WISCONSIN ILLINOIS SENIOR HOUSING INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN ILLINOIS SENIOR HOUSING INC (EIN 36-4016275)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-16
IRS object ID
201631379349308738
Schema version
2015v2.1
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)
Return2016-05-16T15:57:20-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Phone2627288167PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDY KERWINPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone2627288167PhoneNum
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES E WOYPreparerPersonNm
PTINP00102054PTIN
Phone4067820451PhoneNum
Preparation2016-05-16PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDY KERWINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 W GREEN MOUNTAIN DRIVEAddressLine1Txt
CityLAKEWOODCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80228ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,854,333GrossReceiptsAmt
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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1619TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$32,354PYContributionsGrantsAmt
CY Contributions Grants$2,858,251CYContributionsGrantsAmt
PY Program Service Revenue$41,723,958PYProgramServiceRevenueAmt
CY Program Service Revenue$45,725,904CYProgramServiceRevenueAmt
PY Investment Income$205,805PYInvestmentIncomeAmt
CY Investment Income$84,981CYInvestmentIncomeAmt
PY Other Revenue$9,333PYOtherRevenueAmt
CY Other Revenue-$11,059CYOtherRevenueAmt
PY Total Revenue$41,971,450PYTotalRevenueAmt
CY Total Revenue$48,658,077CYTotalRevenueAmt
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$24,574,553PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,100,033CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$17,827,789PYOtherExpensesAmt
CY Other Expenses$19,394,576CYOtherExpensesAmt
PY Total Expenses$42,402,342PYTotalExpensesAmt
CY Total Expenses$47,494,609CYTotalExpensesAmt
PY Revenues Less Expenses-$430,892PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,163,468CYRevenuesLessExpensesAmt
Total Assets BOY$67,919,000TotalAssetsBOYAmt
Total Assets EOY$69,125,291TotalAssetsEOYAmt
Total Liabilities BOY$62,553,100TotalLiabilitiesBOYAmt
Total Liabilities EOY$62,664,425TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,365,900NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,460,866NetAssetsOrFundBalancesEOYAmt
MissionTHE PRIMARY PURPOSE IS TO PROVIDE SKILLED NURSING AND ASSISTED LIVING FACILITIES FOR AGED INDIVIDUALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$35,525,096ExpenseAmt
Revenue$40,184,364RevenueAmt
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$4,654,370ExpenseAmt
Revenue$5,541,609RevenueAmt
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$40,179,466TotalProgramServiceExpensesAmt
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 Document115IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1619EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES W NASON
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
KEN DEVITO
MEMBER1.00Yes (X)$0$0$0
LORRIE DUPONT
MEMBER1.00Yes (X)$0$0$0
ANDREW KERWIN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MIRIAM GEHLER
TREASURER (PART-YEAR)1.00Yes (X)Yes (X)$0$0$0
NICHOLAS LYNN
MEMBER1.00Yes (X)$0$0$0
RAJEEV KUMAR
MEMBER1.00Yes (X)$0$0$0
JILL KRUEGER
TREASURER (PART-YEAR)1.00Yes (X)Yes (X)$0$0$0
KAREN CARRIG
MEMBER1.00Yes (X)$0$0$0
JOYCE SURDICK
ADMINISTRATOR40.00$109,729$0$0Yes (X)
DONNA KRUTCHEN
ADMINISTRATOR40.00$105,592$0$0Yes (X)
HEATHER BARTELL
ADMINISTRATOR40.00$101,065$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$316,386TotalReportableCompFromOrgAmt
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
CARRIAGE HEALTHCARE INC
13185 W GREEN MTN DRIVELAKEWOODCO80228MANAGEMENT COMPANY$1,823,136
OMNICARE
PO BOX 78000DETROITMI482781668PHARMACY$779,718
MARTIN BROTHERS
PO BOX 69CEDAR FALLSIA50613FOOD SERVICES$567,794
REINHART FOODS
2655 EAST RICHMOND STREETSHAWANOWI51466FOOD SERVICES$500,490
GENESIS REHAB SERVICES
PO BOX 821322PHILADELPHIAPA191821322THERAPY SERVICES$398,963
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,858,251AllOtherContributionsAmt
Total Contributions$2,858,251TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT CARE REVENUE623000$29,238,655$29,238,655
ANCILLIARY REVENUE623000$9,346,851$9,346,851
ASSISTED LIVING REVENUE623000$6,665,623$6,665,623
MISC PATIENT BENEFIT REVENUE623000$474,775$474,775
FieldValueIRS element (for citing)
Total Program Service Revenue$45,725,904TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$83,875TotalRevenueColumnAmt
Exclusion$83,875ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,505RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$21,633RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$11,128RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,128TotalRevenueColumnAmt
Exclusion-$11,128ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$175,729SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$174,623SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,106SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,106TotalRevenueColumnAmt
Exclusion$1,106ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC. REVENUEDesc
Business623000BusinessCd
Total Revenue Column$69TotalRevenueColumnAmt
Related Or Exempt Func Income$69RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$69OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$48,658,077TotalRevenueColumnAmt
Related Or Exempt Func Income$45,725,973RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$73,853ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,690,036TotalAmt
Program Services$24,347,290ProgramServicesAmt
Management And General$342,746ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,154,030TotalAmt
Program Services$1,069,333ProgramServicesAmt
Management And General$84,697ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,255,967TotalAmt
Program Services$2,109,558ProgramServicesAmt
Management And General$146,409ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,860,716TotalAmt
Program Services$1,860,716ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$144,156TotalAmt
Management And General$144,156ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$250,765TotalAmt
Management And General$250,765ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30,834TotalAmt
Management And General$30,834ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$88,060TotalAmt
Program Services$10,157ProgramServicesAmt
Management And General$77,903ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$190,200TotalAmt
Program Services$55,454ProgramServicesAmt
Management And General$134,746ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,728,401TotalAmt
Program Services$1,597,978ProgramServicesAmt
Management And General$130,423ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$137,177TotalAmt
Program Services$20,268ProgramServicesAmt
Management And General$116,909ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,958,989TotalAmt
Program Services$64,214ProgramServicesAmt
Management And General$2,894,775ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,010,840TotalAmt
Program Services$2,010,840ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$379,470TotalAmt
Program Services$379,164ProgramServicesAmt
Management And General$306ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$4,136,491$4,134,947$1,544
PURCHASED SERVICES AND$2,206,526$1,838,996$367,530
BUSINESS TAXES$1,060,448$1,060,448
BAD DEBT EXPENSE$789,243$789,243

