2020-08-17T14:21:54-05:00 2019-09-30 363990892 Capin Crouse LLP 2435 Research Parkway STE 200 Colorado Springs CO 80920 990 2018-10-01 452666295 BSLC II BSLC 7194810100 15475 Gleneagle Drive Colorado Springs CO 80921 Nathan Merrill CFO, Treasurer & Director 7194810100 2020-08-17 1 Ted R Batson Jr P00721951 7195286225 139.146.132.42 2020-08-17 15:21:46 ED P 3B22AEBB775B2DF5D3639CF1FD83C4344C094DD6 557F32CED3C470A97B4A6F87E4A3F249CFFC2454 2018 2020-09-23 17:36:50Z Bethesda Senior Living Communities Dana Rasic 15475 Gleneagle Drive Colorado Springs CO 80921 39808853 0 X www.bethesdaseniorliving.com X 2011 NE To serve seniors by enriching their physical, emotional and spiritual health in our communities. 9 3 0 69 0 0 1813 5310 34808312 35948726 8498 275426 178307 195908 34996930 36425370 467768 1618052 0 0 13060993 13128428 0 0 0 17756004 20611767 31284765 35358247 3712165 1067123 60666405 100757856 58911266 97343436 1755139 3414420 To serve seniors by enriching their physical, emotional, and spiritual health in a nurturing environment at our communities. Our Vision: To expand outreach and service to as many communities as God wills through expansion, acquisition, management contracts, and programming. 0 0 29828540 1618052 35465645 Development and operation of tax exempt assisted living communities, independent living communities, and memory care facilities for seniors in Colorado, Texas, and Missouri. Cared for an average of 753 residents during the fiscal year ended 9/30/2019. 29828540 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 103 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 3 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Nathan Merrill 7194810100 15475 Gleneagle Drive Colorado Springs CO 80921 X Dana Rasic VP (part year), President & Director 8.00 50.00 X X 0 314811 37334 Larry Smith President (part year), VP & Director 18.00 30.00 X X 0 246648 9959 Nathan Merrill CFO, Sec.(part yr), Treasurer, Dir. 8.00 37.00 X X 0 238085 34937 Jenny Kennedy Secretary & Director 1.00 44.00 X X 0 120384 18600 Rick Summers VP of Operations & Director 20.00 28.00 X X 0 177613 22603 Don Morgan Director 3.00 7.00 X 0 63078 0 Daniel Vagle Director 2.00 9.00 X 0 55276 0 Dale Turner Director 2.00 8.00 X 30263 27826 0 Mark Pluimer Director 1.00 45.00 X 0 176460 27834 Tom Workman Assistant Secretary 1.00 3.50 X 0 0 0 Joshua Thomas Regional VP of Operations 18.00 27.00 X 0 146911 5451 Kris Gullen VP of Sales & Marketing 18.00 27.00 X 0 123354 94 Andrew McCormick Regional Director of Operations 18.00 27.00 X 0 121922 26634 Michelle Ingerson VP Health Services 18.00 27.00 X 0 120486 14303 Robyn Parker Executive Director VP/Mentor 2.00 48.00 X 0 119326 12891 Sean Rice Former Assistant Secretary (employed thru Aug 2018) 0.00 0.00 X 0 148585 21897 30263 2200765 232537 0 1 1 0 Healthcare Services Group LLC PO Box 829677 Philadelphia PA 19182 Housekeeping and Food Services 2217138 SimplexGrinnell LP Dept CH 10320 Palatine IL 60055 Construction Contractor 666481 Trane PO Box 98167 Chicago IL 60693 Heating & Air Conditioning 187746 Great West Construction LLC 1491 Tuskegee Place Ste C Colorado Springs CO 80915 Construction Contractor 177358 Johnson Controls DEPT CH 10320 Palatine IL 60055 Construction Contractor 172294 5 5310 5310 Assisted Living 722320 35327213 35327213 Community Fees 900099 562932 562932 Meals Income 900099 58581 58581 35948726 181589 181589 40701 40701 57476 0 57476 57476 57476 3436619 3374855 8628 61764 -8628 53136 53136 138432 138432 138432 36425370 35465645 0 954415 1618052 1618052 28500 28500 11209068 11209068 243854 243854 783520 783520 863486 863486 2169082 2169082 62817 52374 10443 20475 20475 19224 19224 2596444 2568373 28071 500041 500041 2059508 2044445 15063 112560 112560 2639495 2617722 21773 104064 75564 28500 43332 43332 2357042 2357042 3629428 3588449 40979 972273 969647 2626 Write-off issuance cost 3173427 3173427 Dues, Licenses and Fees 106245 106201 44 Bad Debts 46310 46310 35358247 29828540 5529707 0 X 1061581 3482361 203 282679 349134 42186 38805 451010 417185 87941061 