2018-11-14T09:16:13-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2017-01-01 431207154 VILLAGE NORTH INC VILL 3148001955 11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136 ROGER BYRNE CHAIRPERSON 3148001955 2018-11-12 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2018-11-12 16:35:28 CS P 4DC81AC5090E51A43603AD047BBA54151ACF830E 59AF7F7AE0AD7FB228FE1884CD01039D19CBB9C6 2017 2019-02-21 02:37:17Z ROGER BYRNE 11160 VILLAGE NORTH DRIVE SAINT LOUIS MO 63136 7309429 0 X WWW.BETHESDAHEALTH.ORG/OUR-COMMUNITIES X 1980 MO VILLAGE NORTH, INC.'S PRIMARY PURPOSE IS TO PROVIDE A VARIETY OF QUALITY HEALTHCARE SERVICES AND LIVING OPTIONS FOR THE SENIOR POPULATION IN ST. LOUIS ON ITS CAMPUS LOCATED IN NORTH ST. LOUIS COUNTY. THESE SERVICES ARE PROVIDED IN VNI'S INDEPENDENT LIVING APARTMENTS AS WELL AS IN THEIR SKILLED NURSING FACILITY. 4 4 193 4 0 0 8203 4646 6741568 7277275 24664 0 41273 27508 6815708 7309429 0 0 0 0 3458171 3798918 0 0 0 5414416 6055141 8872587 9854059 -2056879 -2544630 6280379 5868911 4019143 933022 2261236 4935889 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 7099583 7277275 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. 7099583 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 49 0 193 1 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 THE ORGANIZATION 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 40.00 X 0 0 0 REBECCA PENNICK ADMINISTRATOR (TERM ENDED) 40.00 X 0 0 0 DENNIS GRINDEL GENERAL MANAGER (TERM ENDED) 40.00 X 0 0 0 ANDREW LANE 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 602702 BARTELS-MISSEY INC 3486 TELEGRAPH RD ARNOLD MO 63010 CAPITAL ADDITIONS 435726 MEDICAL STAFFING NETWORK PO BOX 840292 DALLAS TX 752840292 TEMP STAFFING 424352 OMNICARE PHARMACY DEPT 781668 DETROIT MI 482781668 PHARMACY 337987 MSM SOLUTIONS DBA NURSE STAFFING MO PO BOX 4729 WINTER PARK FL 327934729 TEMP STAFFING 305805 11 4646 4646 RESIDENT/PATIENT REVEN 623000 7277275 7277275 7277275 MEALS REVENUE 623000 22421 22421 BARBER & BEAUTY SHOP R 623000 5087 5087 27508 7309429 7277275 0 27508 X 3235925 2645226 590699 40707 33228 7479 278580 227509 51071 243706 199043 44663 390998 390998 2340615 1958972 381643 34743 34743 1192974 960619 232355 167802 167802 470546 337585 132961 37108 110 36998 574325 574325 135941 135941 BAD DEBT EXPENSE 324344 324344 TAXES AND LICENSES 201399 201399 OTHER MISCELLANEOUS 161343 161343 DUES AND SUBSCRIPTIONS 14307 296 14011 8696 1327 7369 9854059 7099583 2754476 0 36608 228220 1122399 721013 23592 3015 2107 19826126 14908555 5094765 4917571 6280379 5868911 3856196 773722 10184 3239 152763 156061 4019143 933022 X 2261236 4935889 2261236 4935889 6280379 5868911 X -2544630 5219283 X 0 0 0 X 3392 8203 4646 16241 6588744 6741568 7277275 20607587 6592136 6749771 7281921 20623828 0 181066 253050 175186 609302 181066 253050 175186 609302 20014526 36745 24664 61409 36745 24664 61409 55856 41273 27508 124637 6684737 6815708 7309429 20809874 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. BARBER BEAUTY SHOP - 2015 AMOUNT: $ 6,523. 2016 AMOUNT: $ 5,836. 2017 AMOUNT: $ 5,087. TRANSPORTATION REVENUE - 2015 AMOUNT: $ 8,936. 0 1 X 184755 184755 8534101 6455548 2078553 1045482 622402 423080 9987257 7821495 2165762 74531 9110 65421 4917571 DEPOSITS 156061 156061 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 2017 CALENDAR YEAR BETHESDA HEALTH GROUP, INC. COMPENSATED THE FOLLOWING INDIVIDUALS IN TOTAL WAGES: LYNNE SPRIGGS $71,007 FOR SERVING AS VNI'S ADMINISTRATOR; REBECCA PENNICK $23,638 FOR SERVING AS VNI'S ADMINSITRATOR; DENNIS GRINDEL $15,895 FOR SERVING AS VNI'S GENERAL MANAGER; AND ANDREW LANE $93,562 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 IT'S 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 $390,998 OF THAT IS CONSIDERED TO BE MANAGEMENT FEES. THE OTHER $309,002 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 780,065. MANAGEMENT AND GENERAL EXPENSES 109,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 889,226. TEMP AGENCIES: PROGRAM SERVICE EXPENSES 1,049,573. MANAGEMENT AND GENERAL EXPENSES 10,148. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,059,721. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 129,334. MANAGEMENT AND GENERAL EXPENSES 262,334. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 391,668. FORM 990, PART XI, LINE 9: ADDITIONAL PAID IN CAPITAL BY MEMBERS 5,219,283.