2013-02-09T15:34:33-06:00 2012-06-30 391277627 BAUMAN ASSOCIATES LTD PO BOX 1225 EAU CLAIRE WI 547021225 990 2011-07-01 391190907 ELMWOOD NURSING HOME INC HERITAGE OF ELMWOOD NURSING HOME ELMW 7156392911 232 E SPRINGER AVE ELMWOOD WI 54740 RODNEY GILLES 7156392911 2013-02-08 MICHAEL R MAI CPA P00004966 7158342001 2011 2016-02-25 16:41:14Z RODNEY GILLES 232 E SPRINGER AVE ELMWOOD WI 54740 2895163 0 X N/A X WISCONSIN NON STOCK, NOT FOR PROFIT 1972 WI TO PROVIDE NURSING HOME CARE FOR THE COMMUNITY. 7 6 95 30 0 0 6714 6016 2601824 2834850 19527 21158 32765 33139 2660830 2895163 0 0 0 0 1693817 1786880 0 0 0 812603 839171 2506420 2626051 154410 269112 2228974 2485612 517746 505272 1711228 1980340 PROVIDING NURSING HOME CARE TO THE PEOPLE IN THE COMMUNITY. 0 0 2327765 2834850 NURSING HOME CARE - PROVIDES NURSING HOME CARE TO ITS RESIDENTS. 2327765 1 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 95 1 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 0 1 1 1 0 X ADMINISTRATOR - NURSING HOME 7156392911 232 E SPRINGER AVE ELMWOOD WI 54740 DEB FEILER 0.50 X 0 0 0 DELORES RADTKE 0.50 X 0 0 0 DAN SCHULER 0.50 X 0 0 0 PHIL DZUBAY 0.50 X 0 0 0 PAMELA MARSON 0.50 X 0 0 0 JULIE COGNETTA 0.50 X 0 0 0 TOM WEBER 0.50 X 0 0 0 TRISHA KNOPS 0.50 X 0 0 0 RODNEY J GILLES 40.00 X 66789 0 2004 66789 0 2004 0 0 0 0 0 6016 6016 NURSING CARE AND HOUSI 623000 2745349 2745349 OTHER INCOME 623000 89501 89501 2834850 21158 21158 33139 0 33139 33139 33139 2895163 2834850 0 54297 66789 66789 1492520 1473950 18570 111702 109698 2004 115869 115869 10718 10718 96095 96095 97106 97106 DIETARY 136671 136671 ADMINISTRATIVE 120492 6675 113817 PLANT OPERATIONS 116234 116234 PROVIDER ASSESSMENT 93840 93840 168015 168015 2626051 2327765 298286 0 5004 4770 1303569 1527402 190206 246961 7917 7917 43531 38275 2483325 1863463 638322 619862 40425 40425 2228974 2485612 258734 271702 259012 233570 517746 505272 X 0 0 0 0 1711228 1980340 1711228 1980340 2228974 2485612 269112 0 X X 1 0 1 X 0 X 7621 8531 5374 6714 6016 34256 2777439 2781717 2525342 2601824 2834850 13521172 2785060 2790248 2530716 2608538 2840866 13555428 0 0 0 13555428 28163 15123 18624 52292 54297 168499 28163 15123 18624 52292 54297 168499 2813223 2805371 2549340 2660830 2895163 13723927 0.98770 0.98680 0.01230 0.01320 X 7000 7000 1689870 1241017 448853 786455 622446 164009 619862 DAN SCHULER CURRENT OFFICER SECRETARY - TREASURER 97106 PURCHASED PROPERTY, LIABILITY, WORKERS COMPENSATION, AND DIRECTORS AND OFFICERS INSURANCE FROM UNITED HEARTLAND THROUGH INSURANCE AGENT DAN SHULER. 0 FORM 990, PART VI, SECTION A, LINE 6 THE VILLAGE OF ELMWOOD IS THE ONLY MEMBER OF THE ORGANIZATON. THE VILLAGE APPOINTS 7 BOARD MEMBERS FOR THE ELMWOOD NURSING HOME, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBERS ELECT THE GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT APPOINT ANY COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS AND RODNEY GILLES WILL REVIEW THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS REVIEWS THE POLICY ANNUALLY AND THEY DISCLOSE ANY CONFLICTS AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS ANNUALLY REVIEWS COMPENSATION AMOUNTS FOR THE EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 ELMWOOD NURSING HOME, INC. MAKES ITS 990 AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. NO CHANGES HAVE BEEN MADE SINCE PRIOR YEAR.