2021-11-12T08:46:24-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2020-01-01 431207154 VILLAGE NORTH INC VILL 3148001955 11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136 ROGER BYRNE TREASURER 3148001955 2021-11-09 1 ROGER BYRNE 999009999 AMBER ROGNAN-HAMILTON P01251012 3149254300 2021-11-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z RICK L STEVENS 11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136 9724075 0 X WWW.BETHESDAHEALTH.ORG/OUR-COMMUNITIES X 1980 MO PROVIDE A VARIETY OF QUALITY HEALTHCARE SERVICES AND LIVING OPTIONS FOR THE SENIOR POPULATION. 4 4 164 4 0 0 11372 442104 8732336 9234809 0 0 30282 47162 8773990 9724075 0 0 0 0 4348775 3971816 0 0 0 5410919 6142020 9759694 10113836 -985704 -389761 6416843 7195400 1015736 1884053 5401107 5311347 X TO BE THE PREMIER PROVIDER OF CARE AND SERVICES FOR SENIORS IN THE ST. LOUIS REGION WHILE MAINTAINING FINANCIAL STRENGTH AND PROVIDING FULFULLING CAREER OPPORTUNITIES. 0 0 7560539 0 9234809 VILLAGE NORTH OPERATES A LIFE-CARE, RESIDENTIAL CARE FACILITY FOR ELDERLY PERSONS, REGARDLESS OF THEIR ABILITY TO PAY. THE FACILITY IS COMPRISED OF 153 APARTMENT UNITS FOR INDEPENDENT LIVING; AN ACTIVITIES ADMINISTRATION BUILDING WHICH WILL BE CONNECTED TO THE APARTMENTS BY COVERED, ENCLOSED WALKWAYS; A 60-BED SKILLED NURSING AND REHABILITATION CARE FACILITY; AND WITHIN THE SKILLED NURSING AND REHABILITATION FACILITY, THERE ARE 20 BEDS DEDICATED TO LONG TERM RESIDENCY OF LOCAL COMMUNITY MEMBERS WHO ARE NO LONGER ABLE TO LIVE INDEPENDENTLY AND REQUIRE A HIGHER LEVEL OF CARE TO LIVE. THE SKILLED NURSING AND REHABILITATION FACILITY AT VILLAGE NORTH OPERATES AS AN OUTPATIENT FACILITY, FOR CONVALESCENCE FOLLOWING HOSPITALIZATION OR FOR PROLONGED PERIODS OF TIME AS NEEDED AND IS STAFFED BY LICENSED HEALTH PROFESSIONALS 24/7. VILLAGE NORTH PARTICIPATES IN FEDERAL MEDICARE AND MEDICAID PROGRAMS FOR PATIENTS. 7560539 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 46 0 164 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ROGER BYRNE 3148001983 11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136 X X RICK L STEVENS CHAIRPERSON 2.00 X X 0 0 0 JOSEPH J BRINKER VICE-CHAIRPERSON 2.00 X X 0 0 0 ROGER T BYRNE TREASURER 2.00 X X 0 0 0 DANIEL J ROTHERY SECRETARY 2.00 X X 0 0 0 WADE HACHMAN ADMINISTRATOR (LEFT 3/2020) 40.00 X 0 0 0 KATIE SMITH DIRECTOR OF NURSING (LEFT 4/2020) 40.00 X 0 0 0 RENEE M CWIKLOWSKI ADMINISTRATOR 40.00 X 0 0 0 CONSTANCE D HARRIS-NEWSON DIRECTOR OF NURSING 40.00 X 0 0 0 0 0 0 0 0 0 0 UNIDINE CORP PO BOX 102289 ATLANTA GA 303682289 FOOD SEVICES 1153859 REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY 668051 OMNICARE PHARMACY PO BOX 78000 DETROIT MI 482781668 PHARMACY 286012 ALSCO 315 LYNCH ST ST LOUIS MO 63118 LINEN 112674 4 439685 2419 442104 RESIDENT/PATIENT REVEN 623000 9234809 9234809 9234809 MEALS REVENUE 623000 35885 35885 PARKING 623000 3543 3543 OTHER REVENUE 623000 3190 3190 4544 4544 47162 9724075 9234809 0 47162 X 199216 199216 3258087 2709423 548664 22123 17337 4786 285052 223390 61662 207338 162487 44851 382248 382248 2608082 2205680 402402 25193 25193 944971 562424 382547 149310 