2020-08-14T11:26:54-05:00 2019-09-30 410746749 CLIFTONLARSONALLEN LLP 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2018-10-01 760775289 REEDSBURG AREA SENIOR LIFE CENTER INC REED 6085246577 2350 N DEWEY AVENUE REEDSBURG WI 53959 ROBERT VAN MEETEREN CEO 6085246577 2020-08-13 1 KOREY BOELTER P00775161 6123764500 2020-08-13 66.188.188.148 2020-08-13 13:54:07 CD P 0E88769D924135FAE6C91FF1C181B25E4DDFCADD 8DF0D5A1DBF8E44DE93554FEEDBEEE801640FE4C 2018 2020-11-19 02:30:22Z ROBERT VAN MEETEREN 2350 N DEWEY AVENUE REEDSBURG WI 53959 5876363 0 X WWW.RAMCHEALTH.COM X 2004 WI REEDSBURG AREA SENIOR LIFE CENTER PROVIDES COMPASSIONATE, QUALITY AND EFFICIENT HEALTHCARE. 5 5 0 25 0 0 402000 1611830 5252667 4221377 247 241 64630 42915 5719544 5876363 0 0 0 0 4699001 4193355 0 0 0 2179951 1886593 6878952 6079948 -1159408 -203585 9659591 8895231 9454093 8866625 205498 28606 X REEDSBURG AREA SENIOR LIFE CENTER, INC. ALWAYS THERE, GOING BEYOND THE EXPECTED TO PROVIDE COMPASSIONATE, QUALITY AND EFFICIENT HEALTHCARE. 1 0 4973618 0 3629317 CONSISTS OF A LONG-TERM CARE UNIT AND AN APARTMENT STYLE ASSISTED LIVING FACILITY LOCATED RIGHT ON THE REEDSBURG AREA MEDICAL CENTER CAMPUS. RASLC IS DESIGNED WITH A NEIGHBORHOOD CONCEPT, SO ALL RESIDENTIAL LIVING WINGS EXTEND FROM THE MAIN STREET AND TOWN SQUARE AREA. RIDEGEVIEW TERRACE, A LONG-TERM CARE UNIT LIVING FACILITY, OFFERS A LARGE, PRIVATE ROOMS IN FOUR DIFFERENT NEIGHBORHOODS. IN FISCAL YEAR 2019, RASLC BEGAN WORK TO TRANSITION HALF OF OUR LONG-TERM CARE UNIT TO A CERTIFIED BASED RESIDENTIAL FACILITY. CONSTRUCTION WAS STILL ONGOING AT YEAREND WITH AN ESTIMATED COMPLETION DATE OF SPRING 2020. AS A RESULT, WE ENDED THE FISCAL YEAR WITH 25 LICENSED LONG-TERM CARE BEDS, PROVIDING CARE FOR A TOTAL OF 12,835 LONG-TERM CARE RESIDENT DAYS. 746042 0 592060 A 24 APARTMENT ASSISTED LIVING FACILITY, CONSISTS OF STUDIO AND ONE-BEDROOM APARTMENTS. SERVICES WERE PROVIDED FOR 4,488 ASSISTED LIVING RESIDENT DAYS DURING FISCAL YEAR 2019. 5719660 1 1 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 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 1 0 0 0 1 6 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X BARRY BORCHERT 6085246487 2000 NORTH DEWEY AVENUE REEDSBURG WI 53959 BILL GRONLEY CHAIRMAN 0.50 X X 450 0 0 GARY FUSCH VICE CHAIRMAN 0.50 X X 550 0 0 DEREK HORKAN SECRETARY AND TREASURER 0.50 X X 500 0 0 JUDY BASS DIRECTOR 0.50 X 150 0 0 PHIL PETERSON DIRECTOR 0.50 X 350 0 0 ROBERT VAN MEETEREN PRESIDENT/CEO 0.50 X 0 0 0 BARRY BORCHERT CFO 0.50 X 0 0 0 2000 0 0 0 0 0 0 MEDICAL SOLUTIONS LLC 1010 N 102ND ST STE 100 OMAHA NE 68114 CONTRACTED NURSING SERVICES 146327 1 1607596 4234 1611830 NET RESIDENT SVC REV 623110 4221377 4221377 4221377 241 241 CAFETERIA REVENUE 623110 23485 23485 BEAUTY SHOP 621311 17057 17057 OTHER REVENUE 623110 2373 2373 42915 5876363 4221377 0 43156 2972131 2775220 196911 124545 116294 8251 805468 752104 53364 291211 271918 19293 606446 592689 13757 616 616 95159 91186 3973 128721 128721 20447 18167 2280 232705 232705 340947 340947 29624 29624 MEDICAL SUPPLIES 251376 250475 901 DUES & LICENSES 117089 62625 54464 REPAIRS AND MAINTENANCE 53428 46027 7401 OTHER EXPENSES 10035 10958 -923 6079948 5719660 360288 0 442134 83377 213667 46541 29310 40501 12194743 4634295 7836809 7560448 1137671 1164364 9659591 8895231 520892 356427 8915616 8496280 17585 13918 9454093 8866625 X -932173 -1135758 1137671 1164364 205498 28606 9659591 8895231 X -203585 26693 X 0 1 X 1 0 X 402000 452000 402000 402000 1611830 3269830 5634568 5425594 5360018 5252667 4221377 25894224 6036568 5877594 5762018 5654667 5833207 29164054 0 0 0 29164054 28119 26594 2525 2497 241 59976 28119 26594 2525 2497 241 59976 65901 70673 56682 62380 42915 298551 6130588 5974861 5821225 5719544 5876363 29522581 0.98790 0.98880 0.00200 0.00260 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: CAFETERIA AND MEALS - 2014 AMOUNT: $ 33,083. 2015 AMOUNT: $ 33,784. 