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SKAALEN NURSING AND REHABILITATION CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SKAALEN NURSING AND REHABILITATION CENTER INC (EIN 39-1104331)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349302139
Schema version
2010v3.4
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)
Timestamp2011-11-15T09:08:19-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JT AND ASSOCIATES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1700 PILGRIM PARKWAY SUITE 200AddressLine1
CityELM GROVECity
StateWIState
ZIP Code53122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391104331EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SKAALEN NURSING AND REHABILITATIONBusinessNameLine1
Business Name Line2CENTER INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSKAANameControl
Phone6088735651Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 NORTH MORRIS STREETAddressLine1
CitySTOUGHTONCity
StateWIState
ZIP Code53589ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK BENSONName
TitleEXECUTIVE DIRECTORTitle
Phone6088735651Phone
Date Signed2011-11-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMARK JANKEName
Phone2627899945Phone
Date Prepared2011-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK BENSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1400 N MORRIS STAddressLine1
CitySTOUGHTONCity
StateWIState
ZIP Code53589ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11783512GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SKAALEN.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1900YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO 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 Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees319TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year207676ContributionsGrantsPriorYear
Contributions Grants Current Year340100ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11643708ProgramServiceRevenuePriorYear
Program Service Revenue CY11191811ProgramServiceRevenueCY
Investment Income Prior Year43291InvestmentIncomePriorYear
Investment Income Current Year44717InvestmentIncomeCurrentYear
Other Revenue Prior Year397746OtherRevenuePriorYear
Other Revenue Current Year206884OtherRevenueCurrentYear
Total Revenue Prior Year12292421TotalRevenuePriorYear
Total Revenue Current Year11783512TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8998190SalariesEtcPriorYear
Salaries Etc Current Year8542552SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year273TotalFundrsngExpCurrentYear
Other Expense Prior Year3125772OtherExpensePriorYear
Other Expenses Current Year3050580OtherExpensesCurrentYear
Total Expenses Prior Year12123962TotalExpensesPriorYear
Total Expenses Current Year11593132TotalExpensesCurrentYear
Revenues Less Expenses Prior Year168459RevenuesLessExpensesPriorYear
Revenues Less Expenses CY190380RevenuesLessExpensesCY
Total Assets BOY11052317TotalAssetsBOY
Total Assets EOY11264250TotalAssetsEOY
Total Liabilities BOY3888459TotalLiabilitiesBOY
Total Liabilities EOY3910012TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7163858NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7354238NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8289312Expense
Revenue7433091Revenue
DescriptionSKILLED 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

FieldValueIRS element (for citing)
Expense1047082Expense
Revenue1607048Revenue
DescriptionANCILLARY 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

FieldValueIRS element (for citing)
Expense1624508Expense
Revenue2151672Revenue
DescriptionCOMMUNITY 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
FieldValueIRS element (for citing)
Total Program Service Expense10960902TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
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 RequiredfalseScheduleJRequired
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 EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees319NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
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
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SKAALEN NURSING AND REHABILITATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6088735651TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1400 NORTH MORRIS STREETAddressLine1
CitySTOUGHTONCity
StateWIState
ZIP Code53589ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
HOMER HOWARD
DIRECTOR1.00X000
FRED INGERSOLL
PRESIDENT1.00X000
LOIS DYBEVIK
DIRECTOR1.00X000
AUGUST HOHL
DIRECTOR1.00X000
LOWELL BAKKEN
DIRECTOR1.00X000
FERN BINGER
TREASURER1.00X000
REV JERRY PRIBBENOW
DIRECTOR1.00X000
REV CLYDE CROSS
VICE PRESIDE1.00X000
ALAN SORENSON
SECTRETARY1.00X000
FieldValueIRS element (for citing)
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Related Organizations100000RelatedOrganizations
All Other Contributions240100AllOtherContributions
Total Contributions340100TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICESDescription
Total Revenue Column11191811TotalRevenueColumn
Related Or Exempt Function Income11191811RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11191811TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column44717TotalRevenueColumn
Related Or Exempt Function Income44717RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINVESTMENT UNREALIZED GAINSDescription
Total Revenue Column206884TotalRevenueColumn
Related Or Exempt Function Income206884RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue206884TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11783512TotalRevenueColumn
Related Or Exempt Function Income11443412RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6794511Total
Program Services6314061ProgramServices
Management And General480177ManagementAndGeneral
Fundraising273Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total302985Total
Program Services302985ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total876082Total
Program Services876082ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total568974Total
Program Services568974ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25857Total
Management And General25857ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16125Total
Management And General16125ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total27558Total
Program Services27558ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total101338Total
Program Services101338ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total229287Total
Program Services229287ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total7409Total
Program Services7409ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total90350Total
Program Services90350ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total635101Total
Program Services635101ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total111587Total
Program Services111587ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DIETARY438645438645
NURSING357415357415
MAINTENANCE272919272919
ANCILLARY EXPENSES196414196414
ASSISTED LIV/APARTMENT160881160881

