2012-08-02T13:16:56-05:00 2011-12-31 481026809 Wendling Noe Nelson & Johnson LLC 534 S Kansas Ave Suite 1500 Topeka KS 666033491 990 2011-01-01 480669554 The Congregational Home DBA Brewster Place CONG 7852671666 1205 SW 29th Street Topeka KS 66611 David M Beck 7852671666 2012-07-20 1 Eric L Otting P00298454 7852334226 2012-07-20 2011 2016-02-24 21:20:13Z Brewster Place David M Beck 1205 SW 29th Street Topeka KS 66611 15516358 0 X www.brewsterplace.org X 1958 KS To provide residential and health care services for the elderly; retirement apartments, assisted living facilities and licensed nursing facility. 18 18 331 1128 0 0 1801 96756 15186866 15224020 146508 195582 -205295 0 15129880 15516358 2976 0 0 0 7906524 8035391 0 0 0 6370513 6868053 14280013 14903444 849867 612914 34239139 35696536 34567550 35058208 -328411 638328 Brewster Place is a continuing care retirement community providing all of its residents opportunities for an optimal quality of life. 0 0 13237527 15224020 Provide residential and health care services for the elderly; retirement apartments, assisted living facilities and licensed nursing facility. 13237527 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 1 44 0 1 331 1 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Larry Riggins 7852671666 1205 SW 29th Street Topeka KS 66611 Gary Alexander 1.00 X 0 0 0 Jerry Cordill 1.00 X 0 0 0 Michael Clutter 1.00 X 0 0 0 Cynthia Hornberger PhD 1.00 X X 0 0 0 Mike Jones 1.00 X 0 0 0 Becky Dickinson 1.00 X 0 0 0 Mike Land 1.00 X X 0 0 0 Melissa Masoner 1.00 X 0 0 0 Steve Bogart 1.00 X 0 0 0 Dwight S Parman CPA 1.00 X X 0 0 0 Bart Ramsey MD 1.00 X 0 0 0 Judy Soule 1.00 X 0 0 0 Sandy Brown 1.00 X 0 0 0 Maria Wilson 1.00 X X 0 0 0 Martin Halley 1.00 X 0 0 0 Gayle Vernon 1.00 X 0 0 0 Charles Engel PA 1.00 X 0 0 0 John Salisbury 1.00 X 0 0 0 David M Beck 40.00 X 144688 0 15623 Larry D Riggins 40.00 X 93452 0 11011 Linda C Farrar 40.00 X 49734 0 7080 Angela S Dailey 40.00 X 85355 0 6828 Bryan McDaniel 40.00 X 26602 0 1020 399831 0 41562 0 0 1 0 Sunflower Eldercare Services LLC 2900 SW Wanamaker Dr Ste 103 Topeka KS 66614 Elder care services 145970 Lawntech Lawn and Landscape LLC 2525 N Topeka Blvd Topeka KS 66617 Grounds maintenance 101994 2 56038 40718 96756 Resident services 623000 15224020 15224020 15224020 195582 195582 15516358 15224020 0 195582 446309 446309 6278503 5728106 550397 165179 156607 8572 560303 494635 65668 585097 501846 83251 49102 49102 105127 43425 61702 61390 2432 58958 531338 452856 78482 130235 40250 89985 747618 747618 44365 44365 20210 20210 922197 922197 2217152 2217152 165080 147308 17772 Food expense 725804 725804 Housekeeping and mainte 478822 478822 Companion expense 197892 197892 Miscellaneous 121335 41015 80320 350386 246095 104291 14903444 13237527 1665917 0 9314 9711 7793760 5418441 349061 441399 225346 198216 52665044 28137377 21093888 24527667 3852545 4191358 915225 909744 34239139 35696536 730530 963670 4845279 4974783 19245000 18660000 511662 148263 9235079 10311492 34567550 35058208 X -476968 502594 148557 135734 -328411 638328 34239139 35696536 X 612914 353825 X X 0 1 1 X 0 X 102726 302689 74869 1801 40718 522803 12743610 13348415 14642350 15186866 15224020 71145261 12846336 13651104 14717219 15188667 15264738 71668064 0 0 0 71668064 261477 98526 40363 146508 195582 742456 -99846 -289986 -205294 -595126 261477 -1320 -249623 -58786 195582 147330 13107813 13649784 14467596 15129881 15460320 71815394 0.99790 0.99770 0.00210 0.00230 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 Explanation of Other Lobbying Activities: Part II-B, Line 1i: A portion of annual dues paid by the Congregational Home to various healthcare organizations has been identified as lobbying activities by those organizations. The minimal amount reported as direct contact with legislators, their staffs, government officials, or a legislative body represents the portion of dues identified as lobbying activities by these organizations. The Congregational Home does not participate in direct political or lobbying activities. 