2017-08-07T13:38:37-05:00 2016-09-30 390758449 Wipfli LLP 10000 Innovation Drive Suite 250 Milwaukee WI 532264837 990 2015-10-01 390830668 Eastcastle Place EAST 4149636151 2505 E Bradford Ave Milwaukee WI 53211 Nancy O'Donnell Chairman of the Board 4149636151 2017-07-31 1 Paul Daly CPA P00277674 4144319300 2017-07-31 2015 2021-01-29 14:40:06Z Nancy O'Donnell 2505 E Bradford Ave Milwaukee WI 53211 11640572 0 X www.eastcastleplace.com X 1884 WI Retirement Community 10 10 249 10 0 0 90978 87917 11640661 11269139 -958116 283378 0 0 10773523 11640434 0 0 0 0 5914808 6006856 0 0 47635 8085416 6915877 14000224 12922733 -3226701 -1282299 43911754 44071589 46579533 48517207 -2667779 -4445618 RETIREMENT COMMUNITY 0 0 3670924 0 4725248 Provide home resident services including limited care for residents at an independent level 4976931 0 3491760 Convalescent Center Services: Provide care and services to residents in need of skilled nursing care. 1696901 0 2844454 Provide assisted living and memory support services to residents at a level care not requiring skilled care 10344756 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 1 0 0 0 1 52 0 1 249 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 1 0 1 1 1 0 0 1 1 1 1 1 0 1 0 0 WI X Brad Sitzberger 4149638424 2505 E Bradford Ave Milwaukee WI 53211 X Tyson Ciepluch Director (Thru 9/16) 1.00 1.00 X 0 0 0 Ann Janikowsky Director 1.00 1.00 X 0 0 0 Dr George Lange Director 1.00 1.00 X 0 0 0 Larry O'Toole Director 1.00 1.00 X 0 0 0 Toni Rivera-Joachin Director 1.00 1.00 X 0 0 0 Jay Van Cleave Director 1.00 1.00 X 0 0 0 Nancy O'Donnell Chairperson (Beg 9/16) 1.00 1.00 X X 0 0 0 Barbara Tice Chairperson (Thru 9/16) 1.00 1.00 X X 0 0 0 James Flanagan Vice Chairman/Treasurer 1.00 1.00 X X 0 0 0 Matt Radish Secretary 1.00 1.00 X X 0 0 0 Tony Besasie Exec. Comm. Member at Large 1.00 1.00 X X 0 0 0 Natalya Clayman Director Of Nursing 1.00 1.00 X 113251 0 330 113251 0 330 1 0 0 0 Life Care Companies LLC 400 Locust Street STE 820 Des Moines IA 50309 Consultants/Management 763942 Select Medical Rehabilitation Services PO Box 643920 Pittsburgh PA 15264 Therapy Services 632328 2 87917 87917 Daily Resident Care 623000 11061462 11061462 207677 207677 11269139 282766 282766 750 138 612 612 612 11640434 11061462 0 491055 5014951 3963778 1008550 42623 622264 441437 180827 369641 294491 72122 3028 351694 351694 32515 32515 50100 50100 162574 134112 28462 281186 279828 1358 1178967 1106813 72154 5566 5566 841018 748427 92591 21070 9173 11897 27454 9694 17134 626 890517 890517 1930259 1930259 164721 164721 Family Member Care 532081 532081 Equipment Rental & Main 194700 151431 43269 251455 132543 118912 12922733 10344756 2530342 47635 2458960 1054589 349813 493111 129991 141622 58392094 26909869 31263455 31482225 1022641 2716101 130023 10050 8556871 8173891 43911754 44071589 851074 1608905 23619758 23898495 22108701 23009807 46579533 48517207 X -6900860 -8883779 494948 495946 3738133 3942215 -2667779 -4445618 43911754 44071589 X -1282299 -495540 X X 0 1 X 1 0 X 50811 100767 93349 90978 87917 423822 9483339 9532755 10172730 11449354 11061462 51699640 504231 749787 469076 191307 207677 2122078 10038381 10383309 10735155 11731639 11357056 54245540 0 0 0 54245540 46869 106674 114618 112418 282776 663355 46869 106674 114618 112418 282776 663355 10085250 10489983 10849773 11844057 11639832 54908895 0.98790 0.99200 0.01210 0.00800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 265991 265991 54761806 24330800 30431006 3169307 2452929 716378 194990 126140 68850 31482225 Finance Costs 573705 Interest in Russel Allen Trust 3774893 Other Receivables 35057 Development Costs 80557 Funds in Trust 827386 Land held for sale 2585000 CIP 297293 8173891 Resident funds and funds held 609630 Deferred revenue - Nonrefundable 1672464 Due to Affiliates 288102 Deferred revenue - Refundable 20439611 23009807 11640434 0 11640434 0 