2020-10-13T09:12:17-05:00 2019-12-31 261588174 JT AND ASSOCIATES LLC 700 PILGRIM PARKWAY SUITE 200 ELM GROVE WI 53122 990 2019-01-01 390909446 BETHANY LUTHERAN HOMES INC BETH 6084063880 2575 SOUTH 7TH STREET LA CROSSE WI 54601 TODD GARVES CFO 6087962308 2020-10-06 true MARK JANKE P00737129 2627899945 2020-10-06 205.185.189.178 2020-10-13 09:12:17 CD P DA2CF90ED34CBC4D72319C8D1BB09A8C5CCBE1C2 DA2CF90ED34CBC4D72319C8D1BB09A8C5CCBE1C2 2019 2021-01-29 14:40:06Z TODD WILSON 26886154 false X BETHANYLUTHERANHOMES.ORG X 1946 WI BETHANY LUTHERAN HOMES, INC. (THE ORGANIZATION) IS A BENEVOLENT CONTINUUM OF CARE RETIREMENT COMMUNITY COMPRISED OF NUMEROUS FACILITIES AND COMMUNITY OUTREACH PROGRAMS DESIGNED TO MEET THE CARE NEEDS OF THE ELDERLY AND DISABLED IN THE LA CROSSE, WI AREA. BETHANY IS A NON-PROFIT CORPORATION, EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) THROUGH ITS AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. 11 11 821 283 0 61583 35760 26131992 27209167 306129 280088 -1828813 -638861 24670891 26886154 0 0 15946825 16768207 0 18359 8625187 8373121 24572012 25141328 98879 1744826 68085574 91108903 38396674 59675177 29688900 31433726 X BETHANY LUTHERAN HOMES, INC. (THE ORGANIZATION) IS A BENEVOLENT CONTINUUM OF CARE RETIREMENT COMMUNITY COMPRISED OF NUMEROUS FACILITIES AND COMMUNITY OUTREACH PROGRAMS DESIGNED TO MEET THE CARE NEEDS OF THE ELDERLY AND DISABLED IN THE LA CROSSE, WI AREA. BETHANY IS A NON-PROFIT CORPORATION, EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) THROUGH ITS AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. false false 9713034 10723991 SKILLED NURSING FACILITY (SNF) - BLH OWNS AND OPERATES A 123 BED SNF LOCATED IN LA CROSSE, WI WHICH OFFERS SPECIALIZED RESTORATIVE REHABILITATION FOR SHORT TERM STAYS, A SPECIALIZED MEMORY CARE UNIT FOR ALZHEIMER'S AND DEMENTIA, AND END STAGE HOSPICE CARE. THERE WERE 41,214 DAYS OF CARE PROVIDED TO RESIDENTS IN 2019, WITH 23,591 OF THOSE DAYS (OR 57%) PROVIDED TO RESIDENTS ON MEDICAID WHICH DOES NOT PROVIDE ADEQUATE REIMBURSEMENT TO COVER THE COSTS OF CARE AND HOUSING. THIS SUBSIDIZED CARE AMOUNTED TO APPROXIMATELY 1.2 MILLION IN 2019. 4143204 5179770 COMMUNITY BASED RESIDENTIAL FACILITIES (CBRF) AND RESIDENTIAL CARE APARTMENT COMPLEXES (RCAC) - BLH OWNS AND OPERATES THREE CBRF AND THREE RCAC FACILITIES IN THE LA CROSSE, WI AREA. THE CBRF FACILITIES ARE DESIGNED TO PROVIDE CARE TO THE ELDERLY WITH ALZHEIMER'S AND DEMENTIA IN A HOME-LIKE SETTING. RESIDENTS RECEIVE MEALS, MEDICAL MANAGEMENT, HOUSEKEEPING AND OTHER DAILY LIVING SERVICES BASED ON THEIR NEEDS. THERE WERE 42,995 DAYS OF CARE AND HOUSING PROVIDED TO RESIDENTS DURING 2019. 9602618 11068069 EAGLE CREST NORTH AND EAGLE CREST SOUTH - TWO SIMILAR FACILITIES LOCATED IN ONALASKA, WI AND LA CROSSE, WI CONSISTING OF 150 INDEPENDENT LIVING APARTMENTS, 34 HIGH ACUITY ASSISTED LIVING (CBRF), 42 ASSISTED LIVING (RCAC), AND 48 MEMORY CARE (CBRF) APARTMENTS IN TOTAL. A CENTRALLY LOCATED TOWN CENTER CONNECTS THE INDEPENDENT, ASSISTED LIVING, AND MEMORY CARE UNITS AND PROVIDES AMENITIES TO ENHANCE THE RESIDENTS' SOCIAL, PHYSICAL,AND SPIRITUAL WELL-BEING. THE TWO FACILITIES PROVIDED 96,904 DAYS OF HOUSING AND CARE TO THE RESIDENTS DURING 2019. 