FURP.ORG / PUBLIC DATA EXPLORER

LUTHERAN HOMES OF OCONOMOWOC INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LUTHERAN HOMES OF OCONOMOWOC INC (EIN 39-0845016)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-29
IRS object ID
201102109349300905
Schema version
2010v3.4
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)
Timestamp2011-07-29T10:56:49-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-07-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAY ADKISSONName
Phone4144319300Phone
Date Prepared2011-07-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts18999789GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LHO.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1939YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HOUSING AND SERVICES FOR SENIORS IN A MANNER WHICH REFLECTS CHRIST'S LOVE AS A CONTINUING CARE RETIREMENT COMMUNITY AND PROVIDER OF COMMUNITY BASED SERVICES.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees460TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI78623TotalGrossUBI
Net Unrelated Business Txbl Income-39930NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year268893ContributionsGrantsPriorYear
Contributions Grants Current Year199452ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16926355ProgramServiceRevenuePriorYear
Program Service Revenue CY17349784ProgramServiceRevenueCY
Investment Income Prior Year-73180InvestmentIncomePriorYear
Investment Income Current Year311100InvestmentIncomeCurrentYear
Other Revenue Prior Year71529OtherRevenuePriorYear
Other Revenue Current Year85554OtherRevenueCurrentYear
Total Revenue Prior Year17193597TotalRevenuePriorYear
Total Revenue Current Year17945890TotalRevenueCurrentYear
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 Year10370726SalariesEtcPriorYear
Salaries Etc Current Year10813422SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6127997OtherExpensePriorYear
Other Expenses Current Year6015716OtherExpensesCurrentYear
Total Expenses Prior Year16498723TotalExpensesPriorYear
Total Expenses Current Year16829138TotalExpensesCurrentYear
Revenues Less Expenses Prior Year694874RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1116752RevenuesLessExpensesCY
Total Assets BOY42294069TotalAssetsBOY
Total Assets EOY42609202TotalAssetsEOY
Total Liabilities BOY20087613TotalLiabilitiesBOY
Total Liabilities EOY19344952TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22206456NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23264250NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HOUSING AND SERVICES FOR SENIORS IN A MANNER WHICH REFLECTS CHRIST'S LOVE AS A CONTINUING CARE RETIREMENT COMMUNITY AND PROVIDER OF COMMUNITY BASED SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10805824Expense
Revenue12949941Revenue
DescriptionNURSING HOME CARE: OPERATION OF A SKILLED NURSING FACILITY AND REHABILITATION CENTER. PROVIDED 44,162 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)
Expense2066479Expense
Revenue2700536Revenue
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)
Expense1201690Expense
Revenue1421637Revenue
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)
Expense477568Expense
Revenue284601Revenue
FieldValueIRS element (for citing)
Total Of Other Program Service Exp477568TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev284601TotalOfOtherProgramServiceRev
Total Program Service Expense14551561TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Employees460NumberOfEmployees
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 AVE OCONOMOWOC WIAddressLine1
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
JACKY MORGAN
VICE PRESIDENT2.00XX000
LISA BURCHARDT
SECRETARY2.00XX000
WILLIAM LAMM
TREASURER2.00XX000
THOMAS MASSNICK
PAST PRESIDENT2.00XX000
JAMES GREGG
BOARD MEMBER2.00X000
BARBARA HIRSCH
BOARD MEMBER2.00X000
CHARLES KILANDER III
BOARD MEMBER2.00X000
SHARON MANKE
BOARD MEMBER2.00X000
ISOLA MILLET
BOARD MEMBER2.00X000
W DAVID PERRY
BOARD MEMBER2.00X000
JUDY STOCKS
BOARD MEMBER2.00X000
DONALD THELEN
BOARD MEMBER2.00X000
TIM THIELE
CEO40.00X240219037422
JOAN BIRR
CFO40.00X129300021416
LORNA GARTZKE
ADMINISTRATOR40.00133194021997X
FieldValueIRS element (for citing)
Total Reportable Comp From Org502713TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation80835TotalOtherCompensation
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 SERVICES677605
ALLIANCE PHARMACY
1520 KENSINGTON RDOAK BROOKIL60523PHARMACY SERVICES265561
BAND BOX
PO BOX 299TOMAHWI54660LAUNDRY SERVICES192373
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions199452AllOtherContributions
Total Contributions199452TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SKILLED NURSING FACILI6230001294994112949941
ASSISTED LIVING FACILI62300027005362700536
INDEPENDENT APTS62300014216371421637
ADULT DAY CENTER623000167520167520
MEALS ON WHEELS6230005938359383

