2023-11-15T15:25:58-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2022-01-01 390981434 UNITED LUTHERAN PROGRAM FOR THE AGING INC UNIT 4144643880 4545 NORTH 92ND STREET WAUWATOSA WI 53225 ARTHUR KEUP CFO 4144646396 2023-11-15 1 ARTHUR KEUP 999009999 0 KIMBERLY ANDERSON P00188889 6086628600 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LUTHER MANOR STEPHANIE CHEDID 4545 NORTH 92ND STREET WAUWATOSA WI 53225 51704770 0 X WWW.LUTHERMANOR.ORG X 1957 WI SHARE GOD'S LOVE BY ENRICHING THE LIVES OF OLDER ADULTS. 9 8 531 117 0 0 8371979 4754990 22936893 22809783 670437 -2134761 559245 770184 32538554 26200196 0 0 0 0 16695939 15886002 0 0 29939 12282991 12676724 28978930 28562726 3559624 -2362530 44109199 41124824 19364525 18775589 24744674 22349235 X SHARE GOD'S LOVE BY ENRICHING THE LIVES OF OLDER ADULTS. 0 0 10631392 11863982 LUTHER MANOR HEALTH CARE CENTER PROVIDES SKILLED NURSING CARE AND SERVICES FOR FRAIL ELDERLY. WITHIN THE HEALTH CARE CENTER IS A DEDICATED REHABILITATION CENTER. THE HEALTH CARE CENTER ALSO HAS A CONTRACT WITH A HOSPITAL SYSTEM TO ASSIST IN TRANSITIONING DIFFICULT TO PLACE PATIENTS TO THEIR MOST IDEAL CARE SETTING. THIS PROGRAM, OUR ALTERNATIVE TRANSITIONAL CARE PROGRAM, FILLS A DIRE SERVICE GAP IN THE PUBLIC HEALTHCARE & SUPPORT SYSTEM AND ENABLES THE HOSPITAL SYSTEM TO PROVIDE CARE TO THOSE WITH THE GREATEST NEED. THE FACILITY IS LICENSED FOR PARTICIPATION IN BOTH MEDICARE AND MEDICAID. 3605533 4818229 THE LUTHER MANOR TERRACE (LMT) PROVIDES ENGAGING AND SUPPORTIVE INDEPENDENT LIVING HOUSING AND SERVICES FOR OLDER ADULTS. APARTMENT RESIDENTS OFTEN CHOOSE THE LMT IN ORDER TO BECOME PART OF A LIFE PLAN COMMUNITY SETTING. THE LMT SERVICES AND AMENITIES INCLUDE LIFE ENRICHMENT OPPORTUNITIES, TRANSPORTATION SERVICES, DINING PROGRAM, SPIRITUAL WELLNESS, FITNESS, HEALTH, ENTERTAINMENT AND CULTURAL PROGRAMS. THE LMT ALSO PROVIDES PERSONAL CARE SERVICES TO RESIDENTS THROUGH THE SUPPORTIVE LIVING "RESIDENTIAL CARE APARTMENT COMPLEX" RCAC PROGRAM, WHICH HELPS RESIDENTS MAINTAIN INDEPENDENT LIVING. 2963023 4212803 THE COURTYARDS AT LUTHER MANOR PROVIDES SUPPORTIVE (ASSISTED) LIVING SERVICES FOR FRAIL ELDERLY WHO RESIDE IN LUTHER MANOR'S LICENSED "COMMUNITY BASED RESIDENTIAL FACILITY (CBRF)". THE COURTYARDS PROGRAM ALSO INCLUDES "SPECIAL CARE" SERVICES FOR PERSONS WITH ALZHEIMER'S DISEASE AND OTHER FORMS OF DEMENTIA. THE COURTYARDS IS MEDICAID-CERTIFIED, ACCEPTING MEDICAID-WAIVER PROGRAM FUNDING. 1907470 1914769 LUTHER MANOR AT RIVER OAKS IS A 16-UNIT ASSISTED LIVING CENTER LOCATED IN MEQUON, WI. RIVER OAKS OFFERS SUPPORTIVE, ASSISTED LIVING AND 24-HOUR CARE SERVICES IN A WARM, HOME-LIKE SETTING. UNIQUE TO RIVER OAKS IS THE ABILITY TO FORM RELATIONSHIPS WITH STAFF WHICH ISN'T ALWAYS POSSIBLE IN A LARGER SETTING.LUTHER MANOR HOSPICE PROVIDES PATIENTS AND THEIR LOVED ONES THE OPPORTUNITY TO MAKE DECISIONS ABOUT END-OF-LIFE CARE, WHILE BEING SUPPOETED BY A DEDICATED, COMPASSIONATE STAFF OF PHYSICIANS, NURSES, CHAPLAINS, SOCIAL WORKERS, AND COUNSELORS. HOSPICE IS NOT A PLACE, NOR IS IT A RESIGNATION OF HOPE. IT IS NOT INTENTED TO HASTEN OR POSTPONE DEATH, BUT TO ENCOURAGE QUALITY IN LIFE, PRESERVE DIFNITY IN DYING AND OFFER SUPPORT IN GRIEF. 