FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN HOMES OF OCONOMOWOC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOMES OF OCONOMOWOC INC (EIN 39-0845016)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-10
IRS object ID
201202239349301815
Schema version
2011v1.2
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)
Timestamp2012-08-10T16:42:16-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN390758449EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110000 INNOVATION DRIVE SUITE 250AddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code532264837ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390845016EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOMES OF OCONOMOWOC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLUTHNameControl
Phone2625678341Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 208AddressLine1
CityOCONOMOWOCCity
StateWIState
ZIP Code53066ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOAN BIRRName
TitleCFOTitle
Phone2625678341Phone
Date Signed2012-08-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAY ADKISSON CPAName
PTINP01360892PTIN
Phone4144319300Phone
Date Prepared2012-08-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOAN BIRRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 208AddressLine1
CityOCONOMOWOCCity
StateWIState
ZIP Code53066ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19690349GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LHO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1939YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionREFLECTING CHRIST'S LOVE WE PROVIDE HOMES AND RESOURCES FOR SENIORS AS A CONTINUING CARE RETIREMENT COMMUNITY AND PROVIDER OF COMMUNITY BASED SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees422TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI93914TotalGrossUBI
Net Unrelated Business Txbl Income-33185NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year199452ContributionsGrantsPriorYear
Contributions Grants Current Year207406ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17349784ProgramServiceRevenuePriorYear
Program Service Revenue CY17217423ProgramServiceRevenueCY
Investment Income Prior Year311100InvestmentIncomePriorYear
Investment Income Current Year128910InvestmentIncomeCurrentYear
Other Revenue Prior Year85554OtherRevenuePriorYear
Other Revenue Current Year114494OtherRevenueCurrentYear
Total Revenue Prior Year17945890TotalRevenuePriorYear
Total Revenue Current Year17668233TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10813422SalariesEtcPriorYear
Salaries Etc Current Year10373625SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6015716OtherExpensePriorYear
Other Expenses Current Year6144788OtherExpensesCurrentYear
Total Expenses Prior Year16829138TotalExpensesPriorYear
Total Expenses Current Year16518413TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1116752RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1149820RevenuesLessExpensesCY
Total Assets BOY42609202TotalAssetsBOY
Total Assets EOY42607069TotalAssetsEOY
Total Liabilities BOY19344952TotalLiabilitiesBOY
Total Liabilities EOY18955838TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23264250NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23651231NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionREFLECTING CHRIST'S LOVE WE PROVIDE HOMES AND RESOURCES FOR SENIORS AS A CONTINUING CARE RETIREMENT COMMUNITY AND PROVIDER OF COMMUNITY BASED SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10337125Expense
Revenue12512246Revenue
DescriptionNURSING HOME CARE: OPERATION OF A SKILLED NURSING FACILITY AND REHABILITATION CENTER. PROVIDED 41,241 DAYS OF SKILLED NURSING SERVICES AND REHABILITATION. MAJORITY OF MEDICARE CLIENTS REHAB AND RETURN HOME TO THE COMMUNITY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2018203Expense
Revenue2843361Revenue
DescriptionPROVIDE ASSISTED LIVING HOUSING AND SERVICES TO INDIVIDUALS ON AN A LA CARTE BASIS IN ORDER TO PRESERVE INDEPENDENCE AND CONSERVE THE RESIDENTS ASSETS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1333558Expense
Revenue1536461Revenue
DescriptionPROVIDE INDEPENDENT LIVING ACCOMMODATIONS FOR SENIORS THROUGH 94 UNITS ACROSS A FULL RANGE OF APARTMENT SIZES AND COSTS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense507779Expense
Revenue345935Revenue
DescriptionPROVIDE COMMUNITY OUTREACH PROGRAMS THROUGH OUR LIFE ENRICHMENT CENTERPROVIDE IN HOME ASSISTANCE FOR CLIENTS WHO WISH TO REMAIN IN THEIR HOMESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp507779TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev345935TotalOfOtherProgramServiceRev
Total Program Service Expense14196665TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees422NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOAN BIRRBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2625606969TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11305 W WISCONSIN AVEAddressLine1
CityOCONOMOWOCCity
StateWIState
ZIP Code53066ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
RONALD SOWINSKI
PRESIDENT2.00XX000
THOMAS LANGER
PAST PRESIDENT2.00XX000
LISA BURCHARDT
SECRETARY2.00XX000
W DAVID PERRY
TREASURER2.00XX000
WILLIAM LAMM
BOARD MEMBER2.00XX000
CHARLES KILANDER III
BOARD MEMBER2.00X000
DONALD THELEN
BOARD MEMBER2.00X000
SHARON MANKE
BOARD MEMBER2.00X000
BARBARA HIRSCH
BOARD MEMBER2.00X000
ISOLA MILLETT
BOARD MEMBER2.00X000
GREG JAMES
BOARD MEMBER2.00X000
JUDY STOCKS
BOARD MEMBER2.00X000
MARY JO O'MALLEY
BOARD MEMBER2.00X000
TIM THIELE
CEO40.00X225960026582
JOAN BIRR
CFO40.00X129230021358
LORNA GARTZKE
ADMINISTRATOR40.00131629021489X
FieldValueIRS element (for citing)
Total Reportable Comp From Org486819TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation69429TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHREACH REHAB
