2020-04-28T14:58:18-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2019-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS CHIEF FINANCIAL OFFICER 7854789440 2020-04-28 1 JEFF PARKER P00970069 3149254300 67.137.57.251 2020-04-28 10:27:04 CD P 0F6CED516730F26F6D929EFCCC55701A57CAC9CA A6EA9F380BF721D75300B4AB5691CE9035CCCAEF 2019 2020-11-19 02:30:22Z JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 29231152 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS FAITHFULLY ENHANCING THE LIVES OF SENIORS THROUGH ACTIVELY ENGAGING MIND, BODY AND SPIRIT 9 9 355 30 0 0 1018204 441663 24791312 24555960 778919 442225 249095 287037 26837530 25726885 0 0 0 0 10790863 10662623 60000 60000 60000 14607054 14709785 25457917 25432408 1379613 294477 27948654 29139810 30437970 30980119 -2489316 -1840309 X FAITHFULLY ENHANCING THE LIVES OF SENIORS THROUGH ACTIVELY ENGAGING MIND, BODY AND SPIRIT. 1 0 13736898 17205180 OPERATIONS OF ALDERSGATE VILLAGE PROVIDES RESIDENTIAL AND HEALTH CARE SERVICES FOR THE ELDERLY. THE CAMPUS CONSISTS OF A 175 BED SKILLED NURSING FACILITY, 12 HOME PLUS UNITS AND ASSISTED/INDEPENDENT LIVING UNITS MENTIONED BELOW.ALDERSGATE VILLAGE IS A FAITH-BASED, SENIOR LIVING NEIGHBORHOOD OPEN TO PEOPLE OF ALL DENOMINATIONS AND FAITH BACKGROUNDS. OUR PURPOSE IS NOT DRIVEN BY A PROFIT MOTIVE BUT TO ENSURE THAT SENIORS OF THIS REGION RECEIVE COMPASSIONATE, PERSON-CENTERED HEALTH CARE IN A WARM AND WELCOMING COMMUNITY. 5678033 3297386 OUR INDEPENDENT LIVING OPTIONS ARE MAINTENANCE-FREE AND INCLUDE SERVICES DESIGNED FOR YOUR CAREFREE LIFESTYLE. IF YOU WANT TO LIVE INDEPENDENTLY WITH ACCESS TO TRANSPORTATION AND OPPORTUNITIES TO SOCIALIZE, ALDERSGATE VILLAGE IS YOUR ANSWER. THE 148 INDEPENDENT LIVING UNITS INCLUDE APARTMENTS, DUPLEXES, FOUR-PLEXES AND SINGLE FAMILY HOMES.THE AMENITIES YOU NEED INCLUDE BI-WEEKLY HOUSEKEEPING AND WEEKLY LAUNDRY, PROGRAMS AND RECREATION, PARLOR AND OUTDOOR PATIO, EXPANDED BASIC CABLE TELEVISION, BEAUTY SALON AND BARBER SHOP, CHAPLAIN SERVICES, EMERGENCY NURSE CALL, 24-HOUR SECURITY, AND MAINTENANCE OF BUILDING AND GROUNDS. 2752583 4053394 QUALITY ASSISTED LIVING IN TRENT PLAZA IS ONE OF THE SUPPORTIVE STEPS IN THE CONTINUUM OF CARE, WHERE YOU'LL ENJOY FELLOWSHIP, COMFORT AND SECURITY WHILE RETAINING PRIVACY AND INDEPENDENCE IN ONE OF OUR 60 ASSISTED LIVING UNITS. ACCOMMODATIONS INCLUDE THREE CHEF-PREPARED MEALS DAILY, WHICH CAN BE CATERED TO SPECIAL DIETS, CONSULTING PHYSICIANS AND REGISTERED DIETITIANS ON-SITE, HOUSEKEEPING AND LAUNDRY SERVICES, CHAPLAIN AND SOCIAL WORK SERVICES, ENRICHING PROGRAMS AND RECREATION, EXPANDED BASIC CABLE TELEVISION, EMERGENCY NURSE CALL AND 24-HOUR SECURITY. OTHER SERVICES AVAILABLE INCLUDE MEDICATION ADMINISTRATION, BATHING ASSISTANCE, PROFESSIONAL NURSING GUIDANCE, BEAUTY SALON AND BARBER SHOP, PERSONAL SHOPPING SERVICE, TRANSPORTATION, FULL SERVICE DENTAL OFFICE, PODIATRY AND AUDIOLOGY SERVICES, MEDICAL CARE, PSYCHIATRIC CARE, AND MASSAGE THERAPY. 