WISCONSIN ILLINOIS SENIOR HOUSING INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN ILLINOIS SENIOR HOUSING INC (EIN 36-4016275)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-15
IRS object ID
201811359349307086
Schema version
2017v2.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T13:17:07-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810385940PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON ZURMUEHLEN & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 748AddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59703ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364016275EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN ILLINOIS SENIOR HOUSING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWISCBusinessNameControlTxt
Phone3039800611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 W GREEN MOUNTAIN DRIVEAddressLine1Txt
CityLAKEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80228ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW KERWINPersonNm
Person TitleCHAIRPersonTitleTxt
Phone2627288167PhoneNum
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES E WOYPreparerPersonNm
PTINP00102054PTIN
Phone4067820451PhoneNum
Preparation2018-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW KERWINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 W GREEN MOUNTAIN DRIVEAddressLine1Txt
CityLAKEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80228ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$50,936,269GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WISCONSINILLINOISSENOIRHOUSING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSKILLED NURSING AND ASSISTED LIVING FACILITIES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee1727TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$7,360TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,215,853PYContributionsGrantsAmt
CY Contributions Grants$53,891CYContributionsGrantsAmt
PY Program Service Revenue$47,573,897PYProgramServiceRevenueAmt
CY Program Service Revenue$50,240,855CYProgramServiceRevenueAmt
PY Investment Income$67,201PYInvestmentIncomeAmt
CY Investment Income$210,927CYInvestmentIncomeAmt
PY Other Revenue$8,217PYOtherRevenueAmt
CY Other Revenue-$7,360CYOtherRevenueAmt
PY Total Revenue$51,865,168PYTotalRevenueAmt
CY Total Revenue$50,498,313CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$29,330,599PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$30,785,400CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,573,094PYOtherExpensesAmt
CY Other Expenses$19,769,798CYOtherExpensesAmt
PY Total Expenses$48,903,693PYTotalExpensesAmt
CY Total Expenses$50,555,198CYTotalExpensesAmt
PY Revenues Less Expenses$2,961,475PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$56,885CYRevenuesLessExpensesAmt
Total Assets BOY$69,016,970TotalAssetsBOYAmt
Total Assets EOY$69,861,271TotalAssetsEOYAmt
Total Liabilities BOY$58,194,659TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,623,398TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,822,311NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,237,873NetAssetsOrFundBalancesEOYAmt
MissionTHE PRIMARY PURPOSE IS TO PROVIDE SKILLED NURSING AND ASSISTED LIVING FACILITIES FOR AGED INDIVIDUALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$38,832,400ExpenseAmt
Revenue$44,535,192RevenueAmt
DescWISCONSIN ILLINOIS SENIOR HOUSING, INC.(WISH) OWNS AND OPERATES SKILLED NURSING AND ASSISTED LIVING FACILITIES. THE ORGANIZATION CONSISTS OF: EAST TROY MANOR--50 BED FACILITY, EDGERTON CARE CENTER--61 BED FACILITY, FAIR OAKS HEALTH CENTER--51 BED FACILITY, GENEVA LAKE MANOR--60 BED FACILITY, WILD ROSE MANOR--50 BED FACILITY, HOLTON MANOR--60 BED FACILITY, INGLESIDE MANOR--100 BED SKILLED NURSING AND 22 BED COMMUNITY BASED RESIDENTIAL FACILITY, MONTELLO CARE CENTER--50 BED SKILLED NURSING AND 14 BED COMMUNITY BASED RESIDENTIAL FACILITY, AND MAPLE RIDGE CARE CENTER--75 BED SKILLED NURSING FACILITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,797,594ExpenseAmt
Revenue$5,705,663RevenueAmt
DescWELLINGTON HOMES OF WISCONSIN WAS ORGANIZED TO OPERATE SIX RESIDENTIAL ASSISTED LIVING FACILITIES OF THE BENEFIT OF THE ELDERLY. THE FACILITES HAVE A COMBINED TOTAL OF 160 BEDS. ALL HOMES ARE LOCATED IN THE FOLLOWING WISCONSIN LOCATIONS: FORT ATKINSON, HARTFORD, STEVENS POINT, WAUSAU, AND WISCONSIN RAPIDS. WELLINGTON HOMES OF WISCONSIN, LLC IS A LIMITED LIABILITY CORPORATION OPERATING AS A DISREGARDED ENTITY. THE FEDERAL ID NUMBER IS 26-0564338. THE SOLE MEMBER OF THE LLC IS WISCONSIN ILLINOIS SENIOR HOUSING, INC. THE ASSISTED LIVING FACILITY OPERATIONS BEGAN IN SEPTEMBER 2007.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$43,629,994TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document130IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1727EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CINDY DEMOYEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3039800611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 W GREEN MOUNTAIN DRIVEAddressLine1Txt
CityLAKEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80228ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
LORRIE DUPONT
TREASURER1.00Yes (X)Yes (X)$0$0$0
ANDREW KERWIN
CHAIR1.00Yes (X)Yes (X)$0$0$0
MIRIAM GEHLER
SECRETARY1.00Yes (X)Yes (X)$0$0$0
NICHOLAS LYNN
