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LINCOLN LUTHERAN OF RACINE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LINCOLN LUTHERAN OF RACINE INC (EIN 39-0874802)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-15
IRS object ID
201342279349302579
Schema version
2012v2.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-15T12:44:21-00:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390874802EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran of Racine IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLINCNameControl
Phone2626330500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53406ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel RischName
TitleCEOTitle
Date Signed2013-08-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1Daniel Risch - CEOBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14982323GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lincolnlutheran.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionLincoln Lutheran of Racine consists of a skilled nursing facility which has 114 beds. The average occupancy in 2012 was 91, It also consists of Community Services programs which is Adult Day Services in Racine and Western Racine County, Harmony Club, and Homelinc.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees367TotalNbrEmployees
Total Nbr Volunteers447TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1204634ContributionsGrantsPriorYear
Contributions Grants Current Year381532ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12641332ProgramServiceRevenuePriorYear
Program Service Revenue CY13694126ProgramServiceRevenueCY
Investment Income Prior Year427796InvestmentIncomePriorYear
Investment Income Current Year328575InvestmentIncomeCurrentYear
Other Revenue Prior Year1092332OtherRevenuePriorYear
Other Revenue Current Year578090OtherRevenueCurrentYear
Total Revenue Prior Year15366094TotalRevenuePriorYear
Total Revenue Current Year14982323TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8680341SalariesEtcPriorYear
Salaries Etc Current Year9182191SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year50935TotalFundrsngExpCurrentYear
Other Expense Prior Year8592490OtherExpensePriorYear
Other Expenses Current Year6477488OtherExpensesCurrentYear
Total Expenses Prior Year17272831TotalExpensesPriorYear
Total Expenses Current Year15659679TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1906737RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-677356RevenuesLessExpensesCY
Total Assets BOY15098643TotalAssetsBOY
Total Assets EOY15803384TotalAssetsEOY
Total Liabilities BOY10632718TotalLiabilitiesBOY
Total Liabilities EOY11140432TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4465925NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4662952NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLincoln Lutheran of Racine consists of a skilled nursing facility which has 114 beds. The average occupancy in 2012 was 91, It also consists of Community Services programs which is Adult Day Services in Racine and Western Racine County, Harmony Club, and Homelinc.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8553687Expense
Revenue10027875Revenue
DescriptionLincoln 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2533125Expense
Revenue3290905Revenue
DescriptionLincoln 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 its Meals on Wheels and Nutrition Site programs.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense564540Expense
Revenue643278Revenue
DescriptionLincoln 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp813763TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev1020165TotalOfOtherProgramServiceRev
Total Program Service Expense12465115TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees367NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddresstrueOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran of Racine IncBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2626330500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DrvieAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Raymond Koukari Jr
BOD-President001.00006.00X000
Cheryl Thomas
BOD-Vice President001.00006.00X000
Dave Titus
BOD-Treasurer001.00006.00X000
Morris Reece
BOD-Secretary001.00006.00X000
Rev Dana O'Briend
BOD-Member at Large001.00006.00X000
Carol Barkow
Board Member001.00006.00X000
Paulette Kissee
Board Member001.00006.00X000
Gregory Muteller
Board Member001.00006.00X000
David Isaacson
Board Member001.00006.00X000
Jeffrey Neubauer
Board Member001.00006.00X000
Daniel Risch
CEO035.00005.00179943328590XXX
Fred Richard Bova
CFO040.0096339229200XX
Carolyn Seeger
Senior VP040.0091199125320X
Marion Patterson
VP-HR040.0092171123450X
Claudia Sue Harris
Administrator Village040.00100048231790X
FieldValueIRS element (for citing)
Total Reportable Comp From Org559700TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs103835TotalReportableCompFrmRltdOrgs
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Rehab Care Group
PO Box 503534St LouisMO631503534therapy services989096
Reinhart Boerner Van Deuren
PO Box 2965MilwaukeeWI532012965legal services198349
ADP Inc
PO BOX 842875BostonMA022842875payroll processing service110149
Health Dimensions Group Inc
4400 Baker Road Suite 100MinneapolisMN553438692consulting services108942
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants267932GovernmentGrants
All Other Contributions113600AllOtherContributions
Total Contributions381532TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Elder Care6230001002787510027875
Community Service62410032909053290905
Rental Income531110375346375346
FieldValueIRS element (for citing)
Total Program Service Revenue13694126TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column324575TotalRevenueColumn
Related Or Exempt Function Income324575RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other4000Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other4000Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4000TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionManagement FeeDescription
Business Code561000BusinessCode
Total Revenue Column510546TotalRevenueColumn
Related Or Exempt Function Income510546RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column220848TotalRevenueColumn
Related Or Exempt Function Income220848RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue578090TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14982323TotalRevenueColumn
Related Or Exempt Function Income14596791RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total667691Total
Program Services100048ProgramServices
Management And General567643ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6558185Total
Program Services5591944ProgramServices
Management And General939241ManagementAndGeneral
Fundraising27000Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total69305Total
Program Services69305ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1208899Total
Program Services804583ProgramServices
Management And General403126ManagementAndGeneral
Fundraising1190Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total678111Total
Program Services498801ProgramServices
Management And General176572ManagementAndGeneral
Fundraising2738Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total216639Total
Program Services12407ProgramServices
Management And General204232ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80528Total
Program Services6265ProgramServices
Management And General74263ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total692768Total
Program Services692768ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total73536Total
Program Services32877ProgramServices
Management And General40659ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total421757Total
Program Services183899ProgramServices
Management And General217851ManagementAndGeneral
Fundraising20007Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total134353Total
Program Services133489ProgramServices
Management And General864ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total387895Total
Program Services346205ProgramServices
Management And General41690ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total47286Total
Program Services46210ProgramServices
Management And General1076ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total50366Total
Program Services9864ProgramServices
Management And General40502ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total340070Total
Program Services203306ProgramServices
Management And General136764ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total457458Total
Program Services370450ProgramServices
Management And General87008ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total297498Total
Program Services256225ProgramServices
Management And General41273ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Bad Debt232788232788
Dietary654831654831
Therapy OT, PT, ST/Supplies/Drugs823863823863
Impairment/WI Provider/Med Admin Costs491847491847

