2024-08-09T11:31:04-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 2689 COMMERCE DRIVE NW SUITE 201 ROCHESTER MN 55901 990 2022-10-01 411373420 SAMARITAN BETHANY INC SAMA 5072895042 PO BOX 5947 ROCHESTER MN 559035947 KYLA BERG CO-CEO/MISSION LEADER 5072895042 2024-08-06 1 0 KATHERINE LUTZKE CPA P01760889 5072802300 2024-08-06 2022 2024-08-08 14:25:15Z KYLA BERG PO BOX 5947 ROCHESTER MN 559035947 19884308 0 X WWW.SAMARITANBETHANY.COM X 1971 MN TO PROVIDE HOUSING, NURSING CARE AND RELATED SERVICES FOR THE ELDERLY. 13 13 304 100 -14121 0 716189 3538692 14352681 14944047 142513 654215 386823 397440 15598206 19534394 0 0 0 0 9406562 8280707 0 0 0 8485302 8665388 17891864 16946095 -2293658 2588299 32215412 34020892 34112813 33177668 -1897401 843224 TO PROVIDE HOUSING, NURSING CARE AND RELATED SERVICES TO RESIDENTS OF A NURSING HOME AND AN APARTMENT COMPLEX COMPLETE WITH ASSISTED LIVING AND MEMORY CARE FOR THE ELDERLY. 0 0 14344492 0 14944047 PROVIDING HOUSING, NURSING CARE AND RELATED SERVICES TO RESIDENTS OF A NURSING HOME AND AN APARTMENT COMPLEX COMPLETE WITH ASSISTED LIVING AND MEMORY CARE FOR THE ELDERLY IN THE ROCHESTER, MINNESOTA AREA. THE HOME IS LICENSED FOR 182 NURSING HOME BEDS WITH 155 ACTIVE AND ARBOR TERRACE HAS 83 APARTMENT UNITS. 14344492 1 1 0 0 0 0 0 1 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 5 0 304 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 MN X BRANDON MILLER 5072895042 101 7TH STREET NW ROCHESTER MN 55901 KAREN HARTMAN PRESIDENT 1.00 0.00 X X 0 0 0 DR JERRY SWANSON VICE PRESIDENT 1.00 0.00 X X 0 0 0 JERAD FAUDI TREASURER 1.00 0.00 X X 0 0 0 LAURIE DEYOUNG SECRETARY 1.00 0.00 X X 0 0 0 RAE DUNN DIRECTOR 1.00 0.00 X 0 0 0 GARY ZANDER DIRECTOR 1.00 0.00 X 0 0 0 PAM SCHULZE DIRECTOR 1.00 0.00 X 0 0 0 TERRY BIRD DIRECTOR 1.00 0.00 X 0 0 0 JOHN HAUG DIRECTOR 1.00 0.00 X 0 0 0 KIRBY BAKKEN DIRECTOR 1.00 0.00 X 0 0 0 BOB BEAULIEU DIRECTOR 1.00 0.00 X 0 0 0 BEV MORAVEC DIRECTOR 1.00 0.00 X 0 0 0 JOE PHILLIPS DIRECTOR 1.00 0.00 X 0 0 0 SCOTT DAVIS DIRECTOR-PART YEAR 1.00 0.00 X 0 0 0 SUSAN KNUTSON CEO 40.00 1.00 X 143124 0 30157 BRANDON MILLER CFO 40.00 1.00 X 108245 0 7062 KYLA BERG ADMINISTRATOR/CO-CEO 40.00 1.00 X 94427 0 25982 RACHAEL MAXFIELD HOUSING MGR/CO-CEO 40.00 1.00 X 79352 0 5581 425148 0 68782 2 0 1 0 SELECT REHABILITATION LLC PO BOX 71985 CHICAGO IL 60694 CONTRACTED THERAPY 977598 GRAPETREE MEDICAL STAFFING LLC PO BOX 5340 SIOUX FALLS SD 57117 CONTRACTED TEMPORARY LABOR 616640 ESHYFT PO BOX 5935 TROY MI 48007 CONTRACTED TEMPORARY LABOR 334198 TOWNE HEALTHCARE STAFFING LLC 4547 HWY 9 NORTH SUITE Q HOWELL NJ 07731 CONTRACTED TEMPORARY LABOR 116904 4 62877 3475815 3538692 RESIDENT REVENUE 623000 14879480 14879480 TELEVISION REVENUE 623000 39820 