2023-08-14T15:10:47-05:00 2022-09-30 410746749 CLIFTONLARSONALLEN LLP 201 N RIVERFRONT DR SUITE 300 MANKATO MN 56001 990 2021-10-01 411373420 SAMARITAN BETHANY INC SAMA 5072895042 PO BOX 5947 ROCHESTER MN 559035947 SUSAN KNUTSON CEO/MISSION LEADER 5072895042 2023-08-09 1 SUSAN KNUTSON 999009999 JOSH SHERBURNE P02039400 5073868800 2023-08-09 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z SUSAN KNUTSON PO BOX 5947 ROCHESTER MN 559035947 15851201 0 X WWW.SAMARITANBETHANY.COM X 1971 MN TO PROVIDE HOUSING, NURSING CARE AND RELATED SERVICES FOR THE ELDERLY. 14 14 415 100 118346 0 3156717 716189 16040176 14352681 267530 142513 215620 386823 19680043 15598206 0 0 0 0 10344312 9406562 0 0 0 8654370 8485302 18998682 17891864 681361 -2293658 35223208 32215412 34514300 34112813 708908 -1897401 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 15199273 0 14352681 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. 15199273 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 0 415 1 1 1 0 0 0 0 0 0 0 0 0 X 14 14 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 LAURIE DEYOUNG SECRETARY 1.00 0.00 X X 0 0 0 JERAD FAUDI TREASURER 1.00 0.00 X X 0 0 0 SCOTT DAVIS DIRECTOR 1.00 0.00 X 0 0 0 RAE DUNN 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 GARY ZANDER DIRECTOR 1.00 0.00 X 0 0 0 BONNIE LENZ DIRECTOR-PART YEAR 1.00 0.00 X 0 0 0 SUSAN KNUTSON CEO 40.00 1.00 X 132066 0 28203 BRANDON MILLER CFO 40.00 1.00 X 95586 0 6375 KYLA BERG ADMINISTRATOR 40.00 0.00 X 89815 0 24858 RACHAEL MAXFIELD HOUSING MGR 40.00 0.00 X 71960 0 180 389427 0 59616 1 0 1 0 SELECT REHABILITATION LLC PO BOX 71985 CHICAGO IL 606941985 CONTRACTED THERAPY 1055331 GRAPETREE MEDICAL STAFFING LLC PO BOX 5340 SIOUX FALLS SD 571175340 CONTRACTED TEMPORARY LABOR 202034 TOWNE HEALTHCARE STAFFING LLC 4547 HWY 9 NORTH SUITE Q HOWELL NJ 07731 CONTRACTED TEMPORARY LABOR 197354 ANNLEO LLC PO BOX 5341 SIOUX FALLS SD 571175341 CONTRACTED TEMPORARY LABOR 127120 CLIFTONLARSONALLEN LLP PO BOX 776376 CHICAGO IL 606776376 ACCOUNTING, AUDITING, CONSULTING SERVICE 125027 7 38796 677393 716189 RESIDENT REVENUE 623000 14299393 14299393 TELEVISION REVENUE 623000 41525 41525 THERAPY RENTAL INCOME 623000 10847 10847 A.T. RENTAL INCOME 623000 916 916 14352681 162082 162082 267528 133637 133891 133891 118346 15545 99789 119358 -19569 -19569 -19569 MEAL INCOME 900099 234482 234482 MISCELLANEOUS REVENUE 900099 18442 18442 FINANCE CHARGES 900099 8 8 252932 15598206 14352681 118346 410990 441127 195418 245709 7554707 7293381 261326 182484 143815 38669 693583 536657 156926 534661 407717 126944 951454 951454 1960 1960 109961 109961 14747 14747 1098801 845518 253283 40285 40285 57198 22967 34231 3875 3875 651493 607219 44274 11570 11570 31676 20328 11348 1486424 1486424 1224572 1224572 200800 200800 THERAPY EXPENSE 1027172 1027172 FOOD COSTS 484664 484664 MEDICAL CARE SURCHARGE 429991 429991 MEDICAL SUPPLIES 173233 173233 485426 300197 185229 17891864 15199273 2692591 0 1511524 533991 1824356 1032136 1103984 1130948 64285 51591 198412 235469 42879107 18704951 25208023 24174156 1986192 