2023-11-15T10:35:59-06:00 2022-12-31 470698853 BLAND & ASSOCIATES 450 REGENCY PARKWAY OMAHA NE 68114 990 2022-01-01 480791034 WHEAT STATE MANOR INC WHEA 3167992181 601 S MAIN WHITEWATER KS 67154 KIMBERLY BARTLETT BOARD PRESIDENT 3167992181 2023-11-15 1 KIMBERLY BARTLETT 999009999 1 DANIELLE SENSKE P01297726 4023978822 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z KIMBERLY BARTLETT 601 S MAIN WHITEWATER KS 67154 4203038 0 X WWW.WHEATSTATEMANOR.ORG/ X 1971 KS NURSING HOME CARE FOR THE AGED, ALZHEIMER SPECIAL CARE UNIT, MEDICARE SKILLED CARED WITH THERAPIES AND IV MEDICATIONS, DAY CARE SERVICES FOR THE AGED. 9 9 96 40 0 0 378111 36283 3786743 4166038 4967 717 0 0 4169821 4203038 0 0 0 0 2826574 2399920 0 0 628 1591318 2269991 4417892 4669911 -248071 -466873 2119115 1818185 1258670 1424613 860445 393572 THE MISSION OF WHEAT STATE MANOR, INC. IS TO BE A COMMUNITY HEALTH CARE RESOURCE COMMISSIONED BY THE OWNER CHURCHES TO MEET THE NEEDS OF ITS RESIDENTS AND THEIR FAMILIES AND TO SERVE THE RESIDENTS OF WHITEWATER AND THE SURROUNDING COMMUNITIES. 0 0 3982901 4166038 OPERATION OF 65-BED NURSING HOME SERVING RESIDENTS FOR 16,305 RESIDENT DAYS IN 2021 WITH 3,316 OF THOSE IN THE ALZHEIMER UNIT AND 952 DAYS OF MEDICARE SKILLED CARE. 3982901 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 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 0 0 0 0 0 0 1 32 0 1 96 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 KS X GRACETEAM LLC 3166444696 2813 SW WESTPORT PLAZA DR TOPEKA KS 66614 X DEANNA ENTZ SECRETARY 0.50 X 0 0 0 DEBBY TYSON DIRECTOR 0.50 X 0 0 0 KIMBERLY BARTLETT PRESIDENT 0.50 X 0 0 0 LARRY RANICH DIRECTOR 0.50 X 0 0 0 MARLIN THIESSEN TREASURER 0.50 X 0 0 0 RONNIE JACKSON DIRECTOR 0.50 X 0 0 0 SARAH SMITH VICE PRESIDENT 0.50 X 0 0 0 WES HANSEN DIRECTOR 0.50 X 0 0 0 WILLARD WIEBE DIRECTOR 0.50 X 0 0 0 MELVINA JONES DIRECTOR 0.50 X 0 0 0 CHUCK MCCREA DIRECTOR 0.50 X 0 0 0 JAN LANE DIRECTOR 0.50 X 0 0 0 CRAIG WALTMAN DIRECTOR 0.50 X 0 0 0 ROGER MOSIMAN DIRECTOR 0.50 X 0 0 0 TOM BUSENITZ DIRECTOR 0.50 X 0 0 0 TIM STUCKY DIRECTOR 0.50 X 0 0 0 DEAN PATTERSON DIRECTOR 0.50 X 0 0 0 REYNOLD ENTZ DIRECTOR 0.50 X 0 0 0 0 0 0 0 0 0 0 GRACETEAM LLC 2813 SW WESTPORT PLAZA DRIVE SUITE TOPEKA KS 66614 MANAGAMENT SERVICES 250814 PARTIDGE ROOFING SERVICES 5111 W 24TH ST NORTH NEWTON KS 67117 ROOFING SERVICES 169751 RAJNEEL LAL 4505 S VICTORIA WICHITA KS 67216 STAFFING AGENCY 160977 CASCADE HEALTH SERVICES 1001 NORTHWEST BARRY ROAD KANSAS CITY MO 64155 STAFFING AGENCY 113060 4 36283 36283 NET RESIDENT SERVICE R 623000 4041076 4041076 OTHER INCOME 812900 124962 124962 4166038 717 717 4203038 4166038 0 717 X 2046343 1922641 123702 183968 179044 4924 169609 165070 4539 216164 216164 996728 877676 119052 115512 42383 72501 628 170944 170944 26161 21022 5139 33607 33607 149619 149619 94197 94197 MEDICAL SUPPLIES 194249 194249 FOOD 175510 175510 NON MEDICAL SUPPLIES 57716 45159 12557 REPAIRS & MAINTENANCE 22142 22142 17442 17442 4669911 3982901 686382 628 379352 193924 219310 141099 245828 276123 78231 23330 4233364 3069401 1186832 1163963 9562 19746 2119115 1818185 520280 711939 695712 673754 42678 38920 1258670 1424613 X 860445 393572 860445 393572 2119115 1818185 -466873 0 X 0 1 X 1 0 X 13070 60147 1073982 378111 36283 1561593 3918464 3828448 3424426 3786743 4166038 19124119 3931534 3888595 4498408 4164854 4202321 20685712 1279 1279 1211400 1354529 1080955 3646884 1212679 1354529 1080955 3648163 17037549 1454 1061 1187 4967 717 9386 1454 1061 1187 4967 717 9386 7758 6739 11986 26483 3940746 3896395 4511581 4169821 4203038 20721581 0.82220 0.76020 0.00050 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 260 0 0 0 260 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADINGAGE KANSAS. 10% OF THE DUES ARE CONSIDERED LOBBYING EXPENSES. 