39820 THERAPY RENTAL INCOME 623000 17657 17657 A.T. RENTAL INCOME 623000 7090 7090 14944047 656460 656460 271350 158627 112723 112723 -14121 126844 189042 191287 -2245 -2245 -2245 MEAL INCOME 900099 264248 264248 MISCELLANEOUS REVENUE 900099 20465 20465 FINANCE CHARGES 900099 4 4 284717 19534394 14944047 -14121 1065776 425211 178044 247167 6398998 6084734 314264 159750 117125 42625 764574 539227 225347 532174 373063 159111 978673 978673 27353 27353 39791 39791 13589 13589 1604849 1455819 149030 16380 16380 41766 11252 30514 4397 4397 694910 653294 41616 11771 11771 62335 19629 42706 1456523 1456523 1214434 1214434 228016 228016 THERAPY EXPENSE 959202 959202 FOOD COSTS 516585 516585 MEDICAL CARE SURCHARGE 360320 360320 EQUIPMENT RENTAL & MAIN 145893 145893 288601 259348 29253 16946095 14344492 2601603 0 533991 632063 1032136 3680300 1130948 1186881 51591 91167 235469 170079 43019925 19973835 24174156 23046090 1636662 1914982 212578 226902 3207881 3072428 32215412 34020892 1308603 1435194 693810 369557 31444138 30810489 477851 372048 188411 190380 34112813 33177668 X -1897401 843224 -1897401 843224 32215412 34020892 2588299 152326 0 X 0 1 X 1 0 X 95793 169610 3156717 716189 3538692 7677001 20281655 19359499 16040176 14352681 14944047 84978058 20377448 19529109 19196893 15068870 18482739 92655059 95793 23493 121588 38769 62877 342520 0 95793 23493 121588 38769 62877 342520 92312539 257742 90436 215060 429610 927810 1920658 257742 90436 215060 429610 927810 1920658 74637 70134 79972 252932 284717 762392 20709827 19689679 19491925 15751412 19695266 95338109 0.96830 0.97700 0.02010 0.01370 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 74,637. 2019 AMOUNT: $ 70,134. 2020 AMOUNT: $ 79,972. 2021 AMOUNT: $ 252,932. 2022 AMOUNT: $ 284,717. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 509172 509172 35939401 15398808 20540593 4448596 3644565 804031 2122756 930462 1192294 23046090 RESIDENT TRUST 8006 SECURITY DEPOSITS 143912 TRUST FUND 2585248 DUE FROM FOUNDATION 335262 3072428 RESIDENT'S CASH 8006 SECURITY DEPOSITS 143912 FIN 47 RETIREMENT OBLIGATION 38462 190380 X PART III, LINE 4: SAMARITAN BETHANY'S MISSION IS TO CREATE A CARING ENVIRONMENT THAT ENHANCES THE QUALITY OF LIFE OF THOSE WE SERVE. RESEARCH CLEARLY SHOWS THAT ART PRODUCES A POSITIVE EMOTIONAL BENEFIT AND INCREASES SENSE OF WELL-BEING WHEN DISPLAYED IN A HEALTHCARE ENVIRONMENT. SBI WANTS TO STIMULATE THE MIND AND INSPIRE PEOPLE TO USE THEIR IMAGINATION BY DISPLAYING A DIVERSITY OF ART FORMS FROM LOCAL ARTISANS. MOST RESIDENTS ARE NOT ABLE TO EXPERIENCE ART ON A REGULAR BASIS DUE TO MULTIPLE PHYSICAL AND SOCIO-ECONOMIC ISSUES. SBI IS EXPOSING ALL WHO ENTER OUR PUBLIC AREAS TO PROFESSIONAL QUALITY ART. INDIVIDUALS EXPERIENCE