2016-09-22T14:43:58-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2015-01-01 621827185 THE VILLAGE AT GERMANTOWN INC VILL 9017522524 7820 WALKING HORSE CIRCLE GERMANTOWN TN 38138 RON RUKSTAD EXECUTIVE DIRECTOR 9107522524 2016-09-13 1 JEFF PARKER P00970069 3149254300 2015 2017-02-10 21:41:12Z RON RUKSTAD 7820 WALKING HORSE CIRCLE GERMANTOWN TN 38138 16588979 0 X WWW.VILLAGE-GERMANTOWN.COM X 2000 TN TO OPERATE AS A CONTINUING CARE RETIREMENT COMMUNITY 5 5 421 100 0 0 0 0 15284996 15667249 437888 418872 454139 502858 16177023 16588979 0 0 0 0 6907180 7520241 0 0 0 11655734 11434434 18562914 18954675 -2385891 -2365696 92695341 94352509 129055988 133502348 -36360647 -39149839 X THE MISSION OF THE VILLAGE AT GERMANTOWN IS TO PROVIDE A QUALITY, STIMULATING, AND SAFE COMMUNITY THAT PROMOTES INDEPENDENCE AND WELLNESS THROUGH INNOVATIVE PROGRAMS, SUPPORTIVE SERVICES, AND AN EXCEPTIONAL STAFF. WE RESPECT AND VALUE THE DIGNITY OF EACH PERSON THROUGH OUR AFFILIATION WITH METHODIST HEALTHCARE. WE SERVE THE COMMUNITY AS A RESOURCE FOR SENIOR WELLNESS PROGRAMS AND INFORMATION. 0 0 16524954 15667249 THE VILLAGE AT GERMANTOWN, INC. (THE COMPANY) WAS FORMED ON JULY 25, 2000 AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS AND REGULATIONS OF THE STATE OF TENNESSEE. THE COMPANY'S PURPOSE IS TO ACQUIRE REAL PROPERTY AND TO DEVELOP, MARKET AND OPERATE THE PROPERTY AS A CONTINUING CARE RETIREMENT COMMUNITY IN SHELBY COUNTY, TENNESSEE, KNOWN AS THE VILLAGE AT GERMANTOWN, INC. (THE PROJECT). THE PROJECT CONSISTS OF 198 INDEPENDENT LIVING UNITS (INCLUDING 170 APARTMENTS AND 28 PATIO HOMES), AND A HEALTHCARE FACILITY CONSISTING OF APPROXIMATELY 32 ASSISTED LIVING UNITS, 16 SPECIAL CARE DEMENTIA UNITS, AND 50 SKILLED NURSING BEDS. PERMANENT FINANCING OF THE PROJECT OCCURRED IN DECEMBER OF 2003 WITH CONSTRUCTION BEGINNING THAT SAME MONTH. THE PROJECT WAS SUBSTANTIALLY AVAILABLE FOR OCCUPANCY BEGINNING ON OCTOBER 2005. IN FISCAL 2015, THE VILLAGE BILLED 18,739 HEALTHCARE DAYS- 2,807 FOR DEMENTIA, 5,687 FOR ASSISTED LIVING, AND 10,245 SKILLED. OF THESE DAYS, 4,883 WERE MEDICARE DAYS, 13,836 PRIVATE PAY DAYS, AND 20 OTHER INSURANCE BILLABLE DAYS. OUR INDEPENDENT LIVING OCCUPANCY WAS 190 OF 198. 16524954 1 0 0 0 0 0 0 0 0 0 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 0 0 0 0 1 35 0 421 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 TN X X DONALD SELHEIMER 9017522508 7820 WALKING HORSE CIRCLE GERMANTOWN TN 38138 WILLIAM KENLEY CHAIRMAN 1.00 X X 0 0 0 DR JAMES HARKESS SECRETARY 1.00 X X 0 0 0 MARK HALPERIN DIRECTOR 1.00 X 0 0 0 DONNA ABNEY DIRECTOR 1.00 X 0 0 0 CHRIS MCLEAN DIRECTOR 1.00 X 0 0 0 RON RUKSTAD EXECUTIVE DIRECTOR 40.00 X 275325 0 12167 DONALD SELHEIMER CFO 