LINCOLN LUTHERAN COMMUNITY CARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LINCOLN LUTHERAN COMMUNITY CARE (EIN 39-1674718)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-10
IRS object ID
201242269349302484
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)
Timestamp2012-08-10T11:32:49-00:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391674718EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran Community Care Corporation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLINCNameControl
Phone2626330500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRick BovaName
TitleCFOTitle
Date Signed2012-08-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameF RICHARD BOVA JRName
Phone2628982701Phone
Date Prepared2012-08-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Becker Shoop CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonDaniel RischNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DrvieAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6440457GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lincolnlutheran.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionBecker Shoop provides skilled nursing care focused on caring for individuals with dementia in a facility with 108 beds. The average census in 2011 was 82 and the total number of move-ins were 166. The average occupancy during 2011 was 75.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees188TotalNbrEmployees
Total Nbr Volunteers64TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3527ContributionsGrantsPriorYear
Contributions Grants Current Year57937ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6579928ProgramServiceRevenuePriorYear
Program Service Revenue CY6367487ProgramServiceRevenueCY
Investment Income Prior Year205InvestmentIncomePriorYear
Investment Income Current Year81InvestmentIncomeCurrentYear
Other Revenue Prior Year15974OtherRevenuePriorYear
Other Revenue Current Year14952OtherRevenueCurrentYear
Total Revenue Prior Year6599634TotalRevenuePriorYear
Total Revenue Current Year6440457TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4136543SalariesEtcPriorYear
Salaries Etc Current Year4092780SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3541820OtherExpensePriorYear
Other Expenses Current Year3558260OtherExpensesCurrentYear
Total Expenses Prior Year7678363TotalExpensesPriorYear
Total Expenses Current Year7651040TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1078729RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1210583RevenuesLessExpensesCY
Total Assets BOY2195922TotalAssetsBOY
Total Assets EOY2112419TotalAssetsEOY
Total Liabilities BOY700569TotalLiabilitiesBOY
Total Liabilities EOY789504TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1495353NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1322915NetAssetsOrFundBalancesEOY
Mission DescriptionBecker Shoop provides skilled nursing care focused on caring for individuals with dementia in a facility with 108 beds. The average census in 2011 was 82 and the total number of move-ins were 166. The average occupancy during 2011 was 75.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5803179Expense
Revenue6440457Revenue
DescriptionSkilled Nursing Facility that offers specialized care designed to enhance quality of life and personal dignity of residents living with Alzheimers or other forms of Dementia. Our programs at Becker Shoop are developed with attention to the individual needs and interests of the residents in various stages of the disease. We work closely with family members to provide support and counseling. Programming is centered on activities of daily living to create routine and familiarity. The community offers an environment that is secure and wlcoming, creating a space that feels like home. Our staff have specialized training that enables them to respond appropriately to the special physical, emotional, social and sensory needs of the residents. Becker Shoop welcomes family and friends to participate in their loved ones care as much as possible ton enhance their lives. Becker Shoop, a 108 bed community is Medicare and Medicaid Title 19 certified and offers round-the-clock nursing care for short and long term stays.Description
Total Program Service Expense5803179TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgtrueTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees188NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledtrueForm8899Filed
Form1098 C FiledtrueForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLincoln Lutheran of Racine IncNamePerson
Telephone Number2626330500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Raymond Koukari Jr
President001.00XX000
Gene Holtz
Vice President001.00XX000
Dave Titus
Treasurer001.00XX000
Morris Reece
Secretary001.00XX000
Cheryl Thomas
Member-At-Large001.00XX000
Daniel Risch
CEO of Lincoln Lutheran of Racine001.00XX018005031531XX
Sandra Reynolds
Administrator040.0090480020939X
FieldValueIRS element (for citing)
Total Reportable Comp From Org90480TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs180050TotalReportableCompFrmRltdOrgs
Total Other Compensation52470TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions57937AllOtherContributions
Total Contributions57937TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNursing Home RevenueDescription
Business Code623000BusinessCode
Total Revenue Column6367487TotalRevenueColumn
Related Or Exempt Function Income6367487RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6367487TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column81TotalRevenueColumn
Related Or Exempt Function Income81RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Barber/Beauty6230001327513275
Guest Meals/Vending623000379379
Cable TV623000273273

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1025TotalRevenueColumn
Related Or Exempt Function Income1025RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue14952TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6440457TotalRevenueColumn
Related Or Exempt Function Income6382520RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3161605Total
Program Services2932877ProgramServices
Management And General228728ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total536277Total
Program Services497504ProgramServices
Management And General38773ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total394898Total
Program Services366347ProgramServices
Management And General28551ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total849936Total
Management And General849936ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11010Total
Management And General11010ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total20026Total
Management And General20026ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total624Total
Program Services624ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total47879Total
Program Services7903ProgramServices
Management And General39976ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total51188Total
Management And General51188ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total297349Total
Program Services297349ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5113Total
Management And General5113ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2077Total
Program Services2035ProgramServices
Management And General42ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total75071Total