THE ART AS THEY GO THROUGH THE VARIOUS BUILDINGS IN OUR FACILITY. NO ONE NEEDS TO MAKE A SPECIAL TRIP TO AN ART GALLERY OR MUSEUM. THERE ARE NO BARRIERS REGARDING AGE, ETHNICITY, GENDER OR PHYSICAL LIMITATIONS FOR VIEWERS OR ARTISTS. THE ARTWORK DISPLAYED STIMULATES INTEREST IN THIS REGION'S ARTISTS AND PROMOTES A HEALTHY LIVING ENVIRONMENT FOR EVERYONE. THROUGH A SURVEY OF OUR RESIDENTS, WE HAVE LEARNED THAT THE ARTWORK HAS CREATED AN ENVIRONMENT THAT IS PLEASING AND STIMUILATING TO THE RESIDENTS. THE ART BRINGS BACK MEANINGFUL AND POSITIVE MEMORIES FOR THEM AND IN MANY CASES LEAD TO STORIES ABOUT THE SUBJECT MATTER AND THEIR EXPERIENCES WITH THE SUBJECT MATTER. PART X, LINE 2: BOTH SAMARITAN BETHANY, INC. AND SAMARITAN BETHANY FOUNDATION HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. BOTH ORGANIZATIONS FOLLOW THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY EITHER AS A RESULT OF THIS STANDARD. BOTH ORGANIZATIONS FILE AS TAX-EXEMPT ORGANIZATIONS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. X X X 0 0 0 0 0 0 0 0 0 SUSAN KNUTSON CEO 140558 0 2185 0 381 0 8420 0 21737 0 173281 0 0 0 A CITY OF ROCHESTER MN 416005494 771906DR2 2017-08-28 34775000 REFINANCE 2009 BOND ISSUE - 2017 BONDS PAYABLE 0 0 0 A 3500000 34775000 2167813 31830131 719844 57212 2017 0 1 1 1 A 0 0 0 0 1.00000 1.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FINANCE COMMITTEE REVIEWS FORM 990 AND PRESENTS TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CEO IS AWARE OF THE DIRECTORS, OFFICERS AND KEY EMPLOYEES INTERESTS AND CONTINUOUSLY MONITORS THEM. SHOULD SOMETHING COME UP AND A VOTE IS REQUIRED, THAT PERSON IS ASKED TO STATE THEIR POSITION AND IS ASKED TO ABSTAIN FROM VOTING AND/OR EXCUSED FROM THE ROOM FOR THE VOTE. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS USED TO SET THE ADMINISTRATOR'S, CEO'S AND CFO'S ANNUAL SALARY IS BASED ON A COMBINATION OF COMPARISON TO COMPARABLE ORGANIZATIONS THROUGH USE OF OUR TRADE ORGANIZATION'S ANNUAL COMPENSATION SURVEY AND ATTAINMENT IN THE CURRENT YEAR OF PREDEFINED PERFORMANCE OBJECTIVES SET FOR THE ADMINISTRATOR, CEO AND CFO PERSONALLY AND THE ORGANIZATION. ALSO, THE STATE OF MINNESOTA HAS IN MOST YEARS DETERMINED AN AMOUNT OF PAY INCREASE, IF ANY, THAT CAN BE GIVEN TO EMPLOYEES AND WE HAVE ALSO CONSIDERED THIS AMOUNT IN DETERMINING TOP MANAGEMENT COMPENSATION. THIS PROCESS IS NORMALLY DONE PRIOR TO THE FISCAL YEAR START OF OCTOBER 1ST EACH YEAR. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. SAMARITAN BETHANY FOUNDATION 101 7TH STREET NW ROCHESTER MN 55901 411463499 SOLICIT DONATIONS TO FURTHER THE EXEMPT PURPOSE OF SAMARITAN BETHANY, INC. MN 501(C)(3) 509(A)(3) TYPE I SAMARITAN BETHANY INC 1 0 0 1 1 1 0 0 0 0 1 0 1 1 1 1 1 1 1 1