2023-11-08T17:24:56-05:00 2022-12-31 261588174 JT AND ASSOCIATES LLC 700 PILGRIM PARKWAY SUITE 200 ELM GROVE WI 53122 990 2022-01-01 390909446 BETHANY LUTHERAN HOMES INC BETH 6084063880 2575 SOUTH 7TH STREET LA CROSSE WI 54601 TODD GARVES CFO 6087962308 2023-11-02 true TODD GARVES 999009999 false MARK JANKE P00737129 2627899945 2023-11-02 2022 2023-04-26 12:10:37Z EAGLE CREST COMMUNITIES TODD WILSON 38132880 false X EAGLECRESTLIFE.ORG X 1946 WI BETHANY LUTHERAN HOMES, INC. (THE ORGANIZATION) IS A BENEVOLENT CONTINUUM OF CARE RETIREMENT COMMUNITY COMPRISED OF NUMEROUS FACILITIES AND COMMUNITY OUTREACH PROGRAMS DESIGNED TO MEET THE CARE NEEDS OF THE ELDERLY AND DISABLED IN THE LA CROSSE, WI AREA. BETHANY IS A NON-PROFIT CORPORATION, EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) THROUGH ITS AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. 9 9 905 66 0 669735 123021 32355514 34519801 188094 297889 4390082 3192169 37603425 38132880 0 0 19061044 20177496 0 21367 11574069 12451471 30635113 32628967 6968312 5503913 102810906 103221841 61655965 56562987 41154941 46658854 X BETHANY LUTHERAN HOMES, INC. (THE ORGANIZATION) IS A BENEVOLENT CONTINUUM OF CARE RETIREMENT COMMUNITY COMPRISED OF NUMEROUS FACILITIES AND COMMUNITY OUTREACH PROGRAMS DESIGNED TO MEET THE CARE NEEDS OF THE ELDERLY AND DISABLED IN THE LA CROSSE, WI AREA. BETHANY IS A NON-PROFIT CORPORATION, EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) THROUGH ITS AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. false false 10922155 12372271 SKILLED NURSING FACILITY (SNF) - BLH OWNS AND OPERATES A 123 BED SNF LOCATED IN LA CROSSE, WI WHICH OFFERS SPECIALIZED RESTORATIVE REHABILITATION FOR SHORT TERM STAYS, A SPECIALIZED MEMORY CARE UNIT FOR ALZHEIMER'S AND DEMENTIA, AND END STAGE HOSPICE CARE. THERE WERE 38,860 DAYS OF CARE PROVIDED TO RESIDENTS IN 2022, WITH 18,155 OF THOSE DAYS (OR 49%) PROVIDED TO RESIDENTS ON MEDICAID WHICH DOES NOT PROVIDE ADEQUATE REIMBURSEMENT TO COVER THE COSTS OF CARE AND HOUSING. THIS SUBSIDIZED CARE AMOUNTED TO APPROXIMATELY 700,000 IN 2022. 4886626 5260308 COMMUNITY BASED RESIDENTIAL FACILITIES (CBRF) AND RESIDENTIAL CARE APARTMENT COMPLEXES (RCAC) - BLH OWNS AND OPERATES THREE CBRF AND THREE RCAC FACILITIES IN THE LA CROSSE, WI AREA. THE CBRF FACILITIES ARE DESIGNED TO PROVIDE CARE TO THE ELDERLY WITH ALZHEIMER'S AND DEMENTIA IN A HOME-LIKE SETTING. RESIDENTS RECEIVE MEALS, MEDICAL MANAGEMENT, HOUSEKEEPING AND OTHER DAILY LIVING SERVICES BASED ON THEIR NEEDS. THERE WERE 37,877 DAYS OF CARE AND HOUSING PROVIDED TO RESIDENTS DURING 2022. 14937206 16644524 EAGLE CREST NORTH AND EAGLE CREST SOUTH - TWO SIMILAR FACILITIES LOCATED IN ONALASKA, WI AND LA CROSSE, WI CONSISTING OF 262 INDEPENDENT LIVING APARTMENTS, 34 HIGH ACUITY ASSISTED LIVING (CBRF), 78 ASSISTED LIVING (RCAC), AND 81 MEMORY CARE (CBRF) APARTMENTS IN TOTAL. A CENTRALLY LOCATED TOWN CENTER CONNECTS THE INDEPENDENT, ASSISTED LIVING, AND MEMORY CARE UNITS AND PROVIDES AMENITIES TO ENHANCE THE RESIDENTS' SOCIAL, PHYSICAL,AND SPIRITUAL WELL-BEING. THE TWO FACILITIES PROVIDED 145,176 DAYS OF HOUSING AND CARE TO THE RESIDENTS DURING 2022. 