Program Services75071ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total44196Total
Program Services41946ProgramServices
Management And General2250ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Nursing/Ancillary Expense662447662447
Dietary411473411473
Housekeeping/Laundry139131139131
Bad Debt/Cont Srv/Recruit/Provider Assessment692337261150431187

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total248403Total
Program Services107322ProgramServices
Management And General141081ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7651040Total
Program Services5803179ProgramServices
Management And General1847861ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY369817BOY
EOY183457EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1025369BOY
EOY1039065EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY8291BOY
EOY6558EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY46530BOY
EOY83671EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4107651LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3368408LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY736960BOY
EOY739243EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8955BOY
EOY60425EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2195922BOY
EOY2112419EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY453243BOY
EOY563857EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY209169BOY
EOY165222EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY29202BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8955BOY
EOY60425EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY700569BOY
EOY789504EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1495353BOY
EOY1322915EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1495353BOY
EOY1322915EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2195922BOY
EOY2112419EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1210583ReconcilationRevenueExpenses
Reconcilation Other Changes1038145ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8787CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13005CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3329CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3527CurrentTaxYearMinus1Year
Current Tax Year57937CurrentTaxYear
Total86585Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6011352CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6932914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7041713CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6579928CurrentTaxYearMinus1Year
Current Tax Year6367487CurrentTaxYear
Total32933394Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6020139CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6945919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7045042CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6583455CurrentTaxYearMinus1Year
Current Tax Year6425424CurrentTaxYear
Total33019979Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60641CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69724CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year65996CurrentTaxYearMinus1Year
Current Tax Year64405CurrentTaxYear
Total331412Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60641CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years69724CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year65996CurrentTaxYearMinus1Year
Current Tax Year64405CurrentTaxYear
Total331412Total
FieldValueIRS element (for citing)
Public Support Total50932688567PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24846CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3784CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year205CurrentTaxYearMinus1Year
Current Tax Year81CurrentTaxYear
Total29090Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24846CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3784CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years174CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year205CurrentTaxYearMinus1Year
Current Tax Year81CurrentTaxYear
Total29090Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19160CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22674CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19424CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15974CurrentTaxYearMinus1Year
Current Tax Year14952CurrentTaxYear
Total92184Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6064145CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6972377CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7064640CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6599634CurrentTaxYearMinus1Year
Current Tax Year6440457CurrentTaxYear
Total33141253Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98630PublicSupportPercentage509
Prior Year Support Percentage0.98570PriorYearSupportPercentage
Investment Income Percentage0.00090InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00190PriorYrInvestIncomePercentage
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

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis90361OtherCostOrOtherBasis
Book Value90361BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2453069OtherCostOrOtherBasis
Depreciation2100460Depreciation
Book Value352609BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1401139OtherCostOrOtherBasis
Depreciation1144722Depreciation
Book Value256417BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis163082OtherCostOrOtherBasis
Depreciation123226Depreciation
Book Value39856BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings739243TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionResident TrustDescription
Amount$60,425Amount
FieldValueIRS element (for citing)
Total Of Amounts60425TotalOfAmounts
Total Revenue6440457TotalRevenue
Total Expenses7651040TotalExpenses
Excess Or Deficit For Year-1210583ExcessOrDeficitForYear
Excess Or Deficit Per FS-1210583ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6440457TotRevenueEtcAuditedFinclStmt
Revenue Subtotal6440457RevenueSubtotal
Total Revenue Per Form9906440457TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7651040TotExpensesEtcAuditedFinclStmt
Expenses Subtotal7651040ExpensesSubtotal
Total Expenses Per Form9907651040TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDaniel RischNamePerson
Comp Based On Related Orgs178506CompBasedOnRelatedOrgs
Bonus Related Orgs11BonusRelatedOrgs
Other Compensation Related Orgs1534OtherCompensationRelatedOrgs
Deferred Comp Related Orgs15504DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs16027NontaxableBenefitsRelatedOrgs
Total Compensation Related Orgs211582TotalCompensationRelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part VI7aDescribe who may elect members of the governing body - The Board of Directors elect other members to the board.
Form 990 Part VI9Names and address of Board of Directors who cannot be reached at the organizations mailing address Raymond Koukari, Jr. - President - Gateway Technical College, 1001 Main Street, Racine, WI 53401 Gene Holtz - Vice President-SC Johnson Son, Inc., 1525 Howe Street, Racine, WI 53403 Dave Titus - Treasurer - MI Bank, One Main Street, Racine, WI 53403 Morris Reece - Secretary - City of Racine, 800 Center St., Racine, WI 53403 Cheryl Thomas - Member-At-Large - Johnson Financial Group, 555 Main St., Suite 400, Racine, WI 53403
Form 990 Part VI11ADescribe the review process of the 990 - The 990 tax returns are given to the Board of Directors once completed.
