2012-03-22T12:20:49-05:00 2011-06-30 BAUMAN ASSOCIATES LTD PO BOX 1225 EAU CLAIRE WI 547021225 990 2010-07-01 391190907 ELMWOOD NURSING HOME INC HERITAGE OF ELMWOOD NURSING HOME ELMW 7156392911 232 E SPRINGER AVE ELMWOOD WI 54740 RODNEY GILLES 7156392911 2012-03-21 MICHAEL R MAI CPA 7158342001 2010 2016-02-24 21:20:13Z RODNEY GILLES 232 E SPRINGER AVE ELMWOOD WI 54740 2660830 0 X N/A X WISCONSIN NON STOCK, NOT FOR PROFIT 1972 WI TO PROVIDE NURSING HOME CARE FOR THE COMMUNITY. 7 6 94 5 0 0 5374 6714 2492537 2601824 18624 19527 32805 32765 2549340 2660830 0 0 0 0 1745499 1693817 0 0 0 777132 812603 2522631 2506420 26709 154410 1963860 2228974 407042 517746 1556818 1711228 PROVIDING NURSING HOME CARE TO THE PEOPLE IN THE COMMUNITY. 0 0 2216070 2601824 NURSING HOME CARE - PROVIDES NURSING HOME CARE TO ITS RESIDENTS. 2216070 1 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 1 94 1 0 0 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 X 0 0 0 DELORES RADTKE 0.50 X 0 0 0 DAN SCHULER 0.50 X X 0 0 0 PHIL DZUBAY 0.50 X 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 65841 0 1975 65841 0 1975 0 0 0 0 0 6714 6714 NURSING CARE AND HOUSI 623000 2545894 2545894 OTHER INCOME 623000 55930 55930 2601824 19527 19527 32765 32765 32765 32765 2660830 2601824 0 52292 65841 65841 1433950 1418267 15683 82869 80894 1975 111157 111157 7611 7611 90446 90446 93014 93014 PLANT OPERATIONS 134646 134646 DIETARY 128045 128045 ADMINISTRATIVE 118815 4978 113837 PROVIDER ASSESSMENT 93840 93840 NURSING 57925 57925 88261 88261 2506420 2216070 290350 0 4873 5004 1065400 1303569 233055 190206 7917 7917 42127 43531 2405690 1767368 569224 638322 41264 40425 1963860 2228974 262051 258734 144991 259012 407042 517746 X 0 0 0 0 1556818 1711228 1556818 1711228 1963860 2228974 154410 0 X X 1 0 1 X 0 X 6306 7621 8531 5374 6714 34546 2839106 2777439 2781717 2525342 2601824 13525428 2845412 2785060 2790248 2530716 2608538 13559974 0 0 0 13559974 66660 28163 15123 18624 52292 180862 66660 28163 15123 18624 52292 180862 2912072 2813223 2805371 2549340 2660830 13740836 0.98680 0.98710 0.01320 0.01290 X 7000 7000 1655399 1183415 471984 743291 583953 159338 638322 DAN SCHULER CURRENT OFFICER SECRETARY - TREASURER 99666 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.