2014-08-14T10:32:12-05:00 2013-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2013-01-01 390790565 OAKWOOD LUTHERAN HOMES ASSOCIATION INC OAKW 6082304257 6165 MINERAL POINT ROAD MADISON WI 53705 RICK BOVA CFO 6082304257 2014-08-11 1 KIMBERLY A HAUMANN P00546491 3122071040 2014-08-11 2013 2015-11-30 17:44:51Z RICK BOVA 6165 MINERAL POINT ROAD MADISON WI 53705 17614695 0 X WWW.OAKWOODVILLAGE.NET X 1948 WI OAKWOOD IS A LUTHERAN CHURCH SPONSORED ORGANIZATION WHOSE MISSION IS TO SERVE AGING ADULTS. 13 13 931 79 0 0 143476 1038869 14460271 16575826 4 0 0 0 14603751 17614695 0 0 0 0 9099023 9730994 0 0 0 4610919 7066992 13709942 16797986 893809 816709 17581510 18048550 6916368 7385934 10665142 10662616 OAKWOOD IS A LUTHERAN MINISTRY SERVING GENERATIONS OF AGING ADULTS, ENCOURAGING INDIVIDUALITY, WORTH AND WELL-BEING THROUGHOUT LIFE. 0 0 13318022 14581700 HEBRON OAKS IS A 95 BED SKILLED NURSING FACILITY, PROVIDING NURSING SERVICES, THERAPY SERVICES, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT, AND ACTIVITIES. DURING 2013, THERE WERE 29,567 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 OPERATION/MAINTENANCE, PHARMACY AND REHABILITATION SERVICES ARE ALSO PROVIDED AS PART OF THE OVERALL SERVICES RENDERED. 2447092 2924297 COVENANT OAKS IS A 40 BED DEMENTIA-SPECIFIC ASSISTED LIVING FACILITY. DURING 2013, THERE WERE 12,955 CENSUS DAYS OF CARE FOR THESE RESIDENTS. PAYER SOURCES FOR THESE RESIDENT DAYS INCLUDE PRIVATE PAY AND LIMITED MEDICAID-TYPE PROGRAMS. RESIDENTS WHO ARE NOT ELIGIBLE FOR PUBLIC ASSISTANCE AND ARE UNABLE TO PAY ARE SUBSIDIZED INTERNALLY. THE SERVICES PROVIDED INCLUDE NURSING, RESIDENT ASSISTANCE, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT, RECREATIONAL ACTIVITIES, AND SPIRITUAL CARE. 15765114 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 60 0 1 931 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 RICK BOVA 6082304365 6165 MINERAL POINT ROAD MADISON WI 53705 BERNARD KNESTING CHAIR OF THE BOARD 2.00 2.00 X 0 0 0 KEITH YELINEK VICE CHAIR OF THE BOARD 2.00 0.00 X 0 0 0 TOM HANSON TREASURER 2.00 0.00 X 0 0 0 TERRY HANSON SECRETARY 2.00 0.00 X 0 0 0 BRETT ARMSTRONG DIRECTOR 2.00 0.00 X 0 0 0 DARRELL BEHNKE DIRECTOR 2.00 0.00 X 0 0 0 BARBARA GESSNER DIRECTOR 2.00 0.00 X 0 0 0 ALICE GUSTAFSON DIRECTOR 2.00 2.00 X 0 0 0 GARY HERTEL DIRECTOR 2.00 0.00 X 0 0 0 SARAH KRUGER DIRECTOR 2.00 0.00 X 0 0 0 LARRY JENKINS DIRECTOR 2.00 0.00 X 0 0 0 PAUL SCHMIDT DIRECTOR 2.00 0.00 X 0 0 0 REV BILL WHITE DIRECTOR 2.00 0.00 X 0 0 0 EARL THAYER DIRECTOR 2.00 0.00 X 0 0 0 JOE XANTHOPOULOS CEO 12.00 28.00 X 221671 0 19627 BARBARA FRASER CFO THRU MARCH 2013 22.00 18.00 X 74113 0 4896 RICK BOVA CFO 12.00 28.00 X 57805 0 1075 GERALD KELM SPECIAL PROJECTS 11.00 29.00 X 108894 0 15464 TRACI RAETHER CHIEF CLINICAL OFFICER 40.00 0.00 X 142889 0 21287 ALAN LUKAZEWSKI PHARMACY DIRECTOR 40.00 0.00 X 133508 0 4678 LORI VAN DALEN VP HUMAN RESOURCES 12.00 28.00 X 104854 0 10021 843734 0 77048 5 0 1 0 VOGEL BROS BUILDING CO 2701 PACKERS AVENUE MADISON WI 53704 CONSTRUCTION 1476432 MORRISON MANAGEMENT SPECIALISTS 6710 W MAPLE ROAD WEST BLOOMFIELD TOWNSH MI 48322 DINING SERVICES 1231457 S B & A 207 W FRANKLIN ST RICHMOND VA 23220 CAMPUS MARKETING 316960 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA CHICAGO IL 60606 ACCOUNTING 267275 VB MAT LLC 2701 PACKERS AVE P O BOX 7696 MADISON WI 53707 SITE PLANING/DESIGN 205958 6 1038869 1038869 SERVICE FEES 812900 12951063 12951063 PHARMACY 446110 3137603 3137603 OCCUPATIONAL/PHYSICAL THERAPY 900099 461064 461064 SPECIAL FEES & SERVICES 812900 23096 23096 ACCOMODATION FEES 900099 3000 3000 16575826 17614695 16575826 0 0 155094 155094 8293246 7980577 312669 79358 66007 13351 588388 546813 41575 614908 579724 35184 35213 37 35176 58983 58983 41043 41043 847908 691422 156486 78793 75581 3212 380960 269642 111318 650845 627370 23475 18804 13553 5251 10000 7000 3000 30186 30186 657759 632960 24799 121438 119805 1633 PHARMACY SUPPLIES & DIN 2387748 2387748 BAD DEBT/WI T19 TAX 514786 514786 MEDICAL/OPERATING SUPPL 468513 457890 10623 DINNING FOOD COST 403919 403919 360094 360094 16797986 15765114 1032872 0 904409 1270084 1218538 1961876 272495 311117 365822 6517 21659070 12664218 7430006 8994852 7390240 5504104 17581510 18048550 3273116 3465113 6771 587713 3266020 3017090 370461 316018 6916368 7385934 X 9488861 9488861 1176281 1173755 10665142 10662616 17581510 18048550 X 816709 -819235 X 0 1 X 1 1 1 X 209987 