2022-05-16T16:14:40-05:00 2021-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2020-07-01 471108168 VETTER SENIOR LIVING VETT 4028953932 20220 HARNEY STREET ELKHORN NE 68022 BRIAN STUHR CFO 4028953932 2022-05-13 1 BRIAN STUHR 999009999 WENDY R COOLEY P01523804 4023302660 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRIAN STUHR 20220 HARNEY STREET ELKHORN NE 68022 234985400 0 X WWW.VETTERSENIORLIVING.COM X 2014 NE OPERATE AND MANAGE HEALTH CARE FACILITIES AND EXTENDED CARE FACILITIES FOR THE ELDERLY. 4 1 5069 100 0 0 1263000 12240618 227819146 221368065 101855 -989292 277973 88891 229461974 232708282 0 0 0 0 142902955 147019585 0 0 0 84728700 83557307 227631655 230576892 1830319 2131390 144598716 184200923 60726683 98197500 83872033 86003423 DIGNITY IN LIFE 0 0 211979149 221444629 VETTER SENIOR LIVING PROVIDES SERVICES AND LIVING OPTIONS FOR REHABILITATION, INDEPENDENT, ASSISTED LIVING, AND SKILLED NURSING RESIDENTS IN FOUR STATES. MANY OF THESE INDIVIDUALS ARE MEDICAID AND WITHOUT US PROVIDING THEIR CARE, WOULD HAVE NO OTHER OPTIONS. WITH A MISSION OF "DIGNITY IN LIFE," VETTER SENIOR LIVING IS WELL KNOWN FOR QUALITY CARE. MORE THAN 3,500 TEAM MEMBERS CONTINUOUSLY STRIVE FOR IMPROVEMENT IN ALL AREAS OF SERVICE. FOLLOWING OUR VISION: QUALITY LIFE, QUALITY CARE, EXCELLENT TEAMS, OUTSTANDING FACILITIES, QUALITY REPUTATION, AND STEWARDSHIP IS SIMPLY EXPECTED. SERVING, INTEGRITY, TEAMWORK, AND EXCELLENCE ARE OUR CORE VALUES. 211979149 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 1 1 0 0 0 1 143 0 1 5069 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 1 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BRIAN STUHR CHIEF FINANCIAL OFFICE 4028953932 20220 HARNEY STREET ELKHORN NE 68022 JACK VETTER CHAIRMAN & CEO 1.00 40.00 X X 0 939638 0 GLENN VAN EKEREN PRESIDENT 20.00 20.00 X X 262156 262155 37734 SHARI TERRY COO 40.00 0.00 X 270126 0 31321 RHONDA FLANIGAN CPO 40.00 0.00 X 214241 0 43977 AARON DUNLAP CFA 30.00 10.00 X 196392 0 39754 JOEL WICHMAN DIRECTOR OF FACILITY DEVELOPMENT 40.00 0.00 X 163837 0 33112 BRIAN STUHR CFO 30.00 10.00 X 185062 0 11543 JOHN TURNER ADMINISTRATOR 40.00 0.00 X 144449 0 15582 ELDORA VETTER SECRETARY/TREASURER 1.00 39.00 X X 0 0 0 HEATH BODDY DIRECTOR 1.00 0.00 X 0 0 0 1436263 1201793 213023 31 0 1 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 606941985 THERAPY STAFFING SERVICES 14100591 COMMUNITY PHARMACY SERVICES 21689 NORTHSTAR DRIVE BOX 524 GRETNA NE 68028 PHARMACY SERVICES 2859192 STIREK CONSTRUCTION SERVICES PO BOX 10 BLAIR NE 68008 BUILDING CONTRACTOR 1238172 CARPET LAND 11010 EMMET STREET OMAHA NE 68164 CARPETING SERVICES 1158113 STRUCTURAL COMPONENT SYSTEMS 1255 FRONT ST FREMONT NE 68026 BUILDING STRUCTURE 885913 143 11878559 362059 12240618 MEDICARE/MEDICAID 623990 129891277 129891277 PATIENT SERVICE REVENUE 623990 90976164 90976164 MANAGEMENT REVENUE 561000 270180 270180 230444 230444 221368065 62144 62144 12327 0 12327 12327 12327 1225682 2277118 -1051436 -1051436 -1051436 CAFETERIA 900099 76564 76564 76564 232708282 