FOND DU LAC LUTHERAN HOME INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- FOND DU LAC LUTHERAN HOME INC (EIN 39-0806344)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-30
- IRS object ID
- 201322429349300602
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-30T08:54:21-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8010 | AddressLine1 |
| City | WAUSAU | City |
| State | WI | State |
| ZIP Code | 544028010 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390806344 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOND DU LAC LUTHERAN HOME INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | FOND | NameControl |
| Phone | 9209219520 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 244 N MACY STREET | AddressLine1 |
| City | FOND DU LAC | City |
| State | WI | State |
| ZIP Code | 549353393 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GARY WAGNER | Name |
| Title | CFO | Title |
| Phone | 9209219520 | Phone |
| Date Signed | 2013-08-29 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIMBERLY HELLER CPA | Name |
| PTIN | P00766668 | PTIN |
| Phone | 7158453111 | Phone |
| Date Prepared | 2013-08-29 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GARY WAGNER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 244 N MACY STREET | AddressLine1 |
| City | FOND DU LAC | City |
| State | WI | State |
| ZIP Code | 549353393 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8312727 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LUTHERANHOMESFONDDULAC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1939 | YearFormation |
| State Legal Domicile | WI | StateLegalDomicile |
| Activity Or Mission Description | FOND 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 288 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 9373718 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8258260 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3048 | InvestmentIncomePriorYear |
| Investment Income Current Year | -4291 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1840 | OtherRevenuePriorYear |
| Other Revenue Current Year | 962 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 9378606 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8254931 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5901792 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5437254 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3603290 | OtherExpensePriorYear |
| Other Expenses Current Year | 3242060 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9505082 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8679314 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -126476 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -424383 | RevenuesLessExpensesCY |
| Total Assets BOY | 6329731 | TotalAssetsBOY |
| Total Assets EOY | 5773959 | TotalAssetsEOY |
| Total Liabilities BOY | 1980793 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1845517 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4348938 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3928442 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | FOND 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7055403 | Expense |
| Revenue | 8220073 | Revenue |
| Description | LUTHERAN 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.SKILLED NURSING: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 24,589 MEDICAID DAYS, 4,005 MEDICARE DAYS AND 36,871 TOTAL NURSING HOME DAYS IN 2012.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 10,971 BED DAYS IN 2012. | Description |
| Total Program Service Expense | 7055403 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 13 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 288 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | WI | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY WAGNER CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9209219520 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 244 N MACY STREET | AddressLine1 |
| City | FOND DU LAC | City |
| State | WI | State |
| ZIP Code | 54935 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated |
|---|---|---|---|---|---|---|---|
| JACK POLLEI 2013 | |||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| MARTIN RYAN 2013 | |||||||
| CHAIRPERSON | 1.00 | X | X | 0 | 0 | 0 | |
| KIM SUHS 2011 | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| MARI BETH BOREK | |||||||
| CEO | 10.00 | X | 33082 | 99246 | 17343 | 30.00 | |
| GARY WAGNER | |||||||
| CFO | 25.00 | X | 49938 | 29962 | 2416 | 15.00 | |
| DEBRA BARTH | |||||||
| COO | 40.00 | X | 85486 | 0 | 13705 | 0.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 168506 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 129208 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 33464 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| VALLEY BAY THERAPY | |||||
| 3305C N BALLARD ROAD | APPLETON | WI | 54911 | CONTRACT THERAPY SERVICES | 545711 |
| REINHART FOOD SERVICE LLC | |||||
| 2655 RICHMOND STREET | SHAWANO | WI | 54166 | FOOD SERVICES | 259264 |
| ALLIANCE PHARMACY | |||||
| 407 PILOT CT STE 300 | WAUKESHA | WI | 53188 | PHARMACY SERVICES | 182411 |
| GULF SOUTH | |||||
| PO BOX 841968 | DALLAS | TX | 75284 | NURSING SUPPLIES | 127336 |
| BAND BOX | |||||
| PO BOX 299 | TOMAH | WI | 54660 | LAUNDRY SERVICES | 100036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NURSING HOME | 623000 | 4042148 | 4042148 | |
| NURSING HOME PRIVATE P | 623000 | 3083242 | 3083242 | |
| RESIDENTIAL FACILITY | 623000 | 1094683 | 1094683 | |
| BEAUTY SHOP REVENUE | 900000 | 25260 | $25,260 | |
| MISC REVENUE | 900000 | 12927 | $12,927 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8258260 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1201 | TotalRevenueColumn |
