2019-10-02T10:40:48-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2018-01-01 390790565 OAKWOOD VILLAGE UNIVERSITY WOODS HOMES INC OAKW 6082304456 6165 MINERAL POINT ROAD MADISON WI 53705 TOM HANSON TREASURER 6082304456 2019-10-02 1 KIMBERLY ANDERSON P00188889 6086628600 2019-10-02 67.137.57.251 2019-10-02 09:44:49 CD P E6A0C83F9AD34C566D8707BD1B63F824EA830523 4B72728D52E2882AD7A6F8BC4A3549436B7FC799 2018 2019-02-21 02:37:17Z TOM HANSON 6165 MINERAL POINT RD MADISON WI 53705 17408371 0 X WWW.OAKWOODVILLAGE.NET X 1948 WI OAKWOOD IS A LUTHERAN CHURCH SPONSORED ORGANIZATION WHOSE MISSION IS TO SERVE AGING ADULTS. 15 15 1140 767 0 0 503105 551892 16010122 16837603 0 0 12382 18876 16525609 17408371 0 0 0 0 10302175 10874755 0 0 0 7254055 6391582 17556230 17266337 -1030621 142034 22074174 23479284 12787555 18056921 9286619 5422363 OAKWOOD IS A LUTHERAN MINISTRY SERVING GENERATIONS OF AGING ADULTS, ENCOURAGING INDIVIDUALITY, WORTH AND WELL-BEING THROUGHOUT LIFE. 0 0 9250418 10069004 HEBRON OAKS IS A 70 BED SKILLED NURSING FACILITY, PROVIDING NURSING SERVICES, THERAPY SERVICES, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT, AND LIFE ENRICHMENT ACTIVITIES. DURING 2018, THERE WERE 23,634 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. 2394937 3704145 COVENANT OAKS IS A 40 BED DEMENTIA-SPECIFIC ASSISTED LIVING FACILITY. DURING 2018, THERE WERE 13,618 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. 2761356 3083330 OAKWOOD PHARMACY IS A FULL SERVICE PHARMACY PROVIDING PRESCRIPTION FULFILLMENT, MEDICATION MANAGEMENT, AND RESIDENT CONSULTING SERVICES TO ALL OAKWOOD RESIDENTS. 14406711 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 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 1 0 0 0 1 127 0 1 1140 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DAVID OLMOS 6082304456 6165 MINERAL POINT ROAD MADISON WI 53705 SARAH KRUGER CHAIR THRU MAY 2018 2.00 2.00 X 0 0 0 TOM KLEIN VICE CHAIR THRU MAY 2018 2.00 X X 0 0 0 ROTH JUDD SECRETARY 2.00 X X 0 0 0 BRETT ARMSTRONG VICE CHAIR/TREASURER 2.00 X X 0 0 0 JOYCE BROMLEY DIRECTOR/CHAIR 2.00 8.00 X X 0 0 0 ROBERT COLE DIRECTOR 2.00 2.00 X 0 0 0 BRUCE FOX DIRECTOR 2.00 2.00 X 0 0 0 STEVE KOCH DIRECTOR 2.00 2.00 X 0 0 0 PEDER MOREN DIRECTOR 2.00 X 0 0 0 AMANDA REESE DIRECTOR/SECRETARY 2.00 2.00 X 0 0 0 TOM RIVERS DIRECTOR 2.00 2.00 X 0 0 0 STAN YORK DIRECTOR 2.00 2.00 X 0 0 0 TOM HANSON TREASURER AS OF JUNE 2018 2.00 2.00 X X 0 0 0 BARBARA GESSNER DIRECTOR 2.00 2.00 X 0 0 0 MARJE MURRAY DIRECTOR 2.00 2.00 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 CALVIN WILLIAMS DIRECTOR 2.00 2.00 X 0 0 0 RICK BOVA PRESIDENT/CEO THROUGH SEPT 2018 10.00 30.00 X 178945 0 7455 KEITH VANLANDUYT VP OF MARKETING 6.00 34.00 X 139409 0 4879 MICHELLE GODFREY VICE PRESIDENT OF OPERATIO 10.00 30.00 X 112770 0 14648 KATHY GROTH VP OF HUMAN RESOURCES 10.00 30.00 X 132847 0 9259 JENNIFER CURLISS VP OF FINANCE 10.00 30.00 X 140027 0 13436 ANGELA STUDNICKA PHARMACY DIRECTOR 10.00 30.00 X 121197 0 17046 TRACY HEAD PHARMACIST 10.00 30.00 X 110963 0 16677 JAMES LIEN PHARMACIST 10.00 30.00 X 111201 0 3818 JULIE HOLDEN EXECUTIVE DIRECTOR 20.00 20.00 X 122492 0 18173 JEAN JACOBSON EXECUTIVE DIRECTOR 0.00 40.00 X 112525 0 3263 1282376 0 108654 10 0 1 0 JP CULLEN & SONS INC 330 E DELAVAN DR JANESVILLE WI 53546 BUILDING CONTRACTORS 2222033 SFCS INC 305 S JEFFERSON ST ROANOKE VA 24011 ARCHITECTUAL DESIGN 1100855 VOGEL BROS BUILDING CO PO BOX 7696 MADISON WI 53707 BUILDING CONTRACTORS 953964 EPPSTEIN UHEN ARCHITECTS 333 E CHICAGO ST MILWAUKEE WI 53202 ARCHITECTUAL DESIGN 846675 PARASOL ALLIANCE LLC 5620 N KENDVALE AVE CHICAGO IL 60646 INFORMATION TECHNOLOGY 351626 7 551892 551892 SERVICE FEES 812900 13759561 13759561 PHARMACY 446110 3078042 3078042 16837603 MISCELLANEOUS 