STRATEGY STUDIO / PUBLIC DATA EXPLORER

BETHEL LUTHERAN HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
BETHEL LUTHERAN HOME (EIN 46-0259554)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-09
IRS object ID
201103139349302705
Schema version
2010v3.4
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)
Timestamp2011-11-09T14:45:06-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-01DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2011-11-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts4715756GrossReceipts
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. BETHEL LUTHERAN HOME CONSISTS OF A 59 BED NURSING HOME, A 12 UNIT CONGREGATE HOUSING FOR THE ELDERLY, A 12 BED ASSISTED LIVING CENTER, A 2 UNIT DUPLEX AND AN INTERGENERATIONAL DAY CARE SERVICE.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees181TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year172932ContributionsGrantsPriorYear
Contributions Grants Current Year86918ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4381633ProgramServiceRevenuePriorYear
Program Service Revenue CY4625048ProgramServiceRevenueCY
Investment Income Prior Year5409InvestmentIncomePriorYear
Investment Income Current Year3790InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4559974TotalRevenuePriorYear
Total Revenue Current Year4715756TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2988901SalariesEtcPriorYear
Salaries Etc Current Year3132691SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year26137TotalFundrsngExpCurrentYear
Other Expense Prior Year1349850OtherExpensePriorYear
Other Expenses Current Year1398800OtherExpensesCurrentYear
Total Expenses Prior Year4338751TotalExpensesPriorYear
Total Expenses Current Year4531491TotalExpensesCurrentYear
Revenues Less Expenses Prior Year221223RevenuesLessExpensesPriorYear
Revenues Less Expenses CY184265RevenuesLessExpensesCY
Total Assets BOY3701451TotalAssetsBOY
Total Assets EOY3720600TotalAssetsEOY
Total Liabilities BOY2193856TotalLiabilitiesBOY
Total Liabilities EOY2028740TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1507595NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1691860NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBETHEL LUTHERAN HOME IS A MINISTRY TO THE ELDERLY CONSISTING OF VARIOUS LEVELS OF CARE. BETHEL LUTHERAN HOME CONSISTS OF A 59 BED NURSING HOME, A 12 UNIT CONGREGATE HOUSING FOR THE ELDERLY, A 12 BED ASSISTED LIVING CENTER, A 2 UNIT DUPLEX AND AN INTERGENERATIONAL DAY CARE SERVICE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3170766Expense
Revenue3770632Revenue
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)
Expense148998Expense
Revenue190972Revenue
DescriptionBETHEL APARTMENTS ARE CONGREGATE HOUSING THAT ALLOWS 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)
Expense375099Expense
Revenue330756Revenue
DescriptionBETHEL SUITES ASSISTED LIVING PURPOSE IS TO PROVIDE CARE WHILE ENCOURAGING INDEPENDENCE IN THE RESIDENTS THAT LIVE THERE. RESIDENTS MUST BE INDEPENDENT OR REQUIRE MINIMUM ASSISTANCE WITH DAILY TASKS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense470724Expense
Revenue332688Revenue
DescriptionINTERGENERATIONAL DAY CARE PROGRAM THAT PROVIDES SERVICE TO AGING ADULTS AND TO CHILDREN.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp470724TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev332688TotalOfOtherProgramServiceRev
Total Program Service Expense4165587TotalProgramServiceExpense
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 AccounttrueEscrowAccount
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
Transaction Related EntityfalseTransactionRelatedEntity
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 Employees181NumberOfEmployees
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 Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 PolicyfalseWhistleblowerPolicy
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 PersonORGANIZATIONNamePerson
Telephone Number6052564539TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (17 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
BETTY STROM
DIRECTOR1.00X000
JOYCE FARR
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
SUSIE WAGONER
DIRECTOR1.00X000
TIM CAMPBELL
DIRECTOR1.00X000
TODD COPELAND
TREASURER1.00XX000
JAMES IVERSON
EXEC DIRECTO40.00X71210014000
FieldValueIRS element (for citing)
Total Reportable Comp From Org71210TotalReportableCompFromOrg
Total Other Compensation14000TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions86918AllOtherContributions
Total Contributions86918TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NURSING HOME & ASSISTED LIVIN62300039930673993067
DAYCARE623000313027313027
APARTMENTS & TWIN HOMES623000188648188648
OTHER OPERATING REVENUE623000130306130306
FieldValueIRS element (for citing)
Total Program Service Revenue4625048TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3790TotalRevenueColumn
Related Or Exempt Function Income3790RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4715756TotalRevenueColumn
Related Or Exempt Function Income4628838RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2427353Total
Program Services2258486ProgramServices
Management And General168867ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total31155Total
Program Services27033ProgramServices
Management And General4122ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total507185Total
Program Services481517ProgramServices
Management And General25668ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total166998Total
Program Services154033ProgramServices
Management And General12965ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total168355Total
Program Services168355ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total20760Total
Program Services20760ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total23877Total
Program Services23877ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total144660Total
Program Services144660ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total5986Total
Program Services5986ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total16896Total
Program Services15082ProgramServices
Management And General1814ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total70082Total
Program Services70082ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total248691Total
Program Services248691ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total110643Total
Program Services14184ProgramServices
Management And General96459ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD213004213004
SUPPLIES14415512972614429
MAINTENANCE & REPAIRS5226052260
HOUSEKEEPING4322543225
DRUGS & MEDICINES4173341733

