2012-05-15T15:01:26-05:00 2011-06-30 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2010-07-01 391574684 LINDENGROVE INC LIND 2627974600 13700 W NATIONAL AVENUE NEW BERLIN WI 53151 MARK V SPERKA 2627974600 2012-05-15 1 JAY ADKISSON 4144319300 2012-05-15 2010 2016-02-24 21:20:13Z MARK V SPERKA 13700 W NATIONAL AVE NEW BERLIN WI 53151 68297264 0 X WWW.LINDENGROVE.ORG X 1986 WI HEALTHCARE 9 9 1357 160 44724 5706 0 0 50177281 50911309 47708 578147 0 0 50224989 51489456 0 0 0 0 34283581 34779106 0 0 85766 14693741 15188430 48977322 49967536 1247667 1521920 44982372 46002441 30395354 29696131 14587018 16306310 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 47621017 50866585 LINDENGROVE OWNS AND OPERATES FOUR SKILLED NURSING FACILITIES, THREE COMMUNITY BASED RESIDENTIAL FACILITIES AND ONE RESIDENTIAL CARE APARTMENT COMPLEX. COMBINED, THESE FACILITIES SERVE 572 ELDERLY RESIDENTS DAILY. 47621017 1 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 60 0 1 1357 1 1 1 0 0 0 0 0 0 0 0 0 X 9 9 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 JOHN ZORBINI 2.00 X X 0 0 0 RANDY SEVERSON 2.00 X X 0 0 0 DENNIS POLLARD 2.00 X 0 0 0 JIM LYONS 2.00 X 0 0 0 EMIL PFENNINGER 2.00 X 0 0 0 LAURA VOLZ 2.00 X 0 0 0 DAVID GOLDBERG 2.00 X 0 0 0 SUSAN A EDWARDS 2.00 X 0 0 0 ROBERT J SCHAEFER 40.00 X 310682 0 37928 MARK V SPERKA 40.00 X 185355 0 4978 DAVID HAM 40.00 X 141816 0 31970 MICHAEL ZIMMERMAN 40.00 X 124423 0 4430 KAREEN SCHMIDTKNECHT 40.00 X 122297 0 31097 CYNTHIA BENSON 40.00 X 122548 0 14673 VERN LARSON 40.00 X 140677 0 5456 1147798 0 130532 7 0 1 0 NATIONAL REGENCY MEDICAL OFFICE BUILDING 5300 S 108TH ST SUITE 1 HALES CORNERS WI 53130 OFFICE SPACE PROVIDER 150911 GW MEDICAL STAFFING LLC PO BOX 577 WEST BEND WI 530950577 MEDICAL STAFFING 121519 WAUKESHA HEALTH SYSTEMS 725 AMERICAN AVENUE WAUKESHA WI 53188 PROCESSING SERVICES 106800 30 NET RESIDENT SERVICE 623000 27626808 27626808 MEDICARE/MEDICAID PAYM 623000 22982406 22982406 OTHER 623990 174665 174665 PHARMACY SALES 446110 74677 29953 44724 LAUNDRY 623990 30240 30240 22513 22513 50911309 365204 365204 17020751 16807760 48 212991 -48 212943 212943 51489456 50866585 44724 578147 27631657 26185341 1378176 68140 403895 382754 20145 996 4784105 4533692 238615 11798 1959449 1856886 97731 4832 20855 19812 1043 48701 48701 39167 39167 135430 135430 57256 54393 2863 2432640 2311008 121632 341541 324464 17077 1918338 1822421 95917 44575 42346 2229 42919 40773 2146 1269158 1205700 63458 1979925 1880929 98996 294660 279927 14733 PHARMACUTICALS 3256012 3256012 FOOD 1346539 1346539 PROVIDER BED TAX 940440 940440 PURCHASED STAFF 199109 199109 PROVISION FOR BAD DEBTS 166800 166800 654365 636241 18124 49967536 47621017 2260753 85766 4341669 4157529 1081275 909207 4677304 5383186 263626 254975 370496 691754 49663500 26300167 23643372 23363333 0 9943234 10622731 661396 619726 44982372 46002441 3676143 3938579 26220000 25261000 499211 496552 30395354 29696131 X 14587018 16306310 14587018 16306310 44982372 46002441 X 1521920 197372 X 0 1 1 X 0 X 46413721 50048900 50089960 49520883 50866585 246940049 46413721 50048900 50089960 49520883 50866585 246940049 0 0 0 246940049 391797 475612 85711 393239 365204 1711563 4596 7454 19109 9386 5706 46251 396393 483066 104820 402625 370910 1757814 170386 170386 46980500 50531966 50194780 49923508 51237495 248868249 0.99230 0.98740 0.00710 0.00970 X 672969 672969 29131488 13099799 16031689 18636215 872270 17763945 1222828 12328098 -11105270 23363333 CASH AND CASH EQUIVALENTS 222440 F MONEY MARKET FUNDS 842283 F CORPORATE BONDS 5210179 F US GOVERNMENT AND AGENCY OBLIGATIONS 3045321 F DOMESTIC COMMON STOCKS 1302508 F 10622731 RESIDENT FUNDS 23059 SECURITY DEPOSITS 473493 496552 51489456 49967536 1521920 166006 31366 197372 1719292 51450289 0 51450289 39167 39167 51489456 49928369 0 49928369 39167 39167 49967536 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 2011 OR 2010. FEDERAL TAX RETURNS FOR THE TAX YEARS 2008 AND BEYOND, REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION 31,366. X X X 0 1 0 0 0 1 0 0 0 ROBERT J SCHAEFER 310682 0 0 0 0 0 0 0 37928 0 348610 0 0 0 MARK V SPERKA 185355 0 0 0 0 0 0 0 4978 0 190333 0 0 0 DAVID HAM 141816 0 0 0 0 0 0 0 31970 0 173786 0 0 0 KAREEN SCHMIDTKNECHT 122297 0 0 0 0 0 0 0 31097 0 153394 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 15320000 2004 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 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. 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: 166,006. NET ASSETS RELEASED FROM RESTRICTION 31,366. TOTAL TO FORM 990, PART XI, LINE 5: 197,372. PROHEALTH CARE INC N17 W24100 RIVERWOOD DRIVE WAUKESHA WI 53188 391486873 HEALTHCARE WI 501(C)(3) LINE 11A, I N/A 0 COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS N180 W8085 TOWN HALL ROAD MENOMONEE FALLS WI 53051 390987025 HEALTHCARE WI 501(C)(3) LINE 3 N/A 0 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 1 0 0 0 0 1 0 0 0 LINDENGROVE FOUNDATION INC C 31465 FAIR MARKET VALUE