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,422,260TotalAmt
Program Services$680,551ProgramServicesAmt
Management And General$741,709ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,494,609TotalAmt
Program Services$40,179,466ProgramServicesAmt
Management And General$7,315,143ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,516BOYAmt
EOY$11,374EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,918,084BOYAmt
EOY$3,804,990EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,473,300BOYAmt
EOY$4,164,780EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$74,771BOYAmt
EOY$30EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$140,917BOYAmt
EOY$251,628EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$63,278,145LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,744,173LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$43,889,600BOYAmt
EOY$48,533,972EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,967,100BOYAmt
EOY$1,968,376EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$10,965,900BOYAmt
EOY$8,200,056EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,481,812BOYAmt
EOY$2,190,085EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$67,919,000BOYAmt
EOY$69,125,291EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,510,900BOYAmt
EOY$7,924,866EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,990,400BOYAmt
EOY$54,625,010EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$17,160EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,800BOYAmt
EOY$97,389EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,553,100BOYAmt
EOY$62,664,425EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,365,900BOYAmt
EOY$6,460,866EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,365,900BOYAmt
EOY$6,460,866EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$67,919,000BOYAmt
EOY$69,125,291EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,163,468ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$67,261NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,241OtherChangesInNetAssetsAmt
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$21,937CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,422CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,682CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$43,456CurrentTaxYearMinus1YearAmt
Current Tax Year$2,858,251CurrentTaxYearAmt
Total$3,016,748TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,588,458CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,464,363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,187,684CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,723,958CurrentTaxYearMinus1YearAmt
Current Tax Year$45,724,959CurrentTaxYearAmt
Total$193,689,422TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,610,395CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,521,785CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,223,366CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,767,414CurrentTaxYearMinus1YearAmt
Current Tax Year$48,583,210CurrentTaxYearAmt
Total$196,706,170TotalAmt

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$196,706,170PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$139,265CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$534,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$112,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$132,848CurrentTaxYearMinus1YearAmt
Current Tax Year$94,375CurrentTaxYearAmt
Total$1,013,721TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$139,265CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$534,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$112,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$132,848CurrentTaxYearMinus1YearAmt
Current Tax Year$94,375CurrentTaxYearAmt
Total$1,013,721TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,749,660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$34,056,588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,335,796CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,900,262CurrentTaxYearMinus1YearAmt
Current Tax Year$48,677,585CurrentTaxYearAmt
Total$197,719,891TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99490PublicSupportCY509Pct
Public Support PY5090.99380PublicSupportPY509Pct
Investment Income CY0.00510InvestmentIncomeCYPct
Investment Income PY0.00620InvestmentIncomePYPct
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$3,287,774OtherCostOrOtherBasisAmt
Book Value$3,287,774BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,990,371OtherCostOrOtherBasisAmt
Depreciation$14,744,173DepreciationAmt
Book Value$45,246,198BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$48,533,972TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescRESTRICTED BOND RESERVESDesc
Book Value$8,200,056BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$8,200,056TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT TRUST ACCOUNTSDesc
Amt$97,389Amt
FieldValueIRS element (for citing)
Total Liability$97,389TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$47,795,900TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$67,300NetUnrealizedGainsInvstAmt
Other Revenue-$816,221OtherRevenueAmt
Revenue Not Reported-$883,521RevenueNotReportedAmt
Revenue Subtotal$48,679,421RevenueSubtotalAmt
Other Revenues Not Included-$21,344OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$21,344RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$48,658,077TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,699,900TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$21,512OtherExpensesIncludedAmt
Expenses Not Reported$21,512ExpensesNotReportedAmt
Expenses Subtotal$46,678,388ExpensesSubtotalAmt
Other Expenses Not Included$816,221OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$816,221ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$47,494,609TotalExpensesPerForm990Amt

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) -$789,300 - PROVISION FOR BAD DEBT IS PRESENTED IN PATIENT REVENUES FOR FINANCIAL REPORTING PRESENTATION. ADJUSTMENT (2) -$26,921 - FINANCIAL STATEMENTS INCLUDED THIS MUCH OF ANCILLARY EXPENSES REVENUES.
PART XI, LINE 4BADJUSTMENT (1) -$21,633 - RENTAL EXPENSE IS REPORTED IN REVENUES ON THE FORM 990. ADJUSTMENT (2) $289 ROUNDING DIFFERENCE.
PART XII, LINE 2DADJUSTMENT (1) -$121 - ROUNDING TO THE AUDITED FINANCIAL STATEMENTS. ADJUSTMENT (2) $21,633 - RENTAL EXPENSE IS REPORTED IN REVENUE ON THE FORM 990.
PART XII, LINE 4BADJUSTMENT (1) $789,300 - 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
B0000

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 11THE 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:ROUNDING -1,241.
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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