Form 990 Part VI12cDescribe how the organization monitors the compliance policy - The organization performs reviews to ensure compliance.
Form 990 Part VI15a and 15bDescription of process for determining compensation - The organization does not employee officers.
Form 990 Part VI18 and 19Description for making documents public - The organization has this information available upon request.
Form 990 Part VIIbAverage hours per week - Daniel Rischs hours primarily relate to the related organization Lincoln Lutheran of Racine, Inc. He only spends about 1 hour per week related to this organization.
Form 990 Part VIIeDescribe reasonable efforts for the information in e reportable compensation - Information was taken from W2 of related organization
Form 990 Part XI5Other changes in net assets were recorded in 2011 in the amount of 1,038,144. This relates to the amounts due to Lincoln Lutheran of Racine were treated as an equity transfer due to the fact that Lincoln Lutheran Community Care does not have the ability to pay the amounts due.
Form 990 Part VI Line 7a Describe who may elect members of the governing body - The Board of Directors elect other members to the board. Form 990 Part VI Line 9 Names and address of Board of Directors who cannot be reached at the organizations mailing address Raymond Koukari, Jr. - President - Gateway Technical College, 1001 Main Street, Racine, WI 53401 Gene Holtz - Vice President-SC Johnson Son, Inc., 1525 Howe Street, Racine, WI 53403 Dave Titus - Treasurer - MI Bank, One Main Street, Racine, WI 53403 Morris Reece - Secretary - City of Racine, 800 Center St., Racine, WI 53403 Cheryl Thomas - Member-At-Large - Johnson Financial Group, 555 Main St., Suite 400, Racine, WI 53403 Form 990 Part VI Line 11A Describe the review process of the 990 - The 990 tax returns are given to the Board of Directors once completed. Form 990 Part VI Line 12c Describe how the organization monitors the compliance policy - The organization performs reviews to ensure compliance. Form 990 Part VI Line 15a and 15b Description of process for determining compensation - The organization does not employee officers. Form 990 Part VI Line 18 and 19 Description for making documents public - The organization has this information available upon request. Form 990 Part VII Section A Line b Average hours per week - Daniel Rischs hours primarily relate to the related organization Lincoln Lutheran of Racine, Inc. He only spends about 1 hour per week related to this organization. Form 990 Part VII Section A Line e Describe reasonable efforts for the information in e reportable compensation - Information was taken from W2 of related organization Form 990 Part XI Line 5 Other changes in net assets were recorded in 2011 in the amount of 1,038,144. This relates to the amounts due to Lincoln Lutheran of Racine were treated as an equity transfer due to the fact that Lincoln Lutheran Community Care does not have the ability to pay the amounts due.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Trinity Terrace Inc
2000 Domanik DriveRacineWI53404391667734Low Income HousingWI501c39Lincoln Lutheran of Racine Incfalse
Lincoln Lutheran of Racine Inc
2000 Domanik DriveRacineWI53404390874802Senior ServicesWI501c31falseN/A
Lincoln Villas North Inc
2000 Domanik DriveRacineWI53404391363010Low Income HousingWI501c39Lincoln Lutheran of Racine Incfalse
Lincoln Lutheran Charitable Trust
2000 Domanik DriveRacineWI53404391316328Investments for Lincoln LutheranWI501c39Lincoln Lutheran of Racine Incfalse
Atrium of Racine Inc
2000 Domanik DriveRacineWI53404391615970Independent Housing/Assisted LivingWI501c39Lincoln Lutheran of Racine Incfalse
Siena on the Lake
2000 Domanik DriveRacineWI53404452814682Senior ServicesWI501c39Lincoln Lutheran of Racine Incfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
Lincoln Manor Redevelopment
2000 Domanik DriveRacineWI53404203503259Low Income HousingWILincoln Lutheran of Racine Incfalsefalse
LVR Developer
2000 Domanik DriveRacineWI53404800553461Development CompanyWILincoln Lutheran of Racine Incfalsefalse
Lincoln Danish Home
2000 Domanik DriveRacineWI53404800451348Elderly HousingWILincoln Lutheran of Racine Incfalsefalse
Lincoln Villas Redevelopment
2000 Domanik DriveRacineWI53404383781716Low Income HousingWILincoln Lutheran of Racine Incfalsefalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
LMR Managing Member
2000 Domanik DriveRacineWI53404203502780Managing MemberWILincoln Lutheran of Racine IncC Corp
Lincoln Investment Corp
2000 Domanik DriveRacineWI53404861156054Real Estate DevelopmentWILincoln Lutheran of Racine IncC Corp
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Lincoln Lutheran of Racine Inc
c1038144actual expense
Lincoln Lutheran of Racine Inc
l849936actual expense
Lincoln Lutheran of Racine Inc
n69485actual expense
Lincoln Lutheran of Racine Inc
o581295actual expense

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