1907470 1914769 19107418 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 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 1 61 0 1 531 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X ARTHUR KEUP 4144643880 4545 NORTH 92ND STREET WAUWATOSA WI 53225 STEPHANIE CHEDID PRESIDENT & CEO 45.00 5.00 X X 312666 0 89647 KRISTINE IWINSKI CHAIR 0.50 X X 0 0 0 ANDREW VEDDER VICE CHAIR 0.50 X X 0 0 0 KEITH FRALEIGH TREASURER 0.50 X X 0 0 0 ELIZABETH STRACHOTA-BENZ SECRETARY 0.50 X X 0 0 0 RAYMOND ZASTROW DIRECTOR 0.50 X 0 0 0 DAVID EDQUIST DIRECTOR 0.50 X 0 0 0 TRISHYA BROWN DIRECTOR 0.50 X 0 0 0 CAROLYN ESSWEIN DIRECTOR 0.50 X 0 0 0 ARTHUR KEUP CFO 45.00 5.00 X 163728 0 6973 PATRICK HANSEN CHIEF EXPERIENCE OFFICER 50.00 X 181473 0 4077 HERMINIA DEGUZMAN NURSE 63.00 X 180642 0 15046 KAREN GIBBS CCO 50.00 X 169476 0 5362 SABRINA BROOKS REGISTERED NURSE SUPERVISO 59.10 X 143813 0 17786 CASSANDRA MCAFFEE-HALE DIRECTOR OF NURSING (DON) 43.70 X 127299 0 3163 ROSEMARY UZZI LICENSED PRACTICAL NURSE 51.20 X 123592 0 955 1402689 0 143009 5 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DINING SERVICES 1566380 SYMBRIA REHAB INC 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 THERAPY SERVICES 836975 CASPIAN TECHNOLOGY CONCEPTS LLC PO BOX 147 PEWAUKEE WI 53072 IT SERVICES 555950 JOHNSON CONTROLS INC PO BOX 730068 DALLAS TX 753730068 HVAC SERVICES 415805 STU'S FLOORING PO BOX 210857 MILWAUKEE WI 53221 FLOORING MATERIALS & INSTALLATION 355297 13 4330473 314107 110410 4754990 RESIDENT SERVICES 623000 22320659 22320659 FOUNDERS FEES 623990 489124 489124 22809783 554966 554966 22814847 25504574 -2689727 -2689727 -2689727 BED RESERVATIONS 900099 592390 592390 CAFETERIA INCOME 900099 78314 78314 MANOR MART & SHOPPES 900099 42959 42959 56521 56521 770184 26200196 22809783 0 -1364577 758564 758564 12709126 9900939 2808187 95321 56884 38437 1359376 1007104 352272 963615 733390 230225 9860 9860 66217 66217 54306 54306 454851 454851 389148 100523 258686 29939 36941 381 36560 452035 130542 321493 1430588 1334290 96298 16788 10268 6520 49021 7887 41134 299229 299229 2513977 2375923 138054 500350 500350 ALL OTHER EXPENSES 3613984 3613984 DINING FOOD AND SUPPLIE 1596485 1596485 SUPPLIES 878091 739450 138641 PHARMACEUTICALS 244038 244038 70815 69735 1080 28562726 19107418 9425369 29939 2658668 1281095 129767 104658 3037618 3848347 69756 56308 245934 272109 99033501 80613102 18221263 18420399 19642697 16950906 103496 191002 44109199 