WISCONSIN ILLINOIS SENIOR HOUSING INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN ILLINOIS SENIOR HOUSING INC (EIN 36-4016275)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-14
IRS object ID
201411349349306851
Schema version
2013v3.0
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)
Return2014-05-14T15:55:37-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN810385940PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON ZURMUEHLEN & CO PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 748AddressLine1
CityBUTTECity
StateMTState
ZIP Code59703ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN364016275EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN ILLINOIS SENIOR HOUSING INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWISCBusinessNameControlTxt
Phone2627288167PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 W GREEN MOUNTAIN DRIVEAddressLine1
CityLAKEWOODCity
StateCOState
ZIP Code80228ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDY KERWINPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone2627288167PhoneNum
Signature2014-04-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES E WOYPreparerPersonNm
PTINP00102054PTIN
Phone4067820451PhoneNum
Preparation2014-04-25PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDY KERWINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 W GREEN MOUNTAIN DRIVEAddressLine1
CityLAKEWOODCity
StateCOState
ZIP Code80228ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$41,716,602GrossReceiptsAmt
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 Employee1342TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$864,446PYContributionsGrantsAmt
CY Contributions Grants$35,682CYContributionsGrantsAmt
PY Program Service Revenue$33,464,363PYProgramServiceRevenueAmt
CY Program Service Revenue$41,443,208CYProgramServiceRevenueAmt
PY Investment Income$221,403PYInvestmentIncomeAmt
CY Investment Income$106,314CYInvestmentIncomeAmt
PY Other Revenue-$754,905PYOtherRevenueAmt
CY Other Revenue-$4,569CYOtherRevenueAmt
PY Total Revenue$33,795,307PYTotalRevenueAmt
CY Total Revenue$41,580,635CYTotalRevenueAmt
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$18,375,806PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,254,706CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,902,066PYOtherExpensesAmt
CY Other Expenses$17,620,144CYOtherExpensesAmt
PY Total Expenses$34,277,872PYTotalExpensesAmt
CY Total Expenses$40,874,850CYTotalExpensesAmt
PY Revenues Less Expenses-$482,565PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$705,785CYRevenuesLessExpensesAmt
Total Assets BOY$58,536,875TotalAssetsBOYAmt
Total Assets EOY$65,197,172TotalAssetsEOYAmt
Total Liabilities BOY$53,327,400TotalLiabilitiesBOYAmt
Total Liabilities EOY$59,327,055TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,209,475NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,870,117NetAssetsOrFundBalancesEOYAmt
MissionTHE PRIMARY PURPOSE IS TO PROVIDE SKILLED NURSING AND ASSISTED LIVING FACILITIES FOR AGED INDIVIDUALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$30,525,109ExpenseAmt
Revenue$35,679,826RevenueAmt
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, AND MONTELLO CARE CENTER--50 BED SKILLED NURSING AND 14 BED COMMUNITY BASED RESIDENTIAL FACILITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,565,190ExpenseAmt
Revenue$5,513,382RevenueAmt
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$35,090,299TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 AssetsYes (1)ReportOtherAssetsInd
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 Document68IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1342EmployeeCnt
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 Contributions0QuidProQuoContributionsInd
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 DEMOYEBusinessNameLine1
FieldValueIRS element (for citing)
Phone3039800611PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 W GREEN MOUNTAIN DRIVEAddressLine1
CityLAKEWOODCity
StateCOState
ZIP Code80228ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CHARLES W NASON
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
KEN DEVITO
MEMBER1.00Yes (X)$0$0$0
MIRIAM GEHLER
MEMBER1.00Yes (X)$0$0$0
ANDREW KERWIN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JILL KRUEGER
TREASURER1.00Yes (X)Yes (X)$0$0$0
NICHOLAS LYNN
MEMBER1.00Yes (X)$0$0$0
RAJEEV KUMAR
MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
GENESIS REHAB SERVICES
PO BOX 7247-6524PHILADELPHIAPA191706524THERAPY SERVICES$2,232,045
CARRIAGE HEALTHCARE INC
13185 W GREEN MTN DRIVELAKEWOODCO80228MANAGEMENT COMPANY$1,661,675
MARTIN BROS
PO BOX 69CEDAR FALLSIA50613FOOD SERVICES$602,304
MEDLINE INDUSTRIES
PO BOX 121080DALLASTX75312MEDICAL SUPPLIES$332,881
REINHART
2655 EAST RICHMOND STREETSHWNOWI51466FOOD SERVICES$283,887
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$35,682AllOtherContributionsAmt
Total Contributions$35,682TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT CARE REVENUE623000$27,340,700$27,340,700
ANCILLIARY REVENUE623000$7,682,117$7,682,117
ASSISTED LIVING REVENUE623000$5,971,601$5,971,601
RECOVERY OF SHELTERED VILLAGE DIS623000$250,000$250,000
MISC PATIENT BENEFIT REVENUE623000$198,790$198,790
FieldValueIRS element (for citing)
Total Program Service Revenue$41,443,208TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$100,930TotalRevenueColumnAmt
Exclusion$100,930ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$10,569RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$4,569RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,569TotalRevenueColumnAmt
Exclusion-$4,569ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$130,782SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$125,398SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,384SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,384TotalRevenueColumnAmt
Exclusion$5,384ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$41,580,635TotalRevenueColumnAmt
Related Or Exempt Func Income$41,443,208RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$101,745ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,867,225TotalAmt
Program Services$19,648,188ProgramServicesAmt
Management And General$219,037ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,440,275TotalAmt
Program Services$1,320,191ProgramServicesAmt
Management And General$120,084ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,947,206TotalAmt
Program Services$1,825,383ProgramServicesAmt
Management And General$121,823ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,585,970TotalAmt
Program Services$1,585,970ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$128,959TotalAmt
Management And General$128,959ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$258,464TotalAmt
Management And General$258,464ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,036TotalAmt
Management And General$24,036ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$59,601TotalAmt
Program Services$10,050ProgramServicesAmt
Management And General$49,551ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$156,324TotalAmt
Program Services$62,929ProgramServicesAmt
Management And General$93,395ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,590,306TotalAmt
Program Services$1,472,551ProgramServicesAmt
Management And General$117,755ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$124,362TotalAmt
Program Services$19,895ProgramServicesAmt
Management And General$104,467ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,560,374TotalAmt
Program Services$106,800ProgramServicesAmt
Management And General$2,453,574ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,488,936TotalAmt
Program Services$1,488,936ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$366,691TotalAmt
Program Services$366,366ProgramServicesAmt
Management And General$325ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$3,444,012$3,442,593$1,419
PURCHASED SERVICES AND$3,209,331$2,995,848$213,483
BUSINESS TAXES$976,518$976,518
BAD DEBT EXPENSE$453,951$453,951

