2015-08-10T17:12:35-05:00 2014-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2014-01-01 390790565 OAKWOOD LUTHERAN HOMES ASSOCIATION INC OAKW 6082304456 6165 MINERAL POINT ROAD MADISON WI 53705 RICK BOVA CEO 6082304456 2015-08-07 1 DAVID LOWENTHAL P00378651 3122071040 2015-08-07 2014 2016-02-25 16:41:14Z RICK BOVA 6165 MINERAL POINT ROAD MADISON WI 53705 16942360 0 X WWW.OAKWOODVILLAGE.NET X 1948 WI OAKWOOD IS A LUTHERAN CHURCH SPONSORED ORGANIZATION WHOSE MISSION IS TO SERVE AGING ADULTS. 13 13 1010 79 0 0 1038869 229861 16575826 16712499 0 0 0 0 17614695 16942360 0 0 0 0 9730994 10067858 0 0 0 7066992 6874125 16797986 16941983 816709 377 18048550 18549624 7385934 7815095 10662616 10734529 OAKWOOD IS A LUTHERAN MINISTRY SERVING GENERATIONS OF AGING ADULTS, ENCOURAGING INDIVIDUALITY, WORTH AND WELL-BEING THROUGHOUT LIFE. 0 0 10028087 10344639 HEBRON OAKS IS A 95 BED SKILLED NURSING FACILITY, PROVIDING NURSING SERVICES, THERAPY SERVICES, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT, AND LIFE ENRICHMENT ACTIVITIES. DURING 2014, THERE WERE 28,616 CENSUS DAYS OF CARE FOR THESE RESIDENTS. PAYER SOURCES FOR THESE RESIDENT DAYS INCLUDE PRIVATE PAY, MEDICARE, MANAGED CARE, AND MEDICAID. SOME OF THESE PAYER SOURCES DO NOT COVER THE FULL COST OF CARE. HOUSEKEEPING, LAUNDRY, PLANT OPERATIONS/MAINTENANCE, PHARMACY AND REHABILITATION SERVICES ARE ALSO PROVIDED AS PART OF THE OVERALL SERVICES RENDERED. 2424897 3109768 COVENANT OAKS IS A 40 BED DEMENTIA-SPECIFIC ASSISTED LIVING FACILITY. DURING 2014, THERE WERE 13,593 CENSUS DAYS OF CARE FOR THESE RESIDENTS. PAYER SOURCES FOR THESE RESIDENTS INCLUDE PRIVATE PAY AND LIMITED MEDICAID-TYPE PROGRAMS. RESIDENTS WHO ARE NOT ELIGIBLE FOR PUBLIC ASSISTANCE AND ARE UNABLE TO PAY ARE SUBSIDIZED INTERNALLY. THE SERVICES PROVIDED INCLUDE NURSING, RESIDENT ASSISTANCE, NUTRITION MANAGEMENT, MEDICATION MANAGEMENT, LIFE ENRICHMENT ACTIVITIES, AND PASTORAL CARE. 2896648 3258092 OAKWOOD PHARMACY IS A FULL SERVICE PHARMACY PROVIDING PRESCRIPTION FULFILLMENT, MEDICATION MANAGEMENT, AND RESIDENT CONSULTING SERVICES TO ALL OAKWOOD RESIDENTS. 15349632 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 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 1 1 0 0 1 187 0 1 1010 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X ROBERT MARX 6082304456 6165 MINERAL POINT ROAD MADISON WI 53705 X PAUL SCHMIDT CHAIR OF THE BOARD - 10/2014 TO CURRENT 2.00 0.00 X X 0 0 0 BERNARD KNESTING CHAIR OF THE BOARD - THRU 9/2014 2.00 0.00 X X 0 0 0 KEITH YELINEK VICE CHAIR 2.00 0.00 X X 0 0 0 TOM HANSON TREASURER 2.00 0.00 X X 0 0 0 TERRY HANSON SECRETARY 2.00 0.00 X X 0 0 0 BRETT ARMSTRONG DIRECTOR 2.00 0.00 X 0 0 0 ALICE GUSTAFSON DIRECTOR 2.00 2.00 X 0 0 0 LARRY JENKINS DIRECTOR 2.00 0.00 X 0 0 0 ROTH JUDD DIRECTOR 2.00 0.00 X 0 0 0 SARAH KRUGER DIRECTOR 2.00 0.00 X 0 0 0 REV RON MACH DIRECTOR 2.00 0.00 X 0 0 0 MARK MELOY DIRECTOR 2.00 0.00 X 0 0 0 STAN YORK DIRECTOR 2.00 0.00 X 0 0 0 RICK BOVA CFO/CEO 10.00 26.00 X 168653 0 12171 JOE XANTHOPOULOS CEO - THRU 2/2014 10.00 26.00 X 175685 0 4117 GIL ACEVEDO COO - THRU 5/2014 12.00 28.00 X 50604 0 1375 ALAN LUKAZEWSKI PHARMACY DIRECTOR 40.00 0.00 X 130868 0 4580 LORI VAN DALEN VP HUMAN RESOURCES 12.00 28.00 X 106564 0 10333 MICHELLE GODFREY EXECUTIVE DIRECTOR UW 20.00 20.00 X 104908 0 19549 TRACI RAETHER CHIEF CLINICAL OFFICER - THRU 5/2014 12.00 28.00 X 103174 0 10874 840456 0 62999 7 0 1 0 MORRISON MANAGEMENT SPECIALISTS 6710 W MAPLE ROAD WEST BLOOMFIELD TOWNSH MI 48322 DINING SERVICES 1477317 SB&A 207 W FRANKLIN ST RICHMOND VA 23220 MARKETING DESIGN/CONSULTANTS 