221444629 0 -976965 477628 477628 113039649 102642831 10396818 3046509 2770131 276378 21846986 19772215 2074771 8608813 7786213 822600 156979 156979 90353 90353 4943273 4943273 229858 229858 1900616 1900616 2517000 1258500 1258500 23209534 22513248 696286 78862 78862 120176 94098 26078 1190301 1190301 6201005 6014975 186030 161586 156738 4848 RESIDENT EXPENSES 17271877 17271877 THERAPY COST 14308623 14308623 PHARMACY COST 4932793 4932793 MISCELLANEOUS EXPENSE 3448830 3448830 2795641 2795641 230576892 211979149 18597743 0 54824 265363 16344744 52078017 11218353 15829764 556728 137696 356715 511797 139048280 24764348 112081067 114283932 3986285 1094354 144598716 184200923 20208617 18544888 4529836 0 24805424 53459296 11182806 26193316 60726683 98197500 X 83872033 86003423 83872033 86003423 144598716 184200923 2131390 0 X X 0 1 X 1 0 X 80824020 1263000 12240618 94327638 208376741 222088703 227819146 221368065 879652655 289200761 222088703 229082146 233608683 973980293 80824020 80824020 0 80824020 80824020 893156273 73308 147154 116296 74471 411229 73308 147154 116296 74471 411229 280464 264279 263532 76564 884839 289554533 222500136 229461974 233759718 975276361 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 8025008 8025008 112367383 15640943 96726440 13805350 8204353 5600997 4850539 919052 3931487 114283932 SECURITY DEPOSITS 504624 REFUNDABLE ADVANCES - CARES ACT PROVIDER RELIEF FUNDS 14125571 CONTRACT LIABILITY - MEDICARE ADVANCE PAYMENTS 11563121 26193316 X PART IV, LINE 2B: THE ORGANIZATION MAINTAINS ACCOUNTS TO HOLD CAPTIVE LIABILITY AMOUNTS. PART X, LINE 2: THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. FASB ASC TOPIC 740, INCOME TAXES, PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. MANAGEMENT EVALUATED THE COMPANY'S TAX POSITIONS AND CONCLUDED THAT THE COMPANY HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. X X X 0 0 0 0 0 0 0 0 0 JACK VETTER CHAIRMAN & CEO 0 433741 0 505897 0 0 0 0 0 0 0 939638 0 0 GLENN VAN EKEREN PRESIDENT 213756 213755 48400 48400 0 0 7125 7125 11742 11742 281023 281022 0 0 SHARI TERRY COO 223019 0 47107 0 0 0 13738 0 17583 0 301447 0 0 0 RHONDA FLANIGAN CPO 177143 0 37098 0 0 0 10747 0 33230 0 258218 0 0 0 AARON DUNLAP CFA 176294 0 20098 0 0 0 10209 0 29545 0 236146 0 0 0 JOEL WICHMAN DIRECTOR OF FACILITY DEVELOPMENT 133739 0 30098 0 0 0 6724 0 26388 0 196949 0 0 0 BRIAN STUHR CFO 152964 0 32098 0 0 0 9156 0 2387 0 196605 0 0 0 JOHN TURNER ADMINISTRATOR 129433 0 15016 0 0 0 5841 0 9741 0 160031 0 0 0 VETTER HOLDING INC VETTER HOLDING, INC. IS OWNED MORE THAN 35% BY DIRECTORS OF VSL X 10000000 0 0 1 1 VETTER LEASING INC VETTER LEASING, INC IS 100% OWNED BY JACK VETTER, CHAIRMAN OF THE BOARD 213150 AUTO LEASE PAYMENTS 0 VETTER ENTERPRISES LLC VETTER ENTERPRISES, LLC IS 75% OWNED BY FAMILY MEMBERS OF JACK VETTER 372000 LEASING OF OFFICE SPACE 0 VETTER HOLDING INC VETTER HOLDING, INC. IS OVER 35% OWNED BY DIRECTORS OF VSL 18360000 LEASE PAYMENTS OF SENIOR LIVING FACILITIES 0 VETTER HOLDING INC VETTER HOLDING, INC. IS OVER 35% OWNED