MEMBER1.00Yes (X)$0$0$0
RAJEEV KUMAR
MEMBER1.00Yes (X)$0$0$0
KAREN CARRIG
MEMBER1.00Yes (X)$0$0$0
JOYCE SURDICK
ADMINISTRATOR40.00$120,629$0$0Yes (X)
DONNA KRUTCHEN
ADMINISTRATOR40.00$113,216$0$0Yes (X)
MARY SIBBING
ADMINISTRATOR40.00$129,167$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$363,012TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MARTIN BROTHERS
PO BOX 69CEDAR FALLSIA50613FOOD SERVICES$883,605
OMNICARE
PO BOX 78000DETROITMI482781668PHARMACY$672,963
MEDLINE
DEPT CH 14400PALATINEIL60055MEDICAL SUPPLIES$386,154
FORUM EXTENDED CARE
4201 W VICTORIA STCHICAGOIL60646PHARMACY$314,071
MCKESSON MEDICAL-SURGICAL MINNESOTA SUPP
PO BOX 204786DALLASTX75320MEDICAL SUPPLIES$290,542
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$53,891AllOtherContributionsAmt
Total Contributions$53,891TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT CARE REVENUE623000$34,342,063$34,342,063
ANCILLARY REVENUE623000$8,560,792$8,560,792
ASSISTED LIVING REVENUE623000$7,002,772$7,002,772
MISC PATIENT BENEFIT REVENUE623000$305,979$305,979
OTHER623000$29,249$29,249
FieldValueIRS element (for citing)
Total Program Service Revenue$50,240,855TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$60,210TotalRevenueColumnAmt
Exclusion$60,210ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$58,326RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$65,686RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$7,360RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,360TotalRevenueColumnAmt
Unrelated Business Revenue-$7,360UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$522,987SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$372,270SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$150,717SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$150,717TotalRevenueColumnAmt
Exclusion$150,717ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,498,313TotalRevenueColumnAmt
Related Or Exempt Func Income$50,240,855RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$7,360UnrelatedBusinessRevenueAmt
Exclusion$210,927ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,075,769TotalAmt
Program Services$24,522,384ProgramServicesAmt
Management And General$553,385ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$79,785TotalAmt
Program Services$59,775ProgramServicesAmt
Management And General$20,010ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,438,664TotalAmt
Program Services$3,141,854ProgramServicesAmt
Management And General$296,810ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,191,182TotalAmt
Program Services$2,176,525ProgramServicesAmt
Management And General$14,657ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,914,127TotalAmt
Program Services$1,914,127ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$72,233TotalAmt
Management And General$72,233ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$260,159TotalAmt
Management And General$260,159ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,768TotalAmt
Management And General$22,768ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$59,956TotalAmt
Program Services$6,682ProgramServicesAmt
Management And General$53,274ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$166,384TotalAmt
Program Services$53,718ProgramServicesAmt
Management And General$112,666ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,107,470TotalAmt
Program Services$1,976,408ProgramServicesAmt
Management And General$131,062ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$74,564TotalAmt
Program Services$68,595ProgramServicesAmt
Management And General$5,969ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,020TotalAmt
Management And General$21,020ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,932,803TotalAmt
Program Services$55,797ProgramServicesAmt
Management And General$2,877,006ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,301,844TotalAmt
Program Services$2,301,844ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$374,465TotalAmt
Program Services$372,285ProgramServicesAmt
Management And General$2,180ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$4,148,993$4,148,993
PURCHASED SERVICES AND$2,593,788$2,197,154$396,634
BUSINESS TAXES$1,087,307$1,087,307
OTHER EXPENSES$704,217$269,049$435,168

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$927,700TotalAmt
Program Services$364,804ProgramServicesAmt
Management And General$562,896ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$50,555,198TotalAmt
Program Services$43,629,994ProgramServicesAmt
Management And General$6,925,204ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,952BOYAmt
EOY$3,843,928EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,257,400BOYAmt
EOY$355,311EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,700,058BOYAmt
EOY$4,665,288EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$50,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$495,812BOYAmt
EOY$245,151EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$69,745,568LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,170,233LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$51,198,551BOYAmt
EOY$50,575,335EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,022,918BOYAmt
EOY$2,219,118EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$452,100EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$7,041,671BOYAmt