226004 AXLEY BRYNELSON LLP PO BOX 1767 MADISON WI 53707 ATTORNEY SERVICES 196453 ALLIANCE REHAB 1520 KENSINGTON ROAD 110 OAKBROOK IL 60523 REHAB MGMT CO 154344 PLANTE & MORAN PLLC 16060 COLLECTIONS CENTER DR CHICAGO IL 60693 ACCOUNTING/AUDITING 106840 5 229861 229861 SERVICE FEES 812900 13123716 13123716 PHARMACY 446110 3258093 3258093 THERAPY & OTHER ANCILLARY 900099 330690 330690 16712499 16942360 16712499 0 0 390612 390612 8019888 7389462 630426 121560 106803 14757 924652 812399 112253 611146 536953 74193 126720 126720 62540 62540 49088 49088 572554 503046 69508 98993 98993 278802 244955 33847 605384 544845 60539 11602 10194 1408 31731 27879 3852 88048 88048 894476 863169 31307 208517 208517 PHARMACY DRUGS 2410028 2410028 OPERATING/MEDICAL SUPPL 681683 681683 DINING FOOD COST 415174 415174 T19 BED TAX 194370 194370 144415 86394 58021 16941983 15349632 1592351 0 1270084 2850857 1961876 2241491 311117 318889 6517 412353 21919081 13611794 8994852 8307287 5504104 4418747 18048550 18549624 3465113 3818427 587713 528293 3017090 3018915 316018 449460 7385934 7815095 X 9488861 10332156 1173755 402373 10662616 10734529 18048550 18549624 X 377 26208 45328 X 0 1 X 1 1 1 X 154640 188746 143476 1038869 229861 1755592 16428742 16931860 14460271 16575826 16712499 81109198 16583382 17120606 14603747 17614695 16942360 82864790 0 0 0 82864790 719 1269 4 1992 719 1269 4 1992 16584101 17121875 14603751 17614695 16942360 82866782 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3005 3005 15802917 9712566 6090351 314514 251224 63290 4873707 3605501 1268206 924938 42503 882435 8307287 RECEIVABLE FROM AFFILIATES 3873758 BOND ISSUANCE COSTS 47814 INTEREST IN NET ASSETS OF OAKWOOD FOUNDATION 402374 CARING COMMUNITY CONTRIBUTION 94801 4418747 WAIT LIST DEPOSITS 35876 ASSET RETIREMENT OBLIGATION 163195 INTEREST RATE SWAPS 115255 LEASE OBLIGATIONS 135134 449460 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATIONS AND RECOGNIZE A TAX LIABILITY IF THE CORPORATIONS HAVE TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATIONS AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATIONS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CORPORATIONS BELIEVE THEY ARE NO LONGER SUBJECT TO U.S. FEDERAL, STATE, LOCAL, OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. X X X X 1 0 0 0 0 0 0 0 0 RICK BOVA CFO/CEO 168653 0 0 0 0 0 5903 0 6268 0 180824 0 0 0 JOE XANTHOPOULOS CEO - THRU 2/2014 73185 0 0 0 102500 0 789 0 3328 0 179802 0 0 0 PART I, LINE 3 THE ORGANIZATION ESTABLISHES THE COMPENSATION FOR ITS CHIEF EXECUTIVE OFFICER. THE ORGANIZATION USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY AND/OR STUDIES, AND APPROVAL BY THE BOARD OF DIRECTORS AND/OR COMPENSATION COMMITTEE AS ITS METHODS FOR ESTABLISING THE COMPENSATION FOR ITS CHIEF EXECUTIVE OFFICER. PART I, LINE 4A JOE XANTHOPOULOS RECEIVED $102,500 OF SEVERANCE IN 2014. TRACI RAETHER RECEIVED $36,500 OF SEVERANCE IN 2014. A WI HEALTH & EDUCATION FACILITY AUTHORITY 391337855 97710VRX8 2003-12-01 12690000 TO REFINANCE DEBT ORIGINALLY USED FOR COVENANT OAKS AND GALLERY REMODEL 0 0 0 B WI HEALTH & EDUCATION FACILITY AUTHORITY 391337855 97710VRX8 2005-03-01 36555000 CONSTRUCTION OF 124 LIFETIME LEASE INDEPENDENT LIVING UNITS (HERITAGE OAKS) 0 0 0 A 3595000 12690000 12690000 240215 1999 0 1 1 1 B 390000 36555000 548096 36006904 2006 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 A 0 B 0 SCHEDULE K SUPPLENTAL INFORMATION BOND ISSUES THE TOTAL BONDS ISSUED FOR THE 2003 AND 2005 SERIES ARE SHOWN ON SCHEDULE K FOR THE FOUR AFFILIATED CORPORATIONS. EACH ENTITY SHOWS THEIR SHARE OF THE REMAINING BONDS OUTSTANDING AT YEAR END ON THE BALANCE SHEET ON PAGE 11. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS INCLUDE 37 LUTHERAN CHURCHES IN DANE COUNTY, WISCONSIN. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER LUTHERAN CHURCHES HAVE DELEGATES WHO ELECT SOME MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS INITIALLY REVIEWED BY THE FINANCE/AUDIT COUNCIL FOR COMMENT. THE RETURN IS THEN DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS DISCUSSED IN BOARD ORIENTATIONS AND IS SENT TO ALL MEMBERS IN THEIR "NEW BOARD MEMBER PACKETS", AND ANNUALLY IN THE "UPDATE PACKET" AND IS SENT TO ALL MEMBERS. EACH YEAR ALL PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION PACKAGE OF THE CHIEF EXECUTIVE OFFICER (CEO) IS REVIEWED AS PART OF AN ANNUAL PERFORMANCE EVALUATION PROCESS. THE COMPENSATION ARRANGEMENT FOR THE CEO WAS APPROVED IN ADVANCE BY A SEPARATE COMMITTEE AUTHORIZED BY THE BOARD OF DIRECTORS. THIS BOARD COMMITTEE IS COMPOSED OF THREE (3) BOARD CHAIRS FROM SEVERAL OF THE RELATED ORGANIZATIONS, ALL OF WHOM DO NOT HAVE A CONFLICT OF INTEREST. PRIOR TO MAKING ITS DETERMINATION, THE BOARD COMMITTEE OBTAINED AND RELIED ON APPROPRIATE COMPARABLE MARKET DATA OF THE COMPENSATION RANGE FOR EXECUTIVE DIRECTORS/CEO, AS GATHERED BY THE HUMAN RESOURCES COMMITTEE, WHICH IS A STANDING COMMITTEE OF THE BOARD. THE CEO'S PERFORMANCE IS COMPARED AGAINST PRE-DETERMINED GOALS. THE BOARD COMMITTEE DOCUMENTS THE BASIS FOR ITS DETERMINATION OF THE CEO'S COMPENSATION CONCURRENT WITH MAKING THAT DETERMINATION. BASED UPON ITS DETERMINATION, THE BOARD COMMITTEE THEN MAKES COMPENSATION RECOMMENDATIONS AT AN EXECUTIVE SESSSION OF THE ENTIRE BOARD. OTHER KEY POSITIONS ARE ALSO REVIEWED BY THE HR COMMITTEE ON A REGULAR BASIS (QUARTERLY) TO DETERMINE A GRADING AND COMPENSATION LEVEL APPROPORIATE FOR SUCH POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE NOT GENERALLY AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A: JOE XANTHOPOULOS RESIGNED AS CEO IN FEBRUARY 2014 AND RICK BOVA WAS APPOINTED INTERIM CEO AND IN OCTOBER 2014 RICK BOVA WAS APPOINTED THE NEW PERMANENT CEO. FORM 990, PART XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 45,328. OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC 6165 MINERAL POINT RD MADISON WI 53705 237401541 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 9 OAKWOOD LUTHERAN HOMES ASSOCIATION INC 1 OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS INC 6165 MINERAL POINT RD MADISON WI 53705 391966790 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 9 OAKWOOD LUTHERAN HOMES ASSOCIATION INC 1 OAKWOOD VILLAGE PRAIRIE RIDGE HOMES INC 6165 MINERAL POINT RD MADISON WI 53705 391966791 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 9 OAKWOOD LUTHERAN HOMES ASSOCIATION INC 1 OAKWOOD FOUNDATION INC 6165 MINERAL POINT RD MADISON WI 53705 391398037 CHRISTIAN COMMUNITY FOR CARING OF AGING ADULTS WI 501(C)(3) LINE 7 OAKWOOD LUTHERAN HOMES ASSOCIATION INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC O 4721947 FMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS INC O 1291019 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES INC O 5649096 FMV OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC P 6379198 FMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS INC P 2041003 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES INC P 3962327 FMV OAKWOOD VILLAGE UNIVERSITY WOODS APARTMENTS INC Q 11494518 FMV OAKWOOD VILLAGE PRAIRIE RIDGE APARTMENTS INC Q 3459560 FMV OAKWOOD VILLAGE PRAIRIE RIDGE HOMES INC Q 9931008 FMV OAKWOOD FOUNDATION INC C 229861 FMV