149310 296610 304097 -7487 18014 63 17951 640210 640210 108172 108172 PROMOS AND DISCOUNTS 445636 445636 BAD DEBT EXPENSE 289000 289000 TAXES AND LICENSES 209686 209686 DUES AND SUBSCRIPTIONS 23317 187 23130 1571 605 966 10113836 7560539 2553297 0 312211 1403816 955913 742276 5930 106363 21664763 16721818 5142789 4942945 6416843 7195400 896208 1034619 0 721255 4004 10155 115524 118024 1015736 1884053 X 5401107 5311347 5401107 5311347 6416843 7195400 X -389761 300001 X 0 0 0 X 8203 4646 2223 11372 442104 468548 6741568 7277275 7618821 8732336 9234809 39604809 6749771 7281921 7621044 8743708 9676913 40073357 0 253050 175186 428236 253050 175186 428236 39645121 24664 24664 24664 24664 41273 27508 19797 30282 47162 166022 6815708 7309429 7640841 8773990 9724075 40264043 0.98460 0.97730 0.00060 0.00160 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEALS REVENUE - 2016 AMOUNT: $ 35,437. 2017 AMOUNT: $ 22,421. 2018 AMOUNT: $ 15,137. 2019 AMOUNT: $ 15,997. 2020 AMOUNT: $ 35,885. BARBER BEAUTY SHOP - 2016 AMOUNT: $ 5,836. 2017 AMOUNT: $ 5,087. 2018 AMOUNT: $ 4,660. 2019 AMOUNT: $ 5,533. 2020 AMOUNT: $ 1,911. LAUNDRY - 2019 AMOUNT: $ 1,469. 2020 AMOUNT: $ 1,218. VENDING - 2019 AMOUNT: $ 2,034. 2020 AMOUNT: $ 1,415. PARKING - 2019 AMOUNT: $ 1,889. 2020 AMOUNT: $ 3,543. OTHER REVENUE - 2019 AMOUNT: $ 3,360. 2020 AMOUNT: $ 3,190. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 184755 184755 8943111 7151069 1792042 1092042 732227 359815 11356461 8829412 2527049 88394 9110 79284 4942945 DEPOSITS - SECURITY 118024 118024 PART IV, LINE 2B: THE ORGANIZATION HOLDS CASH FUNDS ON BEHALF OF RESIDENTS. USE OF THESE FUNDS IS AT THE DISCRETION OF THE RESIDENT. FORM 990, PART V, LINE 2A AND FORM 990, PART IX, LINE 7 VILLAGE NORTH DOES NOT ISSUE W-2S. THE MANAGEMENT COMPANY, BETHESDA HEALTH GROUP INC, ISSUES THE W-2S FOR THIS ENTITY. THE AMOUNT LISTED ON FORM 990, PART IX, LINE 7 REPRESENTS THE WAGES THAT BETHESDA HAS PAID TO ITS EMPLOYEES WHO WORK SPECIFICALLY AT THE VILLAGE NORTH COMMUNITY. FORM 990, PART VI, SECTION A, LINE 3 VNI HAS ENTERED INTO AN AGREEMENT WITH BETHESDA HEALTH GROUP, INC., WHO IS ONE OF THE JOINT MEMBERS OF VNI, TO PROVIDE MANAGEMENT SERVICES FOR THE DAY-TO-DAY OPERATIONS OF VNI. THE MANAGEMENT SERVICES TO BE PROVIDED BY BETHESDA HEALTH GROUP, INC. INCLUDE, WITHOUT LIMITATION, THE FOLLOWING: GENERAL PLANNING SERVICES; BUDGETS; CONTRACT NEGOTIATION; BILLING AND COLLECTION SERVICES; BUSINESS OFFICE SERVICES; PRICING; HUMAN RESOURCE SERVICES; INFORMATION SYSTEMS; ADVERTISING & MARKETING SERVICES; ACCOUNTING SERVICES; REPAIRS & MAINTENANCE; CAPITAL IMPROVEMENTS; ADMISSION & DISCHARGE SERVICES; INSURANCE; RECORD MAINTENANCE; QUALITY CONTROL; RISK MANAGEMENT; POLICIES & COMPLIANCE SERVICES; AND OTHER MANAGEMENT ACTIVITIES. DURING THE 2020 CALENDAR YEAR BETHESDA HEALTH GROUP, INC. COMPENSATED THE FOLLOWING INDIVIDUALS IN TOTAL WAGES: WADE HACHMAN $42,776 FOR SERVING AS VNI'S ADMINSITRATOR; KATIE SMITH $50,007 FOR SERVING AS VNI'S DIRECTOR OF NURSING; RENEE CWIKLOWSKI $67,665 FOR SERVING AS VNI'S ADMINISTRATOR; AND CONSTANCE HARRIS-NEWSON $38,769 FOR SERVING AS VNI'S DIRECTOR OF