ELMWOOD NURSING HOME INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ELMWOOD NURSING HOME INC (EIN 39-1190907)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-03-09
IRS object ID: 202040699349300704
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-03-09T08:45:54-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390758449	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WIPFLI LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1502 LONDON ROAD SUITE 200	AddressLine1Txt
City	DULUTH	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55812	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391190907	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ELMWOOD NURSING HOME INC	BusinessNameLine1Txt
Business Name Line2	HERITAGE OF ELMWOOD	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ELMW	BusinessNameControlTxt
Phone	7158323003	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	232 E SPRINGER AVE	AddressLine1Txt
City	ELMWOOD	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54740	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARTY METTEN	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	7158323003	PhoneNum
Signature	2020-02-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL J PETERSON CPA	PreparerPersonNm
PTIN	P01833529	PTIN
Phone	2187224705	PhoneNum
Preparation	2020-02-16	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	71.13.38.61	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-02-17	IPDt
IP Tm	11:53:33	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RAYMOND WEISS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3410 SKY PARK BLVD	AddressLine1Txt
City	EAU CLAIRE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,405,389	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://HERITAGEOFELMWOOD.COM/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Other Organization Dsc	WISCONSIN NO	OtherOrganizationDsc
Formation	1972	FormationYr
Legal Domicile State	WI	LegalDomicileStateCd
Activity Or Mission	TO RESPOND TO THE SPIRITUAL, PHYSICAL, AND SOCIAL NEEDS OF PEOPLE IN ORDER TO ENHANCE HUMAN DIGNITY AND GROWTH BY PROVIDING HIGH QUALITY SERVICE.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	73	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$562	PYContributionsGrantsAmt
CY Contributions Grants	$866	CYContributionsGrantsAmt
PY Program Service Revenue	$2,256,382	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,390,117	CYProgramServiceRevenueAmt
PY Investment Income	$15,978	PYInvestmentIncomeAmt
CY Investment Income	$14,406	CYInvestmentIncomeAmt
PY Other Revenue	$128,651	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$2,401,573	PYTotalRevenueAmt
CY Total Revenue	$2,405,389	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,377,846	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,381,125	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$900,380	PYOtherExpensesAmt
CY Other Expenses	$882,169	CYOtherExpensesAmt
PY Total Expenses	$2,278,226	PYTotalExpensesAmt
CY Total Expenses	$2,263,294	CYTotalExpensesAmt
PY Revenues Less Expenses	$123,347	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$142,095	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,148,030	TotalAssetsBOYAmt
Total Assets EOY	$3,087,037	TotalAssetsEOYAmt
Total Liabilities BOY	$949,082	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$745,994	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,198,948	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,341,043	NetAssetsOrFundBalancesEOYAmt
Mission	TO RESPOND TO THE SPIRITUAL, PHYSICAL, AND SOCIAL NEEDS OF PEOPLE IN ORDER TO ENHANCE HUMAN DIGNITY AND GROWTH BY PROVIDING HIGH QUALITY SERVICE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,007,228	ExpenseAmt
Revenue	$2,337,554	RevenueAmt
Desc	THE PRIMARY ACTIVITY OF THE NURSING HOME IS TO PROVIDE SKILLED NURSING CARE FOR THE AGED AND DISABLED OF THE SURROUNDING AREA. THE NURSING HOME SERVES THE ELMWOOD, WISCONSIN AREA COMMUNITY BY OPERATING A 34-BED SKILLED NURSING FACILITY. THE NURSING HOME PROVIDED 9,333 RESIDENT DAYS OF CARE IN FISCAL YEAR 2019. THE NURSING HOME OFFERS LONG-TERM AND SHORT-TERM CARE ALONG WITH REHABILITATIVE SERVICES TO THEIR SENIOR RESIDENTS. SOME OF THE SPECIALIZED CARE SERVICES INCLUDE PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, IV AND OXYGEN THERAPY, RESTORATIVE CARE, AND TRACHEOTOMY CARE.	Desc
Total Program Service Expenses	$2,007,228	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	14	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	73	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KELLY LARSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7158323003	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3410 SKY PARK BLVD	AddressLine1Txt
City	EAU CLAIRE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
MARGE BINKOWSKI
TRUSTEE	0.50	Yes (X)	$0	$0	$0
SUSAN PELZEL
TRUSTEE	0.50	Yes (X)	$0	$0	$0
DONNA LIEN
TRUSTEE	0.50	Yes (X)	$0	$0	$0
DONETTE STEWART
TRUSTEE	0.50	Yes (X)	$0	$0	$0
NEIL BOLTIK
VILLAGE BOARD REPRESENTATI	0.50	Yes (X)	$0	$0	$0
DOLORES RADTKE
PRESIDENT	0.50	Yes (X)	$0	$0	$0	Yes (X)
DAN SCHULER
VICE PRESIDENT	0.50	Yes (X)	$0	$0	$0	Yes (X)
JAMIE REITZ
SECRETARY/TREASURER	0.50	Yes (X)	$0	$0	$0	Yes (X)
RANDOLPH BESTUL
