2022-08-11T11:53:08-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2021-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS CHIEF FINANCIAL OFFICER 7854789440 2022-08-09 1 BREE ROGERS 999009999 AMBER ROGNAN-HAMILTON P01251012 3149254300 2022-08-09 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ALDERSGATE VILLAGE JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 34922579 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS FAITHFULLY ENHANCING THE LIVES OF SENIORS THROUGH ACTIVELY ENGAGING MIND, BODY AND SPIRIT 8 8 329 8 0 0 3022055 815198 24977735 15474169 418109 7861945 355831 475317 28773730 24626629 0 0 0 0 11552575 7153847 20000 0 0 14634540 10915101 26207115 18068948 2566615 6557681 33090514 38028666 32103284 30000585 987230 8028081 X FAITHFULLY ENHANCING THE LIVES OF SENIORS THROUGH ACTIVELY ENGAGING MIND, BODY AND SPIRIT. 0 1 7101290 0 8097940 OPERATIONS OF ALDERSGATE VILLAGE PROVIDES RESIDENTIAL AND HEALTH CARE SERVICES FOR THE ELDERLY. THE CAMPUS CONSISTS OF A 175 BED SKILLED NURSING FACILITY, 12 HOME PLUS UNITS AND ASSISTED/INDEPENDENT LIVING UNITS MENTIONED BELOW. DURING 2021, THE ORGANIZATION SOLD THE SKILLED NURSING FACILITY.ALDERSGATE VILLAGE IS A FAITH-BASED, SENIOR LIVING NEIGHBORHOOD OPEN TO PEOPLE OF ALL DENOMINATIONS AND FAITH BACKGROUNDS. OUR PURPOSE IS NOT DRIVEN BY A PROFIT MOTIVE BUT TO ENSURE THAT SENIORS OF THIS REGION RECEIVE COMPASSIONATE, PERSON-CENTERED HEALTH CARE IN A WARM AND WELCOMING COMMUNITY. 5084865 0 3210750 OUR INDEPENDENT LIVING OPTIONS ARE MAINTENANCE-FREE AND INCLUDE SERVICES DESIGNED FOR YOUR CAREFREE LIFESTYLE. IF YOU WANT TO LIVE INDEPENDENTLY WITH ACCESS TO TRANSPORTATION AND OPPORTUNITIES TO SOCIALIZE, ALDERSGATE VILLAGE IS YOUR ANSWER. THE 154 INDEPENDENT LIVING UNITS INCLUDE APARTMENTS, DUPLEXES, FOUR-PLEXES AND SINGLE FAMILY HOMES.THE AMENITIES YOU NEED INCLUDE BI-WEEKLY HOUSEKEEPING AND WEEKLY LAUNDRY, PROGRAMS AND RECREATION, PARLOR AND OUTDOOR PATIO, EXPANDED BASIC CABLE TELEVISION, BEAUTY SALON AND BARBER SHOP, CHAPLAIN SERVICES, EMERGENCY NURSE CALL, 24-HOUR SECURITY, AND MAINTENANCE OF BUILDING AND GROUNDS. 3253701 0 4165479 QUALITY ASSISTED LIVING IN TRENT PLAZA IS ONE OF THE SUPPORTIVE STEPS IN THE CONTINUUM OF CARE, WHERE YOU'LL ENJOY FELLOWSHIP, COMFORT AND SECURITY WHILE RETAINING PRIVACY AND INDEPENDENCE IN ONE OF OUR 60 ASSISTED LIVING UNITS. ACCOMMODATIONS INCLUDE THREE CHEF-PREPARED MEALS DAILY, WHICH CAN BE CATERED TO SPECIAL DIETS, CONSULTING PHYSICIANS AND REGISTERED DIETITIANS ON-SITE, HOUSEKEEPING AND LAUNDRY SERVICES, CHAPLAIN AND SOCIAL WORK SERVICES, ENRICHING PROGRAMS AND RECREATION, EXPANDED BASIC CABLE TELEVISION, EMERGENCY NURSE CALL AND 24-HOUR SECURITY. OTHER SERVICES AVAILABLE INCLUDE MEDICATION ADMINISTRATION, BATHING ASSISTANCE, PROFESSIONAL NURSING GUIDANCE, BEAUTY SALON AND BARBER SHOP, PERSONAL SHOPPING SERVICE, TRANSPORTATION, FULL SERVICE DENTAL OFFICE, PODIATRY AND AUDIOLOGY SERVICES, MEDICAL CARE, PSYCHIATRIC CARE, AND MASSAGE THERAPY. 15439856 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 43 0 329 1 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 1 1 1 1 1 1 1 1 0 X BREE ROGERS 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 JIM RINNER CHAIR 1.00 0.00 X X 0 0 0 DEBORAH SHEEHY VICE CHAIR 1.00 0.00 X X 0 0 0 DANIEL LEHMAN SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 KEVIN BRUNTON TRUSTEE 1.00 0.00 X 0 0 0 TIM CLOTHIER TRUSTEE 1.00 0.00 X 0 0 0 MARK KOSSLER TRUSTEE 1.00 0.00 X 0 0 0 REV JENNY COLLINS TRUSTEE 1.00 0.00 X 0 0 0 TIM SHULTZ TRUSTEE 1.00 0.00 X 0 0 0 CAROL WHEELER TRUSTEE/VICE CHAIR (TERM ENDED) 1.00 0.00 X X 0 0 0 JERRY C NEY PRESIDENT & CEO 50.00 0.00 X 303125 0 17209 BREE L ROGERS CFO 50.00 0.00 X 