2017-11-14T10:40:30-06:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2016-01-01 390942151 METHODIST MANOR INC METH 4146074100 3023 S 84TH STREET WEST ALLIS WI 53227 KENNETH WIDENSKI CFO 4146074100 2017-11-10 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2017-11-09 67.137.57.251 2017-11-10 16:30:20 CS P 3E979F80BB8F399C9CB7D5D916B34B85DDD844F4 D9894B71B174D015E7FF14F2A2F852308B686A80 2016 2017-02-10 21:41:12Z KENNETH WIDENSKI 3023 S 84TH STREET WEST ALLIS WI 53227 10079774 0 X WWW.VMPCARES.COM X 1956 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. 6 4 762 159 0 0 132219 0 10239602 9220163 212404 -8222 0 0 10584225 9211941 0 0 0 0 8887587 8512866 0 0 0 1087512 174159 9975099 8687025 609126 524916 15535465 29286690 42839404 40337272 -27303939 -11050582 X THE MISSION OF THE CORPORATION IS TO PROVIDE A FULL RANGE OF SENIOR HEALTHCARE FOR RESIDENTS, PATIENTS AND THE COMMUNITY IN ACCORDANCE WITH OUR CHRISTIAN VALUES. THERE ARE APPROXIMATELY 201 RESIDENTS OF THE LIVING CARE PROGRAM. METHODIST MANOR IS COMPRISED OF: PALMER HOUSE - A 126-UNIT FACILITY PROVIDING RESIDENTIAL CARE, AND WESLEY PARK - A 262-UNIT INDEPENDENT LIVING FACILITY AND SENIOR CENTER. 0 0 4963875 7244587 PALMER HOUSE - PROVIDE ASSISTED LIVING SERVICES TO RESIDENTS IN A 126 UNIT FACILITY AS PART OF A CONTINUUM OF CARE FOR SENIORS. 2118060 1975576 WESLEY PARK - PROVIDE INDEPENDENT LIVING FACILITIES TO RESIDENTS IN A 262 UNIT FACILITY AS PART OF A CONTINUUM OF CARE FOR SENIORS AND PROVIDE PROGRAMS FOR RESIDENTS THROUGH A SENIOR CENTER. 7081935 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 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 52 0 1 762 1 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X KENNETH WIDENSKI 4146074100 3023 S 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 SECRETARY/TREASURER 1.00 4.00 X 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 154497 0 3060 KENNETH J WIDENSKI CFO 8.00 32.00 X X 93558 0 1709 SEAN CALLAHAN DIRECTOR OF STRATEGIC INIT 40.00 0.00 X 125752 0 10513 JOSEPH DALEY DIRECTOR OF IT AND COMMUNICATIONS 40.00 0.00 X 101907 0 0 475714 0 15282 3 0 1 0 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING 871287 PRECISION CONTRACTING SERVICES 12020 W REPLEY AVE MILWAUKEE WI 53226 CONTRACTOR 195118 REINHART BOERNER VAN DEUREN SC 100 WATER STREET SUITE 1700 MILWAUKEE WI 53202 LEGAL 158176 CLIFTONLARSONALLEN LLP 8215 GREENWAY BLVD MIDDLETON WI 53562 AUDIT 103748 4 MAINTENANCE FEES 623000 4030583 4030583 NET SERVICE REVENUE 623000 2659137 2659137 ENTRANCE FEES 623000 1321527 1321527 OTHER OPERATING REVENUE 623000 654727 654727 MEDICARE/MEDICAID PAYMENTS 623000 554189 554189 9220163 212433 212433 647178 867833 -220655 -220655 -220655 9211941 9220163 0 -8222 X 475714 475714 6408176 5217371 1190805 112192 112192 1127483 1113250 14233 389301 389301 182024 182024 189062 189062 31692 31692 1573466 1313909 259557 128454 19692 108762 285572 149839 135733 930059 860342 69717 62965 39132 23833 22806 9584 13222 937319 937319 856368 856368 242612 242612 FOOD 872957 872957 LIFE CARE 782439 782439 EQUIPMENT RENTAL AND RE 205388 123048 82340 OTHER EXPENSES 121865 29802 92063 -7250889 -6018914 -1231975 8687025 7081935 1605090 0 2808007 422203 86675 194973 81329 88065 162631 333907 