2015-04-30T10:30:18-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2014-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS CHIEF FINANCIAL OFFICER 7854789440 2015-04-29 1 AMANDA TINNEY P01587658 3149254300 2014 2016-02-25 16:41:14Z JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 30595350 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 11 11 389 20 0 0 368109 988016 21973685 22791405 388523 753922 244932 247365 22975249 24780708 0 0 0 0 9732456 10257201 0 0 0 13519263 13931753 23251719 24188954 -276470 591754 27260889 26908938 30059074 30827935 -2798185 -3918997 ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 0 0 19802366 22891405 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. 19802366 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 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 1 0 0 0 0 1 39 0 389 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 X 0 0 0 MARK KOSSLER TRUSTEE 1.00 X 0 0 0 DANIEL LEHMAN TRUSTEE 1.00 X 0 0 0 DAVE MANLEY TRUSTEE 1.00 X 0 0 0 REV KAY SCARBROUGH TRUSTEE 1.00 X 0 0 0 MONICA SCHEIBMEIR TRUSTEE - CHAIR 1.00 X X 0 0 0 BONNIE TOTTEN TRUSTEE 1.00 X 0 0 0 DAVID WATSON TRUSTEE 1.00 X 0 0 0 MARK YOUNG TRUSTEE - SECRETARY/TREASURER 1.00 X X 0 0 0 TIM CLOTHIER TRUSTEE 1.00 X 0 0 0 BISHOP SCOTT J JONES TRUSTEE 1.00 X 0 0 0 JERRY C NEY PRESIDENT & CEO 45.00 X 302629 0 14298 BREE L ROGERS CFO 45.00 X 116325 0 20947 418954 0 35245 2 0 1 0 MORRISON SENIOR DINING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING, HOUSEKEEPING, LAUNDRY, MAINTENAN 4525604 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1406052 PRESTON PHARMACY 2622 W CENTAL SUITE 302 WICHITA KS 67203 PHARMACIST 429357 B&T CONSTRUCTION 2110 NW 50TH ST TOPEKA KS 66618 RENOVATION/CONSTRUCTION 291617 L & LD CONSTRUCTION 903 NE 46TH ST TOPEKA KS 66617 RENOVATION/CONSTRUCTION 149800 7 988016 988016 MEDICARE/MEDICAID PAYMENTS 623000 16803063 16803063 RESIDENT FEES 623000 5680063 5680063 HEALTH SERVICES 623000 308279 308279 22791405 258264 258264 6310300 5791983 22659 518317 -22659 495658 495658 RESIDENT & EMPLOYEE SVC 623000 145557 145557 CONTRACT INCOME 900099 100000 100000 FOOD SERVICES 623000 1808 1808 247365 24780708 22891405 0 901287 X 454198 454198 7925215 7100991 824224 11976 10149 1827 1205101 1021242 183859 660711 559908 100803 139822 139822 49395 49395 30561 30561 6014146 5001863 1012283 110859 110859 1436970 1122248 314722 204715 170258 34457 946054 786817 159237 118551 98597 19954 1100221 915035 185186 2259947 1879559 380388 255599 212577 43022 PHARMACY 443418 443418 MISCELLANEOUS 250184 201762 48422 FOOD 211542 211542 BAD DEBT 208420 208420 151349 66400 84949 24188954 19802366 4386588 0 492207 610233 3965590 3140574 9264 6907 1203188 1171678 2092 2092 87418 177721 51915308 37578726 14854160 14336582 5989495 6836527 529778 498927 127697 127697 27260889 26908938 1492508 1685044 1769409 1684157 23254970 22534700 3542187 4924034 30059074 30827935 X -6156673 -8126338 167102 1015955 3191386 3191386 -2798185 -3918997 27260889 26908938 X 591754 -474724 -1237842 X X 0 1 X 1 0 X 615162 703041 490350 368109 988016 3164678 22856542 22518562 21883534 22073685 22891405 112223728 497761 463041 419443 1380245 23969465 23684644 22793327 22441794 23879421 116768651 16020 16020 0 16020 16020 116752631 354697 275983 246432 183812 258264 1319188 354697 275983 246432 183812 258264 1319188 144932 147365 292297 24324162 23960627 23039759 22770538 24285050 118380136 0.98630 0.98930 0.01110 0.00930 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RESIDENT AND EMPLOYMENT SERVICES - 2013 AMOUNT: $ 141,624. 2014 AMOUNT: $ 145,557. FOOD SERVICE - 2013 AMOUNT: $ 3,308. 2014 AMOUNT: $ 1,808. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3355385 0 35285 3390670 3235717 94 126570 6996 3355385 3133950 283791 117297 299321 3235717 4116561 50000 72989 1105600 3133950 3936084 180477 4116561 0.94120 0.05880 0 0 896680 896680 38115142 28437265 9677877 715763 476471 239292 11834598 8345941 3488657 353125 319049 34076 14336582 WAITING LIST DEPOSITS 44000 REFUNDABLE ADVANCES FEE 3210990 GIFT ANNUITY PAYABLE 8855 DEFERRED COMPENSATION OBLIGATION 87254 SWAP VALUE LIABILITY 1572935 4924034 X 23068143 -474723 -1237842 -1712565 24780708 0 24780708 24188954 0 24188954 0 24188954 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'S 2013, 2012 AND 2011 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SWAP VALUE -1,237,842. X 0 0 X X X 0 1 0 0 0 0 0 0 0 JERRY C NEY PRESIDENT & CEO 250194 0 0 0 52435 0 0 0 14298 0 316927 0 0 0 PART I, LINE 1A JERRY NEY ($1,800) RESIDENCE PROVIDED AS PART OF REQUIREMENTS OF JOB. PART I, LINE 4B BETTY J EDSON $9,308, JANICE JENKINS $5,650,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 834046 20630000 16259275 409244 235478 737483 2988520 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. 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 5,001,863. MANAGEMENT AND GENERAL EXPENSES 1,012,283. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,014,146. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUE -1,237,842. 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 9332 UNITED METHODIST HOMES ALDERSGATE VILLAGE CHARITABLE SUPPORT LLC 515 S KANSAS AVE TOPEKA KS 66603 472406530 CHARITABLE SUPPORT KS 28874 28729 UNITED METHODIST HOMES