2016-11-08T16:45:48-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2015-01-01 390874802 LINCOLN LUTHERAN OF RACINE INC LINC 2626330500 PO BOX 081280 RACINE WI 534081280 MIKE POLSKY RECEIVER RECEIVER 2626330500 2016-11-07 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2016-11-07 2015 2017-02-10 21:41:12Z MIKE POLSKY PO BOX 081280 RACINE WI 534081280 9454063 0 X WWW.LINCOLNLUTHERAN.COM X 1954 WI LINCOLN LUTHERAN OF RACINE CONSISTS OF A SKILLED NURSING FACILITY WHICH HAS 120 BEDS. IT ALSO CONSISTS OF COMMUNITY SERVICE PROGRAMS WHICH ARE ADULT DAY SERVICES, HOMELINC, AND HARMONY CLUB. X 0 0 218 500 0 0 359476 381945 8872885 2081067 163999 -1282571 2037625 1299561 11433985 2480002 0 0 0 0 6759368 1305379 0 0 1081 6500752 3334438 13260120 4639817 -1826135 -2159815 13755419 5530339 11499346 5435945 2256073 94394 X LINCOLN LUTHERAN OF RACINE CONSISTS OF A SKILLED NURSING FACILITY WHICH HAS 120 BEDS. IT ALSO HAS COMMUNITY SERVICE PROGRAMS WHICH INCLUDE ADULT DAY SERVICE PROGRAMS, HARMONY CLUB, AND HOMELINC. 0 1 1448671 1413957 LINCOLN VILLAGE IS A SKILLED NURSING FACILITY THAT SPECIALIZES IN SHORT TERM REHABILITATION. IT IS A CERTIFIED MEDICARE AND MEDICAID FACILITY. IT OFFERS A COMPREHENSIVE REHABILITATION PROGRAM TO MAXIMIZE YOUR FUNCTIONAL ABILITIES AND QUALITY OF LIFE. WE PROVIDE A THERAPY TEAM THAT CONSISTS OF OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPISTS. 434127 344904 LINCOLN VILLAS REDEVELOPMENT IS A DISREGARDED ENTITY OF LINCOLN LUTHERAN OF RACINE WHICH WAS PURCHASED IN 2010. THIS IS A 99 UNIT LOW INCOME HOUSING PROJECT. THE PROJECT IS REGULATED BY THE US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 110814 248014 LINCOLN LUTHERAN OFFERS COMMUNITY SERVICES FOR THE ELDERLY AND HANDICAPPED. THIS INCLUDES AN ADULT DAY SERVICES PROGRAM IN RACINE AND WESTERN RACINE COUNTY. IT ALSO PROVIDES IN HOME NON NURSING CARE THROUGH THE HOMELINC PROGRAM AND HARMONY CLUB WHICH IS A SOCIAL DAY PROGRAM. IT IS A PROVIDER OF MEALS THROUGH IT'S MEALS ON WHEELS AND NUTRITION SITE PROGRAMS. 1373753 MOW, NUTRITION, AND HOME OFFICE. 1373753 1993612 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 30 0 218 1 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X BECK CHAET BAMBERGER & POLSKY SC 4142734200 TWO PLAZA EAST SUITE 1085 330 E MILWAUKEE WI 53202 X MICHELLE PUTZ ADMINISTRATOR 40.00 X 118243 0 0 118243 0 0 1 0 0 0 RALLY CAPITAL SERVICE 350 N LASALLE ST CHICAGO IL 60654 FINANCIAL CONSULTANT FOR RECEIVER 495252 BECK CHAET BAMBERGER AND POLSKY 2 PLAZA E SUITE 1085 MILWAUKEE WI 53202 COURT APPOINTED RECEIVER 384084 REHAB CARE GROUP SRS DIVISION ST LOUIS MO 631503534 REHABILITATION SERVICES FOR NURSING HOME 146631 A'VIANDS FOOD & SERVICE MANAGEMENT 1751 COUNTY RD B WEST ROSEVILLE MN 55113 FOOD AND MANAGEMENT SERVICE FOR NURSING 107059 4 235369 146576 381945 LINCOLN VILLAGE 623000 1413957 1413957 LINCOLN VILLAS REDEVELOPMENT 531110 344904 344904 COMMUNITY SERVICE 624100 248014 248014 74192 74192 2081067 126518 126518 72264 0 72264 72264 72264 5564972 6974061 -1409089 -1409089 -1409089 MEDICARE BILLING ERROR 900099 621184 621184 MANAGEMENT FEES 561000 341253 341253 TENANT REVENUE 812900 136860 136860 128000 128000 1227297 2480002 3380628 0 -1282571 X 111652 111652 852134 722949 128571 614 9448 9448 178152 164739 13397 16 153993 117266 36345 382 211525 211525 5132 5132 28590 9690 18900 1350872 105497 1245375 400 390 10 129544 45607 83868 69 70875 15207 