17938 17938 3159726 2105198 1054528 881175 807754 73421 174525 156449 18076 1163963 X 4203038 0 4203038 0 4203038 4669911 0 4669911 0 4669911 PART X, LINE 2: THE ORGANIZATION HAS RECEIVED EXEMPTION FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. AS SUCH, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IN THE U.S. FEDERAL AND STATE JURISDICTIONS. AS OF DECEMBER 31, 2022 AND 2021, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. TAX YEARS SUBSEQUENT TO 2019 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS. THE ORGANIZATION HAS CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING DISCLOSURE, AND THERE ARE NO MATERIAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS. A CITY OF WHITEWATER KANSAS PUBLIC BUILDING COMMISSION 273473477 966184AZ6 2014-12-10 995000 SEE NOTE IN PART VI 0 0 0 A 240000 995640 19900 483390 492350 2016 1 0 1 1 A 0 0 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 SCHEDULE K, PART I, LINE A, COLUMN (F) THE BOND WERE ISSUED TO (1) CURRENTLY REFUND THE SERIES 2010 BONDS (ORIGINALLY ISSUED 9/22/2010), AND (2) MAKE CAPITAL IMPROVEMENTS TO THE INSTITUTION'S LONG-TERM HEALTH CARE FACILITIES. SCHEDULE K, PART II, LINE 3, COLUMN (A) THIS AMOUNT DOES NOT EQUAL THE ISSUE PRICE OF THE BONDS DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. SCHEDULE K, PART II, LINE 11, COLUMN (A) THIS AMOUNT OF BOND PROCEEDS WAS USED TO REFUND THE SERIES 2010 BONDS ON 12/15/2014. AMOUNT INCLUDES $0.24 ALLOCATED TO INTEREST ON THE BONDS. SCHEDULE K, PART IV, LINE 2C, COLUMN (A) INSTALLMENT COMPUTATION COMPLETED AS OF 6/1/2016 FORM 990, PART VI, SECTION A, LINE 6 NINE AREA CHURCHES ARE THE MEMBERS OF WHEAT STATE MANOR, INC. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE NINE CHURCHES, THE MEMBERS, DELEGATE ONE INDIVIDUAL FROM THEIR CONGREGATION TO SERVE ON WHEAT STATE MANOR'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B EACH OF THE NINE CHURCHES, THE MEMBERS, DELEGATE ONE INDIVIDUAL FROM THEIR CONGREGATION TO SERVE ON WHEAT STATE MANOR'S BOARD OF DIRECTORS. THE CHURCHES ALSO HAVE THE RIGHT TO REMOVE THEIR ELECTED MEMBER FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990. THE MANAGEMENT COMPANY THEN REVIEWS THE COMPLETE FORM 990 AND ALL REQUIRED SCHEDULES. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE. THE FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND MEMBERS OF SENIOR MANAGEMENT ARE REQUIRED TO COMPLETE AN ANNUAL STATEMENT, IN A FORM PRESCRIBED BY THE COMPANY, DISCLOSING FINANCIAL, PERSONAL AND OTHER INTERESTS AND RELATIONSHIPS THAT MAY PRESENT A CONFLICT OF INTEREST. ANY CHANGE IN THE INFORMATION SET FORTH IN THE ANNUAL STATEMENT SHOULD BE DISCLOSED TO THE CORPORATE SECRETARY AS SOON AS REASONABLY PRACTICAL. A CONFLICTED INDIVIDUAL SHOULD SEEK PERMISSION FROM THE CORPORATE SECRETARY BEFORE ENGAGING IN DISCUSSIONS REGARDING THE MATTER OF CONFLICT AND/OR REFRAIN FROM BUSINESS DISCUSSIONS AND DECISIONS DEPENDING ON THE DEGREE OF CONFLICT, AS DETERMINED BY THE CORPORATE SECRETARY. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATIVE SECRETARY ANNUALLY PROVIDES AN EVALUATION FORM TO EACH BOARD MEMBER TO ASSESS THE PERFORMANCE OF THE ADMINISTRATOR, MICHAEL SMITH. THE BOARD MEMBERS RETURN THE COMPLETED EVALUATIONS TO THE BOARD PRESIDENT FOR COMPILATION AND REVIEW OF THE INFORMATION. THEN, AT A REGULAR BOARD MEETING, THE MEMBERS ENTER INTO EXECUTIVE SESSION TO DISCUSS AND REVIEW THE ADMINISTRATOR'S PERFORMANCE EVALUATIONS AND CONSIDER SALARY ADJUSTMENTS. AFTER THE EXECUTIVE SESSION IS CLOSED, THE BOARD PROCEEDS WITH A MOTION REGARDING THE ADMINISTRATOR'S PERFORMANCE AND APPROVE SALARY ADJUSTMENTS, IF APPLICABLE. THE BOARD DISCUSSIONS REGARDING PERFORMANCE AND COMPENSATION ARE DOCUMENTED IN THE BOARD MEETING MINUTES. NO OTHER OFFICERS LISTED IN PART VII ARE COMPENSATED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 877,676. MANAGEMENT AND GENERAL EXPENSES 119,052. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 996,728. FORM 990, PART VI, LINE 1A THE NUMBER OF VOTING MEMBERS REPORTED ON LINE 1A AND 1B IS ONLY NINE EVEN THOUGH THERE ARE EIGHTEEN DIRECTORS LISTED ON PART VII. THIS IS BECAUSE EACH OF THE NINE MEMBER CHURCHES ARE ALLOWED ONE ALTERNATE BOARD MEMBER WITH VOTING PRIVILEGES IN THE EVENT THAT THE CHURCH'S REGULAR MEMBER CANNOT COME TO THE MEETING. A TOTAL OF EIGHTEEN INDIVIDUALS SERVED THROUGHOUT THE YEAR, BUT NOT MORE THAN NINE ATTENDED A SINGLE MEETING.