2022-08-23T10:46:58-05:00 2021-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2021-01-01 362167819 NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION NORW 7736314856 2833 N NORDICA AVE CHICAGO IL 60634 RICHARD STEFFENS CHIEF FINANCIAL OFFICER 7736314856 2022-08-17 1 RICHARD STEFFENS 999009999 CHAD D KUNZE CPA P00639380 6305738600 2022-08-17 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z BETHESDA REHAB AND SENIOR CARE MICHAEL TOOHEY 2833 N NORDICA AVE CHICAGO IL 60634 13672257 0 X WWW.BETHESDASENIORCARE.ORG X 1909 IL THE NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION WAS FOUNDED IN 1909 TO SERVE THE NEEDS OF THE ELDERLY POPULATION OF THE COMMUNITY. 8 8 218 0 0 0 2256893 1635486 10942402 12017676 0 1114 6787 17981 13206082 13672257 0 0 0 0 7387834 7708265 0 0 0 6754006 6157594 14141840 13865859 -935758 -193602 16003793 16218010 9896598 9899417 6107195 6318593 X A TOTAL OF 39,516 DAYS OF CARE WERE PROVIDED TO 263 DIFFERENT RESIDENTS IN 2021. THIS INCLUDES 2,022 DAYS OF CHARITY CARE (CARE PROVIDED AT NO COST) AND 16,573 DAYS COVERED BY MEDICAID. THE DAILY REIMBURSEMENT RECEIVED FOR A MEDICAID RESIDENT IS $140 TO $175 LESS THAN THE DAILY COST OF PROVIDING CARE. THIS CARE INCLUDES LONG TERM STAYS IN SKILLED NURSING AND SHELTERED CARE (SIMILAR TO ASSISTED LIVING), SHORT TERM RESPITE STAYS, AND SHORT TERM POST HOSPITAL REHAB CARE. SERVICES PROVIDED INCLUDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING (BATHING, DRESSING, EATING, GROOMING AND TOILETING), SKILLED NURSING SERVICES (INCLUDING WOUND CARE AND DISEASE MANAGEMENT), LAUNDRY AND HOUSEKEEPING SERVICES, EXERCISE PROGRAMS, ART, MUSIC AND GARDENING THERAPY, RELIGIOUS SERVICES, AND EDUCATIONAL PROGRAMS. 0 0 12943116 12035657 BETHESDA RETIREMENT HOME HAD A TOTAL OF 39,156 PATIENT SERVICE DAYS IN 2021. SERVICES PROVIDED INCLUDE COMPREHENSIVE IN-PATIENT REHABILITATION WHICH INCLUDE PHYSICAL, OCCUPATIONAL, SPEECH THERAPY, AND HOSPICE CARE. RESPITE CARE STAYS CAN RANGE FROM A MINIMUM OF FOUR WEEKS. RESPITE GUESTS RECEIVE THE SAME SERVICES PROVIDED TO NURSING FACILITY PATIENTS. INCLUDED IN THE ABOVE WAS 18,645 DAYS OF CARE FOR RESIDENTS ON PUBLIC ASSISTANCE. 12943116 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 1 0 0 0 0 0 1 0 0 0 1 13 0 1 218 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X X RICHARD STEFFENS 7735775334 6016 N NINA AVE CHICAGO IL 60631 GABRIELA RODIL CHAIRPERSON 1.00 2.00 X X 0 0 0 MICHAEL SCHAIK SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 DIRK DANKER DIRECTOR 1.00 2.00 X 0 0 0 MICHELE CALBI DIRECTOR 1.00 2.00 X 0 0 0 SUSAN KROLL DIRECTOR 1.00 1.00 X 0 0 0 RONALD NORENE DIRECTOR 1.00 1.00 X 0 0 0 ROBERT CHIOSTRI DIRECTOR 1.00 X 0 0 0 SUSIE CALHOUN DIRECTOR 1.00 X 0 0 0 MICHAEL TOOHEY CEO 15.00 35.00 X 0 370283 8700 RICHARD STEFFENS CFO 15.00 35.00 X 0 198807 13182 SILVIA MORICI COO 15.00 35.00 X 0 283109 13806 MARY JO BADE CORP CLINICAL SERV DIR 15.00 35.00 X 0 209125 10509 PETER LIM MARKETING DIRECTOR 15.00 35.00 X 0 127622 7697 JACINTA MCGEE EXECUTIVE DIRECTOR 15.00 35.00 X 120445 0 14726 ERIN CONLEY ADMINISTRATOR 50.00 X 106591 0 9520 227036 1188946 78140 2 0 1 0 CERES FOOD GROUP