201067 242698 COMMUNITY OUTREACH PROGRAMS - PROVIDE AN ARRAY OF SERVICES TO THE COMMUNITY INCLUDING: FOOT CARE SERVICES - CERTIFIED AND LICENSED NURSE PROVIDING PEDICURE SERVICES TO RESIDENTS. INDEPENDENT LIVING APARTMENTS - 20 APARTMENTS PROVIDED 7,300 DAYS OF HOUSING FOR SENIORS IN HOLMEN, WI. 201067 242698 30947054 true true false false false false false false false true true false false false true false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false true 62 0 true 905 true false false false false false false false false false false false false X 9 9 false false false false true true false true true true true true false true false true false false true true false WI X X TODD GARVES 6084063888 2575 SOUTH 7TH STREET LA CROSSE WI 54601 JOE ZOELLNER PRESIDENT 1.00 X X 0 0 0 PETE HANSEN PRESIDENT-EL 1.00 X X 0 0 0 SEAN O'FLAHERTY SECRETARY 1.00 X X 0 0 0 JOHN ROBINSON TREASURER 1.00 X X 0 0 0 LEAH MUDLER DIRECTOR 1.00 X 0 0 0 SARAH HAVENS DIRECTOR 1.00 X 0 0 0 KENNA CHRISTIANS DIRECTOR 1.00 X 0 0 0 MICHAEL FLANAGAN DIRECTOR 1.00 X 0 0 0 ANGELA STRANGEMAN DIRECTOR 1.00 X 0 0 0 LU CAGIN DIRECTOR 1.00 X 0 0 0 DYANNE BRUDOS DIRECTOR 1.00 X 0 0 0 TODD WILSON CEO 40.00 X 378566 0 32782 TODD GARVES CFO 40.00 X 247954 0 30633 CARIN MYHRE HUMAN RESOUR 40.00 X 130213 0 24301 PATRICK SENZIG ADMINISTRATO 40.00 X 125192 0 5008 MARISSA JANKE CAMPUS MANAG 40.00 X 104699 0 4188 KEVIN MAAGER REGISTERED N 40.00 X 103769 0 11834 WAYNE PETERSON REGISTERED N 40.00 X 103102 0 4124 1193495 112870 7 false true false AEGIS THERAPIES INC PO BOX 936653 ATLANTA GA 311936653 THERAPY SERVICE 624666 GRAPE TREE MEDICAL STAFFING INC PO BOX 5340 SIOUX FALLS SD 571175340 NURSE STAFFING 522570 2 44470 78551 123021 PROGRAM SERVICES 34519801 34519801 34519801 297889 297889 SWAP CONTRACT VALUE INCREASE 5512702 5512702 INVESTMENT UNREALIZED LOSSES -2320533 -2320533 3192169 38132880 38009859 719777 106834 591576 21367 16427850 15892571 535279 230761 222028 8733 1581185 1448579 132606 1217923 1172447 45476 13296 13296 24700 24700 1609813 1559776 50037 136224 80005 56219 325261 271220 54041 216287 123823 92464 1369092 1365333 3759 49020 47443 1577 48795 43416 5379 1964169 1964169 3501475 3488809 12666 201344 180614 20730 FOOD AND DIETARY SUPPLIES 1393455 1391545 1910 FACILITY MAINTENANCE 702028 702028 NURSING SUPPLIES 397152 397152 STATE BED TAX ASSESSMENT 250920 250920 248440 238342 10098 32628967 30947054 1660546 21367 22061492 19238847 1292054 1321420 220843 250761 97570561 36161925 63613852 61408636 13622308 17230484 2000357 3771693 102810906 103221841 2374284 2385787 703433 54974228 53251399 4307453 222368 61655965 56562987 X 40486980 46131013 667961 527841 41154941 46658854 102810906 103221841 5503913 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 885619 -137962 43273 1930 702454 818940 