2016-02-15T14:13:54-06:00 2015-06-30 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2014-07-01 390928211 BENEVOLENT CORPORATION CEDAR COMMUNITY BENE 2623062100 5595 HWY Z WEST BEND WI 53095 CHRISTOPHER CHERNEY CFO 2623062100 2016-02-15 1 KRISTINA ODERMANN P01246844 4144319300 2016-02-15 2014 2016-08-17 19:52:53Z STEVEN JABERG 5595 HWY Z WEST BEND WI 53095 49610437 0 X WWW.CEDARCOMMUNITY.ORG X 1953 WI TO OPERATE HOMES FOR THE AGED OR CONVALESCENTS, HOSPITALS, NURSING HOMES, SCHOOLS & REILGIOUS INSTITUTES OR RETREATS. OUR MISSION TO MODEL CHRIST'S LOVE FOR HUMANITY BY REATING LIFE-ENHANCING RELATIONSHIPS, SERVICES AND ENVIRONMENTS. 9 9 997 502 0 0 3797020 2148687 44721611 45251652 663952 178837 1646 0 49184229 47579176 0 0 0 0 30112073 28141381 48722 0 216801 19165717 20625292 49326512 48766673 -142283 -1187497 90700865 89907686 70932465 71175611 19768400 18732075 X CEDAR COMMUNITY IS A FAITH-BASED ORGANIZATION DEDICATED TO CREATING RELATIONSHIPS, SERVICES AND ENVIRONMENTS THAT ENHANCE THE LIVES OF THE INDIVIDUALS SERVED INCLUDING A 219 BED SKILLED NURSING FACILITY PROVIDING LONG TERM AND SUBACUTE CARE WITH 50% OF RESIDENTS FUNDED THROUGH MEDICAID AND 20% THROUGH MEDICARE AND MEDICARE REPLACEMENT INSURANCE, AN 18 BED TRANSITIONAL CARE FACILITY WITH PATIENTS FUNDED PRIMARILY THROUGH MEDICARE AND MEDICARE REPLACEMENT INSURANCE, REHAB THERAPIES, HOME HEALTH AND HOSPICE SERVICES(PRIMARILY MEDICARE), IN-HOME SUPPORTIVE CARE, RETREAT FACILITIES, COMMUNITY EDUCATION, 187 UNITS OF ASSISTED LIVING WITH 30 FUNDED THROUGH TITLE XIX WAIVER, 60 CBRF UNITS SPECIALIZING IN DEMENTIA CARE, 3 COMMUNITIES OF INDEPENDENT LIVING PROVIDING A TOTAL OF 421 UNITS, AND BIBLE CAMP/RECREATIONAL PROGRAMS. A VARIETY OF ANCILLARY SERVICES SUPPORT THESE PROGRAMS INCLUDING GIFT SHOPS, DINING SERVICES, PHARMACY, PROVISION OF HEALTH & PERSONAL SUPPLIES, ACTIVITIES & ENTERTAINMENT. 0 0 25697747 0 25096193 CEDAR COMMUNITY PROVIDES SKILLED NURSING SERVICES AT TWO LOCATIONS FOR RESIDENTS WITH HEALTHCARE NEEDS, INCLUDING DEMENTIA SPECIFIC CARE, SUBACUTE CARE, AND SUPPORTIVE SERVICES SUCH AS PHARMACY, THERAPIES, ACTIVITIES, DINING SERVICES, SOCIAL & RELIGIOUS SERVICES. CEDAR COMMUNITY SERVED 896 INDIVIDUALS DURING THE YEAR. 9210275 0 9294602 CEDAR COMMUNITY PROVIDES ASSISTED LIVING SERVICES IN TWO LOCATIONS, WITH 184 UNITS IN RESIDENTIAL CARE APARTMENT COMPLEX FACILITIES AND 60 UNITS IN COMMUNITY BASED RESIDENTIAL FACILITIES. IT PROVIDES A SECURE ENVIRONMENT, DINING SERVICES, ACTIVITES, NURSING SUPPORT, SOCIAL & RELIGIOUS SERVICES. CEDAR COMMUNITY PROVIDED SERVICES DURING THE YEAR TO 289 INDIVIDUALS. 