45341221 42736495 42599840 4967191 16092251 48903340 60666405 100757856 1362944 1484193 231729 366413 95492830 57316593 58911266 97343436 X 1755139 3414420 1755139 3414420 60666405 100757856 1067123 592158 0 X X 0 1 X 1 0 X X 2 Bethesda Foundation 470497753 10 1 1205104 0 Bethesda Ministries 841087689 7 0 375000 0 2 1580104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Part IV, Section A, Line 1 Although Bethesda Foundation is listed in the governing documents of BSLC II, Bethesda Ministries is not. In accordance with the 990 instructions, the supporting organization may designate its supported organization(s) by class or purpose or by name. BSLC II was incorporated to support the purpose of Bethesda Foundation, along with other supported organizations that are designated by purpose in accordance with the governing documents. Part IV, Section B, Line 2 Per the above explanation for Part IV, Section A, Line 1, Bethesda Ministries is a designated supported organization. Bethesda Foundation controls both Bethesda Ministries and BSLC II, the filing organization. 3135817 3135817 74696879 39930429 34766450 6588251 5410792 1177459 3520114 3520114 42599840 Escrow 8300 Related Party Receivable 44668899 Bond Reserve Fund 4226141 48903340 1 Bethesda Foundation 15475 Gleneagle Dr Colorado Springs CO 80921 470497753 501(c)(3) 1205104 Support Operations Bethesda MinistriesOneChild 15475 Gleneagle Dr Colorado Springs CO 80921 841087689 501(c)(3) 375000 Support Operations 2 0 Part I, Line 2: The board of directors of Bethesda Foundation, the ultimate parent entity of BSLC II, has responsibility for ongoing oversight of the charitable operations of Bethesda Ministries/OneChild. Bethesda Foundation executes this responsibility during 4-6 board meetings per year which monitor the use of Bethesda Foundation's granted funds via the board's processes of financial oversight, budget approval, and budget variance review. Additionally, the President of Bethesda Foundation (Bethesda Foundation being the manager of BSLC II) sits on the board of directors of Bethesda Foundation and regularly attends its board meetings. 1 0 0 0 0 0 0 0 0 Dana Rasic VP (part year), President & Director 0 277122 0 30000 0 7689 0 11829 0 35525 0 362165 0 0 Larry Smith President (part year), VP & Director 0 221396 0 18000 0 7252 0 9037 0 4050 0 259735 0 0 Nathan Merrill CFO, Sec.(part yr), Treasurer, Dir. 0 191365 0 30000 0 16720 0 9432 0 31325 0 278842 0 0 Rick Summers VP of Operations & Director 0 152113 0 21538 0 3962 0 6377 0 16466 0 200456 0 0 Mark Pluimer Director 0 156339 0 13600 0 6521 0 6930 0 25427 0 208817 0 0 Joshua Thomas Regional VP of Operations 0 136861 0 10000 0 50 0 1908 0 3784 0 152603 0 0 Sean Rice Former Assistant Secretary (employed thru Aug 2018) 0 68449 0 0 0 80136 0 1132 0 21005 0 170722 0 0 Part I, Line 4a Sean Rice received a separation of services payment of $79,875 from a related organization. A Colorado Health Facilities Authority 840752932 19648FJA3 2018-12-27 95743544 Improvement and Refunding Issues 5/2/2016, 2/7/2014, 9/26/2011 0 0 1 A 95784245 1995402 93748143 2018 1 1 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 Part II, Line 3 The total proceeds of issue reported on Part II, Line 3 differs from Part I, column (e) due to the inclusion of interest income. Schedule K, Part I and Part II BSLC II is reporting their respective proportionate amount of the 2018 bond issue whose proceeds were used by or for the benefit of the organization. The remaining portion is reported on Bethesda Foundation, a related entity, to reflect the amount used by or for their benefit. Form 990, Part V, Line 2a: Staff are compensated by a related organization, Bethesda Foundation, under a shared services management agreement. Under the shared services agreement, employees split their time between BSLC II and Bethesda Foundation and therefore there are no employees who work solely for the filing organization. Bethesda Foundation files all required payroll information returns as required by the IRS. Under the shared services agreement, Part