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1074005Total
Program Services903140ProgramServices
Management And General170865ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15659679Total
Program Services12465115ProgramServices
Management And General3143629ManagementAndGeneral
Fundraising50935Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY496909BOY
EOY412621EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY822047BOY
EOY923263EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1565034BOY
EOY1774288EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2009689BOY
EOY1997165EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY37385BOY
EOY34718EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY162102BOY
EOY207253EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13613154LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6164142LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7736031BOY
EOY7449012EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY294221BOY
EOY1287703EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1975225BOY
EOY1717361EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15098643BOY
EOY15803384EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2866726BOY
EOY3497496EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY213114BOY
EOY258104EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7085229BOY
EOY6899443EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY467649BOY
EOY485389EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10632718BOY
EOY11140432EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4465925BOY
EOY4662952EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4465925BOY
EOY4662952EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15098643BOY
EOY15803384EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-677356ReconcilationRevenueExpenses
Reconcilation Prior Adjustment874383ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Church170b1 AiXChurch170b1Ai
Public Support Pertcentage1700.00000PublicSupportPertcentage170
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Included On FSfalseIncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis661412OtherCostOrOtherBasis
Book Value661412BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9593850OtherCostOrOtherBasis
Depreciation387942Depreciation
Book Value9205908BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis126515OtherCostOrOtherBasis
Book Value126515BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2840479OtherCostOrOtherBasis
Depreciation112232Depreciation
Book Value2728247BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis390898OtherCostOrOtherBasis
Depreciation5663968Depreciation
Book Value-5273070BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7449012TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription
Financial derivatives and other financial products
Closely-held equity interests

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Due from Affiliates735597
Financial Costs Net50219
Investment in Siena on the Lake931545
Asset held for Sale - Lincoln Danish Home
FieldValueIRS element (for citing)
Total Book Value Other Assets1717361TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Federal income taxes
Development Fee Payable$430,998
Residential Custodial Accounts$22,981
Security Deposits$31,410
FieldValueIRS element (for citing)
Total Of Amounts485389TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt14982323TotRevenueEtcAuditedFinclStmt
Revenue Subtotal14982323RevenueSubtotal
Total Revenue Per Form99014982323TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15659679TotExpensesEtcAuditedFinclStmt
Expenses Subtotal15659679ExpensesSubtotal
Total Expenses Per Form99015659679TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierXIIIdentifier
Return Reference1ReturnReference
ExplanationThe audit report for Lincoln Lutheran of Racine included the disregarded entity Lincoln Danish Home. A separte audit was done for the disregarded entity Lincoln Villas Redevelopment. An audit was not done on the disregarded entity LVR Developer.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDaniel RischNamePerson
TitleCEOTitle
Base Compensation Filing Org178506BaseCompensationFilingOrg
Other Compensation Filing Org1437OtherCompensationFilingOrg
Deferred Comp Filing Org15504DeferredCompFilingOrg
Nontaxable Benefits Filing Org17355NontaxableBenefitsFilingOrg
Total Compensation Filing Org212802TotalCompensationFilingOrg

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference4bReturnReference
ExplanationDaniel Risch, CEO - 15,504 Carolyn Seeger, Senior VP - 5,439 Marion Patterson, VP-HR-5,646 Fred Richard Bova, CFO-5,786 Claudia Sue Harris, Administrator-4,200Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