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,192,309TotalAmt
Program Services$744,599ProgramServicesAmt
Management And General$447,710ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$40,874,850TotalAmt
Program Services$35,090,299ProgramServicesAmt
Management And General$5,784,551ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,722BOYAmt
EOY$8,374EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,528,961BOYAmt
EOY$4,287,285EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,041,589BOYAmt
EOY$4,947,310EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$85,640BOYAmt
EOY$80,024EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$44,229BOYAmt
EOY$161,120EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,820,634LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,962,232LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,654,800BOYAmt
EOY$37,858,402EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,849,368BOYAmt
EOY$1,872,712EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$12,313,567BOYAmt
EOY$13,270,727EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,012,999BOYAmt
EOY$2,711,218EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$58,536,875BOYAmt
EOY$65,197,172EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,645,636BOYAmt
EOY$5,352,919EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,570,057BOYAmt
EOY$53,748,516EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$171,890EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,707BOYAmt
EOY$53,730EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,327,400BOYAmt
EOY$59,327,055EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,209,475BOYAmt
EOY$5,870,117EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,209,475BOYAmt
EOY$5,870,117EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$58,536,875BOYAmt
EOY$65,197,172EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$705,785ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$45,143NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$19,999CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,937CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,422CurrentTaxYearMinus1YearAmt
Current Tax Year$35,682CurrentTaxYearAmt
Total$174,609TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,822,103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,421,464CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,588,458CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,464,363CurrentTaxYearMinus1YearAmt
Current Tax Year$41,187,684CurrentTaxYearAmt
Total$165,484,072TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,842,102CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,461,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,610,395CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,521,785CurrentTaxYearMinus1YearAmt
Current Tax Year$41,223,366CurrentTaxYearAmt
Total$165,658,681TotalAmt

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$165,658,681PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,860CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$190,842CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$139,265CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$534,803CurrentTaxYearMinus1YearAmt
Current Tax Year$112,430CurrentTaxYearAmt
Total$1,061,200TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,860CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$190,842CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$139,265CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$534,803CurrentTaxYearMinus1YearAmt
Current Tax Year$112,430CurrentTaxYearAmt
Total$1,061,200TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,925,962CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,651,875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,749,660CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,056,588CurrentTaxYearMinus1YearAmt
Current Tax Year$41,335,796CurrentTaxYearAmt
Total$166,719,881TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99360PublicSupportCY509Pct
Public Support PY5090.99240PublicSupportPY509Pct
Investment Income CY0.00640InvestmentIncomeCYPct
Investment Income PY0.00760InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,137,774OtherCostOrOtherBasisAmt
Book Value$3,137,774BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,682,860OtherCostOrOtherBasisAmt
Depreciation$10,962,232DepreciationAmt
Book Value$34,720,628BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$37,858,402TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescRESTRICTED BOND RESERVESDesc
Book Value$13,270,727BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$13,270,727TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRESIDENT TRUST ACCOUNTSDesc
Amt$53,730Amt
FieldValueIRS element (for citing)
Total Liability$53,730TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$36,947,400TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$45,143NetUnrealizedGainsInvstAmt
Other Revenue-$4,598,977OtherRevenueAmt
Revenue Not Reported-$4,644,120RevenueNotReportedAmt
Revenue Subtotal$41,591,520RevenueSubtotalAmt
Other Revenues Not Included-$10,885OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$10,885RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$41,580,635TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$36,286,200TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$7,418OtherExpensesIncludedAmt
Expenses Not Reported$7,418ExpensesNotReportedAmt
Expenses Subtotal$36,278,782ExpensesSubtotalAmt
Other Expenses Not Included$4,596,068OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,596,068ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$40,874,850TotalExpensesPerForm990Amt

