2015-09-30T10:53:35-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-01-01 390981434 UNITED LUTHERAN PROGRAM FOR THE AGING INC UNIT 4144643880 4545 NORTH 92ND STREET WAUWATOSA WI 53225 ELIZABETH DIEHL CFO 4144643880 2015-09-23 1 KIMBERLY ANDERSON CPA P00188889 6123764500 2014 2016-02-25 16:41:14Z STEPHANIE CHEDID 4545 NORTH 92ND STREET WAUWATOSA WI 53225 68946220 0 X WWW.LUTHERMANOR.ORG X 1957 WI SHARE GOD'S LOVE BY ENRICHING THE LIVES OF OLDER ADULTS THROUGH EXCELLENT HOUSING, CARE, & SERVICES. 15 15 809 544 0 0 857369 1118841 34193107 34065374 1341344 1059011 110797 219486 36502617 36462712 0 0 0 0 21891044 21213798 0 0 37564 14154068 14537468 36045112 35751266 457505 711446 54775419 55211165 32670141 31731501 22105278 23479664 X TO SHARE GOD'S LOVE BY ENRICHING THE LIVES OF OLDER ADULTS THROUGH EXCELLENT HOUSING, CARE & SERVICES. 0 0 18292117 19345921 LUTHER MANOR HEALTH CARE CENTER PROVIDES SKILLED NURSING CARE AND SERVICES FOR FRAIL ELDERLY. WITHIN THE HEALTH CARE CENTER IS A DEDICATED 31 UNIT TRANSITIONAL CARE REHABILITATION CENTER. THE FACILITY IS LICENSED FOR PARTICIPATION IN BOTH MEDICARE AND MEDICAID. 6774280 7164545 THE LUTHER MANOR TERRACE (LMT) PROVIDES SAFE AND SUPPORTIVE INDEPENDENT LIVING HOUSING AND SERVICES FOR OLDER ADULTS. APARTMENT RESIDENTS OFTEN CHOOSE THE LMT IN ORDER TO BECOME PART OF A CONTINUING CARE RETIREMENT COMMUNITY (CCRC) SETTING. THE LMT SERVICES AND AMENITIES INCLUDE LIFE ENRICHMENT OPPORTUNITIES, TRANSPORTATION SERVICES, DINING PROGRAM, SPIRITUAL WELLNESS, FITNESS, HEALTH, ENTERTAINMENT AND CULTURAL PROGRAMS. THE LMT ALSO PROVIDES PERSONAL CARE SERVICES TO RESIDENTS THROUGH THE "RESIDENTAIL CARE APARTMENT COMPLEX" RCAC PROGRAM, WHICH HELPS RESIDENTS MAINTAIN INDEPENDENT LIVING. 4671605 4940735 THE COURTYARDS AT LUTHER MANOR PROVIDES SUPPORTIVE (ASSISTED) LIVING SERVICES FOR FRAIL ELDERLY WHO RESIDE IN LUTHER MANOR'S LICENSED "COMMUNITY BASED RESIDENTIAL FACILITY (CBRF)" KNOWN AS THE COURTYARD AT LUTHER MANOR. THE COURTYARDS PROGRAM ALSO INCLUDES "MEMORY CARE" SERVICES FOR PERSONS WITH ALZHEIMER'S DISEASE AND OTHER FORMS OF DEMENTIA. 2471775 2614173 UNITED LUTHERAN PROGRAM FOR THE AGING, INC. OFFERS ADDITIONAL SERVICES INCLUDING: LUTHER MANOR ADULT DAY CENTER, LUTHER MANOR RIVER OAKS - A 16 UNIT ASSITED LIVING FACILITY LOCATED IN MEQUON, WISCONSIN, AND ADULT DAY CENTER IN GRATON, WISCONSIN, AND HOSPICE SERVICES. 2471775 2614173 32209777 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 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 0 0 0 1 40 0 809 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X X ELIZABETH DIEHL CFO 4144643880 4545 NORTH 92ND STREET WAUWATOSA WI 53225 DALE KIRCHNER CHAIR 1.00 X X 0 0 0 WILLIAM PICKERING IMMEDIATE PAST CHAIR 1.00 X X 0 0 0 LARRY NINES TREASURER 1.00 X X 0 0 0 MARILYN LANGE DIRECTOR 0.50 X 0 0 0 DAVID ANDERSON DIRECTOR 0.50 X 0 0 0 KATHLEEN CZARNIAK SECRETARY 0.50 X 0 0 0 JAMES HOFFMAN DIRECTOR 0.50 X 0 0 0 STEVE KNOWLES DIRECTOR 0.50 X 0 0 0 MARK SABIN DIRECTOR 0.50 X 0 0 0 TERRY WUSSOW DIRECTOR 0.50 X 0 0 0 MELANIE VARIN DIRECTOR 0.50 X 0 0 0 ELAINE SCHMEDA DIRECTOR 0.50 X 0 0 0 WILLIAM KNAPP DIRECTOR 0.50 X 0 0 0 TIMOTHY SCHOEWE DIRECTOR 0.50 X 0 0 0 JOHN SILSETH DIRECTOR 0.50 X 0 