2018-11-15T13:52:32-06:00 2017-12-31 731413977 HOGANTAYLOR LLP 11600 BROADWAY EXT SUITE 300 OKLAHOMA CITY OK 73114 990 2017-01-01 731292317 CENTRAL OKLAHOMA UNITED METHODIST RETIREMENT FACILITY INC CENT 4057521200 14901 N PENNSYLVANIA AVENUE OKLAHOMA CITY OK 73134 RON KELLY CHIEF EXECUTIVE OFFICER 4057493516 2018-11-15 1 W LYNDEL LACKEY P00234298 4058482020 2018-11-15 98.184.84.130 2018-11-15 10:05:54 CS P 9D77D5089F6CFDFA10E33FA204CA8B8BB51CC565 AB9D39DAB8F64CBCBAEF692949137285CA1D49BB 2017 2019-02-21 02:37:17Z EPWORTH VILLA RON KELLY 14901 N PENNSYLVANIA AVENUE OKLAHOMA CITY OK 73134 32249395 0 X WWW.EPWORTHVILLA.ORG X 1987 OK PROVIDING A HOME WHERE ELDERS CAN AGE WITH DIGNITY AND CONTINUE TO LIVE FULL LIVES 12 12 397 81 0 0 97438 75732 23116381 23219843 495294 399165 732405 828848 24441518 24523588 0 0 0 0 8863244 9650164 0 0 0 17659146 18283040 26522390 27933204 -2080872 -3409616 104814301 99432194 115650063 112955168 -10835762 -13522974 X TO DEVELOP AND PROVIDE PREMIER, WELLNESS-BASED CAMPUSES AND COMMUNITYOUTREACH. 0 0 6705901 9017444 PROVIDED SKILLED NURSING AND LONG TERM CARE TO AN AVERAGE OF OVER 64 PATIENTS/RESIDENTS PER DAY IN A BEAUTIFUL FACILITY CREATING AN ENVIRONMENT OF HEALING AND RECOVERY FOR SKILLED NURSING PATIENTS AND COMFORT TO LONG TERM CARE RESIDENTS. 2546503 4751240 PROVIDING ASSISTED LIVING AND ASSISTED LIVING MEMORY CARE TO RESIDENTS FROM INSIDE THE RETIREMENT COMMUNITY AND FROM OUTSIDE IN THE SURROUNDING COMMUNITY. PROVIDING DIGNITY AND SAFETY TO RESIDENTS ALLOWING RESIDENTS TO AGE WITH ASSISTANCE WITH THEIR DAILY LIVING ACTIVITIES AS NEEDED. 3521724 7512786 ONGOING ENGAGEMENT OF SENIORS IN INDEPENDENT LIVING, PROVIDING OPPORTUNITIES FOR RESIDENTS TO INTERACT, VOLUNTEER, ENCOURAGE PARTICIPATION IN WELLNESS, ENCOURAGEMENT OF SOCIAL INTERACTION AND DEVELOPMENT. OPPORTUNITIES FOR INVOLVEMENT ON THE CAMPUS AND IN THE COMMUNITY. PROVIDING THE ABILITY FOR RESIDENTS ENTERING THE COMMUNITY VIA INDEPENDENT LIVING A HOME FOR LIFE. 8384310 1938373 PROVIDING A PLACE IN THE COMMUNITY FOR OTHER NONPROFIT MEETINGS, FOR EXAMPLE GIRL SCOUTS, ALZHEIMER DISEASE GROUPS, BIBLE STUDY GROUPS, PARKINSON'S SUPPORT GROUPS. THE COMMUNITY ALSO PROVIDES A POLLING PRECINCT FOR THE COMMUNITY AND SURROUNDING AREA. RESIDENT VOLUNTEERED BOTH INSIDE EPWORTH VILLA AND THE SURROUNDING COMMUNITY WORKING 10,083 HOURS IN 2017. 8384310 1938373 21158438 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 397 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OK X JANE SECONDINE 4057521200 14901 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73134 DR ROBERT L SPINKS CHAIRMAN 1.00 X X 0 0 0 CHRISTOPHER PAPIN IMMEDIATE PAST CHAIRMAN 1.00 X X 0 0 0 DR MARY ALLEN CAREY DIRECTOR 1.00 X 0 0 0 SCOTT G DAVIS DIRECTOR 1.00 X 0 0 0 J STEPHEN FORD DIRECTOR 1.00 X 0 0 0 JACOB JEAN DIRECTOR 1.00 X 0 0 0 DR GLEN JOHNSON DIRECTOR 1.00 X 0 0 0 REV TISH MALLOY DIRECTOR 1.00 X 0 0 0 BARBARA PERRY DIRECTOR 1.00 X 0 0 0 REV KRIS TATE DIRECTOR 1.00 X 0 0 0 JASON WAUSON DIRECTOR 1.00 X 0 0 0 CHARLES HULL DIRECTOR 1.00 X 0 0 0 BARBARA BRANDENBURG SECRETARY 40.00 X 49251 0 14698 RON KELLY CEO/PRESIDENT 50.00 X 38039 0 0 LAUREN CANTU CHIEF OPERATING OFFICER 60.00 1.00 X 158351 0 20827 TINA BALLARD CHIEF FINANCIAL OFFICER 60.00 2.00 X 123187 0 21835 JOHN HARNED FORMER CEO 40.00 2.00 X 224615 0 4651 CHARLES S HUFF INTERIM CEO/PRESIDENT 40.00 2.00 X 174029 0 0 