2024-10-30T16:41:54-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 10401 W INNOVATION DR STE 300 WAUWATOSA WI 53226 990 2023-01-01 391096121 METHODIST MANOR HEALTH CENTER INC METH 4146074100 3023 SOUTH 84TH STREET WEST ALLIS WI 53227 MICHAEL VANBLARICUM CO-CHIEF OPERATING OFFICER 4146074100 2024-10-30 1 0 KRISTEN DONLEVY P01670215 4144761880 2024-10-30 2023 2024-10-15 13:58:12Z MICHAEL VANBLARICUM 3023 SOUTH 84TH STREET WEST ALLIS WI 53227 16407915 0 X WWW.VMPCARES.COM X 1966 WI THE CORPORATION IS DEDICATED TO PROVIDING A FULL RANGE OF CARE AND SERVICES FOR OLDER ADULTS THAT RESPECTS EACH INDIVIDUAL'S PERSONAL, PHYSICAL, AND SPIRITUAL NEEDS. THESE NEEDS ARE MET THROUGH INDIVIDUALLY-TAILORED SERVICES DELIVERED BY A SKILLED AND CARING STAFF COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE CARE. OUR MISSION IS ENHANCED BY WORKING WITH COMMUNITY PARTNERS. WE DO THIS IN HARMONY WITH OUR CHRISTIAN TRADITION IN AN ENVIRONMENT THAT CONTINUALLY CHALLENGES ITS MEMBERS TO EXCEL AND A STRUCTURE THAT ENCOURAGES GROWTH, RESEARCH, AND WISE USE OF RESOURCES. 8 8 0 71 0 0 3659 0 16794944 16396024 139335 0 12996 11891 16950934 16407915 0 0 0 0 7178537 7036818 0 0 0 12629144 11904602 19807681 18941420 -2856747 -2533505 6251012 5769716 8615557 10667766 -2364545 -4898050 X METHODIST MANOR HEALTH CENTER, INC. IS A 150-BED SKILLED NURSING FACILITY WHICH PROVIDES SKILLED NURSING SERVICES, REHABILITATION SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, A PHYSICIAN CLINIC SPECIALIZING IN GERIATRIC CARE, AND A 23-BED VENTILATOR DEPENDENT CARE UNIT (INCLUDED IN 150-BED LICENSE). 0 0 12135877 0 16396024 METHODIST MANOR HEALTH CENTER, INC. IS A 150-BED SKILLED NURSING FACILITY WHICH PROVIDES SKILLED NURSING SERVICES, REHABILITATION SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, A PHYSICIAN CLINIC SPECIALIZING IN GERIATRIC CARE, AND A 23-BED VENTILATOR DEPENDENT CARE UNIT (INCLUDED IN 150-BED LICENSE). 12135877 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 WI X MICHAEL VANBLARICUM 4146074100 3023 S 84TH STREET WEST ALLIS WI 53227 DAVID AFFELDT CHAIRMAN OF THE BOARD 1.00 0.00 X X 0 0 0 JOHN DIRSKE BOARD MEMBER 1.00 0.00 X 0 0 0 RICK KELLER BOARD MEMBER 1.00 0.00 X 0 0 0 TRACEY L KLEIN BOARD MEMBER 1.00 0.00 X 0 0 0 DANIEL PLATTEN BOARD MEMBER 1.00 0.00 X 0 0 0 SUSAN RABE BOARD MEMBER 1.00 0.00 X 0 0 0 REVEREND SAM ROYAPPA BOARD MEMBER 1.00 0.00 X 0 0 0 DR SARFRAZ SIDHU BOARD MEMBER 1.00 0.00 X 0 0 0 BRENDA CALHOUN CHIEF CLINICAL OFFICER 28.00 12.00 X 0 166256 0 DYLAN MANN CFO 11/2023 28.00 12.00 X 0 161161 0 LINDA NEWBERRY-FERGUSON VMP PRESIDENT AND CEO 12/2023 28.00 12.00 X 0 228161 0 MATTHEW ROMANO CIO 28.00 12.00 X 0 140250 0 MONICA A JOHNSON LPN SUPERVISOR 40.00 0.00 X 0 141772 0 0 837600 0 0 0 1 0 PREMIER MEDICAL STAFFING 2514 S 102ND STREET STE 340 MILWAUKEE WI 53227 STAFFING 359300 NURSES PRN 1101 E SOUTH RIVER STREET APPLETON WI 54915 STAFFING 270305 PHARMERICA 1901 CAMPUS PL LOUISVILLE KY 40299 PHARMACY 255637 FAVORITE HEALTHCARE STAFFING PO BOX 26225 OVERLAND PARK KS 66225 STAFFING 246077 SIGNATURE STAFF RESOURCES LLC 1460 TL TOWNSEND DR 104 ROCKWALL TX 75032 STAFFING 187681 7 MEDICARE/MEDICAID PAYMENT 623000 13488813 13488813 PROGRAM SERVICES 623000 2204875 2204875 OTHER OPERATING REVENUE 623000 474306 474306 MAINTENANCE FEES 623000 228030 228030 16396024 BEAUTY/BARBER SHOP 624100 11142 11142 MISCELLANEOUS