PO BOX 95338 CHICAGO IL 60694 DINING SERVICES 707677 JOINT & NEURO REHAB ASSOCIATES 10400 W HIGGINS RD ROSEMONT IL 60018 REHAB THERAPISTS 392945 SYMBRIA RX SERVICES 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 PHARMACY 367000 SYMBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 REHAB THERAPISTS 317418 4 1635486 1635486 MEDICARE REVENUE 623000 5421992 5421992 ROOM AND BOARD 623000 3534034 3534034 MEDICAID REVENUE 623000 3061650 3061650 12017676 1114 1114 MISCELLANEOUS REVENUE 623000 17981 17981 17981 13672257 12035657 0 1114 6793369 6793369 70359 70359 490325 490325 354212 354212 44030 44030 32223 32223 485355 485355 15004 15004 88218 88218 128309 128309 312616 312616 1319 1319 192042 192042 507598 507598 762791 762791 146850 146850 SUPPLIES FOR RESIDENTS 2482010 2482010 BAD DEBT 595466 595466 NURSING HOME TAX 173762 173762 EMPLOYEE RECRUITMENT 62703 62703 127298 127298 13865859 12943116 922743 0 668832 618329 2162977 1803561 164995 171463 42178 40337 72963 45384 23413770 11267817 12891502 12145953 346 1392983 16003793 16218010 1190317 1571703 1106896 1298685 5908919 5667753 1690466 1361276 9896598 9899417 X 6107195 6318593 6107195 6318593 16003793 16218010 X -193602 405000 X X 0 1 X 1 0 X 3695949 2256893 1635486 7588328 6224297 8373019 11182309 10942402 11874232 48596259 9920246 8373019 11182309 13199295 13509718 56184587 0 0 0 56184587 203158 864 1114 205136 203158 864 1114 205136 87520 6787 17981 112288 10123404 8373019 11270693 13206082 13528813 56502011 0.99440 0.99410 0.00360 0.00410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 940000 940000 20379771 9484294 10895477 2093999 1783523 310476 12145953 EMPLOYEE RETENTION CREDIT 1392983 1392983 NET SECURITY DEPOSITS 225450 ESTIMATED ASBESTOS OBLIGATION 130000 DUE TO RELATED PARTIES, NET 995317 PA TRUST STIPEND 10509 1361276 X PART X, LINE 2: THE ORGANIZATION UTILIZES A TWO-STEP APPROACH TO RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS. THE FIRST STEP IS TO EVALUATE THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF AVAILABLE EVIDENCE INDICATES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED ON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATION PROCESSES. THE SECOND STEP IS TO MEASURE THE TAX BENEFIT AS THE LARGEST AMOUNT, WHICH IS MORE THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF DECEMBER 31, 2021 AND 2020, THERE WERE NO LIABILITIES RECORDED FOR UNRECOGNIZED TAX BENEFITS RELATED TO TAX POSITIONS TAKEN IN THE CURRENT YEAR. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR TAX PERIODS PENDING OR IN PROGRESS. X X X 0 0 0 0 0 0 0 0 0 MICHAEL TOOHEY CEO 0 320283 0 50000 0 0 0 8700 0 0 0 378983 0 0 SILVIA MORICI COO 0 248109 0 35000 0 0 0 8700 0 5106 0 296915 0 0 MARY JO BADE CORP CLINICAL SERV DIR 0 199125 0 10000 0 0 0 7874 0 2635 0 219634 0 0 RICHARD STEFFENS CFO 0 188807 0 10000 0 0 0 4080 0 9102 0 211989 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 000000000 2015-12-15 7517000 NEW CONSTRUCTION AND REFUND ISSUE (3/23/12) 0 0 0 A 1829917 7517355 6961504 555851 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 1 1 0 0 0 0 A 1 SCHEDULE K, PART IV, LINE 2C 12/15/2015 7,517,000 ILLINOIS FINANCE AUTHORITY - ISSUER NAME: IL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 6/15/17 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS NECESSARY. NORWOOD MANAGEMENT COMPANY COMMON BOARD MEMBERS 507598 MANAGEMENT, HR, ACCOUNTING, AND MARKETING STAFF 0 FORM 990, PART VI, SECTION A, LINE 3 NORWOOD MANAGEMENT COMPANY PROVIDES STRATEGIC DIRECTION AND CRITICAL MANAGEMENT SERVICES INCLUDING EXECUTIVE, ADMINISTRATIVE, AND FINANCIAL FUNCTIONS TO NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWED THE 990 AND SHARES WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND IT IS DISTRIBUTED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS THE POLICY IS REVIEWED AND ALL BOARD MEMBERS AND KEY EMPLOYEES COMPLETE AN UPDATED CONFLICT OF INTEREST DISCLOSURE. ANY DISCLOSURES ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. AT EACH BOARD MEETING AND COMMITTEE MEETING, THE AGENDA IS REVIEWED BY ALL BOARD MEMBERS AND STAFF. ANY CONFLICT OF INTEREST IS DISCLOSED AND THOSE WITH A CONFLICT ARE NOT INVOLVED IN ANY DECISION MAKING REGARDING ITEMS OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION PARTICIPATES IN A WAGE AND BENEFIT SURVEY CONDUCTED BY OUR STATE ASSOCIATION (LEADING AGE ILLINOIS), THIS DATA IS USED TO DETERMINE THE COMPENSATION FOR MANAGEMENT AND KEY OFFICIALS. THE GOAL IS TO BE WITHIN 10% OF THE MID POINT OF COMPENSATION FOR OUR GEOGRAPHIC AREA. 990S OF OTHER ORGANIZATIONS WITHIN OUR INDUSTRY ARE ALSO REVIEWED FOR COMPENSATION DATA. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE CEO'S SALARY. OTHER MANAGEMENT AND KEY OFFICIAL SALARIES ARE INCLUDED IN THE BUDGET WHICH IS APPROVED BY THE BOARD OF DIRECTORS AND REVIEWED IN DETAIL BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 SUMMARY FINANCIAL INFORMATION IS INCLUDED IN THE ORGANIZATION'S ANNUAL REPORT. AUDITED FINANCIAL STATEMENTS ARE PROVIDED TO ANY PARTY WHO MAKES A REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AND DISTRIBUTED TO ANY PARTY WHO MAKES AN INQUIRY. TAX RETURNS ARE AVAILABLE ON GUIDESTAR AND PROVIDED TO ANYONE WHO MAKES A REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS FROM NORWOOD LIFE CARE FOUNDATION 405,000. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. NORWOOD CROSSING ASSOCIATION 6016 N NINA AVE CHICAGO IL 60631 362170882 NURSING HOME IL 501(C)(3) LINE 10 NORWOOD LIFE SOCIETY 0 NORWOOD LIFE CARE FOUNDATION 6016 N NINA AVE CHICAGO IL 60631 363558526 FUNDRAISING IL 501(C)(3) LINE 12A, I NORWOOD LIFE SOCIETY 0 NORWOOD LIFE SOCIETY 6016 N NINA AVE CHICAGO IL 60631 562663863 SENIOR SERVICES IL 501(C)(3) LINE 12B, II N/A 0 NORWOOD SENIORS NETWORK ASSOCIATION 6016 N NINA AVE CHICAGO IL 60631 412193776 IN HOME SERVICES TO SENIORS IL 501(C)(3) LINE 10 NORWOOD LIFE SOCIETY 0 NORWOOD BUSINESS VENTURES 6016 N NINA AVE CHICAGO IL 60631 208322003 REAL ESTATE IL NORWOOD LIFE CARE FOUNDATION C 0 NORWOOD MANAGEMENT COMPANY 6016 N NINA AVE CHICAGO IL 60631 900434072 MANAGEMENT SERVICES IL NORWOOD LIFE SOCIETY C 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 0 0 NORWOOD MANAGEMENT COMPANY O 507598 ACTUAL EXPENSES NORWOOD MANAGEMENT COMPANY E 1168460 ACCOUNTING RECORDS