INTERIM CEO	10.00		$0	$12,312	$0	Yes (X)	30.00
ELLEN THOMPSON
ADMINISTRATOR	40.00		$0	$54,381	$0	Yes (X)
MARTY METTEN
COO	10.00		$0	$144,724	$11,437	Yes (X)	30.00
MIKE CHRISTENSEN THRU NOVEMBER
CEO	10.00		$0	$226,412	$27,772	Yes (X)	30.00

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$437,829	TotReportableCompRltdOrgAmt
Total Other Compensation	$39,209	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GRACE LUTHERAN FOUNDATION INC	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3410 SKY PARK BLVD	AddressLine1Txt
City	EAU CLAIRE	CityNm
State Abbreviation	WI	StateAbbreviationCd
ZIP	54701	ZIPCd

Field	Value	IRS element (for citing)
Services	MANAGEMENT SERVICES	ServicesDesc
Compensation	$172,355	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$866	AllOtherContributionsAmt
Total Contributions	$866	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NURSING CARE AND HOUSI	623000	$2,337,554	$2,337,554
RENTAL INCOME	532000	$35,137	$35,137
TRANSPORTATION REVENUE	480000	$7,944	$7,944
SENIOR MEALS PROGRAM	624210	$7,628	$7,628

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,854	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,854	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,390,117	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,406	TotalRevenueColumnAmt
Exclusion	$14,406	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,405,389	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,390,117	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$14,406	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,146,046	TotalAmt
Program Services	$1,146,046	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,206	TotalAmt
Program Services	$1,206	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$150,592	TotalAmt
Program Services	$150,592	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$83,281	TotalAmt
Program Services	$83,281	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$170,005	TotalAmt
Management And General	$170,005	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$550	TotalAmt
Management And General	$550	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$20,453	TotalAmt
Management And General	$20,453	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$172,410	TotalAmt
Program Services	$167,942	ProgramServicesAmt
Management And General	$4,468	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,653	TotalAmt
Management And General	$2,653	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,805	TotalAmt
Program Services	$5,338	ProgramServicesAmt
Management And General	$5,467	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,853	TotalAmt
Management And General	$9,853	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$80,257	TotalAmt
Program Services	$52,113	ProgramServicesAmt
Management And General	$28,144	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$12,400	TotalAmt
Program Services	$9,151	ProgramServicesAmt
Management And General	$3,249	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,513	TotalAmt
Program Services	$4,471	ProgramServicesAmt
Management And General	$42	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$65,908	TotalAmt
Program Services	$65,294	ProgramServicesAmt
Management And General	$614	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$47,256	TotalAmt
Program Services	$46,524	ProgramServicesAmt
Management And General	$732	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FOOD AND DIETARY EXPENS	$100,970	$100,970
SUPPLIES AND OTHER	$83,701	$79,224	$4,477
NH ASSESSMENT	$69,360	$69,360
BAD DEBT EXPENSE - PROG	$11,474	$11,474

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,601	TotalAmt
Program Services	$14,242	ProgramServicesAmt
Management And General	$5,359	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,263,294	TotalAmt
Program Services	$2,007,228	ProgramServicesAmt
Management And General	$256,066	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,126	BOYAmt
EOY	$2,909	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,325,119	BOYAmt
EOY	$1,594,323	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$155,264	BOYAmt
EOY	$147,293	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,768	BOYAmt
EOY	$12,838	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,722	BOYAmt
EOY	$18,633	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,712,684	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,401,643	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$629,031	BOYAmt
EOY	$1,311,041	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,148,030	BOYAmt
EOY	$3,087,037	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$351,596	BOYAmt
EOY	$166,577	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$597,486	BOYAmt
EOY	$579,417	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$949,082	BOYAmt
EOY	$745,994	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,198,948	BOYAmt
EOY	$2,341,043	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,198,948	BOYAmt
EOY	$2,341,043	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,148,030	BOYAmt
EOY	$3,087,037	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$142,095	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,641	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,437	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,360	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$562	CurrentTaxYearMinus1YearAmt
