2016-11-15T16:22:24-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2015-01-01 390942151 METHODIST MANOR INC METH 4146074100 3023 S 84TH STREET WEST ALLIS WI 53227 KENNETH WIDENSKI CFO 4146074100 2016-11-15 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2016-11-15 2015 2017-02-10 21:41:12Z KENNETH WIDENSKI 3023 S 84TH STREET WEST ALLIS WI 53227 11987894 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. 6 4 866 163 0 0 6330 132219 9692799 10239602 417860 212404 0 0 10116989 10584225 0 0 0 0 8876046 8887587 0 0 0 3089454 1087512 11965500 9975099 -1848511 609126 14137301 15535465 42186174 42839404 -28048873 -27303939 X THE MISSION OF THE CORPORATION IS TO PROVIDE A FULL RANGE OF SENIOR HEALTHCARE FOR RESIDENTS, PATIENTS AND THE COMMUNITY IN ACCORDANCE WITH OUR CHRISTIAN VALUES. THERE ARE APPROXIMATELY 201 RESIDENTS OF THE LIVING CARE PROGRAM. METHODIST MANOR IS COMPRISED OF: PALMER HOUSE - A 126-UNIT FACILITY PROVIDING RESIDENTIAL CARE, AND WESLEY PARK - A 262-UNIT INDEPENDENT LIVING FACILITY AND SENIOR CENTER. 0 0 5795057 5394115 PALMER HOUSE - PROVIDE ASSISTED LIVING SERVICES TO RESIDENTS IN A 126 UNIT FACILITY AS PART OF A CONTINUUM OF CARE FOR SENIORS. 2166696 4845487 WESLEY PARK - PROVIDE INDEPENDENT LIVING FACILITIES TO RESIDENTS IN A 262 UNIT FACILITY AS PART OF A CONTINUUM OF CARE FOR SENIORS AND PROVIDE PROGRAMS FOR RESIDENTS THROUGH A SENIOR CENTER. 7961753 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 76 0 1 866 1 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 WI X ALAN RUNDE 4146074100 3023 S 84TH STREET WEST ALLIS WI 53227 DAVID AFFELDT CHAIRMAN OF THE BOARD 1.00 4.00 X X 0 0 0 TERRANCE BRAATZ VICE CHAIRMAN 1.00 4.00 X X 0 0 0 DANIEL T MELKA SECRETARY/TREASURER 1.00 4.00 X X 0 0 0 RICK KELLAR BOARD MEMBER 1.00 4.00 X 0 0 0 ALAN RUNDE PRESIDENT/CEO 8.00 32.00 X X 193183 0 2741 ROBERT FISHER COO THROUGH 8/11/15 8.00 32.00 X X 182259 0 7168 DONALD BUSAKOWSKI CFO THROUGH 10/31/15 8.00 32.00 X X 169506 0 431 KENNETH J WIDENSKI CFO EFFECTIVE 11/1/15 8.00 32.00 X X 68203 0 1168 SEAN CALLAHAN DIRECTOR OF STRATEGIC INITIATIVES 40.00 0.00 X 124987 0 9718 THOMAS HENSCHEL EXECUTIVE DIRECTOR/NHA 20.00 20.00 X 110390 0 1886 848528 0 23112 5 0 1 0 HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING 836837 REINHART BOERNER VAN DEUREN SC 100 WATER STREET SUITE 1700 MILWAUKEE WI 53202 LEGAL 248482 GODFREY & KAHN SC 833 E MICHIGAN STREET MILWAUKEE WI 53202 LEGAL 153944 MATRIXCARE AOD 11575 HERON BAY BLVD CORAL SPRINGS FL 33076 SOFTWARE CONTRACTOR 123756 BERGHAMMER CONSTRUCTION CORP 4750 N 132ND STREET BUTLER WI 53007 CONTRACTOR 118669 6 132219 132219 MAINTENANCE FEES 623000 4965090 4965090 NET SERVICE REVENUE 623000 1989631 1989631 ENTRANCE FEES 623000 1687651 1687651 OTHER OPERATING REVENUE 623000 1060507 1060507 MEDICARE/MEDICAID PAYMENTS 623000 536723 536723 10239602 157448 157448 1419504 39121 1365684 37985 53820 1136 54956 54956 10584225 10239602 0 212404 X 848529 848529 6339418 4994020 1345398 81065 81065 1232307 1214903 17404 386268 386268 636220 636220 16025 16025 30661 30661 1979620 1554549 425071 201225 21503 179722 405624 163068 242556 980498 907052 73446 82233 41010 41223 25691 9332 16359 588000 588000 1150153 1150153 264108 264108 LIFE CARE 1889477 1889477 FOOD 853182 853182 OTHER EXPENSES 358877 223653 135224 EQUIPMENT RENTAL AND RE 188498 103353 85145 -8562580 -6513604 -2048976 9975099 7961753 2013346 0 383585 2808007 192879 86675 83858 81329 232286 162631 41212453 34876454 6910454 6335999 5146148 4786313 1188091 1274511 14137301 15535465 2713071 2430986 8359059 6828993 22432054 7508445 4148767 4485309 4533223 21585671 42186174 42839404 X -28048873 -27303939 -28048873 -27303939 14137301 15535465 X 609126 -201142 