2014-03-26T15:28:42-05:00 2013-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2013-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS CHIEF FINANCIAL OFFICER 7854789440 2014-03-26 1 JEFF PARKER P00970069 3149254300 2013 2015-11-30 17:44:51Z JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 24085627 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 11 11 364 20 0 0 490350 368109 21883534 21973685 430079 388523 93578 244932 22897541 22975249 0 0 0 0 10598344 9732456 0 0 0 13128467 13519263 23726811 23251719 -829270 -276470 26939958 27260889 28515132 30059074 -1575174 -2798185 ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 0 0 19420010 22073685 OPERATIONS OF ALDERSGATE VILLAGE PROVIDES RESIDENTIAL AND HEALTH CARE SERVICES FOR THE ELDERLY. THE CAMPUS CONSISTS OF A 196 BED SKILLED NURSING FACILITY, 59 ASSISTED LIVING UNITS, 176 INDEPENDENT LIVING UNITS. THE INDEPENDENT LIVING UNITS INCLUDE APARTMENTS, DUPLEXES, FOUR-PLEXES AND SINGLE FAMILY HOMES. 19420010 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 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 39 0 364 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KS X X BREE ROGERS 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BILL HAAG TRUSTEE 1.00 X 0 0 0 MARK KOSSLER TRUSTEE 1.00 X 0 0 0 DANIEL LEHMAN TRUSTEE 1.00 X 0 0 0 DAVE MANLEY TRUSTEE 1.00 X 0 0 0 REV KAY SCARBROUGH TRUSTEE 1.00 X 0 0 0 MONICA SCHEIBMER TRUSTEE - CHAIR 1.00 X X 0 0 0 BONNIE TOTTEN TRUSTEE 1.00 X 0 0 0 DAVID WATSON TRUSTEE 1.00 X 0 0 0 MARK YOUNG TRUSTEE - SECRETARY/TREASURER 1.00 X X 0 0 0 TIM CLOTHIER TRUSTEE 1.00 X 0 0 0 BISHOP SCOTT J JONES TRUSTEE 1.00 X 0 0 0 JERRY C NEY PRESIDENT & CEO 45.00 X 253047 0 13511 BREE L ROGERS CFO 45.00 X 112115 0 19796 365162 0 33307 2 0 1 0 MORRISON SENIOR DINING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING, HOUSEKEEPING, LAUNDRY, MAINTENAN 4364043 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY SERVICES 1338666 JE DUNN CONSTRUCTION CO 433 S KANSAS AVENUE TOPEKA KS 66603 RENOVATION/CONSTRUCTION 736988 L & LD CONSTRUCTION 903 NE 46TH ST TOPEKA KS 66617 RENOVATION/CONSTRUCTION 290877 GARDNER FLOOR COVERING PO BOX 5003 TOPEKA KS 66605 FLOORING/INSTALLATION 197677 7 368109 368109 MEDICARE/MEDICAID PAYMENTS 623000 16091364 16091364 RESIDENT FEES 623000 5775863 5775863 HEALTH SERVICES 623000 106458 106458 21973685 183812 183812 1315089 1104019 6359 211070 -6359 204711 204711 RESIDENT & EMPLOYEE SVC 623000 141624 141624 CONTRACT INCOME 900099 100000 100000 FOOD SERVICES 623000 3308 3308 244932 22975249 22073685 0 533455 X 398470 398470 7501106 6921054 580052 13503 11830 1673 1235816 1082735 153081 583561 511275 72286 106529 106529 50305 50305 39658 39658 5793270 4818164 975106 86691 86691 1284691 1021869 262822 25881 21525 4356 629595 523623 105972 71459 59431 12028 1393355 1158830 234525 2197264 1827427 369837 393486 327256 66230 PHARMACY 507574 507574 MISCELLANEOUS 469668 384303 85365 FOOD 182642 182642 BAD DEBT 154350 154350 132845 60472 72373 23251719 19420010 3831709 0 606452 492207 1254870 3965590 25022 9264 1333980 1203188 2092 2092 60788 87418 50336386 35482226 14928991 14854160 7300622 5989495 1427141 657475 26939958 27260889 1701994 1492508 1909247 1769409 21742622 23254970 