FOND DU LAC LUTHERAN HOME INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FOND DU LAC LUTHERAN HOME INC (EIN 39-0806344)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-03
IRS object ID
201703079349301600
Schema version
2016v3.0
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)
Return2017-11-03T11:30:38-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390806344EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOND DU LAC LUTHERAN HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFONDBusinessNameControlTxt
Phone9209219520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 HILL STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53098ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJULIE MARKSPersonNm
Person TitleCFOPersonTitleTxt
Phone9209219520PhoneNum
Signature2017-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY ANDERSON CPAPreparerPersonNm
PTINP00188889PTIN
Phone6086628600PhoneNum
Preparation2017-10-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-02IPDt
IP Tm11:33:56IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3E979F80BB8F399C9CB7D5D916B34B85DDD844F4AtSubmissionCreationDeviceId
At Submission Filing Device Id1C4AA1E388E3DC50B055405D9AA64341548DFCA7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerJULIE MARKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 HILL STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53098ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,810,865GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LUTHERANHOMESFONDDULAC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1939FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionFOND DU LAC LUTHERAN HOME, AS PART OF LUTHERAN HOMES AND HEALTH SERVICES, PROVIDES A CHRISTIAN-BASED INNOVATIVE APPROACH TO AGING THROUGH COMPREHENSIVE SERVICES, PROGRAMS, AND COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee254TotalEmployeeCnt
Total Volunteers110TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$7,612,907PYProgramServiceRevenueAmt
CY Program Service Revenue$7,758,109CYProgramServiceRevenueAmt
PY Investment Income-$1,082PYInvestmentIncomeAmt
CY Investment Income$857CYInvestmentIncomeAmt
PY Other Revenue$51,797PYOtherRevenueAmt
CY Other Revenue$51,766CYOtherRevenueAmt
PY Total Revenue$7,663,622PYTotalRevenueAmt
CY Total Revenue$7,810,732CYTotalRevenueAmt
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$5,375,535PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,074,817CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,428,238PYOtherExpensesAmt
CY Other Expenses$3,831,606CYOtherExpensesAmt
PY Total Expenses$7,803,773PYTotalExpensesAmt
CY Total Expenses$7,906,423CYTotalExpensesAmt
PY Revenues Less Expenses-$140,151PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$95,691CYRevenuesLessExpensesAmt
Total Assets BOY$6,758,811TotalAssetsBOYAmt
Total Assets EOY$5,953,399TotalAssetsEOYAmt
Total Liabilities BOY$2,191,372TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,081,360TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,567,439NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,872,039NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFOND DU LAC LUTHERAN HOME, AS PART OF LUTHERAN HOMES AND HEALTH SERVICES, PROVIDES A CHRISTIAN-BASED INNOVATIVE APPROACH TO AGING THROUGH COMPREHENSIVE SERVICES, PROGRAMS, AND COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,974,408ExpenseAmt
Revenue$7,783,932RevenueAmt
DescLUTHERAN HOMES AND HEALTH SERVICES, INC ENCOMPASSES A VARIETY OF PROGRAMS DESIGNED TO ASSIST SENIORS IN ACTIVELY AGING. THE FOND DU LAC LUTHERAN HOME, INC, A LHHS ENTITY, PROVIDES SKILLED NURSING, SHORT-TERM REHABILITATION, AND ASSISTED LIVING IN A CHRISTIAN-BASED ENVIRONMENT FOR PEOPLE OF ALL FAITHS SHORT-TERM REHAB. THE FOND DU LAC LUTHERAN HOME IS KNOWN FOR DELIVERING HIGH-QUALITY SHORT-TERM REHABILITATION. OUR SKILLED THERAPISTS UTILIZE STATE OF THE ART METHODS AND EQUIPMENT TO PROVIDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY ON AN INPATIENT OR OUTPATIENT BASIS. THE FOND DU LAC LUTHERAN HOME HAS PROVIDED HIGH QUALITY SKILLED NURSING CARE FOR OVER SEVENTY YEARS. IT SERVES PEOPLE OF ALL FAITHS AND FINANCIAL MEANS. THE HOME'S COMFORTABLE, INVITING ATMOSPHERE AS WELL AS THE TALENTED, COMPASSIONATE AND KNOWLEDGABLE STAFF MAKES THE PROGRAM A SUCCESS. FOND DU LAC LUTHERAN HOME PROVIDED 15,590 MEDICAID DAYS, 3,264 MEDICARE DAYS AND 28,086 TOTAL NURSING HOME DAYS IN 2016. ASSISTED LIVING THE FOND DU LAC LUTHERAN HOME'S ASSISTED LIVING PROGRAM TARFA TERRACE PROVIDES THE FLEXIBILITY AND SUPPORT TO MEET A VARIETY OF NEEDS FOR ITS PATIENTS IN AN ENVIRONMENT THAT ENHANCES AND ENCOURAGES INDEPENDENCE. THIS PROGRAM HAD A TOTAL OF 10,590 BED DAYS IN 2016.Desc
Total Program Service Expenses$5,974,408TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee254EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 Line1JULIE MARKSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9203228527PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11045 HILL STREETAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53098ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TERRY SCHLEIF
