2023-02-08T13:52:02-06:00 2022-03-31 420714325 RSM US LLP 201 FIRST ST SE STE 800 CEDAR RAPIDS IA 524011512 990 2021-04-01 420838541 THE METH-WICK COMMUNITY INC METH 3193659171 1224 13TH ST NW CEDAR RAPIDS IA 524052404 ROBIN MIXDORF PRESIDENT 3193659171 2023-02-08 1 ROBIN MIXDORF 999009999 SHAWNA HULS P01315330 3192985333 2022-10-05 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z ROBIN MIXDORF PRESIDENT 1224 13TH ST NW CEDAR RAPIDS IA 524052404 18788131 0 X WWW.METHWICK.ORG X 1959 IA CONTINUING CARE RETIREMENT COMMUNITY 17 17 240 125 44264 36946 3120247 562615 17010870 17665467 163041 322982 51210 44791 20345368 18595855 0 0 0 0 10038334 9599235 0 0 0 9959606 9298138 19997940 18897373 347428 -301518 36957243 36346966 16915563 16385720 20041680 19961246 X OUR MISSION IS TO PROVIDE A SECURE AND CARING LIVING ENVIRONMENT TO THOSE WE SERVE, ALLOWING THEM TO MAINTAIN THEIR DIGNITY AND TO ENRICH THE QUALITY OF THEIR LIVES AS THEY AGE. 0 0 7682877 7877113 NURSING HOME- OPERATED A 69 BED NURSING HOME FACILITY WHICHPROVIDED 22,163 RESIDENT DAYS OF CARE FOR RESIDENTS TRANSFERRINGFROM OTHER SERVICE LEVELS WITHIN THE METH-WICK COMMUNITY ANDFROM THE SURROUNDING AREA. FREE AND DISCOUNTED CARE IS PROVIDEDTO ANY RESIDENT WHO IS UNABLE TO PAY FOR THE SERVICES THEY NEED.13 RESIDENTS RECEIVED SUCH ASSISTANCE IN THE 2021-22 FISCAL YEAR. 3127726 3588001 INDEPENDENT LIVING - PROVIDED 175 INDEPENDENT LIVING UNITS WHICHALLOW THE RESIDENTS THE OPPORTUNITY TO LIVE INDEPENDENTLY WHILEHAVING ACCESS TO ALL HEALTH, WELLNESS AND RECREATIONAL SERVICESAVAILABLE ON OUR CAMPUS. ADDITIONALLY, INDEPENDENT LIVING RESIDENTSMAY ADD SERVICES OR TRANSITION TO ANY OTHER LEVEL OF LIVING/CAREPROVIDED ON OUR CAMPUS WHEN NECESSARY TO MEET THEIR NEEDS. 3398244 3397389 ASSISTED LIVING - OPERATED TWO ASSISTED LIVING UNITS WITH 60 TOTAL BEDS. PROVIDED 15,897 RESIDENT DAYS OF CARE FOR RESIDENTS TRANSFERRING FROM OTHER SERVICE LEVELS WITHIN THE METH-WICK COMMUNITY AND THE SURROUNDING AREA. FREE AND DISCOUNTED CARE IS PROVIDED TO ANY RESIDENT WHO IS UNABLE TO PAY FOR THE SERVICES THEY NEED. 2 RESIDENTS RECEIVED SUCH ASSISTANCE IN THE 2021-22 FISCAL YEAR. 2129442 2480914 SUPPORTED LIVING - PROVIDED 72 SUPPORTED LIVING UNITS TO CARE FOR RESIDENTS TRANSFERRING FROM OTHER SERVICE LEVELS WITHIN THE METH-WICK COMMUNITY AND FROM THE SURROUNDING AREA. FREE AND DISCOUNTED CARE IS PROVIDED TO ANY RESIDENT WHO IS UNABLE TO PAY FOR THE SERVICES THEY NEED. 2 RESIDENTS HAVE RECEIVED SUCH ASSISTANCE IN THE 2021-22 FISCAL YEAR. 719039 322050 HOME HEALTH, BEAUTY SHOP AND ESTATE COUNSELING. 2848481 2802964 17057328 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15 0 1 240 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X ROBIN MIXDORF 3193659171 1224 13TH ST NW CEDAR RAPIDS IA 524052404 RUTH NEBERGALL PAST CHAIR (UNITL 07/21) 1.00 X X 0 0 0 BRIAN SCOTT CHAIR 1.00 X X 0 0 0 DR JOHN HERRING VICE CHAIR 1.00 X X 0 0 0 DEBORAH GERTSEN TREASURER 1.00 X X 0 0 0 MIKE DULANEY SECRETARY 1.00 X X 0 0 0 DENISE BROWN BOARD MEMBER 1.00 X 0 0 0 LOIS BUNTZ BOARD MEMBER 1.00 X 0 0 0 GREG CLEVELAND BOARD MEMBER 1.00 X 0 0 0 GARY ERNST BOARD MEMBER 1.00 X 