2020-07-13T14:23:58-05:00 2019-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2018-07-01 471108168 VETTER SENIOR LIVING VETT 4028953932 20220 HARNEY STREET ELKHORN NE 68022 BRIAN STUHR CFO 4028953932 2020-07-13 1 WENDY R COOLEY P01523804 4023302660 209.34.201.180 2020-07-13 13:46:53 CD P 06718D1991FB6EEBEB7ECD4F00D4AA79CF05A929 5D066E2939FE45487034BD10C4A0DC94BE27FEF9 2018 2021-01-29 14:40:06Z BRIAN STUHR 20220 HARNEY STREET ELKHORN NE 68022 222500136 0 X WWW.VETTERSENIORLIVING.COM X 2014 NE OPERATE AND MANAGE HEALTH CARE FACILITIES AND EXTENDED CARE FACILITIES FOR THE ELDERLY. 4 1 4898 200 0 0 80824020 0 208376741 222088703 -503 127636 302711 283797 289502969 222500136 0 0 0 0 124442639 133321409 0 0 0 85095485 87101858 209538124 220423267 79964845 2076869 111951153 130173170 31986308 48131456 79964845 82041714 DIGNITY IN LIFE 0 0 204244706 222352982 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. 204244706 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 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 1 640 0 1 4898 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 39.00 X X 0 344337 0 ELDORA VETTER SECRETARY/TREASURER 1.00 39.00 X X 0 0 0 GLENN VAN EKEREN PRESIDENT 20.00 20.00 X X 244941 244941 31706 HEATH BODDY DIRECTOR 1.00 0.00 X 0 0 0 BRIAN STUHR CFO 30.00 10.00 X 161481 0 10110 SHARI TERRY COO 40.00 0.00 X 218897 0 25053 RHONDA FLANIGAN CPO 40.00 0.00 X 185388 0 40513 AARON DUNLAP CFA 30.00 10.00 X 171187 0 41290 JOEL WICHMAN DIRECTOR OF FACILITY DEVELOPMENT 40.00 0.00 X 131596 0 28463 JOHN TURNER ADMINISTRATOR 40.00 0.00 X 130970 0 13740 1244460 589278 190875 24 0 1 0 SELECT REHABILITATION PO BOX 71985 CHICAGO IL 606941985 THERAPY STAFFING SERVICES 18954825 COMMUNITY PHARMACY SERVICES 21689 NORTHSTAR DRIVE BOX 524 GRETNA NE 68028 PHARMACY SERVICES 3583991 JERRY'S SHEET METAL HEATING AND COOLING PO BOX 484 GRAND ISLAND NE 68802 HVAC CONTRACTOR 1430671 THOMPSON ELECTRIC COMPANY 3505 S 61ST AVE CIR OMAHA NE 68106 ELECTRIC CONTRACTOR 1195111 STRUCTURAL COMPONENT SYSTEMS 1255 FRONT STREET FREMONT NE 68026 BUILDING CONTRACTOR 1124781 114 MEDICARE/MEDICAID 623990 122161349 122161349 PATIENT SERVICE REVENUE 623990 99444464 99444464 MANAGEMENT REVENUE 561000 245840 245840 237050 237050 222088703 127636 127636 19518 0 19518 19518 19518 CAFETERIA 900099 264279 264279 264279 222500136 222352982 0 147154 1037516 1037516 104087015 96189362 7897653 2136490 1975652 160838 18326612 16793895 1532717 7733776 7079252 654524 196063 196063 120704 120704 6678403 6678403 350547 350547 1918752 1918752 2547808 1273904 1273904 23664513 22954578 709935 125938 125938 426709 254626 172083 407573 407573 4853063 4707471 145592 257758 250025 7733 THERAPY COST 19235370 19235370 RESIDENT EXPENSES 13197648 13197648 PHARMACY COST 5888998 5888998 MISCELLANEOUS EXPENSE 3765545 3765545 3466466 3466466 220423267 204244706 16178561 0 1994440 116389 1984600 7567933 14208702 12834782 91128 76384 302738 381154 118949082 13504446 89709131 105444636 3660414 3751892 111951153 130173170 18960517 21652314 6113207 