENRICHMENT CENTER.PROVIDE IN HOME ASSISTANCE FOR CLIENTS WHO WISH TO REMAIN IN THEIR HOMES. PROVIDE HOUSING AND SERVICES TO INDIVIDUALS WITHIN A LICENSED CBRF FOR MEMORY IMPAIRED. 2027014 0 2224204 18036911 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 62 0 524 1 1 1 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 0 1 1 1 1 1 1 1 0 WI X JOAN BIRR 2625606969 1305 W WISCONSIN AVENUE OCONOMOWOC WI 53066 NORMAN ECKSTAEDT DIRECTOR 2.00 2.00 X 0 0 0 DIANE GARD DIRECTOR 2.00 2.00 X 0 0 0 ANNE SAPIENZA DIRECTOR 2.00 2.00 X 0 0 0 TODD SCHEID DIRECTOR 2.00 2.00 X 0 0 0 KURT SCHRANG DIRECTOR 2.00 2.00 X 0 0 0 MARY KAY SOKOP DIRECTOR 2.00 2.00 X 0 0 0 ANDREW WAGNER DIRECTOR 2.00 2.00 X 0 0 0 CAROL ZEUTZIUS DIRECTOR 2.00 2.00 X 0 0 0 ATTY MARY LEE RATZEL CHAIR 2.00 2.00 X X 0 0 0 MALCOM DORN PAST CHAIR 2.00 2.00 X X 0 0 0 EDWIN JOHNSON VICE CHAIR 2.00 2.00 X X 0 0 0 PHIL HOLLAND TREASURER 2.00 2.00 X X 0 0 0 KAREN JENSEN SECRETARY 2.00 2.00 X X 0 0 0 DALE DAHLKE CEO 38.00 2.00 X 193740 0 17484 JOAN BIRR CFO 38.00 2.00 X 166540 0 16859 CAROLYN CLAUTER DIRECTOR OF HUMAN RESOURCES 40.00 X 100304 0 13377 BARBARA DEHNERT DIRECTOR OF FOOD SERVICES 40.00 X 105259 0 12384 BRYAN POLINSKE COO 40.00 X 123659 0 13105 689502 0 73209 5 0 1 0 PROHEALTH CARE MEDICAL ASSOCIATES INC N17 W24100 RIVERWOOD DRIVE SUITE 2 WAUKESHA WI 53188 THERAPY SERVICES 318765 1 46828 46828 SKILLED NURSING FACILITY 623000 13448048 13448048 INDEPENDENT LIVING FACILITY 623000 4300466 4300466 ASSISTED LIVING FACILITY 623000 3179301 3179301 MEMORY CARE 623000 1896728 1896728 LIFE ENRICHMENT CENTER 623000 137381 137381 190095 190095 23152019 177796 177796 3068727 2584777 483950 483950 483950 CAFE REVENUE 722514 213946 72272 141674 213946 24074539 23152019 72272 803420 394623 394623 9973653 8766832 1206821 262346 238695 23651 1997920 1710813 287107 754270 640831 113439 15261 15261 34525 34525 18563 18563 438350 403094 35256 57699 747 43606 13346 736918 559258 177660 100802 100802 829271 578365 250906 391 391 306436 306436 3161503 2721452 440051 147303 147303 MEDICAL EXPENSES 814952 814952 FOOD 631117 631117 CAFE EXPENSE 253701 253701 STATE BED TAX 232050 232050 333755 178177 155578 21495409 18036911 3445152 13346 7020641 11193554 70012 41366 616628 468328 53974 59810 86426758 31987536 56735570 54439222 5053133 5994895 69549958 72197175 1686036 1721382 1447021 1351605 9221131 7561419 0 7536 21586038 23036428 33940226 33678370 X 35609732 38518805 35609732 38518805 69549958 72197175 2579130 329943 0 X 0 1 X 1 0 X 287602 653467 349556 96265 46828 1433718 18292911 18300814 20252052 22570128 23152019 102567924 141674 141674 18580513 18954281 20601608 22666393 23340521 104143316 36000 15000 51000 100000 150000 