41777479 35720615 6335999 6056864 4786313 4949172 1274511 17241506 15535465 29286690 2430986 2327155 6828993 5507323 7508445 9104866 4485309 2369800 21585671 21028128 42839404 40337272 X -27303939 -11050582 -27303939 -11050582 15535465 29286690 X 524916 203108 15525333 X X 0 1 X 1 0 X 469389 126589 6330 132219 0 734527 7354034 10380649 9692799 10239602 9220163 46887247 7823423 10507238 9699129 10371821 9220163 47621774 0 0 0 47621774 120690 110364 160418 157448 212433 761353 120690 110364 160418 157448 212433 761353 18899 18899 7963012 10617602 9859547 10529269 9432596 48402026 0.98390 0.98400 0.01570 0.01560 X 62633 62633 12900291 11235025 1665266 11798830 9324230 2474600 17000037 15161360 1838677 15688 15688 6056864 INVESTMENTS LIMITED TO USE 4949172 F 4949172 INVESTMENT IN AFFILIATES 619265 RESIDENT DEPOSITS 32616 DUE FROM AFFILIATES 16589625 17241506 DUE TO AFFILIATE 19736533 INTEREST RATE SWAP 719656 REFUNDABLE DEPOSITS 197483 FUTURE SERVICE OBLIGATION 352363 CAPITAL LEASE 9654 RESIDENT DEPOSITS 12439 21028128 X X X 0 0 0 0 0 0 0 0 0 ALAN RUNDE PRESIDENT/CEO 147420 0 0 0 7077 0 0 0 3060 0 157557 0 0 0 A WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY 391337855 2008-09-30 24500000 RENOVATION OF FACILITIES AND REFINANCING BANK DEBT 0 0 0 B WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY 391337855 2012-02-05 2000000 RENOVATION OF FACILITIES 0 0 0 A 19082360 24500000 134399 24365601 2008 0 0 1 1 B 306200 2000000 40000 1960000 2012 0 0 1 1 A 0 0 0 0 1 1 MB FINANCIAL 10.000000000000 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 A 0 B 0 SCHEDULE K, PART IV, ARBITRAGE, LINE 4A THE ORGANIZATION HAS ENTERED INTO THREE SWAP AGREEMENTS WITH MB FINANCIAL ON SEPTEMBER 28, 2008. THE MATURITY DATES OF THE SWAPS ARE OCTOBER 5, 2018. 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 DEPT. REVIEW COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. BEGINNING IN 2016, IT WILL BE 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 INTO CONSIDERATION. HUMAN RESOURCES SURVEYS OF COMPARABLE ORGANIZATIONS AND REVIEW 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 IX, LINE 11G MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 312,758. MANAGEMENT AND GENERAL EXPENSES 5,038. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 317,796. CONSULTANTS: PROGRAM SERVICE EXPENSES 14,841. MANAGEMENT AND GENERAL EXPENSES 229,036. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 243,877. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 986,310. MANAGEMENT AND GENERAL EXPENSES 25,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,011,793. FORM 990, PART XI, LINE 9: INTEREST RATE SWAP 445,944. EARNINGS IN INVESTMENT IN AFFILIATE -76,840. LOSS FROM DISCONTINUED OPERATION -373,118. NET ASSETS TRANSFER FORM TRINITY HEALTH SERVICES 15,529,347. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 METHODIST MANOR HEALTH CENTER INC 3023 S 84TH STREET WEST ALLIS WI 53227 391096121 SPECIALIZED CARE FACILITY, SPECIALIZED VENT UNIT 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 VMP FOUNDATION INC 3023 S 84TH STREET WEST ALLIS WI 53223 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 870735686 MEDICAL EQUIPMENT WI N/A C 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 1 1 1 0