DIANNA BEASLEY DIRECTOR OF HD&E 50.00 1.00 X 105778 0 19985 873250 0 81996 5 0 1 0 SELECT REHABILITATION INC PO BOX 71985 CHICAGO IL 60694 THERAPY 1314507 CBR COMMERCIAL CONTRACTING 10251 S BRYANT GUTHRIE OK 73044 REMODELING SERVICE 226063 BEYOND CARPENTRY & CONSTRUCTION 329 SE 50TH OKLAHOMA CITY OK 73129 REMODELING SERVICE 222865 JERRY'S REMODELING & CLEANING 1048 S MORGAN ROAD BLANCHARD OK 73010 REMODELING SERVICE 187883 AIR TECHNOLOGIES 110 NE 48TH ST OKLAHOMA CITY OK 73105 HVAC 172718 6 75732 75732 RESIDENTIAL SERVICES 623000 12238998 12238998 MEDICARE CENTER 623000 5523571 5523571 HEALTH CENTER 623000 3493872 3493872 DEMENTIA FACILITY 623000 1512739 1512739 OTHER PROGRAM REVENUE 623000 450663 450663 23219843 296405 296405 656824 656824 172024 0 172024 172024 172024 7800493 28074 7698639 27168 101854 906 102760 102760 24523588 23219843 0 1228013 955247 852013 103234 6847092 6090067 757025 53489 47676 5813 1158290 1085172 73118 636046 572329 63717 1434467 1434467 196288 96591 99697 81250 81250 587015 552933 34082 171828 14824 157004 67529 37469 30060 86766 86766 1595744 1568567 27177 24175 17440 6735 12759 2900 9859 4364183 3531319 832864 3977458 3218397 759061 256608 256608 LOSS ON RECEIVABLE 1784536 1784536 THERAPIES 1287614 1287614 FOOD AND FOOD SERVICE 1001833 990320 11513 PHARMACY, LAB & XRAYS 509393 509393 843594 596648 246946 27933204 21158438 6774766 0 3100 3100 1700429 1368379 1054913 1276108 436327 336079 166739 178770 252253 140640 116153485 35366226 83671205 80787259 0 14865634 15744799 476225 1784536 0 104814301 99432194 2794858 2399613 4953142 3507138 84800000 83300000 28973 0 23073090 23748417 115650063 112955168 X -11292719 -14030548 83017 96446 373940 411128 -10835762 -13522974 104814301 99432194 -3409616 722404 0 X 0 1 X 1 0 X 140489 106863 99449 97438 75732 519971 21348425 21541803 37340687 23116381 23219843 126567139 21488914 21648666 37440136 23213819 23295575 127087110 50000 50000 100000 0 50000 50000 100000 126987110 784245 1426360 1387944 1012238 1125253 5736040 784245 1426360 1387944 1012238 1125253 5736040 134711 134711 22273159 23209737 38828080 24226057 24420828 132957861 0.95510 0.95860 0.04310 0.03920 X 366390 2064 48553 508 417669 355469 6515 23258 1875 16981 -4 366390 382950 4996 -11598 3338 17540 1 355469 354425 36200 12241 4166 15750 382950 305703 20715 46002 17995 354425 0.33190 0.00000 0.66810 0 0 2688010 2688010 85739040 20582087 65156953 22982496 11689688 11292808 4743939 3094451 1649488 80787259 REFUNDABLE ENTRANCE FEES 18243825 ENTRANCE FEE DEPOSITS 5019564 LIABILITY INSURANCE RESERVE 192000 DUE TO/FROM AFFILIATES 293028 23748417 25245992 722404 722404 24523588 0 24523588 27933204 0 27933204 0 27933204 PART V, LINE 4: THE POOLED INVESTMENTS THAT ARE REFLECTED AT NET ASSET VALUE PER SHARE ARE DIRECTED BY OUMF AND CONSIST OF VARIOUS EQUITY SECURITIES, ASSET-BACKED OBLIGATIONS, MUTUAL AND INDEX FUNDS, GOVERNMENT OBLIGATIONS AND CASH EQUIVALENT FUNDS. THE PORTFOLIO AT OUMF IS DESIGNED TO ACHIEVE ENDOWMENT RETURNS CONSISTENT WITH OUMF'S ADOPTED INVESTMENT POLICIES. THESE FUNDS ARE TO BE UTILIZED FOR THE PURPOSES ESTABLISHED WHEN THE FUNDS WERE CREATED. X 1 1 X X X X 1 0 0 0 0 0 0 0 0 LAUREN CANTU CHIEF OPERATING OFFICER 158351 0 0 0 0 0 13127 0 7700 0 179178 0 0 0 JOHN HARNED FORMER CEO 67115 0 0 0 157500 0 1487 0 3164 0 229266 0 0 0 CHARLES S HUFF INTERIM CEO/PRESIDENT 174029 0 0 0 0 0 0 0 