2020-11-12T16:34:03-06:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 1301 WEST 22ND STREET SUITE 1100 OAK BROOK IL 60523 990 2019-01-01 362167819 NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION NORW 7736314856 2833 N NORDICA AVE CHICAGO IL 60634 RICHARD STEFFENS CHIEF FINANCIAL OFFICER 7736314856 2020-11-12 1 CHAD D KUNZE CPA P00639380 6305738600 2020-11-12 67.137.57.251 2020-11-12 14:32:24 CS P A79F713B66161FD7EB348D547952547155FA0B27 68B2735C15B77F7CA2E0EBAF1C2C69B2D3A8B3F0 2019 2021-01-29 14:40:06Z BETHESDA REHAB AND SENIOR CARE MICHAEL TOOHEY 2833 N NORDICA AVE CHICAGO IL 60634 11270693 0 X WWW.BETHESDASENIORCARE.ORG X 1909 IL THE NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION WAS FOUNDED IN 1909 TO SERVE THE NEEDS OF THE ELDERLY POPULATION OF THE COMMUNITY. 8 8 261 18 0 0 0 0 8330585 11182309 6656 864 35778 87520 8373019 11270693 0 0 0 0 5923247 6796664 0 0 0 3938128 6294826 9861375 13091490 -1488356 -1820797 16388283 16627858 8633383 10693755 7754900 5934103 X A TOTAL OF 44,478 DAYS OF CARE WERE PROVIDED TO 265 DIFFERENT RESIDENTS IN 2019. THIS INCLUDES 359 DAYS OF CHARITY CARE (CARE PROVIDED AT NO COST) AND 18,930 DAYS COVERED BY MEDICAID. THE DAILY REIMBURSEMENT RECEIVED FOR A MEDICAID RESIDENT IS $52 TO $185 LESS THAN THE DAILY COST OF PROVIDING CARE. THIS CARE INCLUDES LONG TERM STAYS IN SKILLED NURSING AND SHELTERED CARE (SIMILAR TO ASSISTED LIVING), SHORT TERM RESPITE STAYS, AND SHORT TERM POST HOSPITAL REHAB CARE. SERVICES PROVIDED INCLUDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING (BATHING, DRESSING, EATING, GROOMING AND TOILETING), SKILLED NURSING SERVICES (INCLUDING WOUND CARE AND DISEASE MANAGEMENT), LAUNDRY AND HOUSEKEEPING SERVICES, EXERCISE PROGRAMS, ART, MUSIC AND GARDENING THERAPY, RELIGIOUS SERVICES, AND EDUCATIONAL PROGRAMS. 0 0 11068852 11269829 BETHESDA RETIREMENT HOME HAD A TOTAL OF 44,478 PATIENT SERVICE DAYS IN 2019. SERVICES PROVIDED INCLUDE COMPREHENSIVE IN-PATIENT REHABILITATION WHICH INCLUDE PHYSICAL, OCCUPATIONAL, SPEECH THERAPY, AND HOSPICE CARE. RESPITE CARE STAYS CAN RANGE FROM A MINIMUM OF FOUR WEEKS. RESPITE GUESTS RECEIVE THE SAME SERVICES PROVIDED TO NURSING FACILITY PATIENTS. INCLUDED IN THE ABOVE WAS 18,930 DAYS OF CARE FOR RESIDENTS ON PUBLIC ASSISTANCE. 11068852 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 1 261 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IL X X RICHARD STEFFENS 7735775334 6016 N NINA AVE CHICAGO IL 60631 DIRK DANKER CHAIRPERSON 1.00 X X 0 0 0 SUZANNE VENEMA VICE CHAIRPERSON 1.00 X X 0 0 0 GABRIELA RODIL SECRETARY/TREASURER 1.00 X X 0 0 0 MICHELE CALBI DIRECTOR 1.00 X 0 0 0 SUSAN KROLL DIRECTOR 1.00 X 0 0 0 RONEL NORENE DIRECTOR 1.00 X 0 0 0 GEORGE SILCA DIRECTOR 1.00 X 0 0 0 MICHAEL SCHAIK DIRECTOR 1.00 X 0 0 0 MICHAEL TOOHEY CEO 1.00 50.00 X 0 401934 8400 GAIL PRETE CFO 1.00 50.00 X 0 258256 9968 SILVIA MORICI COO 1.00 50.00 X 0 297293 9340 PETER LIM CORPORATE DIRECTOR OF MARKETING 1.00 50.00 X 0 134300 5871 ERIN CONLEY ADMINISTRATOR 50.00 X 106451 0 4950 MONICA ZMEREGA DIRECTOR OF NURSING 50.00 X 115173 0 347 221624 1091783 38876 2 0 1 0 SYMBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARENVILLE IL 60555 REHAB THERAPISTS 871575 CERES FOOD GROUP PO BOX 95338 CHICAGO IL 60694 DINING SERVICES 607183 DAMMAR BUILDERS 10549 CROWN ROAD 7 FRANKLIN PARK IL 60131 CONSTRUCTION 563522 SYMBRIA RX SERVICES 28100 TORCH PARKWAY SUITE 600 WARENVILLE IL 60555 PHARMACY 334913 4 MEDICARE REVENUE 623000 4050463 4050463 MEDICAID REVENUE 623000 3584300 3584300 ROOM AND BOARD 623000 3557576 3557576 RESIDENT ANCILLARY SERVICES 623000 -10030 -10030 11182309 864 864 MISCELLANEOUS REVENUE 623000 87520 87520 87520 11270693 11269829 0 864 226921 170191 56730 5548422 5548422 63899 63271 628 512473 507439 5034 444949 440578 4371 30814 30814 26752 26752 465706 465706 18008 18008 44945 31323 13622 143136 107352 35784 302581 302581 2190 2190 1656 1573 83 245922 245922 488332 488332 779542 768628 10914 192885 192885 SUPPLIES FOR RESIDENTS 2315675 2315675 BAD DEBT 890250 890250 NURSING HOME TAX 206994 206994 EMPLOYEE RECRUITMENT 27141 27141 112297 91780 20517 13091490 11068852 2022638 0 14034 186581 1401386 2498237 164995 164995 22854 37107 71847 92426 15057333 1409458 13172266 13647875 53417 1487484 637 16388283 16627858 884036 1219031 17415 1115858 7050464 6790342 385823 385823 295645 1182701 8633383 10693755 X 7754900 5934103 7754900 5934103 16388283 16627858 -1820797 0 X X 0 1 X 1 0 X 1038930 1732463 3695949 6467342 6022257 5664296 6224297 8373019 11182309 37466178 7061187 7396759 9920246 8373019 11182309 43933520 0 0 0 43933520 249 450 203158 864 204721 249 450 203158 864 204721 87520 87520 7061436 7397209 10123404 8373019 11270693 44225761 0.99340 0.83010 0.00460 0.00510 X 940000 940000 13320229 1137327 12182902 797104 272131 524973 13647875 NET SECURITY DEPOSITS 319825 ESTIMATED ASBESTOS OBLIGATION 130000 DUE TO RELATED PARTIES, NET 661664 MEDICAID AUDIT ADJUSTMENT 54950 PA TRUST STIPEND 3896 INTEREST 12366 1182701 X PART X, LINE 2: THE ORGANIZATION UTILIZES A TWO-STEP APPROACH TO RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS. THE FIRST STEP IS TO EVALUATE THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF AVAILABLE EVIDENCE INDICATES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED ON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATION PROCESSES. THE SECOND STEP IS TO MEASURE THE TAX BENEFIT AS THE LARGEST AMOUNT, WHICH IS MORE THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF DECEMBER 31, 2019 AND 2018, THERE WERE NO LIABILITIES RECORDED FOR UNRECOGNIZED TAX BENEFITS RELATED TO TAX POSITIONS TAKEN IN THE CURRENT YEAR. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR TAX PERIODS PENDING OR IN PROGRESS. X X X 0 0 0 0 0 0 0 0 0 MICHAEL TOOHEY CEO 0 351934 0 50000 0 0 0 8400 0 0 0 410334 0 0 GAIL PRETE CFO 0 225256 0 33000 0 0 0 8400 0 1568 0 268224 0 0 SILVIA MORICI COO 0 237293 0 60000 0 0 0 8400 0 940 0 306633 0 0 A ILLINOIS FINANCE AUTHORITY 861091967 000000000 2015-12-15 7517000 NEW CONSTRUCTION AND REFUND ISSUE (3/23/12) 0 0 0 A 684485 7517355 6961504 555851 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 1 1 0 0 0 0 A 1 SCHEDULE K, PART IV, LINE 2C 12/15/2015 7,517,000 ILLINOIS FINANCE AUTHORITY - ISSUER