2024-11-12T11:53:17-05:00 2023-12-31 261588174 JT AND ASSOCIATES LLC 700 PILGRIM PARKWAY SUITE 200 ELM GROVE WI 53122 990 2023-01-01 391104331 SKAALEN NURSING AND REHABILITATION CENTER INC SKAA 6088735651 400 NORTH MORRIS STREET STOUGHTON WI 53589 KRIS KRENTZ PRESIDENT/CEO 6088735651 2024-11-11 true false MARK JANKE P00737129 2627899945 2024-11-11 2023 2024-10-15 13:58:12Z KRIS KRENTZ 400 N MORRIS ST STOUGHTON WI 53589 12067034 false X WWW.SKAALEN.COM X 1900 WI TO PROVIDE NURSING, PATIENT CARE AND REHABILITATION SERVICES TO ALL INDIVIDUALS REGARDLESS OF SOURCE OF PAYMENT, AND ABILITY TO PAY FROM THEIR OWN FUNDS. 9 9 252 40 0 50213 60817 10049834 11271979 -587541 734238 0 9512506 12067034 0 0 7209541 7937201 0 0 5534309 5641229 12743850 13578430 -3231344 -1511396 15954583 15255408 15102708 15914929 851875 -659521 TO PROVIDE NURSING, PATIENT CARE AND REHABILITATION SERVICES TO ALL INDIVIDUALS REGARDLESS OF SOURCE OF PAYMENT, AND ABILITY TO PAY FROM THEIR OWN FUNDS. false false 6964592 7226424 SKILLED NURSING FACILITY (SNF)- SKAALEN OWNS AND OPERATES A 91 BED NURSING HOME LOCATED IN STOUGHTON, WISCONSIN. THE SNF OFFERS SPECIALIZED RESTORATIVE REHABILITATION FOR SHORT TERM STAYS, NURSING CARE FOR LONG-TERM STAYS, AND END STAGE HOSPICE CARE. A SUBSTANTIAL PORTION OF ITS CARE IS PROVIDED TO RESIDENTS ON MEDICAID WHICH DOES NOT PROVIDE ADEQUATE REIMBURSEMENT TO COVER THE COSTS OF CARE AND HOUSING. 712888 776237 ANCILLARY SERVICES RELATING TO SNF - ANCILLARY SERVICES ARE PROVIDED TO THE RESIDENTS OF THE SNF SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. OTHER ANCILLARY SERVICES INCLUDE THE DRUGS AND MEDICAL SUPPLIES AS WELL AS ACTIVITY AND REHABILITATION PROGRAMS. 3181951 3254766 COMMUNITY BASED RESIDENTIAL FACILITY (CBRF) AND RESIDENTIAL APARTMENTS. SKAALEN OWNS AND OPERATES A 50 BED CBRF, 18 BED MEMORY CARE CBRF, AND 8 APARTMENT UNITS FOR THE ELDERLY. THE CBRF FACILITIES ARE DESIGNED TO PROVIDE CARE TO THE ELDERLY IN A HOME-LIKE SETTING. RESIDENTS RECEIVE MEALS, MEDICAL MANAGEMENT, HOUSEKEEPING, AND OTHER DAILY LIVING SERVICES BASED ON THEIR NEEDS. 10859431 true true false false false false false false false true true false false true true false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 7 0 true 252 true false false false false false false false false X 9 9 false false false false true true false true true false false false true true true true true true true false X X SKAALEN NURSING AND REHABILITATION 6088735651 400 NORTH MORRIS STREET STOUGHTON WI 53589 KRIS KRENTZ PRESIDENT/CE 40.00 X 196750 0 52255 CYNTHIA BUTZLAFF NURSE MANAGE 40.00 X 172213 0 25000 BARBARA KRODA DIRECTOR OF 40.00 X 108396 0 24675 SOLOMON NDUBUEZE RA 40.00 X 107226 0 0 AMMIE ROTH RN 40.00 X 104380 0 2600 MARSHA BORLING CHAIR 1.00 X 0 0 0 REV SCOTT GEISTER-JONES DIRECTOR 1.00 X 0 0 0 BILL HASZ DIRECTOR 1.00 X 0 0 0 REBECCA KLONGLAND DIRECTOR 1.00 X 0 0 0 JO LAFFEY DIRECTOR 1.00 X 0 0 0 RANDY OLSON DIRECTOR 1.00 X 0 0 0 CATHY RIGDON DIRECTOR 1.00 X 0 0 0 MARK SCHUBRING VICE CHAIR 1.00 X 0 0 0 MEG VEEK SECRETARY/TR 1.00 X 0 0 0 688965 104530 5 false true false PLEX CAPITAL LLC PO BOX 674804 DALLAS TX 752674804 NURSING 634050 TWOMAGNETS INC DBA CLIPBOARD PO BOX 103125 PASADENA CA 911893125 NURSING 624214 AEGIS THERAPIES PO BOX 8103 FORT SMITH AR 72902 THERAPY 482209 3 60817 60817 PROGRAM SERVICES 11271979 11271979 11271979 734238 734238 12067034 12006217 5933663 4312017 1621646 246355 190427 55928 1243028 960833 282195 514155 397431 116724 29994 29994 28482 28482 77674 77674 200678 182003 18675 