2011-08-15T12:02:52-05:00 2010-09-30 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2009-10-01 390830668 Eastcastle Place EAST 4149636151 2505 E Bradford Ave Milwaukee WI 53211 Barbara Tice 4149636151 2011-08-15 1 JAY ADKISSON 4144319300 2011-08-12 2009 2016-02-24 21:20:13Z Barbara Tice 2505 E Bradford Ave Milwaukee WI 53211 9625132 0 X www.eastcastleplace.com X 1885 WI Retirement Community 17 17 175 23 0 0 54483 48798 8538589 8772746 371403 230479 643371 573109 9607846 9625132 0 0 4686236 4739496 0 0 8502735 8097681 13188971 12837177 -3581125 -3212045 63156258 56939721 46003058 42821671 17153200 14118050 RETIREMENT COMMUNITY 0 0 2629112 2307587 PROVIDE ASSISTED LIVING AND MEMORY SUPPORT SERVICES TO RESIDENTS AT ALEVEL CARE NOT REQUIRING SKILLED CARE. 3473892 3040990 Convalescent Center Services: Provide care and services to residents in need of skilled nursing care. 3229624 3424169 Provide home resident services including limited care for residents at an independent level. 9332628 1 0 0 0 0 0 0 0 0 1 1 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 0 0 1 59 0 1 175 1 0 0 0 0 0 1 1 0 0 0 17 17 0 0 0 0 1 0 1 1 1 0 0 0 1 1 1 1 0 1 0 0 WI X Barbara Tice 4149638416 2505 E Bradford Ave Milwaukee WI 53211 Kenneth Donner 1.00 X X 0 0 0 Sharon Hipke 1.00 X X 0 0 0 Christine Krause 1.00 X X 0 0 0 Carmen Witt 1.00 X X 0 0 0 Melissa Block 1.00 X 0 0 0 Mary Dengel 1.00 X 0 0 0 James Flanagan 1.00 X 0 0 0 Marilyn Haker 1.00 X 0 0 0 Sue Hitler 1.00 X 0 0 0 Ann Janikowsky 1.00 X 0 0 0 Douglas Lane 1.00 X 0 0 0 Gladys Martin 1.00 X 0 0 0 Robert Monnat 1.00 X 0 0 0 James Nelsen 1.00 X 0 0 0 Glenda Pipkorn 1.00 X 0 0 0 Daniel Switzer 1.00 X 0 0 0 Ellie Tucker 1.00 X 0 0 0 Matteo Furno 40.00 X 0 239198 39036 Barbara Tice 40.00 X 0 126102 12940 Marjorie Gozdowiak 40.00 X 86904 0 24795 86904 365300 76771 0 0 1 0 Columbia Hospital 4425 N Port Washington Road Glendale WI 53212 Therapy 384217 1 48798 48798 Daily Resident Care 623000 8772746 8772746 8772746 209889 209889 20590 20590 20590 20590 Miscellaneous 623000 512356 512356 Trust Income 623000 60753 60753 573109 9625132 8772746 0 803588 111699 111699 3769131 3769131 580035 580035 278631 278631 559637 559637 54050 54050 58066 58066 106489 106489 1175946 1175946 872695 861832 10863 15550 15550 2256363 2256363 1593032 1593032 162992 162992 Purchased services 460551 202509 258042 Purchased health servic 417434 417434 Other expense 171542 75429 96113 Service fee to Newcastl 161464 161464 Family member care 31870 31870 12837177 9332628 3504549 0 711325 348403 10434 8023 1022367 906277 105291 82461 58453911 20511699 39434327 37942212 2117127 2837868 1230503 1286422 18524884 13528055 63156258 56939721 2222845 1306743 25776377 25405494 18003836 16109434 46003058 42821671 X 13944468 10717681 491477 494900 2717255 2905469 17153200 14118050 63156258 56939721 X 0 1 1 X 0 X 281876 60729 294475 54483 48798 740361 3939389 5702724 6897850 8538589 8772746 33851298 4221265 5763453 7192325 8593072 8821544 34591659 0 0 0 34591659 530579 468106 524671 357307 209889 2090552 530579 468106 524671 357307 209889 2090552 489420 757831 677599 643371 573109 3141330 5241264 6989390 8394595 9593750 9604542 39823541 0.86860 0.85750 0.05250 0.05840 X 1 111677 111677 58342234 20511699 37830535 37942212 Finance Costs 1266286 Interest in Russel Allen Trust 2738146 Other Receivables 103253 Development Costs 3203568 Funds in Trust 2969850 Land held for sale 3246952 13528055 