40.00 X 190778 0 11145 PAM LEET DIRECTOR OF MARKETING 40.00 X 148356 0 9765 MELISSA RUKSTAD DIRECTOR OF WELLNESS 40.00 X 120740 0 9047 JESSE CRITTENDON DIRECTOR OF DINING SERVICE 40.00 X 111390 0 6096 JULIE REPKING HC ADMINISTRATOR 40.00 X 105241 0 6228 951830 0 54448 6 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 CONTRACT THERAPY 769696 MOFFITT CUSTOM IRON LLC 265 OAKLAND HILLS DR OAKLAND TN 38060 IRON WORK 192942 PROTECH SYSTEMS GROUP INC 3350 PLAYERS CLUB PARKWAY MEMPHIS TN 38125 IT SERVICES 180888 TYRONE CLAY 1375 BYHALIA RD HERNANDO MS 38632 BUILDING RENOVATIONS 168053 LIFE CARE COMPANIES LLC 400 LOCUST STREET SUITE 820 DES MOINES IA 50309 MANAGEMENT SERVICES 146015 7 PROGRAM SERVICE REVENUE 623000 15667249 15667249 15667249 233131 233131 185741 185741 MEAL INCOME 623000 273403 273403 ENG AND MAINT 623000 93693 93693 MISCELLANEOUS 623000 60818 60818 74944 74944 502858 16588979 15667249 0 921730 476703 476703 6024560 5320917 703643 26945 22053 4892 491632 402373 89259 500401 409550 90851 137785 137785 96105 96105 1705210 1532451 172759 198899 175210 23689 553978 441207 112771 187891 187891 1486595 1429098 57497 63824 37949 25875 16403 6511 9892 2436657 2342414 94243 3326077 3197433 128644 197664 190019 7645 DIETARY 853255 853255 ANCILLIARY 108981 108981 RESIDENT SERVICES 55533 55533 BAD DEBT EXPENSE 6406 6406 3171 3171 18954675 16524954 2429721 0 3615749 4437492 585244 1392065 771428 2117115 29986 29810 204345 166301 91955750 25240037 55885532 66715713 28939823 17073673 2663234 2420340 92695341 94352509 4239775 6046827 59539582 61938596 61988430 62035786 2942961 2418831 345240 1062308 129055988 133502348 X -36360647 -39149839 -36360647 -39149839 92695341 94352509 -2365696 -423496 0 X X 0 1 X 1 0 X 61429 277167 338596 16175498 15183862 14441638 15284996 15667249 76753243 16175498 15245291 14718805 15284996 15667249 77091839 0 0 0 77091839 413 432 43542 437888 418872 901147 413 432 43542 437888 418872 901147 460797 454139 502858 1417794 16175911 15245723 15223144 16177023 16588979 79410780 0.97080 0.91770 0.01130 0.00580 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC - 2013 AMOUNT: $ 36,945. 2014 AMOUNT: $ 64,119. 2015 AMOUNT: $ 60,818. MEAL INCOME - 2013 AMOUNT: $ 233,501. 2014 AMOUNT: $ 244,755. 2015 AMOUNT: $ 273,403. BEAUTY SHOP - 2013 AMOUNT: $ 48,179. 2014 AMOUNT: $ 45,582. 2015 AMOUNT: $ 49,394. ENG AND MAINT - 2013 AMOUNT: $ 142,172. 2014 AMOUNT: $ 79,558. 2015 AMOUNT: $ 93,693. GUEST ACCOMMODATIONS - 2014 AMOUNT: $ 20,125. 2015 AMOUNT: $ 25,550. 