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) $453,951 - PROVISION FOR BAD DEBT IS PRESENTED IN PATIENT REVENUES FOR FINANCIAL REPORTING PRESENTATION. ADJUSTMENT (2) $4,142,117 - FINANCIAL STATEMENTS INCLUDED THIS MUCH OF ANCILLARY EXPENSES REVENUES. ADJUSTMENT (3) $2,909- CLASSIFICATION DIFFERENCE BETWEEN REVENUE AND EXPENSE.
PART XI, LINE 4BADJUSTMENT (1) -$10,565 - RENTAL EXPENSE IS REPORTED IN REVENUES ON THE FORM 990. ADJUSTMENT (2) -$316 ROUNDING DIFFERENCE.
PART XII, LINE 2DADJUSTMENT (1) -$2,909 - CLASSIFICATION DIFFERENCE BETWEEN REVENUE AND EXPENSE. ADJUSTMENT (2) $242 - ROUNDING TO THE AUDITED FINANCIAL STATEMENTS. ADJUSTMENT (3) $10,569 - RENTAL EXPENSE IS REPORTED IN REVENUE ON THE FORM 990.
PART XII, LINE 4BADJUSTMENT (1) $453,951 - THE PROVISION FOR BAD DEBT IS INCLUDED IN EXPENSES ON THE FORM 990. ADJUSTMENT (2) $4,142,117 - FINANCIAL STATEMENTS INCLUDED THIS MUCH OF ANCILLARY EXPENSES REVENUES.

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
A39133785597710VJ842006-07-19$330,000DEBT PREVIOUSLY FINANCED FOR ACQUISITION OF FIVE NURSING HOME FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710VH922006-07-19$345,000DEBT PREVIOUSLY FINANCED FOR ACQUISITION OF FIVE NURSING HOME FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710VJ662003-07-19$2,020,000DEBT PREVIOUSLY FINANCED FOR ACQUISITION OF FIVE NURSING HOME FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597710VJ742006-07-19$2,655,000DEBT PREVIOUSLY FINANCED FOR ACQUISITION OF FIVE NURSING HOME FACILITIES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A20060000
B20060000
C20060000
D20060000

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
A39133785597710VJ822006-07-19$7,170,000DEBT PREVIOUSLY FINANCED FOR ACQUISITION OF FIVE NURSING HOME FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710V4B12007-09-07$585,000ACQUISITION OF SIX ASSISTED LIVING FACILITIES LOCATED IN WISCONSIN000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710V4602007-09-17$1,130,000ACQUISITION OF SIX ASSISTED LIVING FACILITIES LOCATED IN WISCONSIN000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597710V4H82007-09-17$3,605,000ACQUISITION 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
A20060000
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 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
A3913378559771044J42007-09-17$7,935,000ACQUISITION OF SIX ASSISTED LIVING FACILITIES LOCATED IN WISCONSIN000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B391337855977108VD12010-08-01$980,000REFINANCE AND IMPROVEMENTS OF LIVIING FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710BVE92010-08-01$1,275,000REFINANCE AND IMPROVEMENTS OF LIVIING FACILITIES000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D391337855977108BG42010-08-01$6,910,000REFINANCE AND IMPROVEMENTS OF LIVIING FACILITIES000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A20070000
B20100000
C20100000
D20100000

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
A39133785597710B2H42012-08-07$2,070,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710B2J02012-08-07$3,440,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710B2K72012-08-07$6,070,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597710BZ962012-08-07$225,000ACQUISITION 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
A39133785597710B2A92012-08-07$230,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710B2B72012-08-07$235,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710B2C52012-08-07$245,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597710B2D32012-08-07$255,000ACQUISITION 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
D20150000

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
A39133785597710B2E12012-08-07$265,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B39133785597710B2F82012-08-07$275,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
C39133785597710B2G62012-08-07$290,000ACQUISITION OF 1 FACILITY LOCATED IN WISCONSIN AND IMPROVEMENTS OF LIVING FA000
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
D39133785597712DDD52013-11-06$430,000IMPROVEMENTS OF 1 FACILITY LOCATED IN WISCONSIN.000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN391337855BondIssuerEIN
CUSIP97712DDJ2CUSIPNum
Bond Issued2013-11-06BondIssuedDt
Issue Price$7,525,000IssuePriceAmt
PurposeIMPROVEMENTS OF 1 FACILITY LOCATED IN WISCONSIN.PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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, 2013. 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 - 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 LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line113185 WEST GREEN MOUNTAIN DRIVEAddressLine1
CityLAKEWOODCity
StateCOState
ZIP Code80228ZIPCode
FieldValueIRS element (for citing)
EIN260564338EIN
Primary ActivitiesASSISTED LIVING FACILITYPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

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