2018-11-14T16:25:47-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2017-01-01 391096121 METHODIST MANOR HEALTH CENTER INC METH 4146074100 3023 SOUTH 84TH STREET WEST ALLIS WI 53227 KENNETH WIDENSKI CFO 4146074100 2018-11-12 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2018-11-12 67.137.57.251 2018-11-12 16:49:58 CS P 6E90C7C5DAB7B6CE43E299C98BE0892EC7C4F8B9 74366397A7920D47D320981250E17347957E6194 2017 2019-02-21 02:37:17Z KENNETH WIDENSKI 3023 SOUTH 84TH STREET WEST ALLIS WI 53227 15934991 0 X WWW.VMPCARES.COM X 1966 WI THE CORPORATION IS DEDICATED TO PROVIDING A FULL RANGE OF CARE AND SERVICES FOR OLDER ADULTS THAT RESPECTS EACH INDIVIDUAL'S PERSONAL, PHYSICAL, AND SPIRITUAL NEEDS. THESE NEEDS ARE MET THROUGH INDIVIDUALLY-TAILORED SERVICES DELIVERED BY A SKILLED AND CARING STAFF COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE CARE. OUR MISSION IS ENHANCED BY WORKING WITH COMMUNITY PARTNERS. WE DO THIS IN HARMONY WITH OUR CHRISTIAN TRADITION IN AN ENVIRONMENT THAT CONTINUALLY CHALLENGES ITS MEMBERS TO EXCEL AND A STRUCTURE THAT ENCOURAGES GROWTH, RESEARCH, AND WISE USE OF RESOURCES. 7 5 0 158 0 0 0 4589 15683365 15907907 0 -68639 23458 22495 15706823 15866352 0 0 0 0 6667546 7410361 0 0 0 9527252 9524028 16194798 16934389 -487975 -1068037 14394611 12653257 7985991 7312674 6408620 5340583 X METHODIST MANOR HEALTH CENTER, INC. IS A 150-BED SKILLED NURSING FACILITY WHICH PROVIDES SKILLED NURSING SERVICES, REHABILITATION SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, A PHYSICIAN CLINIC SPECIALIZING IN GERIATRIC CARE, AND A 23-BED VENTILATOR DEPENDENT CARE UNIT (INCLUDED IN 150-BED LICENSE). 0 0 15264271 15930402 SKILLED NURSING CARE IN A 150 BED SPECIALIZED CARE FACILITY. ALSO, A REHABILITATION CLINIC OFFERING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY TO RESIDENTS, A PHYSICIAN CLINIC SPECIALIZING IN GERIATRIC CARE, AND A 23-BED VENTILATOR DEPENDENT CARE UNIT. 15264271 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X KENNETH WIDENSKI 4146074302 3023 SOUTH 84TH STREET WEST ALLIS WI 53227 DAVID AFFELDT CHAIRMAN OF THE BOARD 1.00 4.00 X X 0 0 0 TERRANCE BRAATZ VICE CHAIRMAN 1.00 4.00 X X 0 0 0 ELIZABETH TOOHILL BOARD MEMBER 1.00 4.00 X 0 0 0 RICK KELLAR BOARD MEMBER 1.00 4.00 X 0 0 0 ALAN RUNDE PRESIDENT/CEO 8.00 32.00 X X 0 179976 8066 KENNETH J WIDENSKI CFO 8.00 32.00 X X 0 100300 9435 TIM BATE SECRETARY/TREASURER 1.00 4.00 X X 0 0 0 0 280276 17501 0 0 1 0 OMNICARE PHARMACY 5185 S 9TH STREET MILWAUKEE WI 53221 PHARMACEUTICAL 420270 TEMPSPLUS 7017 W GREENFIELD AVE WEST ALLIS WI 53214 LICENSED POOL NURSING SERVICES 133624 FIRST CALL MEDICAL STAFFING 2525 N MAYFAIR RD SUITE 60 WAUWATOSA WI 53226 LICENSED POOL NURSING SERVICES 123711 PROFESSIONAL HEALTH CARE SERVICES 10827 W LINCOLN AVENUE WEST ALLIS WI 53227 LICENSED POOL NURSING SERVICES 111902 STAFFING PARTNERS HEALTHCARE 2140 S 55TH STREET MILWAUKEE WI 53219 LICENSED POOL NURSING SERVICES 111778 5 4589 4589 MEDICARE/MEDICAID PAYMENT 623000 11244989 11244989 PROGRAM SERVICES 623000 4101256 4101256 OTHER OPERATING REVENUE 623000 436802 436802 MAINTENANCE FEES 623000 124860 