3161269 3542187 28515132 30059074 X -4810891 -6156673 44425 167102 3191292 3191386 -1575174 -2798185 26939958 27260889 X -276470 192942 -1139483 X X 0 1 X 1 0 X 218266 615162 703041 490350 368109 2394928 21842871 22856542 22518562 21883534 22073685 111175194 497761 463041 419443 1380245 22061137 23969465 23684644 22793327 22441794 114950367 16020 16020 0 16020 16020 114934347 24316 354697 275983 246432 183812 1085240 24316 354697 275983 246432 183812 1085240 144932 144932 22085453 24324162 23960627 23039759 22770538 116180539 0.98930 0.99030 0.00930 0.00950 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: RESIDENT AND EMPLOYMENT SERVICES - 2013 AMOUNT: $ 141,624. FOOD SERVICE - 2013 AMOUNT: $ 3,308. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3235717 94 126570 6996 3355385 3133950 283791 117297 299321 3235717 4116561 50000 72989 1105600 3133950 3936084 180477 4116561 3965596 29512 3936084 0.95000 0.05000 0 0 896680 896680 37882556 27248226 10634330 574760 456434 118326 10968633 7777566 3191067 13757 13757 14854160 WAITING LIST DEPOSITS 52500 REFUNDABLE ADVANCES FEE 3036255 GIFT ANNUITY PAYABLE 11378 DEFERRED COMPENSATION OBLIGATION 106962 SWAP VALUE LIABILITY 335092 3542187 X 23168191 192942 192942 22975249 0 22975249 23251719 0 23251719 0 23251719 PART V, LINE 4: CHARITABLE CARE AND CAPITAL IMPROVEMENTS PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ORGANIZATION IS NOT SUBJECT TO FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE CODE. THE ORGANIZATION IS CLASSIFIED AS A PUBLICLY SUPPORTED CHARITABLE ORGANIZATION UNDER THE CODE AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION FOR THE CONTRIBUTOR. THE ORGANIZATION'S 2012, 2011 AND 2010 TAX YEARS ARE OPEN FOR EXAMINATION BY THE IRS. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. X 0 0 X X X 0 1 0 0 0 0 0 0 0 JERRY C NEY PRESIDENT & CEO 235326 0 0 0 17721 0 0 0 13511 0 266558 0 0 0 PART I, LINE 1A JERRY NEY ($1,800) RESIDENCE PROVIDED AS PART OF REQUIREMENTS OF JOB. PART I, LINE 4B BETTY J EDSON $9,308, JANICE JENKINS $5,650, EDWIN JENKINS, JR. $4,313, HARRIET FONTANA $10,912. THIS WAS A NONQUALIFIED RETIREMENT PLAN IMPLEMENTED IN 1997 FOR KEY MANAGEMENT EMPLOYEES WITH NUMEROUS YEARS OF SERVICE. A SHAWNEE COUNTY KANSAS 486028759 2013-11-26 20630000 REFUNDING OF 1997 AND 2002 BONDS OUTSTANDING - FINANCE CAPITAL PROJECTS 0 0 0 A 82053 20630000 16259275 409244 235478 3726003 1 1 0 0 A 0 0 0 0 0 0 1 A 0 1 0 0 1 1 PACIFIC COAST BANKERS' BANK D/B/A 15.000000000000 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11 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 BY AN INDEPENDENT PARTY WAS FOLLOWED FOR THE CHIEF EXECUTIVE OFFICER. COMPENSATION ADJUSTMENTS ARE APPROVED BY THE BOARD. 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 PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,818,164. MANAGEMENT AND GENERAL EXPENSES 975,106. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,793,270. FORM 990, PART XI, LINE 9: LOSS ON REFINANCE -804,391. CHANGE IN SWAP VALUE -335,092. FORM 990, PART XII, LINE 2C THE PROCESS IS CONSISTENT WITH THE PRIOR YEARS. ALDERSGATE VILLAGE HOME HEALTH SERVICES LLC 7220 SW ASBURY DRIVE TOPEKA KS 66614 264170787 HOME HEALTH SERVICES KS 0 13345 UNITED METHODIST HOMES