2024-10-30T16:33:39-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2023-01-01 390942151 METHODIST MANOR INC METH 4146074100 3023 S 84TH STREET WEST ALLIS WI 53227 MICHAEL VANBLARICUM CO-COO 4146074100 2024-10-30 1 0 KIMBERLY ANDERSON P00188889 6086628600 2024-10-30 2023 2024-10-15 13:58:12Z PALMER HOUSE AND WESLEY PARK MICHAEL VANBLARICUM 3023 S 84TH STREET WEST ALLIS WI 53227 9625690 0 X WWW.VMPCARES.COM X 1956 WI THE CORPORATION IS DEDICATED TO PROVIDING A FULL RANGE OF CARE AND SERVICES FOR OLDER ADULTS THAT RESPECTS EACH INDIVIDUAL'S PERSONAL, PHYSICAL AND SPIRITUAL NEEDS. THESE NEEDS ARE MET THROUGH INDIVIDUALLY-TAILORED SERVICES DELIVERED BY A SKILLED AND CARING STAFF COMMITTED TO PROVIDING HIGH-QUALITY, COST-EFFECTIVE CARE. OUR MISSION IS ENHANCED BY WORKING WITH COMMUNITY PARTNERS. WE DO THIS IN HARMONY WITH OUR CHRISTIAN TRADITION IN AN ENVIRONMENT THAT CONTINUALLY CHALLENGES ITS MEMBERS TO EXCEL AND A STRUCTURE THAT ENCOURAGES GROWTH, RESEARCH, AND WISE USE OF RESOURCES. 8 8 543 110 0 0 277203 19562 8076116 8735922 -884466 -107738 0 830334 7468853 9478080 0 0 0 0 9932242 10048532 0 0 0 210246 -972418 10142488 9076114 -2673635 401966 16529878 15744328 20438351 19003579 -3908473 -3259251 X METHODIST MANOR , INC. PROVIDES A FULL RANGE OF SENIOR HEALTHCARE FOR RESIDENTS OF THE COMMUNITY IN ACCORDANCE WITH OUR CHRISTIAN VALUES. METHODIST MANOR, INC. IS COMPRISED OF PALMER HOUSE, A 131 UNIT ASSISTED LIVING FACILITY, AND WESLEY PARK, A 263 UNIT INDEPENDENT LIVING FACILITY. 0 0 3265694 4784927 PALMER HOUSE - PROVIDE ASSISTED LIVING SERVICES TO RESIDENTS IN A 131 UNIT FACILITY AS PART OF A CONTINUUM OF CARE FOR SENIORS. 2994009 3950995 WESLEY PARK - PROVIDE INDEPENDENT LIVING FACILITIES TO RESIDENTS IN A 263 UNIT FACILITY AS PART OF A CONTINUUM OF CARE FOR SENIORS AND PROVIDE PROGRAMS FOR RESIDENTS THROUGH A SENIOR CENTER. 6259703 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 40 0 543 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X MICHAEL VANBLARICUM 4146074100 3023 S 84TH STREET WEST ALLIS WI 53227 DAVID AFFELDT CHAIRMAN OF THE BOARD 1.00 4.00 X 0 0 0 RICK KELLER BOARD MEMBER 1.00 3.00 X 0 0 0 SUSAN RABE BOARD MEMBER 1.00 3.00 X 0 0 0 DR SARFRAZ SIDHU BOARD MEMBER 1.00 3.00 X 0 0 0 DANIEL PLATTEN BOARD MEMBER 1.00 3.00 X 0 0 0 TRACEY KLEIN BOARD MEMBER 1.00 3.00 X 0 0 0 REVEREND SAM ROYAPPA BOARD MEMBER 1.00 3.00 X 0 0 0 DYLAN MANN CFO 12.00 28.00 X 161161 0 0 LINDA NEWBERRY-FERGESON PRESIDENT AND CEO 12.00 28.00 X 228162 0 0 BRENDA CALHOUN CHIEF CLINICAL OFFICER 12.00 28.00 X 166256 0 0 MATTHEW ROMANO CIO 12.00 28.00 X 140250 0 0 JENNIFER KLAR EXECUTIVE DIRECTOR OF BUSINESS DEVELOPMENT 12.00 28.00 X 123859 0 0 819688 0 0 14 0 1 0 CLIFTONLARSONALLEN LLP PO BOX 775351 CHICAGO IL 60677 AUDIT 213586 MATRIXCARE 11575 HERON BAY BLVD CORAL SPRINGS FL 33076 EMR 183810 CARPETLAND USA 11316 W ROGERS ST WEST ALLIS WI 53227 FLOORING 113008 3 19562 19562 NET SERVICE REVENUE 623000 5819166 5819166 MEDICARE/MEDICAID PAYMENTS 623000 1230056 1230056 MAINTENANCE FEES 623000 842336 842336 OTHER OPERATING REVENUE 623000 511300 511300 ENTRANCE FEES 623000 333064 333064 8735922 39872 39872 147610 -147610 -147610 -147610 FUTURE SERVICE OBLIGATION 623000 830334 830334 830334 9478080 8735922 0 722596 8382728 6463612 1919116 -10238 -10238 1176450 1176450 499592 499592 70694 70694 120000 120000 9724 9724 806589 695277 111312 149164 24876 124288 424425 119524 304901 1000104 920134 79970 26817 26797 20 23717 720 22997 493109 493109 866267 866267 452404 452404 