2012-05-15T16:59:39-05:00 2011-06-30 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2010-07-01 390813421 JEWISH HOME AND CARE CENTER INC JEWI 4142778815 1414 NORTH PROSPECT AVENUE MILWAUKEE WI 532023018 GAIL BOEREMA 4142778815 2012-05-15 1 JAY ADKISSON 4144319300 2012-05-09 2010 2016-02-24 21:20:13Z GAIL BOEREMA 1414 NORTH PROSPECT AVENUE MILWAUKEE WI 532023018 15067363 0 X JEWISHSENIORLIVING.ORG X 1906 WI HEALTH CARE PROVIDER 28 28 394 106 0 0 783107 1233120 13985735 13831647 8783 2596 0 0 14777625 15067363 0 0 0 0 9402896 9592856 0 0 0 5945046 6185875 15347942 15778731 -570317 -711368 33056974 32645171 20123147 19086474 12933827 13558697 TO PROVIDE NURSING, SOCIAL, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND RELIGIOUS ACTIVITIES FOR RESIDENTS. 0 0 12920702 13831647 THE JEWISH HOME AND CARE CENTER PROVIDES NURSING, SOCIAL, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND RELIGIOUS ACTIVITIES FOR 160 RESIDENTS. 12920702 1 1 0 0 0 0 0 0 0 1 1 0 0 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 0 394 1 0 0 0 0 0 0 0 0 0 0 X 28 28 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 1 1 0 0 WI X GAIL BOEREMA 4142778838 1414 NORTH PROSPECT AVENUE MILWAUKEE WI 53202 DAN CHUDNOW 1.00 X X 0 0 0 JOSHUA GIMBEL 1.00 X X 0 0 0 WILLIAM MAYER 1.00 X X 0 0 0 ARLEEN PELTZ 1.00 X X 0 0 0 LARRY APPEL 1.00 X 0 0 0 JACK BECK 1.00 X 0 0 0 JUDY CORAN 1.00 X 0 0 0 MARK GARBER 1.00 X 0 0 0 PEGGY GLASER 1.00 X 0 0 0 MARK GOLDSTEIN 1.00 X 0 0 0 EILEEN GRAVES 1.00 X 0 0 0 RACHELLE HART 1.00 X 0 0 0 PHIL HIMMELFARB 1.00 X 0 0 0 ROBIN IRWIN 1.00 X 0 0 0 MIKE JOSEPH 1.00 X 0 0 0 KAREN KATZ-PECK 1.00 X 0 0 0 CINDY KATZOFF 1.00 X 0 0 0 BILL KOMISAR 1.00 X 0 0 0 TOBA KRAMER 1.00 X 0 0 0 DANIEL LEE 1.00 X 0 0 0 JEANETTE PECKERMAN 1.00 X 0 0 0 RICK RAKITA 1.00 X 0 0 0 DAVID SMULYAN 1.00 X 0 0 0 LEO SOROKA 1.00 X 0 0 0 DEBBIE SLATER 1.00 X 0 0 0 KENNETH STEIN 1.00 X 0 0 0 DAVID WERNER 1.00 X 0 0 0 GAIL BOEREMA 50.00 X 132553 0 1149 MINA TEPPER 50.00 X 218538 0 1149 NITA CORRE 50.00 X 149999 0 1149 ELAINE DYER 50.00 X 111243 0 1082 612333 0 4529 4 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY SERVICES 908972 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 53226 AUDIT AND IT SERVICES 207742 2 1070000 163120 1233120 DAILY RESIDENT CARE 623000 12901840 12901840 OTHER RESIDENT REVENUE 623000 929807 929807 13831647 2596 2596 15067363 13831647 0 2596 504537 504537 7527003 6260124 1266879 79154 61696 17458 775751 604653 171098 706411 550607 155804 29026 29026 23300 23300 49535 49535 1529341 1448521 80820 219577 219577 494619 445436 49183 3112 625 2487 7390 7390 586396 586396 1370012 1353765 16247 132309 132309 CONTRACT SERVICES 1147266 1057524 89742 WI PROVIDER TAX 326400 326400 BAD DEBTS 224437 224437 MISCELLANEOUS EXPENSES 43155 518 42637 15778731 12920702 2858029 0 229785 470973 1453173 1277760 30407 14223 122621 258512 33431729 10915764 23717732 22515965 7054629 6821523 448627 1286215 33056974 32645171 1742832 1404771 15044755 14580000 422020 1397346 2913540 1704357 20123147 19086474 X 7171455 6838337 5412372 6720360 350000 0 12933827 13558697 33056974 32645171 X -711368 1336238 X 0 1 1 X 0 X 2323028 800000 847000 783107 1233120 5986255 10647488 9705142 13275822 13985735 13831647 61445834 12970516 10505142 14122822 14768842 15064767 67432089 0 0 0 67432089 15824 30297 11915 8783 2596 69415 15824 30297 11915 8783 2596 69415 12986340 10535439 14134737 14777625 15067363 67501504 0.99900 0.99850 0.00100 0.00150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1226243 1226243 25928379 5406533 20521846 6277107 5509231 767876 22515965 INVESTMENTS - PUBLICLY TRADED SECURITIES 101163 F INVESTMENTS - OTHER SECURITIES 6720360 F 6821523 DEFERRED COMPENSATION 66876 INTEREST RATE SWAP AGREEMENT 1279291 DUE TO AFFILIATES 358190 1704357 15067363 15778731 -711368 8123 1328115 1336238 624870 15067363 0 15067363 0 15067363 15778731 0 15778731 0 15778731 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE HOME 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 HOME RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS IN 2011 OR 2010. FEDERAL TAX RETURNS FOR THE YEARS 2007 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 370,127. CHANGE IN INTEREST IN JEWISH HOME & CARE CENTER & JEWISH COMM FOUNDATIONS 957,988. 0 0 0 0 0 0 0 0 0 MINA TEPPER 218538 0 0 0 0 0 0 0 1149 0 219687 0 0 0 NITA CORRE 149999 0 0 0 0 0 0 0 1149 0 151148 0 0 0 WHEFA ADJUSTABLE RATE DEMAND REVENUE BONDS SERIES 2006 391337855 97710VC55 2006-03-16 15000000 REMODELING FACILITY 0 0 0 15000000 211729 14788271 2006 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 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 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 PARITES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 8,123. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 370,127. CHANGE IN INTEREST IN JEWISH HOME & CARE CENTER & JEWISH COMM FOUNDATIONS 957,988. TOTAL TO FORM 990, PART XI, LINE 5: 1,336,238. JEWISH HOME AND CARE CENTER FOUNDATION 1414 NORTH PROSPECT AVENUE MILWAUKEE WI 53202 391555857 FOUNDATION WI 501(C)(3) LINE 7 N/A 0 PROSPECT CONGREGATE HOUSING 1400 NORTH PROSPECT AVENUE MILWAUKEE WI 53202 391631640 SENIOR HOUSING WI 501(C)(3) LINE 9 N/A 0 MEQUON JEWISH CAMPUS 10995 N MARKET STREET MEQUON WI 53092 481269083 HEALTH CARE/SENIOR HOUSING WI 501(C)(3) LINE 9 N/A 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0