| Exclusion | $1,201 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 52304 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 57796 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -5492 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5492 | TotalRevenueColumn |
| Exclusion | -$5,492 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 962 | GrossSalesOfInventory |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 962 | TotalRevenueColumn |
| Exclusion | $962 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8254931 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8220073 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $34,858 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188057 | Total |
| Management And General | 188057 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4297013 | Total |
| Program Services | 3979921 | ProgramServices |
| Management And General | 317092 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34946 | Total |
| Program Services | 28026 | ProgramServices |
| Management And General | 6920 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 593024 | Total |
| Program Services | 415117 | ProgramServices |
| Management And General | 177907 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 324214 | Total |
| Program Services | 282768 | ProgramServices |
| Management And General | 41446 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5732 | Total |
| Management And General | 5732 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32531 | Total |
| Management And General | 32531 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1274000 | Total |
| Program Services | 945951 | ProgramServices |
| Management And General | 328049 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8694 | Total |
| Management And General | 8694 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256789 | Total |
| Program Services | 234899 | ProgramServices |
| Management And General | 21890 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5428 | Total |
| Program Services | 3170 | ProgramServices |
| Management And General | 2258 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62651 | Total |
| Program Services | 62651 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 411613 | Total |
| Program Services | 411613 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72412 | Total |
| Management And General | 72412 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 561917 | 548210 | 13707 |
| WMAP BED ASSESSMENT | 271320 | 271320 | |
| MISCELLANEOUS | 92957 | 67310 | 25647 |
| REPAIRS AND MAINTENANCE | 64603 | 54982 | 9621 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121413 | Total |
| Program Services | 20785 | ProgramServices |
| Management And General | 100628 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8679314 | Total |
| Program Services | 7055403 | ProgramServices |
| Management And General | 1623911 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 554878 | BOY |
| EOY | 368321 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1077750 | BOY |
| EOY | 1065651 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13397 | BOY |
| EOY | 9245 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 49861 | BOY |
| EOY | 41820 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11939815 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 9273389 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2992411 | BOY |
| EOY | 2666426 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1641434 | BOY |
| EOY | 1622496 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6329731 | BOY |
| EOY | 5773959 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 562202 | BOY |
| EOY | 635511 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1062087 | BOY |
| EOY | 887494 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 356504 | BOY |
| EOY | 322512 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1980793 | BOY |
| EOY | 1845517 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3251627 | BOY |
| EOY | 2879548 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1097311 | BOY |
| EOY | 1048894 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4348938 | BOY |
| EOY | 3928442 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6329731 | BOY |
| EOY | 5773959 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -424383 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 3887 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9798662 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9817268 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9367679 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9319085 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8220073 | CurrentTaxYear |
| Total | 46522767 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 37144 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 39382 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 71299 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 60385 | CurrentTaxYearMinus1Year |
| Current Tax Year | 39149 | CurrentTaxYear |
| Total | 247359 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9835806 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9856650 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9438978 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9379470 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8259222 | CurrentTaxYear |
| Total | 46770126 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 46770126 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6182 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9017 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10059 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3048 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1201 | CurrentTaxYear |
| Total | 29507 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6182 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9017 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10059 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3048 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1201 | CurrentTaxYear |