154640 188746 143476 1038869 1735718 15270672 16428742 16931860 14460271 16575826 79667371 15480659 16583382 17120606 14603747 17614695 81403089 0 0 0 81403089 56 719 1269 4 2048 56 719 1269 4 2048 15480715 16584101 17121875 14603751 17614695 81405137 1.00000 0.99990 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 317519 317519 15775724 9132387 6643337 4507657 3262671 1244986 1058170 269160 789010 8994852 RECEIVABLE FROM AFFILIATES 5032026 BOND ISSUANCE COSTS 54705 INTEREST IN NET ASSETS OF OAKWOOD FOUNDATION 357045 CARE COMMUNITY CONTRIBUTION 60328 5504104 WAIT LIST DEPOSITS 16000 CONDITIONAL ASSET RETIREMENT OBLIGATION 158555 INTEREST RATE SWAPS 141463 316018 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATIONS AND RECOGNIZE A TAX LIABILITY IF THE CORPORATIONS HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATIONS AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATIONS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATIONS BELIEVE THEY ARE NO LONGER SUBJECT TO U.S. FEDERAL, STATE, LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. X X X X 1 0 0 0 0 0 0 0 0 JOE XANTHOPOULOS CEO 200000 0 21400 0 271 0 3583 0 16044 0 241298 0 0 0 TRACI RAETHER CHIEF CLINICAL OFFICER 142743 0 0 0 146 0 5243 0 16044 0 164176 0 0 0 PART I, LINE 3 THE ORGANIZATION ESTABLISHES THE COMPENSATION FOR ITS CHIEF EXECUTIVE OFFICER. THE ORGANIZATION USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE AS ITS METHODS FOR ESTABLISING THE COMPENSATION FOR ITS CHIEF EXECUTIVE OFFICER. PART I, LINE 4A BARBARA FRASER RECEIVED $35,000 OF SEVERANCE PAY IN 2013. A WI HEALTH & EDUC FACILITY AUTHORITY 391337855 97710VRX8 2003-12-01 12690000 TO REFINANCE DEBT ORIGINALLY USED FOR COVENANT OAKS AND GALLERY REMODEL 0 0 0 B WI HEALTH & EDUC FACILITY AUTHORITY 391337855 2005-03-01 36555000 CONSTRUCTION OF 124 LIFETIME LEASE INDEPENDENT LIVING UNITS (HERITAGE OAKS) 0 0 0 A 3595000 12690000 12690000 240215 1999 0 1 1 1 B 390500 36555000 548096 36006904 2006 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 A 0 B 0 SCHEDULE K SUPPLENTAL INFORMATION BOND ISSUES THE TOTAL BONDS ISSUED FOR THE 2003 AND 2005 SERIES ARE SHOWN ON SCHEDULE K FOR THE FOUR AFFILIATED CORPORATIONS. EACH ENTITY SHOWS THEIR SHARE OF THE REMAINING BONDS OUTSTANDING AT YEAR END 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 11 THE FORM 990 IS INITIALLY REVIEWED BY THE FINANCE COUNCIL. THE RETURN IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. THE BOARD OF DIRECTORS OF THE PARENT ORGANIZATION ACCEPTS AND APPROVES THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISCUSSED IN BOARD ORIENTATIONS AND IS PROVIDED TO THE BOARD MEMBERS IN THEIR "NEW BOARD MEMBER PACKET", AND ANNUALLY IN THE "UPDATE PACKET" 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 SEPERATE COMMITTEE AUTHORIZED BY THE BOARD. 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/CEOS, AS GATHERED BY THE HR COMMITTEE (THE STANDING COMMITTEE OF THE BOARD), AND REVIEWED THE CEO'S PERFORMANCE IN COMPARISON TO PRE-DETERMINED GOALS. THE BOARD COMMITTEE DOCUMENTED THE BASIS FOR ITS DETERMINATION OF THE CEO'S COMPENSATION CONCURRENT WITH MAKING THAT DETERMINATION. BASED ON ITS DETERMINATION, THE BOARD COMMITTEE THEN MAKES COMPENSATION RECOMMENDATIONS AT AN EXECUTIVE SESSION 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 APPROPRIATE 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 -819,235. FORM 990, PART VII, SECTION A: JOE XANTHOPOULOS RESIGNED AS CEO IN FEBRUARY 2014 AND RICK BOVA WAS APPOINTED INTERIM CEO. OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC 6165 MINERAL POINT RD MADISON WI 53705 237401541 CHRISTIAN COMMUNITY FOR 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 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 AGING ADULTS WI 501(C)(3) LINE 9 OAKWOOD LUTHERAN HOMES ASSOCIATION INC 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS O 4482610 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES O 5816741 FMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS O 1233043 FMV OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS P 6510373 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES P 3897849 FMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS P 2399408 FMV OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS Q 11789444 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES Q 9381514 FMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS Q 2936948 FMV