VICE CHAIRPERSON0.671.33Yes (X)Yes (X)$0$0$0
KIM SUHS
CHAIRPERSON1.002.00Yes (X)Yes (X)$0$0$0
TERRI EMANUEL
SECRETARY0.671.33Yes (X)Yes (X)$0$0$0
JIM NEUMANN
TREASURER0.671.33Yes (X)Yes (X)$0$0$0
STEVE DILLING
BOARD MEMBER0.170.33Yes (X)$0$0$0
JIM FETT
BOARD MEMBER0.170.33Yes (X)$0$0$0
STEVE HUFF
BOARD MEMBER0.170.33Yes (X)$0$0$0
RUSS KAMPHUIS
BOARD MEMBER0.170.33Yes (X)$0$0$0
MIKE KROLCZYK
BOARD MEMBER0.170.33Yes (X)$0$0$0
BETH MANNEBACH
BOARD MEMBER0.170.33Yes (X)$0$0$0
MATTHEW MAUTHE
CEO3.336.67Yes (X)$0$0$0
JULIE MARKS
CFO3.336.67Yes (X)$0$0$0
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 (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MARQUARDT VILLAGE
1045 HILL STREETWATERTOWNWI53098MANAGEMENT SERVICES$422,075
VALLEY BAY THERAPY INC
3305C NORTH BALLARD RDAPPLETONWI54911THERAPY (PT, OT AND SPEECH) PROVIDER$420,753
NEW HORIZON
PO BOX 860246MINNEAPOLISMN55486FOOD SERVICES$124,835
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NURSING HOME623000$6,616,457$6,616,457
RESIDENTIAL FACILITY623000$1,115,709$1,115,709
BEAUTY SHOP REVENUE900099$25,943$25,943
FieldValueIRS element (for citing)
Total Program Service Revenue$7,758,109TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$640TotalRevenueColumnAmt
Exclusion$640ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$350OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$133OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$217OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$217TotalRevenueColumnAmt
Exclusion$217ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC REVENUEDesc
Business623000BusinessCd
Total Revenue Column$51,766TotalRevenueColumnAmt
Related Or Exempt Func Income$51,766RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$51,766OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,810,732TotalRevenueColumnAmt
Related Or Exempt Func Income$7,783,932RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26,800ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,376,497TotalAmt
Program Services$3,295,227ProgramServicesAmt
Management And General$81,270ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$40,735TotalAmt
Program Services$40,735ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$657,585TotalAmt
Program Services$647,241ProgramServicesAmt
Management And General$10,344ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$407,280TotalAmt
Program Services$7,086ProgramServicesAmt
Management And General$400,194ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,871TotalAmt
Management And General$21,871ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$380,093TotalAmt
Program Services$380,093ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,587TotalAmt
Program Services$3,032ProgramServicesAmt
Management And General$3,555ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$290,583TotalAmt
Program Services$290,583ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,901TotalAmt
Program Services$2,809ProgramServicesAmt
Management And General$1,092ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$74,049TotalAmt
Program Services$74,049ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$458,817TotalAmt
Program Services$458,817ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,869TotalAmt
Management And General$18,869ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
SKILLED NURSING FACILIT$1,013,838$1,013,838
SUPPLIES$424,528$424,528
MISC OTHER$196,162$196,162
BED ASSESSMENT$191,809$191,809

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$343,219TotalAmt
Program Services$154,046ProgramServicesAmt
Management And General$189,173ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,906,423TotalAmt
Program Services$5,974,408ProgramServicesAmt
Management And General$1,932,015ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$846,865BOYAmt
EOY$1,252,790EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$793,381BOYAmt
EOY$668,352EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$74,758BOYAmt
EOY$86,679EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,732,998LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,892,360LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,149,218BOYAmt
EOY$3,840,638EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$894,589BOYAmt
EOY$104,940EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,758,811BOYAmt
EOY$5,953,399EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$437,984BOYAmt
EOY$526,487EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$651,388BOYAmt
EOY$651,388EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,102,000BOYAmt
EOY$903,485EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,191,372BOYAmt
EOY$2,081,360EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,500,735BOYAmt
EOY$3,872,039EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$66,704BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,567,439BOYAmt