250000 36000 115000 150000 301000 103842316 95622 110542 110550 134119 177796 628629 95622 110542 110550 134119 177796 628629 18676135 19064823 20712158 22800512 23518317 104771945 0.99110 0.99130 0.00600 0.00570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 5596449 5596449 65256251 25021080 40235171 15518829 6966456 8552373 55229 55229 54439222 REFUNDABLE ENTRANCE FEES 22463928 REFUNDABLE RESERVATION FEES 572500 23036428 PART IV, LINE 2B: THE ACCOUNTS THAT LUTHERAN HOMES OF OCONOMOWOC, INC. IS A CUSTODIAN FOR ARE RESIDENT TRUST FUNDS. X X 0 0 0 0 0 0 0 0 0 DALE DAHLKE CEO 191760 0 0 0 1980 0 9964 0 7520 0 211224 0 0 0 JOAN BIRR CFO 164560 0 0 0 1980 0 8639 0 8220 0 183399 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE NOT LESS THAN 50, NOR MORE THAN 150 MEMBERS, ELECTED BY THE MEMBERS OF THE CORPORATION OR BY THE BOARD OF DIRECTORS. THE ORGANIZATION STRIVES TO HAVE A MAJORITY OF THE MEMBERSHIP BE OF THE LUTHERAN FAITH WITH THE BALANCE TO BE ELECTED FROM THE COMMUNITY AT LARGE. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBERS SHALL DETERMINE AT THE ANNUAL MEETING, BY A MAJORITY VOTE, THE NUMBER OF DIRECTORS TO BE ELECTED TO THE BOARD OF DIRECTORS AND SHALL THEN ELECT THE NUMBER NECESSARY. FORM 990, PART VI, SECTION A, LINE 7B EACH MEMBER MAY HAVE ONE VOTE AT MEETINGS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF EXECUTIVE OFFICER REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C LUTHERAN HOMES OF OCONOMOWOC REQUESTS THAT ALL MEMBERS OF THE BOARD OF DIRECTORS, CORPORATE MEMBERS, AND CORPORATE STAFF COMPLETE THE "ANNUAL STATEMENT OF CONFLICT". THIS IS REQUESTED IN THE FALL OF EACH YEAR. IN THIS STATEMENT, ACKNOWLEDGEMENT OF ANY POTENTIAL CONFLICT IS TO BE IDENTIFIED. IN ADDITION, AS AN AGENDA ITEM ON ALL BOARD AND COMMITTEE MEETINGS IS ACKNOWLEDGEMENT OF ANY POTENTIAL CONFLICT OF INTEREST. DURING DISCUSSION OF THE AGENDA ITEM WHEREIN THERE IS A CONFLICT BY ONE OR MORE OF THE MEMBERS, THE BODY SHALL BEFOREHAND DECIDE AT WHAT LEVEL OF PRESENCE, DISCUSSION, AND DECISION MAKING THE MEMBER SHALL BE ALLOWED TO PARTICIPATE. FINALLY, REGULAR RECORDS ARE MAINTAINED OF ALL INSTANCES OF CONFLICT AND REVIEWED ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE AND COMPARES COMPENSATION LEVEL WITH COMPENSATION OF SIMILAR ORGANIZATIONS OF SIMILAR SIZE. THE CHIEF EXECUTIVE OFFICER EVALUATES THE PERFORMANCE OF KEY EMPLOYEES IN THE SAME MANNER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. LUTHERAN HOMES OF OCONOMOWOC CHARITABLE FOUNDATION INC PO BOX 208 OCONOMOWOC WI 53066 391889721 SUPPORT LUTHERAN HOMES OF OCONOMOWOC, INC. WI 501(C)(3) LINE 12B, II LUTHERAN HOMES OF OCONOMOWOC INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0