2019-05-14T14:26:51-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2018-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS CHIEF FINANCIAL OFFICER 7854789440 2019-05-13 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2019-05-13 17:00:34 CD P 2FB13AE82846AA91096501B2C4C574A7F21EA58D 4DC81AC5090E51A43603AD047BBA54151ACF830E 2018 2019-02-21 02:37:17Z JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 29729278 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS FAITHFULLY ENHANCING THE LIVES OF SENIORS 9 9 339 30 0 0 166999 1018204 24509844 24791312 407118 778919 183562 249095 25267523 26837530 0 0 0 0 10453608 10790863 0 60000 60000 15072780 14607054 25526388 25457917 -258865 1379613 26367124 27948654 29643890 30437970 -3276766 -2489316 FAITHFULLY ENHANCING THE LIVES OF SENIORS THROUGH ACTIVELY ENGAGING MIND, BODY AND SPIRIT. 0 0 22310060 24791312 OPERATIONS OF ALDERSGATE VILLAGE PROVIDES RESIDENTIAL AND HEALTH CARE SERVICES FOR THE ELDERLY. THE CAMPUS CONSISTS OF A 196 BED SKILLED NURSING FACILITY, 60 ASSISTED LIVING UNITS, 156 INDEPENDENT LIVING UNITS. THE INDEPENDENT LIVING UNITS INCLUDE APARTMENTS, DUPLEXES, FOUR-PLEXES AND SINGLE FAMILY HOMES.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. 22310060 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 1 0 0 1 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 33 0 339 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 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 TRUSTEE - CHAIR 1.00 X X 0 0 0 CAROL WHEELER TRUSTEE - VICE CHAIR 1.00 X X 0 0 0 DANIEL LEHMAN TRUSTEE - SECRETARY/TREASURER 1.00 X X 0 0 0 KEVIN BRUNTON TRUSTEE 1.00 X 0 0 0 TIM CLOTHIER TRUSTEE 1.00 X 0 0 0 MARK KOSSLER TRUSTEE 1.00 X 0 0 0 REV KAY SCARBROUGH TRUSTEE 1.00 X 0 0 0 MONICA SCHEIBMEIR TRUSTEE (TERM ENDED 06/2018) 1.00 X 0 0 0 MARK YOUNG TRUSTEE 1.00 X 0 0 0 DEBORAH SHEEHY TRUSTEE 1.00 X 0 0 0 JERRY C NEY PRESIDENT & CEO 45.00 X 277661 0 14501 BREE L ROGERS CFO 45.00 X 141489 0 22503 CAROL BURNS-GEORGE ADMINISTRATOR/VP OF OPERATIONS 45.00 X 152781 0 7119 571931 0 44123 3 0 1 0 MORRISON SENIOR DINING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING, HOUSEKEEPING, LAUNDRY, MAINTENAN 4729691 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1718444 DRIPPE CONSTRUCTION 919 E JESUIT LANE ST MARYS KS 66536 RENOVATION/CONSTRUCTION 1261340 M BALL CONSTRUCTION INC 5431 NW 39TH ST TOPEKA KS 66618 RENOVATION/CONSTRUCTION 408154 MCELROY'S INC PO BOX 5188 TOPEKA KS 66605 HEATING/COOLING 404877 8 1018204 1018204 MEDICARE/MEDICAID PAYMENTS 623000 17496052 17496052 RESIDENT FEES 623000 6296799 6296799 HEALTH SERVICES 623000 897518 897518 CONTRACT INCOME 623000 100000 100000 MISC. PROGRAMS & RECREATION 623000 943 943 24791312 268093 268093 3300780 101794 2884662 7086 416118 94708 510826 510826 RESIDENT & EMPLOYEE SVC 623000 249095 249095 249095 26837530 24791312 0 1028014 X 456154 456154 8495276 7637279 857997 3174 2355 819 1156879 858193 298686 679380 503976 175404 87618 87618 46784 46784 60000 60000 29180 29180 7137753 7077500 60253 147862 125620 22242 1044714 723083 321631 378682 1905 376777 886951 816927 70024 76334 59460 16874 9413 6770 2643 1072517 1062605 9912 2346137 2324456 21681 119740 119740 PHARMACY 382655 382655 BAD DEBT 218490 218490 FOOD 209945 202158 7787 PROVIDER TAX 160328 160328 251951 146300 105651 25457917 22310060 3087857 60000 600577 1002099 404666 399943 123931 1454429 1240674 2092 2092 165329 143241 62197575 45011258 16391933 17186317 7213656 7710341 134442 140016 26367124 27948654 1787808 1943697 1493147 1454900 18484533 19627460 28741 14363 2474417 2296598 5375244 5100952 29643890 30437970 X -7423047 -7618552 954895 