6236873 0 6664475 CEDAR COMMUNITY PROVIDES SECURE RETIREMENT LIVING FOR SENIORS AT 3 LOCATIONS PROVIDING BOTH APARTMENTS AND INDIVIDUAL HOMES. ANCILLARY SERVICES INCLUDE A VARIETY OF ACTIVITIES, DINING SERVICES, AND ACCESS TO BASIC SUPPLIES THROUGH A GIFT SHOP & STORE. CEDAR COMMUNITY PROVIDED INDEPENDENT LIVING SERVICES TO 617 INDIVIDUALS DURING THE YEAR. 3431374 3791388 CEDAR COMMUNITY PROVIDES HOME BASED SERVICES INCLUDING HOSPICE, HOME HEALTH, AND SUPPORTIVE CARE. 515021 404994 RETREAT SERVICES 3946395 4196382 45091290 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 0 0 0 1 28 0 1 997 1 0 0 0 0 0 1 1 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 WI X CHRISTOPHER CHERNEY 2623062100 5595 HWY Z WEST BEND WI 53095 ROBERT FREMDER BOARD MEMBER 1.00 1.00 X 0 0 0 BILL MYERS JR BOARD MEMBER 1.00 0.00 X 0 0 0 JIM RIEHLE BOARD MEMBER 1.00 0.00 X 0 0 0 HEIDI THOMAS BOARD MEMBER 1.00 1.00 X 0 0 0 DALE PAULS BOARD MEMBER 1.00 1.00 X 0 0 0 JAYNE WICK RES 515 BOARD MEMBER 1.00 0.00 X 0 0 0 ALENIA BROOKS RES 615 BOARD MEMBER 1.00 0.00 X 0 0 0 JOAN ADLER PRESIDENT 1.00 0.00 X X 0 0 0 KATHY VAN EERDEN VICE PRESIDENT 1.00 0.00 X X 0 0 0 JOHN SMITHERS SECRETARY 1.00 1.00 X X 0 0 0 JAMES WESSON TREASURER 1.00 0.00 X X 0 0 0 STEVEN JABERG CEO 40.00 1.00 X 215857 0 1623 CHRISTOPHER CHERNEY CFO 40.00 0.00 X 132243 0 5219 MARK SELLE PHARMACY DIRECTOR 40.00 0.00 X 130897 0 5379 JOANNE BODIEN DIRECTOR OF CLINICAL SERVI 40.00 0.00 X 122785 0 2816 JAMES WILLIAMS DIRECTOR OF OPERATIONS 40.00 0.00 X 104667 0 5303 MELVIN ESSELMAN PHARMACIST 40.00 0.00 X 101640 0 6766 808089 0 27106 11 0 1 0 CG SCHMIDT INC 11777 WEST LAKE PARK DRIVE MILWAUKEE WI 53224 GENERAL CONTRACTOR 6407565 RICHARDS STREET SUPPLY LLC 11777 WEST LAKE PARK DRIVE MILWAUKEE WI 53224 GENERAL CONTRACTOR 3002276 GORDON FOOD SERVICE INC DEPT CH 10490 PALATINE IL 60055 FOOD SERVICE 1251858 BSG MAINTENANCE INC PO BOX 165 NEWBURG WI 53060 HOUSEKEEPING SERVICES 648362 SUPERIOR HEALTH LINENS PO BOX 3016 MILWAUKEE WI 53201 LINEN SUPPLIES 539295 27 2125819 22868 2148687 HEALTH AND REHABILITATION 623000 21150773 21150773 ASSISTED LIVING 623000 9422815 9422815 INDEPENDENT LIVING 623000 5232512 5232512 ANCILLARY SERVICES 623000 5057872 5057872 HOME BASED SERVICES 623000 3283200 3283200 1104480 1104480 45251652 235644 235644 1967257 7197 1986081 45180 -18824 -37983 -56807 -56807 47579176 45251652 0 178837 383355 383355 21571592 20281096 1205974 84522 406015 388714 15681 1620 4254731 3954529 283721 16481 1525688 1411537 108268 5883 106168 98225 7534 409 55909 51725 3968 216 52410 48489 3719 202 71653 39571 3035 29047 3539098 3274307 251145 13646 225792 208899 16023 870 6270489 5801339 444973 24177 1711191 1583162 121431 6598 105483 97591 7485 407 13751 12722 976 53 1482707 1371773 105217 5717 5781613 5349040 410281 22292 528402 488868 37497 2037 BAD DEBT 680626 629703 48299 2624 48766673 45091290 3458582 216801 664861 2718030 9307734 6828832 2817953 2886835 466563 550467 325194 528796 140072585 74892538 66273453 65180047 9032829 9757723 758119 453801 1054159 1003155 90700865 89907686 5569805 4633798 6275751 7148834 30565000 29508028 28521909 29884951 70932465 71175611 X 19768400 18732075 19768400 18732075 90700865 89907686 X -1187497 -151287 302459 X 0 1 X 1 0 X 1082624 