2022-10-06T10:14:07-05:00 2021-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2021-01-01 460225023 BETHESDA OF BERESFORD BETH 6057634651 606 WEST CEDAR BERESFORD SD 57004 BRITNEY SENGER ADMINISTRATOR 6057634650 2022-09-27 1 BRITNEY SENGER 999009999 LAURIE HANSON CPA P00851848 6053391999 2022-09-26 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z BRITNEY SENGER 606 WEST CEDAR BERESFORD SD 57004 3683299 0 X WWW.BETHESDASD.COM X 1971 SD ELDERLY HOUSING AND CARE. 8 8 140 15 0 0 848144 682802 3962905 2997343 77023 3154 0 0 4888072 3683299 0 161 0 0 2463747 1765655 0 0 0 2041043 1971222 4504790 3737038 383282 -53739 3950612 3676012 728041 280183 3222571 3395829 BETHESDA OF BERESFORD IS A CHRISTIAN COMMUNITY DEDICATED TO THE ART OF HEALING AND THE JOY OF CARING. 0 0 3307519 161 2997343 THE ORGANIZATION PROVIDES SERVICES FOR THE ELDERLY THROUGH THE OPERATION OF A 58-SKILLED BED NURSING AND 8-BED ASSISTED LIVING FACILITY. IN ADDITION, THE FACILITY PROVIDES OPERATION OF A 16-UNIT ELDERLY APARTMENT COMPLEX AND AN OUTPATIENT THERAPY DEPARTMENT. THE FACILITY OPERATES AS A "LIFE-LINE" TO THE SURROUNDING COMMUNITY, WHICH PROVIDES A SAFER ENVIRONMENT AT HOME FOR THE ELDERLY IN THE SURROUNDING COMMUNITY. THE FACILITY IS OPERATED TO MEET THE HEALTH AND HOUSING NEEDS FOR ITS RESIDENTS. NUMBER OF RESIDENT DAYS 17,246; NUMBER OF ADMISSIONS 32. 3307519 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 140 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 0 1 0 0 X BRITNEY SENGER 6057634650 606 WEST CEDAR BERESFORD SD 57004 BRITNEY SENGER ADMINISTRATOR FROM 10/2021 40.00 X 18152 0 0 CHERILYN HALLAWAY ADMINISTRATOR UNTIL 04/2021 40.00 X 0 0 0 CHRIS HANSEN INTERIM ADMIN 04/2021-10/2021 40.00 X 0 0 0 CLAIRE ANTONSON CHAIRPERSON 0.30 X X 0 0 0 CLARICE PAULSON VICE-CHAIRPERSON 0.30 X X 0 0 0 BRENDA HANSEN SECRETARTY 0.30 X X 0 0 0 ANITA KOSTBOTH DIRECTOR 0.30 X 0 0 0 TONI FJERSTAD DIRECTOR 0.30 X 0 0 0 CLIFTON SAUGSTAD DIRECTOR 0.30 X 0 0 0 CARLA NELSON DIRECTOR UNTIL 04/2021 0.30 X 0 0 0 JANICE THOMPSON DIRECTOR 0.30 X 0 0 0 CINDY MUHLENKORT DIRECTOR 0.30 X 0 0 0 18152 0 0 0 0 0 0 TITAN NURSE STAFFING LLC 2110 S 169TH PLAZA SUITE 100 OMAHA NE 68104 STAFFING SERVICES 127524 SANFORD HEALTH PO BOX 5074 SIOUX FALLS SD 57117 ADMINISTRATION 125249 2 682802 682802 RESIDENT SERVICE REVEN 623000 2728362 2728362 INDEPENDENT LIVING 900099 155409 155409 APARTMENT REVENUE 900099 81498 81498 32074 32074 2997343 3154 3154 3683299 2997343 0 3154 X 161 161 11176 11176 1420670 1354069 66601 11940 11283 657 88625 83750 4875 233244 220415 12829 208289 208289 1020094 987833 32261 3950 3950 55299 48700 6599 128485 113717 14768 110 110 186003 164891 21112 61266 54224 7042 MEDICAL SUPPLIES 120905 120905 FOOD AND DIETARY COST 97440 97440 BAD DEBT 36825 36825 REPAIRS AND MAINTENANCE 22060 19525 2535 30496 30496 3737038 3307519 429519 0 770102 500451 261731 202630 32428 15515 6592621 5289281 1462427 1303340 1416004 1646156 7920 7920 3950612 3676012 257942 270189 442200 16699 9994 11200 0 728041 280183 X 3222571 3395829 3222571 3395829 3950612 3676012 -53739 226997 0 X 0 1 X 1 0 X 848144 682802 1530946 4110169 4098710 4183343 3962905 2997343 19352470 4110169 4098710 4183343 4811049 3680145 20883416 0 1213611 1304810 1224017 1241185 1155789 6139412 1213611 1304810 1224017 1241185 1155789 6139412 14744004 40156 30439 46944 39292 3154 159985 40156 30439 46944 39292 3154 159985 4150325 4129149 