2023-05-11T14:22:13-05:00 2022-06-30 460403496 CASEY PETERSON LTD 909 ST JOSEPH ST STE 101 RAPID CITY SD 57701 990 2021-07-01 460259554 BETHEL LUTHERAN HOME BETH 6052564539 1001 S EGAN AVE MADISON SD 570423336 JEREMIAH SCHNEIDER ADMINISTRATOR/CEO 6052564539 2023-05-11 1 JEREMIAH SCHNEIDER 999009999 KAYLA GIESEY CPA P01874520 6053481930 2023-05-11 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z FLOYD RUMMEL 1001 S EGAN AVE MADISON SD 570423336 6802626 0 X WWW.BETHELCOMMUNITY.COM X 1962 SD BETHEL LUTHERAN HOME IS A MINISTRY TO THE ELDERLY CONSISTING OF VARIOUS LEVELS OF CARE. 10 10 174 0 0 0 846335 651081 5785230 6151294 11991 251 935 0 6644491 6802626 0 0 0 0 3845721 3089181 0 0 45619 2326731 3507289 6172452 6596470 472039 206156 8309660 8161520 4603469 4196144 3706191 3965376 BETHEL LUTHERAN HOME IS A MINISTRY TO THE ELDERLY CONSISTING OF VARIOUS LEVELS OF CARE. ITS MISSION IS TO SUPPORT AND GROW THE ONGOING MINISTRY OF THE BETHEL COMMUNITY THROUGH THE SHARING OF TIME, TALENT, AND TREASURE. 0 0 5151146 6136280 BETHEL LUTHERAN HOME OPERATES A SKILLED/SUB-ACUTE CARE NURSING HOME THAT CONSISTS OF 59 BEDS, ALL OF WHICH ARE MEDICAID AND MEDICARE CERTIFIED. IN ADDITION, THE ORGANIZATION HAS A 16 UNIT CONGREGATE HOUSING ADDITION, A 13 BED ASSISTED LIVING CENTER, 4 TWIN HOMES, AND 6 COTTAGE HOMES. DURING FY22, BETHEL LUTHERAN HOME HAD 18,521 LONG-TERM CARE NURSING HOME DAYS AND 4,305 ASSISTED LIVING DAYS. 5151146 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 174 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 0 1 1 1 0 X THE ORGANIZATION 6052564539 1001 S EGAN AVE MADISON SD 570423336 FLOYD RUMMEL PRESIDENT 0.50 X X 0 0 0 JOYCE DRAGSETH VICE PRESIDENT 0.50 X X 0 0 0 DONNA FAWBUSH SECRETARY 0.50 X X 0 0 0 BOBBI JANKE TREASURER 0.50 X X 0 0 0 JOANNE CLAUSEN DIRECTOR 0.50 X 0 0 0 MARV EICH DIRECTOR 0.50 X 0 0 0 JERI NELSON DIRECTOR 0.50 X 0 0 0 ROGER ORTON DIRECTOR 0.50 X 0 0 0 KARIN MATHISON DIRECTOR 0.50 X 0 0 0 KATHIS EISENBEIS DIRECTOR 0.50 X 0 0 0 CHUCK JOHNSON ADMINISTRATOR/CEO (TERM MAY 2022) 39.25 0.75 X 111221 0 4314 LAVONNE GASPAR ADMINISTRATOR/CEO (BEG MAY 2022) 39.25 0.75 X 0 0 0 111221 0 4314 1 0 0 0 C&A INDUSTRIES 13609 CALIFORNIA ST SUITE 500 OMAHA NE 68154 TEMP STAFF 122355 1 68094 582442 545 651081 PATIENT SERVICE REVENU 623000 5380066 5380066 ASSISTED LIVING 623000 434510 434510 APARTMENTS & TWIN HOME 623000 292617 292617 OTHER PROGRAM SERVICES 623000 29087 29087 15014 15014 6151294 251 251 6802626 6136280 0 15265 X 128089 128089 2458204 2281936 176268 308505 260760 47745 194383 168024 26359 224 224 98720 98720 1880368 1462748 372001 45619 13973 853 13120 67397 30246 37151 205124 84325 120799 2024 866 1158 16452 15369 1083 169160 58860 110300 345306 334625 10681 134617 134617 SUPPLIES 315244 260330 54914 DIETARY SERVICES 170201 170201 REPAIRS AND MAINTENANCE 68343 22003 46340 PROVISION FOR BAD DEBTS 20136 20136 6596470 5151146 1399705 45619 2048392 1808730 182843 258487 19649 19649 41903 80734 11818423 7172505 4721900 4645918 1294973 1348002 8309660 8161520 370678 262575 513006 303890 13278 23476 2234127 2944393 1472380 661810 4603469 4196144 X 2411218 2617374 1294973 1348002 3706191 3965376 8309660 8161520 206156 53029 0 X X 0 1 X 1 0 X 102576 77110 148374 846335 651081 1825476 6974223 5780245 6049396 5785230 6151294 30740388 7076799 5857355 6197770 6631565 6802375 32565864 0 423883 997002 1224169 858432 917380 4420866 423883 997002 1224169 858432 917380 4420866 28144998 68 287 1167 1126 251 2899 68 287 1167 1126 251 2899 7076867 5857642 6198937 6632691 6802626 