REVENUE 900099 749 749 11891 16407915 16396024 0 11891 X 6123192 6123192 -5848 -5848 536282 536282 383192 383192 2572444 2572444 418 418 50903 50903 175885 175885 1511 1511 493668 493668 300 300 ALLOCATED COSTS 6805543 6805543 MEDICAL SUPPLIES AND DR 886359 886359 BAD DEBT EXPENSE 380000 380000 ASSESSMENTS 306000 306000 231571 231571 18941420 12135877 6805543 0 2505303 2159130 205 18470533 16013272 2862042 2457261 883667 1153120 6251012 5769716 1744133 1879701 6871424 8788065 8615557 10667766 X -2364545 -4898050 -2364545 -4898050 6251012 5769716 -2533505 0 X 0 1 X 1 0 X 1419792 502146 3659 1925597 16456943 15309722 14827307 16794944 16396024 79784940 16456943 16729514 15329453 16798603 16396024 81710537 0 652209 232633 734401 1218653 1882211 4720107 652209 232633 734401 1218653 1882211 4720107 76990430 17286 4883199 11182 12996 11891 4936554 16474229 21612713 15340635 16811599 16407915 86647091 0.88860 0.90810 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUES - 2019 AMOUNT: $ 17,286. 2020 AMOUNT: $ 4,883,199. 2021 AMOUNT: $ 11,182. 2022 AMOUNT: $ 12,996. 2023 AMOUNT: $ 11,891. 89835 89835 4025801 3969211 56590 5358495 4449946 908549 8996402 7594115 1402287 2457261 DUE FROM AFFILIATES 1153120 1153120 RESIDENT DEPOSITS 12945 DUE TO AFFILIATES 8775120 8788065 X X X 0 0 0 0 0 0 0 0 0 LINDA NEWBERRY-FERGUSON VMP PRESIDENT AND CEO 12/2023 0 228161 0 0 0 0 0 0 0 0 0 228161 0 0 BRENDA CALHOUN CHIEF CLINICAL OFFICER 0 166256 0 0 0 0 0 0 0 0 0 166256 0 0 DYLAN MANN CFO 11/2023 0 161161 0 0 0 0 0 0 0 0 0 161161 0 0 PART I, LINE 3 A SURVEY IS COMPLETED TO SEE WHAT THE SALARIES IN THE AREA ARE AND SET RANGES BASED ON DECISIONS OF THE COMPENSATION COMMITTEE AND WHAT IS COMPETITIVE IN THE MARKET. FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING AND ADMINISTRATION MANAGEMENT REVIEW THE FORM 990 BEFORE IT IS SUBMITTED. IT IS AVAILABLE TO EACH BOARD MEMBER FOR THEIR REVIEW AFTER COMPLETION AND FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND CERTAIN DIRECTORS, THROUGH COMMUNICATION WITH THE ACCOUNTING DEPARTMENT, REVIEW COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IT IS PART OF THE CORPORATE COMPLIANCE PROCESS. FORM 990, PART VI, SECTION B, LINE 15 WHEN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT, RESPONSIBILITIES, AND COMPETITIVE ENVIRONMENT ARE TAKEN IN CONSIDERATION. HUMAN RESOURCES SURVEYS OF COMPARABLE ORGANIZATIONS AND REVIEWS AND APPROVAL OF EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G THERAPY SERVICES: PROGRAM SERVICE EXPENSES 3,196. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,196. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 2,569,248. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,569,248. METHODIST MANOR INC 3023 S 84TH STREET WEST ALLIS WI 53227 390942151 NOT-FOR-PROFIT CORPORATION WI 501(C)(3) LINE 10 0 METHODIST MANOR OF WAUSKESHA INC 3023 S 84TH STREET WEST ALLIS WI 53227 391739567 HOSPICE WI 501(C)(3) PF 0 THE VILLAGE AT MANOR PARK INC 3023 S 84TH STREET WEST ALLIS WI 53227 930840673 NOT-FOR-PROFIT MANAGEMENT CORPORATION WI 501(C)(3) LINE 12B, II 0 VMP FOUNDATION INC 3023 S 84TH STREET WEST ALLIS WI 53227 510188458 CONTROL ASSETS FOR BENEFIT OF RELATED ORGANIZATIONS WI 501(C)(3) LINE 12A, I 0 ANCHOR HOLDINGS INC 3023 S 84TH STREET WEST ALLIS WI 53227 391677564 HOLDING COMPANY WI N/A C 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 1 0 1