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LINCOLN LUTHERAN OF RACINE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LINCOLN LUTHERAN OF RACINE INC (EIN 39-0874802)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201233189349300423
Schema version
2011v1.2
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)
Timestamp2012-11-13T08:05:56-00:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1F RICHARD BOVA JR CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12000 DOMANIK DRAddressLine1
CityRACINECity
StateWIState
ZIP Code53404ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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)
NameRick BovaName
TitleCFOTitle
Phone2628982701Phone
Date Signed2012-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameF RICHARD BOVA JRName
Phone2628982701Phone
Date Prepared2012-11-13DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts15867771GrossReceipts
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 118 beds. The average occupancy in 2011 was 78, 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 Employees389TotalNbrEmployees
Total Nbr Volunteers569TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3384457ContributionsGrantsPriorYear
Contributions Grants Current Year1204634ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12915834ProgramServiceRevenuePriorYear
Program Service Revenue CY12641332ProgramServiceRevenueCY
Investment Income Prior Year187049InvestmentIncomePriorYear
Investment Income Current Year427796InvestmentIncomeCurrentYear
Other Revenue Prior Year2063189OtherRevenuePriorYear
Other Revenue Current Year1092332OtherRevenueCurrentYear
Total Revenue Prior Year18550529TotalRevenuePriorYear
Total Revenue Current Year15366094TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9244545SalariesEtcPriorYear
Salaries Etc Current Year8680341SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year37985TotalFundrsngExpCurrentYear
Other Expense Prior Year6300454OtherExpensePriorYear
Other Expenses Current Year8592490OtherExpensesCurrentYear
Total Expenses Prior Year15544999TotalExpensesPriorYear
Total Expenses Current Year17272831TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3005530RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1906737RevenuesLessExpensesCY
Total Assets BOY18008548TotalAssetsBOY
Total Assets EOY15098643TotalAssetsEOY
Total Liabilities BOY10597742TotalLiabilitiesBOY
Total Liabilities EOY10632718TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7410806NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4465925NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionLincoln Lutheran of Racine consists of a skilled nursing facility which has 118 beds. The average occupancy in 2011 was 78, 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 ChangetrueSignificantChange
Expense8619617Expense
Revenue8983550Revenue
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)
Expense2389692Expense
Revenue3189705Revenue
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)
Expense558980Expense
Revenue731735Revenue
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 Exp299523TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev2461104TotalOfOtherProgramServiceRev
Total Program Service Expense11867812TotalProgramServiceExpense
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 With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees389NumberOfEmployees
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 (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Raymond Koukari Jr
BOD-President001.00X000
Gene Holtz
BOD-Vice President001.00X000
Dave Titus
BOD-Treasurer001.00X000
Morris Reece
BOD-Secretary001.00X000
Cheryl Thomas
Board Member001.00X000
Carol Barkow
Board Member001.00X000
Paulette Kissee
Board Member001.00X000
Rev Dana O'Brien
Board Member001.00X000
David Isaacson
Board Member001.00X000
Jeffrey Neubauer
Board Member001.00X000
Daniel Risch
CEO035.00180050031531XXX
Jerry Apple
Former CFO040.0094195010199X
Carolyn Seeger
Senior VP040.0090355011783X
Marion Patterson
VP-HR040.0097872011698X
Fred Richard Bova
CFO040.0067606016028XX
Claudia Sue Harris
Administrator Village040.00884602029X
FieldValueIRS element (for citing)
Total Reportable Comp From Org538924TotalReportableCompFromOrg
Total Other Compensation83268TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Reinhart Boerner Van DeurenBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 2965AddressLine1
CityMilwaukeeCity
StateWIState
ZIP Code532012965ZIPCode
FieldValueIRS element (for citing)
Description Of Serviceslegal servicesDescriptionOfServices
Compensation107850Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations768150RelatedOrganizations
Government Grants312062GovernmentGrants
All Other Contributions124422AllOtherContributions
Total Contributions1204634TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Elder Care62300090847829084782
Community Service62410031897053189705
Rental Income531110366845366845
FieldValueIRS element (for citing)
Total Program Service Revenue12641332TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column129473TotalRevenueColumn
Related Or Exempt Function Income129473RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other800000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other501677Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other298323Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column298323TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionManagement FeeDescription
Business Code561000BusinessCode
Total Revenue Column927331TotalRevenueColumn
Related Or Exempt Function Income927331RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column165001TotalRevenueColumn
Related Or Exempt Function Income165001RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1092332TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15366094TotalRevenueColumn
Related Or Exempt Function Income13863137RelatedOrExemptFunctionIncome