FOOD 1031858 1031858 EQUIPMENT RENTAL AND RE 126583 78077 48506 COMMUNITY CLUB ESPENSES 69452 69452 LAUNDRY EXPENSES 56187 56187 -6699512 -6714119 14607 9076114 6259703 2816411 0 541800 591825 113638 122634 104655 98635 197669 213289 47976033 41685591 6683312 6290442 1915812 895605 6972992 7531898 16529878 15744328 1849004 2598011 1135293 802229 11078110 9589998 587884 578435 5788060 5434906 20438351 19003579 X -3908473 -3259251 -3908473 -3259251 16529878 15744328 401966 247256 0 X 0 1 X 1 0 X 846 383850 355055 277203 19562 1036516 10877913 9790859 7644364 8076116 8735922 45125174 10878759 10174709 7999419 8353319 8755484 46161690 0 0 0 46161690 223780 219963 1878474 -884466 39872 1477623 223780 219963 1878474 -884466 39872 1477623 119950 3536690 830344 4486984 11102539 10514622 13414583 7468853 9625700 52126297 0.88560 0.90190 0.02830 0.02960 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2023 AMOUNT: $ 830,344. EXTINGUISHMENT OF RELATED PARTY PAYABLES - 2020 AMOUNT: $ 119,950. GAIN ON EXTINGUISHMENT OF DEBT - 2021 AMOUNT: $ 3,536,690. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62633 62633 25549392 22142851 3406541 1855920 1536780 319140 20505030 18005960 2499070 3058 3058 6290442 INVESTMENTS LIMITED TO USE 895605 F 895605 RESIDENT DEPOSITS 15515 DUE FROM AFFILIATES 7375774 RIGHT-OF-USE ASSET 140609 7531898 DUE TO AFFILIATE 4009500 RESIDENT DEPOSITS 2570 REFUNDABLE DEPOSITS 242302 FUTURE SERVICE OBLIGATION 1039925 LEASE LIABILITIES 140609 5434906 1 0 0 0 0 0 0 0 0 0 LINDA NEWBERRY-FERGESON PRESIDENT AND CEO 228162 0 0 0 0 0 0 0 0 0 228162 0 0 0 BRENDA CALHOUN CHIEF CLINICAL OFFICER 166256 0 0 0 0 0 0 0 0 0 166256 0 0 0 DYLAN MANN CFO 161161 0 0 0 0 0 0 0 0 0 161161 0 0 0 PART I, LINE 3 A RELATED ORGANIZATION COMPLETES A SURVEY TO SEE WHAT THE SALARIES IN THE AREA ARE AND SET RANGES BASED ON DECISIONS OF THE COMPENSATION COMMITTEE AND WHAT IS COMPETITIVE IN THE MARKET. ALL COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART I, ITEM C DBA: WESLEY PARK FORM 990, PART VI, SECTION B, LINE 11B THE ACCOUNTING AND ADMINISTRATION MANAGEMENT REVIEW THE FORM 990 BEFORE IT IS SUBMITTED. IT IS AVAILABLE TO EACH BOARDCMEMBER FOR THEIR REVIEW AFTER COMPLETION AND FILING. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND CERTAIN DIRECTORS, THROUGH COMMUNICATION WITH THE ACCOUNTING DEPT. REVIEW COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY AS PART OF THE CORPORATE COMPLIANCE PROCESS. FORM 990, PART VI, SECTION B, LINE 15 WHEN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT, RESPONSIBILITIES AND COMPETITIVE ENVIRONMENT ARE TAKEN INTER CONSIDERATION. HUMAN RESOURCES SURVEYS COMPARABLE ORGANIZATIONS AND THE REVIEW AND APPROVAL OF EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. THE VILLAGE AT MANOR PARK INC 3023 S 84TH STREET WEST ALLIS WI 53227 930840673 NOT-FOR-PROFIT MANAGEMENT CORPORATION WI 501(C)(3) LINE 12B, II N/A 0 METHODIST MANOR HEALTH CENTER INC 3023 S 84TH STREET WEST ALLIS WI 53227 391096121 SPECIALIZED CARE FACILITY, SPECIALIZED VENT UNIT WI 501(C)(3) LINE 10 VILLAGE AT MANOR PARK INC 0 METHODIST MANOR OF WAUKESHA INC 3023 S 84TH STREET WEST ALLIS WI 53227 391739567 HOSPICE WI 501(C)(3) LINE 10 VILLAGE AT MANOR PARK INC 0 VMP FOUNDATION INC 3023 S 84TH STREET WEST ALLIS WI 53223 510188458 CONTROL ASSETS FOR BENEFIT OF RELATED ORGANIZATIONS WI 501(C)(3) LINE 12A, I N/A 0 ANCHOR HOLDINGS INC 3023 S 84TH STREET WEST ALLIS WI 53227 391677564 HOLDING COMPANY WI N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0