2024-03-15T10:22:53-05:00 2023-10-31 370818432 KEMPER CPA GROUP LLP 1700 STANDIFORD AVE SUITE 200 MODESTO CA 95350 990 2022-11-01 941546850 BETHANY HOME SOCIETY OF SAN JOAQUIN CO BETH 2095994221 930 W MAIN STREET RIPON CA 95366 TOM VERMEULEN TREASURER 2095994221 2024-03-13 1 TOM VERMEULEN 999009999 0 SUE CIPPONERI P01263381 2095211100 2024-03-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TOM VERMEULEN 930 W MAIN STREET RIPON CA 95366 14658318 0 X WWW.BETHANYRIPON.ORG X 1963 CA BETHANY HOME SOCIETY OPERATES A SKILLED NURSING FACILITY, ASSISTED LIVING FACILITY, MEMORY CARE FACILITY, ADULT DAY SERVICES PROGRAM, IN-HOME CARE SERVICES AND INDEPENDENT LIVING APARTMENTS. FEE STRUCTURE IS BASED ON RECOVERING COSTS, DEBT RETIREMENT & EXPANSION OF SERVICESWITH NO PROFIT BUILT IN. 13 13 280 55 0 0 20 0 13360707 14369777 425534 274791 -103932 -106124 13682329 14538444 0 0 0 0 8033087 8819385 0 0 0 4907406 5466114 12940493 14285499 741836 252945 30144807 78906525 6896007 55357133 23248800 23549392 X BETHANY HOME SOCIETY OPERATES A SKILLED NURSING FACILITY, ASSISTED LIVING FACILITY, MEMORY CARE FACILITY, ADULT DAY SERVICES PROGRAM, IN-HOME CARE SERVICES AND INDEPENDENT LIVING APARTMENTS. FEE STRUCTURE IS BASED ON RECOVERING COSTS, DEBT RETIREMENT & EXPANSION OF SERVICES WITH NO PROFIT BUILT IN. 0 0 13624949 14369777 BETHANY HOME SOCIETY OPERATES A SKILLED NURSING FACILITY, ASSISTED LIVING FACILITY, MEMORY CARE FACILITY, ADULT DAY SERVICES PROGRAM, IN-HOME CARE SERVICES AND INDEPENDENT LIVING APARTMENTS. FEE STRUCTURE IS BASED ON RECOVERING COSTS, DEBT RETIREMENT & EXPANSION OF SERVICESWITH NO PROFIT BUILT IN. 13624949 1 0 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 0 0 0 0 0 0 0 1 0 0 0 1 51 0 1 280 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X THE ORGANIZATION 2095994221 930 W MAIN STREET RIPON CA 95366 JEFF MILLER PRESIDENT 1.00 X X 0 0 0 JEFF VAN GRONINGEN VICE PRESIDENT 1.00 X X 0 0 0 TOM VERMEULEN TREASURER 1.00 X X 0 0 0 TOM BECK SECRETARY 1.00 X 0 0 0 CAROL SLAGER DIRECTOR 1.00 X 0 0 0 PETE DUYST DIRECTOR 1.00 X 0 0 0 DEB VAN GRONINGEN DIRECTOR 1.00 X 0 0 0 JOAN WEAVER DIRECTOR 1.00 X 0 0 0 ADRIAN VAN HOUTEN DIRECTOR 1.00 X 0 0 0 RYAN VANDER VEEN DIRECTOR 1.00 X 0 0 0 RON VAN ESSEN DIRECTOR 1.00 X 0 0 0 JOHN VAN TILL DIRECTOR 1.00 X 0 0 0 CINDY SCHEUBLEIN EXECUTIVE DIRECTOR 40.00 X 131250 0 0 VIJAY SHARMA ACCOUNTING DIRECTOR 40.00 X 52326 0 0 183576 0 0 1 0 0 0 KAISER PERMANENETE PO BOX 741562 LOS ANGELES CA 90074 HEALTH INSURANCE 621052 GALLAGHER AND CO INSURANCE BROKERS PO BOX 742886 LOS ANGELES CA 90074 INSURANCE SERVICES 359073 DEPARTMENT OF HEALTH CARE SERVIVES PO BOX 997415 SACRAMENTO CA 95899 SNF QUALITY ASSURANCE FEE 350666 GUARDIANCOMP INC 7 GREAT VALLEY PARKWAY SUITE 290 MALVERN PA 19355 WORKERS COMPENSATION INSURANCE 320050 SODEXO AMERICA LLC 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 FOOD SERVICES 145311 5 SKILLED NURSING & RESIDENTIAL CAR 623000 14369777 14369777 14369777 274791 274791 13750 119874 -106124 -106124 -106124 14538444 14369777 0 168667 7401415 