2022-11-10T12:01:32-06:00 2021-12-31 871438555 RYUN GIVENS & COMPANY PC 2900 100TH STREET SUITE 303 URBANDALE IA 50322 990 2021-01-01 420752685 BARTELS LUTHERAN HOME BART 3193524540 1922 5TH AVE NW WAVERLY IA 50677 PAULA GEISE PRESIDENT & CEO 3193524540 2022-11-10 1 PAULA GEISE 999009999 KATHY A FRENCH P02443093 5152253141 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z BARTELS LUTHERAN RETIREMENT COMMUNITY PAULA GEISE 1922 5TH AVE NW WAVERLY IA 50677 12251707 0 9386 X WWW.BARTELSCOMMUNITY.ORG X 1950 IA BARTELS LUTHERAN RETIREMENT COMMUNITY OFFERS MULTILEVEL RETIREMENT LIVING OPTIONS AND ENHANCES LIVES THROUGH QUALITY SERVICES AND CHRISTIAN CARE. 9 9 319 90 0 0 2913549 714891 11905206 11222484 224820 314332 0 0 15043575 12251707 0 0 0 0 8298975 7644332 0 0 0 5191656 5293020 13490631 12937352 1552944 -685645 42469243 42494950 31271913 32030652 11197330 10464298 BARTELS LUTHERAN RETIREMENT COMMUNITY OFFERS MULTILEVEL RETIREMENT LIVING OPTIONS AND ENRICHES LIVES THROUGH QUALITY SERVICES AND CHRISTIAN CARE. 0 0 11261634 11222484 BARTELS LUTHERAN HOME PROVIDES A CONTINUUM OF CARE INCLUDING A TOTAL OF 120 LICENSED NURSING BEDS WHICH INCLUDE 30 CCDI BEDS. IN ADDITION THERE ARE 50 ASSISTED LIVING AND 108 INDEPENDENT LIVING UNITS. 11261634 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 53 0 1 319 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X X PEGGY ZUMBACH 3193524540 1922 5TH AVE NW WAVERLY IA 50677 REV MARK ANDERSON CHAIR 2.00 X X 0 0 0 FRED WALDSTEIN VICE CHAIR 2.00 X X 0 0 0 BOB BRUNKHORST SECRETARY/TREASURER 2.00 X X 0 0 0 PAM BRICKMAN DIRECTOR 2.00 X 0 0 0 BEAU BUCHOLZ DIRECTOR 2.00 X 0 0 0 KATIE SCHWARTZ DIRECTOR 2.00 X 0 0 0 SUSAN WHITSON DIRECTOR 2.00 X 0 0 0 STEVE CORSON DIRECTOR 2.00 X 0 0 0 REGINALD GREEN DIRECTOR 2.00 X 0 0 0 PEGGY ZUMBACH CFO 40.00 X 60855 0 10255 PAULA GEISE PRESIDENT/CEO 40.00 X 173408 0 37490 VERONICA SHEA ADMINISTRATOR 40.00 X 106322 0 4832 BROOKE HOLMES ADON 36.00 X 104268 0 14399 444853 0 66976 3 0 1 0 CEDAR VALLEY BUILDING SUPPLY 431 EAST DUNKERTON RD DUNKERTON IA 50626 CONSTRUCTION MATERIAL 458855 NORTHERN IOWA THERAPY 217 EAST BREMER AVE WAVERLY IA 50677 THERAPY SERVICES 458513 STEEGE CONSTRUCTION 2601 EASTON AVE WAVERLY IA 50677 SUB CONTRACTOR 355155 GRAPE TREE MEDICAL STAFFING LLC 1003 23RD ST MILFORD IA 51351 STAFFING 213851 CRYSTAL HEATING AND PLUMBING 1210 W BREMER AVE WAVERLY IA 50677 MAINTENANCE 186848 9 280000 229506 205385 714891 ROUTINE SERVICES 623000 11222484 11222484 11222484 314332 314332 12251707 11222484 0 314332 X 307297 307297 6171933 5514709 657224 697014 566294 130720 468088 400544 67544 1493219 1282383 210836 15024 15024 772001 729547 42454 310591 310591 1464464 1464464 198830 66881 131949 SUPPLIES 876289 865272 11017 OTHER 162602 60949 101653 12937352 11261634 1675718 0 2705918 1846958 7218878 7416189 25914 4179 566390 389913 207746 243074 50395025 18327093 31144738 32067932 599659 526705 42469243 42494950 2173181 2024264 21117146 22835274 7981586 7171114 31271913 32030652 X 10685062 9923689 512268 540609 11197330 10464298 42469243 42494950 -685645 -47387 0 X X 0 1 X 1 0 X 1211054 556264 373295 503538 714891 3359042 11827489 11074030 12616263 11905206 11222484 58645472 13038543 11630294 12989558 12408744 11937375 62004514 69629 69629 0 69629 69629 61934885 159261 108053 177944 224820 314332 984410 159261 108053 177944 224820 314332 984410 13197804 11738347 13167502 12633564 12251707 62988924 0.98330 0.98410 0.01560 0.01360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 512268 199111 1443 172213 540609 489599 161599 2370 141300 512268 442900 129939 3424 86664 489599 771088 118873 1116 448177 442900 1406584 690780 1165 1327441 771088 0 0 1881847 1881847 