5349049 5349049 70120039 23514430 46605609 319804 107245 212559 4825957 1618362 3207595 11340901 11340901 66715713 ENTRANCE FEE DEPOSITS 946091 WAIT LIST DEPOSITS PAYABLE 116217 1062308 16165483 -423496 -423496 16588979 0 16588979 18954675 0 18954675 0 18954675 X 0 0 0 0 0 0 0 1 0 RON RUKSTAD EXECUTIVE DIRECTOR 219752 0 55573 0 0 0 4877 0 7290 0 287492 0 0 0 DONALD SELHEIMER CFO 158774 0 32004 0 0 0 5723 0 5422 0 201923 0 0 0 PAM LEET DIRECTOR OF MARKETING 76356 0 0 0 72000 0 4451 0 5314 0 158121 0 0 0 PART I, LINE 7 THE ORGANIZATION PAYS PERFORMANCE BONUSES. A HEALTH EDUCATION & HOUSING FACILITIES BOARD OF THE COUNTY OF SHELBY TN 521283414 82169JAK9 2012-12-05 39401079 REFUNDING PRIOR ISSUANCES FROM 2003 AND 2006 AND CAPITAL PROJECTS 0 0 0 B HEALTH EDUCATION & HOUSING FACILITIES BOARD OF THE COUNTY OF SHELBY TN 521283414 82169JAP8 2014-10-01 22059660 FINANCE THE ACQUISITION, CONSTRUCTION, AND EQUIPPING OF THE EXPANSION 0 0 0 A 940000 39401079 2553557 788007 36059515 2014 0 1 1 1 B 22059660 1339471 698867 441193 15284964 4295165 2016 0 0 0 1 A 0 1 1 1 0 0.00210 0.00000 0.00210 0 0 1 B 0 1 1 1 0 0.00210 0.00000 0.00210 0 0 1 A 0 1 0 0 0 0 0 1 B 0 1 0 0 0 0 1 BAYERISCHE LANDESBANK 8.000000000000 1 1 A 1 B 1 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR OF THE ORGANIZATION PRIOR TO FILING WITH THE IRS. EACH BOARD MEMBER RECEIVES A COPY OF THE FORM 990 FOR THEIR REVIEW. THE FORM 990 IS REVIEWED BY THE BOARD AT A BOARD MEETING PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. FURTHERMORE, THE POLICY IS EXPLAINED DURING EACH NEW HIRE ORIENTATION AND THE ORGANIZATION MAINTAINS AN OPEN DOOR POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR DETERMINES COMPENSATION FOR DEPARTMENT DIRECTORS WITH INPUT FROM THE HR DIRECTOR. THE EXECUTIVE DIRECTOR DETERMINES THE COMPENSATION FOR THE KEY EMPLOYEES, INCLUDING THE CFO. THIS PROCESS IS DOCUMENTED DURING THE ANNUAL REVIEW PROCESS USING COMPARABILITY DATA FOR ORGANAIZATIONS WITH COMPARABLE REVENUE. ANNUAL COMPENSATION INCREASES ARE DETERMINED IN THE BUDGETING PROCESS AND APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST DIRECTED TO ITS HOME OFFICE AT 3350 PLAYERS CLUB PKWY, SUITE 300, MEMPHIS, TN 38125. THE ORGANIZATION MAKES ITS AUDITED FINANCIAL STATEMENTS AVAILABLE ON THE INTERNET AT HTTP://EMMA.MSRB.ORG/. FORM 990, PAGE 6, PART VI, SECTION A, LINE 3 EFFECTIVE JULY 1, 2014, THE ORGANIZATION MODIFIED THE AGREEMENT WITH LCS TO PROVIDE MANAGEMENT CONSULTING SERVICES FOR A PERIOD OF FIVE YEARS TERMINATING ON JULY 1, 2019. DURING THE TERM OF THIS AGREEMENT, LCS WILL CONSULT, ADVISE, AND MAKE RECOMMENDATIONS IN AN ADVISORY CAPACITY. THE ORGANIZATION INCURRED EXPENSES OF APPROXIMATELY $150,000 UNDER THE TERMS OF THE AGREEMENT FOR THE YEAR ENDED DECEMBER 31, 2015. FORM 990, PAGE 12, PART XII, LINE 2C THE ORGANIZATION'S POLICY REGARDING THE OVERSIGHT OF THE AUDIT IS CONSISTENT WITH THE PRIOR YEAR.