5113207 6447592 20872983 464992 492952 31986308 48131456 X 79964845 82041714 79964845 82041714 111951153 130173170 2076869 0 X X 0 1 X 1 0 X 80824020 0 80824020 208376741 222088703 430465444 289200761 222088703 511289464 80824020 80824020 0 80824020 80824020 430465444 73308 147154 220462 73308 147154 220462 280464 264279 544743 289554533 222500136 512054669 X 0 1 X 6120552 6120552 74247182 7081408 67165774 10575717 6008951 4566766 28005631 414087 27591544 105444636 SECURITY DEPOSITS 492952 492952 X 221242585 0 221242585 1257551 1257551 222500136 219165716 0 219165716 1257551 1257551 220423267 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,257,551. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,257,551. X X X 0 0 0 0 0 0 0 0 0 JACK VETTER CHAIRMAN & CEO 0 344337 0 0 0 0 0 0 0 0 0 344337 0 0 GLENN VAN EKEREN PRESIDENT 199565 199564 45376 45377 0 0 6875 6875 8978 8978 260794 260794 0 0 BRIAN STUHR CFO 135481 0 26000 0 0 0 8074 0 2036 0 171591 0 0 0 SHARI TERRY COO 181897 0 37000 0 0 0 9250 0 15803 0 243950 0 0 0 RHONDA FLANIGAN CPO 154388 0 31000 0 0 0 9337 0 31176 0 225901 0 0 0 AARON DUNLAP CFA 154687 0 16500 0 0 0 9058 0 32232 0 212477 0 0 0 JOEL WICHMAN DIRECTOR OF FACILITY DEVELOPMENT 109596 0 22000 0 0 0 4791 0 23672 0 160059 0 0 0 VETTER HOLDING INC VETTER HOLDING, INC IS OWNED MORE THAN 35% BY DIRECTORS OF THE ORGANIZATION X 10000000 5113207 0 1 1 5113207 VETTER LEASING INC VETTER LEASING, INC IS 100% OWNED BY JACK VETTER, CHAIRMAN OF THE BOARD 692300 AUTO LEASE PAYMENTS 0 VETTER ENTERPRISES LLC VETTER ENTERPRISES, LLC IS 75% OWNED BY FAMILY MEMBERS OF JACK VETTER 360000 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 PLAZA 100 ELKHORN NE 680224401 300979831 HOME HEALTH SERVICES NE 262577 18124 VETTER SENIOR LIVING VSL ALLIANCE ASSISTED LIVING LLC 150 W 24TH ST ALLIANCE NE 693012156 825432444 ASSISTED LIVING SERVICES NE 1141455 2286604 VETTER SENIOR LIVING VSL ALLIANCE LLC 1633 SWEETWATER PO BOX 950 ALLIANCE NE 693010950 300963042 NURSING HOME SERVICES NE 4920046 5492020 VETTER SENIOR LIVING VSL BROKEN BOW LLC 850 LAUREL PARKWAY DRIVE BROKEN BOW NE 68822 364855688 NURSING HOME SERVICES NE 6284636 6690116 VETTER SENIOR LIVING VSL COLUMBUS LLC 4715 38TH ST COLUMBUS NE 686011622 300964463 NURSING HOME SERVICES NE 8995282 383935 VETTER SENIOR LIVING VSL DAVID CITY LLC 260 SOUTH TENTH STREET DAVID CITY NE 686322032 611811905 NURSING HOME SERVICES NE 5397712 3853263 VETTER SENIOR LIVING VSL ELKHORN LLC 600 BROOKESTONE MEADOWS PLAZA ELKHORN NE 680224401 352581723 NURSING HOME SERVICES NE 19988713 1837481 VETTER SENIOR LIVING VSL EMERSON LLC 607 NEBRASKA ST EMERSON NE 687333627 611812157 NURSING HOME SERVICES NE 2612591 1787833 VETTER SENIOR LIVING VSL FAIRBURY LLC 909 17TH STREET FAIRBURY NE 683520667 611812442 NURSING HOME SERVICES NE 4781040 3257124 VETTER SENIOR LIVING VSL GARNETT LLC 101 NORTH PINE STREET GARNETT KS 660321199 384023801 NURSING HOME SERVICES KS 3570103 1436787 VETTER SENIOR LIVING VSL GENEVA LLC 501 NORTH 13TH STREET GENEVA NE 683611549 611812645 NURSING HOME