Current Tax Year	$866	CurrentTaxYearAmt
Total	$13,866	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,848,438	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,499,351	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,225,061	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,256,382	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,390,117	CurrentTaxYearAmt
Total	$12,219,349	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,854,079	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,503,788	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,227,421	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,256,944	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,390,983	CurrentTaxYearAmt
Total	$12,233,215	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$12,233,215	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$49,483	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,463	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,137	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,978	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,406	CurrentTaxYearAmt
Total	$113,467	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$49,483	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,463	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,137	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,978	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,406	CurrentTaxYearAmt
Total	$113,467	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,903,562	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,522,251	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,242,558	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,272,922	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,405,389	CurrentTaxYearAmt
Total	$12,346,682	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99080	PublicSupportCY509Pct
Public Support PY509	0.98810	PublicSupportPY509Pct
Investment Income CY	0.00920	InvestmentIncomeCYPct
Investment Income PY	0.01190	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$383	OtherActivitiesAmt
Total Lobbying Expenditures	$383	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ELMWOOD NURSING HOME INC HERITAGE OF ELMWOOD PAYS ANNUAL ASSOCIATION DUES TO LEADING AGE. THESE DUES ARE PRIMARILY FOR ACCESS TO EDUCATION MATERIALS AND STAFF TRAINING AND DEVELOPMENT. A PORTION OF THE ANNUAL DUES WERE USED IN CONJUNCTION WITH LOBBYING ACTIVITIES WITH THE GOAL OF IMPROVING THE OVERALL INDUSTRY ENVRIONMENT.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,000	OtherCostOrOtherBasisAmt
Book Value	$7,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,802,793	OtherCostOrOtherBasisAmt
Depreciation	$1,532,704	DepreciationAmt
Book Value	$270,089	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$958,598	OtherCostOrOtherBasisAmt
Depreciation	$868,939	DepreciationAmt
Book Value	$89,659	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$944,293	OtherCostOrOtherBasisAmt
Book Value	$944,293	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,311,041	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$2,405,389	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$2,405,389	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,405,389	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,263,294	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$2,263,294	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,263,294	TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARTY METTEN
COO	$0	$0	$0	$0	$0	$144,724	$0	$0	$0	$0	$0	$144,724	$0	$0
MIKE CHRISTENSEN THRU NOVEMBER
CEO	$0	$226,412	$0	$0	$0	$0	$0	$0	$0	$0	$0	$226,412	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL IS DETERMINED BY GRACE LUTHERAN FOUNDATION, INC. AND MANAGEMENT SERVICES FOR ELMWOOD NURSING HOME, INC. ARE PROVIDED UNDER A MANAGEMENT AGREEMENT WITH GRACE LUTHERAN FOUNDATION, INC.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAN SCHULER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	CURRENT OFFICER	RelationshipDescriptionTxt
Transaction	$45,968	TransactionAmt
Transaction	PURCHASED PROPERTY	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: DAN SCHULER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: CURRENT OFFICER VICE-PRESIDENT (C) AMOUNT OF TRANSACTION: 45,968 (D) DESCRIPTION OF TRANSACTION: PURCHASED PROPERTY, LIABILITY, AND DIRECTORS AND OFFICERS INSURANCE FROM WESTBEND INSURANCE THROUGH INSURANCE AGENT DAN SCHULER (E) SHARING OF ORGANIZATION REVENUES? = NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	EFFECTIVE JANUARY 1, 2016, ELMWOOD NURSING HOME ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH GRACE LUTHERAN FOUNDATION, INC. (GLF), AN UNRELATED, NON-PROFIT, RELIGIOUS BASED SENIOR HEALTHCARE SERVICES ORGANIZATION BASED IN EAU CLAIRE, WISCONSIN. UNDER THIS AGREEMENT, GLF PROVIDES GENERAL ADMINISTRATIVE, CONSULTING, ACCOUNTING, HUMAN RESOURCES, AND FACILITY MANAGEMENT SERVICES UNDER THE DIRECTION OF THE BOARD OF DIRECTORS OF ELMWOOD NURSING HOME. UNDER THE MANGEMENT AGREEMENT, GLF IS ALSO RESPONSIBLE FOR THE SELECTION AND REVIEW OF THE ADMINISTRATOR OF ELMWOOD NURSING HOME.