22167514 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 1 0 0 1 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 51 0 355 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BREE ROGERS 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 JIM RINNER TRUSTEE - CHAIR 1.00 X X 0 0 0 CAROL WHEELER TRUSTEE - VICE CHAIR 1.00 X X 0 0 0 DANIEL LEHMAN TRUSTEE - SECRETARY/TREASURER 1.00 X X 0 0 0 KEVIN BRUNTON TRUSTEE 1.00 X 0 0 0 TIM CLOTHIER TRUSTEE 1.00 X 0 0 0 MARK KOSSLER TRUSTEE 1.00 X 0 0 0 REV KAY SCARBROUGH TRUSTEE 1.00 X 0 0 0 MARK YOUNG TRUSTEE 1.00 X 0 0 0 DEBORAH SHEEHY TRUSTEE 1.00 X 0 0 0 JERRY C NEY PRESIDENT & CEO 45.00 X 286981 0 16187 BREE L ROGERS CFO 45.00 X 142961 0 22112 CAROL BURNS-GEORGE ADMINISTRATOR/VP OF OPERATIONS 45.00 X 154600 0 7161 584542 0 45460 3 0 1 0 MORRISON SENIOR DINING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING, HOUSEKEEPING, LAUNDRY, MAINTENAN 4658652 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1650659 M BALL CONSTRUCTION INC 5431 NW 39TH ST TOPEKA KS 66618 RENOVATION/CONSTRUCTION 814068 DRIPPE CONSTRUCTION 919 E JESUIT LANE ST MARYS KS 66536 RENOVATION/CONSTRUCTION 612022 GARDNER ROOFING INC 4614 SW TOPEKA BLVD TOPEKA KS 66609 ROOFING 338600 10 441663 441663 HEALTH SERVICES 623000 17205180 17205180 ASSISTED LIVING 623000 4053394 4053394 INDEPENDENT LIVING 623000 3297386 3297386 24555960 320927 320927 3625065 500 3485276 18991 139789 -18491 121298 121298 RESIDENT & EMPLOYEE SVC 623000 143755 143755 CONTRACT INCOME 623000 143282 143282 287037 25726885 24555960 0 729262 X 468241 468241 8389365 7497731 891634 2896 2896 1138844 793235 345609 663277 540077 123200 87313 87313 49056 49056 60000 60000 35583 35583 7248300 7110653 137647 136274 106619 29655 995807 690479 305328 401369 7536 393833 966335 882810 83525 126017 107695 18322 24299 15739 8560 1084299 1074274 10025 2433183 2410686 22497 107549 107549 PHARMACY 329551 329551 FOOD 220026 212595 7431 PROVIDER TAX 160328 160328 BAD DEBT 92530 92530 211966 134976 76990 25432408 22167514 3204894 60000 1002099 591418 399943 347283 149381 146014 1240674 1392083 2092 2092 143241 129881 64056204 47063559 17186317 16992645 7684891 9396734 140016 141660 27948654 29139810 1943697 1756787 1454900 1659957 19627460 19668572 14363 16488 2296598 2124628 5100952 5753687 30437970 30980119 X -7618552 -7120422 5129236 5280113 -2489316 -1840309 27948654 29139810 X 294477 1015130 -660600 X X 0 1 X 1 0 X 373312 183916 166999 1018204 441663 2184094 23824313 23843855 24509844 24791312 24555960 121525284 24197625 24027771 24676843 25809516 24997623 123709378 3300 10350 13650 0 3300 10350 13650 123695728 227323 230239 209713 268093 320927 1256295 227323 230239 209713 268093 320927 1256295 132844 129935 183562 249095 287037 982473 24557792 24387945 25070118 26326704 25605587 125948146 0.98210 0.98360 0.01000 0.00960 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: RESIDENT AND EMPLOYEE SERVICES - 2015 AMOUNT: $ 132,844. 