2013-08-09T12:31:05-05:00 2012-12-31 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2012-01-01 742857475 Evergreen Living Innovations Inc EVER 9134778227 11875 S Sunset Drive No 100 Olathe KS 66061 KJ Langlais 9134778227 2013-07-26 1 Eric L Otting P00298454 7852334226 2013-07-26 2012 2016-02-24 21:20:13Z KJ Langlais 11875 S Sunset Drive No 100 Olathe KS 66061 9726004 0 X N/A X 1997 KS The organization operates a skilled care nursing facility for the elderly and disabled, and provides geriatric care education for employees and other organizations. 9 9 184 42 0 0 1213199 1139601 8896090 8542451 4186 1684 32471 27999 10145946 9711735 0 0 0 0 6243385 6329322 49000 0 0 3390210 3115428 9682595 9444750 463351 266985 2681046 2898401 576702 527072 2104344 2371329 The organization operates a skilled care nursing facility for the elderly and disabled, and provides geriatric care education for employees and other organizations. 0 0 7766070 8422768 Operates a 112 bed skilled residential nursing facility in Olathe, Kansas. The organization had $100,000 of bad debt expense attributed to self-pay accounts and offered approximately $51,000 of charity care in 2012. 326651 119683 GERTI - conducts aging care and service education and programs for employees and other organizations. 8092721 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 1 184 1 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Ray Smith 9134778227 11875 S Sunset Suite 100 Olathe KS 66061 Jessica Dupriest 1.00 X X 0 0 0 Lin Knudson 1.00 X X 0 0 0 Will Tschudy 1.00 X X 0 0 0 Rod Corn 1.00 X X 0 0 0 Dolores Furtado PhD 1.00 X 0 0 0 Patricia McKillip 1.00 X 0 0 0 John A Mondi 1.00 X 0 0 0 Gordon F Ho 1.00 X 0 0 0 Tom Dupriest 1.00 X 0 0 0 KJ Langlais 40.00 X 137488 0 12265 Raymond Smith 40.00 X 91144 0 25971 Linda Kettles 40.00 X 89878 0 25478 Chris Osborn 40.00 X 84839 0 25361 403349 0 89075 1 0 0 0 Summit Care Inc 6830 W 121st Ct Overland Park KS 66209 Therapy Services 474844 Cascade Health Services 1045 Swift North Kansas City MO 64116 Nursing Services 326572 Morrison Management Specialists 5801 Peachtree Dunwoody Road Atlanta GA 30342 Dietary Services 192478 The Zack Group 6335 West 110th St Overland Park KS 66211 Nursing Services 154103 4 1127323 12278 1139601 Res care-Medicaid 623000 6295898 6295898 Res care-Medicare 623000 1177862 1177862 Res care-private pay 623000 898562 898562 GERTI education & cons 611430 119683 119683 50446 50446 8542451 1684 1684 42268 14269 27999 27999 9711735 8542451 0 29683 492424 115357 377067 4445162 4097174 347988 106810 103094 3716 863204 791876 71328 421722 364189 57533 43140 43140 7449 7449 61383 83 61300 289664 260698 28966 10397 3542 6855 17627 3613 14014 2634 2634 85865 77278 8587 69524 69524 Contracted services 1247012 1212282 34730 Consumable supplies 490507 455344 35163 Dietary services and su 373230 373230 Leases and rentals 105401 67395 38006 311595 95408 216187 9444750 8092721 1352029 0 253934 265413 1318952 1490029 673203 646281 70269 111984 792696 433360 329769 359336 34919 25358 2681046 2898401 516368 504105 48235 20509 12099 2458 576702 527072 X 2104344 2371329 2104344 2371329 2681046 2898401 266985 0 X X 0 1 X 1 0 X 1230930 1229965 1301671 1256636 1181868 6201070 7038823 7578362 8111399 8896090 8542451 40167125 8269753 8808327 9413070 10152726 9724319 46368195 0 0 0 46368195 4571 3950 4509 4186 1684 18900 4571 3950 4509 4186 1684 18900 8274324 8812277 9417579 10156912 9726003 46387095 0.99960 0.99950 0.00040 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 141852 61142 80710 650844 372218 278626 359336 Estimated third-party payor settlement 2458 2458 X 9659286 0 9659286 52449 52449 9711735 9444750 0 9444750 0 9444750 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The organization has been recognized by the Internal Revenue Service as a tax-exempt organization as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes pursuant to Section 501(a) of the code. Management is not aware of any uncertainties in income tax positions. The years ended December 31, 2012, 2011, and 2010 remain subject to examiniation for both federal and state purposes. Part XI, Line 4b - Other Adjustments: Investment income 1,684. Fundraising events, net 27,999. Grants and contributions 22,766. Denim & Dazzle 38225 38225 12456 2 4043 4043 1813 42268 42268 14269 14269 27999 X 0 0 0 0 0 0 0 0 0 Form 990, Part VI, Section A, line 2 Jessica Dupriest and Tom Dupriest are married. Both Tom and Jessica serve on the Board Directors for Evergreen Living Innovations, Inc. Jessica Dupriest is the Chairman/Director, and Tom Dupriest is a Director. Form 990, Part VI, Section A, line 4 In 2012, the maximum number of consecutive terms was reduced from 3 to 2. The minimum number of directors was changed from 3 to 7, and the maximum number was changed from 19 to 15. The organization will now have at least one member of Johnson County Young Matrons as a member of the Board of Directors. Previously, the CEO was a non-voting ex-officio member. The Medical Director and CEO are now nonvoting members of the board. Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by the Board of Directors at a regularly scheduled meeting of the Board. Form 990, Part VI, Section B, line 12c The organization's conflict of interest policy states periodic reviews of the policy should be conducted. Form 990, Part VI, Section B, line 15a The compensation of the chief executive officer is determined and approved by the Board of Directors. All other compensation is approved by the chief executive officer. Form 990, Part VI, Section C, line 19 The organization makes its organizing documents and IRS Form 990 available upon specific written request. Form 990, Part XII, Line 2c The Audit committee oversees the review of the audited financial statements. Schedule A, PartIII, Sec. A, Line 2e Total of 2012 gifts, grants, contributions and membership fees received is comprised of the following: Fundraising contributions $42,267 Gifts & donations $12,278 Government grants $38,915 Johnson County subsidies $1,088,408