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total379694Total
Program Services269896ProgramServices
Management And General109798ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11593132Total
Program Services10960902ProgramServices
Management And General631957ManagementAndGeneral
Fundraising273Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY206041BOY
EOY725015EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2750379BOY
EOY2799258EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1000446BOY
EOY897338EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY160978BOY
EOY171645EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis18657335LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12073868LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6870585BOY
EOY6583467EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY63888BOY
EOY87527EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11052317BOY
EOY11264250EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY794975BOY
EOY821736EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY713473BOY
EOY654283EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2000000BOY
EOY2000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY380011BOY
EOY433993EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3888459BOY
EOY3910012EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6080651BOY
EOY6228528EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY958085BOY
EOY992039EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY125122BOY
EOY133671EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7163858BOY
EOY7354238EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11052317BOY
EOY11264250EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses190380ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Church170b1 AiXChurch170b1Ai

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)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance125122BeginningOfYearBalance
Contributions80Contributions
Investment Earnings Or Losses8469InvestmentEarningsOrLosses
End Of Year Balance133671EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance111875BeginningOfYearBalance
Contributions740Contributions
Investment Earnings Or Losses12507InvestmentEarningsOrLosses
End Of Year Balance125122EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance134768BeginningOfYearBalance
Contributions1050Contributions
Investment Earnings Or Losses-23943InvestmentEarningsOrLosses
End Of Year Balance111875EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis738065OtherCostOrOtherBasis
Book Value738065BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14260667OtherCostOrOtherBasis
Depreciation8911454Depreciation
Book Value5349213BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3658603OtherCostOrOtherBasis
Depreciation3162414Depreciation
Book Value496189BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6583467TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
EMPLOYEE DEFERRED COMPENSATION$422,655
RESIDENT TRUST ACCOUNT$11,338
FieldValueIRS element (for citing)
Total Of Amounts433993TotalOfAmounts
Total Revenue11783512TotalRevenue
Total Expenses11593132TotalExpenses
Excess Or Deficit For Year190380ExcessOrDeficitForYear
Excess Or Deficit Per FS190380ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11783512TotRevenueEtcAuditedFinclStmt
Revenue Subtotal11783512RevenueSubtotal
Total Revenue Per Form99011783512TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11593132TotExpensesEtcAuditedFinclStmt
Expenses Subtotal11593132ExpensesSubtotal
Total Expenses Per Form99011593132TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierINTENDED USES FOR ENDOWMENT FUNDSIdentifier
Return ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4ReturnReference
ExplanationINCOME FROM THE PERMANENTLY RESTRICTED ENDOWMENT FUND IS NOT RESTRICTED. THE PRINCIPAL IS TO BE HELD IN PERPETUITY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6MEMBERS OF THE CORPORATION ARE 33 LUTHERAN CHURCHES AND 1 METHODIST CHURCH IN AND AROUND THE STOUGHTON AREA.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AEACH 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 MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BTHE 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 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 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 POLICYFORM 990, PAGE 6, PART VI, LINE 12COFFICERS, 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 OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE 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 OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BA 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 EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ANNUAL REPORT, GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.