Resident funds and funds held 210696 Deferred revenue - Nonrefundable 1099074 Due to Affiliates 447624 Deferred revenue - Refundable 14352040 16109434 9625132 12837177 -3212045 -14742 191637 176895 -3035150 9610390 -14742 -14742 9625132 0 9625132 12837177 0 12837177 0 12837177 Part XI, Line 8 - Other Adjustments: Investment income released from temporarily restricted: 3423. Change in Russell Allen Trust: 188214. X X X X 0 0 0 0 0 0 0 0 0 Matteo Furno 0 227446 0 11752 0 0 0 9568 0 29468 0 278234 0 0 WHEFA 97670PAD1 2004-12-01 2650000 See Schedule O 0 0 WHEFA 97670PAE9 2004-12-01 2950000 See Schedule O 0 0 WHEFA 97670PAF6 2004-12-01 3920000 See Schedule O 0 0 WHEFA 97670PAG4 2004-12-01 10470000 See Schedule O 0 0 WHEFA 97670PAH2 2004-12-01 3625000 See Schedule O 0 0 2650000 0 0 1 1 2950000 0 0 1 1 3920000 0 0 1 1 10470000 0 0 1 1 3625000 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 WHEFA 97670PAJ8 2004-12-01 2375000 See Schedule O 0 0 2375000 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 Form 990, Part VI, Section A, line 6 The corporation has a single member, Milwaukee Protestant Home, Inc. Form 990, Part VI, Section A, line 7b The Board of directors must receive approval from the Member (Milwaukee Protestant Home) prior to taking the following actions: approval of the annual operating and capital budgets; amendments to the Articles of Incorporation or By-laws of the Corporation; sell, purchase, convey or otherwise dispose of any real estate held by the Corporation; Change the mission, purpose or scope of the Corporation and its operations, or the location, size or scope of its services, programs, or operations; incurrence of debt for money borrowed or guaranteeing of debt of another, either of which is beyond or outside of the approved annual operating and/or capital budgets and beyond delegated amounts; entry into any contract or commitment beyond or outside of the approved annual operating and/or capital budgets and beyond delegated amounts; selection of Corporate Officers other than the Vice President of Finance/CFO; adoption or material modification of any employee benefit plans; fundraising campaigns; and administration and investment of endowment funds or restricted gifts. Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by the Chief Financial Officer prior to filing. Form 990, Part VI, Section B, line 12c Annually the members of the board of directors review the conflict of interest policy and sign a document declaring any related parties they may have. They also sign the document attesting to the fact that they have no conflict of interests (other than if they noted a related party). If any member has a conflict of interest in any meeting regarding a vote the board member removes themselves from the vote. Form 990, Part VI, Section B, line 15a The Board periodically engages an outside consultant to assist in determining the compensation for the President/CEO Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Schedule K, Part I, Description of Purpose: Finance construction and equipment for expansion of facility; working capital Milwaukee Protestant Home Inc 2505 E Bradford Ave Milwaukee WI 53211 392023357 Investment Holding Company WI 501(c)3 Line 11(a) N/A Newcastle Place Inc 2505 E Bradford Ave Milwaukee WI 53211 392022529 Retirement Community WI 501(c)3 Line 9 Milwaukee Protestant Home Inc 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 1 1 0