124860 15907907 68639 -68639 -68639 -68639 BEAUTY/BARBER SHOP 624100 21932 21932 OTHER REVENUE 624100 563 563 22495 15866352 15930402 0 -68639 6484678 6484678 66261 66261 447738 447543 195 411684 411684 965672 965672 217865 9818 208047 184432 184432 2467 1951 516 1896 1896 408682 408682 289 289 ALLOCATED COSTS 6237304 5176962 1060342 MEDICAL SUPPLIES AND DR 849943 849943 ASSESSMENTS 306000 306000 OTHER PROGRAM EXPENSES 247487 247487 101991 6973 95018 16934389 15264271 1670118 0 1418960 1548470 15879596 13254010 2870912 2625586 10104739 8479201 14394611 12653257 866928 530917 39238 16765 7079825 6764992 7985991 7312674 X 6408620 5340583 6408620 5340583 14394611 12653257 -1068037 0 X X 0 1 X 1 0 X 381231 219500 45217 0 4589 650537 16156017 16709248 15550541 15683365 15907907 80007078 16537248 16928748 15595758 15683365 15912496 80657615 0 6569 6569 6569 6569 80651046 25044 23031 17991 23458 22495 112019 16562292 16951779 15613749 15706823 15934991 80769634 0.99850 0.99850 0.00000 X 89835 89835 8949665 7326709 1622956 6833796 5927301 906495 6300 6300 2625586 DUE FROM AFFILIATES 8479201 8479201 RESIDENT DEPOSITS 9576 DUE TO AFFILIATES 6755416 6764992 0 0 0 0 0 0 0 0 0 ALAN RUNDE PRESIDENT/CEO 0 179976 0 0 0 0 0 4010 0 4056 0 188042 0 0 PART I, LINE 3 RELATED ORGANIZATIONS USE THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE PRESIDENT/CEO/CFO: COMPENSATION SURVEY OR STUDY BY INDEPENDENT CONSULTANT; APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING AND ADMINISTRATION MANAGEMENT REVIEW THE FORM 990 BEFORE IT IS SUBMITTED. IT IS AVAILABLE TO EACH BOARD MEMBER FOR THEIR REVIEW AFTER COMPLETION AND FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND CERTAIN DIRECTORS, THROUGH COMMUNICATION WITH THE ACCOUNTING DEPARTMENT, REVIEW COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IT IS PART OF THE CORPORATE COMPLIANCE PROCESS. FORM 990, PART VI, SECTION B, LINE 15 WHEN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT, RESPONSIBILITIES, AND COMPETITIVE ENVIRONMENT ARE TAKEN IN CONSIDERATION. HUMAN RESOURCES SURVEYS OF COMPARABLE ORGANIZATIONS AND REVIEWS AND APPROVAL OF EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. METHODIST MANOR INC 3023 S 84TH STREET WEST ALLIS WI 53227 390942151 NOT-FOR-PROFIT CORPORATION WI 501(C)(3) LINE 10 VILLAGE AT MANOR PARK INC 0 METHODIST MANOR OF WAUKESHA INC 3023 S 84TH STREET WEST ALLIS WI 53227 391739567 HOSPICE WI 501(C)(3) LINE 10 VILLAGE AT MANOR PARK INC 0 THE VILLAGE AT MANOR PARK INC 3023 S 84TH STREET WEST ALLIS WI 53227 930840673 NOT-FOR-PROFIT MANAGEMENT CORPORATION WI 501(C)(3) LINE 12B, II N/A 0 VMP FOUNDATION INC 3023 S 84TH STREET WEST ALLIS WI 53227 510188458 CONTROL ASSETS FOR BENEFIT OF RELATED ORGANIZATIONS WI 501(C)(3) LINE 12A, I N/A 0 ANCHOR HOLDINGS INC 3023 S 84TH STREET WEST ALLIS WI 53227 391677564 HOLDING COMPANY WI N/A C 0 VANGUARD HEALTH SERVICES INC 3023 S 84TH STREET WEST ALLIS WI 53227 391394780 HOLDING COMPANY WI N/A C 0 HOME CARE MEDICAL INC 5665 S WESTRIDGE DRIVE NEW BERLIN WI 53131 391206759 MEDICAL EQUIPMENT WI N/A C 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 1 0 1 0