2016 AMOUNT: $ 129,935. 2017 AMOUNT: $ 183,562. 2018 AMOUNT: $ 249,095. 2019 AMOUNT: $ 143,755. CONTRACT REVENUE - 2019 AMOUNT: $ 143,282. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2028 2028 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO LEADING AGE KANSAS, A PORTION OF WHICH IS USED FOR LOBBYING ON BEHALF OF ITS MEMBERS. 0 1 X 3582187 84481 3666668 3496651 85536 3582187 3421658 74993 3496651 3366048 55610 3421658 3390670 -24622 3366048 0.87000 0.13000 0 0 854680 854680 43957710 32326593 11631117 1413990 754969 659021 17789544 13981997 3807547 40280 40280 16992645 WAITING LIST DEPOSITS 11500 REFUNDABLE ADVANCES FEE 4393125 GIFT ANNUITY PAYABLE 8855 DEFERRED COMPENSATION OBLIGATION 33157 SWAP VALUE LIABILITY 1307050 5753687 X 26045833 1015130 -660600 354530 25691303 35582 35582 25726885 25396826 0 25396826 35582 35582 25432408 PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS FOR RESIDENTS FOR USE AT THE RESIDENT'S DIRECTION. PART V, LINE 4: CHARITABLE CARE AND CAPITAL IMPROVEMENTS PART X, LINE 2: THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAX EXCEPT FOR THOSE THAT ARE ALREADY REPORTED ANNUALLY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST RATE SWAP VALUE -660,600. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 1229240 0 0 0 0 0 0 1229240 0 1229240 0 0 0 1 0 0 PART III ACCOUNTING METHOD: X X 1 KELLER CONSULTING LLC 120 EAST 9TH ST LAWRENCE KS 66044 GRANT WRITING, PREPARATION FOR SOLICITATIONS 0 156415 60000 96415 156415 60000 96415 KS X 0 0 X X X 0 0 0 0 0 0 0 0 0 JERRY C NEY PRESIDENT & CEO 278773 0 0 0 8208 0 0 0 16187 0 303168 0 0 0 BREE L ROGERS CFO 141310 0 0 0 1651 0 0 0 22112 0 165073 0 0 0 CAROL BURNS-GEORGE ADMINISTRATOR/VP OF OPERATIONS 141131 0 0 0 13469 0 0 0 7161 0 161761 0 0 0 PART I, LINE 1A CAROL BURNS-GEORGE ($11,700) ON-CAMPUS HOUSING PROVIDED AS A TAXABLE BENEFIT. A SHAWNEE COUNTY KANSAS 486028759 2013-11-26 20630000 REFUNDING OF 1997 AND 2002 BONDS OUTSTANDING - FINANCE CAPITAL PROJECTS 0 0 0 B SHAWNEE COUNTY KANSAS 486028759 2017-06-26 4650000 FINANCE CAPITAL PROJECTS FOR NEW AND EXISTING BUILDINGS 0 0 0 A 4460156 20630000 409244 2385898 17834858 2016 1 1 1 1 B 257401 4650000 83111 3900414 666475 2019 0 0 0 0 A 0 1 0 0 0.00180 0.00000 0.00180 0 0 1 B 0 1 0 0 0.00020 0.00000 0.00020 0 0 1 A 0 0 0 1 1 1 PACIFIC COAST BANKERS' BANK D/B/A 15.000000000000 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: SHAWNEE COUNTY, KANSAS DATE THE REBATE COMPUTATION WAS PERFORMED: 11/01/2018 SCHEDULE K, PAGE 1, PART II, LINE 17, COLUMN B THE ORGANIZATION MAINTAINS ADEQUATE BOOKS AND RECORDS TO SUPPORT THE FINAL ALLOCATION OF PROCEEDS ONCE IT HAS BEEN MADE. FORM 990, PART III, LINE 2 IN THE CURRENT YEAR, THE ORGANIZATION OPENED UP THE HOME