41124824 2305093 2478539 422548 207833 8272821 7373713 76660 78061 68803 8218600 8637443 19364525 18775589 X 24621887 22283551 122787 65684 24744674 22349235 44109199 41124824 X -2362530 -38356 5447 X 0 1 X 1 0 X 1327002 1485268 5589397 8371979 4754990 21528636 28957454 27070157 23970054 22963893 22809783 125771341 30284456 28555425 29559451 31335872 27564773 147299977 0 0 0 147299977 706295 634289 475550 424034 554966 2795134 706295 634289 475550 424034 554966 2795134 251652 766602 288557 135995 770184 2212990 31242403 29956316 30323558 31895901 28889923 152308101 0.96710 0.97050 0.01840 0.01860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 336498 336498 64919264 55334670 9584594 2615247 2050762 564485 30533348 23227670 7305678 629144 629144 18420399 FOUNDERS FEES 8553105 LEASE LIABILITY LT (FINANCE) 84338 8637443 X 26164350 -38356 2510 -35846 26200196 0 26200196 28562726 0 28562726 0 28562726 PART IV, LINE 2B: RESIDENT FUNDS ARE HELD BY THE ORGANIZATION WHICH RESIDENTS CAN ACCESS IF IN NEED OF ANY AMOUNT OF MONEY IN WHICH THE RESIDENT HAS ENTRUSTED THE ORGANIZATION. THESE FUNDS ARE OFTEN USED FOR MINOR PURCHASES. THIS ASSET IS IN CORRELATION WITH A LIABILITY FOR THE SAME AMOUNT. PART X, LINE 2: THE CORPORATION FOLLOWS THE ACCOUNTING STANDARDS FOR CONTINGENCIES IN EVALUATING UNCERTAIN TAX POSITIONS. THE CORPORATION FILES INFORMATIONAL RETURNS AS A TAX-EXEMPT ORGANIZATION, WHICH ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: ASSETS RELEASED FROM RESTRICTIONS 2,510. X X X X 0 1 0 0 0 0 0 1 1 1 STEPHANIE CHEDID PRESIDENT & CEO 260166 0 52500 0 0 0 52297 0 37350 0 402313 0 0 0 HERMINIA DEGUZMAN NURSE 180642 0 0 0 0 0 2296 0 12750 0 195688 0 0 0 PATRICK HANSEN CHIEF EXPERIENCE OFFICER 164958 0 16515 0 0 0 2296 0 1781 0 185550 0 0 0 KAREN GIBBS CCO 151363 0 18113 0 0 0 0 0 5362 0 174838 0 0 0 ARTHUR KEUP CFO 147409 0 16319 0 0 0 2296 0 4677 0 170701 0 0 0 SABRINA BROOKS REGISTERED NURSE SUPERVISO 143813 0 0 0 0 0 3247 0 14539 0 161599 0 0 0 PART I, LINE 4B NAME: STEPHANIE CHEDID, DESCRIPTION: CONTRIBUTIONS MADE TO 457(F) PLAN, CURRENT YEAR AMOUNT: $50,000. PLAN DESCRIPTION: PARTICIPATED IN 457(F) DEFERRED COMP PLAN. NO DISTRIBUTIONS MADE 2022 PART I, LINE 7 THE CEO, CFO, CXO AND CCO ARE ELIGIBLE FOR DISCRETIONARY BONUS PAYMENTS. PART I, LINE 8 THE ORGANIZATION HAS A DEFERRED COMPENSATION PLAN UNDER 457(B) AND 457(F) PLAN FOR CEO. A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 NONEAVAIL 2022-11-29 16750000 REFUNDING OF 2012 SERIES A BONDS & FUNDING OF CAMPUS CAPITAL IMPROVEMENTS 0 0 0 A 16750000 286497 470446 7250000 9029554 1 0 0 1 A 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPRISED OF THE OFFICERS OF THE BOARD AND IS CHAIRED BY THE CHAIR OF THE BOARD. THEY ARE GIVEN AUTHORITY BY THE BOARD TO PERFORM SPECIFIC FUNCTIONS, INCLUDING THE ANNUAL REVIEW OF THE