257658 237337 COMMUNITY OUTREACH PROGRAMS - PROVIDE AN ARRAY OF SERVICES TO THE COMMUNITY INCLUDING: MOBILE MEALS - THIS PROGRAM WAS DISCONTINUED IN APRIL 2019. ANOTHER LOCAL NON-PROFIT BEGAN PROVIDING THE MOBILE MEALS. FOOT CARE SERVICES - CERTIFIED AND LICENSED NURSE PROVIDING PEDICURE SERVICES TO RESIDENTS. INDEPENDENT LIVING APARTMENTS - 20 APARTMENTS PROVIDED 7,141 DAYS OF HOUSING FOR SENIORS IN HOLMEN, WI. 257658 237337 23716514 true true false false false false false false false true true false false false true false true false false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false false false true 67 0 true 821 true false false false false false false false false false false false false X 11 11 false false false false true true false true true true true true false true false true false false true true false WI X X TODD GARVES 6084063888 2575 SOUTH 7TH STREET LA CROSSE WI 54601 LU CAGIN CHAIRMAN 1.00 X X 0 0 0 PATRICK SPENCER VICE CHAIRMA 1.00 X X 0 0 0 DYANNE BRUDOS SECRETARY 1.00 X X 0 0 0 JOE ZOELLNER TREASURER 1.00 X X 0 0 0 LEAH MUDLER DIRECTOR 1.00 X 0 0 0 SARAH HAVENS DIRECTOR 1.00 X 0 0 0 KENNA CHRISTIANS DIRECTOR 1.00 X 0 0 0 JERRY MILLER DIRECTOR 1.00 X 0 0 0 BARB QUILLIN DIRECTOR 1.00 X 0 0 0 SARAH ROSSMAN DIRECTOR 1.00 X 0 0 0 KAY MARSYLA DIRECTOR 1.00 X 0 0 0 TODD WILSON CEO 40.00 X 322585 0 29952 TODD GARVES CFO 40.00 X 218138 0 27538 PATRICK SENZIG ADMINISTRATO 40.00 X 101059 0 4816 641782 62306 3 false true false AEGIS THERAPIES INC PO BOX 936653 ATLANTA GA 311936653 THERAPY SERVICE 597432 NORTHWEST WI REFRIGERATION SERVICE PO BOX 295 BRUCE WI 54819 FOOD SERVICE EQ 133156 2 35760 35760 PROGRAM SERVICES 27209167 27209167 27209167 280088 280088 INVESTMENT UNREALIZED GAINS 1802304 1802304 INTEREST SWAP VALUE DECREASE -2441165 -2441165 -638861 26886154 26850394 626893 91796 516738 18359 13282574 12852629 429945 230324 199374 30950 1659691 1549462 110229 968725 933886 34839 2345 712 1633 24450 24450 887667 870974 16693 101516 45773 55743 201146 150432 50714 175294 83535 91759 945406 941410 3996 39865 37512 2353 73449 66882 6567 1139417 1139417 2219612 2209237 10375 140477 126782 13695 FOOD AND DIETARY SUPPLIES 1049872 1044096 5776 FACILITY MAINTENANCE 494929 494929 NURSING SUPPLIES 375093 375093 STATE BED TAX ASSESSMENT 250920 250920 251663 251663 25141328 23716514 1406455 18359 4248106 6184903 1294890 1242663 105646 100703 135560 175200 97138641 32517404 45428685 64621237 14959541 16849925 1913146 1934272 68085574 91108903 4631640 3454914 32560722 52389096 1204312 3831167 38396674 59675177 X 29136252 30856774 552648 576952 29688900 31433726 68085574 91108903 1744826 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 672784 133811 32449 7695 766451 783401 -61134 38492 10991 672784 703508 121183 32872 8418 783401 701142 41718 31451 7901 703508 764772 -14550 38767 10313 701142 0.25000 0.75000 true false 1048110 