2013-05-08T08:28:55-05:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2012-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS 7854789440 2013-05-03 1 JEFF PARKER P00970069 3149254300 2012 2016-03-07 17:11:31Z JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 25635879 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 13 13 465 20 4214 -1343 703041 490350 22518562 21883534 481163 430079 30132 93578 23732898 22897541 0 0 0 0 11915850 10598344 0 0 44375 11272614 13128467 23188464 23726811 544434 -829270 28275684 26939958 29198309 28515132 -922625 -1575174 X ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 0 1 19730207 21983534 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, AND AN INTERGENERATIONAL CHILD CARE CENTER THROUGH JULY 31,2012. THE INDEPENDENT LIVING UNITS INCLUDE APARTMENTS, DUPLEXES, FOUR-PLEXES AND SINGLE FAMILY HOMES. 19730207 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 32 0 1 465 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 RON BUTTS 1.00 X 0 0 0 DR WILLIE DUNLAP 1.00 X 0 0 0 DEAN FAGER 1.00 X 0 0 0 REV EVELYN FISHER 1.00 X 0 0 0 ANN GARVIN 1.00 X 0 0 0 GREG GREENWOOD 1.00 X 0 0 0 DAVE MANLEY 1.00 X 0 0 0 ROBERT MAXWELL 1.00 X 0 0 0 JOHN MYERS 1.00 X 0 0 0 PATTY PRESSMAN 1.00 X X 0 0 0 MONICA SCHEIBMEIR 1.00 X X 0 0 0 DAVID WATSON 1.00 X 0 0 0 MARK YOUNG 1.00 X X 0 0 0 BILL HAAG 1.00 X 0 0 0 MARK KOSSLER 1.00 X 0 0 0 DANIEL LEHMAN 1.00 X 0 0 0 BONNIE TOTTEN 1.00 X 0 0 0 JERRY NEY 45.00 X 246171 0 246171 BREE ROGERS 45.00 X 112175 0 112175 358346 0 358346 2 0 1 0 MORRISON SENIOR DINING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING, HOUSEKEEPING, LAUNDRY, MAINTENAN 4122659 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 THERAPY 1340419 JE DUNN CONSTRUCTION CO 433 S KANSAS AVENUE TOPEKA KS 66603 CONSTRUCTION 579459 GARNER REMODELING 117 SE 25TH ST TOPEKA KS 66605 CONSTRUCTION 289243 GARDNER FLOOR COVERING PO BOX 5003 TOPEKA KS 66605 FLOORING 238284 8 27037 463313 490350 MEDICARE/MEDICAID PAYM 623000 15589696 15589696 RESIDENT FEES 623000 5445728 5445728 RESIDENT & EMPLOYEE SVC 623000 509606 509606 HEALTH SERVICES 623000 334242 334242 FOOD SERVICES 623000 4262 4262 21883534 242218 242218 4214 0 4214 4214 4214 2840322 30866 2643739 39588 196583 -8722 187861 187861 44375 27037 55011 -10636 -10636 CONTRACT INCOME 900099 100000 100000 100000 22897541 21983534 4214 419443 358346 358346 8154596 7458442 696154 12523 10972 1551 1436783 1258808 177975 636096 557303 78793 102020 102020 59633 59633 129543 129543 356662 278742 77920 595833 495544 100289 8687 8687 1503634 1250547 253087 2143167 1782435 360732 248473 206651 41822 PURCHASED SERVICES 5629428 4681899 947529 RENTAL & MAINTENANCE 748748 622721 126027 MISCELLANEOUS 578599 481211 97388 PHARMACY 392014 392014 632026 252918 334733 44375 23726811 19730207 3952229 44375 231988 606452 1182496 1254870 29844 25022 943660 1333980 2092 2092 84902 60788 48345426 33416435 15243524 14928991 9039842 7300622 1517336 1427141 28275684 26939958 1886903 1701994 1956169 1909247 22518258 21742622 2836979 3161269 29198309 28515132 X -4056575 -4810891 205959 44425 2927991 3191292 -922625 -1575174 28275684 26939958 -829270 176721 0 X X 0 1 X 1 0 X 395643 218266 615162 703041 490350 2422462 20777563 21842871 22856542 22518562 21883534 109879072 497761 463041 419443 1380245 21173206 22061137 23969465 23684644 22793327 113681779 16020 16020 0 16020 16020 113665759 190625 24316 354697 275983 246432 1092053 190625 24316 354697 275983 246432 1092053 21363831 22085453 24324162 23960627 23039759 114773832 0.99030 0.98870 0.00950 0.01110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3133950 283791 117297 299321 3235717 4116561 50000 72989 1105600 3133950 3936084 180477 4116561 3965596 29512 3936084 4930408 3072 967884 3965596 0.01000 0.99000 0 0 896680 896680 37027776 25992953 11034823 570533 430048 140485 9843609 6993434 2850175 6828 6828 14928991 DEFERRED FINANCING COST 505229 DEPOSITS 127096 OTHER ASSETS 601 DEFERRED MORRISON PROJECT 794215 1427141 WAITING LIST DEPOSITS 61000 REFUNDABLE ADVANCES FEE 2952574 GIFT ANNUITY PAYABLE 17783 DEFERRED COMPENSATION OBLIGATION 129912 3161269 X 23084898 176721 176721 22908177 -10636 -10636 22897541 23737447 10636 10636 23726811 0 23726811 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: CHARITABLE CARE AND CAPITAL IMPROVEMENTS DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 2011, 2010 AND 2009 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON FUNDRAISING, SEE PART VIII, LINE 8C -10,636. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON FUNDRAISING, SEE PART VIII, LINE 8C 10,636. JEANS & JEWELS GALA 71412 27037 44375 5424 17945 2060 29582 71412 27037 44375 5424 17945 2060 29582 55011 -10636 X 0 0 X X X 0 1 0 0 0 0 0 0 0 JERRY NEY 228472 0 0 0 17699 0 0 0 13643 0 259814 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, DEAN EDSON $10,065, JAN JENKINS $5,650, EDWIN JENKINS, JR. $5,750, HARRIET FONTANA $10,912. THIS WAS A NONQUALIFIED RETIREMENT PLAN IMPLEMENTED IN 1997 FOR KEY MANAGEMENT EMPLOYEES WITH NUMEROUS YEARS OF SERVICE. CHANGES IN PROGRAM SERVICES FORM 990, PART III, LINE 3 CLOSED CHILD DAY CARE 8/1/12 AND CEASED HOME HEALTH SERVICES 11/15/12. OPENED REMODELED RECOVERY CENTER AND EXPANDED REHABILITATION SERVICES IN EARLY SPRING 2012. 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 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 113917 38210 UNITED METHODIST HOMES