0 0 0 MARY ANN HINDMAN-GROBSTICH BOARD MEMBER 1.00 X 0 0 0 RICHARD JOHNSON BOARD MEMBER 1.00 X 0 0 0 JIM KOCH BOARD MEMBER 1.00 X 0 0 0 MARY ANN OSBORN BOARD MEMBER 1.00 X 0 0 0 DARA SCHMIDT BOARD MEMBER 1.00 X 0 0 0 MARTY STOLL BOARD MEMBER 1.00 X 0 0 0 PAUL SALE BOARD MEMBER 1.00 X 0 0 0 BOB VANCURA BOARD MEMBER 1.00 X 0 0 0 ERICA YODER BOARD MEMBER 1.00 X 0 0 0 ARLON BERKHOF BOARD MEMBER (UNTIL 07/21) 1.00 X 0 0 0 ROBIN MIXDORF PRESIDENT 48.00 X 334830 0 21996 RON JAEGER CHIEF FINANCIAL OFFICER 40.00 X 145472 0 34701 480302 0 56697 2 0 1 0 SODEXO INC PO BOX 360170 PITTSBURG PA 15251 FOOD SERVICE PROVIDER 2110256 APPLEBY AND HORN TILE CO 128 31ST ST NE CEDAR RAPIDS IA 52402 FLOORING VENDOR 340735 MILLENNIUM REHAB & CONSULTING INC 4725 MERLE HAY ROAD DES MOINES IA 50322 THERAPY PROVIDER 326329 GRAPETREE MEDICAL STAFFING LLC PO BOX 5340 SIOUX FALLS SD 57117 CONTRACT STAFFING 201701 J W MORTON AND ASSOC 1924 ST ANDREWS CT NE CEDAR RAPIDS IA 52402 ADVERTISING 149907 12 17301 545314 562615 HEALTHCARE FEES 623000 9791288 9791288 RESIDENT FEES 623000 6431120 6431120 ENTRANCE FEES 623000 1443059 1443059 17665467 307097 307097 527 0 527 527 527 203631 4530 192276 0 11355 4530 15885 15885 ROOF LICENSE-ANTENNA 517000 44264 44264 44264 18595855 17665467 44264 323509 509111 101822 407289 7181386 6745562 435824 179472 167278 12194 1179493 1072928 106565 549773 499979 49794 33382 33382 72521 11985 60536 53946 53946 389371 321320 68051 162806 162806 507472 424086 83386 116542 116542 864099 827771 36328 17569 17153 416 34389 31619 2770 25657 25657 2996733 2878454 118279 297946 274110 23836 RESIDENT MEALS 2115342 2104610 10732 THERAPY & OUTSIDE SVCS 693313 509907 183406 REPAIRS & MAINTENANCE 547072 546529 543 MEDS & MED SUPPLIES 186502 186502 183476 147250 36226 18897373 17057328 1840045 0 2521852 2929418 119896 339265 461929 308149 627000 563024 231689 276802 81584274 59682111 23234359 21902163 9760518 10028145 36957243 36346966 2004150 2130848 12839003 12372912 1723745 1515818 348665 366142 16915563 16385720 X 14831341 14575562 5210339 5385684 20041680 19961246 36957243 36346966 -301518 221084 0 X 0 1 X 1 0 X 712058 527614 1203010 3120247 562615 6125544 712058 527614 1203010 3120247 562615 6125544 625176 5500368 206659 274313 274615 232905 307624 1296116 36318 39732 38592 43496 37946 196084 7617744 83974770 0.72200 0.73870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8533717 199045 443443 196256 79163 8900786 6118161 465537 2174930 174712 50199 8533717 6774057 140535 -460799 292172 43460 6118161 6528856 229100 319848 261242 42505 6774057 5799362 389028 555319 170571 44284 6528856 0.46276 0.10851 0.42873 0 0 2015388 2015388 73175145 54523427 18651718 6393741 5158684 1235057 21902163 APPLICANTS' DEPOSITS 366142 366142 X 18816939 221084 221084 18595855 0 18595855 18897373 0 18897373 0 18897373 PART V, LINE 4: THE ENDOWMENT FUNDS PROVIDE A SOURCE FOR FURNISHING FREE AND DISCOUNTED CARE TO RESIDENTS OF THE METH-WICK COMMUNITY WHO HAVE SUBSTANTIALLY DEPLETED THEIR RESOURCES. THE BOARD OF DIRECTORS FOLLOW THE POLICY OF RETAINING A SET PERCENTAGE OF THE INTEREST INCOME EARNED ON THE FUNDS AND USING