1636662 258198 212578 3068234 3207881 35223208 32215412 1312183 1308603 400315 693810 32047855 31444138 580268 477851 173679 188411 34514300 34112813 X 708908 -1897401 708908 -1897401 35223208 32215412 -2293658 -312651 0 X X 0 1 X 1 0 X 57312 95793 169610 3156717 716189 4195621 19413690 20281655 19359499 16040176 14352681 89447701 19471002 20377448 19529109 19196893 15068870 93643322 57312 95793 23493 121588 38796 336982 0 57312 95793 23493 121588 38796 336982 93306340 316947 257742 90436 215060 429610 1309795 316947 257742 90436 215060 429610 1309795 72849 74637 70134 79972 252932 550524 19860798 20709827 19689679 19491925 15751412 95503641 0.97700 0.98180 0.01370 0.00950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 509172 509172 35880341 14453372 21426969 4366838 3393026 973812 2122756 858553 1264203 24174156 RESIDENT TRUST 8081 SECURITY DEPOSITS 141868 TRUST FUND 2528724 DUE FROM FOUNDATION 529208 3207881 RESIDENT'S CASH 8081 SECURITY DEPOSITS 141868 FIN 47 RETIREMENT OBLIGATION 38462 188411 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 129196 0 2367 0 503 0 7774 0 20429 0 160269 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 3022149 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 CONFLICT OF INTEREST POLICY COVERS ANY PERSON SERVING AS AN OFFICER, EMPLOYEE OR AS A MEMBER OF THE BOARD OF DIRECTORS. THESE POSITIONS ARE DEFINED AS A RESPONSIBLE PERSONS WITHIN THE ORGANIZATION. A CONFLICT OF INTEREST CAN BE DEFINED BY THE FOLLOWING CIRCUMSTANCES: A AN OUTSIDE INTEREST OR ACTIVITY BETWEEN A RESPONSIBLE PERSON OR THEIR FAMILY MEMBER. THIS CAN ARISE FROM A CONTRACT, TRANSACTION, OR A MATERIAL FINANCIAL INTEREST BETWEEN SAMARITAN BETHANY, INC. AND AN ENTITY A RESPONSIBLE PERSON HAS AN INTEREST IN. B. ANY GIFTS, GRATUITIES AND ENTERTAINMENT A RESPONSIBLE PERSON ACCEPT FROM AN ENTITY THAT DOES BUSINESS OR IS SEEKING TO DO BUSINESS WITH SAMARITAN BETHANY, INC. IF A POTENTIAL CONFLICT ARISES, RESPONSIBLE PERSON MUST REPORT IT TO THE CHAIR OR THE CHAIR'S DESIGNEE, AND THEY SHALL REVIEW THE SITUATION AND DETERMINE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED, THE RESPONSIBLE PERSON WILL REFRAIN FROM ANY ACTIONS THAT MAY AFFECT SAMARITAN BETHANY, INC.'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST AND THE RESPONSIBLE PERSON IS A BOARD MEMBER, THEY SHALL NOT PARTICIPATE IN COMMITTEE DISCUSSIONS OF THE MATTER. THEY WILL ALSO BE INELIGIBLE TO VOTE ON MATTERS INVOLVING THE CONTRACT OR TRANSACTION WITH THE CONFLICT OF INTEREST. ANY OF CONFLICT OF INTEREST DISCLOSED BY A BOARD MEMBER WILL BE DISCLOSED BY THE CHAIR AND REFLECTED IN THE MINUTES OF THE BOARD MEETING. 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 ORGANIZATIONS 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. THS MOST RECENT YEAR THIS PROCESS WAS HELD WAS 2022. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. 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. FORM 990, PART XII, LINE 2C THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT ACCOUNTANT. 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