150009 0 25417 CAROL BURNS-GEORGE ADMINISTRATOR/VP OF OPERATIONS 50.00 0.00 X 160995 0 8011 CARL NOYES DIRECTOR OF ASSISTED LIVING 50.00 0.00 X 100227 0 8011 714356 0 58648 4 0 1 0 MORRISON LIVING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING, HOUSEKEEPING, LAUNDRY, MAINTENAN 3447751 SELECT REHABILITATION LLC PO BOX 71985 CHICAGO IL 60694 THERAPY SERVICES 951998 DRIPPE CONSTRUCTION 919 E JESUIT LANE ST MARYS KS 66536 RENOVATION/CONSTRUCTION 515912 M BALL CONSTRUCTION INC 5431 NW 39TH ST TOPEKA KS 66618 RENOVATION/CONSTRUCTION 409916 MCELROY'S INC PO BOX 5188 TOPEKA KS 66605 HEATING/COOLING 332565 12 501023 314175 815198 HEALTH SERVICES 623000 8097940 8097940 ASSISTED LIVING 623000 4165479 4165479 INDEPENDENT LIVING 623000 3210750 3210750 15474169 414970 414970 1293 1293 5491632 12250000 4357818 5938132 1133814 6311868 7445682 7445682 RESIDENT & EMPLOYEE SVC 623000 391736 391736 CONTRACT INCOME 623000 83581 83581 475317 24626629 15474169 0 8337262 X 664766 664766 5286455 4916563 369892 3558 3558 753437 520857 232580 445631 336024 109607 78907 78907 52248 52248 43390 43390 4377708 4198419 179289 136703 121954 14749 787939 524479 263460 351642 4159 347483 794337 722034 72303 92969 81136 11833 17191 15450 1741 1081041 1069683 11358 2301105 2276928 24177 87535 87535 PHARMACY 167479 167479 BAD DEBT 167339 167339 FOOD 110058 106676 3382 DUES/SUBSCRIPTIONS/LICE 92290 55739 36551 175220 154937 20283 18068948 15439856 2629092 0 749562 264477 541270 13225634 81124 26594 1694148 386929 2092 2092 139867 96198 40081806 27360667 17927128 12721139 11814045 11248987 141278 56616 33090514 38028666 1350926 781796 2205103 1473982 19367896 18351310 34744 8632 3164135 3560564 5980480 5824301 32103284 30000585 X -4287401 2344240 5274631 5683841 987230 8028081 33090514 38028666 X 6557681 -309327 792497 X X 0 1 X 1 0 X 166999 1018204 441663 3022055 815198 5464119 24509844 24791312 24555960 24977735 15474169 114309020 24676843 25809516 24997623 27999790 16289367 119773139 3300 10350 1450 1000 16100 0 3300 10350 1450 1000 16100 119757039 209713 268093 320927 230316 416263 1445312 209713 268093 320927 230316 416263 1445312 183562 249095 287037 355830 475317 1550841 25070118 26326704 25605587 28585936 17180947 122769292 0.97550 0.98090 0.01180 0.00970 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RESIDENT AND EMPLOYEE SERVICES - 2017 AMOUNT: $ 183,562. 2018 AMOUNT: $ 249,095. 2019 AMOUNT: $ 143,755. 2020 AMOUNT: $ 212,548. 2021 AMOUNT: $ 391,736. CONTRACT REVENUE - 2019 AMOUNT: $ 143,282. 2020 AMOUNT: $ 143,282. 2021 AMOUNT: $ 83,581. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2080 2080 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADING AGE KANSAS, A PORTION OF WHICH IS USED FOR LOBBYING ON BEHALF OF ITS MEMBERS. 0 1 X 3666668 3666668 3666668 3666668 3582187 84481 3666668 3496651 85536 3582187 3421658 74993 3496651 0.00000 0.87000 0.13000 0 0 791920 791920 24122844 16600669 7522175 1490376 903167 587209 12628186 9856831 2771355 1048480 1048480 12721139 WAITING LIST DEPOSITS 5750 REFUNDABLE ADVANCES FEE 4573162 DEFERRED COMPENSATION OBLIGATION 21755 SWAP VALUE LIABILITY 1223634 5824301 X 25066409 -309327 792497 483170 24583239 43390 43390 24626629 18025558 0 18025558 43390 43390 18068948 PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS FOR RESIDENTS FOR USE AT THE RESIDENT'S DIRECTION. PART V, LINE 4: CHARITABLE CARE AND CAPITAL IMPROVEMENTS PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST RATE SWAP VALUE 792,497. