FOND DU LAC LUTHERAN HOME INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
FOND DU LAC LUTHERAN HOME INC (EIN 39-0806344)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201633199349302758
Schema version
2015v2.1
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)
Return2016-11-14T09:44:36-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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 Line1244 N MACY STREETAddressLine1Txt
CityFOND DU LACCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549353393ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJULIE MARKSPersonNm
Person TitleCURRENT CFOPersonTitleTxt
Phone9209219520PhoneNum
Signature2016-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY ANDERSON CPAPreparerPersonNm
PTINP00188889PTIN
Phone6086628600PhoneNum
Preparation2016-11-09PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJULIE MARKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1244 N MACY STREETAddressLine1Txt
CityFOND DU LACCityNm
State AbbreviationWIStateAbbreviationCd
ZIP549353393ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,665,401GrossReceiptsAmt
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 Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee272TotalEmployeeCnt
Total Volunteers108TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$462PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$7,674,197PYProgramServiceRevenueAmt
CY Program Service Revenue$7,612,907CYProgramServiceRevenueAmt
PY Investment Income$775PYInvestmentIncomeAmt
CY Investment Income-$1,082CYInvestmentIncomeAmt
PY Other Revenue$145,500PYOtherRevenueAmt
CY Other Revenue$51,797CYOtherRevenueAmt
PY Total Revenue$7,820,934PYTotalRevenueAmt
CY Total Revenue$7,663,622CYTotalRevenueAmt
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$5,465,541PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,375,535CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,566,938PYOtherExpensesAmt
CY Other Expenses$2,428,238CYOtherExpensesAmt
PY Total Expenses$8,032,479PYTotalExpensesAmt
CY Total Expenses$7,803,773CYTotalExpensesAmt
PY Revenues Less Expenses-$211,545PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$140,151CYRevenuesLessExpensesAmt
Total Assets BOY$7,148,618TotalAssetsBOYAmt
Total Assets EOY$6,758,811TotalAssetsEOYAmt
Total Liabilities BOY$2,450,188TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,191,372TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,698,430NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,567,439NetAssetsOrFundBalancesEOYAmt
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$6,365,877ExpenseAmt
Revenue$7,639,399RevenueAmt
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 15,898 MEDICAID DAYS, 3,751 MEDICARE DAYS AND 28,418 TOTAL NURSING HOME DAYS IN 2015. 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 9,831 BED DAYS IN 2015.Desc
Total Program Service Expenses$6,365,877TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee272EmployeeCnt
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 Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 Line1244 N MACY STREETAddressLine1Txt
CityFOND DU LACCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54935ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TERRY SCHLEIF
CHAIRPERSON0.501.10Yes (X)Yes (X)$0$0$0
DICK KLEINFELDT
SECRETARY0.500.00Yes (X)Yes (X)$0$0$0
KIM SUHS
TREASURER0.502.10Yes (X)Yes (X)$0$0$0
MARI BETH BOREK
CEO UNTIL MARCH 201510.0030.00Yes (X)$62,318$0$13,157
GARY THORPE
CHIEF HUMAN RESOURCES OFFICER40.000.00Yes (X)$62,897$0$670
SAMER ABADEER
NURSING HOME ADMINISTRATOR40.000.00Yes (X)$42,644$0$2,108
DEAN DESILET
CHIEF CHAPLAINCY OFFICER/INTERIM ADMINISTRATOR10.0030.00Yes (X)$39,307$0$6,164
JOHN EYERS
CFO FROM JULY 2014 THROUGH MARCH 201510.0030.00Yes (X)$10,285$0$0
JERRY KELM
CFO EFFECTIVE MARCH 201510.0030.00Yes (X)$38,269$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$255,720TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$22,099TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VALLEY BAY THERAPY INC
3305C NORTH BALLARD RDAPPLETONWI54911THERAPY (PT, OT AND SPEECH) PROVIDER$480,799
REINHART FOOD SERVICE
2655 E RICHMOND STSHAWANOWI54166FOOD AND RELATED SUPPLIER$205,248
OMNICARE INC
DEPT 781668DETROITMI48278PHARMACY$158,413
WISCONSIN DEPT OF HEALTH SERVICES
BOX 93594MILWAUKEEWI53293BED LICENSES$127,840
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
NURSING HOME623000$6,545,628$6,545,628
RESIDENTIAL FACILITY623000$1,041,974$1,041,974
BEAUTY SHOP REVENUE900099$25,305$25,305
FieldValueIRS element (for citing)
Total Program Service Revenue$7,612,907TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$697TotalRevenueColumnAmt
Exclusion$697ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,779OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,779OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,779TotalRevenueColumnAmt
Exclusion-$1,779ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC REVENUEDesc
Business623000BusinessCd
Total Revenue Column$51,797TotalRevenueColumnAmt
Related Or Exempt Func Income$51,797RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$51,797OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,663,622TotalRevenueColumnAmt
Related Or Exempt Func Income$7,639,399RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,223ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$146,071TotalAmt
Program Services$139,674ProgramServicesAmt
Management And General$6,397ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,001,532TotalAmt
Program Services$3,497,402ProgramServicesAmt
Management And General$504,130ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,458TotalAmt
Program Services$8,629ProgramServicesAmt
Management And General$16,829ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$494,502TotalAmt
Program Services$78,541ProgramServicesAmt
Management And General$415,961ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$707,972TotalAmt
Program Services$641,569ProgramServicesAmt
Management And General$66,403ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$59,515TotalAmt
Program Services$41,035ProgramServicesAmt
Management And General$18,480ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,293TotalAmt
Program Services$640ProgramServicesAmt
Management And General$34,653ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$380,603TotalAmt
Program Services$354,517ProgramServicesAmt
Management And General$26,086ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$37,185TotalAmt
Program Services$23,211ProgramServicesAmt
Management And General$13,974ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$72,710TotalAmt
Program Services$2,421ProgramServicesAmt