55668 239198 157585 81613 5016 5016 2750 2750 144052 143907 145 154524 77449 77075 72981 62869 10112 BAD DEBT 466072 564 465508 DIETARY 120309 120309 IMPAIRMENT/WI PROVIDER/ 60279 57668 2611 THERAPY (OT,PT,ST)/SUPP 53287 53287 219032 138629 80403 4639817 1993612 2645124 1081 665295 184780 813429 852080 411691 20798 3185714 833678 38925 1131 159539 25988 6649660 3080670 6842243 3568990 1638583 42894 13755419 5530339 3687538 2306075 101040 6745062 3085833 965706 44037 11499346 5435945 X 2256073 94394 2256073 94394 13755419 5530339 X -2159815 -1864 X 0 0 0 X 452520 452520 4572728 1706667 2866061 215626 66519 149107 1408786 1307484 101302 3568990 RESIDENTIAL CUSTODIAL ACCOUNTS 11263 SECURITY DEPOSITS 29932 LVR EQUIPMENT FINANCING 2817 OTHER 25 44037 X 1 1 X X 0 0 0 0 0 0 0 0 0 LINCOLN VILLAGE, NURSING HOME, AND INTEREST IN SIENA ON THE LAKE, RETIREMENT COMMUNITY. 2015-03-31 2850000 SALE PRICE THE VILLA AT LINCOLN PARK REALTY LLC 3821 SPRING STREET RACINE WI 53405 LLC MANAGEMENT CONTRACTS IN REGARDS TO BECKER SHOOP, LINCOLN VILLAS NORTH, TRINITY TERRACE, AND ATRIUM/BAY POINTE. 2015-04-01 95309 SALE PRICE 391704732 MARQUARDT 1020 HILL STREET WATERTOWN WI 530983099 501(C)(3) VACANT LAND 2015-11-30 340000 SALE PRICE 396023798 MT PLEASANT CHURCH 1700 S GREEN BAY RD RACINE WI 53406 501(C)(3) MEMBERSHIP INTEREST IN LINCOLN MANOR 2015-10-30 275000 SALE PRICE 473939262 NAHF LINCOLN MANOR GP INC 515 S CAPITAL OF TEXAS HWY S WESTLAKE HILLS TX 78746 CORPORATION 0 0 0 0 FORM 990, PART III, LINE 3 SALE OF ASSETS. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION IS CURRENTLY IN RECEIVERSHIP, SO THERE IS NO GOVERNING BOARD. THE APPOINTED RECEIVER WILL REVIEW THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION PERFORMS A REVIEW TO ENSURE COMPLIANCE FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A COMPENSATION COMMITTEE, WHICH IS PART OF THE BOARD OF DIRECTORS. SALARIES ARE DETERMINED BY PERFORMANCE APPRAISALS AND MARKET DATA FROM ASSOCIATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS THIS INFORMATION AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 105,497. MANAGEMENT AND GENERAL EXPENSES 1,245,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,350,872. FORM 990, PART XI, LINE 9: ADJUSTMENT FOR PRIOR PERIOD UNREALIZED GAIN FOR INVESTMENTS SOLD IN CY. -1,864. LINCOLN VILLAS REDEVELOPMENT LLC 2000 DOMANIK DR RACINE WI 53404 383781716 DEVELOPMENT COMPANY WI 581815 4504224 LINCOLN LUTHERAN OF RACINE LINCOLN LUTHERAN COMMUNITY CARE 2000 DOMANIK DR RACINE WI 53404 391674718 NURSING HOME WI 501(C)(3) LINE 9 LINCOLN LUTHERAN OF RACINE 1 LINCOLN LUTHERAN CHARITABLE TRUST 2000 DOMANIK DR RACINE WI 53404 391316328 INVESTMENTS FOR LINCOLN LUTHERAN WI 501(C)(3) LINE 9 LINCOLN LUTHERAN OF RACINE 1 ATRIUM OF RACINE INC 2000 DOMANIK DR RACINE WI 53404 391615970 INDEPENDENT HOUSING/ASSISTED LIVING WI 501(C)(3) LINE 9 LINCOLN LUTHERAN OF RACINE 1 SIENA OF THE LAKE 2000 DOMANIK DR RACINE WI 53404 452814682 SENIOR SERVICES WI 501(C)(3) LINE 9 LINCOLN LUTHERAN OF RACINE 1 LINCOLN MANOR REDEVELOPMENT LLC 2000 DOMANIK DRIVE RACINE WI 53404 LOW INCOME HOUSING WI LINCOLN LUTHERAN OF RACINE RELATED 0 1 LVR DEVELOPER LLC 2000 DOMANIK DRIVE RACINE WI 53404 800553461 LOW INCOME HOUSING WI LINCOLN LUTHERAN OF RACINE RELATED 0 1 0.99990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 LINCOLN LUTHERAN COMMUNITY CARE CORPORATION Q 111711 ACTUAL ATRIUM OF RACINE INC Q 40310 ACTUAL