THE REMAINDER FOR RESIDENT CARE. PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RECOGNIZED THE ORGANIZATION AS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS SUBJECT TO FEDERAL AND STATE INCOME TAXES ON UNRELATED BUSINESS INCOME. THE ORGANIZATION FOLLOWS THE ACCOUNTING GUIDANCE RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. IN ACCORDANCE WITH THAT GUIDANCE, MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED THERE IS NO LIABILITY TO RECORD. THE ORGANIZATION HAS NOT BEEN NOTIFIED OF ANY IMPENDING EXAMINATION BY TAX AUTHORITIES AND NO EXAMINATIONS ARE IN PROCESS. X X X 0 0 0 0 0 0 0 0 0 ROBIN MIXDORF PRESIDENT 186069 0 148761 0 0 0 8749 0 13247 0 356826 0 0 0 RON JAEGER CHIEF FINANCIAL OFFICER 145472 0 0 0 0 0 5006 0 29695 0 180173 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 ARTICLES OF INCORPORATION WERE REVISED TO UPDATE THEIR TERMINOLOGY AND REFLECT CURRENT BEST PRACTICES. BYLAWS WERE REVISED TO REDUCED THE MINIMUM NUMBER OF DIRECTORS TO 14 AND TO CLARIFY VARIOUS AREAS, SUCH AS THE WORDING ON DIRECTORS TERMS OF OFFICE, THE FILLING OF VACANCIES, RESIGNATIONS, MEETING NOTICES, MANNER OF ACTING, MEETING BY CONFERENCE TELEPHONE, PRESUMPTION OF ASSENT AND COMPENSATION POLICIES. ALSO CLARIFIED THE TITLES AND TERMS OF OFFICERS AND THE STEPS NECESSARY TO REMOVE AN OFFICER. COMMITTEE MEMBERSHIP AND MEETING RULES WERE RESTRUCTURED TO MATCH THOSE OF THE BOARD. CLARIFICATION OF WHO CAN SIGN LEGAL DOCUMENTS AND ON RULES REGARDING LOANS, DEPOSIT, KEEPING OF BOOKS AND RECORDS. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF EXECUTIVE WILL SIGN AND CERTIFY THAT THE IRS FORM 990 IS ACCURATE AND COMPLETE. THE FINANCE COMMITTEE WILL REVIEW AND APPROVE THE IRS FORM 990 ANNUAL TAX FILING PRIOR TO SUBMISSION, AND THE FULL BOARD SHALL RECEIVE A COPY OF THE IRS FORM 990 IMMEDIATELY PRIOR TO THE DATE OF SUBMISSION FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS CONFLICT OF INTEREST POLICY: ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. THIS STATEMENT WILL ALLOW THE METH-WICK COMMUNITY, INC. TO IDENTIFY ANY CORPORATE, MEMBERSHIP OR OTHER RELATIONSHIPS OF THE INDIVIDUAL WHICH COULD BENEFIT THE PRIVATE INTEREST OF SUCH INDIVIDUAL OR RESULT IN A POSSIBLE EXCESS BENEFIT TRANSACTION. THE COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENT IS REVIEWED BY THE CHAIR OF THE CORPORATION AND INSURANCE COMMITTEE. THE CHAIR WILL REPORT ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST TO THE BOARD OF DIRECTORS WITH THE INDIVIDUAL IN QUESTION GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS REGARDING THE POSSIBLE CONFLICT. THE BOARD WILL THEN DECIDE IF A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15A EXECUTIVE COMPENSATION POLICY: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE METH-WICK COMMUNITY, INC. HAS GENERAL OVERSIGHT OF THE YEARLY EVALUATION OF THE CHIEF EXECUTIVE OF THE ORGANIZATION AND IS THE AUTHORIZED BODY TO DETERMINE COMPENSATION ARRANGEMENTS FOR THE CHIEF EXECUTIVE. THE CHAIRPERSON OF THE BOARD WILL NOTIFY THE BOARD OF DIRECTORS OF THE ANNUAL EVALUATION AND SEEK THEIR INPUT ALONG WITH INPUT FROM THE SENIOR MANAGEMENT