1159246 2856175 3797020 2136612 11031677 42357215 43416622 43020605 44721611 45251652 218767705 21402 61253 82655 43439839 44575868 45876780 48540033 47449517 229882037 0 0 0 229882037 381377 430641 489992 308859 235644 1846513 381377 430641 489992 308859 235644 1846513 1362 9920 1576 12858 43822578 45016429 46368348 48848892 47685161 231741408 0.99200 0.99120 0.00800 0.00880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3235505 3235505 76984867 39082665 37902202 29653165 16757919 12895246 29140680 18546842 10593838 1058368 505112 553256 65180047 RESIDENT FUNDS HELD IN TRUST 7914 ENTRANCE FEE DEPOSITS 561162 OBLIGATIONS UNDER INTEREST RATE SWAP ACCOUNTS 3846023 REFUNDABLE ENTRANCE FEES 25469852 29884951 47687578 -151286 259688 108402 47579176 0 47579176 48723902 0 48723902 42771 42771 48766673 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 302,459. INVESTMENT EXPENSES -42,771. X X X 0 0 0 0 0 0 0 0 0 STEVEN JABERG CEO 187131 0 0 0 28726 0 0 0 1623 0 217480 0 0 0 A WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 97710V3U0 2007-06-28 31875000 SEE SCHEDULE K SUPPLEMENT 0 0 0 B WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 391337855 2013-12-24 4000000 CONSTRUCTION ASSISTED CARE FACILITY 0 0 0 A 6220000 31875000 222216 7641936 24010848 2008 1 0 1 1 B 146972 4000000 4000000 2013 0 0 1 1 A 0 0 0 0 0.00200 0.00000 0.00200 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 1 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 FORM 990, SCHEDULE K, PART 1, COLUMN F PURPOSE - REFUND 2002 A&B SERIES; REIMBURSE LEASEHOLD IMPROVEMENTS ON SKILLED NURSING FACILITY; FINANCE CONSTRUCTION OF ASSISTED LIVING AND SENIOR LIVING FACILITIES; PAY CERTAIN COST OF ISSUANCE. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE FINANCE COMMITTEE AND PROVIDED TO ALL BOARD MEMBERS FOR REVIEW AND COMMENT BEFORE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST POLICY STATEMENT UPON BEING SEATED AS A MEMBER OF THE BOARD. ANNUALLY, ALL MEMBERS COMPLETE AND SIGN A QUESTIONNAIRE DESIGNED TO IDENTIFY AREAS OF POTENTIAL CONFLICT OF INTEREST. OFFICERS OF THE BOARD ENSURE THAT BOARD MEMBERS ABSTAIN FROM VOTING ON ANY ISSUE WHERE THERE IS A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ADMINISTRATIVE COUNCIL IS DETERMINED ANNUALLY BY THE BOARD COMPENSATION COMMITTEE. ALL OTHER KEY EMPLOYEES HAVE SALARIES SET BY ADMINISTRATION WITHIN RANGES ESTABLISHED BY HUMAN RESOURCES. BOTH HUMAN RESOURCES AND THE BOARD COMPENSATION COMMITTEE SET RATES AND RANGES WITH CONSIDERATION TO COMPARABLE POSITIONS WITHIN THE AREA AND THE INDUSTRY. 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. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP 302,459. CEDAR COMMUNITY FOUNDATION INC 5595 COUNTY ROAD Z WEST BEND WI 53095 391249432 TO SUPPORT BENEVOLENT CORPORATION CEDAR COMMUNITY WI 501(C)(3) LINE 11A, I BENEVOLENT CORPORATION CEDAR COMMUNITY 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0