2014-11-03T16:00:15-06:00 2013-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2013-01-01 390942151 METHODIST MANOR INC METH 4146074100 3023 S 84TH STREET WEST ALLIS WI 53227 ALAN RUNDE PRESIDENT & CEO 4146074100 2014-09-29 1 JAY ADKISSON CPA P01360892 4144319300 2014-09-25 2013 2015-11-30 17:44:51Z ALAN RUNDE 3023 S 84TH STREET WEST ALLIS WI 53227 12910878 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. 5 4 802 144 0 0 469389 126589 7354034 10380649 289603 319572 18899 0 8131925 10826810 0 0 0 0 4449266 4403697 0 0 0 5645039 6520020 10094305 10923717 -1962380 -96907 36354162 15596987 45547861 41994696 -9193699 -26397709 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 273 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 5518492 4006239 PROVIDE ASSISTED LIVING SERVICES TO RESIDENTS IN A 126 UNIT FACILITY AS PART OF CONTINUUM OF CARE FOR SENIORS. 5405225 6374410 PROVIDE INDEPENDENT LIVING FACILITIES TO RESIDENTS IN A 262 UNIT FACILITY AS PART OF CONTINUUM OF CARE FOR SENIORS AND PROVIDE PROGRAMS FOR RESIDENTS THROUGH A SENIOR CENTER. 10923717 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 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 45 0 1 802 1 0 0 0 0 0 0 0 0 0 0 X 5 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 4146074302 3023 S 84TH ST WEST ALLIS WI 53227 ROY UELNER BOARD MEMBER 1.00 4.00 X 0 0 0 DAVID AFFELDT CHAIRMAN 1.00 5.00 X X 0 0 0 TERENCE BRAATZ VICE CHAIRMAN 1.00 4.00 X X 0 0 0 DANIEL MELKA SECRETARY/TREASURER 1.00 5.00 X X 0 0 0 ALAN RUNDE PRESIDENT & CEO 1.00 45.00 X X 183011 0 904 SEAN CALLAHAN DIRECTOR OF STRATEGIC INIT 1.00 40.00 X 119940 0 27174 JOSEPH DALEY DIRECTOR OF IT 1.00 40.00 X 101777 0 5548 AMY KIRKLAND EXEC. VP OF OPER & QL 1.00 40.00 X 100115 0 607 504843 0 34233 4 0 1 0 GENESIS ELDERCARE REHABILITATION 1001 EAST STATE STREET KENNET SQUARE PA 19348 REHABILITATION THERAPY 284784 JEN'S CONSTRUCTION N26 W23314 PAUL ROAD PREWAUKEE WI 53110 CONTRACTOR 232015 SUPERIOR HEALTH LINEN INC 5005 S PACKARD AVENUE CUDAHY WI 53110 LAUNDRY SERVICES 124887 3 126589 126589 MAINTENANCE FEES 623000 4539720 4539720 ENTRANCE FEES 623000 1843706 1843706 NET SERVICE REVENUE 623000 1721284 1721284 OTHER OPERATING REVENUE 623000 1565710 1565710 MEDICARE/MEDICAID PAYMENTS 623000 710229 710229 10380649 110364 110364 2262276 31000 2050584 33484 211692 -2484 209208 209208 10826810 10380649 0 319572 193592 193592 3784627 3784627 61819 61819 76095 76095 287564 287564 29223 29223 485435 485435 62747 62747 295391 295391 630755 630755 43349 43349 6896 6896 602239 602239 998574 998574 20213 20213 LIFE CARE EXPENSES 2388425 2388425 FOOD 769470 769470 MAINTENANCE 339724 339724 SENIOR CENTER 137248 137248 -289669 -289669 10923717 10923717 0 0 679687 1032030 63925 160908 98607 96238 284137 630454 40612169 33120618 7835807 7491551 6400491 4915505 20991508 1270301 36354162 15596987 4276776 4999297 11243042 9936136 23431420 22466032 2510438 2476767 4086185 2116464 45547861 41994696 X -9193699 -26397709 -9193699 -26397709 36354162 15596987 X -96907 346856 -17453959 X X 0 1 X 1 0 X 395377 383144 469389 126589 1374499 106436161 11008171 8528345 7354034 10380649 143707360 106436161 11403548 8911489 7823423 10507238 145081859 0 0 0 145081859 357752 431367 202377 120690 110364 1222550 357752 431367 202377 120690 110364 1222550 89129 164045 18899 272073 106883042 11998960 9113866 7963012 10617602 146576482 0.98980 0.98850 0.00830 0.00910 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2009 AMOUNT: $ 89,129. 