2017-09-06T16:29:46-05:00 2016-12-31 381357951 PLANTE & MORAN PLLC 10 S Riverside Plaza 9th Floor Chicago IL 60606 990 2016-01-01 390790565 OAKWOOD LUTHERAN HOMES ASSOCIATION INC OAKW 6082304456 6165 MINERAL POINT ROAD MADISON WI 53705 RICK BOVA CEO 6082304456 2017-08-17 1 David Lowenthal P00378651 3122071040 2017-08-17 67.59.56.32 2017-08-17 15:54:15 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 75C7EC6AC54A61BA087900A4F9B91D17BA572CD0 2016 2021-01-29 14:40:06Z RICK BOVA 6165 MINERAL POINT ROAD MADISON WI 53705 16213926 0 X WWW.OAKWOODVILLAGE.NET X 1948 WI OAKWOOD IS A LUTHERAN CHURCH SPONSORED ORGANIZATION WHOSE MISSION IS TO SERVE AGING ADULTS. 13 13 1079 420 0 0 276340 272751 16289357 15941175 0 -10867 0 0 16565697 16203059 0 0 0 0 9636542 9885760 0 0 0 7189008 7334574 16825550 17220334 -259853 -1017275 17602653 19921040 7162409 9597585 10440244 10323455 OAKWOOD IS A LUTHERAN MINISTRY SERVING GENERATIONS OF AGING ADULTS, ENCOURAGING INDIVIDUALITY, WORTH AND WELL-BEING THROUGHOUT LIFE. 0 0 10140298 9587791 HEBRON OAKS IS A 95 BED SKILLED NURSING FACILITY, PROVIDING NURSING SERVICES, THERAPY SERVICES, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT, AND LIFE ENRICHMENT ACTIVITIES. DURING 2016, THERE WERE 24,544 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. 2528441 3187467 COVENANT OAKS IS A 40 BED DEMENTIA-SPECIFIC ASSISTED LIVING FACILITY. DURING 2016, THERE WERE 12,517 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. 2647497 3165917 OAKWOOD PHARMACY IS A FULL SERVICE PHARMACY PROVIDING PRESCRIPTION FULFILLMENT, MEDICATION MANAGEMENT, AND RESIDENT CONSULTING SERVICES TO ALL OAKWOOD RESIDENTS. 15316236 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 1 0 0 1 156 0 1 1079 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X JENNIFER CURLISS 6082304456 6165 MINERAL POINT ROAD MADISON WI 53705 SARAH KRUGER CHAIR 2.00 6.00 X X 0 0 0 CHAD BARTELL VICE CHAIR (THROUGH MAY 2016) 2.00 0.00 X X 0 0 0 ROTH JUDD SECRETARY 2.00 0.00 X X 0 0 0 BRETT ARMSTRONG TREASURER 2.00 0.00 X X 0 0 0 JOYCE BROMLEY DIRECTOR 2.00 0.00 X 0 0 0 BRUCE FOX DIRECTOR 2.00 0.00 X 0 0 0 ALICE GUSTAFSON DIRECTOR 2.00 6.00 X 0 0 0 ERIC HALVERSON DIRECTOR 2.00 0.00 X 0 0 0 TOM KLEIN DIRECTOR 2.00 0.00 X 0 0 0 LARRY LARRABEE DIRECTOR 2.00 6.00 X 0 0 0 STEVE KOCH DIRECTOR 2.00 0.00 X 0 0 0 MARK MELOY DIRECTOR (THROUGH MAY 2016) 2.00 0.00 X 0 0 0 PEDER MOREN DIRECTOR 2.00 0.00 X 0 0 0 TOM RIVERS DIRECTOR 2.00 0.00 X 0 0 0 STAN YORK DIRECTOR 2.00 0.00 X 0 0 0 RICK BOVA CEO 12.00 28.00 X 223027 0 14462 MICHELLE GODFREY VP OPERATIONAL SUPPORT 20.00 20.00 X 141904 0 21387 ANGELA STUDNICKA PHARMACY DIRECTOR 40.00 0.00 X 120171 0 21777 KEITH VANLANDUYT VP MARKETING 10.00 30.00 X 129192 0 4518 KATHY GROTH VP HUMAN RESOURCES 10.00 30.00 X 104623 0 10229 ROBERT MARX DIRECTOR OF FINANCE 10.00 30.00 X 103053 0 18596 821970 0 90969 7 0 1 0 Vogel Brothers Building Inc PO Box 7696 Madison WI 53707 Construction Services 319710 ALLIANCE REHAB 1520 KENSINGTON ROAD 110 OAKBROOK IL 60523 REHAB MGMT CO 138929 Heartland Business Systems Inc 75 Remittance Drive Chicago IL 60675 IT SERVICES 138450 Godfrey Kahn SC One East Main Street Suite 500 Madison WI 53701 LEGAL SERVICES 133739 4 272751 272751 SERVICE FEES 812900 12775256 12775256 PHARMACY 446110 3165919 3165919 15941175 10867 -10867 -10867 -10867 16203059 15941175 0 -10867 71247 71247 8195798 7171331 1024467 106053 91997 14056 910254 789609 120645 602408 522565 79843 118529 118529 64310 64310 35263 35263 668011 578413 89598 66970 66970 265905 239163 26742 101120 101120 694329 624501 69828 16724 15042 1682 28170 25337 2833 92209 92209 872709 784941 87768 236328 236328 PHARMACEUTICALS 2379579 2379579 OPERATING/MEDICAL SUPPL 768337 768337 DINING FOOD COST 516465 516465 T-19 BED TAX 193800 193800 215816 215816 17220334 15316236 1904098 0 3481413 4124396 2135027 2262427 329441 269985 482675 432515 22372461 15443332 7178004 6929129 3996093 5902588 17602653 19921040 3381955 4384042 548130 661609 2886055 4372011 346269 179923 7162409 9597585 X 10099587 9800009 340657 523446 10440244 10323455 17602653 19921040 X -1017275 122626 777860 X 0 1 X 1 1 1 X 143476 1038869 229861 276340 272751 1961297 14460271 16575826 16712499 16289357 