17280 NORTH AVEBROOKFIELDWI53045REHAB SERVICES675691
BAND BOX
PO BOX 299TOMAHWI54660LAUNDRY SERVICES181515
ALLIANCE PHARMACY
1520 KENSINGTON RDOAK BROOKIL60523PHARMACY SERVICES150048
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions207406AllOtherContributions
Total Contributions207406TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURSING FACILI6230001251224612512246
ASSISTED LIVING FACILI62300028433612843361
INDEPENDENT APTS62300015364611536461
ADULT DAY CENTER623000160911160911
LIFE ENRICHMENT CENTER623000111558111558

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column52886TotalRevenueColumn
Related Or Exempt Function Income52886RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue17217423TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column137666TotalRevenueColumn
Exclusion$137,666ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2013360Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1971195Securities
Other50921Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities42165Securities
Other-50921Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-8756TotalRevenueColumn
Exclusion-$8,756ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFE REVENUE9000999391493914
LADIES AUXILIARY INCOM6230002058020580
FieldValueIRS element (for citing)
Total Other Revenue114494TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17668233TotalRevenueColumn
Related Or Exempt Function Income17238003RelatedOrExemptFunctionIncome
Unrelated Business Revenue93914UnrelatedBusinessRevenue
Exclusion$128,910ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8341968Total
Program Services6933833ProgramServices
Management And General1408135ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total265928Total
Program Services265928ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1170041Total
Program Services1170041ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total595688Total
Program Services595688ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45550Total
Management And General45550ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total16779Total
Management And General16779ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total26656Total
Management And General26656ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total23701Total
Program Services265ProgramServices
Management And General23436ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total566866Total
Program Services456149ProgramServices
Management And General110717ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total24413Total
Management And General24413ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total584170Total
Program Services553030ProgramServices
Management And General31140ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1264Total
Management And General1264ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total26235Total
Management And General26235ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total475116Total
Program Services475116ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1841858Total
Program Services1841858ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total108130Total
Management And General108130ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL EXPENSES882587882587
FOOD524791524791
STATE BED TAX267750267750
CAFE EXPENSE127099127099

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total601823Total
Program Services370280ProgramServices
Management And General231543ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16518413Total
Program Services14196665ProgramServices
Management And General2321748ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3537084BOY
EOY5329071EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1774BOY
EOY1039EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1206348BOY
EOY701298EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY98596BOY
EOY101028EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis49022562LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16072144LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34074336BOY
EOY32950418EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3596559BOY
EOY3440904EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY94505BOY
EOY83311EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42609202BOY
EOY42607069EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1332840BOY
EOY1295240EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11337000BOY
EOY10744000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6675112BOY
EOY6916598EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19344952BOY
EOY18955838EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY23262476BOY
EOY23650192EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1774BOY
EOY1039EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23264250BOY
EOY23651231EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42609202BOY
EOY42607069EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1149820ReconcilationRevenueExpenses
Reconcilation Other Changes-762839ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years204909CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years244460CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year194669CurrentTaxYearMinus1Year
Current Tax Year207406CurrentTaxYear
Total951629Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16271350CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17310167CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16926355CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16967633CurrentTaxYearMinus1Year
Current Tax Year17216423CurrentTaxYear
Total84691928Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16371535CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17515076CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17170815CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17162302CurrentTaxYearMinus1Year