0 0 DAVID BEINLICH INTERIM PRESIDENT 35.00 5.00 X 154492 0 15771 ELIZABETH DIEHL ASST TREASURER/CFO 37.00 3.00 X 132147 0 6509 LUANNE SCHMIDT EMPLOYEE 40.00 X 104677 0 13229 DAVID SMITH EMPLOYEE 40.00 X 127049 0 21960 LARRY SWANKE EMPLOYEE 40.00 X 109899 0 20593 JAMES STROM EMPLOYEE 40.00 X 107784 0 22466 REVEREND DAVID KELLER PRESIDENT/CEO - FORMER 0.00 X 101127 0 16583 837175 0 117111 7 1 1 0 SODEXO 4880 PAYSHPERE CIRCLE CHICAGO IL 60674 FOOD SERVICE 2286569 HEALTHREACH REHABILITATION 17280 W NORTH AVENUE BROOKFIELD WI 53045 THERAPY SERVICES 1396647 JOHNSON CONTROLS PO BOX 905240 CHARLOTTE NC 28290 HVAC SERVICES 270453 HOME DEPOT 4155 N PORT WASHINGTON RD MILWAUKEE WI 53212 CONSTRUCTION SERVICES 159199 4 875142 243699 1118841 RESIDENT SERVICES 623000 33270026 33270026 FOUNDERS FEES 623990 795348 795348 34065374 827057 827057 32599120 6545 32373711 0 225409 6545 231954 231954 125579 109797 15782 15782 OTHER INCOME 900099 140856 140856 CAFETERIA INCOME 900099 43447 43447 HOUSEKEEPING 900099 19401 19401 203704 36462712 34065374 0 1278497 426629 426629 16374860 14445225 1907004 22631 467676 298414 169262 2732404 2129952 596533 5919 1212229 1084086 126608 1535 165272 165272 444829 415091 29738 161822 153417 1646 6759 147150 32643 114507 200462 58683 141779 1660567 1660567 4424 2151 2157 116 40645 39679 966 485012 485012 2707171 2707171 176783 176783 DINING FOOD AND SUPPLIE 2836708 2836708 PHARMACEUTICALS 2172128 2172128 ANCILLARIES 1429559 1429559 SUPPLIES 1407197 1275874 130719 604 497739 380005 117734 35751266 32209777 3503925 37564 1560621 1961541 12835 18851 2266568 2462356 219007 196696 462073 457009 85488970 60982158 25957123 24506812 22680624 24038681 919741 920111 141168 99129 555659 549979 54775419 55211165 3701618 3815228 20040000 18855000 59043 58583 8869480 9002690 32670141 31731501 X 21975755 23330763 129523 148901 22105278 23479664 54775419 55211165 711446 662940 0 X X 0 1 X 1 0 X 1221565 937797 784613 857369 1118841 4920185 35605203 36276909 35180425 34193107 34065374 175321018 36826768 37214706 35965038 35050476 35184215 180241203 0 0 0 180241203 906875 960799 1062625 1215998 827057 4973354 906875 960799 1062625 1215998 827057 4973354 309563 217241 235261 218884 329283 1310232 38043206 38392746 37262924 36485358 36340555 186524789 0.96630 0.96650 0.02670 0.02710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 336497 336497 62096125 43896435 18199690 20819855 15585729 5234126 2236493 1499994 736499 24506812 FOUNDERS FEES 9002690 9002690 X 36353671 19865 19865 36333806 128906 128906 36462712 35751266 0 35751266 0 35751266 PART IV, LINE 2B: RESIDENT FUNDS ARE HELD BY THE ORGANIZATION WHICH RESIDENTS CAN ACCESS IF IN NEED OF ANY AMOUNT OF MONEY IN WHICH THE RESIDENT HAS ENTRUSTED THE ORGANIZATION. THESE FUNDS ARE OFTEN USED FOR MINOR PURCHASES. THIS ASSET IS IN CORRELATION WITH A LIABILITY FOR THE SAME AMOUNT. PART X, LINE 2: THE CORPORATION IS A NONPROFIT CORPORATION EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE CORPORATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE CORPORATION FOLLOWS THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE CORPORATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION, WHICH ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE INFORMATION RETURNS FOR THE YEARS 2011 TO 2013 ARE OPEN TO EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 19,865. PART XI, LINE 4B - OTHER ADJUSTMENTS: TEMPORARY RESTRICTED CONTRIBUTIONS 128,906. X X 1 1 X X X X X 1 0 0 0 0 0 0 1 0 DAVID BEINLICH INTERIM PRESIDENT 114705 0 35000 0 4787 0 7794 0 7977 0 170263 0 0 0 REVEREND DAVID KELLER PRESIDENT/CEO - FORMER 26561 0 0 0 74566 0 5769 0 10814 0 117710 0 0 0 PART I, LINE 4A DAVID KELLER, SEVERANCE AGREEMENT - $37,782 PART I, LINE 7 DISCRETIONARY BONUSES PAID TO DAVID BEINLICH AND ELIZABETH DIEHL. A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2012-08-29 21170000 REFUNDING OF 2009 BONDS AND FUNDING CAPITAL PROJECTS 0 0 0 A 2315000 21170000 2270000 18900000 2012 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPRISED OF NOT LESS THAN FIVE MEMBERS OF THE BOARD AND IS CHAIRED BY THE CHAIR OF THE BOARD. THEY ARE GIVEN AUTHORITY BY THE BOARD TO PERFORM SPECIFIC FUNCTIONS, INCLUDING THE ANNUAL REVIEW OF THE CEO. WHEN THE FULL BOARD CAN NOT MEET, IN AN EMERGENCY SITUATION, THEY ARE AUTHORIZED TO EXERCISE ALL POWER OF THE BOARD EXCEPT ACTIONS RELATED TO ELECTION OF OFFICER OR FILLING VACANCIES. FORM 990, PART VI, SECTION A, LINE 6 UNITED LUTHERAN PROGRAM FOR THE AGING, INC. HAS TWO CLASSES OF MEMBERS: CONGREGATIONAL MEMBERS AND AFFILIATE MEMBERS. CONGREGATIONAL MEMBERS CONSIST OF CONGREGATIONS OF THE EVANGELICAL LUTHERAN CHURCH OF AMERICA THAT FROM TIME TO TIME ARE INVITED AND ELECT TO BECOME CONGREGATIONAL MEMBERS. AFFILIATE MEMBERS CONSIST OF ALL CORPORATIONS, CONGREGATIONS, ASSOCIATIONS, AND INDIVIDUALS COMMITTED TO THE PURPOSES OF THE ORGANIZATION WHO FROM TIME TO TIME ARE INVITED AND ELECTED TO BECOME AFFILIATE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A EACH CONGREGATIONAL MEMBER IS ENTITLED TO VOTING RIGHTS AND THE MEMBERS ARE RESPONSIBLE FOR ELECTING ALL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CONGREGATION MEMBERS RATIFY THE ACTIONS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE MEMBERS OF THE BOARD OF DIRECTORS OF UNITED LUTHERAN PROGRAM FOR THE AGING, INC. HAVE THE OPPORTUNITY TO REVIEW THE FORM 990 PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. ADDITIONALLY, THE POLICY IS REVIEWED ANNUALLY BY THE BOARD. AT BOARD MEETINGS, BOARD MEMBERS REFRAIN FROM VOTING ON MATTERS IN WHICH THEY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S EXECUTIVE COMMITTEE ANNUALLY REVIEWS THE REASONABLENESS OF THE PRESIDENT'S COMPENSATION USING COMPARABILITY DATA, AND ALSO EVALUATES HIS PERFORMANCE. THE COMPENSATION OF THE PRESIDENT AND OTHER CERTAIN OFFICERS OF THE ORGANIZATION WAS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST AND ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS OF UNITED LUTHERAN PROGRAM FOR THE AGING, INC. ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION WILL CONSIDER REQUESTS AND MAKE THE DOCUMENTS AVAILABLE BASED ON FACTS AND CIRCUMSTANCES OF THE REQUEST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED DURING THE YEAR. LUTHER MANOR FOUNDATION 4545 NORTH 92ND STREET MILWAUKEE WI 53225 391499823 PROGRAM GRANT TO UNITED LUTHERAN PROGRAM FOR THE AGING, INC. WI 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 1