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)
Total639914Total
Program Services109836ProgramServices
Management And General530078ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6226253Total
Program Services5163562ProgramServices
Management And General1028270ManagementAndGeneral
Fundraising34421Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total54483Total
Management And General54483ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1136889Total
Program Services899416ProgramServices
Management And General237473ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total622802Total
Program Services451386ProgramServices
Management And General171416ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total137529Total
Program Services5081ProgramServices
Management And General132448ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total63542Total
Program Services14851ProgramServices
Management And General48691ManagementAndGeneral

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)
Total961834Total
Program Services440480ProgramServices
Management And General521354ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total52848Total
Program Services29589ProgramServices
Management And General23259ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total552941Total
Program Services100033ProgramServices
Management And General449344ManagementAndGeneral
Fundraising3564Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total202743Total
Program Services83957ProgramServices
Management And General118786ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total423604Total
Program Services337807ProgramServices
Management And General85797ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total47728Total
Program Services42273ProgramServices
Management And General5455ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total66398Total
Program Services16429ProgramServices
Management And General49969ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total344616Total
Program Services199650ProgramServices
Management And General144966ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total477771Total
Program Services391096ProgramServices
Management And General86675ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total270709Total
Program Services193857ProgramServices
Management And General76852ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt696864696864
Dietary613333613333
Therapy OT, PT, ST/Supplies/Drugs1290334127333417000
Impairment/WI Provider/Med Admin Costs17035393398831363656

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total686157Total
Program Services465095ProgramServices
Management And General221062ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17272831Total
Program Services11867812ProgramServices
Management And General5367034ManagementAndGeneral
Fundraising37985Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY803042BOY
EOY496909EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY954133BOY
EOY822047EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1958021BOY
EOY1565034EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1966198BOY
EOY2009689EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY34184BOY
EOY37385EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY150330BOY
EOY162102EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13465307LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5729276LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10484958BOY
EOY7736031EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY427973BOY
EOY294221EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1229709BOY
EOY1975225EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18008548BOY
EOY15098643EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2331018BOY
EOY2866726EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY302923BOY
EOY213114EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY7491904BOY
EOY7085229EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY471897BOY
EOY467649EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10597742BOY
EOY10632718EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7410806BOY
EOY4465925EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7410806BOY
EOY4465925EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18008548BOY
EOY15098643EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1906737ReconcilationRevenueExpenses
Reconcilation Other Changes-1038144ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Basis660412OtherCostOrOtherBasis
Book Value660412BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9541084OtherCostOrOtherBasis
Depreciation3250025Depreciation
Book Value6291059BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis126515OtherCostOrOtherBasis
Depreciation63258Depreciation
Book Value63257BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2777306OtherCostOrOtherBasis
Depreciation2174711Depreciation
Book Value602595BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis359990OtherCostOrOtherBasis
Depreciation241282Depreciation
Book Value118708BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7736031TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Due from Affiliates718329
Financial Costs Net52732
Investment in Siena on the Lake307028
Asset held for Sale - Lincoln Danish Home897136
FieldValueIRS element (for citing)
Total Book Value Other Assets1975225TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Development Fee Payable$430,998
Residential Custodial Accounts$3,841
Security Deposits$32,810
FieldValueIRS element (for citing)
Total Of Amounts467649TotalOfAmounts
Total Revenue15366094TotalRevenue
Total Expenses17272831TotalExpenses
Excess Or Deficit For Year-1906737ExcessOrDeficitForYear
Excess Or Deficit Per FS-1906737ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15366094TotRevenueEtcAuditedFinclStmt
Revenue Subtotal15366094RevenueSubtotal
Total Revenue Per Form99015366094TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17272831TotExpensesEtcAuditedFinclStmt
Expenses Subtotal17272831ExpensesSubtotal
Total Expenses Per Form99017272831TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
XII1The audit report for Lincoln Lutheran of Racine included the disregarded entity Lincoln Danish Home. A separate audit was done for the disregarded entity Lincoln Villas Redevelopment. An audit was not done on the disregarded entity LVR Developer.
XIII1The audit report for Lincoln Lutheran of Racine included the disregarded entity Lincoln Danish Home. A separate audit was done for the disregarded entity Lincoln Villas Redevelopment. An audit was not done on the disregarded entity LVR Developer.

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 (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Daniel Risch
1785061115341550416027211582
Jerry Apple
9419530317169104395

