2020-04-15T12:37:24-05:00 2018-06-30 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2017-07-01 460259554 BETHEL LUTHERAN HOME BETH 6052564539 1001 SOUTH EGAN AVE MADISON SD 57042 CHARLES JOHNSON SIGNING OFFICER 6052564539 2020-04-14 1 LAURIE HANSON P00851848 6053391999 2020-04-14 96.2.42.103 2020-04-14 09:46:47 CD P 27B5425C9C23CB5B55D8DA2EDCCE42DD005DD81A 87C603189A7DF35062A6A77CB1DDE10F911D97AB 2017 2021-01-29 14:40:06Z X NORMAN ANDENAS 1001 SOUTH EGAN AVE MADISON SD 57042 5918227 0 X WWW.BETHELCOMMUNITY.COM X 1962 SD BETHEL LUTHERAN HOME IS A MINISTRY TO THE ELDERLY CONSISTING OF VARIOUS LEVELS OF CARE. 14 13 163 15 0 0 60942 102576 5689311 5815583 -8410 68 935 0 5742778 5918227 0 0 0 0 3532400 3769794 0 0 26225 2391783 2499350 5924183 6269144 -181405 -350917 6834502 6489483 4252797 4283525 2581705 2205958 BETHEL LUTHERAN HOME IS A MINISTRY TO THE ELDERLY CONSISTING OF VARIOUS LEVELS OF CARE. ITS MISSION IS TO SUPPORT AND GROW THE ONGOING MINISTRY OF THE BETHEL COMMUNITY, THROUGH SHARING OF TIME, TALENT, AND TREASURE. 0 0 5647446 5815583 BETHEL LUTHERAN HOME OPERATES A SKILLED/SUB-ACUTE CARE NURSING HOME THAT CONSISTS OF 59 BEDS, ALL OF WHICH ARE MEDICAID/MEDICARE CERTIFIED. IN ADDITION, THE ORGANIZATION HAS A 16 UNIT CONGEGRATE HOUSING ADDITION, A 16 BED ASSISTED LIVING CENTER, FOUR TWIN HOMES, SIX PATIO HOMES, AND AN ADULT DAY CARE CENTER. 5647446 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 9 0 1 163 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 0 1 1 0 0 X BECKY GLANZER 6052564539 1001 SOUTH EGAN AVE MADISON SD 57042 NORMAN ANDENAS PRESIDENT 1.00 0.00 X X 0 0 0 REV PHILLIP HOFFINGA VICE PRESIDENT 1.00 0.00 X X 0 0 0 RICH HUNTIMER TREASURER 1.00 0.00 X X 0 0 0 LINDA SCHROEDER SECRETARY 1.00 0.00 X X 0 0 0 REV WAYNE MEIDINGER DIRECTOR 1.00 0.00 X 0 0 0 GARY CALLIES DIRECTOR 1.00 1.00 X 0 0 0 JACKIE MILES DIRECTOR (UNTIL OCT 2017) 1.00 1.00 X 0 0 0 VINCE NELSON DIRECTOR (UNTIL OCT 2017) 1.00 0.00 X 0 0 0 STANLEY FODS DIRECTOR 1.00 0.00 X 0 0 0 STEVE HANLEY DIRECTOR 1.00 0.00 X 0 0 0 LINDA MEIER DIRECTOR 1.00 0.00 X 0 0 0 MILDRED MOSER DIRECTOR 1.00 0.00 X 0 0 0 REV ELIZABETH PAGNOTTA DIRECTOR 1.00 0.00 X 0 0 0 MARLIN BROZIK DIRECTOR (BEG. 10/17) 1.00 0.00 X 0 0 0 MARILYN MATSON DIRECTOR (BEG. 10/17) 1.00 0.00 X 0 0 0 BOB OLSON DIRECTOR (BEG. 10/17) 1.00 0.00 X 0 0 0 FATHER DEWAYNE KAYSER DIRECTOR (UNTIL OCT 2017) 1.00 0.00 X 0 0 0 LISA SCHAEFER ADMINISTRATOR/CEO 40.00 1.00 X 69196 0 2408 69196 0 2408 0 0 0 0 0 101410 1166 102576 PATIENT SERVICE REVENU 623000 4885037 4885037 APARTMENTS & TWIN HOME 623000 386663 386663 ASSISTED LIVING 623000 353656 353656 DAYCARE 623000 97868 97868 92359 92359 5815583 68 68 5918227 5815583 0 68 73108 73108 31254 31254 2931366 2883063 48303 32916 32909 7 518611 488130 30481 182539 171531 11008 125207 125207 117227 74194 43033 20112 20112 268189 241150 27039 253476 248974 4502 11427 8928 2499 36622 9276 1121 26225 159809 159809 322554 322554 137147 5168 131979 BAD DEBT 337102 337102 FOOD 300937 300937 OUTSIDE MEDICAL COSTS 200609 200609 MEDICATION AND SUPPLIES 99139 99139 109793 63973 45820 6269144 5647446 595473 26225 1252 2229 384474 359298 19649 19649 20483 35195 11119002 5976271 5439392 5142731 969252 930381 6834502 6489483 449452 479318 44500 31875 1114272 1081808 1957023 2040962 687550 649562 4252797 4283525 X 1601383 1251872 821134 774239 159188 179847 2581705 2205958 6834502 6489483 X -350917 14971 -39801 X X 0 1 X 1 0 X 