Form 990 for tax year 2022
Filed by TWEETEN LUTHERAN HEALTH CARE CENTER INC.
Totals
- Total revenue
- $3,806,764
- Total expenses
- $4,024,846
- Contributions and grants received
- $328,128
- Grants paid
- $0
- Program service revenue
- $3,470,310
- Investment income
- $8,326
- Other revenue
- $0
- Total assets, end of year
- $4,181,066
- Total liabilities, end of year
- $265,935
- Net assets or fund balances, end of year
- $3,915,131
- Program services expenses (Part IX)
- $3,333,310
- Management and general expenses
- $691,536
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $3,333,310
Program services were 82.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$327,103
-
1f · All other contributions, gifts and grants
$1,025
-
2a · Program service revenue: RESIDENT SERVICE REVEN
total $3,327,583 · related or exempt $3,327,583
-
2b · Program service revenue: RENTAL REVENUE
total $106,707 · related or exempt $106,707
-
2f · All other program service revenue
total $36,020 · related or exempt $35,765 · excluded $255
-
3 · Investment income
total $8,326 · excluded $8,326
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $2,337,189 · program services $2,100,964 · management and general $236,225
-
8 · Pension plan contributions
total $27,354 · program services $27,354
-
9 · Other employee benefits
total $204,868 · program services $196,592 · management and general $8,276
-
10 · Payroll taxes
total $132,778 · program services $124,781 · management and general $7,997
-
11a · Fees: management
total $121,752 · management and general $121,752
-
11b · Fees: legal
total $3,613 · management and general $3,613
-
11c · Fees: accounting
total $13,270 · management and general $13,270
-
11g · Fees: other
total $270,896 · program services $270,116 · management and general $780
-
12 · Advertising and promotion
total $5,293 · management and general $5,293
-
13 · Office expenses
total $48,764 · program services $33,725 · management and general $15,039
-
16 · Occupancy
total $205,584 · program services $187,355 · management and general $18,229
-
17 · Travel
total $9,375 · program services $1,573 · management and general $7,802
-
19 · Conferences, conventions and meetings
total $3,297 · program services $1,941 · management and general $1,356
-
22 · Depreciation, depletion and amortization
total $179,055 · program services $143,244 · management and general $35,811
-
23 · Insurance
total $15,886 · management and general $15,886
-
24a · Other expenses: DHS SURCHARGE
total $140,750 · management and general $140,750
-
24b · Other expenses: MEDICAL SUPPLIES
total $104,745 · program services $103,084 · management and general $1,661
-
24c · Other expenses: FOOD EXPENSE
total $95,353 · program services $95,353
-
24d · Other expenses: BAD DEBT EXPENSE
total $42,125 · program services $42,125
-
24e · All other expenses
total $62,899 · program services $5,103 · management and general $57,796
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $400 · end of year $400
-
2 · Savings and temporary cash investments
beginning of year $2,402,938 · end of year $2,275,381
-
4 · Accounts receivable
beginning of year $357,809 · end of year $471,457
-
9 · Prepaid expenses and deferred charges
beginning of year $38,567 · end of year $18,492
-
10a · Land, buildings and equipment: cost or other basis
$5,332,859
-
10b · Land, buildings and equipment: accumulated depreciation
$3,929,717
-
10c · Land, buildings and equipment, net
beginning of year $1,547,763 · end of year $1,403,142
-
15 · Other assets
beginning of year $8,129 · end of year $12,194
-
17 · Accounts payable and accrued expenses
beginning of year $187,561 · end of year $214,625
-
19 · Deferred revenue
beginning of year $0 · end of year $5,270
-
21 · Escrow or custodial account liability
beginning of year $1,075 · end of year $1,425
-
25 · Other liabilities
beginning of year $33,757 · end of year $44,615
-
27 · Net assets without donor restrictions
beginning of year $4,133,213 · end of year $3,915,131
Mission and programs · 2022
Mission
TWEETEN LUTHERAN HEALTH CARE IS A FAMILY THAT INCLUDES RESIDENTS, CAREGIVERS, VOLUNTEERS, FAMILY MEMBERS & FRIENDS. EACH MEMBER OF THE FAMILY BRINGS THEIR KNOWLEDGE AND TALENTS TO THE HOUSEHOLD FOR THE BENEFIT OF ALL. WITH RESPECT FOR EACH INDIVIDUAL, WE SUPPORT OTHERS AND HELP RESIDENTS TO REACH THEIR HIGHEST POTENTIAL PHYSICALLY, EMOTIONALLY, AND SPIRITUALLY. WE DO THIS BY EMBRACING THE VALUES OF HONESTY, INTEGRITY, RESPECT, AND DIGNITY FOR OTHERS.
