SKAALEN NURSING AND REHABILITATION CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SKAALEN NURSING AND REHABILITATION CENTER INC (EIN 39-1104331)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-15
IRS object ID: 201243209349306019
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T12:39:46-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JT AND ASSOCIATES LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	700 PILGRIM PARKWAY SUITE 200	AddressLine1
City	ELM GROVE	City
State	WI	State
ZIP Code	53122	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	391104331	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SKAALEN NURSING AND REHABILITATION	BusinessNameLine1
Business Name Line2	CENTER INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	SKAA	NameControl
Phone	6088735651	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 NORTH MORRIS STREET	AddressLine1
City	STOUGHTON	City
State	WI	State
ZIP Code	53589	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARK BENSON	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	6088735651	Phone
Date Signed	2012-11-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MARK JANKE	Name
Phone	2627899945	Phone
Date Prepared	2012-11-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARK BENSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	400 N MORRIS ST	AddressLine1
City	STOUGHTON	City
State	WI	State
ZIP Code	53589	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	11354106	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SKAALEN.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1900	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE NURSING, PATIENT CARE AND REHABILITATION SERVICES TO ALL INDIVIDUALS REGARDLESS OF SOURCE OF PAYMENT, AND ABILITY TO PAY FROM THEIR OWN FUNDS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	343	TotalNbrEmployees
Total Nbr Volunteers	120	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	340100	ContributionsGrantsPriorYear
Contributions Grants Current Year	243618	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	11191811	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11171798	ProgramServiceRevenueCY
Investment Income Prior Year	44717	InvestmentIncomePriorYear
Investment Income Current Year	40924	InvestmentIncomeCurrentYear
Other Revenue Prior Year	206884	OtherRevenuePriorYear
Other Revenue Current Year	-102234	OtherRevenueCurrentYear
Total Revenue Prior Year	11783512	TotalRevenuePriorYear
Total Revenue Current Year	11354106	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	8542552	SalariesEtcPriorYear
Salaries Etc Current Year	8362280	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	3050580	OtherExpensePriorYear
Other Expenses Current Year	3117953	OtherExpensesCurrentYear
Total Expenses Prior Year	11593132	TotalExpensesPriorYear
Total Expenses Current Year	11480233	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	190380	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-126127	RevenuesLessExpensesCY
Total Assets BOY	11264250	TotalAssetsBOY
Total Assets EOY	11185089	TotalAssetsEOY
Total Liabilities BOY	3910012	TotalLiabilitiesBOY
Total Liabilities EOY	3956978	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	7354238	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	7228111	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE NURSING, PATIENT CARE AND REHABILITATION SERVICES TO ALL INDIVIDUALS REGARDLESS OF SOURCE OF PAYMENT, AND ABILITY TO PAY FROM THEIR OWN FUNDS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	8030522	Expense
Revenue	7528449	Revenue
Description	SKILLED NURSING FACILITY (SNF)- SKAALEN OWNS AND OPERATES A 126 BED NURSING HOME LOCATED IN STOUGHTON, WISCONSIN. THE SNF OFFERS SPECIALIZED RESTORATIVE REHABILITATION FOR SHORT TERM STAYS, NURSING CARE FOR LONG-TERM STAYS, AND END STAGE HOSPICE CARE. A SUBSTANTIAL PORTION OF ITS CARE IS PROVIDED TO RESIDENTS ON MEDICAID WHICH DOES NOT PROVIDE ADEQUATE REIMBURSEMENT TO COVER THE COSTS OF CARE AND HOUSING.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1077283	Expense
Revenue	1724283	Revenue
Description	ANCILLARY SERVICES RELATING TO SNF - ANCILLARY SERVICES ARE PROVIDED TO THE RESIDENTS OF THE SNF SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY. OTHER ANCILLARY SERVICES INCLUDE THE DRUGS AND MEDICAL SUPPLIES AS WELL AS ACTIVITY AND REHABILITATION PROGRAMS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1722757	Expense
Revenue	1919066	Revenue
Description	COMMUNITY BASED RESIDENTIAL FACILITY (CBRF) AND RESIDENTIAL APARTMENTS. SKAALEN OWNS AND OPERATES A 57 BED CBRF AND 8 APARTMENT UNITS FOR THE ELDERLY. THE CBRF FACILITIES ARE DESIGNED TO PROVIDE CARE TO THE ELDERLY IN A HOME-LIKE SETTING. RESIDENTS RECEIVE MEALS, MEDICAL MANAGEMENT, HOUSEKEEPING, AND OTHER DAILY LIVING SERVICES BASED ON THEIR NEEDS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	10830562	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	11	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	343	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	SKAALEN NURSING AND REHABILITATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6088735651	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 NORTH MORRIS STREET	AddressLine1