1937850 3191386 3191386 -3276766 -2489316 26367124 27948654 X 1379613 -982141 389978 X X 0 1 X 1 0 X 988016 373312 183916 166999 1018204 2730447 22891405 23824313 23843855 24509844 24791312 119860729 23879421 24197625 24027771 24676843 25809516 122591176 3300 3300 0 3300 3300 122587876 258264 227323 230239 209713 268093 1193632 258264 227323 230239 209713 268093 1193632 147365 132844 129935 183562 249095 842801 24285050 24557792 24387945 25070118 26326704 124627609 0.98360 0.98470 0.00960 0.00920 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RESIDENT AND EMPLOYEE SERVICES - 2014 AMOUNT: $ 147,365. 2015 AMOUNT: $ 132,844. 2016 AMOUNT: $ 129,935. 2017 AMOUNT: $ 183,562. 2018 AMOUNT: $ 249,095. 0 0 0 0 0 0 0 0 1 2003 2003 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 3496651 -85536 3411115 3421658 74993 3496651 3366048 55610 3421658 3390670 -24622 3366048 3355385 35285 3390670 0.93560 0.06440 0 0 854680 854680 41889752 31453636 10436116 1316497 687527 628970 16416352 12870095 3546257 1720294 1720294 17186317 WAITING LIST DEPOSITS 17250 REFUNDABLE ADVANCES FEE 4387223 GIFT ANNUITY PAYABLE 8855 DEFERRED COMPENSATION OBLIGATION 41174 SWAP VALUE LIABILITY 646450 5100952 X 26216187 -982141 389979 -592162 26808349 29181 29181 26837530 25428737 0 25428737 29180 29180 25457917 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 389,979. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 1151127 0 0 0 0 0 0 1151127 0 1151127 0 0 0 1 0 0 X X 1 KELLER CONSULTING LLC 120 EAST 9TH ST LAWRENCE KS 66044 GRANT WRITING, PREPARATION FOR SOLICITATIONS 0 749300 60000 689300 749300 60000 689300 KS X 0 0 X X X 0 0 0 0 0 0 0 0 0 JERRY C NEY PRESIDENT & CEO 271704 0 0 0 5957 0 0 0 14501 0 292162 0 0 0 BREE L ROGERS CFO 140021 0 0 0 1468 0 0 0 22503 0 163992 0 0 0 CAROL BURNS-GEORGE ADMINISTRATOR/VP OF OPERATIONS 140000 0 0 0 12781 0 0 0 7119 0 159900 0 0 0 PART I, LINE 1A CAROL BURNS-GEORGE ($10,800) 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 3644896 20630000 409244 2385898 17834858 2016 1 1 1 1 B 92791 4650000 83111 2871815 1695074 0 0 0 0 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 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 BOARD OF TRUSTEES AND 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 BOARD. THIS PROCESS WAS MOST RECENTLY COMPLETED IN 2017. 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 63,036. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,036. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 32,688. MANAGEMENT AND GENERAL EXPENSES 305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,993. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,509,263. MANAGEMENT AND GENERAL EXPENSES -51,533. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,457,730. CONSULTING FEES: PROGRAM SERVICE EXPENSES 221,703. MANAGEMENT AND GENERAL EXPENSES 26,862. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,565. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,690,563. MANAGEMENT AND GENERAL EXPENSES 15,769. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,706,332. ANCILLIARY SERVICES: PROGRAM SERVICE EXPENSES 95,287. MANAGEMENT AND GENERAL EXPENSES 889. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,176. MAINTANENCE CONTRACTS: PROGRAM SERVICE EXPENSES 527,996. MANAGEMENT AND GENERAL EXPENSES 4,925. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 532,921. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUE 389,978. 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 0 -65881 UNITED METHODIST HOMES ALDERSGATE VILLAGE CHARITABLE SUPPORT LLC 515 S KANSAS AVE TOPEKA KS 66603 472406530 CHARITABLE SUPPORT KS 207653 8651 UNITED METHODIST HOMES