900099 18876 18876 18876 17408371 16856479 0 0 188419 188419 8944856 7065809 1879047 128435 99362 29073 940687 727747 212940 672358 520159 152199 61640 61640 52403 52403 123232 123232 24473 24473 184149 163206 20943 130698 130698 647981 583183 64798 13530 12177 1353 30053 27048 3005 116669 116669 772313 695082 77231 196364 196364 PHARMACY 2200202 2200202 OPERATING & MEDICAL SUP 1091491 1091491 DINING FOOD COSTS 548601 548601 BED TAX 142800 142800 54983 54983 17266337 14406711 2859626 0 4749557 5879692 104451 228691 1655392 2289654 314568 324957 502388 569222 29511515 17243516 11152676 12267999 3595142 1919069 22074174 23479284 7628806 10000506 701907 0 4267923 7802653 188919 253762 12787555 18056921 X 8776647 4940483 509972 481880 9286619 5422363 22074174 23479284 X 142034 -4006290 X X 0 1 X 1 0 X 229861 276340 272751 503105 551892 1833949 16712499 16289357 15941175 15991786 16814965 81749782 16942360 16565697 16213926 16494891 17366857 83583731 30825 30825 0 30825 30825 83552906 18336 22638 40974 18336 22638 40974 12382 18876 31258 16942360 16565697 16213926 16525609 17408371 83655963 0.99880 0.99960 0.00050 0.00020 X PART III, SECTION A, LINE 7A PAYMENTS ARE FROM RESIDENT BOARD MEMBERS. THESE AMOUNTS REPRESENT THEIR MONTHLY SERVICE FEES. 2365527 2365527 16328762 11994054 4334708 378107 294447 83660 5955983 4905427 1050556 4483136 49588 4433548 12267999 INTEREST IN NET ASSETS OF OAKWOOD FOUNDATION 481880 CARING COMMUNITY CONTRIBUTION 129273 SERIES 2016 PROJECT FUNDS RECEIVABLE 1228523 INTEREST RATE SWAPS 79393 1919069 ASSET RETIREMENT OBLIGATION 198365 SHORT TERM LEASE OBLIGATION 55397 253762 X X X X 0 0 0 0 0 0 0 0 0 RICK BOVA PRESIDENT/CEO THROUGH SEPT 2018 163439 0 0 0 15506 0 2917 0 4538 0 186400 0 0 0 JENNIFER CURLISS VP OF FINANCE 114527 0 7000 0 18500 0 2674 0 10762 0 153463 0 0 0 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2016-11-04 43515000 REFUND SERIES 2000, 2003, 2005 0 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2018-01-25 40224430 TO FUND NEW FACILITY 0 0 0 A 2184282 43515000 362011 5517989 37635000 2006 1 0 1 1 B 40224430 344756 26810392 13069282 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 0 1 1 BRANK BANKING AND TRUST 10.000000000000 1 0 0 0 1 B 0 0 0 0 1 1 BRANK BANKING AND TRUST 5.000000000000 1 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 4 THE ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED TO SHOW THE CHANGE OF SOLE MEMBER TO OAKWOOD LUTHERAN SENIOR MINISTRIES, INC. 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 SOME 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 THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) IS REVIEWED AS PART OF AN ANNUAL PERFORMANCE REVIEW PROCESS. THE EXECUTIVE COMMITTEE OF BOARD, WHICH IS COMPOSED OF INDEPENDENT BOARD MEMBERS, PERFORMED THE REVIEW. PRIOR TO MAKING ITS DETERMINATION, THE EXECUTIVE COMMITTEE OBTAINED AND RELIED ON APPROPRIATE COMPARABLE MARKET BENCHMARK DATA OF COMPENSATION RANGES FOR CEO'S. BASED UPON ITS DETERMINATION, THE EXECUTIVE COMMITTEE THEN MADE ITS COMPENSATION RECOMMENDATIONS DURING AN EXECUTIVE SESSION OF THE ENTIRE BOARD. OTHER KEY POSITIONS WERE ALSO REVIEWED BY THE EXECUTIVE COMMITTEE TO DETERMINE PAYGRADE AND COMPENSATION LEVELS APPROPRIATE FOR SUCH POSITIONS. COMPARABLE MARKET BENCHMARK DATA WAS OBTAINED FOR SUCH POSITIONS. 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 INTEREST OF FOUNDATION -28,092. ALLOCATION OF DEBT FROM RELATED PARTY -3,870,002. CHANGE IN VALUE OF SWAP -108,196. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THE ORGANIZATION'S PROCESS RELATED TO THIS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 2362522 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 6165 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