2023-11-14T10:55:54-06:00 2022-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-01-01 396040444 GRACE LUTHERAN FOUNDATION INC GRAC 7158323003 PO BOX 287 EAU CLAIRE WI 54702 AMY DUHR CEO 7158323003 2023-11-12 1 AMY DUHR 999009999 1 MICHAEL J PETERSON CPA P01833529 2187224705 2023-11-12 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X AMY DUHR PO BOX 287 EAU CLAIRE WI 54702 20200360 0 X WWW.GRACELUTHFOUND.COM X 1961 WI GRACE LUTHERAN FOUNDATION, INC. (THE "FOUNDATION") IS ORGANIZED TO ENGAGE IN CHARITABLE, RELIGIOUS, EDUCATIONAL, AND SCIENTIFIC ACTIVITIES IN ACCORDANCE WITH THE AIMS OF GRACE LUTHERAN CONGREGATION, A RELIGIOUS CORPORATION LOCATED IN EAU CLAIRE, WISCONSIN. THE FOUNDATION OPERATES SKILLED NURSING FACILITIES, ADULT DAY CARE PROGRAMS, ASSISTED LIVING FACILITIES, SENIOR HOUSING FACILITIES, AND POST-SURGICAL FACILITIES, WITH THE GOAL OF ENHANCING HUMAN DIGNITY AND GROWTH BY PROVIDING HIGH QUALITY CHRISTIAN-BASED SERVICE TO RESIDENTS OF THE CHIPPEWA VALLEY. 10 10 400 15 1299936 0 3250785 2981635 17369210 14878182 978273 -25959 -385132 196714 21213136 18030572 0 21000 0 0 11705049 9924956 0 0 0 8437234 7550466 20142283 17496422 1070853 534150 31361172 31199089 20392639 18588252 10968533 12610837 X THE MISSION OF GRACE LUTHERAN FOUNDATION, INC., AS A COMPLIMENTARY ARM OF GRACE LUTHERAN CHURCH, IS TO RESPOND TO THE SPIRITUAL, PHYSICAL, AND SOCIAL NEEDS OF THE PEOPLE IN ORDER TO ENHANCE HUMAN DIGNITY AND GROWTH BY PROVIDING HIGH QUALITY CHRISTIAN-BASED SERVICE. 0 1 8270236 0 7799292 GRACE LUTHERAN FOUNDATION, INC. PROVIDES SKILLED NURSING SERVICES FOR THOSE IN NEED UNDER ITS FAITH BASED PLAN OF CARE PROGRAMS AT GRACE RIVER PINES AND GRACE PRAIRIE POINT IN EAU CLAIRE, WISCONSIN. GRACE RIVER PINES IS A 50-BED SKILLED NURSING FACILITY THAT PROVIDED 15,494 DAYS OF PATIENT CARE IN 2022. GRACE PRAIRIE POINTE IS A 48-BED SKILLED NURSING FACILITY THAT PROVIDED 5,452 DAYS OF PATIENT CARE IN 2022 UNTIL DECEMBER 1ST WHEN THE COMPANY CONVERTED 48 BEDS TO ASSISTED LIVING (482 DAYS FOR DECEMBER 2022). THE NURSING HOMES OFFER SKILLED NURSING, IV THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND MEDICATION MANAGEMENT AMONG THEIR MANY PROGRAMS AND SERVICES. THE NURSING HOMES OFFER SERVICES FOR BOTH SHORT-TERM REHABILITATION AND LONG-TERM CARE OPTIONS FOR RESIDENTS DEPENDING UPON THEIR NEEDS. RECREATIONAL ACTIVITIES ARE ALSO PROVIDED TO RESIDENTS TO OFFER AN ENJOYABLE ATMOSPHERE WHILE CARE IS MONITORED BY TRAINED PROFESSIONALS. THE MAJORITY OF THE RESIDENTS RECEIVE ASSISTANCE UNDER THE WISCONSIN MEDICAID PROGRAM. 4348084 0 4100485 GRACE LUTHERAN FOUNDATION, INC. PROVIDES ASSISTED LIVING SERVICES IN TWO TYPES OF CERTIFIED FACILITIES, COMMUNITY BASED RESIDENTIAL FACILITIES (CBRF) AND RESIDENTIAL CARE APARTMENT COMPLEXES (RCAC). THE FOUNDATION OPERATES GRACE EDGEWOOD AND WILLOWBROOK ASSISTED LIVING APARTMENTS IN EAU CLAIRE, WISCONSIN WHICH COMBINE INDEPENDENT LIVING WITH THE CONVENIENCE OF MONITORED ASSISTED LIVING CARE PLANS TO OFFER RESIDENTS THE OPTION OF LIVING INDEPENDENTLY WHILE AT THE SAME TIME HAVING THE COMFORT OF KNOWING THAT ADDITIONAL CARE IS AVAILABLE AS NEEDED. THE FOUNDATION ALSO OPERATED GRACE WOODLANDS CBRF IN EAU CLAIRE, WISCONSIN WHICH IS A MEMORY CARE ASSISTED LIVING FACILITY FOR THOSE ADULTS WHO SUFFERED FROM MEMORY LOSS OR OTHER CONDITIONS WHICH REQUIRE SOME ASSISTANCE WITH DAY TO DAY LIVING ACTIVITIES. THE COMPANY SHUT DOWN WOODLANDS IN NOVEMBER 2022. SERVICES OFFERED AT THESE FACILITIES INCLUDE HOUSEKEEPING, LAUNDRY, NURSING ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, DIETARY SERVICES, MEDICATION MANAGEMENT, AND OTHER NURSING SUPERVISION AND CARE SERVICES. A LARGE PORTION OF THE FACILITIES' RESIDENTS RECEIVE SERVICES UNDER THE FAMILY CARE PROGRAMS AS A PART OF WISCONSIN MEDICAID. 1124432 0 1060402 GRACE LUTHERAN FOUNDATION, INC. PROVIDES ADULT DAY CARE SERVICES IN TWO FACILITIES TO OFFER THE CONVENIENCE OF OUTPATIENT CARE IN TWO COMMUNITIES IN THE EAU CLAIRE, WISCONSIN SURROUNDING AREAS. ONE FACILITY IS LOCATED IN ALTOONA, WISCONSIN AND THE OTHER IS LOCATED IN CHIPPEWA FALLS, WISCONSIN. A LARGE PORTION OF THE SERVICES ARE PROVIDED UNDER COUNTY AND STATE OF WISCONSIN COMMUNITY OPTIONS PROGRAMS FUNDING ASSISTANCE. 655388 21000 618067 GRACE LUTHERAN FOUNDATION, INC. ALSO OPERATES MANY OTHER PROGRAMS TO PROVIDE CARE FOR BOTH COMMUNITY MEMBERS IN AND AROUND THE SURROUNDING AREAS OF ALL AGES AND THE ELDERLY AND DISABLED OF THE COMMUNITY. THE FOUNDATION OPERATES A CHILDCARE PROGRAM AND AN APARTMENT COMPLEX LOCATED IN EAU CLAIRE, WISCONSIN. THE APARTMENT AND CHILDCARE PROGRAMS RECEIVE A SUBSTANTIAL PORTION OF THEIR FUNDING SOURCES THROUGH COUNTY AND STATE ASSISTANCE PROGRAMS TO PROVIDE CARE AND SERVICES TO THOSE IN NEED IN THE COMMUNITY WHILE FOCUSING ON THE MISSION OF GRACE LUTHERAN CHURCH TO PROVIDE HIGH-QUALITY CHRISTIAN BASED SERVICES TO RESIDENTS OF THE CHIPPEWA VALLEY. THE FOUNDATION PROVIDES MANAGEMENT SERVICES TO LOCAL COMMUNITY NURSING HOMES. ALL OF THE VARIOUS PROGRAMS RECEIVE ADMINISTRATIVE ASSISTANCE THROUGH A SUPPORT AND DEVELOPMENT DEPARTMENT WITHIN GRACE LUTHERAN FOUNDATION. 655388 21000 618067 14398140 1 1 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 60 0 400 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X AMY DUHR 7158323003 3410 SKY PARK BLVD EAU CLAIRE WI 54702 PAUL LOKKEN PRESIDENT 1.00 0.50 X X 0 0 0 DR DALE REID VICE PRESIDENT 1.50 0.50 X X 0 0 0 JAN ADAMS SECRETARY/TREASURER 1.50 0.50 X X 0 0 0 DAVID HOVLAND CHURCH COUNCIL PRESIDENT 1.50 0.50 X X 0 0 0 KAREN BULLOCK BOARD MEMBER (THRU MAY 2022) 1.50 0.50 X 0 0 0 BOB KEIN BOARD MEMBER 1.00 0.50 X 0 0 0 KATHI SUE KRAUSE BOARD MEMBER (THRU MAY 2022) 1.50 0.50 X 0 0 0 GERI LONG BOARD MEMBER (THRU MAY 2022) 1.50 0.50 X 0 0 0 GLORIA MITTLESTADT BOARD MEMBER 1.00 0.50 X 0 0 0 SUZETTE PELTIER BOARD MEMBER 1.00 0.50 X 0 0 0 BARB RADKE BOARD MEMBER 1.50 0.50 X 0 0 0 PASTOR PHILIP RUGE-JONES BOARD MEMBER 1.00 0.50 X 0 0 0 KEN ZIEHR BOARD MEMBER 1.00 0.50 X 0 0 0 AMY DUHR CEO 40.00 0.50 X 205714 0 7128 KELLY LARSON CFO (THRU APRIL) 40.00 0.50 X 44068 0 4804 VICKI MIDDLETON NURSING MANAGERS 40.00 0.50 X 130679 0 6459 THERESA JENSEN NURSING MANAGERS 40.00 0.50 X 107421 0 0 BRYAN BESSA CHRO 40.00 0.50 X 106380 0 0 JENNIFER COHEN ADMINISTRATOR 40.00 0.50 X 114518 0 0 CANDICE ANDERSON RN 40.00 0.50 X 105622 0 19152 