Current Tax Year17423829CurrentTaxYear
Total85643557Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50985643557PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years404898CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years302084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124751CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year266105CurrentTaxYearMinus1Year
Current Tax Year137666CurrentTaxYear
Total1235504Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years404898CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years302084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124751CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year266105CurrentTaxYearMinus1Year
Current Tax Year137666CurrentTaxYear
Total1235504Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16776433CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17817160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17295566CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17428407CurrentTaxYearMinus1Year
Current Tax Year17561495CurrentTaxYear
Total86879061Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98580PublicSupportPercentage509
Prior Year Support Percentage0.98310PriorYearSupportPercentage
Investment Income Percentage0.01420InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01690PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3463142OtherCostOrOtherBasis
Book Value3463142BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis37863267OtherCostOrOtherBasis
Depreciation12589398Depreciation
Book Value25273869BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6027798OtherCostOrOtherBasis
Depreciation3482746Depreciation
Book Value2545052BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1668355OtherCostOrOtherBasis
Book Value1668355BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32950418TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$5,524,834
FAIR MARKET VALUE - SWAP$1,121,530
MISC PAYABLES$44,734
RESERVATION FEES$225,500
FieldValueIRS element (for citing)
Total Of Amounts6916598TotalOfAmounts
Total Revenue17668233TotalRevenue
Total Expenses16518413TotalExpenses
Excess Or Deficit For Year1149820ExcessOrDeficitForYear
Net Unrealized GL On Investments-295339NetUnrealizedGLOnInvestments
Other-$467,500OtherAmount
Total Adjustments-762839TotalAdjustments
Excess Or Deficit Per FS386981ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17801860TotRevenueEtcAuditedFinclStmt
Other Revenues133627OtherRevenues
Revenue Not Rptd F990133627RevenueNotRptdF990
Revenue Subtotal17668233RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99017668233TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16528937TotExpensesEtcAuditedFinclStmt
Other Expenses Included10524OtherExpensesIncluded
Expenses Not Rptd F99010524ExpensesNotRptdF990
Expenses Subtotal16518413ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016518413TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT 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 THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2011 AND 2010. FEDERAL TAX RETURNS FOR TAX YEARS 2008 AND BEYOND, REMAIN SUBJECT TOEXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 8 - OTHER ADJUSTMENTS:FAIR MARKET VALUE OF SWAP -467,500.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION REVENUE 133,627.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION EXPENSES 10,524.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TIM THIELE
22596000000112980152840252542000
JOAN BIRR
1292300000064620148960150588000
LORNA GARTZKE
1316290000065810149080153118000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
3913378552004-08-0112000000BUILD A 150 BED SNF000
WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
3913378552009-09-011930000REFUND SERIES 1996 BONDS000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetired
120000001200000020050011
193000010111930000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00001
00001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010000
010000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE CORPORATION SHALL HAVE NOT LESS THAN 50, NOR MORE THAN 150 MEMBERS, ELECTED BY THE MEMBERS OF THE CORPORATION OR BY THE BOARD OF DIRECTORS. AT LEAST TWO-THIRDS OF THIS MEMBERSHIP SHALL BE OF THE LUTHERAN FAITH WITH THE BALANCE TO BE ELECTED FROM THE COMMUNITY AT LARGE.
FORM 990, PART VI, SECTION A, LINE 7ATHE CORPORATE MEMBERS SHALL DETERMINE AT THE ANNUAL MEETING, BY A MAJORITY VOTE, THE NUMBER OF DIRECTORS TO BE ELECTED TO THE BOARD OF DIRECTORS AND SHALL THEN ELECT THE NUMBER NECESSARY.
FORM 990, PART VI, SECTION A, LINE 7BEACH MEMBER MAY HAVE ONE VOTE AT MEETINGS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11THE EXECUTIVE DIRECTOR REVIEWS THE 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS ARE REQUIRED TO ACKNOWLEDGE THEIR CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPARES COMPENSATION LEVEL WITH COMPENSATION OF SIMILAR ORGANIZATIONS OF SIMILAR SIZE. THE EXECUTIVE DIRECTOR EVALUATES THE PERFORMANCE OF KEY EMPLOYEES IN THE SAME MANNER.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -295,339. FAIR MARKET VALUE OF SWAP -467,500. TOTAL TO FORM 990, PART XI, LINE 5: -762,839.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LUTHERAN HOMES OF OCONOMOWOC CHARITABLE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 208AddressLine1
CityOCONOMOWOCCity
StateWIState
ZIP Code53066ZIPCode
FieldValueIRS element (for citing)
EIN391889721EIN
Primary ActivitiesSUPPORT LHOPrimaryActivities
Legal Domicile StateWILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11D, III-OPublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg