2024-11-08T09:01:08-06:00 2024-06-30 390758449 WIPFLI LLP 170 N RADNOR-CHESTER RD SUITE 200 RADNOR PA 19087 990 2023-07-01 371101586 WESTMINSTER VILLAGE INC WEST 3096636474 2025 EAST LINCOLN BLOOMINGTON IL 61701 KELVIN SCHILL PRESIDENT 3096636474 2024-10-10 1 0 SOLOMON MARDAKHAEV P00958489 6105653930 2024-10-10 2023 2024-10-15 13:58:12Z MATTHEW RIEHLE 2025 EAST LINCOLN BLOOMINGTON IL 61701 37766033 0 X WWW.WESTMINSTERVILLAGEINC.COM X 1980 IL TO PROVIDE EXCELLENCE IN SENIOR LIVING THROUGH A CONTINUUM OF CARE AND SERVICES. 13 13 477 40 0 0 132399 149888 24596332 29076005 1115549 515468 -38274 36549 25806006 29777910 0 0 0 0 13693602 15679485 0 0 0 15754842 16193521 29448444 31873006 -3642438 -2095096 96396139 95339754 89699001 88994561 6697138 6345193 X TO PROVIDE EXCELLENCE IN SENIOR LIVING THROUGH A CONTINUUM OF CARE AND SERVICES. 0 0 12559397 0 12667825 SKILLED NURSING OFFERS 96 LICENSED BEDS, 80 PRIVATE ROOMS AND 8 SEMI-PRIVATE ROOMS. SKILLED NURSING IS AVAILABLE FOR ALL RESIDENTS 24 HOURS A DAY. THE HEALTH CENTER PROVIDES BOTH SHORT-TERM, OFTEN POST-HOSPITAL, FOR RECUPERATION AND REHABILITATION, AS WELL AS LONG-TERM OR PERMANENT PLACEMENT. RESIDENTS RECEIVE THREE MEALS DAILY, HOUSEKEEPING SERVICES, ACTIVITY AND WELLNESS PROGRAMMING, ACCESS TO ALL COMMON AREAS AND PRIORITY ADMISSION TO WESTMINSTER APARTMENTS. THERAPY SERVICES, PODIATRY SERVICES, LABORATORY SERVICES AND COSMETOLOGY SERVICES ARE ALSO AVAILABLE ONSITE AT AN ADDITIONAL CHARGE. 9619257 0 11095383 INDEPENDENT LIVING OFFERS 217 UNITS HOUSED IN 3 APARTMENT BUILDINGS, WHICH ALL CONNECT TO THE CENTRAL COMMUNITY CENTER. RESIDENTS CAN CHOOSE FROM A VARIETY OF SPACIOUS FLOOR PLANS, INCLUDING STUDIO, ONE BEDROOM AND TWO BEDROOM UNITS. RESIDENTS ARE PROVIDED WITH ONE MEAL DAILY, BIWEEKLY LINEN LAUNDRY AND HOUSEKEEPING SERVICES, ALL UTILITIES EXCEPT TELEPHONE, EMERGENCY CALL SYSTEM, PRIORITY ADMISSION TO ASSISTED LIVING AND SKILLED NURSING UNITS AND ACCESS TO ALL PROGRAMS AND ACTIVITIES. ADDITIONAL MEALS, TECHNOLOGY SUPPORT, RESIDENT CONVENIENCE STORE, COSMETOLOGY SERVICES AND OTHER SERVICES ARE ALSO AVAILABLE ONSITE AT AN ADDITIONAL CHARGE. 6300922 0 4888660 ASSISTED LIVING OFFERS 60 UNITS AND 12 MEMORY CARE UNITS, HOUSED IN 1 APARTMENT BUILDING, WHICH CONNECTS TO THE CENTRAL COMMUNITY CENTER. RESIDENTS CAN CHOOSE FROM A VARIETY OF SPACIOUS FLOOR PLANS, INCLUDING STUDIO, ONE BEDROOM AND TWO BEDROOM UNITS. RESIDENTS ARE PROVIDED WITH THREE MEALS DAILY, BIWEEKLY LINEN LAUNDRY AND HOUSEKEEPING SERVICES, WEEKLY LAUNDRY OF PERSONAL ITEMS, ALL UTILITIES EXCEPT TELEPHONE, EMERGENCY CALL SYSTEM, PRIORITY ADMISSION TO SKILLED NURSING AND ACCESS TO ALL PROGRAMS AND SERVICES. ADDITIONALLY, CUSTOMIZED CARE PLANS FOR ASSISTANCE ARE AVAILABLE TO MEET A RESIDENT'S PERSONALIZED NEEDS, WHICH MAY INCLUDE BUT ARE NOT LIMITED TO MORNING AND EVENING CHECKS, MEAL REMINDERS OR ESCORTS, MEDICATION REMINDERS AND SUPERVISION AND ASSISTANCE WITH BATHING, DRESSING AND/OR GROOMING. 