2012-05-15T16:59:39-05:00 2011-06-30 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2010-07-01 481269083 MEQUON JEWISH CAMPUS INC MEQU 4142778815 1414 N PROSPECT AVENUE MILWAUKEE WI 532023018 GAIL BOEREMA 4142778815 2012-05-15 1 JAY ADKISSON 4144319300 2012-05-15 2010 2016-02-24 21:20:13Z SARAH CHUDNOW CAMPUS GAIL BOEREMA 1414 N PROSPECT AVENUE MILWAUKEE WI 532023018 5759981 0 1 X JEWISHSENIORLIVING.ORG X 2001 WI HOUSING FOR THE ELDERLY 16 15 160 106 0 0 0 16872 5159968 5742287 190 822 0 0 5160158 5759981 0 0 0 0 2531773 2612816 0 0 0 3909351 4053759 6441124 6666575 -1280966 -906594 23742159 24002535 26504363 27159329 -2762204 -3156794 PROVIDE NURSING CARE, REHABILITATION SERVICES, SOCIAL AND RELIGIOUS ACTIVITIES, AND HOUSING FOR THE ELDERLY. 0 0 5685221 5742287 PROVIDE HOUSING AND SKILLED NURSING CARE FOR THE ELDERLY WHO REQURIE ASSISTANCE IN THEIR DAILY LIVING IN A NON-INSTITUTIONAL SETTING. THE COMPLEX ALSO CONTAINS INDEPENDENT UNITS FOR RESIDNETS TO BE IN A QUALITY JEWISH ENVIRONMENT. 5685221 1 1 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 160 1 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 1 1 0 0 WI X GAIL BOEREMA 4142778815 1414 N PROSPECT AVENUE MILWAUKEE WI 532023018 LARRY APPEL 1.00 X 0 0 0 TODD BACHMAN 1.00 X 0 0 0 LYNNE BOMZER 1.00 X 0 0 0 DAN CHUDNOW 1.00 X X 0 0 0 DAVID CORAN 1.00 X 0 149999 1149 NITA CORRE 1.00 X 0 0 0 JAMES DESHUR 1.00 X 0 0 0 SUZY ETTINGER 1.00 X 0 0 0 MIKE JOSEPH 1.00 X X 0 0 0 BILL KOMISAR 1.00 X 0 0 0 JUDY MARGOLIS 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 MARCI TAXMAN 1.00 X 0 0 0 FRED WEIN 1.00 X 0 0 0 0 149999 1149 0 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY 418095 1 16872 16872 SENIOR HOUSING 623000 5712825 5712825 29462 29462 5742287 822 822 5759981 5742287 0 822 2175944 1935898 240046 14478 12881 1597 233153 207432 25721 189241 168364 20877 224172 224172 1238 1238 12150 12150 93791 93791 15677 15677 24430 24430 470911 347222 123689 2880 341 2539 2814 871 1943 1007593 1007593 762838 762838 92364 92364 CONTRACT SERVICES 649370 606258 43112 SUPPLIES 597663 597663 WI PROVIDER TAX 51000 51000 PROVISION FOR BAD DEBTS 37789 37789 DUES, LICENSES, AND MEM 1580 1580 5499 71 5428 6666575 5685221 981354 0 386043 717200 1829 0 399755 519413 70660 103256 25905981 4891705 21703188 21014276 1180684 1648390 23742159 24002535 493684 493402 18880000 18565000 4569478 5430111 2561201 2670816 26504363 27159329 X -3761468 -4359346 999264 1202552 -2762204 -3156794 23742159 24002535 X -906594 512004 X 0 1 1 X 0 X 52432 79850 3000 16872 152154 5281860 5459552 5515068 5159968 5742287 27158735 5334292 5539402 5518068 5159968 5759159 27310889 0 453310 836346 1289656 453310 836346 1289656 26021233 3655 24321 1914 190 822 30902 3655 24321 1914 190 822 30902 5337947 5563723 5519982 5160158 5759981 27341791 0.95170 0.98120 0.00110 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 714479 714479 23410096 3771664 19638432 1781406 1120041 661365 21014276 INTEREST IN JHCC FOUNDATION 1202552 PREPAID FINANCING FEES 163223 DUE FROM AFFILIATES 282615 1648390 SECURITY DEPOSITS 242099 DUE TO AFFILIATES 385290 LIABILITY UNDER INTEREST RATE SWAP AGREEMENT 2035647 DEFERRED COMPENSATION 7780 2670816 5759981 6666575 -906594 512004 512004 -394590 5759981 0 5759981 0 5759981 6666575 0 6666575 0 6666575 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CAMPUS 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 CAMPUS RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS IN 2011 OR 2010. FEDERAL TAX RETURNS FOR YEARS 2007 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 205,117. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 306,887. 0 0 0 0 0 0 0 0 0 DAVID CORAN 0 149999 0 0 0 0 0 0 0 1149 0 151148 0 0 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 20000000 240033 19759967 0 0 1 1 0 0 0 0 0 1 0 1 1 JP MORGAN CHASE 20.000000000000 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CFO PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15A HUMAN RESOURCES PERFORMS MARKET STUDIES ALONG WITH ANNUAL MERIT INCREASES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON SPECIFIC REQUEST BY INTERESTED MEMBERS OF THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN INTEREST IN JEWISH HOME AND CARE CENTER FOUNDATION 205,117. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 306,887. TOTAL TO FORM 990, PART XI, LINE 5: 512,004. JEWISH HOME AND CARE CENTER FOUNDATION INC 1414 N PROSPECT AVE MILWAUKEE WI 53202 391555857 PROVIDE FUNDING WI 501(C)(3) LINE 7 N/A 0 JEWISH HOME AND CARE CENTER INC 1414 N PROSPECT AVE MILWAUKEE WI 53202 390813421 HEALTH CARE WI 501(C)(3) LINE 9 N/A 0 PROSPECT CONGREGATE HOUSING 1414 N PROSPECT AVE MILWAUKEE WI 53202 391631640 SENIOR HOUSING WI 501(C)(3) LINE 9 N/A 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 0