2017-05-12T08:50:01-05:00 2016-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2015-07-01 391574684 LINDENGROVE INC LIND 2627974600 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 MARK V SPERKA CFO 2627974600 2017-05-12 1 MELISSA TORGERSON P00637070 4144319300 2017-05-11 2015 2021-01-29 14:40:06Z MARK V SPERKA 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 59124428 0 X WWW.LINDENGROVE.ORG X 1986 WI PROVIDE HEALTHCARE AND SENIOR RESIDENTIAL SERVICES. 8 8 1456 186 0 0 0 108629 52811213 51074166 368126 705819 0 0 53179339 51888614 0 0 0 0 35290448 35671823 0 0 0 16951741 17291885 52242189 52963708 937150 -1075094 55427802 53112377 34019218 32957041 21408584 20155336 THE MISSION OF LINDENGROVE IS TO RESTORE AND ENHANCE THE WELL-BEING AND QUALITY OF LIFE FOR THOSE WE SERVE. 0 0 50592367 0 51074166 LINDENGROVE OWNS AND OPERATES FOUR SKILLED NURSING FACILITIES, THREE COMMUNITY BASED RESIDENTIAL FACILITIES AND TWO RESIDENTIAL CARE APARTMENT COMPLEXES. COMBINED, THESE FACILITIES SERVE 590 ELDERLY RESIDENTS ON A DAILY BASIS. 50592367 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 93 0 1 1456 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARK SPERKA 2627974600 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 DAVID GOLDBERG MD DIRECTOR 2.00 X 0 0 0 MARIA HILL DIRECTOR BEGINNING 04/01/16 2.00 X 0 0 0 PHIL KUBOW DIRECTOR 2.00 X 0 0 0 EMIL PFENNINGER DIRECTOR THRU 12/31/15 2.00 X 0 0 0 CARRIE SCHEPP DIRECTOR BEGINNING 10/01/15 2.00 X 0 0 0 FRED SYRJANEN DIRECTOR 2.00 X 0 0 0 RANDY SEVERSON CHAIRMAN 2.00 X X 0 0 0 DENNIS POLLARD SECRETARY 2.00 X X 0 0 0 ROCK EVENSON TREASURER 2.00 X X 0 0 0 LINDA ERICKSON-JOEL PRESIDENT & CEO 40.00 1.00 X 126848 0 8389 MARK V SPERKA CHIEF FINANCIAL OFFICER 40.00 2.00 X 193128 0 4481 LAVERNE LARSON ADMINISTRATOR 40.00 X 158846 0 4443 CYNTHIA BENSON DIRECTOR OF CLINICAL QA 40.00 X 158192 0 19290 LORI BERG HUMAN RESOURCES DIRECTOR 40.00 X 111377 0 11909 LORI STRECOK DIRECTOR OF REHABILITATION 40.00 X 110018 0 17635 SCOTT TRELAND PHARMACIST 40.00 X 115243 0 18464 MICHAEL ZIMMERMAN ADMINISTRATOR 40.00 X 138619 0 11055 1112271 0 95666 12 0 1 0 WAUKESHA HEALTH SYSTEMS N17W24100 RIVERWOOD DRIVE WAUKESHA WI 53188 DATA PROCESSING 267120 FIRSTMED STAFFING 353 FOREST GROVE DRIVE PEWAUKEE WI 53072 MEDICAL STAFFING 255503 TOP TECHS TEMPORARIES INC 150 N SUNNYSLOPE ROAD NEW BERLIN WI 53005 MEDICAL STAFFING 243855 FAVORITE HEALTHCARE STAFFING INC 2505 N 124TH BROOKFIELD WI 53005 MEDICAL STAFFING 214097 ADVANCE HEALTHCARE STAFFING LLC 4738 W LISBON AVE MILWAUKEE WI 53208 MEDICAL STAFFING 209391 5 100000 8629 108629 NET RESIDENT SERVICE 623000 31159473 31159473 MEDICARE/MEDICAID PAYMENTS 623000 19579929 19579929 OTHER 623990 289221 289221 LAUNDRY 623990 30875 30875 BEAUTY SHOP 623990 14668 14668 51074166 195970 195970 7729663 16000 7235614 200 494049 15800 509849 509849 51888614 51074166 0 705819 332846 316204 16642 28653777 27221088 1432689 281207 267147 14060 4308040 4092638 215402 2095953 1991155 104798 370663 352130 18533 44220 44220 39533 39533 1685517 1685517 127182 120823 6359 2251462 2138889 112573 707364 671996 35368 2121044 2014992 106052 66513 63187 3326 30047 28545 1502 1094152 1039444 54708 2752672 2615038 137634 355387 337618 17769 PHARMACUTICALS 2368288 2368288 FOOD 1589961 1589961 PROVIDER BED TAX 940440 940440 PROVISION FOR BAD DEBTS 279965 