1002960 0 393523 INDEPENDENT LIVING ALSO OFFERS 21 DUPLEX UNITS SITUATED ON THE NORTHEAST CORNER OF THE PROPERTY IN A NEIGHBORHOOD STYLE WITH A COMMUNITY CLUBHOUSE. THERE ARE THREE SIZE OFFERINGS, ALL WITH 2 BEDROOMS AND ATTACHED GARAGES. RESIDENTS ARE PROVIDED WITH ONE MEAL DAILY, ALL UTILITIES EXCEPT TELEPHONE, EMERGENCY CALL SYSTEM, EXTERIOR AND GROUNDS MAINTENANCE, PRIORITY ADMISSIONS TO WESTMINSTER APARTMENTS AND SKILLED NURSING AND ACCESS TO ALL PROGRAMS AND ACTIVITIES. ADDITIONAL MEALS, HOUSEKEEPING, TECHNOLOGY SUPPORT, RESIDENT CONVENIENCE STORE, COSMETOLOGY SERVICES AND OTHER SERVICES ARE ALSO AVAILABLE ONSITE AT AN ADDITIONAL CHARGE. 131565 0 30614 "WELL @ WESTMINSTER" SERVES AS A HOME SERVICES & HOME NURSING AGENCY PROVIDING ASSISTANCE WITH A VARIETY OF HOME SERVICES INCLUDING COMPANIONSHIP, HOMEMAKER SERVICES AND ASSISTANCE WITH ACTIVITIES OF DAILY LIVING FOR WESTMINSTER VILLAGE RESIDENTS ONLY. IN ADDITION, LICENSED NURSING SERVICES INCLUDING MEDICATION ADMINISTRATION, DRESSING CHANGES, INJECTIONS AND CARE COORDINATION IS ALSO PROVIDED. 1134525 0 424137 29614101 1 1 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 1 0 0 0 0 1 41 0 477 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X KATE WILLIAMS 3096636474 2025 EAST LINCOLN BLOOMINGTON IL 61701 MATTHEW RIEHLE CHIEF EXECUTIVE OFFICER 40.00 X 184275 0 17104 KATE WILLIAMS CHIEF FINANCIAL OFFICER 40.00 X 168678 0 8961 DEBORAH KARR CARE PLAN COORDINATOR 56.00 X 136811 0 8842 EON-HEE SEO REGISTERED NURSE 54.00 X 138458 0 13596 KEVIN BUTLER DIRECTOR OF PROPERTY AND FACILITIES 40.00 X 105489 0 18147 CHRISTINE BAKER DIRECTOR OF HEALTH CENTER SERVICES 40.00 X 111781 0 10938 CYNTHIA PATRICK DIRECTOR OF NURSING 40.00 X 114850 0 7077 SARAH CURTIS PRESIDENT 1.50 X X 0 0 0 KELVIN SCHILL VICE PRESIDENT 1.50 X X 0 0 0 CARL TEICHMAN IMMEDIATE PAST PRESIDENT 1.50 X X 0 0 0 TROY FRERICHS TREASURER 1.00 X X 0 0 0 VASU GADHIRAJU SECRETARY (THRU JUNE 2024) 1.00 X X 0 0 0 CARLOS ARMSTRONG BOARD MEMBER 1.00 X 0 0 0 TIM BASSETT BOARD MEMBER (THRU JUNE 2024) 1.00 X 0 0 0 EMILY BELL BOARD MEMBER 1.00 X 0 0 0 CHRIS BUETTNER BOARD MEMBER 1.00 X 0 0 0 DUANE FARRINGTON BOARD MEMBER (THRU JUNE 2024) 1.00 X 0 0 0 MONICA HALL BOARD MEMBER 1.00 X 0 0 0 NATE HINCH BOARD MEMBER 1.00 X 0 0 0 GREG YOUNT BOARD MEMBER 1.00 X 0 0 0 960342 0 84665 12 0 1 0 HEALTHPRO HERITAGE PO BOX 69268 BALTIMORE MD 21264 CONTRACT THERAPY SERVICES 339288 BELLIS AND BOLEK PAINTING 1701 E TAYLOR ST BLOOMINGTON IL 61701 