STAFF AND SELECTED RESIDENT REPRESENTATIVES. THE EVALUATION WILL BE CONDUCTED ON A TIMELY BASIS TO COINCIDE WITH THE ANNUAL BUDGETING PROCESS. THE EXECUTIVE COMMITTEE WILL: -ENSURE THAT THE COMPENSATION ARRANGEMENT IS APPROVED BY A COMMITTEE COMPOSED ENTIRELY OF INDIVIDUALS WHO HAVE NO CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT. -OBTAIN APPROPRIATE DATA AS TO SALARY COMPARABILITY TO BE USED IN THE DECISION MAKING PROCESS. -ADEQUATELY DOCUMENT THE BASIS FOR ITS DETERMINATION OF THE COMPENSATION PACKAGE. APPROPRIATE DATA FOR COMPARABILITY WILL INCLUDE COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICE IN THE GEOGRAPHIC AREA OF THE ORGANIZATION; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE PERSON. THE COMMITTEE WILL MEET INDEPENDENT OF THE CHIEF EXECUTIVE TO DISCUSS PERFORMANCE RELATIVE TO THE POSITION DESCRIPTION AND IDENTIFIED PERFORMANCE GOALS. ONCE CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO THE ESTABLISHED OBJECTIVES. THE COMMITTEE AND/OR THE BOARD CHAIR WILL MEET WITH THE CHIEF EXECUTIVE TO DISCUSS AND DOCUMENT STRENGTHS, WEAKNESSES AND GOALS FOR THE UPCOMING YEAR. COMPENSATION FOR THE UPCOMING YEAR IS TO BE DISCUSSED AND DOCUMENTED AS WELL. THE COMMITTEE WILL PRESENT ITS FINDINGS AND RESULTING EXECUTIVE COMPENSATION PACKAGE TO THE FULL BOARD IN AN EXECUTIVE SESSION WITHOUT THE CHIEF EXECUTIVE PRESENT. SENIOR MANAGEMENT STAFF COMPENSATION PROCEDURE: THE CHIEF EXECUTIVE OF THE METH-WICK COMMUNITY, INC. HAS GENERAL OVERSIGHT OF THE YEARLY EVALUATION OF THE SENIOR MANAGEMENT STAFF OF THE ORGANIZATION AND IS THE AUTHORIZED BODY TO DETERMINE COMPENSATION ARRANGEMENTS FOR THE SENIOR MANAGEMENT STAFF. THE DIRECTOR OF HUMAN RESOURCES OF THE METH-WICK COMMUNITY WILL NOTIFY THE CHIEF EXECUTIVE OF THE NECESSARY ANNUAL EVALUATIONS. THE EVALUATIONS WILL BE CONDUCTED ON A TIMELY BASIS TO COINCIDE WITH THE ANNUAL BUDGETING PROCESS. THE CHIEF EXECUTIVE WILL: -ENSURE THAT THERE IS NO CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT. -OBTAIN APPROPRIATE DATA AS TO SALARY COMPARABILITY TO BE USED IN THE DECISION MAKING PROCESS. -ADEQUATELY DOCUMENT THE BASIS FOR ITS DETERMINATION OF THE COMPENSATION PACKAGE. APPROPRIATE DATA FOR COMPARABILITY WILL INCLUDE COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS, FOR FUNCTIONALLY COMPARABLE POSITIONS; THE AVAILABILITY OF SIMILAR SERVICE IN THE GEOGRAPHIC AREA OF THE ORGANIZATION; CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS; AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE PERSON. THE CHIEF EXECUTIVE WILL MEET WITH THE SENIOR EXECUTIVE STAFF TO DISCUSS AND DOCUMENT STRENGTHS, WEAKNESSES AND GOALS FOR THE UPCOMING YEAR. COMPENSATION FOR THE UPCOMING YEAR IS TO BE DISCUSSED AND DOCUMENTED AS WELL. FORM 990, PART VI, SECTION C, LINE 19 THE CHIEF EXECUTIVE OF THE METH-WICK COMMUNITY, INC. IS RESPONSIBLE FOR MAKING THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. THE GENERAL PUBLIC CAN REQUEST COPIES OF THESE DOCUMENTS BY CONTACTING THE CHIEF EXECUTIVE AT THE METH-WICK COMMUNITY, INC., 1224 13TH STREET NW, CEDAR RAPIDS, IA 52405. THE REQUEST CAN BE MADE IN PERSON OR IN WRITING.