ExplanationExplanation
Form 990 Part III Line 4d Other Program Services - Other program services included are service coordinators for our HUD projects.
Form 990 Part VI Line 7a Describe who may elect members of the governing body - The Board of Directors elect other members to the Board.
Form 990 Part VI Line 9 Names and addresses of Board of Directors who cannot be reached at the organizations mailing address Raymond Koukari, Jr., President - Gateway Technical College, 1001 Main St., Racine, WI 53401 Cheryl Thomas - Vice President - Blue Cross Blue Shield, 225 N Michigan Ave., Chicago, IL 60601, Dave Titus - Treasurer - BMO Bank, One Main Street, Racine, WI 53403 Morris Reece - Secretary - City of Racine, 800 Center St., Racine, WI 53403 Rev Dana OBrien - Member At Large - Atonement Lutheran Church, 2915 Wright Ave, Racine, WI 53405 Gregory Mueller - Board Member - Patina Solutions, 13890 Bishops Drive., Suite 320, Brookfield, WI 53005 Carol Barkow - Board Member - RAMAC, 300 Fifth Street, Racine, WI 53403 Paulette Kissee, Board Member, Alzheimers Assocaition, PO Box 2000, Kenosha, WI 53141-2000 David Isaacson - Board Member - SC Johnson Son, 1525 Howe St., MS 469, Racine, WI 53403 Jeffrey Neubauer - Board Member- Kranz, 2200 DeKoven Ave., Racine, WI 53403
Form 990 Part VI Line 11b Describe the review process of the 990 - The tax returns are given to the Board of Directors once they are completed.
Form 990 Part VI Line 12c Describe how the organization monitors the compliance policy - The organization performs reviews to ensure compliance.
Form 990 Part VI Line 15a and 15b Desciption of process for determining compensation - 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 Line 18 and 19 Description for making documents public - The organization has this information available upon request.
Form 990 Part VII Section A Line b The hours primarily relate to Lincoln Lutheran of Racine. The remaining hours are spent on related organizations.
Form 990 Part VII Section A Line e Describe reasonable efforst for information in e reportable compensation - Information was taken from W2 of the organization.
Form 990 Part XI Line 5 Other changes in net assets - Equity transfer for related organization Lincoln Lutheran Community Care Corp. This relates to the amount due to Lincoln Lutheran due to the fact that Lincoln Lutheran Community Care does not have the ability to pay the amounts due. This amount is for 594,169. The increase in equity in the amount of 1,468,552 relates to the transfer of assets/investments from the Lincoln Lutheran Charitable Trust entity which has now been dissolved.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Lincoln Danish Home LLC
2000 Domanik DriveRacineWI53404800451345Elderly HousingWILincoln Lutheran of Racine Inc
LVR Developer LLC
2000 Domanik DriveRacineWI53404800553461Dev CompanyWILincoln Lutheran of Racine Inc
Lincoln Villas Redevelopment LLC
2000 Domanik DriveRacineWI53404383781716Low Income HousingWILincoln Lutheran of Racine Inc

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Lincoln Lutheran Community Care Inc
2000 Domanik DriveRacineWI53404391674718Nursing HomeWI501C39Lincoln Lutheran of Raicnetrue
Trinity Terrace
2000 Domanik DriveRacineWI53404391667734Low Income HousingWI501C39Lincoln Lutheran of Racinetrue
Lincoln Villas North Inc
2000 Domanik DriveRacineWI53404391363010Low Income HousingWI501C39Lincoln Lutheran of Racinetrue
Lincoln Lutheran Charitable Trust
2000 Domanik DriveRacineWI53404391316328Investments for Lincoln LutheranWI501C39Lincoln Lutheran of Racinetrue
Atrium of Racine Inc
2000 Domanik DriveRacineWI53404391615970Independent Housing/Assisted LivingWI501C39Lincoln Lutheran of Racinetrue
Siena of the Lake
2000 Domanik DriveRacineWI53404452814682Senior ServicesWI501C39Lincoln Lutheran of Racinetrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Lincoln Manor RedevelopmentBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
EIN203503259EIN
Primary ActivityLow Income HousingPrimaryActivity
Legal Domicile StateWILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran of RacineBusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1LMR Managing MemberBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12000 Domanik DriveAddressLine1
CityRacineCity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
EIN203502780EIN
Primary ActivityManaging MemberPrimaryActivity
Legal Domicile StateWILegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Lincoln Lutheran of RacineBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Percentage Ownership1.00000PercentageOwnership
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Atrium of Racine Inc
q131672Actual Expense
Lincoln Lutheran Charitable Trust Inc
c1468552Actual Amount
Siena on the Lake Inc
b777921Actual Contribution
Lincoln Lutheran Community Care Corporation
b594169Actual Expense
Lincoln Lutheran Community Care Corporation
q621871Actual Expense
Lincoln Lutheran Community Care Corporation
l435638Actual Expense
Atrium of Racine Inc
e398135Actual Amount