STRATEGY STUDIO / PUBLIC DATA EXPLORER

BETHEL LUTHERAN HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BETHEL LUTHERAN HOME (EIN 46-0259554)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-23
IRS object ID
201302359349300900
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-23T15:48:31-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WOHLENBERG RITZMAN & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1018AddressLine1
CityYANKTONCity
StateSDState
ZIP Code57078ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460259554EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHEL LUTHERAN HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBETHNameControl
Phone6052564539Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11001 SOUTH EGAN AVEAddressLine1
CityMADISONCity
StateSDState
ZIP Code57042ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES IVERSONName
TitleEXECUTIVE DIRECTORTitle
Phone6052564539Phone
Date Signed2013-08-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2013-08-19DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES IVERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11001 S EGANAddressLine1
CityMADISONCity
StateSDState
ZIP Code57042ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4859348GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BETHELCOMMUNITY.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
State Legal DomicileSDStateLegalDomicile
Activity Or Mission DescriptionBETHEL LUTHERAN HOME IS A MINISTRY TO THE ELDERLY CONSISTING OF VARIOUS LEVELS OF CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees186TotalNbrEmployees
Total Nbr Volunteers48TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year200497ContributionsGrantsPriorYear
Contributions Grants Current Year89993ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4702281ProgramServiceRevenuePriorYear
Program Service Revenue CY4767224ProgramServiceRevenueCY
Investment Income Prior Year3735InvestmentIncomePriorYear
Investment Income Current Year1699InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4906513TotalRevenuePriorYear
Total Revenue Current Year4858916TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3163065SalariesEtcPriorYear
Salaries Etc Current Year3320265SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year25449TotalFundrsngExpCurrentYear
Other Expense Prior Year1398855OtherExpensePriorYear
Other Expenses Current Year1513169OtherExpensesCurrentYear
Total Expenses Prior Year4561920TotalExpensesPriorYear
Total Expenses Current Year4833434TotalExpensesCurrentYear
Revenues Less Expenses Prior Year344593RevenuesLessExpensesPriorYear
Revenues Less Expenses CY25482RevenuesLessExpensesCY
Total Assets BOY4249310TotalAssetsBOY
Total Assets EOY4891603TotalAssetsEOY
Total Liabilities BOY1865657TotalLiabilitiesBOY
Total Liabilities EOY2482468TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2383653NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2409135NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBETHEL LUTHERAN HOME IS A MINISTRY TO THE ELDERLY CONSISTING OF VARIOUS LEVELS OF CARE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3311246Expense
Revenue3906248Revenue
DescriptionA SKILLED/SUB-ACUTE CARE NURSING HOME THAT CONSISTS OF 59 BEDS, ALL OF WHICH ARE MEDICAID/MEDICARE CERTIFIED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense146762Expense
Revenue202419Revenue
DescriptionBETHEL APARTMENTS ARE 12 CONGREGATE HOUSING UNITS AND A TWO UNIT DUPLEX THAT ALLOW INDIVIDUALS TO REMAIN AS INDEPENDENT AS POSSIBLE AND YET MAKES AVAILABLE A WIDE VARIETY OF SUPPORTIVE SERVICES SHOULD THEY BE NEEDED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense332873Expense
Revenue322028Revenue
DescriptionBETHEL SUITES ASSISTED LIVING ARE 12 UNITS WHERE CARE IS PROVIDED WHILE ENCOURAGING INDEPENDENCE IN THE RESIDENTS. RESIDENTS MUST BE INDEPENDENT OR REQUIRE MINIMUM ASSISTANCE WITH DAILY TASKS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense453355Expense
Revenue336529Revenue
DescriptionINTERGENERATIONAL DAY CARE PROGRAM THAT PROVIDES SERVICE TO AGING ADULTS AND TO CHILDREN.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp453355TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev336529TotalOfOtherProgramServiceRev
Total Program Service Expense4244236TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundstrueDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees186NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMES IVERSONNamePerson
Telephone Number6052564539TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11001 SOUTH EGANAddressLine1
CityMADISONCity
StateSDState
ZIP Code57042ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CECILIA WITTMAYER
SECRETARY1.00XX000
BARBARA ACHESON
DIRECTOR1.00X000
ROGER JOHNSON
DIRECTOR1.00X000
TOM FARRELL
DIRECTOR1.00X000
LOWELL LARSON
DIRECTOR1.00X000
DAN WENTWORTH
DIRECTOR1.00X000
JOYCE DRAGSETH
PRESIDENT1.00XX000
LLOYD GUNDVALDSON
VICE PRESIDE1.00XX000
REV WAYNE MEIDINGER
DIRECTOR1.00X000
MARK SCHULTZ
DIRECTOR1.00X000
DALE SHUMAKER
DIRECTOR1.00X000
REV BECKY SENNER
DIRECTOR1.00X000
SHERRY VANLIERE
DIRECTOR1.00X000
JACKIE MILES
DIRECTOR1.00X000
TIM CAMPBELL
DIRECTOR1.00X000
TODD COPELAND
TREASURER1.00XX000
LISA BAASCH
DIRECTOR1.00X000
PAUL JOHANSEN
DIRECTOR1.00X000
JAMES IVERSON
EXEC DIRECTO40.00X78618015298
FieldValueIRS element (for citing)
Total Reportable Comp From Org78618TotalReportableCompFromOrg
Total Other Compensation15298TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TSP INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11112 N WEST AVEAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code57104ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesARCHITECTSDescriptionOfServices
Compensation130284Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations17712RelatedOrganizations
All Other Contributions72281AllOtherContributions
Total Contributions89993TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME & ASSISTED LIVIN62300041386824138682
DAYCARE623000316800316800
APARTMENTS & TWIN HOMES623000199046199046
OTHER OPERATING REVENUE623000112696112696
FieldValueIRS element (for citing)
Total Program Service Revenue4767224TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2131TotalRevenueColumn
Exclusion$2,131ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other432Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-432Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-432TotalRevenueColumn
Related Or Exempt Function Income-432RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4858916TotalRevenueColumn
Related Or Exempt Function Income4766792RelatedOrExemptFunctionIncome
Exclusion$2,131ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total78618Total
Management And General78618ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2583926Total
Program Services2418576ProgramServices
Management And General165350ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total38456Total
Program Services33410ProgramServices
Management And General5046ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total436912Total
Program Services401098ProgramServices
Management And General35814ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total182353Total
Program Services165110ProgramServices
Management And General17243ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13171Total
Management And General13171ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total229013Total
Program Services172141ProgramServices
Management And General56872ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total25315Total
Program Services2700ProgramServices
Management And General2414ManagementAndGeneral
Fundraising20201Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45138Total
Program Services2011ProgramServices
Management And General43127ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total224315Total
Program Services216761ProgramServices
Management And General7554ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total5622Total
Management And General5622ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total15753Total
Program Services13428ProgramServices
Management And General2325ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total52873Total
Program Services52873ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total236530Total
Program Services236530ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total128666Total
Program Services29800ProgramServices
Management And General98866ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD222562222562
NURSING SUPPLIES135623135623
DRUGS & MEDICINES4864948649
HOUSEKEEPING SUPPLIES2756427564

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total102375Total
Program Services65400ProgramServices
Management And General31727ManagementAndGeneral
Fundraising5248Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4833434Total
Program Services4244236ProgramServices
Management And General563749ManagementAndGeneral
Fundraising25449Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY631929BOY
EOY467974EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY232981BOY
EOY230551EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY17553BOY
EOY21916EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8658089LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4637649LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2973100BOY
EOY4020440EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY16957BOY
EOY43384EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY376290BOY
EOY106838EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4249310BOY
EOY4891603EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY273655BOY
EOY462044EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY78907BOY
EOY39000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY663534BOY
EOY1376381EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY246671BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY602890BOY
EOY605043EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1865657BOY
EOY2482468EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1856032BOY
EOY2296956EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY527621BOY
EOY112179EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2383653BOY
EOY2409135EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4249310BOY
EOY4891603EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses25482ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years108385CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years172932CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86918CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year200497CurrentTaxYearMinus1Year
Current Tax Year89993CurrentTaxYear
Total658725Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4112701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4381633CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4625048CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4702281CurrentTaxYearMinus1Year
Current Tax Year4767224CurrentTaxYear
Total22588887Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4221086CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4554565CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4711966CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4902778CurrentTaxYearMinus1Year