NURSING. FORM 990, PART VI, SECTION A, LINE 6 BETHESDA HEALTH GROUP, INC. AND CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, TWO UNRELATED CHARITABLE TAX-EXEMPT ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE SECTION 501(C)(3), ARE VNI'S TWO MEMBERS, WITH EACH HAVING 50% CONTROL OF ITS BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A EACH OF THE ORGANIZATION'S TWO MEMBERS, BETHESDA HEALTH GROUP, INC. AND CHRISTIAN HEALTH SERVICES DEVELOPMENT CORPORATION, HAVE THE POWER TO APPOINT TWO MEMBERS TO VNI'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WILL BE DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW, COMMENT AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C VNI HAS ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY (POLICY) THAT REQUIRES OFFICERS, DIRECTORS, KEY EMPLOYEES, AND OTHER COVERED INDIVIDUALS TO DISCLOSE BUSINESS OR OTHER INTERESTS THAT MAY GIVE RISE TO CONFLICTS. VNI REGULARLY AND CONSISTENTLY MONITORS COMPLIANCE WITH THE POLICY BY ISSUING ANNUALLY A CONFLICT OF INTEREST QUESTIONNAIRE REMINDING COVERED INDIVIDUALS OF THEIR OBLIGATION TO DISCLOSE POTENTIAL CONFLICTS AND REQUIRES THE INDIVIDUAL TO ATTEST TO THEIR CONTINUING OBLIGATION TO DISCLOSE SAID CONFLICTS SHOULD THE NEED ARISE. THE RESULTS OF THE CONFLICTS QUESTIONNAIRE ARE REVIEWED BY A CENTRALIZED COMPLIANCE DEPARTMENT AND APPROPRIATE ACTION IS TAKEN AS NECESSARY. IN ACCORDANCE WITH THE POLICY, INDIVIDUALS DISCLOSING SUCH CONFLICTS RECUSE THEMSELVES FROM ANY AND ALL DISCUSSIONS RELATED TO SUCH BUSINESS TRANSACTIONS. SUCH RELATIONSHIPS ARE REVIEWED TO ENSURE THAT ANY PAYMENTS RECEIVED OR AMOUNTS PAID DO NOT EXCEED THE FAIR MARKET VALUE OF THE GOODS AND SERVICES RECEIVED BY VNI. FORM 990, PART VI, SECTION B, LINE 15 PER POLICIES OF THE MANAGEMENT SERVICES PROVIDER, BETHESDA HEALTH GROUP, AN INDEPENDENT COMPENSATION CONSULTANT IS REGULARLY ENGAGED TO REVIEW AND ANALYZE THE COMPENSATION AND BENEFITS OF OUR EXECUTIVES COMPARED TO THEIR PEERS IN THE BUSINESS COMMUNITY. THE RESULTS ARE REVIEWED AND APPROVED, WHEN APPROPRIATE, BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 PER THE POLICIES OF THE MANAGEMENT SERVICES PROVIDER, THE ORGANIZATION DOES NOT MAKE COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION B AND PART IX ALTHOUGH THE ORGANIZATION PAID BETHESDA APPROXIMATELY $695,984 FOR THE CALENDAR YEAR, ONLY $382,248 OF THAT IS CONSIDERED TO BE MANAGEMENT FEES. THE OTHER $313,736 IS REIMBURSEMENT FOR MISCELLANEOUS FEES AND TECHNOLOGY INCURRED BY THE MANAGEMENT COMPANY. THESE AMOUNTS ARE SPLIT BETWEEN THE APPROPRIATE CATEGORIES ON REPORTED ACCORDINGLY ON PAGE 10. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,933,104. MANAGEMENT AND GENERAL EXPENSES 41,826. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,974,930. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 52,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,625. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 219,951. MANAGEMENT AND GENERAL EXPENSES 360,576. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 580,527. FORM 990, PART XI, LINE 9: ADDITIONAL PAID IN CAPITAL BY MEMBERS 300,001.