2012-11-15T11:43:26-06:00 2011-12-31 420714325 MCGLADREY LLP PO BOX 5946 MADISON WI 53705 990 2011-01-01 390790565 OAKWOOD LUTHERAN HOMES ASSOCIATION INC OAKW 6082304257 6165 MINERAL POINT ROAD MADISON WI 53705 BARBARA FRASER 6082304365 2012-11-14 1 JAMES G GRAHAM P00006111 6088332612 2011 2016-02-24 21:20:13Z JOE XANTHOPOULOS 6165 MINERAL POINT RD MADISON WI 53705 17121875 0 9386 X WWW.OAKWOODVILLAGE.NET X 1948 WI OAKWOOD IS A LUTHERAN CHURCH-SPONSORED ORGANIZATION WHOSE MISSION IS TO SERVE OLDER OR INFIRM PERSONS THROUGH LOVING, CARING, CHRISTIAN COMMUNITIES, RESPONDING TO THEIR PHYSICAL, SOCIAL, EMOTIONAL, INTELLECTUAL, AND SPIRITUAL NEEDS, AND TO ENCOURAGE A SENSE OF INDEPENDENCE, INDIVIDUALITY, DIGNITY, AND WORTH THROUGHOUT LIFE. THE ORGANIZATION IS PART OF A CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING (INCLUDING HUD HOUSING), SKILLED NURSING AND ASSISTED LIVING SERVICES TO A BROAD ECONOMIC SPECTRUM OF THE ELDERLY COMMUNITY. 11 11 837 124 0 0 154640 188746 16428742 16931860 719 1269 0 0 16584101 17121875 0 0 0 0 7781822 8404666 0 0 0 8405212 7607078 16187034 16011744 397067 1110131 16753842 16170410 8076072 6465877 8677770 9704533 OAKWOOD IS A LUTHERAN MINISTRY SERVING GENERATIONS OF AGING ADULTS, ENCOURAGING INDIVIDUALITY, WORTH AND WELL-BEING THROUGHOUT LIFE. 0 0 12068101 16931860 HEBRON OAKS IS A SKILLED NURSING FACILITY, PROVIDING NURSING SERVICES, THERAPY SERVICES, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT AND ACTIVITIES. DURING 2011, THERE WERE 32,098 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. 2422635 COVENANT OAKS IS A 40 BED DEMENTIA-SPECIFIC ASSISTED LIVING FACILITY. DURING 2011, THERE WERE 14,165 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. 14490736 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 0 0 0 0 1 60 0 1 837 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X BARBARA FRASER 6082304365 6165 MINERAL POINT RD MADISON WI 53705 RAYMOND SCHMITZ 2.00 X X 0 0 0 REV DANIEL KOWERT 2.00 X 0 0 0 PAUL SCHMIDT 2.00 X 0 0 0 EARL THAYER 2.00 X 0 0 0 REV BILL WHITE 2.00 X 0 0 0 KEITH YELINEK 2.00 X X 0 0 0 GARY HERTEL 2.00 X 0 0 0 REV AL WAHL 2.00 X 0 0 0 BRETT ARMSTRONG 2.00 X 0 0 0 REV DAVID BRANDFASS 2.00 X 0 0 0 NORM OLSON 2.00 X 0 0 0 TOM RIVERS 2.00 X X 0 0 0 SARAH KRUGER 2.00 X 0 0 0 GARY STROHM 2.00 X X 0 0 0 BERNIE KNESTING 2.00 X X 0 0 0 HB MARONEY 2.00 X X 0 0 0 GERALD KELM 40.00 X 34544 88826 15078 JOE XANTHOPOULOS 40.00 X 61372 143201 12570 BARBARA FRASER 40.00 X 48021 39290 9855 JOHN HOWL 40.00 X 156232 0 8235 ALAN LUKAZEWSKI 40.00 X 118377 0 9054 TRACI RAETHER 40.00 X 138890 0 12241 557436 271317 67033 3 0 1 0 ALLIANCE REHAB 1520 KENSINGTON ROAD STE 105 OAK BROOK IL 60523 SENIOR REHAB AND WELLNESS CONSULTING 139020 AXLEY BRYNELSON LLP PO BOX 1767 MADISON WI 53701 LEGAL 132163 SPECIALIZED MEDICAL SERVICES INC 7237 SOLUTION CENTER CHICAGO IL 60677 CONSULTING 114935 3 188746 188746 SERVICE FEES 812900 11545462 11545462 PHARMACY 446110 3316613 3316613 OCCUPATIONAL / PHYSICA 900099 1884586 1884586 SPECIAL FEES & SERVICE 812900 185199 185199 16931860 1269 1269 17121875 16931860 0 1269 143937 143937 6627920 6627920 1148723 1148723 484086 484086 489 489 293356 293356 38574 38574 332670 332670 7807 7807 21799 14875 6924 127776 118431 9345 694180 651979 42201 97936 90722 7214 SUPPLIES 2332996 2275150 57846 ADMIN/GENERAL EXPENSES 1398136 658 1397478 RESIDENT DINING PROGRAM 1333493 1333493 ALLOCATED EXPENSES 354444 354444 573422 573422 16011744 14490736 1521008 0 1195558 806335 1382507 1030451 249288 275463 158314 536675 18779777 11220676 7735510 7559101 6032665 