IX, Lines 7-10 represent the filing organization's share of the compensation expense. Form 990, Part VI, Section A, line 2 Dan Vagle and Dale Turner have a family relationship. Dana Rasic, Nathan Merrill, Dale Turner, Daniel Vagle and Tom Workman serve as officers of a related corporate entity which creates a business relationship. Form 990, Part VI, Section A, line 3 BSLC II's communities are managed by Bethesda Foundation under a management contract. See explanation for Part V, Line 2a. Form 990, Part VI, Section A, line 7a The Board of Directors of Bethesda Foundation appoints the Directors of BSLC II. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent CPA firm and is reviewed in detail by the CFO and Accounting Manager. The final version of the Form 990 is distributed via email to the organization's Board of Directors. Management answers all questions and incorporates the changes, if necessary, into the Form 990 prior to filing. Form 990, Part VI, Section B, line 12c Conflict of interest forms are completed annually by officers, directors, and key employees and are presented to the board for approval. Should any potential conflicts of interest be disclosed, the board member or officer would be asked to refrain from participation in any deliberation or decision with regard to matters affected by the relationship. Form 990, Part VI, Section B, line 15 BSLC II does not have employees or officers that receive compensation through BSLC II. All functions of running BSLC II communities have been delegated to Bethesda Foundation under a management contract. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy and audited financial statments are available upon request. Form 990, Part VII Many of the officers and directors provide services to affiliated organizations. The hours shown are specific to this organization but the compensation is total compensation for services provided to all of the affiliated organizations. Part VII, Section A Independent Board Members: Board members Daniel Vagle, Dale Turner and Don Morgan were compensated solely for services provided in their capacity as members of the governing body. Therefore they are independent members of the board. Form 990, Part X, Lines 27-29: In accordance with the principles of FASB ASU 2016-14 (ASC 958), the organization has implemented required changes to its audited financial statements for the period ended 9/30/2019. The 2018 Form 990 and its associated schedules have not been updated to reflect changes made by this standard. Thus, we have reported the revised net asset categories from the audited financial statements as follows on Form 990, Part X, Lines 27-29: Line 27 - Net assets without donor restrictions $3,414,420 Line 29 - Net assets with donor restrictions $0 Total net assets $3,414,420 Form 990, Part XII, Line 2c The organization has a committee that assumes responsibility for the oversight of the audit of its financial statements and selection of an independent accountant. This process has not changed since the prior year. Bethesda Associates 15475 Gleneagle Drive Colorado Springs CO 80921 841087692 Support Org NE 501(c)(3) Line 12a, I Bethesda Foundation 0 Bethesda Ministries 15475 Gleneagle Drive Colorado Springs CO 80921 841087689 Humanitarian Aid Focused on Children NE 501(c)(3) Line 7 Bethesda Foundation 0 Bethesda Christian Broadcasting 15475 Gleneagle Drive Colorado Springs CO 80921 841162754 Christian Radio NE 501(c)(3) Line 10 Bethesda Foundation 0 Bethesda Foundation 15475 Gleneagle Drive Colorado Springs CO 80921 470497753 Asst'd Living NE 501(c)(3) Line 10 N/A 0 Mission of Mercy Trust 15475 Gleneagle Drive colorado Springs CO 80921 841469496 Charitable Trust CO 501(c)(3) Line 12a, I Bethesda Ministries 0 Bethesda Real Estate Company 15475 Gleneagle Drive Colorado Springs CO 80921 841133889 Real Estate Mgmt CO C 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 Bethesda Ministries B Bethesda Associates M Bethesda Foundation M Bethesda Foundation N Bethesda Foundation P Bethesda Foundation Q Bethesda Foundation R