2010 AMOUNT: $ 164,045. 2013 AMOUNT: $ 0. INSURANCE PROCEEDS - 2012 AMOUNT: $ 18,899. 2013 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62633 62633 12900291 10405349 2494942 11527478 8500441 3027037 16037358 14214828 1822530 84409 84409 7491551 BOARD-DESIGNATED INVESTMENTS 4915505 F 4915505 INVESTMENT IN AFFILIATES 789830 RESIDENT DEPOSITS 9088 DEFERRED FINANCING COSTS - NET 471383 1270301 DEPOSITS 112776 RESIDENT DEPOSITS 9088 INTEREST RATE SWAP AGREEMENTS 1857872 CAPITAL LEASE 136728 2116464 X 12081161 346856 907495 1254351 10826810 0 10826810 29285171 18361454 18361454 10923717 0 10923717 PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CORPORATION DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION ON 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 THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. THE CORPORATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS IN 2013 OR 2012. FEDERAL TAX RETURNS FOR THE YEARS ENDED 2010 AND STATE TAX RETURNS FOR THE YEARS ENDED 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTEREST RATE SWAP 907,495. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY TRANSFERS 18,361,454. X X X 0 0 0 0 0 0 0 0 0 ALAN RUNDE PRESIDENT & CEO 167193 0 5120 0 10698 0 0 0 904 0 183915 0 0 0 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 4023144 24500000 134399 24365601 2008 0 0 1 1 B 81600 2000000 40000 1600000 2012 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 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 A 0 B 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 WITH THE INDEPENDENT ACCOUNTING FIRM JOINTLY COMPLETE AND REVIEW THE FORM 990 BEFORE IT IS SUBMITTED. THE 990 IS AVAILABLE TO EACH BOARD MEMBER FOR THEIR REVIEW AFTER COMPLETION AND FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER PROVIDES A WRITTEN STATEMENT FOR THE ORGANIZATION TO REVIEW ON AN ANNUAL BASIS. SHOULD A CONFLICT ARISE, THE PERSON AFFECTED IS ASKED TO EXCUSE THEMSELVES FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 WHEN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, RESPONSIBILITIES AND THE COMPETITIVE ENVIRONMENT ARE TAKEN INTO CONSIDERATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 907,495. INTERCOMPANY TRANSFERS -18,361,454. 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 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 AND REHABILITATION CLINIC WI 501(C)(3) LINE 9 THE VILLAGE AT MANOR PARK INC 0 TRINITY HEALTH SERVICES INC 3023 S 84TH STREET WEST ALLIS WI 53227 601732908 INDEPENDENT LIVING, RESIDENTIAL CARE, AND SKILLED NURSING FACILITY WI 501(C)(3) LINE 9 THE VILLAGE AT MANOR PARK INC 0 VMP FOUNDATION INC 3023 S 84TH STREET WEST ALLIS WI 53227 510188458 CONTROLS ASSETS FOR BENEFIT WI 501(C)(3) LINE 11A, I N/A 0 METHODIST MANOR OF WAUKESHA INC 3023 S 84TH STREET WEST ALLIS WI 53227 391739567 HOSPICE WI 501(C)(3) LINE 9 THE VILLAGE AT MANOR PARK INC 0 ANCHOR HOLDINGS INC 3023 S 84TH STREET WEST ALLIS WI 53227 391677564 HOLDING COMPANY WI N/A C 0 TRINITY COURT INC 7300 W DEAN ROAD MILWAUKEE WI 53223 870735686 SENIOR LIVING COMMUNITY WI N/A C 0 VANGUARD HEALTH SERVICES INC 3023 S 84TH STREET WEST ALLIS WI 53227 391394780 SALES OF OXYGEN, INFUSION AND ENTERAL THERAPY, AND MEDICAL WI N/A C 0 HOME CARE MEDICAL 3023 S 84TH STREET WEST ALLIS WI 53227 870735686 MEDICAL CARE WI N/A C 0 0 0 1 0 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0