100167 31424 2064 885619 766451 71099 16902 1708 818940 672784 133811 32449 7695 766451 783401 -61134 38492 10991 672784 0.25000 0.75000 true false 1513321 1513321 79106869 26222659 52884210 13963593 8517248 5446345 2986778 1422018 1564760 61408636 SECURITY DEPOSITS 906718 DEFERRED FINANCING COSTS -684350 222368 38132880 38132880 38132880 32628967 32628967 32628967 SCHEDULE D, PAGE 2, PART V, LINE 4 BOARD DESIGNATED FUNDS OF 174,613: THESE ARE CASH AND INVESTMENTS SET ASIDE BY THE BOARD OF DIRECTORS FOR FUTURE ACTIVITIES AND PROJECTS. THE BOARD RETAINS CONTROL AND MAY, AT ITS DISCRETION, USE THE ASSETS FOR OTHER PROJECTS. PERMANENTLY RESTRICTED FUNDS OF 527,841: THESE CONSIST OF THE ORGANIZATION'S BENEFICIAL INTEREST IN THE GERTRUDE GORDON CHARITABLE TRUST. THE PRINCIPAL IS PERMANENTLY RESTRICTED IN USE. ANNUAL DISTRIBUTIONS FROM THE TRUST OF 5% ARE NOT RESTRICTED. X X false false false false false false false false false TODD WILSON CEO 378566 12200 21937 411348 TODD GARVES CFO 247954 10191 21557 278587 CARIN MYHRE HUMAN RESOURCES DIR 130213 5419 19693 154514 A WIS HLTH & EDU FAC AUTH 2015 391337855 2015-11-20 14000000 REFINANCE false false false B WIS HLTH & EDU FAC AUTH 2018B 391337855 2018-07-15 20440000 REFINANCE false false false C WIS HTLTH & EDU FAC AUTH 2018A 391337855 2018-07-15 26490000 CONSTRUCTION false false false A 4102761 14000000 255516 2015 true false true true B 2374251 20440000 250668 2018 true false true true C 1201589 26490000 491298 366905 25631797 2020 false false true true A false false false false false false false B false false false false false false false C false false false false false false false A false false false false false false false false false B false false false false true true BREMER BANK NA 10.000000000000 false false false false false C false false false false true true BREMER BANK NA 10.000000000000 false false false false false A false B false C false PURPOSE OF ISSUE DESCRIPTION WIS HLTH & EDU FAC AUTH 2015 REFINANCE PURPOSE OF ISSUE DESCRIPTION WIS HLTH & EDU FAC AUTH 2018B REFINANCE PURPOSE OF ISSUE DESCRIPTION WIS HTLTH & EDU FAC AUTH 2018A CONSTRUCTION FORM 990 - ORGANIZATION'S MISSION BETHANY LUTHERAN HOMES, INC. (THE ORGANIZATION) IS A BENEVOLENT CONTINUUM OF CARE RETIREMENT COMMUNITY COMPRISED OF NUMEROUS FACILITIES AND COMMUNITY OUTREACH PROGRAMS DESIGNED TO MEET THE CARE NEEDS OF THE ELDERLY AND DISABLED IN THE LA CROSSE, WI AREA. BETHANY IS A NON-PROFIT CORPORATION, EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) THROUGH ITS AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. FORM 990, PAGE 2, PART III, LINE 4D COMMUNITY OUTREACH PROGRAMS - PROVIDE AN ARRAY OF SERVICES TO THE COMMUNITY INCLUDING: FOOT CARE SERVICES - CERTIFIED AND LICENSED NURSE PROVIDING PEDICURE SERVICES TO RESIDENTS. INDEPENDENT LIVING APARTMENTS - 20 APARTMENTS PROVIDED 7,300 DAYS OF HOUSING FOR SENIORS IN HOLMEN, WI. FORM 990, PAGE 6, PART VI, LINE 6 THE ARTICLES OF INCORPORATION STATES, THE MEMBERSHIP OF THIS CORPORATION CONSISTS OF THE FOLLOWING TWO CLASSES OF VOTING MEMBERS: 1) PUBLIC MEMBERS, WHICH CONSISTS OF: A. ONE MEMBER OF THE CLERGY REPRESENTING EACH MEMBER CHURCH. B. NO MORE THAN TWO LAY DELEGATES APPOINTED BY EACH MEMBER CHURCH. C. MEMBERS OF THE BOARD OF DIRECTORS OF THIS CORPORATION WHO ARE NOT OTHERWISE DESIGNATED PUBLIC MEMBERS. 