Current Tax Year4857217CurrentTaxYear
Total23247612Total
FieldValueIRS element (for citing)
Public Support Total50923247612PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6142CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3790CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3735CurrentTaxYearMinus1Year
Current Tax Year2131CurrentTaxYear
Total21207Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6142CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3790CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3735CurrentTaxYearMinus1Year
Current Tax Year2131CurrentTaxYear
Total21207Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4227228CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4559974CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4715756CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4906513CurrentTaxYearMinus1Year
Current Tax Year4859348CurrentTaxYear
Total23268819Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99910PublicSupportPercentage509
Prior Year Support Percentage0.99850PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Number Funds Held17NumberFundsHeld
Contrib To Funds And Other Accounts3323ContribToFundsAndOtherAccounts
Aggregate Fund Value31876AggregateFundValue
Disclosed Orgs Legal ControltrueDisclosedOrgsLegalControl
Disclosed For Charitable PurposestrueDisclosedForCharitablePurposes

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis229013OtherCostOrOtherBasis
Book Value229013BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5487031OtherCostOrOtherBasis
Depreciation2828028Depreciation
Book Value2659003BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1406938OtherCostOrOtherBasis
Depreciation744801Depreciation
Book Value662137BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1481365OtherCostOrOtherBasis
Depreciation1064820Depreciation
Book Value416545BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis53742OtherCostOrOtherBasis
Book Value53742BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4020440TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
TWIN HOME DEPOSITS$585,000
TENANT SECURITY DEPOSITS$19,465
AMOUNTS HELD FOR OTHERS$578
FieldValueIRS element (for citing)
Total Of Amounts605043TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt4847203TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4847203RevenueSubtotal
Other Revenues Not Included11713OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt11713RevenueNotRptdOnFinStmt
Total Revenue Per Form9904858916TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4833434TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4833434ExpensesSubtotal
Total Expenses Per Form9904833434TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierREVENUE AMOUNTS INCLUDED ON RETURN - OTHERIdentifier
Return ReferenceSCHEDULE D, PAGE 4, PART XI, LINE 4BReturnReference
ExplanationCONTRIBUTIONS WITH DONOR RESTRICTIONS 25 INTEREST INCOME ON DONOR RESTRICTED DEPOSITS 43 TEMPORARILY RESTRICTED REVENUE 11,645Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1FIRST BANK & TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN466000277IssuerEIN
Date Issued2012-06-12DateIssued
Issue Price1400000IssuePrice
Description Of PurposeREFUND OUTSTANDING SERIES 1997 & SERIES 2003 BONDS, CHILD CARE CENTER LOAN,DescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired620582AmountRetired
Amount Bond Defeased620582AmountBondDefeased
Total Proceeds1400000TotalProceeds
Issuance Costs From Proceeds10467IssuanceCostsFromProceeds
Capital Expenditures527015CapitalExpenditures
Other Spent Proceeds241936OtherSpentProceeds
Year Of Subst Completion2012YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrsfalseNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatefalseExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierPURPOSE OF ISSUE DESCRIPTIONIdentifier
Return ReferenceSCHEDULE KReturnReference
ExplanationFIRST BANK TRUST AND MAKE ADDITIONAL IMPROVEMENTS TO FACILITIESExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6BOARD MEMBERS SERVE WITHOUT COMPENSATION VOLUNTEERS HELP WITH OUTINGS AND EVENTS
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DINTERGENERATIONAL DAY CARE PROGRAM THAT PROVIDES SERVICE TO AGING ADULTS AND TO CHILDREN.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BRETURN PREPARED BY AN INDEPENDENT AUDITING FIRM AND REVIEWED BY THE GOVERNING BOARD
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CPERIODIC REVIEW
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AANNUAL EVALUATION BY THE BOARD OF DIRECTORS & AND AN ANNUAL SALARY REVIEW BY FINANCE COMMITTEE WHICH RECOMMENDS TO THE BOARD OF DIRECTORS
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BANNUAL SALARY REVIEW BY FINANCE COMMITEE WHICH RECOMMENDS TO BOARD OF DIRECTORS
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS MADE AVAILABLE TO THE PUBLIC ON REQUEST

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BETHEL LUTHERAN HOME FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11001 S EGAN AVEAddressLine1
CityMADISONCity
StateSDState
ZIP Code57042ZIPCode
FieldValueIRS element (for citing)
EIN460403284EIN
Primary ActivitiesFUNDRAISINPrimaryActivities
Legal Domicile StateSDLegalDomicileState
Exempt Code Section501C3ExemptCodeSection
Public Charity Status7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BETHEL LUTHERAN HOME FOUNDATION
C15196CASH
BETHEL LUTHERAN HOME FOUNDATION
Q2516CASH
BETHEL LUTHERAN HOME FOUNDATION
H200000FMV