City	STOUGHTON	City
State	WI	State
ZIP Code	53589	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
HOMER HOWARD
DIRECTOR	1.00	X	0	0	0
FRED INGERSOLL
PRESIDENT	1.00	X	0	0	0
LOIS DYBEVIK
DIRECTOR	1.00	X	0	0	0
AUGUST HOHL
DIRECTOR	1.00	X	0	0	0
JOHN HEFTE
DIRECTOR	1.00	X	0	0	0
FERN BINGER
TREASURER	1.00	X	0	0	0
REV JERRY PRIBBENOW
DIRECTOR	1.00	X	0	0	0
REV CLYDE CROSS
VICE PRESIDE	1.00	X	0	0	0
ALAN SORENSON
SECTRETARY	1.00	X	0	0	0
MARK BENSON
EXEC DIR	30.00		39875	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	39875	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Related Organizations	75000	RelatedOrganizations
All Other Contributions	168618	AllOtherContributions
Total Contributions	243618	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICES	Description
Total Revenue Column	11171798	TotalRevenueColumn
Related Or Exempt Function Income	11171798	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	11171798	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	40924	TotalRevenueColumn
Related Or Exempt Function Income	40924	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	INVESTMENT UNREALIZED LOSSES	Description
Total Revenue Column	-102234	TotalRevenueColumn
Related Or Exempt Function Income	-102234	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	-102234	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11354106	TotalRevenueColumn
Related Or Exempt Function Income	11110488	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6602031	Total
Program Services	6094086	ProgramServices
Management And General	507945	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	303691	Total
Program Services	303691	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	904516	Total
Program Services	904516	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	552042	Total
Program Services	552042	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	7647	Total
Management And General	7647	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	16250	Total
Management And General	16250	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	55682	Total
Program Services	55682	ProgramServices

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	101662	Total
Program Services	101662	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	217451	Total
Program Services	217451	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	6893	Total
Program Services	6893	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	87736	Total
Program Services	87736	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	606924	Total
Program Services	606924	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	99608	Total
Program Services	99608	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
DIETARY	438552	438552
NURSING	403508	403508
MAINTENANCE	282859	282859
ANCILLARY EXPENSES	232903	232903

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	560278	Total
Program Services	442449	ProgramServices
Management And General	117829	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	11480233	Total
Program Services	10830562	ProgramServices
Management And General	649671	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	725015	BOY
EOY	702066	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2799258	BOY
EOY	2775835	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	897338	BOY
EOY	973499	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	171645	BOY
EOY	106350	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	19207618	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	12680791	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6583467	BOY
EOY	6526827	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	87527	BOY
EOY	100512	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	11264250	BOY
EOY	11185089	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	821736	BOY
EOY	854441	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	654283	BOY
EOY	739076	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	2000000	BOY
EOY	1900000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	433993	BOY
EOY	463461	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3910012	BOY
EOY	3956978	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6228528	BOY
EOY	6142063	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	992039	BOY
EOY	1045227	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	133671	BOY
EOY	40821	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	7354238	BOY
EOY	7228111	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	11264250	BOY
EOY	11185089	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-126127	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church170b1 Ai	X	Church170b1Ai

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1894701	BeginningOfYearBalance
Contributions	54751	Contributions