200808 200808 7340 7340 606813 606813 697359 697359 93878 93878 NURSING 1432271 1432271 ANCILLARY EXPENSES 574656 574656 DIETARY 459020 459020 ADMINISTRATIVE 386463 386463 845793 845793 13578430 10859431 2718999 0 467683 469128 3854764 4470360 1040347 996980 133636 123959 27838868 20511161 7822868 7327707 2635285 1867274 15954583 15255408 1148950 1324105 2406372 2341937 11547386 12248887 15102708 15914929 X -242891 -1728361 1094766 1068840 851875 -659521 15954583 15255408 -1511396 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3851480 49803 728571 161272 4468582 4876860 34457 -815243 244594 3851480 4224940 27363 904618 280061 4876860 3882815 34092 396025 87992 4224940 3173577 149768 653279 93809 3882815 0.76000 0.01000 0.23000 true false 1058607 1058607 21544985 15526464 6018521 5235276 4984697 250579 7327707 AMOUNTS DUE FROM AFFILIATES 1366689 RESTRICTED CASH 500585 1867274 DUE TO VENNOVOLL 7982105 DUE TO SKAALENDAL 3677042 ENTRANCE FEE LIABILITY 641303 DEFERRED FINANCE FEES -51563 12248887 SCHEDULE D, PAGE 2, PART V, LINE 4 INCOME FROM THE PERMANENTLY RESTRICTED ENDOWMENT FUND IS NOT RESTRICTED. ENDOWMENT FUNDS RELATED TO QUASI RESTRICTED FUNDS ARE GENERALLY TO BE USED FOR BENEVOLENT CARE BUT CAN BE USED FOR OTHER PURPOSES. THE VAST MAJORITY OF ENDOWMENT FUNDS THAT ARE TEMPORARILY RESTRICTED ARE ALSO TO BE USED FOR BENEVOLENT CARE. THE REMAINDER OF THE TEMPORARILY RESTRICTED ENDOWMENT FUNDS ARE TO BE USED FOR PROGRAMS RELATING TO PROFESSIONAL DEVELOPMENT, RECOGNITION, RECRUITMENT, AND RETENTION OF NURSING STAFF. X X false false false false false false false false false KRIS KRENTZ PRESIDENT/CEO 196750 17921 34334 249005 CYNTHIA BUTZLAFF NURSE MANAGER 172213 25000 197213 FORM 990, PAGE 6, PART VI, LINE 6 MEMBERS OF THE CORPORATION ARE 29 LUTHERAN CHURCHES AND 1 METHODIST CHURCH IN AND AROUND THE STOUGHTON AREA. FORM 990, PAGE 6, PART VI, LINE 7A THE CORPORATE CHURCHES SEND ONE DELEGATE, WHOSE VOTE IS WEIGHTED DEPENDENT UPON CONGREGATION CENSUS, TO THE ANNUAL MEETING HELD IN MARCH EACH YEAR. THE DELEGATES ELECT THE NINE PERSON BOARD OF DIRECTORS AT THE ANNUAL MEETING. EACH DIRECTOR IS LIMITED TO TWO THREE YEAR TERMS. TERMS ARE STAGGERED SO ONE-THIRD OF THE BOARD IS ELECTED OR RE-ELECTED EACH YEAR. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE CEO AND FULL BOARD BEFORE IT IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. IF A CONFLICT IS DISCLOSED, THEY ARE PROHIBITED FROM DISCUSSION AND VOTING ON THE MATTER BY BOARD BYLAWS AND THE CEO'S EMPLOYMENT CONTRACT. FORM 990, PAGE 6, PART VI, LINE 15A THE EXECUTIVE COMMITTEE, WITH INPUT FROM THE FULL BOARD AND STAFF, CONDUCTS A PERFORMANCE REVIEW OF THE CEO IN JANUARY OF EACH YEAR AT A REGULAR BOARD MEETING. SALARY AND BENEFIT INFORMATION FROM LEADING AGE NATIONAL AND LEADING AGE WISCONSIN ANNUAL SURVEYS ARE USED TO DETERMINE AN APPROPRIATE SALARY AND BENEFIT RANGE FOR THE CEO. THE BOARD APPROVES ANY CHANGES TO THE CEO SALARY AND BENEFIT PACKAGE. A WRITTEN LETTER OF SUCH CHANGES IS PROVIDED BY THE BOARD CHAIR TO THE CEO AND HUMAN RESOURCE DIRECTOR. IN ADDITION,THE YEARLY WRITTEN GOALS AND OBJECTIVES SET FOR THE CEO ARE REVIEWED AND A NEW SET OF GOALS AND OBJECTIVES FOR THE CURRENT YEAR ARE DISCUSSSED AND APPROVED. FORM 990, PAGE 6, PART VI, LINE 15B CURRENT SALARY AND BENEFITS OF ALL DEPARTMENT HEADS AND MANAGERS IS PROVIDED TO THE BOARD FOR THEIR REVIEW AND APPROVAL DURING THE BUDGET PROCESS IN FALL OF EACH YEAR. FORM 990, PAGE 6, PART VI, LINE 19 ANNUAL REPORT, GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.