2012-08-10T16:42:16-05:00 2011-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2011-01-01 390845016 LUTHERAN HOMES OF OCONOMOWOC INC LUTH 2625678341 PO BOX 208 OCONOMOWOC WI 53066 JOAN BIRR 2625678341 2012-08-10 1 JAY ADKISSON CPA P01360892 4144319300 2012-08-10 2011 2016-02-24 21:20:13Z JOAN BIRR PO BOX 208 OCONOMOWOC WI 53066 19690349 0 X WWW.LHO.ORG X 1939 WI REFLECTING CHRIST'S LOVE WE PROVIDE HOMES AND RESOURCES FOR SENIORS AS A CONTINUING CARE RETIREMENT COMMUNITY AND PROVIDER OF COMMUNITY BASED SERVICES. 13 13 422 300 93914 -33185 199452 207406 17349784 17217423 311100 128910 85554 114494 17945890 17668233 0 0 0 0 10813422 10373625 0 0 0 6015716 6144788 16829138 16518413 1116752 1149820 42609202 42607069 19344952 18955838 23264250 23651231 X REFLECTING CHRIST'S LOVE WE PROVIDE HOMES AND RESOURCES FOR SENIORS AS A CONTINUING CARE RETIREMENT COMMUNITY AND PROVIDER OF COMMUNITY BASED SERVICES. 0 0 10337125 12512246 NURSING 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. 2018203 2843361 PROVIDE ASSISTED LIVING HOUSING AND SERVICES TO INDIVIDUALS ON AN A LA CARTE BASIS IN ORDER TO PRESERVE INDEPENDENCE AND CONSERVE THE RESIDENTS ASSETS. 1333558 1536461 PROVIDE INDEPENDENT LIVING ACCOMMODATIONS FOR SENIORS THROUGH 94 UNITS ACROSS A FULL RANGE OF APARTMENT SIZES AND COSTS. 507779 345935 PROVIDE COMMUNITY OUTREACH PROGRAMS THROUGH OUR LIFE ENRICHMENT CENTERPROVIDE IN HOME ASSISTANCE FOR CLIENTS WHO WISH TO REMAIN IN THEIR HOMES 507779 345935 14196665 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 0 0 0 0 1 30 0 1 422 1 1 1 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X JOAN BIRR 2625606969 1305 W WISCONSIN AVE OCONOMOWOC WI 53066 RONALD SOWINSKI 2.00 X X 0 0 0 THOMAS LANGER 2.00 X X 0 0 0 LISA BURCHARDT 2.00 X X 0 0 0 W DAVID PERRY 2.00 X X 0 0 0 WILLIAM LAMM 2.00 X X 0 0 0 CHARLES KILANDER III 2.00 X 0 0 0 DONALD THELEN 2.00 X 0 0 0 SHARON MANKE 2.00 X 0 0 0 BARBARA HIRSCH 2.00 X 0 0 0 ISOLA MILLETT 2.00 X 0 0 0 GREG JAMES 2.00 X 0 0 0 JUDY STOCKS 2.00 X 0 0 0 MARY JO O'MALLEY 2.00 X 0 0 0 TIM THIELE 40.00 X 225960 0 26582 JOAN BIRR 40.00 X 129230 0 21358 LORNA GARTZKE 40.00 X 131629 0 21489 486819 0 69429 3 0 1 0 HEALTHREACH REHAB 17280 NORTH AVE BROOKFIELD WI 53045 REHAB SERVICES 675691 BAND BOX PO BOX 299 TOMAH WI 54660 LAUNDRY SERVICES 181515 ALLIANCE PHARMACY 1520 KENSINGTON RD OAK BROOK IL 60523 PHARMACY SERVICES 150048 3 207406 207406 SKILLED NURSING FACILI 623000 12512246 12512246 ASSISTED LIVING FACILI 623000 2843361 2843361 INDEPENDENT APTS 623000 1536461 1536461 ADULT DAY CENTER 623000 160911 160911 LIFE ENRICHMENT CENTER 623000 111558 111558 52886 52886 17217423 137666 137666 2013360 1971195 50921 42165 -50921 -8756 -8756 CAFE REVENUE 900099 93914 93914 LADIES AUXILIARY INCOM 623000 20580 20580 114494 17668233 17238003 93914 128910 8341968 6933833 1408135 265928 265928 1170041 1170041 595688 595688 45550 45550 16779 16779 26656 26656 23701 265 23436 566866 456149 110717 24413 24413 584170 553030 31140 1264 1264 26235 26235 475116 475116 1841858 1841858 108130 108130 MEDICAL EXPENSES 882587 882587 FOOD 524791 524791 STATE BED TAX 267750 267750 CAFE EXPENSE 127099 127099 601823 370280 231543 16518413 14196665 2321748 0 3537084 5329071 1774 1039 1206348 701298 98596 101028 49022562 16072144 34074336 32950418 3596559 3440904 94505 83311 42609202 42607069 1332840 1295240 11337000 10744000 6675112 6916598 19344952 18955838 X 23262476 23650192 1774 1039 23264250 23651231 42609202 42607069 X 1149820 -762839 X 0 1 1 X 0 X 100185 204909 244460 194669 207406 951629 16271350 17310167 16926355 16967633 17216423 84691928 16371535 17515076 17170815 17162302 17423829 85643557 0 0 0 85643557 404898 302084 124751 266105 137666 1235504 404898 302084 124751 266105 137666 1235504 16776433 17817160 17295566 17428407 17561495 86879061 0.98580 0.98310 0.01420 0.01690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3463142 3463142 37863267 12589398 25273869 6027798 3482746 2545052 1668355 1668355 32950418 REFUNDABLE ENTRANCE FEES 5524834 FAIR MARKET VALUE - SWAP 1121530 MISC PAYABLES 44734 RESERVATION FEES 225500 6916598 17668233 16518413 1149820 -295339 -467500 -762839 386981 17801860 133627 133627 17668233 0 17668233 16528937 10524 10524 16518413 0 16518413 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. X X 0 0 0 0 0 0 0 0 0 TIM THIELE 225960 0 0 0 0 0 11298 0 15284 0 252542 0 0 0 JOAN BIRR 129230 0 0 0 0 0 6462 0 14896 0 150588 0 0 0 LORNA GARTZKE 131629 0 0 0 0 0 6581 0 14908 0 153118 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2004-08-01 12000000 BUILD A 150 BED SNF 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2009-09-01 1930000 REFUND SERIES 1996 BONDS 0 0 0 12000000 12000000 2005 0 0 1 1 1930000 1930000 1 0 1 1 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A THE 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 7B EACH MEMBER MAY HAVE ONE VOTE AT MEETINGS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE DIRECTOR REVIEWS THE 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS ARE REQUIRED TO ACKNOWLEDGE THEIR CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE 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 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: 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. LUTHERAN HOMES OF OCONOMOWOC CHARITABLE FOUNDATION PO BOX 208 OCONOMOWOC WI 53066 391889721 SUPPORT LHO WI 501(C)(3) LINE 11D, III-O 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0