CEO. WHEN THE FULL BOARD CAN NOT MEET, IN AN EMERGENCY SITUATION, THEY ARE AUTHORIZED TO EXERCISE ALL POWER OF THE BOARD EXCEPT ACTIONS RELATED TO ELECTION OF OFFICER OR FILLING VACANCIES. FORM 990, PART VI, SECTION A, LINE 3 UNITED LUTHERAN PROGRAM FOR THE AGING, INC. HAS A CONTRACT WITH SODEXO TO MANAGE DINING SERVICES. SODEXO DIRECTLY EMPLOYS DINING MANAGEMENT EMPLOYEES, PURCHASES ALL FOOD, AND SUPERVISES LUTHER MANOR'S DINING SERVICE STAFF. FORM 990, PART VI, SECTION B, LINE 11B THE MEMBERS OF THE BOARD OF DIRECTORS OF UNITED LUTHERAN PROGRAM FOR THE AGING, INC. HAVE THE OPPORTUNITY TO REVIEW THE COMPLETE FORM 990 PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS ANNUALLY REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY, DISCLOSING ANY POTENTIAL CONFLICTS OF INTERST TO THE SECRETARY OF THE BOARD AND ON AN INTERIM BASIS AS CONFLICTS ARISE AS OUTLINED IN THE POLICY. THE BOARD WILL REVIEW THE CONFLICT AND DETERMINE THE APPROPRIATE ACTION. DEPENDING ON THE TYPE OF CONFLICT, DIRECTORS AND OFFICERS WITH CONFLICTS MAY BE ALLOWED TO REMAIN ON THE BOARD, BUT WOULD BE EXPECTED TO REFRAIN FROM DISCUSSIONS OR VOTING ON MATTERS WHERE A POTENTIAL CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15 AN OUTSIDE COMPENSATION CONSULTANT IS ENGAGED TO REVIEW COMPENSATION OF LIKE ORGANIZATIONS AND INDUSTRY COMPENSATION SURVEYS. BASED ON THIS DATA, COMPENSATION RECOMMENDATIONS ARE MADE TO THE EXECUTIVE COMMITTEE OF THE BOARD OF THE UNITED LUTHERAN PROGRAM FOR THE AGING, INC., AND APPROVED BY THIS COMMITTEE. THE REVIEW WAS PERFORMED BY THE COMPENSATION CONSULTANT USING DATA FROM KORN FERRY'S 2022 INTEGRATED HEALTHCARE SYSTEMS COMPENSATION SURVEY, THE HHCS 2021-2022 MULTI-FACILITY CORPORATE COMPENSATION REPORT, MRA 2022 BENCHMARK COMPENSATION SURVEY, THE LEADINGAGE 2022 WISCONSIN EXECUTIVE COMPENSATION SURVEY, THE PRM 2022 MANAGEMENT COMPENSATION REPORT OF NFP ORGANIZATIONS, AND RELEVANT DATA FROM THE IRS FORM 990'S OF COMPARABLE ORGANIZATIONS. THE INFORMATION WAS DOCUMENTED BY THE EXECUTIVE COMMITTEE OF THE ULPA BOARD OF DIRECTORS IN A REBUTTABLE PRESUMPTION CHECKLIST. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTGS AND FINANCIAL STATEMENTS OF UNITED LUTHERAN PROGRAM FOR THE AGING, INC. ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION WILL CONSIDER REQUESTS AND MAKE THE DOCUMENTS AVAILABLE BASED ON FACTS AND CIRCUMSTANCES OF THE REQUEST. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT MADE AVAILABLE TO THE PUBLIC. SOME YEAR-END FINANCIAL INFORMATION IS PROVIDED IN LUTHER MANOR'S ANNUAL IMPACT REPORT. FORM 990, PART XI, LINE 9: RESTRICTED CONTRIBUTIONS 5,447. LUTHER MANOR FOUNDATION 4545 NORTH 92ND STREET MILWAUKEE WI 53225 391499823 PROGRAM GRANT TO UNITED LUTHERAN PROGRAM FOR THE AGING, INC. WI 501(C)(3) LINE 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 1