2017-05-12T10:45:36-05:00 2016-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2016-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS CHIEF FINANCIAL OFFICER 7854789440 2017-05-02 1 AMANDA TINNEY P01587658 3149254300 67.137.57.251 2017-05-02 11:10:36 CD P 1724E4C25A0168FA89708D48E6A1EE243B996C91 F9B6E4BAE08ED6E5B912E8E807B31791D539E9C8 2016 2021-01-29 14:40:06Z JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 30150269 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 9 9 419 20 0 0 373312 183916 23824313 23843855 297758 573857 132844 129935 24628227 24731563 0 0 0 0 10276875 10472889 0 0 0 14303434 14646586 24580309 25119475 47918 -387912 24930243 25583986 29437181 29480741 -4506938 -3896755 ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 0 0 20585351 23843855 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, 161 INDEPENDENT LIVING UNITS. THE INDEPENDENT LIVING UNITS INCLUDE APARTMENTS, DUPLEXES, FOUR-PLEXES AND SINGLE FAMILY HOMES. 20585351 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 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 1 0 0 0 0 1 33 0 419 1 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 X BREE ROGERS 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 JIM RINNER TRUSTEE-CHAIR 1.00 X X 0 0 0 DANIEL LEHMAN TRUSTEE - SECRETARY/TREASURER 1.00 X 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 1.00 X 0 0 0 DAVID WATSON TRUSTEE 1.00 X 0 0 0 CAROL WHEELER TRUSTEE - VICE CHAIR 1.00 X X 0 0 0 MARK YOUNG TRUSTEE 1.00 X 0 0 0 JERRY C NEY PRESIDENT & CEO 45.00 X 281303 0 14527 BREE L ROGERS CFO 45.00 X 124390 0 21284 LEMAPU A LEMANUA ADMINISTRATOR 45.00 X 124443 0 6757 530136 0 42568 3 0 1 0 MORRISON SENIOR DINING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING, HOUSEKEEPING, LAUNDRY, MAINTENAN 4577685 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1690308 MCELROY'S INC 3209 SW TOPEKA BLVD TOPEKA KS 66611 HVAC 610713 PRESTON PHARMACY 2622 W CENTAL SUITE 302 WICHITA KS 67203 PHARMACIST 402814 B&T CONSTRUCTION 2110 NW 50TH STREET TOPEKA KS 66618 RENOVATION/CONSTRUCTION 390788 6 183916 183916 MEDICARE/MEDICAID PAYMENTS 623000 17302601 17302601 RESIDENT FEES 623000 5941272 5941272 HEALTH SERVICES 623000 499132 499132 CONTRACT INCOME 623000 100000 100000 MISC. PROGRAMS & RECREATION 623000 850 850 23843855 230239 230239 4979885 782439 5337661 81045 -357776 701394 343618 343618 RESIDENT & EMPLOYEE SVC 623000 129935 129935 129935 24731563 23843855 0 703792 X 441504 441504 8213841 7377246 836595 4549 3877 672 1159138 987973 171165 653857 557305 96552 83467 83467 51795 51795 28032 28032 6984397 5752512 1231885 123194 123194 1304644 988456 316188 387504 319157 68347 875239 720867 154372 85150 70132 15018 1111975 915848 196127 2279051 1877079 401972 113667 93619 20048 PHARMACY 430507 430507 FOOD 226599 226599 BAD DEBT 152838 152838 MISCELLANEOUS 147715 114173 33542 260812 150001 110811 25119475 20585351 4534124 0 544600 437729 1977450 1137390 1150499 1361251 2092 2092 143000 151123 56387921 41075404 14738861 15312517 6239584 7047413 134157 134471 24930243 25583986 1681560 1979102 1571051 1637310 18831248 18204645 29086 24068 2488383 2642508 4835853 4993108 29437181 29480741 X -8778195 -8014477 1079871 926336 3191386 3191386 -4506938 -3896755 24930243 25583986 X -387912 641125 356970 X X 0 1 X 1 0 X 490350 368109 988016 373312 183916 2403703 21883534 22073685 22891405 23824313 23843855 114516792 419443 419443 22793327 22441794 23879421 24197625 24027771 117339938 0 0 0 117339938 246432 183812 258264 227323 230239 1146070 246432 183812 258264 227323 230239 1146070 144932 147365 132844 129935 555076 23039759 22770538 24285050 24557792 24387945 119041084 0.98570 0.98640 0.00960 0.01000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RESIDENT AND EMPLOYEE SERVICES - 2013 AMOUNT: $ 144,932. 