336950 X X 0 1 X 1 0 X 383144 469389 126589 6330 132219 1117671 8528345 7354034 10380649 9692799 10239602 46195429 8911489 7823423 10507238 9699129 10371821 47313100 0 0 0 47313100 202377 120690 110364 160418 157448 751297 202377 120690 110364 160418 157448 751297 18899 18899 9113866 7963012 10617602 9859547 10529269 48083296 0.98400 0.97560 0.01560 0.02070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62633 62633 12900291 10960579 1939712 11590334 9064751 2525583 16656647 14851124 1805523 2548 2548 6335999 INVESTMENTS LIMITED TO USE 4786313 F 4786313 INVESTMENT IN AFFILIATES 696105 RESIDENT DEPOSITS 36090 DEFERRED FINANCING COSTS - NET 158534 DUE FROM AFFILIATES 383782 1274511 DUE TO AFFILIATE 19169866 INTEREST RATE SWAP 1165600 REFUNDABLE DEPOSITS 177361 FUTURE SERVICE OBLIGATION 1036507 CAPITAL LEASE 26431 RESIDENT DEPOSITS 9906 21585671 X X X 1 0 0 0 0 0 0 0 0 ALAN RUNDE PRESIDENT/CEO 182915 0 0 0 10268 0 0 0 2741 0 195924 0 0 0 ROBERT FISHER COO THROUGH 8/11/15 123009 0 40000 0 19250 0 0 0 7168 0 189427 0 0 0 DONALD BUSAKOWSKI CFO THROUGH 10/31/15 114506 0 40000 0 15000 0 0 0 431 0 169937 0 0 0 PART I, LINE 4A ROBERT FISHER, COO, TERMINATED 8/11/15, $44,758.29 SEVERANCE DONALD BUSAKOWSKI, CFO, TERMINATED 10/31/15, $20,833.32 SEVERANCE A WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY 391337855 2008-09-30 24500000 RENOVATION OF FACILITIES AND REFINANCING BANK DEBT 0 0 0 B WISCONSIN HEALTH AND EDUCATION FACILITIES AUTHORITY 391337855 2012-02-05 2000000 RENOVATION OF FACILITIES 0 0 0 A 18762755 24500000 134399 24365601 2008 0 0 1 1 B 228800 2000000 40000 1960000 2012 0 0 1 1 A 0 0 0 0 1 1 MB FINANCIAL 10.000000000000 0 0 0 0 0 B 0 0 0 0 1 0 0 0 0 SCHEDULE K, PART IV, ARBITRAGE, LINE 4A THE ORGANIZATION HAS ENTERED INTO THREE SWAP AGREEMENTS WITH MB FINANCIAL ON SEPTEMBER 28, 2008. THE MATURITY DATES OF THE SWAPS ARE OCTOBER 5, 2018. FORM 990, PART VI, SECTION B, LINE 11 THE ACCOUNTING AND ADMINISTRATION MANAGEMENT REVIEW THE FORM 990 BEFORE IT IS SUBMITTED. IT IS AVAILABLE TO EACH BOARD MEMBER 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. BEGINNING IN 2016, IT WILL BE 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 INTO CONSIDERATION. HUMAN RESOURCES SURVEYS OF COMPARABLE ORGANIZATIONS AND REVIEW AND APPROVAL OF EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 432,189. MANAGEMENT AND GENERAL EXPENSES 3,929. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 436,118. CONSULTANTS: PROGRAM SERVICE EXPENSES 14,441. MANAGEMENT AND GENERAL EXPENSES 353,655. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 368,096. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,107,919. MANAGEMENT AND GENERAL EXPENSES 67,487. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,175,406. FORM 990, PART XI, LINE 9: INTEREST RATE SWAP 365,264. EARNINGS IN INVESTMENT IN AFFILIATE -28,314. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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 11B, 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 9 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 9 VILLAGE AT MANOR PARK INC 0 TRINITY HEALTH SERVICES INC 7300 WEST DEAN ROAD MILWAUKEE WI 53223 061732908 INDEPENDENT LIVING RESIDENTIAL CARE, SPECIALIZED CARE, SPECIALIZED VENTILATO WI 501(C)(3) LINE 9 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 11A, I N/A 0 ANCHOR HOLDINGS INC 3023 S 84TH STREET WEST ALLIS WI 53227 391677564 HOLDING COMPANY WI N/A C 0 VANGUARD HEALTH SERVICES INC 3023 S 84TH STREET WEST ALLIS WI 53227 391394780 HOLDING COMPANY WI N/A C 0 HOME CARE MEDICAL INC 5665 S WESTRIDGE DRIVE NEW BERLIN WI 53131 870735686 MEDICAL EQUIPMENT WI N/A C 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 1 1 1 0