NAME: IL FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 6/15/17 NOTE REGARDING THE REBATE COMPUTATION: SINCE THE BOND PROCEEDS HAVE BEEN SPENT, A SPENDING EXCEPTION WAS MET, AND THE DEBT SERVICE FUND WAS OPERATED ON A BONA FIDE BASIS, NO FURTHER REBATE CALCULATIONS NECESSARY. FORM 990, PART VI, SECTION A, LINE 3 NORWOOD MANAGEMENT COMPANY PROVIDES STRATEGIC DIRECTION AND CRITICAL MANAGEMENT SERVICES INCLUDING EXECUTIVE, ADMINISTRATIVE, AND FINANCIAL FUNCTIONS TO NORWEGIAN LUTHERAN BETHESDA HOME ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWED THE 990 AND SHARES WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND IT IS DISTRIBUTED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS THE POLICY IS REVIEWED AND ALL BOARD MEMBERS AND KEY EMPLOYEES COMPLETE AN UPDATED CONFLICT OF INTEREST DISCLOSURE. ANY DISCLOSURES ARE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. AT EACH BOARD MEETING AND COMMITTEE MEETING, THE AGENDA IS REVIEWED BY ALL BOARD MEMBERS AND STAFF. ANY CONFLICT OF INTEREST IS DISCLOSED AND THOSE WITH A CONFLICT ARE NOT INVOLVED IN ANY DECISION MAKING REGARDING ITEMS OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION PARTICIPATES IN A WAGE AND BENEFIT SURVEY CONDUCTED BY OUR STATE ASSOCIATION (LEADING AGE ILLINOIS), THIS DATA IS USED TO DETERMINE THE COMPENSATION FOR MANAGEMENT AND KEY OFFICIALS. THE GOAL IS TO BE WITHIN 10% OF THE MID POINT OF COMPENSATION FOR OUR GEOGRAPHIC AREA. 990S OF OTHER ORGANIZATIONS WITHIN OUR INDUSTRY ARE ALSO REVIEWED FOR COMPENSATION DATA. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE CEO'S SALARY. OTHER MANAGEMENT AND KEY OFFICIAL SALARIES ARE INCLUDED IN THE BUDGET WHICH IS APPROVED BY THE BOARD OF DIRECTORS AND REVIEWED IN DETAIL BY THE CEO. FORM 990, PART VI, SECTION C, LINE 19 SUMMARY FINANCIAL INFORMATION IS INCLUDED IN THE ORGANIZATION'S ANNUAL REPORT. AUDITED FINANCIAL STATEMENTS ARE PROVIDED TO ANY PARTY WHO MAKES A REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AND DISTRIBUTED TO ANY PARTY WHO MAKES AN INQUIRY. TAX RETURNS ARE AVAILABLE ON GUIDESTAR AND PROVIDED TO ANYONE WHO MAKES A REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS. NORWOOD CROSSING ASSOCIATION 6016 N NINA AVE CHICAGO IL 60631 362170882 NURSING HOME IL 501(C)(3) LINE 10 NORWOOD LIFE SOCIETY 0 NORWOOD LIFE CARE FOUNDATION 6016 N NINA AVE CHICAGO IL 60631 363558526 FUNDRAISING IL 501(C)(3) LINE 12A, I NORWOOD LIFE SOCIETY 0 NORWOOD LIFE SOCIETY 6016 N NINA AVE CHICAGO IL 60631 562663863 SENIOR SERVICES IL 501(C)(3) LINE 10 N/A 0 NORWOOD SENIORS NETWORK ASSOCIATION 6016 N NINA AVE CHICAGO IL 60631 412193776 IN HOME SERVICES TO SENIORS IL 501(C)(3) LINE 10 NORWOOD LIFE SOCIETY 0 NORWOOD MANAGEMENT COMPANY 6016 N NINA AVE CHICAGO IL 60631 900434072 MANAGEMENT SERVICES IL NORWOOD LIFE SOCIETY C 0 NORWOOD BUSINESS VENTURES 6016 N NINA AVE CHICAGO IL 60631 208322003 REAL ESTATE IL NORWOOD LIFE CARE FOUNDATION C 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 NORWOOD MANAGEMENT COMPANY O 68635 ACTUAL EXPENSES NORWOOD MANAGEMENT COMPANY N 79600 ACTUAL EXPENSES NORWOOD MANAGEMENT COMPANY E 496422 ACCOUNTING RECORDS