2022-08-15T17:05:14-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 600 WASHINGTON AVENUE SUITE 1800 ST LOUIS MO 63101 990 2020-10-01 430730924 MENNONITE HOME ASSOCIATION INC MENN 5732216000 2500 PLEASANT STREET HANNIBAL MO 63401 KERRI LAUTERBACH CHIEF EXECUTIVE OFFICER 5732216000 2022-08-12 1 KERRI LAUTERBACH 999009999 AMBER ROGNAN-HAMILTON P01251012 3149254300 2022-08-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KERRI LAUTERBACH 2500 PLEASANT STREET HANNIBAL MO 63401 8523603 0 X WWW.BETHAVEN.ORG X 1957 MO MENNONITE HOME ASSOCIATION PROVIDES QUALITY CARE IN A SUPPORTIVE CHRISTIAN COMMUNITY. 8 8 205 30 0 0 451564 706623 7950200 7662592 73203 12295 90263 86093 8565230 8467603 0 0 0 0 4492784 4726115 0 0 0 4576577 4272616 9069361 8998731 -504131 -531128 6449991 5824256 3657668 3489423 2792323 2334833 X PROVIDE QUALITY CARE IN A SUPPORTIVE CHRISTIAN COMMUNITY. 1 0 6434746 0 6159989 BETH HAVEN NURSING HOME IS A 105 BED SKILLED NURSING FACILITY THAT IS HOME TO THOSE WHO NEED SHORT OR LONG-TERM CARE. FOR SOME, IT'S A SHORT STAY WHILE THEY REHABILITATE FOLLOWING HOSPITALIZATION. FOR OTHERS, IT'S A DECISION TO LIVE HERE AS A PERMANENT RESIDENT BECAUSE THEY NEED ROUND THE CLOCK ASSISTANCE, MEDICAL ATTENTION OR SECURITY. OUR ENTIRE FACILITY IS MEDICARE AND MEDICAID CERTIFIED. OUR PRIMARY CARE NURSING PROGRAM ENSURES THAT OUR STAFF CARE FOR THE SAME RESIDENT AND TRULY COME TO KNOW THEIR NEEDS AND DESIRES.OUR HEALTHCARE STAFF COMBINE WITH LICENSED THERAPISTS IN PHYSICAL, OCCUPATIONAL AND SPEECH PATHOLOGY TO TAILOR EACH PLAN OF CARE TO THE RESIDENT'S SPECIFIC NEEDS WITH A GOAL OF ATTAINING THE HIGHEST LEVEL OF FUNCTION POSSIBLE. 1340684 0 1283438 BETH HAVEN'S PLEASANT VIEW ASSISTED LIVING IS PERFECT FOR INDIVIDUALS WHO ARE CAPABLE OF LIVING INDEPENDENTLY WITH SOME ASSISTANCE AND SUPERVISION. IF YOU ARE SEEKING AN ENHANCED LEVEL OF HEALTH AND WELL-BEING THROUGH READY ACCESS TO SERVICES, GENTLE ENCOURAGEMENT, MOTIVATION AND REASSURANCE FROM OUR 24-HOUR STAFF, PLEASANT VIEW IS THE NEIGHBORHOOD FOR YOU.IN PLEASANT VIEW, LIFE IS ABOUT PROVIDING EACH RESIDENT WITH AS MUCH INDIVIDUALITY AS POSSIBLE. THE RESIDENTIAL-STYLE SETTING FOSTERS A SENSE OF COMMUNITY, WHERE FAMILY AND FRIENDS ARE ALWAYS WELCOME. INDIVIDUALS CAN SELECT FROM TWO FLOOR PLANS AND ARE ENCOURAGED TO BRING THEIR FAVORITE FURNISHINGS TO PERSONALIZE THEIR RESIDENCE.ACTIVITIES AT BETH HAVEN PROMOTE PERSONAL GROWTH. WE BELIEVE THAT SENIORS NEVER STOP GROWING AND LEARNING, AND WE TAKE CARE TO HELP THEM CONTINUE THEIR PERSONAL JOURNEY. 0 0 219165 MANAGEMENT FEES AND REIMBURSEMENTS FOR CERTAIN MANAGEMENT EMPLOYEES FOR SERVICES PERFORMED FOR BETH HAVEN GROUP HOMES AND BETH HAVEN TERRACE. 