BY DIRECTORS OF VSL 183600 SHARED SERVICES AGREEMENT TO PROVIDE CERTAIN ADMINISTRATIVE AND SUPPORT SERVICES 0 VETTER HOLDING INC VETTER HOLDING, INC. IS OVER 35% OWNED BY DIRECTORS OF VSL 45000 LEASING OF OFFICE SPACE 0 FORM 990, PART VI, SECTION A, LINE 2 JACK VETTER AND ELDORA VETTER HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM WITH THE ASSISTANCE OF THE CFO, AND IS THEN REVIEWED BY THE CFO. COPIES OF THE REVIEWED RETURN ARE PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY STATES THAT THE BOARD OF DIRECTORS MUST SIGN THE CONFLICT OF INTEREST POLICY AND DISCLOSE ALL CONFLICTS ANNUALLY. THE REMAINING BOARD OF DIRECTORS MEMBERS WILL DETERMINE IF AN INTERESTED MEMBER HAS A CONFLICT OF INTEREST. IF IT IS DETERMINED THAT A CONFLICT OF INTEREST EXISTS, THE INTERESTED MEMBER WILL NOT VOTE ON THAT MATTER. FORM 990, PART VI, SECTION B, LINE 15 WAGES ARE REVIEWED AND COMPARED WITH INDUSTRY DATA AND OTHER INDEPENDENT LONG-TERM CARE PROVIDERS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 VETTER SENIOR LIVING DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF VETTER SENIOR LIVING'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. VETTER HOME HEALTH CARE LLC 600 BROOKESTONE MEADOWS PLZ 100 ELKHORN NE 680224401 300979831 HOME HEALTH SERVICES NE 781669 -330937 VETTER SENIOR LIVING VSL ALLIANCE ASSISTED LIVING LLC 150 W 24TH ST ALLIANCE NE 693012156 825432444 ASSISTED LIVING SERVICES NE 5770809 5817349 VETTER SENIOR LIVING VSL ALLIANCE LLC 1633 SWEETWATER PO BOX 950 ALLIANCE NE 693010950 300963042 NURSING HOME SERVICES NE 1236397 4371543 VETTER SENIOR LIVING VSL BROKEN BOW LLC 850 LAUREL PARKWAY DRIVE BROKEN BOW NE 68822 364855688 NURSING HOME SERVICES NE 5904186 14237372 VETTER SENIOR LIVING VSL COLUMBUS LLC 4715 38TH ST COLUMBUS NE 686011622 300964463 NURSING HOME SERVICES NE 8363104 -1719008 VETTER SENIOR LIVING VSL DAVID CITY LLC 260 SOUTH TENTH STREET DAVID CITY NE 686322032 611811905 NURSING HOME SERVICES NE 5748926 4260088 VETTER SENIOR LIVING VSL ELKHORN LLC 600 BROOKESTONE MEADOWS PLAZA ELKHORN NE 680224401 352581723 NURSING HOME SERVICES NE 20511350 1190696 VETTER SENIOR LIVING VSL EMERSON LLC 607 NEBRASKA ST EMERSON NE 687333627 611812157 NURSING HOME SERVICES NE 2899590 2020467 VETTER SENIOR LIVING VSL FAIRBURY LLC 909 17TH STREET FAIRBURY NE 683520667 611812442 NURSING HOME SERVICES NE 5868590 2350061 VETTER SENIOR LIVING VSL GARNETT LLC 101 NORTH PINE STREET GARNETT KS 660321199 384023801 NURSING HOME SERVICES KS 3322917 1729989 VETTER SENIOR LIVING VSL GENEVA LLC 501 NORTH 13TH STREET GENEVA NE 683611549 611812645 NURSING HOME SERVICES NE 6962878 1435832 VETTER SENIOR LIVING VSL GERING LLC 2325 LODGE DRIVE GERING NE 693416825 611817126 NURSING HOME SERVICES NE 11987531 2895936 VETTER SENIOR LIVING VSL GRAND ISLAND LLC 3119 WEST FAIDLEY AVENUE GRAND ISLAND NE 688034114 320515898 NURSING HOME SERVICES NE 7912719 1490795 VETTER SENIOR LIVING VSL HOOPER LLC 400 EAST BIRCHWOOD HOOPER NE 680313002 384024243 NURSING HOME SERVICES NE 3691988 2632037 VETTER