2014-05-14T08:56:40-05:00 2013-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2012-07-01 391574684 LINDENGROVE INC LIND 2627974600 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 MARK V SPERKA 2627974600 2014-05-13 1 JAY ADKISSON CPA P01360892 4144319300 2014-05-13 2012 2015-11-30 17:44:51Z MARK V SPERKA 13700 W NATIONAL AVE NEW BERLIN WI 53151 56382810 0 X WWW.LINDENGROVE.ORG X 1986 WI HEALTHCARE 8 8 1325 160 0 0 0 0 49016918 47699284 370214 519170 0 0 49387132 48218454 0 0 0 0 33506511 32830776 0 0 0 14455830 14711226 47962341 47542002 1424791 676452 45905212 54211800 27949252 35702356 17955960 18509444 X LINDENGROVE, A NOT-FOR-PROFIT PROVIDER OF HEALTH CARE AND SENIOR RESIDENTIAL SERVICES IN SOUTHEASTERN WISCONSIN, IS COMMITTED TO THE CONTINUAL ENHANCEMENT OF THE QUALITY OF CARE AND THE QUALITY OF LIFE OF THE PERSONS IT SERVES. LINDENGROVE IS DEDICATED TO DEVELOPING AND OFFERING A RANGE OF HIGH QUALITY SERVICES IN A PROFESSIONAL, ETHICAL AND FINANCIALLY RESPONSIBLE MANNER. LINDENGROVE STRIVES TO BE THE CAREGIVER AND EMPLOYER OF CHOICE BY CREATING A CARING ENVIRONMENT THAT IS RESPONSIVE AND SUPPORTIVE FOR CLIENTS, THEIR FAMILIES, EMPLOYEES AND VOLUNTEERS. 0 0 45384471 47684021 LINDENGROVE OWNS AND OPERATES FOUR SKILLED NURSING FACILITIES, TWO COMMUNITY BASED RESIDENTIAL FACILITIES AND TWO RESIDENTIAL CARE APARTMENT COMPLEX. COMBINED, THESE FACILITIES SERVE 560 ELDERLY RESIDENTS DAILY. 45384471 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 59 0 1 1325 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MARK SPERKA 2627974600 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 JEAN CRUIKSHANK 2.00 X X 0 0 0 DENNIS POLLARD 2.00 X X 0 0 0 RANDY SEVERSON 2.00 X X 0 0 0 KATHY SCOTT 2.00 X 0 0 0 FRED SYRJANEN 2.00 X 0 0 0 EMIL PFENNINGER 2.00 X 0 0 0 ROCK EVENSON 2.00 X 0 0 0 DAVID GOLDBERG 2.00 X 0 0 0 ROBERT J SCHAEFER 40.00 2.00 X 326323 0 38957 MARK V SPERKA 40.00 2.00 X 202474 0 17000 DAVID HAM 40.00 X 147769 0 32552 LAVERNE LARSON 40.00 X 142516 0 22500 MICHAEL ZIMMERMAN 40.00 X 133406 0 22500 KAREEN SCHMIDTKNECHT 40.00 X 127982 0 27357 CYNTHIA BENSON 40.00 X 126631 0 37721 1207101 0 198587 13 0 1 0 PLUNKETT RAYSICH ARCHITECTS LLP 11000 WEST PARK PLACE MILWAUKEE WI 53224 ARCHITECTUAL SERVICES 277531 GW MEDICAL STAFFING LLC PO BOX 577 WEST BEND WI 530950577 MEDICAL STAFFING 181715 WAUKESHA HEALTH SYSTEMS 725 AMERICAN AVENUE WAUKESHA WI 53188 PROCESSING SERVICES 100800 3 NET RESIDENT SERVICE 623000 26966558 26966558 MEDICARE/MEDICAID PAYMENTS 623000 20513952 20513952 OTHER 623990 139871 139871 LAUNDRY 623990 32053 32053 PHARMACY SALES 446110 31120 31120 15730 15730 47699284 341126 341126 8342400 8156111 8245 186289 -8245 178044 178044 48218454 47699284 0 519170 1679372 1595403 83969 24741623 23504542 1237081 171 162 9 4507246 4281884 225362 1902364 1807246 95118 5827 5536 291 63900 63900 33850 33850 245274 245274 85654 81371 4283 2221159 2110101 111058 458841 435899 22942 1885288 1791024 94264 45303 43038 2265 38027 36126 1901 1034501 982776 51725 2025718 1924432 101286 312067 296464 15603 PHARMACUTICALS 2420281 2420281 FOOD 1376500 1376500 PROVIDER BED TAX 940440 940440 LOSS ON EARLY RETIREMEN 574168 574168 944428 931804 12624 47542002 45384471 2157531 0 4388477 6249197 951298 3786266 4659087 4291147 265523 267138 274131 297276 59170821 30008148 23772407 29162673 11023886 9544770 570403 613333 45905212 54211800 3184375 3230158 24261000 31984984 503877 487214 27949252 35702356 X 17955960 18509444 17955960 18509444 