2011-07-29T10:56:49-05:00 2010-12-31 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2010-01-01 390845016 LUTHERAN HOMES OF OCONOMOWOC INC LUTH 2625678341 PO BOX 208 OCONOMOWOC WI 53066 JOAN BIRR 2625678341 2011-07-28 1 JAY ADKISSON 4144319300 2011-07-22 2010 2016-02-24 21:20:13Z JOAN BIRR PO BOX 208 OCONOMOWOC WI 53066 18999789 0 X WWW.LHO.ORG X 1939 WI PROVIDE 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. 13 13 460 0 78623 -39930 268893 199452 16926355 17349784 -73180 311100 71529 85554 17193597 17945890 0 0 0 0 10370726 10813422 0 0 0 6127997 6015716 16498723 16829138 694874 1116752 42294069 42609202 20087613 19344952 22206456 23264250 PROVIDE 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. 0 0 10805824 12949941 NURSING 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. 2066479 2700536 PROVIDE ASSISTED LIVING HOUSING AND SERVICES TO INDIVIDUALS ON AN A LA CARTE BASIS IN ORDER TO PRESERVE INDEPENDENCE AND CONSERVE THE RESIDENTS ASSETS. 1201690 1421637 PROVIDE INDEPENDENT LIVING ACCOMMODATIONS FOR SENIORS THROUGH 94 UNITS ACROSS A FULL RANGE OF APARTMENT SIZES AND COSTS. 477568 284601 477568 284601 14551561 1 1 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 1 460 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 OCONOMOWOC WI 53066 RONALD SOWINSKI 2.00 X X 0 0 0 JACKY MORGAN 2.00 X X 0 0 0 LISA BURCHARDT 2.00 X X 0 0 0 WILLIAM LAMM 2.00 X X 0 0 0 THOMAS MASSNICK 2.00 X X 0 0 0 JAMES GREGG 2.00 X 0 0 0 BARBARA HIRSCH 2.00 X 0 0 0 CHARLES KILANDER III 2.00 X 0 0 0 SHARON MANKE 2.00 X 0 0 0 ISOLA MILLET 2.00 X 0 0 0 W DAVID PERRY 2.00 X 0 0 0 JUDY STOCKS 2.00 X 0 0 0 DONALD THELEN 2.00 X 0 0 0 TIM THIELE 40.00 X 240219 0 37422 JOAN BIRR 40.00 X 129300 0 21416 LORNA GARTZKE 40.00 X 133194 0 21997 502713 0 80835 3 0 1 0 HEALTHREACH REHAB 17280 NORTH AVE BROOKFIELD WI 53045 REHAB SERVICES 677605 ALLIANCE PHARMACY 1520 KENSINGTON RD OAK BROOK IL 60523 PHARMACY SERVICES 265561 BAND BOX PO BOX 299 TOMAH WI 54660 LAUNDRY SERVICES 192373 3 199452 199452 SKILLED NURSING FACILI 623000 12949941 12949941 ASSISTED LIVING FACILI 623000 2700536 2700536 INDEPENDENT APTS 623000 1421637 1421637 ADULT DAY CENTER 623000 167520 167520 MEALS ON WHEELS 623000 59383 59383 50767 50767 17349784 104464 104464 1098894 161641 1053899 44995 161641 206636 206636 CAFE REVENUE 900099 78623 78623 LADIES AUXILIARY INCOM 623000 6931 6931 85554 17945890 17356715 78623 311100 8389091 7002664 1386427 274664 274664 1552220 1552220 597447 597447 35000 35000 16403 16403 24683 24683 37380 403 36977 553055 448033 105022 16887 16887 566581 538346 28235 1693 1693 498027 498027 1640729 1640729 108423 108423 CAFE EXPENSE 118553 118553 MEDICAL EXPENSES 953375 953375 FOOD 517523 517523 OTHER EXPENSES 327665 95283 232382 PURCHASED SERVICES 295693 295693 304046 18601 285445 16829138 14551561 2277577 0 2569135 3537084 2614 1774 858555 1206348 73739 98596 48459076 14384740 35359443 34074336 3324885 3596559 105698 94505 42294069 42609202 1564564 1332840 11930000 11337000 6593049 6675112 20087613 19344952 X 22203842 23262476 2614 1774 22206456 23264250 42294069 42609202 X 1116752 -58958 X 0 1 1 X 0 X 160237 100185 204909 244460 194669 904460 15482447 16271350 17310167 16926355 16967633 82957952 15642684 16371535 17515076 17170815 17162302 83862412 0 0 0 83862412 343558 404898 302084 124751 266105 1441396 343558 404898 302084 124751 266105 1441396 15986242 16776433 17817160 17295566 17428407 85303808 0.98310 0.98370 0.01690 0.01630 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3463142 3463142 37590028 10942010 26648018 5737551 3442730 2294821 1668355 1668355 34074336 REFUNDABLE ENTRANCE FEES 5741432 FAIR MARKET VALUE - SWAP 654030 MISC PAYABLES 46650 RESERVATION FEES 233000 6675112 17945890 16829138 1116752 143226 -202184 -58958 1057794 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. X X 0 0 0 0 0 0 0 0 0 TIM THIELE 240219 0 0 0 0 0 0 0 37422 0 277641 0 0 0 JOAN BIRR 129300 0 0 0 0 0 0 0 21416 0 150716 0 0 0 LORNA GARTZKE 133194 0 0 0 0 0 0 0 21997 0 155191 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 1 0 0 0 0 1 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 GAINS ON INVESTMENTS: 143,226. FAIR MARKET VALUE OF SWAP -202,184. TOTAL TO FORM 990, PART XI, LINE 5: -58,958. 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