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 1229240 0 0 0 0 0 0 1229240 0 1229240 0 0 0 1 0 0 PART III ACCOUNTING METHOD: X 0 0 X X X 0 0 0 0 0 0 0 0 0 JERRY C NEY PRESIDENT & CEO 295925 0 0 0 7200 0 0 0 17209 0 320334 0 0 0 BREE L ROGERS CFO 150009 0 0 0 0 0 0 0 25417 0 175426 0 0 0 CAROL BURNS-GEORGE ADMINISTRATOR/VP OF OPERATIONS 149745 0 0 0 11250 0 0 0 8011 0 169006 0 0 0 PART I, LINE 1A CAROL BURNS-GEORGE ($11,250) ON-CAMPUS HOUSING PROVIDED AS A TAXABLE BENEFIT. A SHAWNEE COUNTY KANSAS 486028759 2013-11-26 20630000 REFUNDING OF 1997 AND 2002 BONDS OUTSTANDING - FINANCE CAPITAL PROJECTS 0 0 0 B SHAWNEE COUNTY KANSAS 486028759 2017-06-26 4650000 FINANCE CAPITAL PROJECTS FOR NEW AND EXISTING BUILDINGS 0 0 0 A 6203769 20630000 409244 3961481 16259275 2016 1 1 1 1 B 604692 4650000 83111 4533550 33339 2019 0 0 1 1 A 0 1 0 0 0.00180 0.00000 0.00180 0 0 1 B 0 1 0 0 0.00020 0.00000 0.00020 0 0 1 A 0 0 0 1 1 1 PACIFIC COAST BANKERS' BANK D/B/A 15.000000000000 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: SHAWNEE COUNTY, KANSAS DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2018 FORM 990, PART III, LINE 3 EFFECTIVE JULY 1, 2021, ALDERSGATE VILLAGE SOLD ITS SNF UNIT TO BETTEN HOME SNF REALTY. ALDERSGATE VILLAGE CONTINUES TO OPERATE ITS ASSISTED LIVING, HOME PLUS, AND INDEPENDENT LIVING UNITS. PLEASE SEE FORM 8594 FOR ADDITIONAL DETAILS. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY WILL REVIEW THE 990 AT A BOARD MEETING BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CFO REVIEWS STATEMENTS FROM THE BOARD OF TRUSTEES AND ALL MANAGEMENT EMPLOYEES ANNUALLY - THERE HAVE BEEN NO CONFLICTS IN THE PAST SO NO FURTHER REVIEW HAS BEEN NEEDED. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS COMPLETED BY THE ORGANIZATION'S ATTORNEY. ONCE THE COMPENSATION HAS BEEN DETERMINED, IT IS APPROVED BY THE BOARD OF TRUSTEES, WHO ARE ALL INDEPENDENT, AND THE CONTRACT WITH THE CEO IS THEN UPDATED. THIS PROCESS WAS LAST COMPLETED IN 2017. THE PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES INVOLVES COMPARISON TO OTHER SIMILAR HEALTHCARE ORGANIZATIONS WITHIN THE LOCAL AND STATE AREA. INDIVIDUAL COMPENSATION ADJUSTMENTS ARE APPROVED BY THE CEO OR CFO IN WRITING. ALL ACROSS THE BOARD COMPENSATION ADJUSTMENTS ARE APPROVED BY THE INDEPENDENT BOARD. THIS PROCESS WAS MOST RECENTLY COMPLETED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 ALTHOUGH NOT REQUIRED, THE ORGANIZATION WILL PROVIDE PHOTO COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO ALL WHO REQUEST ONE OR MORE OF THESE ITEMS. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 123,301. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 123,301. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 9,538. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,538. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,035,029. MANAGEMENT AND GENERAL EXPENSES 2,558. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,037,587. CONSULTING FEES: PROGRAM SERVICE EXPENSES 164,000. MANAGEMENT AND GENERAL EXPENSES 50,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 214,333. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 679,533. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 679,533. ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 18,603. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,603. MAINTANENCE CONTRACTS: PROGRAM SERVICE EXPENSES 291,716. MANAGEMENT AND GENERAL EXPENSES 3,097. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 294,813. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUE 792,497. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE IN THE CURRENT YEAR. ALDERSGATE VILLAGE HOME HEALTH SERVICES LLC 7220 SW ASBURY DRIVE TOPEKA KS 66614 264170787 HOME HEALTH SERVICES KS -65881 UNITED METHODIST HOMES ALDERSGATE VILLAGE CHARITABLE SUPPORT LLC 515 S KANSAS AVE TOPEKA KS 66603 472406530 CHARITABLE SUPPORT KS 156043 8050 UNITED METHODIST HOMES