RENOVATION, REPAIR AND MAINTENANCE 227184 VESTIS GROUP INC 25259 NETWORK PLACE CHICAGO IL 60673 LINE & LAUNDRY SERVICE & SUPPLIES 205029 FUNCTIONAL PATHWAYS 10133 SHERRILL BLVD SUITE 200 KNOXVILLE TN 37932 CONTRACT THERAPY SERVICES 191525 CARPETS PLUS 710 ELDORADO ROAD BLOOMINGTON IL 61704 FLOORING & INSTALLATION 186671 9 149888 149888 HEALTH CENTER REVENUES 623000 12667825 12667825 INDEPENDENT RESIDENTIAL REVENUE 623000 9918544 9918544 ASSISTED LIVING REVENUES 623000 4888660 4888660 LIFE OCCUPANCY & MEMBERSHIP FEES 623000 1176839 1176839 INDEPENDENT LIVING AT WILLOWS REV 623000 393523 393523 30614 30614 29076005 480714 480714 81661 30673 50988 50988 50988 7992204 7949366 8084 42838 -8084 34754 34754 LOSS ON CONTRACT CHANGE OF WILLOW 623000 -14439 -14439 -14439 29777910 29076005 0 552017 450097 225048 225049 12740835 11366385 1374450 228945 207661 21284 1282132 1132760 149372 977476 859786 117690 36115 36115 37750 37750 71421 71421 640492 640492 182871 36960 145911 22508 22508 420327 416199 4128 17440 17440 3028312 2997816 30496 4912603 4865109 47494 829538 821391 8147 FOOD COSTS 1592423 1592423 TAXES & LICENSES 1296111 1285734 10377 RESIDENT UTILITIES 909571 900638 8933 REPAIRS & MAINTENANCE 770723 770723 1425316 1418913 6403 31873006 29614101 2258905 0 2645086 2503587 746004 999249 68938 53960 316899 238079 113518470 42057017 74880093 71461453 13829369 15849827 3909750 4233599 96396139 95339754 3597706 3344145 7440686 7535969 64291532 63268484 14369077 14845963 89699001 88994561 X 6575278 6240462 121860 104731 6697138 6345193 96396139 95339754 -2095096 1743151 0 X X 0 1 X 1 0 X 2216305 345988 267245 132399 167017 3128954 17512982 17664372 22181193 24596332 29076005 111030884 19729287 18010360 22448438 24728731 29243022 114159838 0 0 0 114159838 983553 881579 875980 678669 562375 3982156 983553 881579 875980 678669 562375 3982156 -24919 -25293 -25673 -20643 -96528 20687921 18866646 23298745 25386757 29805397 118045466 0.96710 0.96060 0.03370 0.03940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1374486 1374486 102580465 37567269 65013196 1991886 656670 1335216 7571633 3833078 3738555 71461453 REFUNDABLE OCCUPANCY FEES 13345243 SECURITY DEPOSITS 1500720 14845963 31449640 1743151 1743151 29706489 71421 71421 29777910 31801585 0 31801585 71421 71421 31873006 X X X 0 0 0 0 0 0 0 1 0 MATTHEW RIEHLE CHIEF EXECUTIVE OFFICER 174127 0 100 0 10048 0 7745 0 9359 0 201379 0 0 0 KATE WILLIAMS CHIEF FINANCIAL OFFICER 160259 0 950 0 7469 0 6573 0 2388 0 177639 0 0 0 EON-HEE SEO REGISTERED NURSE 130366 0 3988 0 4104 0 5848 0 7748 0 152054 0 0 0 PART I, LINE 7 SCHEDULE J, PART II, COLUMN (B)(II) REPORTS DISCRETIONARY INCENTIVE AMOUNTS THAT WERE APPROVED BY THE BOARD BASED UPON PERFORMANCE. A