1048110 52855751 22924307 29931444 12007987 8347528 3660459 31226793 1245569 29981224 64621237 INTEREST RATE SWAP 3896534 SECURITY DEPOSITS 723478 DEFERRED FINANCING COSTS -788845 3831167 26886154 26886154 26886154 25141328 25141328 25141328 SCHEDULE D, PAGE 2, PART V, LINE 4 BOARD DESIGNATED FUNDS OF 189,499: THESE ARE CASH AND INVESTMENTS SET ASIDE BY THE BOARD OF DIRECTORS FOR FUTURE ACTIVITIES AND PROJECTS. THE BOARD RETAINS CONTROL AND MAY, AT ITS DISCRETION, USE THE ASSETS FOR OTHER PROJECTS. PERMANENTLY RESTRICTED FUNDS OF 576,952: THESE CONSIST OF THE ORGANIZATION'S BENEFICIAL INTEREST IN THE GERTRUDE GORDON CHARITABLE TRUST. THE PRINCIPAL IS PERMANENTLY RESTRICTED IN USE. ANNUAL DISTRIBUTIONS FROM THE TRUST OF 5% ARE NOT RESTRICTED. X X false false false false false false false false false TODD WILSON CEO 322585 11200 18752 352537 TODD GARVES CFO 218138 9026 18512 245676 A WIS HLTH & EDU FAC AUTH 2015 391337855 2015-11-20 14000000 REFINANCE false false false B WIS HLTH & EDU FAC AUTH 2018B 391337855 2018-07-15 20440000 REFINANCE false false false C WIS HTLTH & EDU FAC AUTH 2018A 391337855 2018-07-15 26490000 CONSTRUCTION false false false A 2243720 14000000 255516 2015 true false true true B 720795 20440000 250668 2018 true false true true C 20913611 271676 366905 20275030 2020 false false false true A false false false false false false false B false false false false false false false C false false false false false false false A false false false false false false false false false B false false false false true true BREMER BANK NA 10.000000000000 false false false false false C false false false false true true BREMER BANK NA 10.000000000000 false false false false false A false B false C false DIFFERENCES IN ISSUE PRICE EXPLANATION WIS HTLTH & EDU FAC AUTH 2018A 20,913,611 IS THE TOTAL AMOUNT DRAWN AS OF DECEMBER 31, 2019. THE TOTAL TO BE DRAWN AT COMPLETION IS 26,490,000. PURPOSE OF ISSUE DESCRIPTION WIS HLTH & EDU FAC AUTH 2015 REFINANCE PURPOSE OF ISSUE DESCRIPTION WIS HLTH & EDU FAC AUTH 2018B REFINANCE PURPOSE OF ISSUE DESCRIPTION WIS HTLTH & EDU FAC AUTH 2018A CONSTRUCTION FORM 990 - ORGANIZATION'S MISSION BETHANY LUTHERAN HOMES, INC. (THE ORGANIZATION) IS A BENEVOLENT CONTINUUM OF CARE RETIREMENT COMMUNITY COMPRISED OF NUMEROUS FACILITIES AND COMMUNITY OUTREACH PROGRAMS DESIGNED TO MEET THE CARE NEEDS OF THE ELDERLY AND DISABLED IN THE LA CROSSE, WI AREA. BETHANY IS A NON-PROFIT CORPORATION, EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) THROUGH ITS AFFILIATION WITH THE EVANGELICAL LUTHERAN CHURCH OF AMERICA. FORM 990, PAGE 2, PART III, LINE 4D COMMUNITY OUTREACH PROGRAMS - PROVIDE AN ARRAY OF SERVICES TO THE COMMUNITY INCLUDING: MOBILE MEALS - THIS PROGRAM WAS DISCONTINUED IN APRIL 2019. ANOTHER LOCAL NON-PROFIT BEGAN PROVIDING THE MOBILE MEALS. FOOT CARE SERVICES - CERTIFIED AND LICENSED NURSE PROVIDING PEDICURE SERVICES TO RESIDENTS. INDEPENDENT LIVING APARTMENTS - 20 APARTMENTS PROVIDED 7,141 DAYS OF HOUSING FOR SENIORS IN HOLMEN, WI. FORM 990, PAGE 6, PART VI, LINE 6 THE ARTICLES OF INCORPORATION STATES, THE MEMBERSHIP OF THIS CORPORATION CONSISTS OF THE FOLLOWING THREE CLASSES OF VOTING MEMBERS: 1) PUBLIC MEMBERS - CONSISTS OF: ONE MEMBER OF THE CLERGY REPRESENTING EACH MEMBER CHURCH, TWO LAY DELEGATES APPOINTED BY EACH MEMBER CHURCH AND MEMBERS OF THE BOARD OF DIRECTORS. 