Management And General$70,289ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$282,734TotalAmt
Program Services$282,734ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,153TotalAmt
Program Services$3,305ProgramServicesAmt
Management And General$1,848ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$75,507TotalAmt
Program Services$75,507ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$462,817TotalAmt
Program Services$462,817ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$74,943TotalAmt
Management And General$74,943ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$469,462$469,462
BAD DEBT EXPENSE$92,184$92,184
REPAIRS AND MAINTENANCE$49,241$46,499$2,742
INSTRUCTIONS & TRAINING$29,333$13,154$16,179

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$301,558TotalAmt
Program Services$132,576ProgramServicesAmt
Management And General$168,982ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,803,773TotalAmt
Program Services$6,365,877ProgramServicesAmt
Management And General$1,437,896ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$873,729BOYAmt
EOY$846,865EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$876,766BOYAmt
EOY$793,381EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$55,787BOYAmt
EOY$74,758EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,600,645LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,451,427LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,459,808BOYAmt
EOY$4,149,218EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$882,528BOYAmt
EOY$894,589EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,148,618BOYAmt
EOY$6,758,811EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$543,910BOYAmt
EOY$437,984EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$637,959BOYAmt
EOY$651,388EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,267,063BOYAmt
EOY$1,102,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,256BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,450,188BOYAmt
EOY$2,191,372EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,640,858BOYAmt
EOY$4,500,735EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$57,572BOYAmt
EOY$66,704EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,698,430BOYAmt
EOY$4,567,439EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,148,618BOYAmt
EOY$6,758,811EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$140,151ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$9,160OtherChangesInNetAssetsAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
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 Minus2 Years$1,300,682CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$462CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$1,301,144TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,375,558CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,259,222CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,976,587CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,674,197CurrentTaxYearMinus1YearAmt
Current Tax Year$7,612,907CurrentTaxYearAmt
Total$40,898,471TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,375,558CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,259,222CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,277,269CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,674,659CurrentTaxYearMinus1YearAmt
Current Tax Year$7,612,907CurrentTaxYearAmt
Total$42,199,615TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$178,226CurrentTaxYearAmt
Total$178,226TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$178,226CurrentTaxYearAmt
Total$178,226TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$42,021,389PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$883CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$775CurrentTaxYearMinus1YearAmt
Current Tax Year$697CurrentTaxYearAmt
Total$6,604TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$883CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$775CurrentTaxYearMinus1YearAmt
Current Tax Year$697CurrentTaxYearAmt
Total$6,604TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$45,748CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$145,500CurrentTaxYearMinus1YearAmt
Current Tax Year$51,797CurrentTaxYearAmt
Total$243,045TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,378,606CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,260,423CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,323,900CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,820,934CurrentTaxYearMinus1YearAmt
Current Tax Year$7,665,401CurrentTaxYearAmt
Total$42,449,264TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98990PublicSupportCY509Pct
Public Support PY5090.99530PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
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$7,219,365DepreciationAmt
Book Value$3,506,321BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,694,815OtherCostOrOtherBasisAmt
Depreciation$3,146,540DepreciationAmt
Book Value$548,275BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,731OtherCostOrOtherBasisAmt
Depreciation$85,522DepreciationAmt
Book Value$34,209BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,149,218TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
INTEREST IN NET ASSETS OF FOUNDATION$66,718
DEFERRED CHARGES, NET$13,376
UNEMPLOYMENT COMP DEPOSIT$178,299
DUE FROM LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION, INC$532,889
DUE FROM LUTHERAN HOMES AND HEALTH SERVICES, INC$19,965
DUE FROM ST PETERS PLACE LLC$81,351
DUE FROM HILLS AT CORTLAND RIDGE$1,991
FieldValueIRS element (for citing)
Total Book Value Other Assets$894,589TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$7,663,622TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$7,663,622RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,663,622TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,803,773TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$7,803,773ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,803,773TotalExpensesPerForm990Amt

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 11MANAGEMENT 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:CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 9,160.
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 9N/A0
LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION INC
244 N MACY STREETFOND DU LACWI54935391466308FUND DEVELOPMENTWI501(C)(3)LINE 90LUTHERAN HOMES AND HEALTH SERVICES INC
THE HILLS AT CORTLAND RIDGE
244 N MACY STREETFOND DU LACWI54935611517711REAL ESTATE DEVELOPMENTWI501(C)(3)LINE 90LUTHERAN 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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