SENIOR LIVING VSL IOWA FALLS LLC 2320 WASHINGTON AVENUE IOWA FALLS IA 501261523 300965237 NURSING HOME SERVICES IA 4333278 385342 VETTER SENIOR LIVING VSL KEARNEY LLC 2615 WEST 11TH ST KEARNEY NE 68845 371849431 NH AND AL SERVICES NE 6336749 21791028 VETTER SENIOR LIVING VSL LAKE CITY LLC 1409 WEST MAIN STREET LAKE CITY IA 514491578 384024654 NURSING HOME SERVICES IA 5073642 8392978 VETTER SENIOR LIVING VSL LINCOLN SOUTHLAKE LLC 9401 ANDERMATT DRIVE LINCOLN NE 685269507 352583045 NURSING HOME SERVICES NE 14041405 -543589 VETTER SENIOR LIVING VSL LINCOLN SUMNER LLC 1750 SOUTH 20TH STREET LINCOLN NE 685022611 300964875 NURSING HOME SERVICES NE 9793636 6925297 VETTER SENIOR LIVING VSL LOUP CITY LLC 1005 NORTH 8TH STREET LOUP CITY NE 688538215 352583738 NURSING HOME SERVICES NE 4785143 5227945 VETTER SENIOR LIVING VSL NORFOLK LLC 1203 N 13TH STREET PO BOX 429 NORFOLK NE 687020429 300965494 NURSING HOME SERVICES NE 10873661 2651790 VETTER SENIOR LIVING VSL NORTH PLATTE COURT LLC 4000 WEST PHILIP AVENUE NORTH PLATTE NE 691010305 352583599 NURSING HOME SERVICES NE 11900984 384089 VETTER SENIOR LIVING VSL NORTH PLATTE ESTATES LLC 3700 WEST PHILIP AVENUE NORTH PLATTE NE 691010305 300968051 ASSISTED LIVING SERVICES NE 3052179 18064229 VETTER SENIOR LIVING VSL OMAHA LLC 4330 SOUTH 144TH STREET OMAHA NE 681371051 371848338 NURSING HOME SERVICES NE 18420381 279874 VETTER SENIOR LIVING VSL PAPILLION LLC 610 SOUTH POLK STREET PAPILLION NE 680462548 364858444 NURSING HOME SERVICES NE 10588350 -851655 VETTER SENIOR LIVING VSL RED CLOUD LLC 636 NORTH LOCUST RED CLOUD NE 689702463 611815663 NURSING HOME SERVICES NE 3183459 2555342 VETTER SENIOR LIVING VSL SEWARD LLC 624 PINEWOOD AVE SEWARD NE 684341055 320518584 NURSING HOME SERVICES NE 7387618 1038559 VETTER SENIOR LIVING VSL SPRINGFIELD CREEKSIDE LLC 1601 SOUTH FORT SPRINGFIELD MO 658078401 300967430 SENIOR LIVING SERVICES MO 4494331 12108295 VETTER SENIOR LIVING VSL SPRINGFIELD MANOR LLC 1707 WEST ELFINDALE STREET SPRINGFIELD MO 658071295 611815992 NURSING HOME SERVICES MO 9797952 8355169 VETTER SENIOR LIVING VSL ST EDWARD LLC 301 N 13TH ST ST EDWARD NE 68660 364859287 NURSING HOME SERVICES NE 2987970 4067327 VETTER SENIOR LIVING VSL ST PAUL LLC 1405 HERITAGE DR SAINT PAUL NE 688733618 611815917 NURSING HOME SERVICES NE 5785751 285513 VETTER SENIOR LIVING VSL VETTER HEALTH SERVICES LLC 20220 HARNEY STREET ELKHORN NE 68022 371845522 MANAGEMENT SERVICES NE 241348 36488778 VETTER SENIOR LIVING VSL WAHOO LLC 1400 MARK DRIVE WAHOO NE 680664023 371849602 NURSING HOME SERVICES NE 8898458 289982 VETTER SENIOR LIVING VSL NORTH PLATTE REGENCY LLC 700 W PHILLIP AVENUE NORTH PLATTE NE 69101 843990042 INDEPENDENT LIVING NE 0 0 VETTER SENIOR LIVING VSL SPRINGFIELD ASSISTED LIVING LLC 1401 WEST ELFINDALE STREET SPRINGFIELD MO 68507 841939413 ASSISTED LIVING SERVICES MO 110655 13922410 VETTER SENIOR LIVING VETTER HOLDING INC 20220 HARNEY STREET ELKHORN NE 68022 470672044 NURSING HOME RENTAL PROPERTY NE N/A S 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 1 0 0