2013-03-15T17:09:23-05:00 2012-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2011-07-01 481269083 MEQUON JEWISH CAMPUS INC MEQU 2624781500 1414 N PROSPECT AVENUE MILWAUKEE WI 532023018 GAIL BOEREMA 4142778815 2013-03-18 1 JAY ADKISSON CPA P01360892 4144319300 2013-03-15 2011 2016-02-25 16:41:14Z SARAH CHUDNOW CAMPUS GAIL BOEREMA 1414 N PROSPECT AVENUE MILWAUKEE WI 532023018 5462796 0 X JEWISHSENIORLIVING.ORG X 2001 WI HOUSING FOR THE ELDERLY 15 15 195 38 0 0 16872 2276 5742287 5454336 822 337 0 5847 5759981 5462796 0 0 0 0 2612816 2809453 0 0 0 4053759 4276532 6666575 7085985 -906594 -1623189 24002535 23308216 27159329 28909707 -3156794 -5601491 PROVIDE NURSING CARE, REHABILITATION SERVICES, SOCIAL AND RELIGIOUS ACTIVITIES, AND HOUSING FOR THE ELDERLY. 0 0 5946511 5419934 PROVIDE HOUSING AND SKILLED NURSING CARE FOR THE ELDERLY WHO REQUIRE ASSISTANCE IN THEIR DAILY LIVING IN A NON-INSTITUTIONAL SETTING. THE COMPLEX ALSO CONTAINS INDEPENDENT UNITS FOR RESIDENTS TO BE IN A QUALITY JEWISH ENVIRONMENT. 100 UNITS WERE AVAILABLE AND 70 PEOPLE WERE SERVED. 5946511 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 6 0 1 195 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 1 0 0 0 WI X GAIL BOEREMA 4142778815 1414 N PROSPECT AVENUE MILWAUKEE WI 532023018 X JUDY MARGOLIS 1.00 X 0 0 0 LARRY APPEL 1.00 X 0 0 0 LYNNE BOMZER 1.00 X 0 0 0 TODD BACHMAN 1.00 X 0 0 0 DAVID CORAN 1.00 X 0 0 0 JAMES DESHUR 1.00 X 0 0 0 SUZY ETTINGER 1.00 X 0 0 0 BILL KOMISAR 1.00 X 0 0 0 HOWARD MYERS 1.00 X 0 0 0 MICHAEL RUSSEK 1.00 X 0 0 0 FREDRICK SAFER 1.00 X 0 0 0 DAVID SMULYAN 1.00 X 0 0 0 FRED WEIN 1.00 X 0 0 0 DAN CHUDNOW 1.00 X X 0 0 0 MIKE JOSEPH 1.00 X X 0 0 0 MIKE SATTELL 50.00 X 0 0 0 GAIL BOEREMA 50.00 X 0 0 0 0 0 0 0 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY 368846 JEWISH HOME AND CARE CENTER INC 1414 N PROSPECT AVENUE MILWAUKEE WI 532023018 MANAGEMENT SERVICES 281184 2 2276 2276 SENIOR HOUSING 623000 5419934 5419934 RESIDENT SERVICES 623000 17533 17533 OTHER REVENUE 623000 16869 16869 5454336 337 337 5847 0 5847 5847 5847 5462796 5419934 0 40586 2355957 2114693 241264 14332 14332 217132 217132 222032 222032 278040 278040 18529 18529 10551 10551 706243 670423 35820 62913 62913 761395 741207 20188 31040 31040 470074 351056 119018 9946 4022 5924 5445 2568 2877 901640 901640 797453 779402 18051 70444 70444 PROVISION FOR BAD DEBTS 103460 103460 WI PROVIDER TAX 46750 46750 OTHER EXPENSES 2609 2609 7085985 5946511 1139474 0 717200 514408 519413 493873 103256 60103 26075704 5654307 21014276 20421397 1648390 1818435 24002535 23308216 501182 620981 18565000 18235000 5430111 0 2663036 10053726 27159329 28909707 X -4359346 -6841412 1202552 1239921 -3156794 -5601491 24002535 23308216 X -1623189 -821508 X X 0 1 1 X 0 X 79850 3000 16872 2276 101998 5459552 5515068 5159968 5742287 5454336 27331211 5539402 5518068 5159968 5759159 5456612 27433209 0 453310 836346 355395 1645051 453310 836346 355395 1645051 25788158 24321 1914 190 822 6184 33431 24321 1914 190 822 6184 33431 5563723 5519982 5160158 5759981 5462796 27466640 0.93890 0.99890 0.00120 0.00110 X 714479 714479 23410096 4361356 19048740 1911030 1292951 618079 40099 40099 20421397 INTEREST IN JHCC FOUNDATION 1239921 PREPAID FINANCING FEES 136821 DUE FROM AFFILIATES 441693 1818435 SECURITY DEPOSITS 255814 DUE TO AFFILIATES 6903388 LIABILITY UNDER INTEREST RATE SWAP AGREEMENT 2894524 10053726 5462796 7085985 -1623189 -858877 37369 -821508 -2444697 4641288 -821508 -821508 5462796 0 5462796 7085985 0 7085985 0 7085985 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE COMMUNITY DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF 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 COMMUNITY RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS IN 2012 OR 2011. FEDERAL TAX RETURNS FOR TAX YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN JEWISH HOME AND CARE CENTER FOUNDATION 37,369. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST SWAP AGREEMENT -858,877. CHANGE IN INTEREST IN NET ASSETS OF JEWISH HOME & CARE CENTER FOUNDATION,INC 37,369. WHEFA ADJUSTABLE RATE PUT OPTION REVENUE BONDS SERIES 2003 390813421 97710VKD9 2003-07-24 20000000 NEW BUILDING AND EQUIPMENT (MEQUON JEWISH CAMPUS, INC PROJECT) 0 0 0 1765000 20000000 190000 19810000 2005 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 JP MORGAN CHASE 20.000000000000 1 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CFO PRIOR TO FILING. HUMAN RESOURCES OF JEWISH HOME AND CARE CENTER PERFORMS MARKET STUDIES ALONG WITH ANNUAL MERIT INCREASES. THEIR BOARD HAS FINAL APPROVAL OVER COMPENSATION ADJUSTMENTS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON SPECIFIC REQUEST BY INTERESTED MEMBERS OF THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -858,877. CHANGE IN INTEREST IN JEWISH HOME AND CARE CENTER FOUNDATION 37,369. TOTAL TO FORM 990, PART XI, LINE 5: -821,508. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. JEWISH HOME AND CARE CENTER FOUNDATION INC 1414 N PROSPECT AVE MILWAUKEE WI 53202 391555857 PROVIDE FUNDING WI 501(C)(3) LINE 11B, II N/A 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0