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column50767TotalRevenueColumn
Related Or Exempt Function Income50767RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue17349784TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column104464TotalRevenueColumn
Exclusion$104,464ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1098894Securities
Other161641Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1053899Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities44995Securities
Other161641Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column206636TotalRevenueColumn
Exclusion$206,636ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFE REVENUE9000997862378623
LADIES AUXILIARY INCOM62300069316931
FieldValueIRS element (for citing)
Total Other Revenue85554TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17945890TotalRevenueColumn
Related Or Exempt Function Income17356715RelatedOrExemptFunctionIncome
Unrelated Business Revenue78623UnrelatedBusinessRevenue
Exclusion$311,100ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8389091Total
Program Services7002664ProgramServices
Management And General1386427ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total274664Total
Program Services274664ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1552220Total
Program Services1552220ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total597447Total
Program Services597447ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35000Total
Management And General35000ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total16403Total
Management And General16403ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24683Total
Management And General24683ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total37380Total
Program Services403ProgramServices
Management And General36977ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total553055Total
Program Services448033ProgramServices
Management And General105022ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total16887Total
Management And General16887ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total566581Total
Program Services538346ProgramServices
Management And General28235ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1693Total
Management And General1693ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total498027Total
Program Services498027ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1640729Total
Program Services1640729ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total108423Total
Management And General108423ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CAFE EXPENSE118553118553
MEDICAL EXPENSES953375953375
FOOD517523517523
OTHER EXPENSES32766595283232382
PURCHASED SERVICES295693295693

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total304046Total
Program Services18601ProgramServices
Management And General285445ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16829138Total
Program Services14551561ProgramServices
Management And General2277577ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2569135BOY
EOY3537084EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2614BOY
EOY1774EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY858555BOY
EOY1206348EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY73739BOY
EOY98596EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48459076LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14384740LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35359443BOY
EOY34074336EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3324885BOY
EOY3596559EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY105698BOY
EOY94505EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42294069BOY
EOY42609202EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1564564BOY
EOY1332840EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY11930000BOY
EOY11337000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6593049BOY
EOY6675112EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20087613BOY
EOY19344952EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22203842BOY
EOY23262476EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2614BOY
EOY1774EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22206456BOY
EOY23264250EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42294069BOY
EOY42609202EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1116752ReconcilationRevenueExpenses
Reconcilation Other Changes-58958ReconcilationOtherChanges
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 Years160237CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years100185CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years204909CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year244460CurrentTaxYearMinus1Year
Current Tax Year194669CurrentTaxYear
Total904460Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15482447CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16271350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17310167CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16926355CurrentTaxYearMinus1Year
Current Tax Year16967633CurrentTaxYear
Total82957952Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15642684CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16371535CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17515076CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17170815CurrentTaxYearMinus1Year
Current Tax Year17162302CurrentTaxYear
Total83862412Total

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 Total50983862412PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years343558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years404898CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years302084CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year124751CurrentTaxYearMinus1Year
Current Tax Year266105CurrentTaxYear
Total1441396Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years343558CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years404898CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years302084CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year124751CurrentTaxYearMinus1Year
Current Tax Year266105CurrentTaxYear
Total1441396Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15986242CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16776433CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17817160CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17295566CurrentTaxYearMinus1Year
Current Tax Year17428407CurrentTaxYear
Total85303808Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98310PublicSupportPercentage509
Prior Year Support Percentage0.98370PriorYearSupportPercentage
Investment Income Percentage0.01690InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01630PriorYrInvestIncomePercentage
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 Basis37590028OtherCostOrOtherBasis
Depreciation10942010Depreciation
Book Value26648018BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5737551OtherCostOrOtherBasis
Depreciation3442730Depreciation
Book Value2294821BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1668355OtherCostOrOtherBasis
Book Value1668355BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34074336TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
REFUNDABLE ENTRANCE FEES$5,741,432
FAIR MARKET VALUE - SWAP$654,030
MISC PAYABLES$46,650
RESERVATION FEES$233,000
FieldValueIRS element (for citing)
Total Of Amounts6675112TotalOfAmounts
Total Revenue17945890TotalRevenue
Total Expenses16829138TotalExpenses
Excess Or Deficit For Year1116752ExcessOrDeficitForYear
Net Unrealized GL On Investments143226NetUnrealizedGLOnInvestments
Other-$202,184OtherAmount
Total Adjustments-58958TotalAdjustments
Excess Or Deficit Per FS1057794ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION AND THE FOUNDATION ARE TAX-EXEMPT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOME AND FOUNDATION ARE ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT, UNRELATED BUSINESS INCOME IN ACCORDANCE WITH CODE REGULATIONS. IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON 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 THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2010 AND 2009. FEDERAL TAX YEARS 2007 AND BEYOND, REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XI, LINE 8 - OTHER ADJUSTMENTS:FAIR MARKET VALUE OF SWAP -202,184.

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
2402190000000374220277641000
JOAN BIRR
1293000000000214160150716000
LORNA GARTZKE
1331940000000219970155191000

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 AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000011
000011

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)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
MEMBERS ARE REQUIRED TO ACKNOWLEDGE THEIR CONFLICTS OF INTEREST.FORM 990, PART VI, SECTION B, LINE 12C
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 B, LINE 15
GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 143,226. FAIR MARKET VALUE OF SWAP -202,184. TOTAL TO FORM 990, PART XI, LINE 5: -58,958.FORM 990, PART XI, LINE 5:

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