| Total | 29507 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9841988 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9865667 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9449037 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9382518 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8260423 | CurrentTaxYear |
| Total | 46799633 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99940 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99930 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00060 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00070 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 60413 | InvestmentCostOrOtherBasis |
| Book Value | 60413 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 8512671 | InvestmentCostOrOtherBasis |
| Depreciation | 6377114 | Depreciation |
| Book Value | 2135557 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3247000 | InvestmentCostOrOtherBasis |
| Depreciation | 2819250 | Depreciation |
| Book Value | 427750 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 119731 | InvestmentCostOrOtherBasis |
| Depreciation | 77025 | Depreciation |
| Book Value | 42706 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2666426 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST IN NET ASSETS OF FOUNDATION | 1048894 |
| DEFERRED CHARGES, NET | 15049 |
| UNEMPLOYMENT COMP DEPOSIT | 177631 |
| DUE FROM LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION, INC. | 142554 |
| DUE FROM LUTHERAN HOMES AND HEALTH SERVICES, INC. | 148534 |
| DUE FROM ST. PETERS PLACE LLC | 89834 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1622496 | TotalBookValueOtherAssets |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 8254931 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 8254931 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8254931 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8679314 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 8679314 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 8679314 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE LUTHERAN HOME HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOQNIZED TAX BENEFITS. LUTHERAN HOME'S FEDERAL RETURNS FOR TAX YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY INTERNAL REVENUE SERVICE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | FOND DU LAC LUTHERAN HOME, INC. HAS A SINGLE CLASS OF MEMBERS, AND THE SOLE MEMBER OF THAT CLASS IS LUTHERAN HOMES AND HEALTH SERVICES, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER ELECTS THE MEMBERS OF THE GOVERNING BODY. | |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY ITS MEMBER. | |
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO SUBCOMMITTEES OF THE GOVERNING BODY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT COPY OF THE TAX RETURN IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FINALIZED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | WRITTEN DISCLOSURE COMPLETED ANNUALLY AND SHARED WITH THE BOARD, MEMBERS DISCLOSE POTENTIAL CONFLICTS AT THE TIME OF DISCUSSION AND STATES CASE. THE MEMBER IS THEN EXCUSED BY THE BOARD CHAIR WHILE THE BOARD DETERMINES IF A CONFLICT EXISTS. A MEMBER IS ABSTAINED FROM VOTING IF THERE IS DEEMED TO BE A CONFLICT. ALL BOARD MINUTES REFLECT DISCLOSURE AND ACTIONS TAKEN. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THERE IS AN ANNUAL WRITTEN EVALUATION COMPLETED BY EACH LUTHERAN HOMES AND HEALTH SERVICES BOARD MEMBER. THE BOARD THEN DISCUSSES PERFORMANCE IN EXECUTIVE SESSION AND THE EXECUTIVE COMMITTEE RECOMMENDS COMPENSATION BASED ON CURRRENT COMPARABILITY DATA AND PERFORMANCE OBJECTIVES. THE CEO DOES AN ANNUAL WRITTEN EVALUATION AND THE AMOUNT OF COMPENSATION IS BASED ON THE CURRENT AREA COMPARABILITY DATA, ANNUAL EVALUATION, AND PERFORMANCE OBJECTIVES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VII | LUTHERAN HOMES AND HEALTH SERVICES, INC., LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION, INC., AND FOND DU LAC LUTHERAN HOMES, INC. HAVE FORMED A COMMON PAY MASTER. MARI BETH BOREK'S, GARY WAGNER'S, AND DEBRA BARTH'S SALARY ARE PAID BY FOND DU LAC LUTHERAN HOME THORUGH COMMON PAY MASTER, BUT IS DEEMED PAID BY LUTHERAN HOMES AND HEALTH SERVICES, INC. AND LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION, INC. | |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 943,178. MANAGEMENT AND GENERAL EXPENSES 316,938. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,260,116. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,111. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,111. AMORTIZATION EXPENSE: PROGRAM SERVICE EXPENSES 2,773. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,773. | OTHER FEES |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 3,887. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. ONCE THE AUDIT COMMITTEE APPROVES THE FINANCIAL STATEMENTS, THEY SUBMIT THE FINANCIAL 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. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LUTHERAN HOMES AND HEALTH SERVICES INC | |||||||||||
| 244 N MACY STREET | FOND DU LAC | WI | 54935 | 392032901 | PROVIDE MANAGEMENT SERVICES TO FOND DU LAC LUTHERAN HOME, INC. | WI | 501(C)(3) | LINE 9 | N/A | 0 | |
| LUTHERAN HOMES AND HEALTH SERVICES FOUNDATION INC | |||||||||||
| 244 N MACY STREET | FOND DU LAC | WI | 54935 | 391466308 | FUND DEVELOPMENT | WI | 501(C)(3) | LINE 9 | 0 | LUTHERAN HOMES AND HEALTH SERVICES INC | |
| THE HILLS AT CORTLAND RIDGE | |||||||||||
| 244 N MACY STREET | FOND DU LAC | WI | 54935 | 611517711 | INACTIVE | WI | 501(C)(3) | LINE 9 | 0 | LUTHERAN HOMES AND HEALTH SERVICES INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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