11640434 12922733 0 12922733 0 12922733 A Wisconsin Health and Educational Facilities Authority 391337855 Noneavail 2015-09-03 22738000 REFUND BONDS ISSUED ON DECEMBER 30, 2004; FINANCE BUILDING AND STRUCTURES 0 0 0 A 421883 22738000 6204000 454760 1146472 14932768 2015 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 Schedule K Part II, line 11 Other spent proceeds of $14,932,768 - simultaneous refunding with closing. Form 990, Part VI, Section A, line 3 Life Care Services assumes responsibility, as agent of Eastcastle Place, to serve as the manager of the Community, including the real estate, and in connection therewith, to recommend and regularly evaluate policies and goals of Eastcastle Place, implement the policies, budgets, directives and goals for the Community established by Eastcastle Place, manage the day-to-day operations of the Community in accordance with Eastcastle Place's policies, directives and goals, provide Owner with relevant information (as hereinafter provided) as to past operations, and make recommendations as to the future operation of the Community. Life Care Services is an independent contractor, and not a partner or joint venturer with Eastcastle Place. Life Care Services shall act under the policies, direction and control exercised by the Board of Directors of Owner at all times. Form 990, Part VI, Section A, line 6 The corporation has a single member, Milwaukee Protestant Home, Inc. Form 990, Part VI, Section A, line 7b The Board of directors must receive approval from the Member (Milwaukee Protestant Home) prior to taking the following actions: approval of the annual operating and capital budgets; amendments to the Articles of Incorporation or By-laws of the Corporation; sell, purchase, convey or otherwise dispose of any real estate held by the Corporation; Change the mission, purpose or scope of the Corporation and its operations, or the location, size or scope of its services, programs, or operations; incurrence of debt for money borrowed or guaranteeing of debt of another, either of which is beyond or outside of the approved annual operating and/or capital budgets and beyond delegated amounts; entry into any contract or commitment beyond or outside of the approved annual operating and/or capital budgets and beyond delegated amounts; adoption or material modification of any employee benefit plans; fundraising campaigns; and administration and investment of endowment funds or restricted gifts. Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by the Director of Accounting and the Chairman of the board prior to filing. The 990 is also provided to all board members to review prior to filing. Form 990, Part VI, Section B, line 12c ANNUALLY THE MEMBERS OF THE BOARD OF DIRECTORS REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A DOCUMENT DECLARING ANY RELATED PARTIES THEY MAY HAVE. THEY ALSO SIGN THE DOCUMENT ATTESTING TO THE FACT THAT THEY HAVE NO CONFLICT OF INTERESTS (OTHER THAN IF THEY NOTED A RELATED PARTY). IF ANY MEMBER HAS A CONFLICT OF INTEREST IN ANY MEETING REGARDING A VOTE THE BOARD MEMBER REMOVES THEMSELVES FROM THE VOTE. Form 990, Part VI, Section B, line 15a The Board periodically engages an outside consultant to assist in determining the compensation for the President/CEO. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Form 990, Part XI, line 9: Change in Russel Allen Trust 204,082. Change in value of interest rate swap -700,620. Investment Income Released from Temporarily Restricted 998. Part XII, Line 2c Explanation: This process has not changed from the prior year. Schedule K, Part I, Description of Purpose: Finance construction and equipment for expansion of facility; working capital Milwaukee Protestant Home Inc 2505 E Bradford Ave Milwaukee WI 53211 392023357 Investment Holding Company WI 501(c)(3) Line 11a, I N/A 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0