EOY$3,872,039EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,758,811BOYAmt
EOY$5,953,399EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$95,691ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$599,709OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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 Minus3 Years$1,300,682CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$462CurrentTaxYearMinus2YearsAmt
Total$1,301,144TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,259,222CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,976,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,674,197CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,612,907CurrentTaxYearMinus1YearAmt
Current Tax Year$7,758,109CurrentTaxYearAmt
Total$39,281,022TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,259,222CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,277,269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,674,659CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,612,907CurrentTaxYearMinus1YearAmt
Current Tax Year$7,758,109CurrentTaxYearAmt
Total$40,582,166TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$178,226CurrentTaxYearMinus1YearAmt
Current Tax Year$215,880CurrentTaxYearAmt
Total$394,106TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$178,226CurrentTaxYearMinus1YearAmt
Current Tax Year$215,880CurrentTaxYearAmt
Total$394,106TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$40,188,060PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,201CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$883CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$775CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$697CurrentTaxYearMinus1YearAmt
Current Tax Year$640CurrentTaxYearAmt
Total$4,196TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,201CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$883CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$775CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$697CurrentTaxYearMinus1YearAmt
Current Tax Year$640CurrentTaxYearAmt
Total$4,196TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$45,748CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$145,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,797CurrentTaxYearMinus1YearAmt
Current Tax Year$51,766CurrentTaxYearAmt
Total$294,811TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,260,423CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,323,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,820,934CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,665,401CurrentTaxYearMinus1YearAmt
Current Tax Year$7,810,515CurrentTaxYearAmt
Total$40,881,173TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98300PublicSupportCY509Pct
Public Support PY5090.98990PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,413OtherCostOrOtherBasisAmt
Book Value$60,413BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,725,686OtherCostOrOtherBasisAmt
Depreciation$7,533,385DepreciationAmt
Book Value$3,192,301BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,827,168OtherCostOrOtherBasisAmt
Depreciation$3,272,314DepreciationAmt
Book Value$554,854BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,731OtherCostOrOtherBasisAmt
Depreciation$86,661DepreciationAmt
Book Value$33,070BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,840,638TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$7,810,732TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$7,810,732RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,810,732TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,906,423TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,906,423ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,906,423TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS A SINGLE CLASS OF MEMBERS, AND THE SOLE MEMBER OF THAT CLASS IS LUTHERAN HOMES & HEALTH SERVICES, INC, A WISCONSIN NONSTOCK CORPORATION (THE "MEMBER").
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE MEMBER WITH CONSIDERATION GIVEN TO THEIR CHARACTER, CONCERN FOR THE PRINCIPLES AND PROGRAMS OF THE CORPORATION, AND THE SINGULAR CONTRIBUTIONS THEY COULD RENDER TO THE INCREASED EFFECTIVENESS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT REVIEWS THE FORM 990. THE FORM 990 IS THEN PROVIDED TO THE BOARD MEMBERS ELECTRONICALLY FOR THEIR REVIEW IN ADVANCE OF THE BOARD MEETING AND REVIEWED AS INDICATED IN THE BOARD MINUTES, BEFORE IT IS FINALIZED.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY AT A REGULARLY SCHEDULED BOARD MEETING, ALL BOARD MEMBERS ARE GIVEN A 'CONFLICT OF INTEREST' STATEMENT TO SIGN. PRIOR TO THE SIGNING, EACH BOARD MEMBER IS BRIEFED ON THE PURPOSE AND INTENT OF THE FORM AND THE NEED TO LIST ANY PERSONAL CONTACTS AND/OR INTEREST THAT MAY CONFLICT WITH THEIR ABILITY TO SERVE AS BOARD MEMBERS. THOSE THAT HAVE NOT ATTENDED THE BOARD MEETING WOULD BE CONTACTED PERSONALLY WITH SIMILAR INSTRUCTIONS. ALL SIGNED DOCUMENTS ARE RETAINED. ALL BOARD MEMBERS SIGN AND COMPLETE THE FORM. MANAGEMENT FOLLOWS UP ON ANY CONFLICTS THAT ARE IDENTIFIED.