EOY$7,076,950EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$294,608BOYAmt
EOY$378,090EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$69,016,970BOYAmt
EOY$69,861,271EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,777,092BOYAmt
EOY$7,450,734EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$223,321EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,301,272BOYAmt
EOY$49,852,578EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$28,868BOYAmt
EOY$936,836EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,427BOYAmt
EOY$159,929EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,194,659BOYAmt
EOY$58,623,398EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,822,311BOYAmt
EOY$11,237,873EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,822,311BOYAmt
EOY$11,237,873EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$69,016,970BOYAmt
EOY$69,861,271EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$56,885ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$20,347NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$452,100OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,682CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43,456CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,858,251CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,567,789CurrentTaxYearMinus1YearAmt
Current Tax Year$53,981CurrentTaxYearAmt
Total$8,559,159TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,187,684CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,723,958CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,724,959CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,435,440CurrentTaxYearMinus1YearAmt
Current Tax Year$50,525,114CurrentTaxYearAmt
Total$226,597,155TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,223,366CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,767,414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,583,210CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,003,229CurrentTaxYearMinus1YearAmt
Current Tax Year$50,579,095CurrentTaxYearAmt
Total$235,156,314TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$235,156,314PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$112,430CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$132,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,098CurrentTaxYearMinus1YearAmt
Current Tax Year$269,253CurrentTaxYearAmt
Total$733,004TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$112,430CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$132,848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$94,375CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,098CurrentTaxYearMinus1YearAmt
Current Tax Year$269,253CurrentTaxYearAmt
Total$733,004TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41,335,796CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$41,900,262CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,677,585CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53,127,327CurrentTaxYearMinus1YearAmt
Current Tax Year$50,848,348CurrentTaxYearAmt
Total$235,889,318TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99690PublicSupportCY509Pct
Public Support PY5090.99540PublicSupportPY509Pct
Investment Income CY0.00310InvestmentIncomeCYPct
Investment Income PY0.00460InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,037,774OtherCostOrOtherBasisAmt
Book Value$4,037,774BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,707,794OtherCostOrOtherBasisAmt
Depreciation$19,170,233DepreciationAmt
Book Value$46,537,561BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$50,575,335TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescRESTRICTED BOND RESERVESDesc
Book Value$7,076,950BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$7,076,950TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESIDENT TRUST ACCOUNTS$61,929
INTERCOMPANY PAYABLES$98,000
FieldValueIRS element (for citing)
Total Liability$159,929TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$49,956,900TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$20,347NetUnrealizedGainsInvstAmt
Other Revenue-$562,900OtherRevenueAmt
Revenue Not Reported-$542,553RevenueNotReportedAmt
Revenue Subtotal$50,499,453RevenueSubtotalAmt
Other Revenues Not Included-$1,140OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$1,140RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$50,498,313TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$49,993,200TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$902OtherExpensesIncludedAmt
Expenses Not Reported$902ExpensesNotReportedAmt
Expenses Subtotal$49,992,298ExpensesSubtotalAmt
Other Expenses Not Included$562,900OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$562,900ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$50,555,198TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:FOOTNOTE 1 TO THE FINANCIAL STATEMENTS STATES MANAGEMENT HAS REVIEWED ITS OPERATIONS FOR UNCERTAIN TAX POSITIONS AND HAS DETERMINED NO UNCERTAIN TAX POSITIONS EXIST.
PART XI, LINE 2DADJUSTMENT (1) -$562,700 - PROVISION FOR BAD DEBT IS PRESENTED IN PATIENT REVENUES FOR FINANCIAL REPORTING PRESENTATION.
PART XI, LINE 4BADJUSTMENT (1) -$1,140 ROUNDING DIFFERENCE.
PART XII, LINE 2DADJUSTMENT (1) $902 - ROUNDING TO THE AUDITED FINANCIAL STATEMENTS.