2016 AMOUNT: $ 30,833. 2017 AMOUNT: $ 36,747. 2018 AMOUNT: $ 23,485. BEAUTY SHOP - 2014 AMOUNT: $ 27,194. 2015 AMOUNT: $ 22,788. 2016 AMOUNT: $ 29,300. 2017 AMOUNT: $ 25,012. 2018 AMOUNT: $ 17,057. OTHER REVENUE - 2014 AMOUNT: $ 5,624. 2015 AMOUNT: $ 14,101. 2016 AMOUNT: $ -3,451. 2017 AMOUNT: $ 621. 2018 AMOUNT: $ 2,373. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 230000 230000 10310499 3527649 6782850 944295 634808 309487 655509 471838 183671 54440 54440 7560448 INTEREST NET ASSETS OF FOUNDATION 1164364 1164364 X PART IV, LINE 2B: THE RESIDENT DEPOSITS REPRESENT SECURITY DEPOSITS FROM THE ASSISTED LIVING RESIDENTS. THE RESIDENTS PUT DOWN A $1,000 DEPOSIT WHEN THEY ENTER THE APARTMENT AND IT WILL BE RETURNED WHEN THEY LEAVE AFTER INSPECTION OF THE APARTMENT OR ANY PAYMENTS DUE TO THE SLC. PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, REEDSBURG AREA SENIOR LIFE CENTER, INC. ASSESSES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS. REEDSBURG AREA SENIOR LIFE CENTER, INC. RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED BENEFITS IN 2019 AND 2018. A WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY 391337855 97710BXP2 2014-02-19 7500000 REFUND SERIES 2010 BONDS 0 0 0 A 7500000 7500000 2006 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 0 FORM 990, PART III, LINE 2 STARTED CONSTRUCTION ON CBRF UNIT (TO BE COMPLETED IN FYE 09/30/20). FORM 990, PART VI, SECTION A, LINE 6 THE ARTICLES OF INCORPORATION OF RASLC, INC. PROVIDES FOR ONE MEMBER. THE SOLE CORPORATE MEMBER OF RASLC, INC, IS RASLC, LLC FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF RIDGEVIEW HEIGHTS INDPENDENT LIVING CORPORATION AND RIDEGVIEW HEIGHTS INDEPENDENT LIVING CORP. II SHALL EACH SELECT ONE PERSON FROM THEIR RESPECTIVE BOARDS TO SERVE ON THIS BOARD OF DIRECTORS. THE BOARD OF DIRECTORS OF REEDSBURG AREA MEDICAL CENTER, INC. SHALL SELECT ONE PERSON FROM ITS BOARD OF DIRECTORS TO SERVE ON THIS BOARD. THE THREE AFOREMENTIONED DIRECTORS SHALL THEN SELECT TWO MEMBERS FROM THE COMMUNITY AT LARGE TO SERVE ON THIS BOARD, WHO HAVE NO AFFILIATION WITH REEDSBURG AREA MEDICAL CENTER, INC., RIDGEVIEW HEIGHTS INDEPENDENT LIVING CORP., AND RIDGEVIEW HEIGHTS INDEPENDENT LIVING CORP. II. FORM 990, PART VI, SECTION B, LINE 11B UPON COMPLETION OF THE FORM 990, MANAGEMENT REVIEWED FOR ACCURACY AND COMPLETENESS. UPON APPROVAL, IT WAS PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANUALLY, THE PRESIDENT OF THE BOARD OF DIRECTORS OF THE ORGANIZATION SHALL SEND TO ALL BOARD MEMBERS A COPY OF THE CONFLICT OF INTEREST POLICY STATEMENT, TOGETHER WITH AN EXPLANATION AND A QUESTIONAIRE WHICH IS TO BE COMPLETED AND RETURNED TO HIM. THE PRESIDENT IS IN CHARGE OF TAKING APPROPRIATE ACTION WITH RESPECT TO SUCH REPORTED CONFLICTS. IT IS THE RESPONSIBILITY OF THE BOARD MEMBERS TO MAKE FULL DISCLOSURE OF ANY INTEREST WHICH MIGHT RESULT IN A CONFLICT ON THEIR PART. IN ANY DEALING WHICH MIGHT AFFECT THE ORGANIZATION, BOARD MEMBERS SHALL DISCLOSE POSSIBLE CONFLICT, AND SHALL NOT PARTICIPATE IN THE DISCUSSION OF THE BOARD OR THE ORGANIZATION ACTION RELATED TO SUCH DEALING. BOARD MEMBERS MAY PARTICIPATE TO THE EXTENT OF RESPONDING TO RELATED CONCERNS AND QUESTIONS RAISED. FORM 990, PART VI, SECTION B, LINE 15 INDEPENDENT WAGE AND SALARY SURVEYS ARE SUED FOR ALL KEY EMPLOYEES, INCLUDING PRESIDENT/CEO. VENDORS USED ARE THE RURAL WISCONSIN HEALTH COOPERATIVE AND WISCONSIN HOSPITAL ASSOCIATION. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO. EXECUTIVE COMMITTEE DOES THE EVALUATION AND CHAIR MEETS WITH THE CEO; MINUTES ARE KEPT IN THE RAMC BOARD MINUTE JOURNAL. THE CEO REVIEWS AND APPROVES THE COMPENSATION OF OTHER KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 26,693. RELATED PARTY TRANSFER REEDSBURG AREA MEDICAL CENTER FOUNDATION LTD 2000 N DEWEY AVENUE REEDSBURG WI 53959 391243616 FUNDRAISING WI 501(C)(3) LINE 12C, III-FI N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0