32568763 0.86420 0.88210 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 229013 229013 7177231 4193732 2983499 2248142 1586342 661800 2164037 1392431 771606 4645918 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 1348002 F 1348002 SECURITY DEPOSITS 24360 TWIN HOME DEPOSIT 637450 661810 X 6855655 53029 53029 6802626 0 6802626 6596470 0 6596470 0 6596470 PART IV, LINE 2B: THIS IS A RESIDENT TRUST ACCOUNT. THE FACILITY TRACKS THE FUNDS IN THIS ACCOUNT BY RESIDENT. RESIDENTS MAY WITHDRAW FUNDS AS REQUESTED BASED ON THEIR INDIVIDUAL ACCOUNT BALANCE. THE FUNDS ARE HELD ON BEHALF OF THE RESIDENTS FOR THEIR CONVENIENCE. PART X, LINE 2: AS OF JUNE 30, 2022, THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE HOME'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. THE HOME IS NO LONGER SUBJECT TO FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR FISCAL YEARS BEFORE 2019. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATION, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW, AND NEW AUTHORITATIVE RULINGS. THE HOME BELIEVES THEIR ESTIMATES ARE APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. INTEREST AND PENALTIES ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, ARE INCLUDED IN INTEREST EXPENSE. FORM 990, PART VI, SECTION A, LINE 6 THE VOTING MEMBERS OF THE CORPORATION SHALL CONSIST OF THE MEMBERS OF THE BOARD OF DIRECTORS, THE PASTORS OF THE CONGREGATIONS ELECTING TO PARTICIPATE, AND ONE LAY DELEGATE FOR EACH ONE HUNDRED CONFIRMED MEMBERS OR MAJOR FRACTION THEREOF FOR EACH SUCH CONGREGATION. FORM 990, PART VI, SECTION A, LINE 7A EACH CONGREGATION SHALL SUBMIT AT LEAST ONE NOMINEE FOR THE POSITION OF DIRECTOR FROM SUCH CONGREGATION TO THE PRESIDENT OR SECRETARY OF THE CORPORATION AT THE ANNUAL MEETING OR AT ANY OTHER MEETING AT WHICH DIRECTORS ARE TO BE ELECTED, AND THE DIRECTOR SHALL BE ELECTED BY THE MEMBERS FROM THE LIST OF NOMINEES. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE OFFICE MANAGER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS, ADMINISTRATOR, AND LEADERSHIP (MANAGEMENT) STAFF ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES ANNUALLY WHICH ARE MONITORED AND TRACKED. THE QUESTIONNAIRES ARE REVIEWED BY THE BOARD AND/OR ADMINISTRATOR FOR ANY POSSIBLE CONFLICTS. NOTED CONFLICTS ARE REPORTED TO MANAGEMENT AND THE BOARD. AFTER A CONFLICT IS DEEMED TO EXIST, THE INDIVIDUAL(S) INVOLVED MUST ABSTAIN FROM THE DISCUSSION AND VOTE RELATED TO THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ADMINISTRATOR/CEO AND OTHER MEMBERS OF MANAGEMENT IS DETERMINED THROUGH ANNUAL SALARY REVIEWS BY THE FINANCE COMMITTEE WHICH MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,344,452. MANAGEMENT AND GENERAL EXPENSES 323,735. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,668,187. DEVELOPMENT: PROGRAM SERVICE EXPENSES 10. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 45,619. TOTAL EXPENSES 45,629. NURSING SERVICES: PROGRAM SERVICE EXPENSES 43,720. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,720. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 48,266. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,266. CONTRACT THERAPY: PROGRAM SERVICE EXPENSES 74,566. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,566. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BETHEL LUTHERAN HOME FOUNDATION 1001 SOUTH EGAN AVE MADISON SD 57042 460403284 PROVIDE SUPPORT TO BETHEL LUTHERAN HOME SD 501(C)(3) LINE 7 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 BETHEL LUTHERAN HOME FOUNDATION C 68094 CASH PAID