FORM 990, PART VI, SECTION B, LINE 15CEO REVIEW IS COMPLETED BY THE LUTHERAN HOMES & HEALTH SERVICES, INC (LHHS) BOARD WITH BOTH INDIVIDUAL AND COLLECTIVE INPUT AND DISCUSSION. REVIEW INCLUDES RESPONSE AND UPDATE TO SPECIFIC GOALS AS WELL AS ADDITIONAL EVENTS AND WORK COMPLETED THROUGHOUT THE YEAR. CEO COMPENSATION IS BASED UPON THE LEADING AGE COMPENSATION AND CHAMBER OF COMMERCE COMPENSATION REPORT. DOCUMENTATION OF EXECUTIVE SESSION MINUTES ARE ON FILE WITH THE LHHS BOARD CHAIR AND THE EXECUTIVE ASSISTANT. KEY LEADERSHIP ROLES ARE EVALUATED ANNUALLY, AT BUDGET TIME, WITH REVIEW OF POSITION DESCRIPTION, GOALS, OBJECTIVES AND WORK PLAN AND ASSOCIATED OUTCOMES. KEY LEADERSHIP COMPENSATION IS BASED UPON COMPARABLE DATA AND IS APPROVED BY THE CEO.
FORM 990, PART VI, SECTION C, LINE 19THE 990 IS AVAILABLE ON THE ORGANIZATIONS WEBSITE. ALL OTHER GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VIILUTHERAN HOMES AND HEALTH SERVICES, INC, LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION, INC, FOND DU LAC LUTHERAN HOMES, INC AND THE HILLS AT CORTLAND RIDGE HAVE FORMED A COMMON PAY MASTER. MARI BETH BOREK'S AND GARY WAGNER'S SALARIES ARE PAID BY FOND DU LAC LUTHERAN HOME THROUGH COMMON PAY MASTER, BUT IS DEEMED PAID BY LUTHERAN HOMES AND HEALTH SERVICES, INC, LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION, INC, AND THE HILLS AT CORTLAND RIDGE.
FORM 990, PART XI, LINE 9:TRANSFER TO FOUNDATION -532,992. TRANSFER TO SENIOR HOUSING -66,717.
FORM 990, PART XII, LINE 2CTHE AUDIT COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. ONCE THE AUDIT COMMITTEE APPROVES THE FINANCIAL STATEMENTS, THEY SUBMIT THE FINANICAL STATEMENTS TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THE AUDIT COMMITTEE COMPLETES A PERIODIC REVIEW OF AUDITOR SELECTION WITH ANNUAL REVIEW OF THE AUDIT ENGAGEMENT LETTER. THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
LUTHERAN HOMES AND HEALTH SERVICES INC
244 N MACY STREETFOND DU LACWI54935392032901PROVIDE MANAGEMENT SERVICES TO FOND DU LAC LUTHERAN HOME, INCWI501(C)(3)LINE 10N/A0
LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION INC
244 N MACY STREETFOND DU LACWI54935391466308FUND DEVELOPMENTWI501(C)(3)LINE 100LUTHERAN HOMES AND HEALTH SERVICES INC
THE HILLS AT CORTLAND RIDGE
244 N MACY STREETFOND DU LACWI54935611517711REAL ESTATE DEVELOPMENTWI501(C)(3)LINE 100LUTHERAN HOMES AND HEALTH SERVICES INC
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 OrgYes (1)LoansOrGuaranteesToOtherOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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