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierIIdentifier
Return Reference4bReturnReference
ExplanationDaniel Risch, CEO - 15,504 Jerry Apple, Former CFO-3,031 Carolyn Seeger, Senior VP-5,421 Marion Patterson, VP-HR-5,572 Fred Richard Bova, CFO-4,275 Claudia Sue Harris, Administrator-Village-500Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990 Part III3Lincoln Lutheran of Racine sold the assisted living facility called Schmidt Home in April of 2011. This was a small facility with only 20 apartments.
Form 990 Part III4dOther Program Services - Other program services included the disregarded entity Lincoln Danish Home and expenses related to the Schmidt Home prior to sale which was an assisted living facility.
Form 990 Part VI7aDescribe who may elect members of the governing body - The Board of Directors elect other members to the board.
Form 990 Part VI9Names and addresses of Board of Directors who cannnot be reached at the organizationss mailing address Raymond Koukari, Jr - BOD-President - Gateway Technical College, 1001 Main Street, Racine, WI 53401 Gene Holtz - BOD-VP, SC Johnson Son, Inc., 1525 Howe Street, Racine, WI 53403-2236 Dave Titus - BOD-Treasurer, BMO Bank, One Main Street, Racine, WI 53403 Morris Reece - BOD-Secretary, City of Racine, 800 Center St., Racine, WI 53403 Cheryl Thomas, BOD, Johnson Financial Group, 555 Main St., Suite 400, Racine, WI 53403 Carol Barkow - BOD, RAMAC, 300 Fifth St, Racine, WI 53403 Paulette Kissee, Alzheimers Association, PO Box 2000, Kenosha, WI 53141 Rev. Dana OBrien BOD, Atonement Lutheran Church, 2915 Wright Ave., Racine, WI 53405 David Isaacson BOD, SC Johnson Son, 1525 Howe St., Racine, WI 53403 Jeffrey Neubauer - BOD, Kranz, Inc., 2200 DeKoven Ave., Racine, WI 53403
Form 990 Part VI11bDescribe the review process of the 990 - The tax returns are given to the Board of Directors once they are completed.
Form 990 Part VI12cDescribe how the organization monitors the compliance polcy - The organization performs reviews to ensure compliance.
Form 990 Part VI15a and 15bDescription 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 VI18 and 19Description for making documents public - The orgnization has this information available upon request.
Form 990 Part VIIbDaniel Rischs hours primarily relate to Lincoln Lutheran of Racine. The remaining hours are spent on related organizations.
Form 990 Part VIIeDescribe reasonalbe efforts for information in e reportable compensation - Information was taken from W2 of the organization.
Form 990 Part XI5Other changes in net assets - Equity transfer for related orgnization 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.
Form 990 Part III Line 3 Lincoln Lutheran of Racine sold the assisted living facility called Schmidt Home in April of 2011. This was a small facility with only 20 apartments. Form 990 Part III Line 4d Other Program Services - Other program services included the disregarded entity Lincoln Danish Home and expenses related to the Schmidt Home prior to sale which was an assisted living facility. 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 cannnot be reached at the organizationss mailing address Raymond Koukari, Jr - BOD-President - Gateway Technical College, 1001 Main Street, Racine, WI 53401 Gene Holtz - BOD-VP, SC Johnson Son, Inc., 1525 Howe Street, Racine, WI 53403-2236 Dave Titus - BOD-Treasurer, BMO Bank, One Main Street, Racine, WI 53403 Morris Reece - BOD-Secretary, City of Racine, 800 Center St., Racine, WI 53403 Cheryl Thomas, BOD, Johnson Financial Group, 555 Main St., Suite 400, Racine, WI 53403 Carol Barkow - BOD, RAMAC, 300 Fifth St, Racine, WI 53403 Paulette Kissee, Alzheimers Association, PO Box 2000, Kenosha, WI 53141 Rev. Dana OBrien BOD, Atonement Lutheran Church, 2915 Wright Ave., Racine, WI 53405 David Isaacson BOD, SC Johnson Son, 1525 Howe St., Racine, WI 53403 Jeffrey Neubauer - BOD, Kranz, Inc., 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 polcy - The organization performs reviews to ensure compliance. Form 990 Part VI Line 15a and 15b Description 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 orgnization has this information available upon request. Form 990 Part VII Section A Line b Daniel Rischs 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 reasonalbe efforts 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 orgnization 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Lincoln Danish Home LLC
2000 Domanik DriveRacineWI53404800451345Elderly HousingWI-1738103925148Lincoln Lutheran of Racine Inc
LVR Developer LLC
2000 Domanik DriveRacineWI53404800553461Dev CompanyWILincoln Lutheran of Racine Inc
Lincoln Villas Redevelopment LLC
2000 Domanik DriveRacineWI53404383781716Low Income HousingWI86767230703Lincoln 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 (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
LMR Managing Member
2000 Domanik DriveRacineWI53404203502780Managing MemberWILincoln Lutheran of RacineC Corp1.00000
Lincoln Investment Corp
2000 Domanik DriveRacineWI53404861156054Real Estate DevelopmentWILincoln Lutheran of RacineC Corp1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
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
p168328actual expense
Lincoln Lutheran Charitable Trust Inc
c729490actual expense
Siena on the Lake Inc
b307028actual expense
Lincoln Lutheran Community Care Corporation
b1038144actual expense
Lincoln Lutheran Community Care Corporation
k849936actual expense
Lincoln Lutheran Community Care Corporation
n69485actual expense
Lincoln Lutheran Community Care Corporation
p581295actual expense