2021-11-12T12:05:00-06:00 2020-12-31 871438555 RYUN GIVENS & COMPANY PC 2900 100TH STREET SUITE 303 URBANDALE IA 50322 990 2020-01-01 420685073 BETHANY MANOR INC BETH 5157334325 212 LAFAYETTE AVENUE STORY CITY IA 502481454 JEREMY ALLMAN BOARD CHAIR 5157334325 2021-11-09 1 JEREMY ALLMAN 999009999 KATHY FRENCH CPA P00299230 5152253141 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BETHANY LIFE COMMUNITIES JEREMY ALLMAN 212 LAFAYETTE AVENUE STORY CITY IA 502481454 18084669 0 X WWW.BETHANYLIFE.ORG X 1914 IA HELP ELDERS THRIVE IN THEIR LIFE JOURNEY, LIVING IN A CHRISTIAN ENVIRONMENT OF HOPE & COMPASSION. 9 9 424 0 0 0 161166 586969 16192281 17377088 102349 120612 0 0 16455796 18084669 0 0 0 0 9649035 10185781 0 0 0 7248272 7452868 16897307 17638649 -441511 446020 33170555 35482964 30285112 32000400 2885443 3482564 TO HELP ELDERS THRIVE IN THEIR LIFE JOURNEY, LIVING IN A CHRISTIAN ENVIRONMENT OF HOPE AND COMPASSION. 0 0 15445015 17377088 PROVIDED SKILLED NURSING AND NURSING FACILITY LEVELS OF CARE FOR APPROX 50,000 BED DAYS WITHIN THE HOUSEHOLDS OF BETHANY. THE HOUSEHOLDS OF BETHANY CONSIST OF 9 HOUSEHOLDS, DESIGNED TO FEEL LIKE HOME EACH WITH A LIVING AREA, DINING ROOM AND KITCHEN. 2 OF THE 9 HOUSEHOLDS PROVIDED MEMORY CARE. RESIDENTS WERE ALSO PROVIDED REHABILITATION SERVICES, THE OPPORTUNITY TO PARTICIPATE IN DAILY ACTIVITIES AND ACCESS TO A FULL-TIME CHAPLAIN. TIMBERLAND VILLAGE CONSISTS OF 24 ASSISTED LIVING UNITS AND 36 INDEPENDENT LIVING UNITS. PROVIDED RESIDENTS WITH ASSISTED LIVING SERVICES, MEALS, TRANSPORTATION, ACTIVITIES AND CHAPLAIN SERVICES. ALSO PROVIDED INDEPENDENT LIVING THROUGH THE TWIN HOMES WHICH ARE MADE UP OF 12 UNITS. THE LIFECHOICES AT BETHANY PROGRAM PROVIDED SERVICES TO MEMBERS THAT FOCUSED ON WELLNESS AND INDEPENDENCE. EACH MEMBER HAS A PERSONAL ADVOCATE THAT PROVIDED THEM WITH ACCESS TO THE FOLLOWING SERVICES AS NEEDED: WELLNESS AND EDUCATION, HOME AND COMMMUNITY-BASED SERVICES, HOSPITALITY AND ENIRONMENTAL SERVICES AND NURSING HOME AND ASSISTED LIVING SERVICES. 15445015 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 70 0 424 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 BETHANY MANOR INC 5157334325 212 LAFAYETTE AVENUE STORY CITY IA 50248 JEREMY ALLMAN BOARD CHAIR 1.00 X X 0 0 0 BETH FRANDSEN SECRETARY 1.00 X X 0 0 0 NATHANIEL BOTHWELL DIRECTOR 1.00 X 0 0 0 BRIAN SANGAARD TREASURER 1.00 X X 0 0 0 DAN LUNDY DIRECTOR 1.00 X 0 0 0 JAMES CHEVALIER VICE CHAIR 1.00 X X 0 0 0 PHYLLIS FEVOLD DIRECTOR 1.00 X 0 0 0 DR PETER MARTIN DIRECTOR 1.00 X 0 0 0 PR JOHN SHEAHAN DIRECTOR 1.00 X 0 0 0 BETSY WARBURTON CEO 40.00 X 194103 0 26154 ERIN HOVERSTEN-MAJEWSKI DIRECTOR OF REHABILITATION 40.00 X 126248 0 9680 320351 0 35834 2 0 1 0 REHABCARE PO BOX 503534 ST LOUIS MO 63150 REHABILITATION 828981 1 466624 120345 586969 ROUTINE CARE SERVICES 623000 16737053 16737053 ANCILLARY SERVICES 623000 640035 640035 17377088 120612 120612 18084669 17377088 0 120612 X 194103 194103 8561509 7737779 823730 795487 687399 108088 634682 561994 72688 2081556 1626887 454669 159900 159900 717639 609640 107999 713144 713144 1721382 1721382 187238 81820 105418 SUPPLIES 1453034 1433593 19441 MISCELLANEOUS 418975 271377 147598 17638649 15445015 2193634 0 1802890 5161076 2857176 3105713 1242154 1023679 59949 73799 172151 234109 43827126 18691867 26488188 25135259 548047 749329 33170555 35482964 1254967 1784529 4842228 4917950 