2026-04-14T14:58:38-05:00 2025-09-30 393647910 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-10-01 390829541 SHADY LANE INC SHAD 9206828254 1235 SOUTH 24TH STREET MANITOWOC WI 542205516 AARON SCONZERT CFO 9206828254 2026-04-10 1 1 JESSICA NATUS P01799381 2187224705 2026-04-08 2024 2025-03-06 01:10:19Z AARON SCONZERT 1235 SOUTH 24TH STREET MANITOWOC WI 542205516 12870821 0 X WWW.SHADYLANEINC.COM X 1950 WI NURSING CARE FOR THE AGED AND DISABLED. 9 9 301 11 0 0 10245 21127 11361676 13034732 26237 12825 0 -233283 11398158 12835401 0 0 0 0 6846119 8235754 0 0 0 5026682 5561614 11872801 13797368 -474643 -961967 11476696 11033313 5958663 6331932 5518033 4701381 X SHADY LANE STRIVES TO PROVIDE OLDER ADULTS IN MANITOWOC COUNTY THE HIGHEST QUALITY RESIDENTIAL CARE AT A REASONABLE COST. RESIDENTS OF SHADY LANE CAN EXPECT TO ENJOY A HOME-LIKE SETTING WITH A SUPPORTIVE ATMOSPHERE THAT RESPECTS INDIVIDUALITY, PROMOTES PHYSICAL AND EMOTIONAL WELLBEING, AND ENCOURAGES INDEPENDENCE. 0 0 7449753 0 7121534 SKILLED NURSING SERVICES ARE OFFERED TO THE SENIOR POPULATION. THESE ARE THE HIGHER ACUITY POPULATION NEEDING THE MOST INTENSE SKILLED NURSING SERVICES. RESIDENTS TREATED CAN INCLUDE THE PRIVATE PAY RESIDENTS, AND THE RESIDENTS ON GOVERNMENT FUNDING (MEDICARE AND MEDICAID). NUMBER OF RESIDENTS TREATED IN THE PLAN YEAR WERE 249. 4710196 0 5601559 ASSISTED LIVING SERVICES ARE OFFERED TO THE LIGHTER CARE ASSISTED LIVING POPULATION. THESE RESIDENTS CAN MAINTAIN AN AMOUNT OF INDEPENDENCE WHILE STILL RECEIVING THE NECESSARY NURSING SERVICE TO MAINTAIN A QUALITY OF LIFE. RESIDENTS IN THE ASSISTED LIVING CAN INCLUDE THE PRIVATE PAY RESIDENTS AND RESIDENTS RECEIVING GOVERNMENT FUNDING. NUMBER OF RESIDENTS TREATED IN THE PLAN YEAR WERE 167. 12159949 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 0 301 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X AARON SCONZERT 9206828254 1235 S 24TH STREET MANITOWOC WI 54220 MONICA NICHTER BOARD CHAIR 0.50 X X 0 0 0 DAVID LESS BOARD SECRETARY 0.50 X X 0 0 0 JODY NEILSON BOARD VICE CHAIR (THRU SEP 2025) 0.50 X X 0 0 0 KAY AVCI BOARD MEMBER 0.50 X 0 0 0 HEATHER GARCIA BOARD MEMBER 0.50 X 0 0 0 DAYNA GOETZ BOARD MEMBER 0.50 X 0 0 0 CHRIS HERZOG BOARD MEMBER 0.50 X 0 0 0 MATTHEW NEU BOARD MEMBER 0.50 X 0 0 0 KAREN O'LEARY BOARD MEMBER (THRU JAN 2025) 0.50 X 0 0 0 DENNIS TIENOR BOARD MEMBER 0.50 X 0 0 0 AMY FRICKE-WEIGEL BOARD MEMBER 0.50 X 0 0 0 TODD MEERDINK CEO 40.00 X 151821 0 14134 AARON SCONZERT CFO 40.00 X 39463 0 2907 DEANNE WEIER DON 40.00 X 101209 0 48985 YUMIKO RAPISARDA-DOERFLER NURSE 40.00 X 125541 0 11717 LINDA MARTINEZ NURSE 40.00 X 102988 0 31986 KRISTIN KORFF NURSE 40.00 X 121573 0 13183 642595 0 122912 5 0 1 0 ELITE PO BOX 100173 FORT WORTH TX 76185 HEALTHCARE SERVICES 346804 HOMECARE HEALTH SERVICES AND HOSPICE 1004 WASHINGTON ST MANITOWOC WI 54220 THERAPY SERVICES 313052 PRN HEALTHCARE 1101 E SOUTH RIVER ST APPLETON WI 54915 HEALTHCARE SERVICES 114004 3 21127 21127 SKILLED NURSING FACILITY 623000 7121534 7121534 ASSISTED LIVING FACILITY 623000 5601559 5601559 DCW REBATES 623000 218379 218379 CAFETERIA REVENUES 623000 6144 6144 BEAUTY & BARBER SHOP 623000 5921 5921 81195 81195 13034732 8867 8867 39378 35420 3958 3958 3958 LOSS ON REFINANCE OF BONDS 900099 -233283 -233283 -233283 12835401 12723093 0 91181 X 321456 321456 6805288 6260206 545082 54628 52837 1791 522802 500761 22041 531580 466196 65384 32991 32991 2650 2650 2026643 1890239 136404 128747 128747 995886 774768 221118 338865 307689 31176 518 515 3 303973 276015 27958 693456 629676 63780 210571 184671 25900 MEDICAL SUPPLIES 298342 298342 BAD DEBT EXPENSE 218802 218802 BED ASSESSMENT 133526 133526 REPAIRS AND MAINTENANCE 116557 116557 60087 49149 10938 13797368 12159949 1637419 0 496155 127437 131136 131402 1002231 1504105 131062 95901 23910935 16539164 8065227 7371771 306157 316089 1344728 1486608 11476696 11033313 