ILLINOIS FINANCE AUTHORITY (2018A) 861091967 45204ER83 2018-12-20 39670000 REVENUE BOND TO FUND CONSTRUCTION OF EXPANSION PROJECT 0 0 0 B ILLINOIS FINANCE AUTHORITY (2018B) 861091967 45204ER83 2018-12-20 23895000 REVENUE BOND TO FUND CONSTRUCTION OF EXPANSION PROJECT 0 0 0 C ILLINOIS FINANCE AUTHORITY (2018C) 861091967 45204ER83 2018-12-20 5000000 REVENUE BOND TO FUND CONSTRUCTION OF EXPANSION PROJECT 0 0 0 A 565000 39670000 2535180 883801 36251019 1 0 1 1 B 565000 23895000 402625 270558 23221817 0 0 1 1 C 120000 5000000 32081 56614 4911305 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 1 1 OLD NATIONAL BANK 7.000000000000 0 0 0 0 1 C 0 0 0 0 1 1 OLD NATIONAL BANK 7.000000000000 0 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION B, LINE 11B ALL BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO FILING IT WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C 1. SPECIFIC DISCLOSURE: MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF SHALL DISCLOSE FULLY THE PRECISE NATURE OF THEIR INTEREST OF INVOLVEMENT WHEN PARTICIPATING IN ANY TRANSACTION OF THE ORGANIZATION IN WHICH ANOTHER PARTY TO THE TRANSACTION INCLUDES: A. HIMSELF OR HERSELF; B. A MEMBER OF THE FAMILY (SPOUSE, PARENTS, BROTHERS, SISTERS, CHILDREN, IN-LAWS, OR ANY OTHER IMMEDIATE RELATIVE); OR C. AN ORGANIZATION WITH WHICH THE MEMBER OF THE WV, INC. BOARD, ADMINISTRATION OR MANAGEMENT STAFF OR HIS OR HER FAMILY IS AFFILIATED. D. DISCLOSURE SHALL BE MADE AT THE FIRST KNOWLEDGE OF A TRANSACTION. 2. GENERAL DISCLOSURE: MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL DISCLOSE ALL RELATIONSHIPS AND BUSINESS AFFILIATIONS WHICH MAY NOW, OR IN THE FUTURE, CONFLICT WITH THE INTERESTS OF THE ORGANIZATION OR BRING PERSONAL GAIN TO THEM OR THEIR FAMILY OR BUSINESS. IF ANY MEMBER OF THE WV, INC. BOARD, ADMINISTRATION OR MANAGEMENT STAFF OR A MEMBER OF HIS OR HER FAMILY ACTS IN ONE OR MORE OF THE FOLLOWING CAPACITIES, DISCLOSURE MUST BE MADE: A. IS AN OFFICER, DIRECTOR, TRUSTEE, PARTNER, EMPLOYEE, OR AGENT OF AN ORGANIZATION WITH WHICH OUR ORGANIZATION HAS BUSINESS DEALINGS; B. IS EITHER THE ACTUAL OR BENEFICIAL OWNER OF MORE THAN ONE PERCENT OF THE VOTING STOCK OR CONTROLLING INTEREST OF AN ORGANIZATION WITH WHICH OUR ORGANIZATION HAS BUSINESS DEALINGS; C. IS A CONSULTANT FOR SUCH AN ORGANIZATION; OR HAS ANY OTHER DIRECT OR INDIRECT DEALINGS WITH AN INDIVIDUAL OR ORGANIZATION FROM WHICH HE OR SHE IS MATERIALLY BENEFITTING (E.G., THROUGH THE RECEIPT, DIRECTLY OR INDIRECTLY, OR CASH, GIFTS, OR OTHER PROPERTY). 