2016-04-28T08:23:15-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2015-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS CHIEF FINANCIAL OFFICER 7854789440 2016-04-26 1 AMANDA TINNEY P01587658 3149254300 2015 2016-09-27 15:27:22Z JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 26785632 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 10 10 408 20 0 0 988016 373312 22791405 23824313 753922 297758 247365 132844 24780708 24628227 0 0 0 0 10257201 10276875 0 0 0 13931753 14303434 24188954 24580309 591754 47918 26908938 25393319 30827935 29900257 -3918997 -4506938 ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 0 0 20339870 23824313 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, 175 INDEPENDENT LIVING UNITS. THE INDEPENDENT LIVING UNITS INCLUDE APARTMENTS, DUPLEXES, FOUR-PLEXES AND SINGLE FAMILY HOMES. 20339870 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 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 42 0 1 408 1 0 0 0 0 0 0 0 0 X 10 10 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 BILL HAAG TRUSTEE 1.00 0.00 X 0 0 0 MARK KOSSLER TRUSTEE 1.00 0.00 X 0 0 0 DANIEL LEHMAN TRUSTEE - SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 DAVE MANLEY TRUSTEE 1.00 0.00 X 0 0 0 REV KAY SCARBROUGH TRUSTEE 1.00 0.00 X 0 0 0 MONICA SCHEIBMEIR TRUSTEE - CHAIR 1.00 0.00 X X 0 0 0 BONNIE TOTTEN TRUSTEE 1.00 0.00 X 0 0 0 DAVID WATSON TRUSTEE 1.00 0.00 X 0 0 0 MARK YOUNG TRUSTEE 1.00 0.00 X 0 0 0 TIM CLOTHIER TRUSTEE 1.00 0.00 X 0 0 0 BISHOP SCOTT J JONES TRUSTEE 1.00 0.00 X 0 0 0 JIM RINNER TRUSTEE 1.00 0.00 X 0 0 0 CAROL WHEELER TRUSTEE 1.00 0.00 X 0 0 0 JERRY C NEY PRESIDENT & CEO 45.00 0.00 X 271297 0 14766 BREE L ROGERS CFO 45.00 0.00 X 117887 0 21634 389184 0 36400 2 0 1 0 MORRISON SENIOR DINING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING, HOUSEKEEPING, LAUNDRY, MAINTENAN 4693374 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1669297 PRESTON PHARMACY 2622 W CENTAL SUITE 302 WICHITA KS 67203 PHARMACIST 468917 MCELROY'S INC 3209 SW TOPEKA BLVD TOPEKA KS 66611 HVAC 384917 B&T CONSTRUCTION 2110 NW 50TH STREET TOPEKA KS 66618 RENOVATION/CONSTRUCTION 222465 7 373312 373312 MEDICARE/MEDICAID PAYMENTS 623000 17475709 17475709 RESIDENT FEES 623000 5812660 5812660 HEALTH SERVICES 623000 434004 434004 CONTRACT INCOME 623000 100000 100000 MISC. PROGRAMS & RECREATION 623000 1940 1940 23824313 227323 227323 2227065 775 2143262 14143 83803 -13368 70435 70435 RESIDENT & EMPLOYEE SVC 623000 132844 132844 132844 24628227 23824313 0 430602 X 420221 420221 8045025 7226831 818194 3562 3041 521 1174202 1002423 171779 633865 541134 92731 43777 43777 47922 47922 26857 26857 6762098 5623922 1138176 109927 109927 1274997 957484 317513 308882 256892 51990 914496 760571 153925 95915 79771 16144 1067398 887737 179661 2303423 1915718 387705 150351 125044 25307 PHARMACY 468435 468435 MISCELLANEOUS 264086 213324 50762 FOOD 223985 223985 BAD DEBT 98746 98746 142139 53558 88581 24580309 20339870 4240439 0 610233 544600 3140574 1977450 6907 6460 1171678 1150499 2092 2092 177721 143000 54364619 39625758 14336582 14738861 6836527 6239584 498927 463076 127697 127697 26908938 25393319 1647212 1681560 1684157 1571051 22534700 21782707 37832 29086 4924034 4835853 30827935 29900257 X -8126338 -8778195 1015955 1079871 3191386 3191386 -3918997 -4506938 26908938 25393319 X 47918 -575810 -60049 X X 0 1 X 1 0 X 703041 490350 368109 988016 373312 2922828 22518562 21883534 22073685 22891405 23824313 113191499 463041 419443 882484 23684644 22793327 22441794 23879421 24197625 116996811 0 0 0 116996811 275983 246432 183812 258264 227323 1191814 275983 246432 183812 258264 227323 1191814 144932 147365 132844 425141 23960627 23039759 22770538 24285050 24557792 118613766 0.98640 0.98630 0.01000 0.01110 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. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 3390670 -24622 3366048 3355385 35285 3390670 3235717 94 126570 6996 3355385 3133950 283791 117297 299321 3235717 4116561 50000 72989 1105600 3133950 0.00000 0.94800 0.05200 0 0 896680 896680 39334159 29521900 9812259 881399 496497 384902 12970821 9356112 3614709 281560 251249 30311 14738861 WAITING LIST DEPOSITS 34500 REFUNDABLE ADVANCES FEE 3087705 GIFT ANNUITY PAYABLE 8855 DEFERRED COMPENSATION OBLIGATION 71810 SWAP VALUE LIABILITY 1632983 4835853 X 23992368 -575810 -60049 -635859 24628227 0 24628227 24580309 0 24580309 0 24580309 PART V, LINE 4: CHARITABLE CARE AND CAPITAL IMPROVEMENTS PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATION IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE ORGANIZATION ADOPTED THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE ORGANIZATION DOES NOT CURRENTLY INCLUDE AN INCOME TAX PROVISION IN THE FINANCIAL STATEMENTS. MANAGEMENT MONITORS THE REPORTING OF UNCERTAIN TAX POSITIONS, WHICH COULD RESULT IN RECORDING OF AN INCOME TAX PROVISION IN THE FUTURE. THE ORGANIZATION'S 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 AND 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 SWAP VALUE -60,049. X 0 0 X X X 0 1 0 0 0 0 0 0 0 JERRY C NEY PRESIDENT & CEO 245572 0 0 0 25725 0 0 0 14766 0 286063 0 0 0 PART I, LINE 1A JERRY NEY ($6,300) RESIDENCE PROVIDED AS PART OF REQUIREMENTS OF JOB. PART I, LINE 4B BETTY J EDSON $9,308, JANICE JENKINS $942,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 1412057 20630000 409244 2385898 16258599 1576259 1 1 0 0 A 0 0 0 0 0.00180 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 11 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. 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 PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,623,922. MANAGEMENT AND GENERAL EXPENSES 1,138,176. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,762,098. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUE -60,049. FORM 990, PART XII, LINE 2C THE PROCESS IS CONSISTENT WITH THE PRIOR YEARS. ALDERSGATE VILLAGE HOME HEALTH SERVICES LLC 7220 SW ASBURY DRIVE TOPEKA KS 66614 264170787 HOME HEALTH SERVICES KS 0 -61931 UNITED METHODIST HOMES ALDERSGATE VILLAGE CHARITABLE SUPPORT LLC 515 S KANSAS AVE TOPEKA KS 66603 472406530 CHARITABLE SUPPORT KS 318580 5050 UNITED METHODIST HOMES