2) CORPORATE MEMBER - THE SOLE MEMBER OF THIS CLASS IS GUNDERSEN LUTHERAN, INC., A WISCONSIN NON-STOCK, NON-PROFIT CORPORATION. 3) SYNOD MEMBER - THE BISHOP OF THE LACROSSE SYNOD OF THE ELCA OR THE DESIGNEE OF THE SYNOD. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS CONSISTS OF 11 MEMBERS AND IS VESTED WITH POWER TO GOVERN THE AFFAIRS OF THE CORPORATION. EIGHT OF THE BOARD MEMBERS ARE ELECTED BY THE PUBLIC MEMBER CLASS, WHILE THREE BOARD MEMBERS ARE ELECTED OR APPOINTED BY THE CORPORATE MEMBER CLASS. AT LEAST TWO MEMBERS OF THE ENTIRE BOARD OF DIRECTORS SHALL BE MEMBERS OF A MEMBER CHURCH BELONGING TO THE ELCA. FORM 990, PAGE 6, PART VI, LINE 9 LU CAGIN 1327 CASS ST LA CROSSE, WI 54601 PATRICK SPENCER 622 BENNORA LEE CT., APT. 206 LA CROSSE, WI 54601 DYANNE BRUDOS 2529 BAUMGARTNER DR. LA CROSSE, WI 54601 JOE ZOELLNER W5887 SOUTHDALE DR LA CROSSE, WI 54601 LEAH MUDLER 1803 ADAMS ST LA CROSSE, WI 54601 SARAH HAVENS 1141 SHOREWOOD DR. LA CROSSE, WI 54601 KENNA CHRISTIANS 4905 SILVER MORNING LANE LA CROSSE, WI 54601 JERRY MILLER 622 BENNORA CT., APT. 409 LA CROSSE, WI 54601 BARB QUILLIN 622 BENNORA LEE CT., APT 406 LA CROSSE, WI 54601 SARAH ROSSMAN W6480 RIVERVIEW DR. ONALASKA, WI 54650 KAY MARSYLA 2122 GOLFVIEW LN ONALASKA, WI 54650 FORM 990, PAGE 6, PART VI, LINE 11B A DRAFT OF THE FORM 990 IS REVIEWED BY THE BOARD PRESIDENT AND CEO. FORM 990, PAGE 6, PART VI, LINE 12C ALL DIRECTORS, OFFICERS, AND MANAGEMENT PERSONNEL ARE REQUIRED TO READ THE CONFLICT OF INTEREST POLICY AND SIGN THE CONFLICT OF INTEREST DISCLOSURE STATEMENT. THIS POLICY IS REGULARILY FOLLOWED WITH INSTANCES INVOLVING BOARD MEMBERS AND POTENTIAL CONFLICTS OF INTEREST. SECTION 2.3 OF THE BY-LAWS STATES: A DIRECTOR WHO IS SUBJECT TO A CONFLICT OF INTEREST SHOULD REFRAIN FROM PARTICIPATING IN THE DECISION MAKING PROCESS, AND SHALL, IF REQUESTED BY THE PRESIDENT OR A MAJORITY OF THE BOARD, TEMPORARILY LEAVE THE MEETING IF HIS OR HER PRESENCE INHIBITS THE BOARD'S DISCUSSION. FORM 990, PAGE 6, PART VI, LINE 15A EACH YEAR THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS A PERFORMANCE REVIEW FOR THE CHIEF EXECUTIVE OFFICER. SALARY AND BENEFIT INFORMATION FROM THE LEADINGAGE AND LEADINGAGE WI ANNUAL SURVEY IS USED TO DETERMINE AN APPROPRIATE SALARY AND BENEFIT RANGE FOR THE CEO. THE EXECUTIVE COMMITTEE APPROVES ANY CHANGES TO THE CEO'S SALARY AND BENEFITS ON AN ANNUAL BASIS. THE PRESIDENT OF THE BOARD EXECUTES ANY COMPENSATION CHANGES IN A WRITTEN LETTER THAT IS GIVEN TO THE HUMAN RESOURCES DIRECTOR OF THE CORPORATION. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS FOR OTHER KEY EMPLOYEES IS SIMILAR TO THE RESPONSE DESCRIBED IN THE RESPONSE TO QUESTION 15A OF PART VI, SECTION B. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.