814402 0 37543 6 0 1 0 GREENFIELD REHABILITATION 3360 GATEWAY RD STE 100 BROOKFIELD WI 53045 THERAPY SERVICES 669744 COMMUNITY LIVING SOLUTION 2801 E ENTERPRISE AVE SUITE 202 APPLETON WI 54913 DESIGN SERVICES 371463 TITAN NURSE STAFFING LLC 2110 S 169TH PLZ STE 100 OMAHA NE 68130 AGENCY STAFFING 285347 WIPFLI LLP 4890 OWEN AYRES CT STE 200 EAU CLAIRE WI 54701 ACCOUNTING & AUDIT SERVICES 139253 THE JAMAR COMPANY 4701 MIKE COLALILLO DRIVE DULUTH MN 55807 CONTRACTOR/MAINTENANCE 110557 5 10432 2851977 119226 2981635 SKILLED NURSING FACILITY 623000 7799292 7799292 ASSISTED LIVING 623000 4100485 4100485 ELDERLY HOUSING 623990 618067 618067 CHILD CARE 624410 550594 550594 ADULT DAY CARE 623990 509808 509808 1299936 1299936 14878182 154033 154033 13080 0 13080 13080 13080 1989796 2169788 -179992 -179992 -179992 0 10432 0 0 183634 183634 183634 18030572 13578246 1299936 170755 21000 21000 261714 261714 7898156 6193636 1704520 248234 189579 58655 922922 713960 208962 593930 453592 140338 5090 4449 641 104681 91499 13182 442 442 32649 32649 1517767 1327079 190688 8088 7069 1019 97494 85217 12277 653356 571080 82276 34345 30020 4325 21709 18975 2734 745059 745059 1304848 1261822 43026 191521 167403 24118 MEDICAL SUPPLIES 1318409 1152384 166025 FOOD SUPPLIES 461722 403578 58144 TAXES AND LICENSES 399252 348975 50277 BAD DEBT EXPENSE 316133 316133 337901 295631 42270 17496422 14398140 3098282 0 3550 4037 1740650 1217858 1826093 1850375 118299 0 54272 78518 37981199 17356384 21056811 20624815 6332233 4074735 229264 3348751 31361172 31199089 1360975 1740943 17571512 16812107 36640 35202 1423512 0 20392639 18588252 X 10908628 12550932 59905 59905 10968533 12610837 31361172 31199089 X 534150 -759126 1867280 X 0 1 X 1 0 X 270944 42325 2043159 3250785 2981637 8588850 25452452 16978876 15116013 13593285 13578246 84718872 6300 8536171 7415950 2426987 183632 18569040 25729696 25557372 24575122 19271057 16743515 111876762 0 0 0 111876762 66120 145719 104930 170866 167113 654748 7568 7568 66120 145719 104930 178434 167113 662316 25795816 25703091 24680052 19449491 16910628 112539078 0.99410 0.99250 0.00590 0.00750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 442 442 0 PART II-B, LINE 1: GRACE LUTHERAN FOUNDATION, INC. PAYS ANNUAL ASSOCIATION DUES TO LEADINGAGE WISCONSIN. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATION MATERIALS AND STAFFING TRAINING AND DEVELOPMENT. A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL INDUSTRY ENVIRONMENT. THE MOST RECENT PERCENTAGE OF DUES ATTRIBUTABLE TO LOBBYING WAS 6.9%. DUES ARE $6,400 PER YEAR. 0 1 X 1600331 1600331 29849890 12013804 17836086 6508383 5342580 1165803 22595 22595 20624815 UNAMORTIZED LICENSE FEES 30000 DUE TO AFFILIATE 319595 FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 443767 EMPLOYEE RETENTION CREDIT RECEIVABLE 2555389 3348751 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS ADVANCED BY THE TENANTS OF THE APARTMENTS. THESE DEPOSITS ARE HELD IN A SEPARATE ACCOUNT. SECURITY DEPOSITS ARE REFUNDABLE UPON VACANCY. THE ORGANIZATION ALSO HOLDS FUNDS ADVANCED BY RESIDENTS OF ITS VARIOUS FACILITIES TO BE USED AT EACH RESIDENT'S DISCRETION. THE FUNDS ARE MAINTAINED IN A SEPARATE ACCOUNT, CONSISTING PRIMARILY OF CASH EQUIVALENTS. THE ORGANIZATION HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THESE FUNDS. 