2013-05-09T16:51:25-05:00 2012-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2011-07-01 391574684 LINDENGROVE INC LIND 2627974600 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 MARK V SPERKA 2627974600 2013-05-09 1 JAY ADKISSON CPA P01360892 4144319300 2013-04-26 2011 2016-02-25 16:41:14Z MARK V SPERKA 13700 W NATIONAL AVE NEW BERLIN WI 53151 55455759 0 X WWW.LINDENGROVE.ORG X 1986 WI HEALTHCARE 8 8 1382 160 0 0 0 0 50911309 49016918 578147 370214 0 0 51489456 49387132 0 0 0 0 34779106 33506511 0 0 0 15188430 14455830 49967536 47962341 1521920 1424791 46002441 45905212 29696131 27949252 16306310 17955960 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 45773815 49016918 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. 45773815 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 65 0 1 1382 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 EMIL PFENNINGER 2.00 X 0 0 0 FRED SYRJANEN 2.00 X 0 0 0 DAVID GOLDBERG 2.00 X 0 0 0 ROCK EVENSON 2.00 X 0 0 0 ROBERT J SCHAEFER 40.00 X 317299 0 16896 MARK V SPERKA 40.00 X 191646 0 1408 LAVERNE LARSON 40.00 X 141326 0 1787 DAVID HAM 40.00 X 140053 0 16322 MICHAEL ZIMMERMAN 40.00 X 135122 0 1462 KAREEN SCHMIDTKNECHT 40.00 X 126490 0 15636 CYNTHIA BENSON 40.00 X 135516 0 15262 1187452 0 68773 7 0 1 0 GW MEDICAL STAFFING LLC PO BOX 577 WEST BEND WI 530950577 MEDICAL STAFFING 174014 PLUNKETT RAYSICH ARCHITECTS LLP 11000 WEST PARK PLACE MILWAUKEE WI 53224 ARCHITECTUAL SERVICES 143920 NOVA MEDICAL PARTNERS INC 5300 S 108TH STREET SUITE 1 HALES CORNERS WI 53130 OFFICE SPACE PROVIDER 137928 WAUKESHA HEALTH SYSTEMS 725 AMERICAN AVENUE WAUKESHA WI 53188 PROCESSING SERVICES 104131 4 NET RESIDENT SERVICE 623000 26869901 26869901 MEDICARE/MEDICAID PAYM 623000 21932026 21932026 OTHER 623990 143270 143270 LAUNDRY 623990 27855 27855 PHARMACY SALES 446110 25643 25643 0 18223 18223 49016918 338320 338320 6100521 6066614 2013 33907 -2013 31894 31894 49387132 49016918 0 370214 527249 500887 26362 26223079 24911925 1311154 110494 104969 5525 4707168 4471810 235358 1938521 1841595 96926 12265 11652 613 59600 59600 31864 31864 131979 131979 76966 73118 3848 2199372 2089403 109969 440750 418712 22038 1796881 1707037 89844 43580 41401 2179 23795 22605 1190 1221808 1160718 61090 1973431 1874759 98672 310308 294793 15515 PHARMACUTICALS 2698530 2698530 FOOD 1400200 1400200 PROVIDER BED TAX 940440 940440 OTHER EXPENSE 335573 318794 16779 758488 758488 47962341 45773815 2188526 0 4157529 4388477 909207 951298 5383186 4659087 254975 265523 691754 274131 51936377 28163970 23363333 23772407 10622731 11023886 619726 570403 46002441 45905212 3938579 3184375 25261000 24261000 496552 503877 29696131 27949252 X 16306310 17955960 16306310 17955960 46002441 45905212 X 1424791 224859 X 0 1 1 X 0 X 50048900 50089960 49520883 50866585 49016918 249543246 50048900 50089960 49520883 50866585 49016918 249543246 0 0 0 249543246 475612 85711 393239 365204 338320 1658086 7454 19109 9386 5706 41655 483066 104820 402625 370910 338320 1699741 50531966 50194780 49923508 51237495 49355238 251242987 0.99320 0.99230 0.00680 0.00710 X 672969 672969 29710191 13878796 15831395 19874142 13361856 6512286 1679075 923318 755757 23772407 CASH AND CASH EQUIVALENTS 63709 F MONEY MARKET FUNDS 950653 F CORPORATE BONDS 4500746 F US GOVERNMENT AND AGENCY OBLIGATIONS 4130720 F DOMESTIC COMMON STOCK 1378058 F 11023886 RESIDENT FUNDS 17107 SECURITY DEPOSITS 486770 503877 49387132 47962341 1424791 140320 84539 224859 1649650 49909892 140320 414304 554624 49355268 31864 31864 49387132 48102853 172376 172376 47930477 31864 31864 47962341 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2012 OR 2011. FEDERAL TAX RETURNS FOR THE TAX YEARS 2009 AND BEYOND, REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 55,408. TRANSFER TO AFFILIATES 29,131. TOTAL TO SCHEDULE D, PART XI, LINE 8: 84,539. PART XII, LINE 2D - OTHER ADJUSTMENTS: REVENUE FROM RELATED ORGANIZATIONS 329,765. TRANSFERS TO AFFILIATES 29,131. NET ASSETS RELEASED FROM RESTRICTIONS 55,408. PART XIII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES FROM RELATED ORGANIZATIONS 172,376. X X X 0 0 0 0 0 1 0 0 0 ROBERT J SCHAEFER 317299 0 0 0 0 0 2294 0 14602 0 334195 0 0 0 MARK V SPERKA 191646 0 0 0 0 0 1408 0 0 0 193054 0 0 0 DAVID HAM 140053 0 0 0 0 0 1052 0 15270 0 156375 0 0 0 CYNTHIA BENSON 135516 0 0 0 0 0 972 0 14290 0 150778 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. WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710VRY6 2003-12-01 7500000 USED TO REFUND THE AUTHORITIES 1995 SERIES BONDS 0 0 0 WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710VRJ9 2003-12-01 15320000 CONSTRUCTION, IMPROVEMENTS, AND EQUIPING OF EXISTING SENIOR LIVING FACILITY 0 0 0 7500000 174104 7325896 2004 1 0 1 1 15320000 306112 12995192 2004 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 0 0 0 0 0 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 140,320. NET ASSETS RELEASED FROM RESTRICTION 55,408. TRANSFER TO AFFILIATES 29,131. TOTAL TO FORM 990, PART XI, LINE 5: 224,859. 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 1 1 0 1 0 1 LINDENGROVE FOUNDATION INC R 41801 FAIR MARKET VALUE