0 0 174029 0 0 0 PART I, LINE 1A THE CEO LIVES ON THE ORGANIZATION'S PREMISES. HE MEETS THE EXCEPTIONS FOR REPORTING THE VALUE OF THE RESIDENCE AND THEREFORE, NO AMOUNTS ARE REPORTED ON HIS W-2. PART I, LINE 4A JOHN HARNED - $157,500.00 OF SEVERANCE PACKAGE PAID IN 2017 (REMAINING BALANCE PAID IN 2018). A OFCA 731083741 67868NBJ7 2004-04-01 3500000 REFUNDING BONDS 0 0 0 B OFCA 731083741 67868NBL2 2005-04-01 4045000 REFUNDING BONDS 0 0 0 C OFCA 731083741 67868NBM0 2005-04-01 6150000 REFUNDING BONDS 0 0 0 D OFCA 731083741 67868NBN8 2005-04-01 2000000 REFUNDING BONDS 0 0 0 A 3500000 69729 3416736 1 0 1 1 B 315000 4045000 80900 3966228 0 1 1 1 C 6150000 123000 6030235 0 1 1 1 D 200000 40000 1961052 0 1 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 1 0 1 0 0 0 0 0 B 0 1 0 1 0 0 0 0 0 C 0 1 0 1 0 0 0 0 0 D 0 1 0 1 0 0 0 0 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/21/2015 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/21/2015 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 01/14/2015 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 05/21/2015 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2017 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2017 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2017 ISSUER NAME: OFCA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2017 A OFCA 731083741 67868NCC1 2012-12-19 10350000 REVENUE & REFUNDING BONDS 0 0 0 B OFCA 731083741 67868NCD9 2012-12-19 4985000 REVENUE & REFUNDING BONDS 0 0 0 C OFCA 731083741 67868NBY4 2012-12-19 10820000 REVENUE & REFUNDING BONDS 0 0 0 D OFCA 731083741 67868NBX6 2012-12-19 44442000 REVENUE & REFUNDING BONDS 0 0 0 A 1185000 10448573 168239 1 0 1 1 B 5054453 81835 1 0 1 1 C 10970749 176646 1 0 1 1 D 45038878 725197 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 0 1 0 1 0 0 0 0 0 B 0 1 0 1 0 0 0 0 0 C 0 1 0 1 0 0 0 0 0 D 0 1 0 1 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE 990 IS PRESENTED TO THE BOARD FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING. ONCE THE FINAL VERSION IS COMPLETED A COPY IS PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD DISCLOSES ANY RELATIONSHIPS. EMPLOYEE RELATIONSHIPS ARE REVIEWED AND REPORTED TO HUMAN RESOURCES BY DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 15A. THE POSITION OF PRESIDENT/CEO WAS FILLED WITH AN INTERIM FOR 8 MONTHS DURING THE YEAR. THE BOARD CAREFULLY REVIEWED AND ESTABLISHED THE SALARY FOR THE NEW CEO/PRESIDENT COMING INTO THE ORGANIZATION. 15B. IN 2017 THE PRESIDENT/CEO REVIEWED KEY EMPLOYEES COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE IN THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION. MONTHLY FINANCIALS ARE PROVIDED TO THE BOARD FINANCE COMMITTEE, THE BOARD OF DIRECTORS AND THE RESIDENT FINANCE COMMITTEE. ADDITIONALLY A SUMMARY STATEMENT IS MADE AVAILABLE TO ALL RESIDENTS. FINANCIALS ARE ALSO POSTED VIA EMMA FOR PUBLIC DISCLOSURE. WHITE WOODS RETIREMENT CAMPUS INC 14901 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73134 731679235 CCRC OK 501(C)(3) LINE 10 EPWORTH LIVING 0 EPWORTH LIVING 14901 N PENNSYLVANIA AVE OKLAHOMA CITY OK 73134 462849151 NONPROFIT MANAGEMENT OK 501(C)(3) LINE 10 N/A 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 EPWORTH LIVING J 78800 FAIR MARKET VALUE EPWORTH AT HOME J 39976 FAIR MARKET VALUE EPWORTH LIVING Q 258000 CASH EPWORTH LIVING B 1784536 FORGIVENESS OF DEBT