6999580 401835 857178 814627 42551 560792 530089 30703 431182 429956 1226 120586 100036 20550 1293478 1272753 20725 PLANT OPERATIONS AND MA 969499 939028 30471 DIETARY SERVICES 781157 742381 38776 ADMINISTRATION 591099 554050 37049 QUALITY ASSURANCE FEES 349572 349572 929541 892877 36664 14285499 13624949 660550 0 1970642 1539249 249744 250244 483351 781561 70677 43330 268482 267906 34436247 18308484 16512052 16127763 8371901 49552292 2217958 10344180 30144807 78906525 676822 1964799 530652 447119 5586783 52845215 101750 100000 6896007 55357133 X 23248800 23549392 23248800 23549392 30144807 78906525 252945 47647 0 X 0 1 X 1 0 X 211993 136107 37694 20 0 385814 14202431 15535081 13369368 13360651 14369777 70837308 -67713 -57607 -43809 -103932 -106124 -379185 14346711 15613581 13363253 13256739 14263653 70843937 0 0 0 70843937 140225 174167 212513 274292 801197 140225 174167 212513 274292 801197 14486936 15787748 13575766 13256739 14537945 71645134 0.98880 0.99120 0.01120 0.00880 X 2991581 2991581 30533553 17653826 12879727 911113 654658 256455 16127763 CONSTRUCTION IN PROGRESS 10344180 10344180 TENANT DEPOSIT PAYABLE 99000 OTHER CURRENT LIABILITIES 1000 100000 14705965 47647 119874 167521 14538444 0 14538444 14405373 119874 119874 14285499 0 14285499 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE NETTED AGAINST INCOME 119,874. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED AGAINST INCOME 119,874. A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048VG69 2023-01-31 54952977 TO CONSTRUCT 82 APARTMENT HOMES WITH DINING VENUES, FITNESS, AND ACTIVITIES. 0 0 0 A 54952977 1689063 3019298 1094060 2964158 7806519 3118459 35261421 1 0 1 1 A 0 1 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IN THE BETHANY HOME SOCIETY IS AVAILABLE TO ANYONE WHO UNDERSTANDS AND AGREES WITH THE MISSION STATEMENT ADOPTED BY THE BOARD OF DIRECTORS. ALL MEMBERSHIPS MUST BE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B MEMBERSHIP IN THE BETHANY HOME SOCIETY IS AVAILABLE TO ANYONE WHO UNDERSTANDS AND AGREES WITH THE MISSION STATEMENT ADOPTED BY THE BOARD OF DIRECTORS. ALL MEMBERSHIPS MUST BE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S BOARD MEMBERS ARE NOTIFIED OF THE AVAILABILITY OF THE DRAFT COPY, EITHER IN ELECTRONIC FORMAT OR ON PAPER, OF THE TAX EXEMPT FILING PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE ORGANIZATION REQUIRES BOARD MEMBERS TO SIGN A STATEMENT DISCLOSING ANY CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE DIRECTOR MAKES ASSIGNMENT OF SALARY FOR STAFF AND THE BOARD USES COMPARATIVE SALARY REPORTS TO DETERMINE THE EXECUTIVE DIRECTOR'S SALARY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVIALABLE TO THE PUBLIC UPON REQUEST BETHANY HOME SOCIETY FOUNDATION INC 930 W MAIN STREET RIPON CA 95366 911787884 RAISE FUNDS FOR THE BENEFIT OF BETHANY HOME SOCIETY. CA 501(C)(3) LINE 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 BETHANY HOME SOCIETY FOUNDATION INC O COST BETHANY HOME SOCIETY FOUNDATION INC Q COST BETHANY HOME SOCIETY FOUNDATION INC C COST