Investment Earnings Or Losses	-58105	InvestmentEarningsOrLosses
Other Expenditures	54751	OtherExpenditures
End Of Year Balance	1836596	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1930237	BeginningOfYearBalance
Contributions	259773	Contributions
Investment Earnings Or Losses	202021	InvestmentEarningsOrLosses
Other Expenditures	497330	OtherExpenditures
End Of Year Balance	1894701	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1485659	BeginningOfYearBalance
Contributions	110563	Contributions
Investment Earnings Or Losses	334015	InvestmentEarningsOrLosses
End Of Year Balance	1930237	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1705646	BeginningOfYearBalance
Contributions	425210	Contributions
Investment Earnings Or Losses	-601721	InvestmentEarningsOrLosses
Other Expenditures	43476	OtherExpenditures
End Of Year Balance	1485659	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.45000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.02000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.53000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	738065	OtherCostOrOtherBasis
Book Value	738065	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14669209	OtherCostOrOtherBasis
Depreciation	9354989	Depreciation
Book Value	5314220	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3800344	OtherCostOrOtherBasis
Depreciation	3325802	Depreciation
Book Value	474542	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6526827	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
EMPLOYEE DEFERRED COMPENSATION	$454,536
RESIDENT TRUST ACCOUNT	$8,925

Field	Value	IRS element (for citing)
Total Of Amounts	463461	TotalOfAmounts
Total Revenue	11354106	TotalRevenue
Total Expenses	11480233	TotalExpenses
Excess Or Deficit For Year	-126127	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-126127	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	11354106	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	11354106	RevenueSubtotal
Total Revenue Per Form990	11354106	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	11480233	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	11480233	ExpensesSubtotal
Total Expenses Per Form990	11480233	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	INTENDED USES FOR ENDOWMENT FUNDS	Identifier
Return Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	ReturnReference
Explanation	INCOME FROM THE PERMANENTLY RESTRICTED ENDOWMENT FUND IS NOT RESTRICTED. ENDOWMENT FUNDS RELATED TO QUASI RESTRICTED FUNDS ARE GENERALLY TO BE USED FOR BENEVOLENT CARE. THE VAST MAJORITY OF ENDOWMENT FUNDS THAT ARE TEMPORARILY RESTRICTED ARE ALSO TO BE USED FOR BENEVOLENT CARE. THE REMAINDER OF THE TEMPORARILY RESTRICTED ENDOWMENT FUNDS ARE TO BE USED FOR PROGRAMS RELATING TO PROFESSIONAL DEVELOPMENT, RECOGNITION, RECRUITMENT, AND RETENTION OF NURSING STAFF.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERS	FORM 990, PAGE 6, PART VI, LINE 6	MEMBERS OF THE CORPORATION ARE 33 LUTHERAN CHURCHES AND 1 METHODIST CHURCH IN AND AROUND THE STOUGHTON AREA.
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	EACH CHURCH SENDS ONE PASTOR AND 2-8 DELEGATES BASED ON SIZE OF CHURCH TO THE ANNUAL MEETING HELD IN MARCH EACH YEAR. THE PASTORS AND DELEGATES ELECT THE NINE PERSON BOARD OF DIRECTORS AT THE ANNUAL MEETING. EACH DIRECTOR IS LIMITED TO TWO THREE YEAR TERMS. TERMS ARE STAGGERED SO ONE-THIRD OF THE BOARD ARE ELECTED OR RE-ELECTED EACH YEAR.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	THE ACTIONS OF THE BOARD ARE SUMMARIZED AND REPORTED TO THE MEMBERS OF THE ANNUAL MEETING EACH YEAR. THE MEMBERSHIP RATIFIES THE ACTIONS THROUGH A RESOLUTION WHICH IS VOTED ON EACH YEAR.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 IS REVIEWED BY THE CEO AND BOARD CHAIRMAN BEFORE IT IS FILED. COPIES ARE AVAILABLE TO ANY BOARD MEMBER UPON REQUEST.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS OF INTEREST. IF A CONFLICT IS DISCLOSED, THEY ARE PROHIBITED FROM DISCUSSION AND VOTING ON THE MATTER BY BOARD BYLAWS AND THE CEO'S EMPLOYMENT CONTRACT.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE ENTIRE BOARD CONDUCTS A PERFORMANCE REVIEW OF THE CEO IN JANUARY OF EACH YEAR AT A REGULAR BOARD MEETING. SALARY AND BENEFIT INFORMATION FROM AAHSA AND WAHSA ANNUAL SURVEYS ARE USED TO DETERMINE AN APPROPRIATE SALARY AND BENEFIT RANGE FOR THE CEO. THE BOARD APPROVES ANY CHANGES TO THE CEO SALARY AND BENEFIT PACKAGE. A WRITTEN LETTER OF SUCH CHANGES IS PROVIDED BY THE BOARD CHAIR TO THE CEO AND HUMAN RESOURCE DIRECTOR. IN ADDITION, THE YEARLY WRITTEN GOALS AND OBJECTIVES SET FOR THE CEO ARE REVIEWED AND A NEW SET OF GOALS AND OBJECTIVES FOR THE CURRENT YEAR ARE DISCUSSSED AND APPROVED.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	A SPREAD SHEET LISTING THE CURRENT SALARY AND BENEFITS OF ALL DEPARTMENT HEADS AND MANAGERS IS PROVIDED TO THE BOARD FOR THEIR REVIEW AND APPROVAL ANNUALLY IN JANUARY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	ANNUAL REPORT, GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.