48513178 18327093 30186085 32067932 X PART V, LINE 4: THE ENDOWMENT FUNDS HAVE BEEN ESTABLISHED FOR EMPLOYEE SCHOLARSHIPS. PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE ACCOUNTING STANDARD REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS". THIS STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ENTITY'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE ADOPTION OF THIS STANDARD HAD NO MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOW. X X X X X 0 0 0 0 0 0 0 0 0 PAULA GEISE PRESIDENT/CEO 159808 0 13600 0 0 0 6146 0 31344 0 210898 0 0 0 A IOWA FINANCE AUTHORITY 521699886 2015-11-18 8595000 REFINANCE OF 2005 BONDS 1 1 0 B IOWA FINANCE AUTHORITY 521699886 2016-10-14 3555000 REFINANCE OF 2005 BONDS 1 1 0 A 2967057 8595000 164497 8430503 1 0 1 1 B 1101283 3555000 3555000 1 0 1 1 A 0 1 0 0 0.00100 0.00100 0 0 0 B 0 1 0 0 0.00100 0.00100 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 A 0 B 0 FORM 990, SCHEDULE K, PART III LINE 2 THE ORGANIZATION LEASES SPACE IN ITS FACILITY TO TWO BEAUTICIANS AND RECEIVES RENTAL INCOME OF $275 PER MONTH/EACH. THE SMALL AMOUNT OF SQUARE FOOTAGE AND RENTAL INCOME ARE CONSIDERED TO BE INSIGNIFICANT. SCHEDULE K, PART III, LINE 4 THE ORGANIZATION HAS LEASED AN INSIGNIFICANT AMOUNT OF SQUARE FOOTAGE TO TWO BEAUTICIANS WHO PROVIDE BEAUTICIAN SERVICES TO RESIDENTS OF BARTELS LUTHERAN HOME. THIS LEASE QUALIFIES AS PRIVATE BUSINESS USE OF A FACILITY FINANCED BY TAX EXEMPT BONDS. FORM 990, SCHEDULE K, PART III LINE 9 AND PART V THE ORGANIZATION IS IN THE PROCESS OF WORKING WITH THEIR BOND COUNSEL TO ADOPT WRITTEN PROCEDURES. HAILEY SCHMITZ DAUGHTER OF CURRENT PRESIDENT/CEO 13821 CNA 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS MADE UP OF MEMBER CORPORATE CHURCHES. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS MADE UP OF MEMBER CORPORATE CHURCHES WHO SEND DELEGATES FROM THEIR RESPECTIVE CONGREGATIONS TO THE ANNUAL MEETING. THE DELEGATES APPROVE AND INSTALL THE BOARD OF DIRECTORS AND MEMORIAL FOUNDATION TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B EACH BOARD MEMBER WILL RECEIVE AN ELECTRONIC COPY OF FORM 990 FOR THEIR REVIEW PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL DISCLOSURE OF CONFLICT OF INTEREST AND REQUIREMENT TO NOTIFY. BOARD MEMBERS ABSTAIN FROM VOTING ON MOTIONS THAT REPRESENT A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD SETS COMPENSATION FOR THE CEO BASED UPON PERFORMANCE, MERIT, AND LEADING AGE STATE AND NATIONAL SALARY SURVEY COMPARISONS. THE CEO DETERMINES COMPENSATION FOR OTHER KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC AS REQUIRED UPON REQUEST. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE GUIDESTAR WEBSITE AND AT WWW.BARTELSCOMMUNITY.ORG FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,142,200. MANAGEMENT AND GENERAL EXPENSES 4,749. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,146,949. OTHER EMPLOYEE RELATED: PROGRAM SERVICE EXPENSES 140,183. MANAGEMENT AND GENERAL EXPENSES 36,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,796. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 169,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,474. FORM 990. PART XI, LINE 2C THE BOARD OF DIRECTORS ARE RESPONSIBLE FOR THE FINANCIAL STATEMENTS AND THE AUDIT OF THE ORGANIZATION. THE BOARD IS ALSO RESPONSIBLE FOR SELECTING THE INDEPENDANT AUDITORS TO PERFORM THE AUDIT. THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR. BARTELS LUTHERAN HOME MEMORIAL FOUNDATION 1922 5TH AVENUE NW WAVERLY IA 50677 421251643 SUPPORT BARTELS LUTHERN HOME IA 501(C)(3) LINE 12A, I 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BARTELS LUTHERAN HOME MEMORIAL FOUNDATION C 280000 ACCORDING TO POLICY