3102770 3102770 45445212 24851467 20593745 3854650 3098475 756175 262412 187435 74977 24527667 Investments held by Topeka Community Foundation 61367 F Corporate bonds and notes 2271273 F Stocks 1110746 F U.S. government agency bonds 298138 F Real estate investment trust 20724 F Equity mutual funds 429110 F 4191358 Refundable accommodation fees 8766040 Terminated contracts payable 778157 Investment in Brewster at Home 137687 Construction costs payable 629608 10311492 15516358 14903444 612914 -161717 515542 353825 966739 15490640 13683 13683 15476957 39401 39401 15516358 14903444 0 14903444 0 14903444 Description of Uncertain Tax Positions Under FIN 48: Part X: N/A Part XI, Line 8 - Other Adjustments: Gain on involuntary conversion 281,543. Net assets released from restrictions for capital 272,541. Net assets released from restrictions for capital -38,542. Total to Schedule D, Part XI, Line 8: 515,542. Part XII, Line 2d - Other Adjustments: Net assets released from restrictions used for operations 13,683. Part XII, Line 4b - Other Adjustments: Investment income/(loss) -1,317. Temporarily restricted contributions 40,718. X X X X 0 1 0 0 0 1 0 0 0 David M Beck 144688 0 0 0 0 0 11574 0 4049 0 160311 0 0 0 Part I, Line 4b A 457 Top Hat Plan is maintained primarily for the purpose of providing deferred compensation for a select group of management or highly compensated employees. Contributions to the Plan may also include any excess aggregate contribution (due to the failure of the ACP test) to The Congregational Home 403(b) Church Plan for which a member of this group elects to defer their refund to this Plan. Only excess aggregate contribution deferrals have been transferred to the Plan since its adoption on August 8, 2005. The Plan FMV at 12/31/11 was $2,258. Part I, Line 6 In lieu of raises being given, an end of the year payment is made to each person employed since January 1 of the current year. The compensation pool is based on approximately 2% of total budgeted wages and is paid solely upon approval by the governing body after determining that projected net operating margin and days cash on hand ratios would meet budgeted targets subsequent to such payments. City of Topeka Kansas 486028701 890594AZ7 2004-05-24 12000000 Misc. Capital Impr. and Refunding Existing Debt 0 0 0 City of Topeka Kansas 486028701 890594BQ6 2010-07-28 9765000 Capital Impr. and Refunding Existing Debt 0 0 0 9438688 2003643 12000000 600000 426995 1036274 1505600 2004 0 1 1 1 1789130 9765000 540170 377523 362007 6043005 653165 2010 0 1 1 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 Chuck Engel Board Member The Cong Chuck Engel, Engel Law, P. A, Owner 5399 Legal fees 0 Maria Wilson Board Member The Con Mike Wilson,Architect, spouse of Maria Wilson 26611 Architect services 0 Form 990, Part VI, Section B, line 11 The Board of Directors has appointed an Audit Committee to review the Form 990 prior to filing on its behalf. One member on the committee is to have tax expertise. A synopsis of key Form 990 information is electronically sent to all board members prior to filing along with notice that the full Form 990 is available in paper or electronic form upon request. An Audit Committee report is made to the Board of Directors. Form 990, Part VI, Section B, line 12c The conflict of interest policy is reviewed and signed by each individual. Board members are given a copy of the conflict of interest policy during the board meetings and must sign a statement agreeing to comply with the policy annually. Form 990, Part VI, Section B, line 15 The Board of Directors has formed an independent Compensation Committee to annually approve the CEO's and other officers and key employee's salaries based upon performance of the organization as well as comparability of salaries with peers in similar organizations. Form 990, Part VI, Section C, line 19 The organization files its governing documents with the Kansas Secretary of State. The financial statements are filed on the Municipal Securities Rulemaking Board website at www.emma.msrb.org. The governing documents, conflict of interest policy, and the financial statements are all available from the organization upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -161,717. Gain on involuntary conversion 281,543. Net assets released from restrictions for capital 272,541. Net assets released from restrictions for capital -38,542. Total to Form 990, Part XI, Line 5: 353,825. FORM 990, PART XII, LINE 2c The Audit committee oversees the review of the audited financial statements. Brewster at Home LLC 1205 SW 29th St Topeka KS 66611 262799290 Investment KS -17408 10161 The Congregational Home The Congregational Home Foundation 1205 SW 29th Street Topeka KS 66611 237067253 To provide funds for the benefit of The Congregational Home, Inc. KS 501(c)(3) 170(b)(1) 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 1 0 0 The Congregational Home Foundation C 234000 Accrual Basis The Congregational Home Foundation C 56038 Accrual Basis The Congregational Home Foundation N 84422 Accrual Basis The Congregational Home Foundation P 18252 Accrual Basis The Congregational Home Foundation E 0 Accrual Basis The Congregational Home Foundation M 0 Accrual Basis