45905212 54211800 676452 -122968 0 X 0 1 X 1 0 X 15263 15263 50089960 49520883 50866585 49016918 47684021 247178367 50089960 49520883 50866585 49016918 47699284 247193630 0 0 0 247193630 85711 393239 365204 338320 341126 1523600 19109 9386 5706 34201 104820 402625 370910 338320 341126 1557801 50194780 49923508 51237495 49355238 48040410 248751431 0.99370 0.99320 0.00630 0.00680 X 672969 672969 33288282 15721684 17566598 21119551 14286464 6833087 4090019 4090019 29162673 CASH AND CASH EQUIVALENTS 60991 F MONEY MARKET FUNDS 160102 F CORPORATE BONDS 4097326 F US GOVERNMENT AND AGENCY OBLIGATIONS 3546151 F DOMESTIC COMMON STOCK 1680200 F 9544770 RESIDENT FUNDS 20053 SECURITY DEPOSITS 467161 487214 X 48184604 0 48184604 33850 33850 48218454 46933984 0 46933984 33850 574168 608018 47542002 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE ORGANIZATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON THE TECHNICAL MERITS OF THE POSITION ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2013 OR 2012. FEDERAL TAX RETURNS FOR THE TAX YEARS 2009 AND BEYOND, REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON EARLY RETIREMENT OF DEBT 574,168. X X X X 0 0 0 0 0 1 0 0 0 ROBERT J SCHAEFER 297723 0 28600 0 0 0 22500 0 16457 0 365280 0 0 0 MARK V SPERKA 181099 0 21375 0 0 0 17000 0 0 0 219474 0 0 0 DAVID HAM 130517 0 17252 0 0 0 17000 0 15552 0 180321 0 0 0 LAVERNE LARSON 136245 0 6271 0 0 0 22500 0 0 0 165016 0 0 0 MICHAEL ZIMMERMAN 125314 0 8092 0 0 0 22500 0 0 0 155906 0 0 0 KAREEN SCHMIDTKNECHT 127982 0 0 0 0 0 10900 0 16457 0 155339 0 0 0 CYNTHIA BENSON 118671 0 7960 0 0 0 21264 0 16457 0 164352 0 0 0 PART I, LINE 6 EXECUTIVES PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN. A PORTION OF THE POTENTIAL PAYOUT IS CONTINGENT ON THE NET INCOME OF THE CORPORATION OR DIVISION AS APPROPRIATE. A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710B6R8 2012-11-01 16957446 REFINANCING 0 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2012-11-01 6955000 REFINANCING 0 0 0 C WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2012-11-01 8060000 NEW CONSTRUCTION 0 0 0 A 16957446 1741730 14873239 342478 2004 1 0 1 1 B 6955000 6818029 136971 1 0 1 1 C 8060000 160000 7900000 2013 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 A 1 0 0 0 0 0 B 1 0 0 0 0 0 C 1 0 0 0 0 0 A 0 B 0 C 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 WAS MADE AVAILABLE TO ALL BOARD MEMBERS ELECTRONICALLY FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED ON AN ANNUAL BASIS BY ALL INVOLVED PARTIES. IF A CONFLICT OF INTEREST EXISTS THE INTERESTED PERSON SHALL NOT PARTICIPATE IN ANY DISCUSSION OR VOTE REGARDING THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF LINDENGROVE'S BOARD IS RESPONSIBLE FOR THE CEO'S COMPENSATION. THE EXECUTIVE COMMITTEE COMPLETES AN ANNUAL PERFORMANCE EVALUATION FOR THE CEO AND APPROVES THE CEO'S PAY LEVEL. THE COMMITTEE UTILIZES COMPARABLE DATA IN SETTING THE RATES AND FOLLOWS THE GUIDELINES FOR LINDENGROVE'S BOARD APPROVED COMPENSATION PHILOSOPHY. THE CEO COMPLETES ANNUAL EVALUATIONS OF ALL KEY EMPLOYEES AND SETS THEIR PAY LEVELS BASED ON COMPARATIVE DATA AND LINDENGROVE'S COMPENSATION PHILOSOPHY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. LINDENGROVE FOUNDATION INC 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 391969557 ORGANIZATION SUPPORT WI 501(C)(3) LINE 11A, I LINDENGROVE INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 LINDENGROVE FOUNDATION INC S 55228 FAIR MARKET VALUE