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total94473Total
Program Services52893ProgramServices
Management And General15443ManagementAndGeneral
Fundraising26137Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4531491Total
Program Services4165587ProgramServices
Management And General339767ManagementAndGeneral
Fundraising26137Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY75913BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY305121BOY
EOY428499EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY224783BOY
EOY231746EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20937BOY
EOY23639EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13430BOY
EOY20445EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7365598LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4383589LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3021395BOY
EOY2982009EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY22842BOY
EOY19900EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17030BOY
EOY13862EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3701451BOY
EOY3720600EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY224336BOY
EOY236502EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY107250BOY
EOY117000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY945781BOY
EOY809023EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY446497BOY
EOY264105EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY469992BOY
EOY602110EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2193856BOY
EOY2028740EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1328288BOY
EOY1516576EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY179307BOY
EOY175284EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1507595BOY
EOY1691860EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3701451BOY
EOY3720600EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses184265ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years57908CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years47780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108385CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172932CurrentTaxYearMinus1Year
Current Tax Year86918CurrentTaxYear
Total473923Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3652472CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3805663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4112701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4381633CurrentTaxYearMinus1Year
Current Tax Year4625048CurrentTaxYear
Total20577517Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3710380CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3853443CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4221086CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4554565CurrentTaxYearMinus1Year
Current Tax Year4711966CurrentTaxYear
Total21051440Total
FieldValueIRS element (for citing)
Public Support Total50921051440PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7326CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14210CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6142CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5409CurrentTaxYearMinus1Year
Current Tax Year3790CurrentTaxYear
Total36877Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7326CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14210CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6142CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5409CurrentTaxYearMinus1Year
Current Tax Year3790CurrentTaxYear
Total36877Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3717706CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3867653CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4227228CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4559974CurrentTaxYearMinus1Year
Current Tax Year4715756CurrentTaxYear
Total21088317Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99830PublicSupportPercentage509
Prior Year Support Percentage0.99780PriorYearSupportPercentage
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 DA Fs Held1NumberDAFsHeld
Contrib To Funds And Other Accounts86918ContribToFundsAndOtherAccounts
Aggregate DAF Value25284AggregateDAFValue
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis29013OtherCostOrOtherBasis
Book Value29013BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4808101OtherCostOrOtherBasis
Depreciation2594481Depreciation
Book Value2213620BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1008561OtherCostOrOtherBasis
Depreciation724979Depreciation
Book Value283582BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1451919OtherCostOrOtherBasis
Depreciation1064129Depreciation
Book Value387790BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis68004OtherCostOrOtherBasis
Book Value68004BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2982009TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
TWIN HOME DEPOSITS$585,000
TENANT SECURITY DEPOSITS$17,110
FieldValueIRS element (for citing)
Total Of Amounts602110TotalOfAmounts
Total Revenue4715756TotalRevenue
Total Expenses4531491TotalExpenses
Excess Or Deficit For Year184265ExcessOrDeficitForYear
Other-$1,008OtherAmount
Total Adjustments-1008TotalAdjustments
Excess Or Deficit Per FS183257ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4714748TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4714748RevenueSubtotal
Other Revenues Not Included1008OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1008RevenueNotRptdOnFinStmt
Total Revenue Per Form9904715756TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4531491TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4531491ExpensesSubtotal
Total Expenses Per Form9904531491TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8CONTRIBUTIONS WITH DONOR RESTRICTIONS -986 INTEREST INCOME ON DONOR RESTRICTED DEPOSITS -22
REVENUE AMOUNTS INCLUDED ON RETURN - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 4BCONTRIBUTIONS WITH DONOR RESTRICTIONS 986 INTEREST INCOME ON DONOR RESTRICTED DEPOSITS 22

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1FIRST AMERICAN BANK & TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN460393349IssuerEIN
Date Issued2003-05-29DateIssued
Issue Price432687IssuePrice
Description Of PurposeCONSTRUCTIONDescriptionOfPurpose
DefeasedtrueDefeased
On Behalf Of IssuertrueOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedfalseBondCounselRoutinelyEngaged
Post Issuance Compliance ProcdrsfalsePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONBETHEL LUTHERAN HOME IS A MINISTRY TO THE ELDERLY CONSISTING OF VARIOUS LEVELS OF CARE. BETHEL LUTHERAN HOME CONSISTS OF A 59 BED NURSING HOME, A 12 UNIT CONGREGATE HOUSING FOR THE ELDERLY, A 12 BED ASSISTED LIVING CENTER, A 2 UNIT DUPLEX AND AN INTERGENERATIONAL DAY CARE SERVICE.
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITSFORM 990, PAGE 1, PART I, LINE 6BOARD MEMBERS SERVE WITHOUT COMPENSATION VOLUNTEERS HELP WITH PICNICS, OUTINGS, COFFEE HOUR, EVENTS, CRAFT SHOW
ALL OTHER ACHIEVEMENTS 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 EXECUTIVE DIRECTOR. COPIES ARE PROVIDED TO BOARD MEMBERS.
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
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
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 EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BETHEL LUTHERAN HOME FOUNDATION
C29019CASH
BETHEL LUTHERAN HOME FOUNDATION
Q6045BOOKS RECORDS
BETHEL LUTHERAN HOME FOUNDATION
O16117BOOKS RECORDS