24187917 25297921 30285112 32000400 X 2885443 3482564 2885443 3482564 33170555 35482964 446020 151101 0 X X 0 1 X 1 0 X 296744 159781 189283 161166 586970 1393944 15643022 16579084 16908152 16192281 17377088 82699627 15939766 16738865 17097435 16353447 17964058 84093571 0 0 0 84093571 41897 88814 105400 102349 120612 459072 41897 88814 105400 102349 120612 459072 15981663 16827679 17202835 16455796 18084670 84552643 0.99460 0.99520 0.00540 0.00480 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 226226 226226 43600900 18691867 24909033 25135259 X PART X, LINE 2: THE ORGANIZATION 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 0 0 0 0 0 0 0 0 0 BETSY WARBURTON CEO 184103 0 10000 0 0 0 4332 0 21822 0 220257 0 0 0 PART I, LINE 3 THE REVIEW OF THE CEO IS PERFORMED BY THE FULL BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE USES A COMPARATIVE ANALYSIS OF CEO'S SALARIES TO SET THE ANNUAL SALARY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBER CHURCHES THAT SUPPORT THE ORGANIZATION'S MISSION. THEY PROVIDE SOME FINANCIAL SUPPORT, BUT ARE NOT REQUIRED TO GIVE FINANCIAL SUPPORT. THE MEMBER CHURCHES ARE EACH ALLOWED TO SEND DELEGATES, NUMBER BASED ON THE FORMULA SET OUT IN THE ARTICLES OF INCORPORATION AND BYLAWS, TO THE ANNUAL MEETING. THE MEMBER CHURCHES ARE NOT INVOLVED IN THE DAY TO DAY OPERATIONS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER CHURCHES SEND DELEGATES TO THE ANNUAL MEETING AND AT THE ANNUAL MEETING THE DELEGATES VOTE ON THE BOARD OF DIRECTOR NOMINEES. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PRESENTED TO THE CEO AND THE ENTIRE BOARD OF DIRECTORS FOR REVIEW BEFORE ITS SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION EMPLOYS AN INTEGRITY OFFICER, WHO THROUGH PERIODIC REVIEWS OF PERSONNEL AND RECORDS MONITORS COMPLIANCE. THE RESULTS OF REVIEWS ARE BROUGHT BEFORE THE INTEGRITY COMMITTEE FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE REVIEW OF THE CEO IS PERFORMED BY THE FULL BOARD OF DIRECTORS. THE BOARD EVALUATES THE CEO USING AN EVALUATION TOOL AND CONSIDERS PERFORMANCE. THE GOVERNANCE COMMITTEE USES A COMPARATIVE ANALYSIS OF CEO'S SALARIES TO SET THE SALARY. EVALUATION OF OTHER OFFICERS ARE PERFORMED BY THE CEO ON A YEARLY BASIS AND DIRECT REPORTS ARE USED IN THE EVALUATION PROCESS. SALARIES ARE ESTABLISHED THROUGH PERFORMANCE AND A WAGE ANALYSIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 392,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 392,470. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,626,887. MANAGEMENT AND GENERAL EXPENSES 62,199. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,689,086. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR OVERSEEING THE ANNUAL AUDIT, AND IS ALSO RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDITOR. THIS PROCESS IS UNCHANGED FROM THE PRIOR YEAR. LIFECHOICES AT BETHANY LLC 212 LAFAYETTE AVE STORY CITY IA 50248 811856881 LIFECARE SERVICES IN MEMBERS' HOMES IA 1167725 3105713 BETHANY MANOR INC BETHANY MANOR FOUNDATION INC 212 LAFAYETTE AVENUE STORY CITY IA 50248 396707107 SUPPORT THE OPERATIONS AND ACTIVITIES OF BETHANY MANOR,INC. IA 501(C)(3) LINE 12A, I 0 CEDAR PLACE INC 212 LAFAYETTE AVENUE STORY CITY IA 50248 421164744 TO PROVIDE AFFORDABLE HOUSING TO THE ELDERLY AND DISABLED PERSONS IA 501(C)(3) LINE 10 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 BETHANY FOUNDATION C 120345