2012-05-01T14:35:56-05:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2011-01-01 480543787 UNITED METHODIST HOMES INC UNIT 7854789440 7220 ASBURY DRIVE TOPEKA KS 66614 BREE ROGERS 7854789440 2012-04-26 1 ALLAN LARSON P00028482 3149254300 2011 2016-02-24 21:20:13Z JERRY NEY 7220 ASBURY DRIVE TOPEKA KS 66614 27240595 0 X WWW.ALDERSGATEVILLAGE.ORG X 1904 KS ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 13 13 572 20 7224 10 615162 703041 22856542 22518562 523569 481163 -18584 30132 23976689 23732898 0 0 0 0 11259833 11915850 0 0 40642 10430731 11272614 21690564 23188464 2286125 544434 27942473 28275684 28913029 29198309 -970556 -922625 ENRICHING THE LIVES OF OLDER ADULTS WITHIN A CHRISTIAN ENVIRONMENT. 0 0 19503282 22556062 OPERATIONS OF ALDERSGATE VILLAGE PROVIDES RESIDENTIAL AND HEALTH CARE SERVICES FOR THE ELDERLY. THE CAMPUS CONSISTS OF A 209 BED SKILLED NURSING FACILITY, 60 ASSISTED LIVING UNITS, 175 INDEPENDENT LIVING UNITS, AND AN INTERGENERATIONAL CHILD CARE CENTER. THE INDEPENDENT LIVING UNITS INCLUDE APARTMENTS, DUPLEXES, FOUR-PLEXES AND SINGLE FAMILY HOMES. 19503282 1 1 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 0 1 61 0 1 572 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 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 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 0 0 0 DAVID WATSON 1.00 X 0 0 0 MARK YOUNG 1.00 X X 0 0 0 BARBARA BRADY 1.00 X 0 0 0 TOM MILLER 1.00 X 0 0 0 JERRY NEY 45.00 X 232276 0 17248 STEVE WARNEKE 45.00 X 85440 0 7586 BREE ROGERS 45.00 X 93165 0 16164 410881 0 40998 1 0 1 0 MORRISON SENIOR DINING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DIETARY 2552783 KEY REHABILITATION 1335 NW BROAD ST MURFREESBORO TN 37129 THERAPY 1051123 JE DUNN CONSTRUCTION CO 433 S KANSAS AVENUE TOPEKA KS 66603 CONSTRUCTION 1046051 GARNER REMODELING 117 SE 25TH ST TOPEKA KS 66605 CONSTRUCTION 632298 GARDNER FLOOR COVERING PO BOX 5003 TOPEKA KS 66605 FLOORING 209727 8 49580 653461 703041 MEDICARE/MEDICAID PAYM 623000 15800890 15800890 RESIDENT FEES 623000 5101702 5101702 HEALTH SERVICES 623000 814291 814291 RESIDENT & EMPLOYEE SV 623000 618838 618838 FOOD SERVICES 623000 182841 182841 22518562 268759 268759 7224 7224 7224 7224 3565360 99507 3338670 113793 226690 -14286 212404 212404 40642 49580 55234 -14592 -14592 CONTRACT INCOME 900099 37500 37500 37500 23732898 22556062 7224 466571 410881 410881 9263234 8475780 787454 22884 20049 2835 1496164 1310834 185330 722687 633168 89519 76556 76556 56793 56793 124331 124331 511026 411898 99128 583028 484894 98134 7248 7248 1614323 1342605 271718 1882557 1565691 316866 247420 205775 41645 PURCHASED SERVICES 3092436 2571926 520510 RENTAL & MAINTENANCE 893248 742899 150349 FOOD 710238 710238 MISCELLANEOUS 697563 580151 117412 775847 447374 287831 40642 23188464 19503282 3644540 40642 630925 231988 1226099 1182496 38146 29844 1716065 943660 27792 2092 83947 84902 46572207 31328683 13842579 15243524 9721755 9039842 0 655165 1517336 27942473 28275684 1670921 1886903 1013018 1956169 23254565 22518258 2974525 2836979 28913029 29198309 X -5087117 -4056575 1188570 205959 2927991 2927991 -970556 -922625 27942473 28275684 X 544434 -496503 X X 0 1 1 X 0 X 254324 395643 218266 615162 703041 2186436 19601572 20777563 21842871 22856542 22518562 107597110 497761 463041 960802 19855896 21173206 22061137 23969465 23684644 110744348 16020 16020 0 16020 16020 110728328 402560 190625 24316 354697 275983 1248181 402560 190625 24316 354697 275983 1248181 20258456 21363831 22085453 24324162 23960627 111992529 0.98870 0.98700 0.01110 0.01280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4116561 50000 72989 1105600 3133950 3936084 180477 4116561 3965596 29512 3936084 4930408 3072 967884 3965596 0.07000 0.93000 0 0 1458889 1458889 34887544 25092441 9795103 0 8502031 6236242 2265789 1723743 1723743 15243524 DEFERRED FINANCING COST 535243 DEPOSITS 95020 OTHER ASSETS 601 DEFERRED MORRISON PROJECT 886472 1517336 WAITING LIST DEPOSITS 65750 REFUNDABLE ADVANCES FEE 2587795 GIFT ANNUITY PAYABLE 18611 DEFERRED COMPENSATION OBLIGATION 164823 2836979 23732898 23188464 544434 -496503 -496503 47931 23250987 -496503 -496503 23747490 -14592 -14592 23732898 23203056 14592 14592 23188464 0 23188464 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: 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 2010, 2009 AND 2008 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 XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON FUNDRAISING, SEE PART VIII, LINE 8C -14,592. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON FUNDRAISING, SEE PART VIII, LINE 8C 14,592. JEANS & JEWELS GALA 90222 49580 40642 8040 19809 798 26587 90222 49580 40642 8040 19809 798 26587 55234 -14592 X 0 0 X X X 0 1 0 0 0 0 0 0 0 JERRY NEY 226163 0 0 0 6113 0 0 0 17248 0 249524 0 0 0 PART I, LINE 1A STEVE WARNEKE ($3,150) AND 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 $4,547. THIS WAS A NONQUALIFIED RETIREMENT PLAN IMPLEMENTED IN 1997 FOR KEY MANAGEMENT EMPLOYEES WITH NUMEROUS YEARS OF SERVICE. 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. COMPARISON IS CONDUCTED TO OTHER SIMILAR HEALTHCARE ORGANIZATIONS WITHIN THE LOCAL AND STATE AREAS. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -496,503. 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 177947 102430 UNITED METHODIST HOMES