2011-11-15T09:08:19-06:00 2010-12-31 JT AND ASSOCIATES LLC 700 PILGRIM PARKWAY SUITE 200 ELM GROVE WI 53122 990 2010-01-01 391104331 SKAALEN NURSING AND REHABILITATION CENTER INC SKAA 6088735651 400 NORTH MORRIS STREET STOUGHTON WI 53589 MARK BENSON 6088735651 2011-11-09 true MARK JANKE 2627899945 2011-11-15 2010 2016-03-07 17:11:31Z MARK BENSON 400 N MORRIS ST STOUGHTON WI 53589 11783512 false X WWW.SKAALEN.COM X 1900 WI TO PROVIDE NURSING, PATIENT CARE AND REHABILITATION SERVICES TO ALL INDIVIDUALS REGARDLESS OF SOURCE OF PAYMENT, AND ABILITY TO PAY FROM THEIR OWN FUNDS. 9 9 319 120 0 207676 340100 11643708 11191811 43291 44717 397746 206884 12292421 11783512 0 0 8998190 8542552 0 273 3125772 3050580 12123962 11593132 168459 190380 11052317 11264250 3888459 3910012 7163858 7354238 TO PROVIDE NURSING, PATIENT CARE AND REHABILITATION SERVICES TO ALL INDIVIDUALS REGARDLESS OF SOURCE OF PAYMENT, AND ABILITY TO PAY FROM THEIR OWN FUNDS. false false 8289312 7433091 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. 1047082 1607048 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. 1624508 2151672 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. 10960902 true true false false false false false false false true true false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 13 0 true 319 true false false false false false false X 9 9 false false false false true true true true true false false false true true true true true true true false WI X X SKAALEN NURSING AND REHABILITATION 6088735651 400 NORTH MORRIS STREET STOUGHTON WI 53589 X HOMER HOWARD 1.00 X 0 0 0 FRED INGERSOLL 1.00 X 0 0 0 LOIS DYBEVIK 1.00 X 0 0 0 AUGUST HOHL 1.00 X 0 0 0 LOWELL BAKKEN 1.00 X 0 0 0 FERN BINGER 1.00 X 0 0 0 REV JERRY PRIBBENOW 1.00 X 0 0 0 REV CLYDE CROSS 1.00 X 0 0 0 ALAN SORENSON 1.00 X 0 0 0 1 false false false 100000 240100 340100 PROGRAM SERVICES 11191811 11191811 11191811 44717 44717 INVESTMENT UNREALIZED GAINS 206884 206884 206884 11783512 11443412 6794511 6314061 480177 273 302985 302985 876082 876082 568974 568974 25857 25857 16125 16125 27558 27558 101338 101338 229287 229287 7409 7409 90350 90350 635101 635101 111587 111587 DIETARY 438645 438645 NURSING 357415 357415 MAINTENANCE 272919 272919 ANCILLARY EXPENSES 196414 196414 ASSISTED LIV/APARTMENT 160881 160881 379694 269896 109798 11593132 10960902 631957 273 206041 725015 2750379 2799258 1000446 897338 160978 171645 18657335 12073868 6870585 6583467 63888 87527 11052317 11264250 794975 821736 713473 654283 2000000 2000000 380011 433993 3888459 3910012 X 6080651 6228528 958085 992039 125122 133671 7163858 7354238 11052317 11264250 190380 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 125122 80 8469 133671 111875 740 12507 125122 134768 1050 -23943 111875 1.00000 true false false 738065 738065 14260667 8911454 5349213 3658603 3162414 496189 6583467 EMPLOYEE DEFERRED COMPENSATION 422655 RESIDENT TRUST ACCOUNT 11338 433993 11783512 11593132 190380 190380 11783512 11783512 11783512 11593132 11593132 11593132 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 INCOME FROM THE PERMANENTLY RESTRICTED ENDOWMENT FUND IS NOT RESTRICTED. THE PRINCIPAL IS TO BE HELD IN PERPETUITY. 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.