2019-11-06T15:54:03-06:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2018-01-01 431207154 VILLAGE NORTH INC VILL 3148001955 11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136 ROGER BYRNE CHAIRPERSON 3148001955 2019-11-06 1 AMBER ROGNAN-HAMILTON P01251012 3149254300 67.137.57.251 2019-11-06 10:15:32 CS P 616D57ED59C9C12D8A28A3D9D480C81CB0617C5C 3504379F24C0DE3CDF94D2B924EA8FE5CB423EB9 2018 2020-03-31 21:24:44Z ROGER BYRNE 11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136 7640841 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 4 200 4 0 0 4646 2223 7277275 7618821 0 0 27508 19797 7309429 7640841 0 0 0 0 3798918 4076114 0 0 0 6055141 5574983 9854059 9651097 -2544630 -2010256 5868911 5733861 933022 984035 4935889 4749826 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 7242756 7618821 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. 7242756 1 0 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 48 0 200 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 ROGER T BYRNE CHAIRPERSON 2.00 X X 0 0 0 DANIEL J ROTHERY VICE CHAIRPERSON 2.00 X X 0 0 0 JOSEPH J BRINKER SECRETARY 2.00 X X 0 0 0 RICK STEVENS TREASURER 2.00 X X 0 0 0 LYNNE SPRIGGS ADMINISTRATOR (TERM ENDED) 40.00 X 0 0 0 ANDREW LANE DIRECTOR OF NURSING (TERM ENDED) 40.00 X 0 0 0 WADE HACHMAN ADMINISTRATOR 40.00 X 0 0 0 KATIE SMITH DIRECTOR OF NURSING 40.00 X 0 0 0 0 0 0 0 0 0 0 REHAB CARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY 751290 BETHESDA HEALTH GROUP 1630 DES PERES RD STE 290 ST LOUIS MO 63131 MANAGEMENT FEE 402589 OMNICARE PHARMACY PO BOX 78000 DETROIT MI 482781668 PHARMACY 328866 LSQ FUNDING GROUP PO BOX 404322 ATLANTA GA 303844322 TEMP STAFFING 135031 BARTELS-MISSEY INC 3486 TELEGRAPH RD ARNOLD MO 63010 REPAIRS 129173 11 2223 2223 RESIDENT/PATIENT REVEN 623000 7618821 7618821 7618821 MEALS REVENUE 623000 15137 15137 BARBER & BEAUTY SHOP R 623000 4660 4660 19797 7640841 7618821 0 19797 X 202094 202094 3237716 2810068 427648 18354 14994 3360 349401 285435 63966 268549 219384 49165 402589 402589 30 30 1710205 1372987 337218 32627 32627 1268823 1047933 220890 194878 194878 434724 347756 86968 11357 229 11128 575382 575382 135324 135324 BAD DEBT EXPENSE 330989 330989 OTHER MISCELLANEOUS 235541 235541 TAXES AND LICENSES 214474 214474 EDUCATION AND TRAINING 14622 188 14434 13418 1870 11548 9651097 7242756 2408341 0 228220 21209 721013 831570 2107 3007 20362011 15483936 4917571 4878075 5868911 5733861 773722 832177 3239 2533 156061 149325 933022 984035 X 4935889 4749826 4935889 4749826 5868911 5733861 X -2010256 1824193 X 0 0 0 X 3392 8203 4646 2223 18464 6588744 6741568 7277275 7618821 28226408 6592136 6749771 7281921 7621044 28244872 0 181066 253050 175186 609302 181066 253050 175186 609302 27635570 36745 24664 61409 36745 24664 61409 55856 41273 27508 19797 144434 6684737 6815708 7309429 7640841 28450715 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEALS REVENUE - 2015 AMOUNT: $ 40,397. 2016 AMOUNT: $ 35,437. 2017 AMOUNT: $ 22,421. 2018 AMOUNT: $ 15,137. BARBER BEAUTY SHOP - 2015 AMOUNT: $ 6,523. 2016 AMOUNT: $ 5,836. 2017 AMOUNT: $ 5,087. 2018 AMOUNT: $ 4,660. TRANSPORTATION REVENUE - 2015 AMOUNT: $ 8,936. 0 1 X 184755 184755 8677854 6692143 1985711 1049697 659584 390113 10308425 8123099 2185326 141280 9110 132170 4878075 DEPOSITS 149325 149325 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 2018 CALENDAR YEAR BETHESDA HEALTH GROUP, INC. COMPENSATED THE FOLLOWING INDIVIDUALS IN TOTAL WAGES: LYNNE SPRIGGS $12,500 FOR SERVING AS VNI'S ADMINISTRATOR; WADE HACHMAN $104,538 FOR SERVING AS VNI'S ADMINSITRATOR; KATIE SMITH $66,336 FOR SERVING AS VNI'S DIRECTOR OF NURSING; AND ANDREW LANE $18,720 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 $700,000 FOR THE CALENDAR YEAR, ONLY $402,589 OF THAT IS CONSIDERED TO BE MANAGEMENT FEES. THE OTHER $297,411 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 900,606. MANAGEMENT AND GENERAL EXPENSES 41,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 942,206. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 350,758. MANAGEMENT AND GENERAL EXPENSES 30,845. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 381,603. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 121,623. MANAGEMENT AND GENERAL EXPENSES 264,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 386,396. FORM 990, PART XI, LINE 9: ADDITIONAL PAID IN CAPITAL BY MEMBERS 1,824,193.