PLUS UNITS, WHICH CONSISTS OF 12 NEW UNITS ON JANUARY 22, 2019. HOME PLUS IS LICENSED BY THE KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES AND PROVIDES A HOME-LIKE ASSISTED LIVING TYPE SERVICE FOR UP TO 12 RESIDENTS. FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY WILL REVIEW THE 990 AT A BOARD MEETING BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CFO REVIEWS STATEMENTS FROM THE BOARD OF TRUSTEES AND ALL MANAGEMENT EMPLOYEES ANNUALLY - THERE HAVE BEEN NO CONFLICTS IN THE PAST SO NO FURTHER REVIEW HAS BEEN NEEDED. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF DETERMINING COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS COMPLETED BY THE ORGANIZATION'S ATTORNEY. ONCE THE COMPENSATION HAS BEEN DETERMINED, IT IS APPROVED BY THE BOARD OF TRUSTEES, WHO ARE ALL INDEPENDENT, AND THE CONTRACT WITH THE CEO IS THEN UPDATED. THIS PROCESS WAS LAST COMPLETED IN 2017. THE PROCESS FOR OTHER OFFICERS AND KEY EMPLOYEES INVOLVES COMPARISON TO OTHER SIMILAR HEALTHCARE ORGANIZATIONS WITHIN THE LOCAL AND STATE AREA. INDIVIDUAL COMPENSATION ADJUSTMENTS ARE APPROVED BY THE CEO OR CFO IN WRITING. ALL ACROSS THE BOARD COMPENSATION ADJUSTMENTS ARE APPROVED BY THE INDEPENDENT BOARD. THIS PROCESS WAS MOST RECENTLY COMPLETED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 ALTHOUGH NOT REQUIRED, THE ORGANIZATION WILL PROVIDE PHOTO COPIES OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO ALL WHO REQUEST ONE OR MORE OF THESE ITEMS. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 82,192. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,192. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 25,403. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,403. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,265,778. MANAGEMENT AND GENERAL EXPENSES 4,144. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,269,922. CONSULTING FEES: PROGRAM SERVICE EXPENSES 234,367. MANAGEMENT AND GENERAL EXPENSES 42,864. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 277,231. THERAPY SERVICES: PROGRAM SERVICE EXPENSES 1,624,901. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,624,901. ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 55,114. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,114. MAINTANENCE CONTRACTS: PROGRAM SERVICE EXPENSES 905,090. MANAGEMENT AND GENERAL EXPENSES 8,447. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 913,537. FORM 990, PART XI, LINE 9: CHANGE IN SWAP VALUE -660,600. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S OVERSIGHT AND SELECTION PROCESSES DID NOT CHANGE IN THE CURRENT YEAR. ALDERSGATE VILLAGE HOME HEALTH SERVICES LLC 7220 SW ASBURY DRIVE TOPEKA KS 66614 264170787 HOME HEALTH SERVICES KS 0 -65881 UNITED METHODIST HOMES ALDERSGATE VILLAGE CHARITABLE SUPPORT LLC 515 S KANSAS AVE TOPEKA KS 66603 472406530 CHARITABLE SUPPORT KS 249522 8128 UNITED METHODIST HOMES