1112325 1162335 4846338 0 0 4778261 0 391336 5958663 6331932 X 5493033 4676381 25000 25000 5518033 4701381 11476696 11033313 X -961967 3436 141879 X X 0 1 X 1 0 X 794809 412501 14422 10245 21127 1253104 8628230 8074131 9072224 11157771 12723093 49655449 106129 127611 125498 203905 311639 874782 9529168 8614243 9212144 11371921 13055859 51783335 0 64274 309004 404197 471287 285731 1534493 64274 309004 404197 471287 285731 1534493 50248842 36702 28356 14199 7499 8867 95623 36702 28356 14199 7499 8867 95623 9565870 8642599 9226343 11379420 13064726 51878958 0.96860 0.97170 0.00180 0.00260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 25000 25000 25000 25000 25000 25000 25000 25000 25000 25000 0.00000 1.00000 0.00000 0 0 216216 216216 20904386 14561647 6342739 2790333 1977517 812816 7371771 INVESTMENT IN LAKESHORE COMMUNITY FOUNDATION 1486608 1486608 LETTER OF CREDIT 391336 391336 12978066 3436 141879 145315 12832751 2650 2650 12835401 13794718 0 13794718 2650 2650 13797368 PART IV, LINE 2B: RESIDENTS' FUNDS HELD IN TRUST CONSIST OF AMOUNTS ON DEPOSIT WITH THE ORGANIZATION BY RESIDENTS FOR SAFEKEEPING. THESE FUNDS CAN BE WITHDRAWN AT ANY TIME BY THE RESIDENTS. PART V, LINE 4: PERMANENTLY RESTRICTED NET ASSETS AT SEPTEMBER 30, 2025 REPRESENT A DONOR-RESTRICTED ENDOWMENT FUND. THE INCOME FROM THE ENDOWMENT FUND IS EXPENDABLE TO SUPPORT INCIDENTAL EXPENSES OF RESIDENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN LAKESHORE COMMUNITY FOUNDATION 141,879. X X X 0 0 0 0 0 0 0 1 0 TODD MEERDINK CEO 151821 0 0 0 0 0 4834 0 9300 0 165955 0 0 0 DEANNE WEIER DON 98209 0 3000 0 0 0 11911 0 37074 0 150194 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE ORGANIZATIONS' BOARD OF DIRECTORS EXECUTIVE COMMITTEE BEFORE IT WAS FILED. THE FINAL FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS. THE EXECUTIVE COMMITTEE DESIGNATES THE DETAIL REVIEW OF THE FORM 990 TO MANAGEMENT, BUT HAS FINAL APPROVAL OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS AUTHORIZES THE OFFICERS OF THE ORGANIZATION TO PERIODICALLY, BUT NOT LESS THAN ANNUALLY, SURVEY THE BOARD MEMBERS REGARDING ANY POTENTIAL CONFLICTS, TO MAINTAIN SUCH INFORMATION AND REPORT BACK TO THE BOARD REGARDING ANY POTENTIAL CONFLICTS OF INTEREST. BOARD MEMBERS HAVE THE DUTY TO FULLY DISCLOSE TO THE BOARD, PRIOR TO DELIBERATIONS, THE NATURE AND EXTENT OF ANY INTEREST IN ANY TRANSACTION BEING CONSIDERED. AFTER THE DISCLOSURE IS MADE AND THE INTERESTED PARTY ANSWERS ALL APPROPRIATE QUESTIONS, HE SHALL DEPART FROM THE PORTION OF THE MEETING IN WHICH THE TRANSACTION IS BEING CONSIDERED AND SHALL NOT PARTICIPATE IN FURTHER DISCUSSION OF OR VOTE ON THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE OFFICERS AND OTHER KEY EMPLOYEES OF THE ORGANIZATION INCLUDE: 1) REVIEW AND APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS (THOSE WITHOUT CONFLICT); 2) USE OF DATA AS TO COMPARABLE COMPENSATION; AND 3) CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION BELIEVES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE THE PROPERTY OF THE ORGANIZATION AND DOES NOT MAKE THEM AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 70,760. MANAGEMENT AND GENERAL EXPENSES 6,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 76,810. MAINTENANCE CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 101,425. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,425. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,314,142. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,314,142. THERAPY CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 403,912. MANAGEMENT AND GENERAL EXPENSES 130,354. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 534,266. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN LAKESHORE COMMUNITY FOUNDATION 141,879. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE AUDIT FIRM. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.