7775430 1 1 0 0 0 0 0 0 1 0 1 0 0 0 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 0 0 1 0 0 0 1 20 0 205 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KERRI LAUTERBACH 5732216000 2500 PLEASANT STREET HANNIBAL MO 63401 RACHEL SHEPHERD DIRECTOR 0.50 1.50 X 0 0 0 PHIL SMITH CHAIRMAN 0.50 1.50 X X 0 0 0 PAUL RICHARDS TREASURER 0.50 1.50 X X 0 0 0 CONNIE BENSON DIRECTOR 0.50 1.50 X 0 0 0 CAROL HARVEY DIRECTOR (TERM ENDED) 0.50 1.50 X 0 0 0 SHARON MOORE DIRECTOR 0.50 1.50 X 0 0 0 MARK ALBEE DIRECTOR 0.50 1.50 X 0 0 0 STEWART MCINTYRE DIRECTOR 0.50 1.50 X 0 0 0 BILL BAKER DIRECTOR 0.50 1.50 X 0 0 0 PAUL EWERT PAST CEO, ASSISTANT SECRETARY 30.00 10.00 X 89844 0 16986 KERRI LAUTERBACH CEO 30.00 10.00 X 29376 0 0 119220 0 16986 0 0 0 0 FRESH IDEAS 3320 VANDIVER DRIVE COLUMBIA MO 65202 DIETARY SERVICES 1112060 EUROFINS VIRACOR 1001 NW TECHNOLOGY DR LEES SUMMIT MO 64086 COVID TESTING AND PROCESSING 397800 AEGIS THERAPY PO BOX 936653 ATLANTA GA 311936653 THERAPY SERVICES 346076 3 702710 3913 706623 SKILLED NURSING HEALTH 623000 6159989 6159989 INDEPENDENT & ASSISTED 623000 1283438 1283438 MANAGEMENT FEES 561499 219165 219165 7662592 11212 11212 21540 0 21540 21540 21540 57083 56000 1083 1083 1083 MEAL INCOME 722320 32695 32695 TRANSPORTATION INCOME 480000 14160 14160 MISC INCOME 900099 14128 14128 3570 3570 64553 8467603 7662592 0 98388 X 64965 64965 3518421 3113091 405330 17102 16011 1091 844636 790759 53877 280991 263068 17923 59844 53860 5984 11531 11531 64450 64450 1547705 1426920 120785 35573 35573 1129481 980189 149292 261296 247752 13544 10823 10823 6563 1890 4673 103070 97728 5342 280456 265919 14537 142457 142457 NFRA MONTHLY FEE 458060 458060 BAD DEBTS 60183 60183 MISCELLANEOUS 45661 45661 DUES & SUBSCRIPTIONS 43137 43137 12326 12326 8998731 7775430 1223301 0 32770 53953 1258265 1118133 570621 372828 70248 52316 184845 187742 10791529 6809834 4215495 3981695 56426 0 61321 57589 6449991 5824256 801612 794559 167702 0 22767 22358 2025992 1786400 639595 886106 3657668 3489423 X 2792323 2334833 2792323 2334833 6449991 5824256 -531128 73638 0 X X 0 0 0 X 5649 31232 6228 451564 706623 1201296 7179751 7508478 8034947 7950200 7662592 38335968 7185400 7539710 8041175 8401764 8369215 39537264 0 0 0 39537264 48626 38524 41033 37864 32752 198799 48626 38524 41033 37864 32752 198799 59168 70404 83624 70063 64553 347812 7293194 7648638 8165832 8509691 8466520 40083875 0.98640 0.98580 0.00500 0.00530 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS - 2016 AMOUNT: $ 13,267. 2017 AMOUNT: $ 15,506. 2018 AMOUNT: $ 19,930. 2019 AMOUNT: $ 7,004. 2020 AMOUNT: $ 14,128. TRANSPORTATION - 2016 AMOUNT: $ 8,808. 2017 AMOUNT: $ 12,218. 2018 AMOUNT: $ 14,721. 2019 AMOUNT: $ 13,014. 2020 AMOUNT: $ 14,160. MEAL/VENDING - 2016 AMOUNT: $ 34,108. 2017 AMOUNT: $ 39,335. 2018 AMOUNT: $ 45,523. 2019 AMOUNT: $ 44,105. 2020 AMOUNT: $ 32,695. LAUNDRY INCOME - 2016 AMOUNT: $ 2,985. 2017 AMOUNT: $ 3,345. 2018 AMOUNT: $ 3,450. 2019 AMOUNT: $ 3,945. 2020 AMOUNT: $ 3,570. MANAGEMENT SALARY INCOME - 2019 AMOUNT: $ 1,995. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 171565 171565 8992194 5477883 3514311 562293 390558 171735 1065477 941393 124084 3981695 DUE TO AFFILIATES 805960 SECURITY DEPOSITS 9785 ASSET RETIREMENT OBLIGATION 70361 886106 PART IV, LINE 2B: THE ASSOCIATION MAINTAINS SAVINGS ACCOUNTS ON BEHALF OF CERTAIN RESIDENTS. THE ASSOCIATION ACTS AS TRUSTEE OF THESE FUNDS WHICH ARE MAINTAINED FOR THE PERSONAL USE OF THOSE RESIDENTS. THE FUNDS ARE EXPENDED AT THE DIRECTION OF THE RESIDENTS. FORM 990, PART III, LINE 2 THE RELATED FOR-PROFIT ENTITY BETH HAVEN MANAGEMENT SERVICES DISSOLVED AND MENNONITE HOME ASSOCIATION BECAME THE MANAGEMENT COMPANY AND RECEIVES A MANAGEMENT FEE AND REIMBURSEMENT FOR CERTAIN MANAGEMENT EMPLOYEES FOR SERVICES PERFORMED FOR BETH HAVEN GROUP HOMES AND BETH HAVEN TERRACE. FORM 990, PART VI, SECTION A, LINE 1 ORGANIZATION HAS AN EXECUTIVE COMMITTEE TO THE FULL BOARD. EXECUTIVE COMMITTEE PROPOSES NEW DIRECTORS FOR THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE MANAGEMENT AND BOARD OF DIRECTORS WILL BE PROVIDED A DRAFT OF THE 990 FOR REVIEW PRIOR TO BEING FILED. THE BOARD WILL AGAIN REVIEW IT AT THE NEXT REGULAR MEETING FOLLOWING THE FILING. MANAGEMENT WILL REVIEW IT WITH THE BOARD WHERE THEY WILL RECEIVE A SUMMARY DURING THE MEETING AND PROVIDED A COPY FOR REVIEW ON THEIR OWN. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, IN JANUARY THE BOARD OF DIRECTORS AND KEY MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS OF INTEREST. THESE POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED TO THE ENTIRE BOARD. DURING A BOARD MEETING IF A POTENTIAL CONFLICT OF INTEREST ARISES THE BOARD MEMBER IS TO DISCLOSE THE POTENTIAL CONFLICT AND REMOVE THEMSELVES FROM THE BOARD DISCUSSION AND VOTING. FORM 990, PART VI, SECTION B, LINE 15 PRIOR TO HIRING AN AREA WIDE REVIEW OF COMPARABLE POSITIONS IS CONDUCTED. ANNUALLY A SURVEY OF NORTHEAST MISSOURI NURSING HOMES IS CONDUCTED TO COMPARE SIMILAR POSITIONS. DURING THE ANNUAL REVIEW AN EVALUATION OF CURRENT MARKET CONDITIONS, COMPARABLE POSITIONS, AND FACILITY OPERATIONAL FORECASTS ARE CONSIDERED IN DETERMINING COMPENSATION. SALARY LEVELS FOR OFFICERS AND KEY EMPLOYEES ARE SET BY THE BOARD OF DIRECTORS. THIS PROCESS WAS LAST UNDERTAKEN IN 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G DIETARY: PROGRAM SERVICE EXPENSES 609,302. MANAGEMENT AND GENERAL EXPENSES 33,308. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 642,610. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 12,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,000. LAB/PHARMACY/THERAPY: PROGRAM SERVICE EXPENSES 430,739. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 430,739. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 374,879. MANAGEMENT AND GENERAL EXPENSES 87,477. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 462,356. FORM 990, PAGE 12, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FROM THE PRIOR YEAR. BETH HAVEN GROUP HOMES 2518 PLEASANT ST HANNIBAL MO 63401 431580486 HOME FOR HANDICAPPED MO 501(C)(3) PF N/A 0 BETH HAVEN TERRACE 901 CENTRAL AVE HANNIBAL MO 63401 431162094 ELDERLY APARTMENTS MO 501(C)(3) LINE 10 N/A 0 0 0 0 1 1 0 0 0 0 1 0 0 1 1 1 1 1 0 0