2014 AMOUNT: $ 147,365. 2015 AMOUNT: $ 132,844. 2016 AMOUNT: $ 129,935. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 3366048 55610 3421658 3390670 -24622 3366048 3355385 35285 3390670 3235717 94 126570 6996 3355385 3133950 283791 117297 299321 3235717 0.00000 0.93270 0.06730 0 0 854680 854680 39216217 29872888 9343329 1025998 524980 501018 14103041 10677536 3425505 1187985 1187985 15312517 WAITING LIST DEPOSITS 28750 REFUNDABLE ADVANCES FEE 3623351 GIFT ANNUITY PAYABLE 8855 DEFERRED COMPENSATION OBLIGATION 56139 SWAP VALUE LIABILITY 1276013 4993108 X 25728316 641125 356970 998095 24730221 1342 1342 24731563 25118133 0 25118133 1342 1342 25119475 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 356,970. X 0 0 X X X 0 1 0 0 0 0 0 0 0 JERRY C NEY PRESIDENT & CEO 248293 0 0 0 33010 0 0 0 14527 0 295830 0 0 0 PART I, LINE 1A JERRY NEY ($9,000) RESIDENCE ALLOWANCE PROVIDED AS A TAXABLE BENEFIT. PART I, LINE 4B BETTY J EDSON $9,308 AND HARRIET FONTANA $10,912. THIS WAS A NONQUALIFIED RETIREMENT PLAN IMPLEMENTED IN 1997 FOR KEY MANAGEMENT EMPLOYEES WITH NUMEROUS YEARS OF SERVICE. A SHAWNEE COUNTY KANSAS 486028759 2013-11-26 20630000 REFUNDING OF 1997 AND 2002 BONDS OUTSTANDING - FINANCE CAPITAL PROJECTS 0 0 0 A 2121238 20630000 409244 2385898 16934566 900292 2016 1 1 1 1 A 0 1 0 0 0.00180 0.00000 0.00180 0 0 1 A 0 1 0 0 1 1 PACIFIC COAST BANKERS' BANK D/B/A 15.000000000000 0 0 0 0 1 A 1 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 BY AN INDEPENDENT PARTY WAS FOLLOWED FOR THE CHIEF EXECUTIVE OFFICER. THE PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES INVOLVES COMPARISON TO OTHER SIMILAR HEALTHCARE ORGANIZATIONS WITHIN THE LOCAL AND STATE AREA. ALL COMPENSATION ADJUSTMENTS ARE APPROVED BY THE BOARD. THIS PROCESS WAS MOST RECENTLY COMPLETED IN 2014. 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 71,336. MANAGEMENT AND GENERAL EXPENSES 15,277. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,613. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 35,356. MANAGEMENT AND GENERAL EXPENSES 7,571. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,927. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,558,768. MANAGEMENT AND GENERAL EXPENSES 762,101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,320,869. CONSULTING FEES: PROGRAM SERVICE EXPENSES 284,293. MANAGEMENT AND GENERAL EXPENSES 60,880. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 345,173. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,310,289. MANAGEMENT AND GENERAL EXPENSES 280,595. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,590,884. ANCILLIARY SERVICES: PROGRAM SERVICE EXPENSES 88,426. MANAGEMENT AND GENERAL EXPENSES 18,936. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,362. MAINTANENCE CONTRACTS: PROGRAM SERVICE EXPENSES 404,044. MANAGEMENT AND GENERAL EXPENSES 86,525. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 490,569. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUE 356,970. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR 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 130648 9139 UNITED METHODIST HOMES