Activities or mission (Part I)
TO PROVIDE HOUSING AND NURSING CARE TO THE ELDERLY.
-
THE ORGANIZATION PROVIDES HOUSING AND NURSING CARE TO THE ELDERLY BY OPERATING A 50-BED NURSING FACILITY IN SPRING GROVE, MN. DURING 2022, THERE WERE 9,754 RESIDENT DAYS.
Expenses $3,333,310 · Revenue $3,470,055
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Brenda MoserBRENDA MOSER
FINANCE ADMINISTRATOR
- Total calculated
- $213,566
- From this org
- $0
- From related orgs
- $166,265
- Other
- $47,301
- Hours/week
- 4 + 36 related
Schedule J breakdown matched by us
- Base
- $0 + $159,798 related
- Bonus
- $0 + $5,347 related
- Other
- $0 + $1,120 related
- Deferred
- $0 + $24,607 related
- Nontaxable benefits
- $0 + $22,694 related
- Filer's total
- $0 + $213,566 related
-
Vicki BakalarsVICKI BAKALARS
PRESIDENT
- Total calculated
- $186,676
- From this org
- $0
- From related orgs
- $141,983
- Other
- $44,693
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $138,991 related
- Bonus
- $0 + $401 related
- Other
- $0 + $2,591 related
- Deferred
- $0 + $21,199 related
- Nontaxable benefits
- $0 + $23,494 related
- Filer's total
- $0 + $186,676 related
-
Chuck JohnsonCHUCK JOHNSON
VICE PRESIDENT / SECRETARY/TREASURER
- Total calculated
- $183,428
- From this org
- $0
- From related orgs
- $134,298
- Other
- $49,130
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $127,121 related
- Bonus
- $0 + $216 related
- Other
- $0 + $6,961 related
- Deferred
- $0 + $20,636 related
- Nontaxable benefits
- $0 + $28,494 related
- Filer's total
- $0 + $183,428 related
-
Michelle BorresonMICHELLE BORRESON
ADMINISTRATOR
- Total calculated
- $178,300
- From this org
- $0
- From related orgs
- $124,613
- Other
- $53,687
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $0 + $124,102 related
- Bonus
- $0 + $511 related
- Other
- $0
- Deferred
- $0 + $19,185 related
- Nontaxable benefits
- $0 + $34,502 related
- Filer's total
- $0 + $178,300 related
-
Jen BerendesJEN BERENDES
DIRECTOR
- Total calculated
- $167,968
- From this org
- $0
- From related orgs
- $129,072
- Other
- $38,896
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $123,104 related
- Bonus
- $0 + $3,962 related
- Other
- $0 + $2,006 related
- Deferred
- $0 + $18,269 related
- Nontaxable benefits
- $0 + $20,627 related
- Filer's total
- $0 + $167,968 related
-
Mandi PericakMANDI PERICAK
DIRECTOR
- Total calculated
- $145,201
- From this org
- $0
- From related orgs
- $107,767
- Other
- $37,434
- Hours/week
- 0.5 + 39.5 related
-
Sara CarpenterSARA CARPENTER
DIRECTOR (THRU APR)
- Total calculated
- $66,757
- From this org
- $0
- From related orgs
- $51,243
- Other
- $15,514
- Hours/week
- 0.5 + 39.5 related
-
Linda KastantinLINDA KASTANTIN
DIRECTOR (THRU APR)
- Total calculated
- $46,732
- From this org
- $0
- From related orgs
- $40,442
- Other
- $6,290
- Hours/week
- 0.5 + 39.5 related
-
Bruce HeggeBRUCE HEGGE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Jan KraabelJAN KRAABEL
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
-
Jan MorkenJAN MORKEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0.5
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- A RELATED ORGANIZATION OF THE FILING ORGANIZATION USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY, AND -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