15941175 79979128 14603747 17614695 16942360 16565697 16213926 81940425 0 0 0 81940425 4 4 4 4 14603751 17614695 16942360 16565697 16213926 81940429 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3005 3005 16303298 10860339 5442959 328492 271886 56606 5293915 4265061 1028854 443751 46046 397705 6929129 BOND ISSUANCE COSTS 46737 INTEREST IN NET ASSETS OF OAKWOOD FOUNDATION 523446 CARING COMMUNITY CONTRIBUTION 129273 Series 2016 Project Funds Receivable 5114119 INTEREST RATE SWAPS 89013 5902588 ASSET RETIREMENT OBLIGATION 179923 179923 X X X X 0 0 0 0 0 0 0 0 0 RICK BOVA CEO 223027 0 0 0 0 0 7806 0 6656 0 237489 0 0 0 MICHELLE GODFREY VP OPERATIONAL SUPPORT 136904 0 5000 0 0 0 2961 0 18426 0 163291 0 0 0 A WI HEALTH & EDUCATION FACILITY AUTHORITY 391337855 NONEAVAIL 2016-11-04 43515000 REFUND SERIES 2000, 2003, 2005 0 0 0 A 85934 43515000 362011 5517989 2006 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 1 1 BRANCH BANKING AND TRUST 10.000000000000 1 0 0 0 0 A 0 SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: WI HEALTH & EDUCATION FACILITY AUTHORITY (F) DESCRIPTION OF PURPOSE: TO REFUND SERIES 2000, 2003, 2005 BOND ISSUES, PURCHASE OF LAND AND PROVIDE CAPITAL IMPROVEMENT PROJECT FUNDS. SCHEDULE K, SUPPLEMENTAL INFORMATION: BOND ISSUES: THE TOTAL BONDS ISSUED FOR THE 2016 SERIES ARE SHOWN ON SCHEDULE K FOR THE FOUR AFFILIATED CORPORATIONS. EACH ENTITY SHOW THEIR SHARE OF THE REMAINING BONDS OUTSTANDING AT YEAREND ON THE BALANCE SHEET ON PAGE 11. Form 990, Part VI, Section A, line 6 MEMBERS INCLUDE 37 LUTHERAN CHURCHES IN DANE COUNTY, WISCONSIN. Form 990, Part VI, Section A, line 7a THE MEMBER LUTHERAN CHURCHES HAVE DELEGATES WHO ELECT SOME MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Section B, line 11b THE FORM 990 IS INITIALLY REVIEWED BY THE FINANCE/AUDIT COUNCIL 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 PACKAGE OF THE CHIEF EXECUTIVE OFFICER (CEO) IS REVIEWED AS PART OF AN ANNUAL PERFORMANCE EVALUATION PROCESS. THE COMPENSATION ARRANGEMENT FOR THE CEO WAS APPROVED IN ADVANCE BY A SEPARATE COMMITTEE AUTHORIZED BY THE BOARD OF DIRECTORS. THIS BOARD COMMITTEE IS COMPOSED OF THREE (3) BOARD CHAIRS FROM SEVERAL OF THE RELATED ORGANIZATIONS, ALL OF WHOM DO NOT HAVE A CONFLICT OF INTEREST. PRIOR TO MAKING ITS DETERMINATION, THE BOARD COMMITTEE OBTAINED AND RELIED ON APPROPRIATE COMPARABLE MARKET DATA OF THE COMPENSATION RANGE FOR EXECUTIVE DIRECTORS/CEO, AS GATHERED BY THE HUMAN RESOURCES COMMITTEE, WHICH IS A STANDING COMMITTEE OF THE BOARD. THE CEO'S PERFORMANCE IS COMPARED AGAINST PRE-DETERMINED GOALS. THE BOARD COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATION OF THE CEO'S COMPENSATION CONCURRENT WITH MAKING THAT DETERMINATION. BASED UPON ITS DETERMINATION, THE BOARD COMMITTEE THEN MAKES COMPENSATION RECOMMENDATIONS AT AN EXECUTIVE SESSSION OF THE ENTIRE BOARD. OTHER KEY POSITIONS ARE ALSO REVIEWED BY THE HR COMMITTEE ON A REGULAR BASIS (QUARTERLY) TO DETERMINE A GRADING AND COMPENSATION LEVEL APPROPORIATE FOR SUCH POSITIONS. Form 990, Part VI, Section C, line 19 THESE DOCUMENTS ARE NOT GENERALLY AVAILABLE TO THE PUBLIC. Form 990, Part XI, line 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 182,787. EQUITY INVESTMENT IN SUBSIDIARY 595,073. 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 HOMES ASSOCIATION INC 1 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 HOMES ASSOCIATION INC 1 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 HOMES ASSOCIATION INC 1 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 HOMES ASSOCIATION INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC O 4903079 FMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS INC O 1208159 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES INC O 5662083 FMV OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC P 6672184 fMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS INC P 2594748 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES INC P 4591081 FMV OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC Q 12772141 FMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS INC Q 4011269 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES INC Q 9526352 FMV OAKWOOD FOUNDATION INC C 272751 FMV