2019-06-10T11:55:30-05:00 2018-09-30 363990892 Capin Crouse LLP 2435 Research Parkway STE 200 Colorado Springs CO 80920 990 2017-10-01 452666295 BSLC II BSLC 7194810100 15475 Gleneagle Drive Colorado Springs CO 80921 Nathan Merrill CFO, Treasurer, Secretary, Dir 7194810100 2019-06-10 1 Ted R Batson Jr P00721951 7195286225 139.146.132.42 2019-06-10 12:55:14 ED P 3F1D1193AA19E10A96E0FD280DB357C0BE5B521B A584DF9E91DDD3C2E13D3CA1EFF7205D57A48D86 2017 2019-02-21 02:37:17Z Bethesda Senior Living Communities Larry W Smith 15475 Gleneagle Drive Colorado Springs CO 80921 34997682 0 X www.bethesdaseniorlivingcommunities.com X 2011 NE To serve seniors by enriching their physical, emotional and spiritual health in our communities. 9 3 0 64 0 0 14923 1813 33543568 34808312 -17201 8498 189762 178307 33731052 34996930 498262 467768 0 0 12461222 13060993 0 0 0 17922083 17756004 30881567 31284765 2849485 3712165 58086998 60666405 60044024 58911266 -1957026 1755139 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 29053020 467768 34313409 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 763 residents during the fiscal year ended 9/30/2018. 29053020 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 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 114 0 1 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 Larry Smith President & Director 18.00 30.00 X X 0 230992 9018 Dana Rasic VP & Director 8.00 50.00 X X 0 304808 21289 Nathan Merrill CFO, Secretary, Treasurer, Dir. 8.00 38.00 X X 0 215668 19160 Rick Summers VP of Operations & Director 20.00 28.00 X X 0 164815 15900 Don Morgan Director 3.00 7.00 X 0 63212 0 Daniel Vagle Director 2.00 9.00 X 0 55977 0 Dale Turner Director 2.00 8.00 X 34377 30417 0 Mark Pluimer Director 1.00 51.00 X 0 175824 13507 Jenny Kennedy Director 1.00 50.00 X 0 114130 13733 Sean Rice Asst. Secretary (part year) 4.00 36.00 X 0 102295 14302 Tom Workman Asst. Secretary 1.00 3.50 X 0 0 0 Angela Urbaczewski VP of Sales & Marketing (part year) 18.00 27.00 X 0 143288 11996 Andrew McCormick Regional Director of Operations 18.00 27.00 X 0 117336 14016 Cathy Macke Regional Dir. Operations (part year) 18.00 27.00 X 0 115983 5896 Brian Beamer Construction and Facilities Director 18.00 27.00 X 0 113845 5119 Robyn Parker Executive Director VP/Mentor 50.00 0.00 X 0 113287 7916 34377 2061877 151852 0 0 1 0 Healthcare Services Group LLC PO Box 829677 Philadelphia PA 19182 Housekeeping and Food Services 2173826 Ducker Roofing 609 Smith Avenue Crowley TX 76036 Roofing 429575 SimplexGrinnell LP Dept CH 10320 Palatine IL 60055 Mechanical/Fire System 385850 Trane PO Box 98167 Chicago IL 60693 Heating & Air Conditioning 146926 Saenz Roofing Inc 1141 N 25th St Unit D Grand Junction CO 81501 Roofing 105250 5 1813 1813 Assisted Living 722320 34183882 34183882 Community Fees 900099 546083 546083 Meals Income 900099 78347 78347 34808312 9250 9250 48780 0 48780 48780 48780 752 -752 -752 -752 129527 129527 129527 34996930 34313409 0 681708 467768 467768 34377 34377 10882437 10882437 215047 215047 1112384 1112384 816748 816748 2099332 2099332 13150 12744 406 20075 20075 2520868 2511035 9833 393180 393180 1946475 1933430 13045 111873 111873 2620715 2602720 17995 102360 74625 27735 35668 35668 3122634 3122634 3712135 3671176 40959 908610 906381 2229 Dues, Licenses and Fees 100333 100197 136 Bad Debts 48596 48596 31284765 29053020 2231745 0 410298 1061581 202 203 594894 282679 40969 42186 414830 451010 85611781 42875286 43976796 42736495 12649009 16092251 58086998 60666405 1365559 1362944 249848 231729 58428617 57316593 60044024 58911266 X -1957026 1755139 -1957026 1755139 58086998 60666405 3712165 0 X X 0 1 X 1 0 X X 1 Bethesda Foundation 470497753 10 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Part V, 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 See the explanation for Part V, Section A, Line 1 above. 3545817 3545817 74554212 37737601 36816611 5855844 4557928 1297916 1655908 579757 1076151 42736495 Escrow account 865861 Organizational costs 10409 Related party receivable 15215981 16092251 1 Bethesda MinistriesOne Child Matters 15475 Gleneagle Dr Colorado Springs CO 80921 841087689 501(c)(3) 425000 Support Operations 1 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 One Child Matters. 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. 0 0 0 0 0 0 0 0 0 Larry Smith President & Director 0 208442 0 16100 0 6450 0 8924 0 334 0 240250 0 0 Dana Rasic VP & Director 0 275516 0 20100 0 9192 0 10800 0 19468 0 335076 0 0 Nathan Merrill CFO, Secretary, Treasurer, Dir. 0 185701 0 17100 0 12867 0 8671 0 17416 0 241755 0 0 Rick Summers VP of Operations & Director 0 147196 0 14000 0 3619 0 6680 0 9459 0 180954 0 0 Mark Pluimer Director 0 151834 0 16750 0 7240 0 6771 0 11258 0 193853 0 0 Angela Urbaczewski VP of Sales & Marketing (part year) 0 132968 0 10100 0 220 0 5222 0 7014 0 155524 0 0 Form 990, Part VI, Section A, line 2 Dan Vagle and Dale Turner have a family relationship. Larry Smith, Dana Rasic, Nathan Merrill, Dale Turner, Daniel Vagle, Don Morgan, Sean Rice, Mark Pluimer, Tom Workman, Rick Summers and Jenny Kennedy serve as directors and officers of related entities 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. 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 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 Child Care NE 501(c)(3) Line 7 N/A 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 Bethesda Foundation 0 Bethesda Real Estate Company 15475 Gleneagle Drive Colorado Springs CO 80921 841133889 Real Estate Mgmt CO C 0 Mission of Mercy Trust 15475 Gleneagle Drive Colorado Springs CO 80921 841469496 Charitable Trust NE T 0 0 1 0 0 1 0 0 0 0 0 0 0 1 1 0 1 1 1 0 Bethesda Associates M Bethesda Foundation E Bethesda Foundation M Bethesda Foundation N Bethesda Foundation P Bethesda Foundation Q Bethesda Foundation R Bethesda Ministries B