4230287 4850341 3683299 21043401 0.70060 0.71850 0.00760 0.00870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 86713 86713 4640054 3792928 847126 1641931 1343634 298297 223923 152719 71204 1303340 X 3910296 226997 226997 3683299 0 3683299 3737038 0 3737038 0 3737038 PART IV, LINE 2B: THE ESCROW ACCOUNT LIABILITY IS INCLUDED ON THE BALANCE SHEET. PART X LINE 21 INCLUDES FUNDS HELD FOR NURSING HOME RESIDENTS FOR ANCILLARY PURCHASES. PART X, LINE 2: THE HOME BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENT, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOME WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAD A MANAGEMENT CONTRACT WITH SANFORD HEALTH NETWORK, SIOUX FALLS, SD, UNTIL 04/2021. CHERILYN HALLAWAY, A SANFORD HEALTH EMPLOYEE, WAS THE ADMINISTRATOR UNDER THE AGREEMENT WITH SANFORD HEALTH. CHERILYN HALLAWAY RECEIVED COMPENSATION IN THE AMOUNT OF $55,905. DURING 2021, THE ORGANIZATION ENTERED INTO A MANAGEMENT AGREEMENT WITH CARING PROFESSIONALS, DELL RAPIDS, SD. THE ORGANIZATION PAID $9,350 TO CARING PROFESSIONALS FOR INTERIM ADMINISTRATOR SERVICES PROVIDED BY CHRIS HANSEN. THE ORGANIZATION HIRED A FULL TIME ADMINISTRATOR EFFECTIVE OCTOBER 4, 2021. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE ORGANIZATION CONSIST OF 13 LUTHERAN CHURCHES. THERE IS ONLY ONE CLASS OF MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A ALL MEMBERS HAVE THE SAME VOTING RIGHTS. THE MEMBERS' ROLE IS TO ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BYLAWS REQUIRE APPROVAL OF THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B BETHESDA OF BERESFORD DOES NOT UTILIZE COMMITTEES IN CONJUNCTION WITH ITS BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATOR REVIEWS FORM 990 PRIOR TO ITS SUBMISSION. THE BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 PRIOR TO ITS SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C PERSONS COVERED BY THE POLICY INCLUDE EVERY BOARD MEMBER, EVERY MEMBER OF ANY BOARD COMMITTEE, ALL OFFICERS OF THE HOME, AND ALL MANAGEMENT PERSONNEL OF THE HOME. COVERED MEMBERS ARE REQUIRED TO SIGN THE CONFLICT OF INTEREST STATEMENT EACH YEAR. THE ADMINISTRATOR RECEIVES AND REVIEWS ALL OF THE ANNUAL CONFLICT OF INTEREST STATEMENTS WHICH LIST ANY AND ALL FINANCIAL AND CONFLICTING INTERESTS. THE CHAIRPERSON OF THE BOARD IS THEN FAMILIARIZED WITH ALL DISCLOSURES IN CASE A CONFLICT ARISES, AND THE VICE CHAIRPERSON OF THE BOARD IS FAMILIARIZED WITH THE CHAIRPERSON'S DISCLOSURE. IF A CONFLICT ARISES, THE BOARD CHAIRPERSON, BOARD COMMITTEE OR THE BOARD MAY ASK THE INTERESTED PERSON TO LEAVE THE MEETING DURING DISCUSSIONS OF THE MATTER, AND THE BOARD MUST APPROVE THE MATTER BY A MAJORITY VOTE, NOT INCLUDING A VOTE OF THE INTERESTED PERSON. FORM 990, PART VI, SECTION B, LINE 15A A MARKET ANALYSIS WAS CONDUCTED FOR THE ADMINISTRATOR USING COMPARABLE DATA AND WAS CONDUCTED AS AN INDEPENDENT REVIEW. COMPENSATION WAS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G NURSE TEMPS: PROGRAM SERVICE EXPENSES 472,768. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 472,768. NURSE AIDE TEMPS: PROGRAM SERVICE EXPENSES 511,887. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 511,887. DIETARY CONSULTANT: PROGRAM SERVICE EXPENSES 3,178. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,178. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 32,261. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,261.