1 GRACE LUTHERAN CHURCH 202 W GRAND AVE EAU CLAIRE WI 54701 390845281 501(C)(3) 21000 0 TITHE FOR ORGANIZATIONAL SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION MADE A VOLUNTARY CONTRIBUTION TO A RELATED ORGANIZATION DURING 2022. X X X 0 0 0 0 0 0 0 0 0 AMY DUHR CEO 205396 0 0 0 318 0 0 0 7128 0 212842 0 0 0 A ALTOONA WISCONSIN 396005377 2014-12-30 5375000 CONSTRUCTION OF NEW FACILITIES 0 0 0 B VILLAGE OF ELK MOUND WI 390990065 2015-07-24 8250000 CONSTRUCTION OF NEW FACILITIES 0 0 0 C VILLAGE OF FAIRCHILD WI 391087447 2015-07-24 8250000 CONSTRUCTION OF NEW FACILITIES 0 0 0 A 244963 5375000 93998 3621813 1659189 2016 1 0 1 1 B 271719 8250000 54240 8250000 2016 0 0 1 1 C 271719 8250000 54240 8250000 2016 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0.00500 0.00500 0 0 1 C 0 0 0 0 0.00500 0.00500 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 1 BREMER BANK NA 24.000000000000 1 0 0 0 1 C 0 1 0 0 0 1 BREMER BANK NA 24.000000000000 1 0 0 0 1 A 1 B 1 C 1 FORM 990, PART III, LINE 3 GRACE LUTHERAN FOUNDATION, INC. CLOSED A MEMORY CARE CBRF IN FEBRUARY OF 2022. IN ADDITION, A 48 BED SKILLED NURSING FACILITY (PRAIRIE POINTE) WAS CONVERTED TO 48 ASSISTED LIVING BEDS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS ON THE CHANGES IN THE STRUCTURE OF THE GRACE LUTHERAN FOUNDATION, INC., GOVERNING DOCUMENTS, OR EXPANSION OR CONTRACTION OF MORE THAN 5% MUST BE APPROVED BY THE GRACE LUTHERAN CHURCH. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED BY MANAGEMENT PRIOR TO SUBMISSION OF THE RETURN. A COPY OF FORM 990 WAS ALSO MADE AVAILABLE TO THE MEMBERS OF THE FOUNDATION'S GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION ANNUALLY REVIEWS UPDATED CONFLICT OF INTEREST STATEMENTS FROM MEMBERS OF THE BOARD OF DIRECTORS. ANY NOTED CONFLICTS ARE DISCUSSED, AND DURING THE YEAR, IF CONFLICTS ARE NOTED, THOSE CONFLICTING MEMBERS ABSTAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 GRACE LUTHERAN FOUNDATION, INC.'S EXECUTIVE LEVEL EMPLOYEES AND KEY EMPLOYEES ARE PROVIDED COMPENSATION UNDER AN EMPLOYMENT CONTRACT WHICH IS APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION OF EXECUTIVE LEVEL EMPLOYEES ANNUALLY IS ALSO REVIEWED BASED ON INDUSTRY DATA AND WAGE COMPARABILITY STUDIES FOR OTHER ELDERLY CARE AND CARE CENTER ORGANIZATIONS IN THE REGION. FORM 990, PART VI, SECTION C, LINE 19 GRACE LUTHERAN FOUNDATION, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS BUSINESS LOCATION. FORM 990, PART XI, LINE 9: INTEREST RATE SWAP VALUATION ADJUSTMENT 1,867,280. CHIPPEWA VALLEY ECUMENICAL HOUSING ASSOCIATION INC 3410 SKY PARK BLVD PO BOX 287 EAU CLAIRE WI 54702 391503681 LOW INCOME HOUSING PROJECT WI 501(C)3 LINE 11 GRACE LUTHERAN FOUNDATION INC 1 GRACE LUTHERAN CHURCH 202 W GRAND AVENUE EAU CLAIRE WI 54701 390845281 CHURCH WI 501(C)3 LINE 1 N/A 0 GRACE DEVELOPMENT CORPORATION 3410 SKY PARK BLVD PO BOX 287 EAU CLAIRE WI 54701 INACTIVE WI GRACE LUTHERAN FOUNDATION INC C 1.00000 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0