34390 72270 84101 48337 102576 341674 2388043 5085569 5250162 5733532 5815583 24272889 2422433 5157839 5334263 5781869 5918159 24614563 0 757651 622516 213766 736512 2330445 757651 622516 213766 736512 2330445 22284118 75 1072 94 70 68 1379 75 1072 94 70 68 1379 2422508 5158911 5334357 5781939 5918227 24615942 0.90530 0.92220 0.00010 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 229013 229013 7177231 3673779 3503452 1605976 1178118 427858 2106782 1124374 982408 5142731 BENEFICIAL INTEREST IN NET ASSETS OF FOUNDATION 930381 930381 SECURITY DEPOSITS 21655 TWIN HOME DEPOSIT 591750 DUE TO FOUNDATION 29274 CHECKS WRITTEN IN EXCESS OF FUNDS AVAILABLE 6883 649562 5918227 0 5918227 0 5918227 6267738 -1406 -1406 6269144 0 6269144 A CITY OF MADISON SOUTH DAKOTA 466000277 2012-06-12 1400000 SEE NARRATIVE. 0 0 0 A 287098 1400000 537282 862718 2012 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 PART I, COLUMN F TO REFUND BONDS ISSUED 12/4/1997 AND 5/29/2003, AND TO REPAY CHILDCARE CENTER LOAN AND PAY A PORTION OF THE COST OF ADDITIONAL IMPROVEMENTS AND ADDITIONS TO BETHEL LUTHERAN HOME FACILITIES. TAMMY FODS WIFE OF BOARD MEMBER 31254 COMPENSATION AND BENEFITS 0 FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS COMPRISED OF THE PRESIDENT, VICE PRESIDENT, SECRETARY, AND TREASURER. FORM 990, PART VI, SECTION A, LINE 6 THE VOTING MEMBERS OF THE CORPORATION SHALL CONSIST OF THE MEMBERS OF THE BOARD OF DIRECTORS, THE PASTORS OF THE CONGREGATIONS ELECTING TO PARTICIPATE, AND ONE LAY DELEGATE FOR EACH ONE HUNDRED CONFIRMED MEMBERS OR MAJOR FRACTION THEREOF FOR EACH SUCH CONGREGATION. FORM 990, PART VI, SECTION A, LINE 7A EACH CONGREGATION SHALL SUBMIT AT LEAST ONE NOMINEE FOR THE POSITION OF DIRECTOR FROM SUCH CONGREGATION TO THE PRESIDENT OR SECRETARY OF THE CORPORATION AT THE ANNUAL MEETING OR AT ANY OTHER MEETING AT WHICH DIRECTORS ARE TO BE ELECTED, AND THE DIRECTOR SHALL BE ELECTED BY THE MEMBERS FROM THE LIST OF NOMINEES. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE OFFICE MANAGER. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS, THE ADMINISTRATOR, AND LEADERSHIP (MANAGEMENT) STAFF ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST QUESTIONNAIRES ANNUALLY WHICH ARE MONITORED AND TRACKED. THE QUESTIONNAIRES ARE REVIEWED BY THE BOARD AND/OR THE ADMINISTRATOR FOR ANY POSSIBLE CONFLICTS WITH ANY NOTED CONFLICTS BEING BROUGHT TO MANAGEMENT'S ATTENTION. CONFLICTS ARE ALSO REVIEWED AT THE BOARD LEVEL. AFTER A CONFLICT IS DEEMED TO EXIST, THE INDIVIDUAL(S) INVOLVED MUST ABSTAIN FROM THE DISCUSSION AND VOTE RELATED TO THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE ADMINISTRATOR/CEO IS DETERMINED THROUGH ANNUAL EVALUATIONS BY THE BOARD OF DIRECTORS AND AN ANNUAL SALARY REVIEW BY THE FINANCE COMMITTEE WHICH RECOMMENDS TO THE BOARD OF DIRECTORS. COMPENSATION FOR OTHER MEMBERS OF MANAGEMENT IS DETERMINED THROUGH ANNUAL SALARY REVIEWS BY THE FINANCE COMMITTEE WHICH MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 61,609. NET ASSETS RELEASED FROM RESTRICTIONS -101,410. FORM 990, PART XII, LINE 2C: THE AMENDED RETURN REFLECTS CHANGES TO THE PREVIOUSLY REPORTED FINANCIALS RESULTING IN CHANGES TO PARTS I, III, VIII, IX, X, XI, SCHEDULE A, AND SCHEDULE D. BETHEL LUTHERAN HOME FOUNDATION 1001 SOUTH EGAN AVE MADISON SD 57042 460403284 SUPPORT PROVIDED BY BETHEL LUTHERAN HOME FOUNDATION SD 501(C)(3) LINE 7 NONE 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0