2) SYNOD MEMBERS, WHICH CONSISTS OF THE BISHOP OF THE LACROSSE SYNOD OF THE ELCA OR THE DESIGNEE OF THE SYNOD. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS CONSISTS OF NINE DIRECTORS ELECTED BY THE PUBLIC MEMBER CLASS AT THE CORPORATION'S ANNUAL MEETING. THE BOARD OF DIRECTORS SHALL BE VESTED WITH POWER TO GOVERN THE AFFAIRS OF THE CORPORATION. NOT LESS THAN ONE MEMBER OF THE BOARD OF DIRECTORS SHALL BE A MEMBER OF A MEMBER CHURCH BELONGING TO THE ELCA. EACH PUBLIC MEMBER DIRECTOR MAY SERVE A MAXIMUM OF THREE CONSECUTIVE THREE-YEAR TERMS. FORM 990, PAGE 6, PART VI, LINE 9 JOE ZOELLNER W5887 SOUTHDALE DR LA CROSSE, WI 54601 PETE HANSEN W5561 SOUTHDALE DR. LA CROSSE, WI 54601 SEAN O'FLAHERTY 2465 HACKBERRY LANE LA CROSSE, WI 54601 JOHN ROBINSON 2003 21ST PL. S. LA CROSSE, WI 54601 LEAH MUDLER 1803 ADAMS ST LA CROSSE, WI 54601 SARAH HAVENS 1141 SHOREWOOD DR. LA CROSSE, WI 54601 KENNA CHRISTIANS 4905 SILVER MORNING LN. LA CROSSE, WI 54601 MICHAEL FLANAGAN 925 KEITH PLACE ONALASKA, WI 54650 ANGELA STRANGEMAN 2550 MADISON PLACE LA CROSSE, WI 54601 LU CAGIN 1327 CASS ST LA CROSSE, WI 54601 DYANNE BRUDOS 2529 BAUMGARTNER DR LA CROSSE, WI 54601 FORM 990, PAGE 6, PART VI, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND CEO. FORM 990, PAGE 6, PART VI, LINE 12C ALL DIRECTORS, OFFICERS, AND MANAGEMENT PERSONNEL ARE REQUIRED TO READ THE CONFLICT OF INTEREST POLICY AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THIS POLICY IS REGULARILY FOLLOWED WITH INSTANCES INVOLVING BOARD MEMBERS AND POTENTIAL CONFLICTS OF INTEREST. SECTION 2.3 OF THE BY-LAWS STATES: A DIRECTOR WHO IS SUBJECT TO A CONFLICT OF INTEREST SHOULD REFRAIN FROM PARTICIPATING IN THE DECISION MAKING PROCESS, AND SHALL, IF REQUESTED BY THE PRESIDENT OR A MAJORITY OF THE BOARD, TEMPORARILY LEAVE THE MEETING IF HIS OR HER PRESENCE INHIBITS THE BOARD'S DISCUSSION. FORM 990, PAGE 6, PART VI, LINE 15A EACH YEAR THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS A PERFORMANCE REVIEW FOR THE CHIEF EXECUTIVE OFFICER. SALARY AND BENEFIT INFORMATION FROM THE LEADINGAGE AND LEADINGAGE WI ANNUAL SURVEY IS USED TO DETERMINE AN APPROPRIATE SALARY AND BENEFIT RANGE FOR THE CEO. THE EXECUTIVE COMMITTEE APPROVES ANY CHANGES TO THE CEO'S SALARY AND BENEFITS ON AN ANNUAL BASIS. THE PRESIDENT OF THE BOARD EXECUTES ANY COMPENSATION CHANGES IN A WRITTEN LETTER THAT IS GIVEN TO THE HUMAN RESOURCES DIRECTOR OF THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOR OTHER KEY EMPLOYEES IS SIMILAR TO THE RESPONSE DESCRIBED IN THE RESPONSE TO QUESTION 15A OF PART VI, SECTION B. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.