BELLIN GUNDERSEN HEALTH SYSTEM INC
501(C)(3) · PARENT · WI
-
501(C)(3) · SUPPORT OF HEALTHCARE ORGANIZATIONS · WI · controlled entity
Directly controlled by BELLIN GUNDERSEN HEALTH SYSTEMS INC
-
501(C)(3) · NURSING AND RADIOLOGIC SCIENCE COLLEGE · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
LAKE MICHIGAN HEALTH SERVICES INC
501(C)(3) · SUPPORT PURPOSES OF BELLIN MEMORIAL HOSPITAL · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
THE BELLIN HEALTH FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
501(C)(3) · PSYCHIATRIC HOSPITAL · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by BELLIN HEALTH SYSTEMS INC
-
OCONTO HOSPITAL & MEDICAL CENTER INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by BELLIN MEMORIAL HOSPITAL INC
-
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
501(C)(3) · SUPPORTING ORGANIZATION · WI · controlled entity
Directly controlled by BELLIN GUNDERSEN HEALTH SYSTEMS INC
-
GUNDERSEN LUTHERAN MEDICAL CENTER INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
GUNDERSEN LUTHERAN ADMINISTRATIVE SERVICES INC
501(C)(3) · SUPPORTING ORGANIZATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
GUNDERSEN LUTHERAN CREDENTIALING SERVICES INC
501(C)(3) · CREDENTIALING SERVICE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
HARMONY COMMUNITY HEALTHCARE INC
501(C)(3) · HEALTH CARE · MN · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
501(C)(3) · MEDICAL TRANSPORTATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
TRI-STATE REGIONAL AMBULANCE INC
501(C)(3) · MEDICAL TRANSPORTATION · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
LUTHERAN REAL ESTATE HOLDING CORP
501(C)(3) · HOUSING · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
COMMUNITY HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI · controlled entity
Directly controlled by LUTHERAN REAL ESTATE HOLDING CORP
-
LUTHERAN HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI · controlled entity
Directly controlled by LUTHERAN REAL ESTATE HOLDING CORP
-
ST JOSEPH'S MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by ST JOSEPH'S HEALTH SERVICES INC
-
TRI-COUNTY MEMORIAL HOSPITAL INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
TRI-COUNTY MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by TRI-COUNTY MEMORIAL HOSPITAL INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
501(C)(3) · HEALTH CARE · IA · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
MEMORIAL HEALTHCARE FOUNDATION INC
501(C)(3) · FOUNDATION · WI · controlled entity
Directly controlled by MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC
-
MOUNDVIEW MEMORIAL HOSPITAL & CLINICS INC
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
SAINT ELIZABETH'S HOSPITAL OF WABASHA
501(C)(3) · HEALTH CARE · MN · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
-
501(C)(3) · HEALTH CARE · WI · controlled entity
Directly controlled by GUNDERSEN LUTHERAN HEALTH SYSTEM INC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
GUNDERSEN LUTHERAN ENVISION LLC
C · RENEWABLE ENERGY · WI
-
BEL-REGIONAL HOME MEDICAL INC
C · DURABLE MEDICAL EQUIPMENT, RETAIL PHARMACY, FITNESS · WI
-
BELLIN INVESTMENTS INC
C · OTHER · WI
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343079349300439
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