279965 467475 457302 10173 52963708 50592367 2371341 0 6528000 3939692 1767184 1797217 5390280 5753082 359600 379985 551134 451253 66427246 36954249 29865259 29472997 10379823 10770711 586522 547440 55427802 53112377 3301759 3189544 30077597 29086404 639862 681093 34019218 32957041 X 21408584 20155336 21408584 20155336 55427802 53112377 X -1075094 -231227 53074 X 0 1 X 1 0 X 15263 108629 123892 49016918 47684021 50557438 52811213 51074166 251143756 49016918 47699284 50557438 52811213 51182795 251267648 0 0 0 251267648 338320 341126 334213 283622 195970 1493251 338320 341126 334213 283622 195970 1493251 49355238 48040410 50891651 53094835 51378765 252760899 0.99410 0.99340 0.00590 0.00660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 672969 672969 39303466 19126123 20177343 26007343 17828126 8179217 443468 443468 29472997 CASH AND CASH EQUIVALENTS 141062 F CORPORATE BONDS 2594556 F US GOVERNMENT AND AGENCY OBLIGATIONS 4295264 F DOMESTIC COMMON STOCK 2258704 F MORTGAGE BACKED SECURITIES 949658 F MUTUAL FUNDS 531467 F 10770711 RESIDENT FUNDS 24497 SECURITY DEPOSITS 656596 681093 51849081 0 51849081 39534 39534 51888615 52924175 0 52924175 39534 39534 52963709 X X X X 1 0 0 0 0 1 0 0 0 MARK V SPERKA CHIEF FINANCIAL OFFICER 185794 0 6958 0 376 0 3731 0 750 0 197609 0 0 0 LAVERNE LARSON ADMINISTRATOR 146666 0 10752 0 1428 0 2949 0 1494 0 163289 0 0 0 CYNTHIA BENSON DIRECTOR OF CLINICAL QA 152154 0 5000 0 1038 0 3123 0 16167 0 177482 0 0 0 PART I, LINE 4A JULIE JOLITZ RECEIVED SEVERANCE PAYMENT OF $19,990.96 PART I, LINE 6 A PORTION OF THE INCENTIVE COMPENSATION PLANS FOR EXECUTIVES IS BASED ON FACILITY OR CORPORATE NET INCOME. A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710B6R8 2012-11-01 17390000 REFINANCING 0 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2012-11-01 6955000 REFINANCING 0 0 0 C WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2012-11-01 8060000 NEW CONSTRUCTION 0 0 0 A 17120000 17390000 1741730 16579894 351626 2004 1 0 1 1 B 7030000 6955000 7056075 138945 1 0 1 1 C 8060000 160000 7900000 2013 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 A 1 0 0 0 0 0 B 1 0 0 0 0 0 C 1 0 0 0 0 0 A 0 B 0 C 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS ELECTRONICALLY FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS BY ALL INVOLVED PARTIES. IF A CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON SHALL NOT PARTICIPATE IN ANY DISCUSSION OR VOTE REGARDING THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF LINDENGROVE'S BOARD IS RESPONSIBLE FOR THE CEO'S COMPENSATION. THE EXECUTIVE COMMITTEE COMPLETES AN ANNUAL PERFORMANCE EVALUATION FOR THE CEO AND APPROVES THE CEO'S PAY LEVEL. THE COMMITTEE UTILIZES COMPARABLE DATA IN SETTING THE RATES AND FOLLOWS THE GUIDELINES FOR LINDENGROVE'S BOARD APPROVED COMPENSATION PHILOSOPHY. THE CEO COMPLETES ANNUAL EVALUATIONS OF ALL KEY EMPLOYEES AND SETS THEIR PAY LEVELS BASED ON COMPARATIVE DATA AND LINDENGROVE'S COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTION FROM LINDENGROVE FOUNDATION 53,074. LINDENGROVE FOUNDATION INC 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 391969557 ORGANIZATION SUPPORT WI 501(C)(3) LINE 11A, I LINDENGROVE INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 LINDENGROVE FOUNDATION INC S 53074 FAIR MARKET VALUE LINDENGROVE FOUNDATION INC C 100000 FAIR MARKET VALUE