3. REPORTING OF DISCLOSURES: ALL DISCLOSURES AS THEY APPLY TO STAFF WILL BE HANDLED BY THE EXECUTIVE DIRECTOR IN CONCURRENCE WITH THE WV, INC. BOARD PRESIDENT. ALL DISCLOSURES AS THEY APPLY TO MEMBERS OF THE WV, INC. BOARD SHALL BE LISTED AT THE END OF THIS DOCUMENT AND WILL BE REFERRED TO THE PRESIDENT OF THE BOARD. INFORMATION DISCLOSED TO THE PRESIDENT OF THE BOARD OR THE EXECUTIVE DIRECTOR WILL BE HELD IN CONFIDENCE, EXCEPT WHEN THE ORGANIZATION'S BEST INTERESTS WOULD BE SERVED BY BRINGING THE INFORMATION TO THE ATTENTION OF THE EXECUTIVE COMMITTEE OR THE BOARD. A. EACH MEMBER OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL COMPLETE AND UPDATE ANY DISCLOSURE OR SUSPECTED DISCLOSURE ANNUALLY. 4. FAILURE TO DISCLOSE: EACH MEMBER OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WHO IS REQUESTED TO FILE THIS CONFLICT OF INTEREST STATEMENT SHOULD RECOGNIZE THAT SUCH FILING IS A REQUIREMENT FOR CONTINUED AFFILIATION OR EMPLOYMENT WITH OUR ORGANIZATION AND, FURTHER, THAT FAILURE TO KNOWINGLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST COULD RESULT IN DISAFFILIATION OR TERMINATION OF EMPLOYMENT. A. MEMBERS OF THE WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WHO HAVE A CONFLICT OF INTEREST IN ANY MATTER SHALL REFRAIN FROM PARTICIPATING IN THE CONSIDERATION OF THE PROPOSED TRANSACTION. THE PERSON OR PERSONS INVOLVED WILL NOT VOTE ON SUCH MATTERS. HOWEVER, FOR SPECIAL REASONS, THE BOARD MAY REQUEST INFORMATION OR INTERPRETATION FROM THE PERSON OR PERSONS INVOLVED. B. WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF SHALL NOT ACCEPT GIFTS, FAVORS OR HOSPITALITY THAT MAY INFLUENCE THEIR DECISION MAKING OR ACTIONS AFFECTING THE VILLAGE EXCEPT FOR NORMAL BUSINESS LUNCHES, ENTERTAINMENT OR COMMEMORATIONS. C. ALTHOUGH IT IS RECOGNIZED THAT A DEGREE OF DUALITY OF INTEREST MAY EXIST FROM TIME TO TIME, AN EFFORT SHOULD BE MADE TO MINIMIZE SUCH DUALITY AND SUCH DUALITY SHALL NOT BE PERMITTED TO ADVERSELY INFLUENCE THE DECISION MAKING PROCESS. 5. HIRING OF FAMILY MEMBERS OF WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF: A. FAMILY MEMBERS OF WV, INC. BOARD, ADMINISTRATION AND MANAGEMENT STAFF WILL NOT BE HIRED WITHOUT BOARD APPROVAL. THIS INCLUDES RELATIVES WITH KINSHIP BY BLOOD, ADOPTION OR MARRIAGE. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE COMMITTEE RECEIVES A SELF-EVALUATION OF EXECUTIVE DIRECTOR AND SOLICITS THE REVIEW FROM ALL BOARD MEMBERS. SALARY SURVEY DATA FROM H.C.S. IS THEN USED FOR COMPARABILITY DATA. THE FULL BOARD THEN ACTS ON THE RECOMMENDATION FOR NEXT YEAR SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND ANNUAL FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE WAS NO CHANGE IN THE AUDIT OVERSIGHT PROCESS OR AUDITOR SELECTION PROCESS DURING THE YEAR. WV CORNER HOLDINGS LLC 2025 E LINCOLN STREET BLOOMINGTON IL 61701 812226794 PROGRAM RENTAL REAL ESTATE IL 50988 2723790 WESTMINSTER VILLAGE INC