2013-11-04T12:52:52-06:00 2012-12-31 390758449 WIPFLI LLP 10000 INNOVATION DRIVE SUITE 250 MILWAUKEE WI 532264837 990 2012-01-01 390942151 METHODIST MANOR INC METH 4146074100 3023 S 84TH STREET WEST ALLIS WI 53227 ALAN RUNDE 4146074100 2013-11-04 1 JAY ADKISSON CPA P01360892 4144319300 2013-10-24 2012 2016-03-07 17:11:31Z ALAN RUNDE 3023 S 84TH STREET WEST ALLIS WI 53227 8133276 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 5 830 165 0 0 383144 469389 8528417 7354034 545841 289603 -72 18899 9457330 8131925 0 0 0 0 4844767 4449266 0 0 0 4365494 5645039 9210261 10094305 247069 -1962380 35989543 36354162 43025352 45547861 -7035809 -9193699 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 268-UNIT INDEPENDENT LIVING FACILITY AND SENIOR CENTER. 0 0 5434462 3820980 PROVIDE ASSISTED LIVING SERVICES TO RESIDENTS IN A 126 UNIT FACILITY AS PART OF CONTINUUM OF CARE FOR SENIORS. 4659843 3533054 PROVIDE INDEPENDENT LIVING FACILITIES TO RESIDENTS IN A 268 UNIT FACILITY AS PART OF CONTINUUM OF CARE FOR SENIORS AND PROVIDE PROGRAMS FOR RESIDENTS THROUGH A SENIOR CENTER. 10094305 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 54 0 1 830 1 0 0 0 0 0 0 0 0 0 0 X 6 5 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 1.00 4.00 X 0 0 0 JAMES WESSON 1.00 4.00 X 0 0 0 DAVID AFFELDT 1.00 5.00 X X 0 0 0 TERENCE BRAATZ 1.00 4.00 X X 0 0 0 DANIEL MELKA 1.00 5.00 X X 0 0 0 JAMES ENLUND 1.00 44.00 X X 208664 0 9564 ALAN RUNDE 1.00 44.00 X 205971 0 5797 SEAN CALLAHAN 1.00 40.00 X 124664 0 7750 MARIANNE PENNE 1.00 40.00 X 101283 0 5158 SUE PROSTKO 1.00 40.00 X 103642 0 4025 JOSEPH DALEY 1.00 40.00 X 105336 0 5110 849560 0 37404 6 0 1 0 GENESIS ELDERCARE REHABILITATION 1001 EAST STATE STREET KENNET SQUARE PA 19348 REHABILITATION 131977 STARK ASPHALT 11710 W HAMPTON AVENUE MILWAUKEE WI 53225 ASPHALT 125848 SUPERIOR HEALTH LINEN INC 5005 S PACKARD AVENUE CUDAHY WI 53110 LAUNDRY SERVICES 102105 3 466209 3180 469389 MAINTENANCE FEES 623000 4394306 4394306 ENTRANCE FEES 623000 1978076 1978076 OTHER OPERATING REVENU 623000 549956 549956 MEDICARE/MEDICAID PAYM 623000 247952 247952 NET SERVICE REVENUE 623000 183744 183744 7354034 120690 120690 170264 0 1351 170264 -1351 168913 168913 INSURANCE PROCEEDS 900099 18899 18899 18899 8131925 7354034 0 308502 542021 542021 3642447 3642447 46764 46764 26438 26438 191596 191596 28036 28036 343727 343727 17781 17781 344967 344967 611456 611456 42801 42801 6342 6342 565654 565654 986694 986694 21949 21949 OTHER EXPENSES 1098216 1098216 FOOD 779569 779569 LIFE CARE EXPENSES 594027 594027 MAINTENANCE 343844 343844 -140024 -140024 10094305 10094305 0 0 583872 679687 72755 63925 94775 98607 485817 284137 40067495 32231688 7986522 7835807 4639274 6400491 22126528 20991508 35989543 36354162 3778743 4276776 12769176 11243042 22326715 23431420 1064387 2510438 3086331 4086185 43025352 45547861 X -7035809 -9193699 -7035809 -9193699 35989543 36354162 X -1962380 393589 -589099 X X 0 1 X 1 0 X 395377 383144 469389 1247910 9592003 106436161 11008171 8528345 7354034 142918714 9592003 106436161 11403548 8911489 7823423 144166624 0 0 0 144166624 209238 357752 431367 202377 120690 1321424 209238 357752 431367 202377 120690 1321424 84096 89129 164045 18899 356169 9885337 106883042 11998960 9113866 7963012 145844217 0.98850 0.98690 0.00910 0.01080 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2008 AMOUNT: $ 84,096. 2009 AMOUNT: $ 89,129. 2010 AMOUNT: $ 164,045. INSURANCE PROCEEDS - 2012 AMOUNT: $ 18,899. SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART IV: ARBITRAGE, LN.4C - THE ORGANIZATION HAS ENTERED INTO THREE SWAP AGREEMENTS WITH MB FINANCIAL ON SEPTEMBER 28, 2008. THE MATURITY OF TWO OF THE SWAP AGREEMENTS IS OCTOBER 5, 2013. THE MATURITY DATE OF THE THIRD SWAP AGREEMENT IS OCTOBER 5, 2018. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62633 62633 12900291 10127686 2772605 11138518 8208033 2930485 15808420 13895969 1912451 157633 157633 7835807 BOARD-DESIGNATED INVESTMENTS 6447018 F OTHER INVESTMENTS -46527 F 6400491 INVESTMENT IN AFFILIATES 847192 DUE FROM AFFILIATES 19585793 RESIDENT DEPOSITS 31072 DEFERRED FINANCING COSTS - NET 527451 20991508 DEPOSITS 65827 RESIDENT DEPOSITS 31072 INTEREST RATE SWAP AGREEMENTS 2765366 CAPITAL LEASE 1223920 4086185 X 8648116 393589 122602 516191 8131925 0 8131925 10806006 711701 711701 10094305 0 10094305 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, THE CORPORATION DETERMINES WHETHER IT'S 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 2012 OR 2011. FEDERAL AND STATE INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAX AUTHORITIES FOR TAX YEARS SINCE 2009 AND 2008, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTEREST RATE SWAP 122,602. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY TRANSFERS 654,483. INTERCOMPANY TRANSFERS 57,218. X X X 0 0 0 0 0 0 0 0 0 JAMES ENLUND 163647 0 37500 0 7517 0 8156 0 1408 0 218228 0 0 0 ALAN RUNDE 159357 0 37500 0 9114 0 5216 0 581 0 211768 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 3153414 24500000 134399 24365601 2008 0 0 1 1 B 11600 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 PART IV, ARBITRAGE, LINE 4A: THE ORGANIZATION HAS ENTERED INTO THREE SWAP AGREEMENTS WITH MB FINANCIAL ON SEPTEMBER 28, 2008. THE MATURITY OF TWO OF THE SWAP AGREEMENTS IS OCTOBER 5, 2013. THE MATURITY DATE OF THE THIRD SWAP AGREEMENT IS 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 122,602. INTERCOMPANY TRANSFERS -711,701. FORM 990, PG. FORM 990, PART XII, LINE 2C, DESCRIPTION OF FINANCIAL STATEME 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 AND ASSISTED LIVING FACILITY 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 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0