5962385 16753842 16170410 2311405 2716420 11085 8277 3495240 3383915 2258342 357265 8076072 6465877 X 7562959 8600295 1114811 1104238 8677770 9704533 16753842 16170410 X 1110131 -83368 X X 0 1 1 X 0 X 228881 217735 209987 154640 188746 999989 17165169 16156050 15270672 16428742 16931860 81952493 17394050 16373785 15480659 16583382 17120606 82952482 0 0 0 82952482 30492 3747 56 719 1269 36283 30492 3747 56 719 1269 36283 17424542 16377532 15480715 16584101 17121875 82988765 0.99960 0.99910 0.00040 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3005 3005 13070866 7209930 5860936 5285437 4010746 1274691 420469 420469 7559101 RECEIVABLE FROM AFFILIATES 4788607 BOND ISSUANCE COSTS 69540 INTEREST IN NET ASSETS OF OAKWOOD FOUNDATION 1104238 5962385 WAIT LIST DEPOSITS 8000 CONDITIONAL ASSET RETIREMENT OBLIGATION 158555 INTEREST RATE SWAPS 190710 357265 17121875 16011744 1110131 -83368 -83368 1026763 17016335 84475 84475 16931860 190015 190015 17121875 16011744 0 16011744 0 16011744 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE CORPORATIONS FOLLOW THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT EVALUATED THE CORPORATION'S TAX POSITIONS AND CONCLUDED THAT THE CORPORATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF OAKWOOD FOUNDATION, INC. 89,763. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -79,617. CONTRIBUTIONS -93,514. TOTAL TO SCHEDULE D, PART XI, LINE 8: -83,368. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 84,475. PART XII, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS 188,746. INVESTMENT INCOME 1,269. X X X X X 0 0 0 0 0 0 0 0 0 JOE XANTHOPOULOS 61372 143201 0 0 0 0 0 0 3771 8799 65143 152000 0 0 JOHN HOWL 156232 0 0 0 0 0 1510 0 6725 0 164467 0 0 0 TRACI RAETHER 138890 0 0 0 0 0 0 0 12241 0 151131 0 0 0 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 WI HEALTH & EDUC FACILITY AUTHORITY 391337855 2005-03-01 36555000 CONSTRUCTION OF 124 LIFETIME LEASE INDEPENDENT LIVING UNITS (HERITAGE OAKS) 0 0 0 3595000 12690000 12690000 240215 1999 0 1 1 1 3905000 36555000 548096 36006904 2006 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 1 0 0 0 0 SCHEDULE K, PART I 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 4 THE ORGANIZATION'S MISSION STATEMENT WAS MODIFIED AND THE NEW MISSION STATEMENT IS DESCRIBED IN FORM 990, PART III, LINE 1. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS INCLUDE 36 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 AND APPROVED BY THE BOARD'S AUDIT COMMITTEE. A PDF OF THE FINAL FORM 990, OR A PAPER COPY IF REQUESTED, IS SUBSEQUENTLY SENT TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. 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 SEPARATE 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN INTEREST IN NET ASSETS OF OAKWOOD FOUNDATION, INC. 89,763. CHANGE IN FAIR VALUE OF INTEREST RATE SWAPS -79,617. CONTRIBUTIONS -93,514. TOTAL TO FORM 990, PART XI, LINE 5: -83,368. FORM 990, PART XII, LINE 2C: THE PROCESS DID NOT CHANGE DURING THE YEAR. OAKWOOD VILLAGE APARTMENTS INC 6165 MINERAL POINT RD MADISON WI 53705 237401541 CHRISTIAN COMMUNITY FOR THE ELDERLY WI 501(C)(3) LINE 9 N/A 0 OAKWOOD VILLAGE EAST APARTMENT HOMES INC 6165 MINERAL POINT RD MADISON WI 53705 391966790 CHRISTIAN COMMUNITY FOR THE ELDERLY WI 501(C)(3) LINE 9 N/A 0 OAKWOOD VILLAGE EAST LUTHERAN HOMES INC 6165 MINERAL POINT RD MADISON WI 53705 391966791 CHRISTIAN COMMUNITY FOR THE ELDERLY WI 501(C)(3) LINE 9 N/A 0 OAKWOOD FOUNDATION INC 6165 MINERAL POINT RD MADISON WI 53705 391398037 SERVE OLDER PERSONS WI 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0