SERVICES NE 6190033 227765 VETTER SENIOR LIVING VSL GERING LLC 2325 LODGE DRIVE GERING NE 693416825 611817126 NURSING HOME SERVICES NE 10879386 858339 VETTER SENIOR LIVING VSL GRAND ISLAND LLC 3119 WEST FAIDLEY AVENUE GRAND ISLAND NE 688034114 320515898 NURSING HOME SERVICES NE 8968315 537094 VETTER SENIOR LIVING VSL HOOPER LLC 400 EAST BIRCHWOOD HOOPER NE 680313002 384024243 NURSING HOME SERVICES NE 3585813 2307779 VETTER SENIOR LIVING VSL IOWA FALLS LLC 2320 WASHINGTON AVENUE IOWA FALLS IA 501261523 300965237 NURSING HOME SERVICES IA 4089856 2463891 VETTER SENIOR LIVING VSL KEARNEY 2615 WEST 11TH STREET KEARNEY NE 68845 371849431 NURSING HOME AND ASSISTED LIVING SERVICES NE 0 0 VETTER SENIOR LIVING VSL LAKE CITY LLC 1409 WEST MAIN STREET LAKE CITY IA 514491578 384024654 NURSING HOME SERVICES IA 5395525 7265767 VETTER SENIOR LIVING VSL LINCOLN SOUTHLAKE LLC 9401 ANDERMATT DRIVE LINCOLN NE 685269507 352583045 NURSING HOME SERVICES NE 13383234 584787 VETTER SENIOR LIVING VSL LINCOLN SUMNER LLC 1750 SOUTH 20TH STREET LINCOLN NE 685022611 300964875 NURSING HOME SERVICES NE 8319619 5741411 VETTER SENIOR LIVING VSL LOUP CITY LLC 1005 NORTH 8TH STREET LOUP CITY NE 688538215 352583738 NURSING HOME SERVICES NE 4563937 5832719 VETTER SENIOR LIVING VSL NORFOLK LLC 1203 N 13TH STREET PO BOX 429 NORFOLK NE 687020429 300965494 NURSING HOME SERVICES NE 9661236 585579 VETTER SENIOR LIVING VSL NORTH PLATTE COURT LLC 4000 WEST PHILIP AVENUE NORTH PLATTE NE 691010305 352583599 NURSING HOME SERVICES NE 14273420 747478 VETTER SENIOR LIVING VSL NORTH PLATTE ESTATES LLC 3700 WEST PHILIP AVENUE NORTH PLATTE NE 691010305 300968051 ASSISTED LIVING SERVICES NE 2803097 10194031 VETTER SENIOR LIVING VSL OMAHA LLC 4330 SOUTH 144TH STREET OMAHA NE 681371051 371848338 NURSING HOME SERVICES NE 18658725 905644 VETTER SENIOR LIVING VSL PAPILLION LLC 610 SOUTH POLK STREET PAPILLION NE 680462548 364858444 NURSING HOME SERVICES NE 10804676 699093 VETTER SENIOR LIVING VSL RED CLOUD LLC 636 NORTH LOCUST RED CLOUD NE 689702463 611815663 NURSING HOME SERVICES NE 2503025 1984484 VETTER SENIOR LIVING VSL SEWARD LLC 624 PINEWOOD AVE SEWARD NE 684341055 320518584 NURSING HOME SERVICES NE 6607452 266834 VETTER SENIOR LIVING VSL SPRINGFIELD CREEKSIDE LLC 1601 SOUTH FORT SPRINGFIELD MO 658078401 300967430 SENIOR LIVING SERVICES MO 4529756 7651693 VETTER SENIOR LIVING VSL SPRINGFIELD MANOR LLC 1707 WEST ELFINDALE STREET SPRINGFIELD MO 658071295 611815992 NURSING HOME SERVICES MO 8706485 6718810 VETTER SENIOR LIVING VSL ST EDWARD LLC 301 N 13TH ST ST EDWARD NE 68660 364859287 NURSING HOME SERVICES NE 2596179 3642840 VETTER SENIOR LIVING VSL ST PAUL LLC 1405 HERITAGE DR SAINT PAUL NE 688733618 611815917 NURSING HOME SERVICES NE 5508932 231318 VETTER SENIOR LIVING VSL VETTER HEALTH SERVICES LLC 20220 HARNEY STREET ELKHORN NE 68022 371845522 MANAGEMENT SERVICES NE 2709692 43477207 VETTER SENIOR LIVING VSL WAHOO LLC 1400 MARK DRIVE WAHOO NE 680664023 371849602 NURSING HOME SERVICES NE 8422401 205320 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