2016-05-16T08:57:54-05:00 2015-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2014-07-01 391574684 LINDENGROVE INC LIND 2627974600 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 MARK V SPERKA CFO 2627974600 2016-05-11 1 MELISSA TORGERSON P00637070 4144319300 2016-05-10 2014 2016-08-17 19:52:53Z MARK V SPERKA 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 59291038 0 X WWW.LINDENGROVE.ORG X 1986 WI PROVIDE HEALTHCARE AND SENIOR RESIDENTIAL SERVICES. 8 8 1419 192 0 0 0 0 50557438 52811213 443777 368126 0 0 51001215 53179339 0 0 0 0 34308942 35290448 0 0 0 15323939 16951741 49632881 52242189 1368334 937150 55118665 55427802 34764978 34019218 20353687 21408584 X LINDENGROVE, A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE AND SENIOR RESIDENTIAL SERVICES IN SOUTHEASTERN WISCONSIN, IS COMMITTED TO THE CONTINUAL ENHANCEMENT OF THE QUALITY OF CARE AND THE QUALITY OF LIFE OF THE PERSONS IT SERVES. LINDENGROVE IS DEDICATED TO DEVELOPING AND OFFERING A RANGE OF HIGH QUALITY SERVICES IN A PROFESSIONAL, ETHICAL AND FINANCIALLY RESPONSIBLE MANNER. LINDENGROVE STRIVES TO BE THE CAREGIVER AND EMPLOYER OF CHOICE BY CREATING A CARING ENVIRONMENT THAT IS RESPONSIVE AND SUPPORTIVE FOR CLIENTS, THEIR FAMILIES, EMPLOYEES AND VOLUNTEERS. 0 0 49907812 0 52811213 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. 49907812 1 0 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 62 0 1 1419 0 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 PHIL KUBOW DIRECTOR 2.00 X 0 0 0 EMIL PFENNINGER DIRECTOR 2.00 X 0 0 0 VERNA SEITZ DIRECTOR 2.00 X 0 0 0 FRED SYRJANEN DIRECTOR 2.00 X 0 0 0 ROCK EVENSON TREASURER 2.00 X X 0 0 0 DENNIS POLLARD SECRETARY 2.00 X X 0 0 0 RANDY SEVERSON CHAIRMAN 2.00 X X 0 0 0 ROBERT J SCHAEFER PRESIDENT & CEO 40.00 X 370706 0 25595 MARK V SPERKA CHIEF FINANCIAL OFFICER 40.00 2.00 X 218450 0 4160 CYNTHIA BENSON DIRECTOR OF CLINICAL QA 40.00 X 142651 0 17013 DAVID HAM ADMINISTRATOR 40.00 X 149156 0 15307 JULIE JOLITZ ADMINISTRATOR 40.00 X 134951 0 8588 LAVERN LARSON ADMINISTRATOR 40.00 X 155483 0 2817 KAREEN SCHMIDTKNECHT DIRECTOR OF PHARMACY 40.00 X 139177 0 16244 MICHAEL ZIMMERMAN ADMINISTRATOR 40.00 X 137222 0 9167 1447796 0 98891 11 0 1 0 GW MEDICAL STAFFING LLC PO BOX 577 WEST BEND WI 530950577 MEDICAL STAFFING 142842 TOP TECHS TEMPORARIES INC 150 N SUNNYSLOPE ROAD NEW BERLIN WI 53005 MEDICAL STAFFING 109065 COMMUNITY MEMORIAL HOSPITAL W180 N8085 TOWN HALL ROAD MENOMONEE FALLS WI 53052 VARIOUS SERVICES 105425 WAUKESHA HEALTH SYSTEMS N17W24100 RIVERWOOD DRIVE WAUKESHA WI 53188 DATA PROCESSING 100800 4 NET RESIDENT SERVICE 623000 32656412 32656412 MEDICARE/MEDICAID PAYMENTS 623000 19906047 19906047 OTHER 623990 193037 193037 LAUNDRY 623990 37475 37475 BEAUTY SHOP 623990 18242 18242 52811213 283622 283622 6196203 6105407 6292 90796 -6292 84504 84504 53179339 52811213 0 368126 28465091 27041836 1423255 277400 263530 13870 4496251 4271438 224813 2051706 1949121 102585 53684 51000 2684 60100 60100 26307 26307 1468393 1468393 110395 104875 5520 2517611 2391730 125881 521163 495105 26058 2200657 2090624 110033 55498 52723 2775 61384 58315 3069 1107012 1051661 55351 2571835 2443243 128592 323064 306911 16153 PHARMACUTICALS 2656802 2656802 FOOD 1634162 1634162 PROVIDER BED TAX 940440 940440 PROVISION FOR BAD DEBTS 229912 229912 413322 405991 7331 52242189 49907812 2334377 0 6557909 6528000 1751853 1767184 4938556 5390280 291431 359600 349890 551134 64319857 34454598 30326754 29865259 10190218 10379823 712054 586522 55118665 55427802 3145705 3301759 31043791 30077597 575482 639862 34764978 34019218 X 20353687 21408584 20353687 21408584 55118665 55427802 X 937150 -141626 259373 X 0 1 X 1 0 X 15263 15263 50866585 49016918 47684021 50557438 52811213 250936175 50866585 49016918 47699284 50557438 52811213 250951438 0 0 0 250951438 365204 338320 341126 334213 283622 1662485 5706 5706 370910 338320 341126 334213 283622 1668191 51237495 49355238 48040410 50891651 53094835 252619629 0.99340 0.99280 0.00660 0.00720 X 672969 672969 39245256 17997161 21248095 24328600 16457437 7871163 73032 73032 29865259 CASH AND CASH EQUIVALENTS 179412 F CORPORATE BONDS 2772425 F US GOVERNMENT AND AGENCY OBLIGATIONS 4767625 F DOMESTIC COMMON STOCK 2214095 F MORTGAGE BACKED SECURITIES 446266 F 10379823 RESIDENT FUNDS 21021 SECURITY DEPOSITS 618841 639862 53153032 0 53153032 26307 26307 53179339 52215882 0 52215882 26307 26307 52242189 X X X 0 0 0 0 0 1 0 0 0 ROBERT J SCHAEFER PRESIDENT & CEO 304854 0 55607 0 10245 0 5859 0 19736 0 396301 0 0 0 MARK V SPERKA CHIEF FINANCIAL OFFICER 182550 0 28860 0 7040 0 3785 0 375 0 222610 0 0 0 CYNTHIA BENSON DIRECTOR OF CLINICAL QA 136311 0 5723 0 617 0 2726 0 14287 0 159664 0 0 0 DAVID HAM ADMINISTRATOR 136207 0 12775 0 174 0 2724 0 12583 0 164463 0 0 0 LAVERN LARSON ADMINISTRATOR 140847 0 13262 0 1374 0 2817 0 0 0 158300 0 0 0 KAREEN SCHMIDTKNECHT DIRECTOR OF PHARMACY 138755 0 0 0 422 0 2775 0 13469 0 155421 0 0 0 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 375000 17390000 1741730 16579894 351626 2004 1 0 1 1 B 885000 6955000 7056075 138945 1 0 1 1 C 685000 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 259,373. 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 259373 FAIR MARKET VALUE