FORM 990, PART VI, SECTION A, LINE 6	THE NURSING HOME HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	THE NURSING HOME'S MEMBERS ELECT THE GOVERNING BOARD.
FORM 990, PART VI, SECTION A, LINE 8B	THE NURSING HOME DOES NOT APPOINT ANY COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 WAS MADE AVAILABLE TO THE MEMBERS OF THE NURSING HOME'S GOVERNING BODY PRIOR TO THE SUBMISSION OF THE RETURN. THE FORM 990 WAS ALSO REVIEWED BY MANAGEMENT PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C	THE NURSING HOME 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 DURING VOTES, THOSE CONFLICTING MEMBERS ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15	THE NURSING HOME'S EXECUTIVE LEVEL EMPLOYEES AND KEY EMPLOYEES ARE PROVIDED UNDER THE MANAGEMENT SERVICES AGREEMENT WITH GRACE LUTHERAN FOUNDATION, INC. (AN UNRELATED NOT-FOR PROFIT ORGANIZATION WHICH SPECIALIZES IN SKILLED NURSING, LONG-TERM CARE, AND HOUSING SERVICES FOR ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY). THE CONTRACT TERMS ARE RENEWED ANNUALLY. THE BOARD OF DIRECTORS OF THE NURSING HOME, REVIEWS THE CONTRACT TERMS TO ENSURE THAT QUALITY SERVICES ARE BEING ACHIEVED AT THE LOWEST POSSIBLE COST FOR THE PROGRAMS BEING PROVIDED. THE BOARD ALSO CONSULTS WITH OTHER WISCONSIN NURSING HOME ASSOCIATION MEMBERS TO ENSURE THAT THE AMOUNTS BEING PAID ARE CONSISTENT FOR ADMINISTRATIVE SERVICES OF THOSE PAID THROUGOUT THE REGION.
FORM 990, PART VI, SECTION C, LINE 19	THE NURSING HOME MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT ITS BUSINESS LOCATION.
FORM 990 PART VII, SECTION A:	EXPLANATION FOR HOURS WORKED BY OFFICERS: MIKE CHRISTENSEN AND MARTY METTEN ARE EMPLOYED BY THE MANAGEMENT SERVICES ORGANIZATION, GRACE LUTHERAN FOUNDATION, INC., AND AS SUCH A PART OF THEIR DUTIES IS TO PROVIDE MANAGEMENT AND OVERSIGHT TO ALL OF THE ENTITIES THAT GRACE LUTHERAN FOUNDATION HAS MANAGEMENT CONTRACT WITH, INCLUDING ELMWOOD NURSING HOME. PART VII OF THE FORM 990 INCLUDES AN APPROXIMATE AMOUNT OF TIME DEVOTED EACH WEEK TO THE ELMWOOD NURSING HOME, HOWEVER, THESE INDIVIDUALS OFTEN WORK WELL IN EXCESS OF THE AMOUNT OF HOURS LISTED IN ORDER TO SUPPORT AND FURTHER THE MISSION OF THE ELMWOOD NURSING HOME.