PART XII, LINE 4BADJUSTMENT (1) $562,900 - THE PROVISION FOR BAD DEBT IS INCLUDED IN EXPENSES ON THE FORM 990.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
A39133785597710V4B12007-09-07$585,000ACQUISITION OF SIX ASSISTED LIVING FACILITIES LOCATED IN WISCONSIN000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710V4602007-09-17$1,130,000ACQUISITION OF SIX ASSISTED LIVING FACILITIES LOCATED IN WISCONSIN000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710V4H82007-09-17$3,605,000ACQUISITION OF SIX ASSISTED LIVING FACILITIES LOCATED IN WISCONSIN000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D3913378559771044J42007-09-17$7,935,000ACQUISITION OF SIX ASSISTED LIVING FACILITIES LOCATED IN WISCONSIN000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A20070000
B20070000
C20070000
D20070000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000Yes (1)00
B00000Yes (1)00
C00000Yes (1)00
D00000Yes (1)00

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000000000
B000000000
C000000000
D000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
A391337855977108VD12010-08-01$980,000REFINANCE AND IMPROVEMENTS OF LIVING FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710BVE92010-08-01$1,275,000REFINANCE AND IMPROVEMENTS OF LIVING FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C391337855977108BG42010-08-01$6,910,000REFINANCE AND IMPROVEMENTS OF LIVING FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597710B2H42012-08-07$2,070,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A20100000
B20100000
C20100000
D20120000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000000000
B000000000
C000000000
D000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
A39133785597710B2J02012-08-07$3,440,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710B2K72012-08-07$6,070,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710BZ962012-08-07$225,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597710B2A92012-08-07$230,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A20120000
B20120000
C20120000
D20120000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000000000
B000000000
C000000000
D000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
A39133785597710B2B72012-08-07$235,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710B2C52012-08-07$245,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710B2D32012-08-07$255,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597710B2E12012-08-07$265,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A20120000
B20120000
C20120000
D20120000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000000000
B000000000
C000000000
D000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
A39133785597710B2F82012-08-07$275,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710B2G62012-08-07$290,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597712DDD52013-11-06$430,000IMPROVEMENTS OF 1 FACILITY LOCATED IN WISCONSIN.000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597712DDJ22013-11-06$7,525,000IMPROVEMENTS OF 1 FACILITY LOCATED IN WISCONSIN.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A20120000
B20120000
C20140000
D20140000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000000000
B000000000
C000000000
D000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
A3913378552014-12-01$10,330,000REFINANCE DEBT PREVIOUSLY FINANCED FOR ACQUISITION OF FIVE NURSING HOMES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B3913378552014-12-01$3,450,000IMPROVEMENTS OF 1 FACILITY LOCATED IN WISCONSIN.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A2014Yes (1)000
B20170000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000000000
B000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS ENGAGED CARRIAGE HEALTHCARE INC. (CHC) TO PROVIDE MANAGEMENT SERVICES THROUGH JUNE 30, 2018. CHC IS AN INDEPENDENT "FOR PROFIT ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD HAS DESIGNATED THE CHAIRMAN AND SECRETARY TO REVIEW AND SIGN THE 990 ON BEHALF OF THE BOARD. ALL BOARD MEMBERS RECEIVE A COPY OF FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CTHE POLICY IS MONITORED THROUGH THE CORPORATE COMPLIANCE PROGRAM. REPORTS ARE PROVIDED TO THE BOARD ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION AND MANAGEMENT COMPANY AGREEMENTS ARE REVIEW BY INDEPENDENT BOARD MEMBERS ON AN ANNUAL BASIS. COMPARABLE DATA IS OBTAINED IN ORDER TO ESTABLISH REASONABLE AMOUNTS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL PROVIDE DOCUMENTS UPON WRITTEN REQUEST TO THE COMPANY.
FORM 990, PART XI, LINE 9:EQUITY IN WELLINGTON LLC - SHELTEERED VILLAGE 452,100.
FORM 990 - LINE 2C SCHEDULE XITHE ENTIRE BOARD REVIEWS AND HAS RESPONSIBILITY FOR THE FINANCIAL STATEMENTS. THIS POLICY IS UNCHANGED FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WELLINGTON HOMES OF WISCONSIN LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 WEST GREEN MOUNTAIN DRIVEAddressLine1Txt
CityLAKEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80228ZIPCd
FieldValueIRS element (for citing)
EIN260564338EIN
Primary ActivitiesASSISTED LIVING FACILITYPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

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